de Blécourt A C E, Schiphorst Preuper H R, Van Der Schans C P, Groothoff J W, Reneman M F
Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Disabil Rehabil. 2008;30(1):13-20. doi: 10.1080/09638280601178816.
To describe the outcome of a multidisciplinary pain management program for children and adolescents with chronic musculoskeletal pain.
exploratory retrospective cohort study. The study sample consisted of a cohort of 70 children and adolescents (age: 8-21 years) with chronic musculoskeletal pain who completed a 3-month inpatient multidisciplinary pain management program. The program consisted of graded physical exercises, graded activities and counseling of the children and their parents. Assessed were motor and social activities, pain intensity, global assessment of physical functioning and psychosocial well-being (by patient and physician), understanding of the pain process and reduction of medical consumption. Assessments were performed at pre-admission, day of admission, day of discharge and at three months after discharge. Data collection took place over a 10-year period.
Compared to admission, at discharge there were significant improvements in motor performances, school attendance, reduction of pain scores, understanding of the chronic pain process and reduction of medical consumption. Results remained stable at follow-up after three months.
The results of this study indicate that a multidisciplinary pain management program for children and adolescents with chronic musculoskeletal pain may be effective.
描述针对患有慢性肌肉骨骼疼痛的儿童和青少年的多学科疼痛管理项目的结果。
探索性回顾性队列研究。研究样本包括70名患有慢性肌肉骨骼疼痛的儿童和青少年（年龄8至21岁），他们完成了为期3个月的住院多学科疼痛管理项目。该项目包括分级体育锻炼、分级活动以及对儿童及其父母的咨询。评估内容包括运动和社交活动、疼痛强度、身体功能和心理社会幸福感的整体评估（由患者和医生进行）、对疼痛过程的理解以及医疗消耗的减少。在入院前、入院当天、出院当天以及出院后三个月进行评估。数据收集历时10年。
与入院时相比，出院时运动表现、上学出勤率、疼痛评分降低、对慢性疼痛过程的理解以及医疗消耗减少等方面均有显著改善。三个月随访时结果保持稳定。
本研究结果表明，针对患有慢性肌肉骨骼疼痛的儿童和青少年的多学科疼痛管理项目可能是有效的。
