Department of Psychology, University of Gothenburg, PO Box 500, SE-405 30 Gothenburg, Sweden.
J Telemed Telecare. 2010;16(6):336-43. doi: 10.1258/jtt.2010.006008.
We investigated the potential prognostic factors for clinically relevant improvements in pain intensity and pain-related disability after myofeedback-based teletreatment. Sixty-five female computer users, 56 female patients with whiplash-associated disorders and 18 female patients with non-specific neck and shoulder pain participated in the study. They received myofeedback-based teletreatment or usual treatment. Questionnaires concerning prognostic factors, pain and disability were completed before the start of the intervention (baseline) and at follow-ups at the end of the intervention, and after 3 and 6 months. Logistic regression analyses were performed in order to investigate prognostic factors for clinically relevant improvement. In the intervention group, improvement in pain intensity was predicted by baseline pain intensity. Baseline pain intensity and disability, and fear-avoidance and endurance related pain coping responses were prognostic factors for outcome in pain-related disability in this group. There were few differences between the intervention groups; fear-avoidance coping responses influenced the outcome after teletreatment only. Myofeedback-based teletreatment appears to be an useful telemedicine intervention, especially for participants with moderate to high levels of pain and disability, high perceived help/hopelessness, and those who tend to deal with their pain by avoiding social and physical activities.
我们研究了肌电反馈远程治疗后疼痛强度和与疼痛相关的残疾的临床相关改善的潜在预后因素。65 名女性电脑使用者、56 名颈肩痛患者和 18 名非特异性颈肩痛患者参与了研究。他们接受了肌电反馈远程治疗或常规治疗。在干预开始前（基线）和干预结束时的随访，以及 3 个月和 6 个月时，完成了关于预后因素、疼痛和残疾的问卷。为了研究临床相关改善的预后因素，进行了逻辑回归分析。在干预组中，疼痛强度的基线预测了疼痛强度的改善。在该组中，基线疼痛强度和残疾，以及恐惧回避和耐力相关的疼痛应对反应是疼痛相关残疾结局的预后因素。干预组之间的差异很小；恐惧回避应对反应仅影响远程治疗后的结果。肌电反馈远程治疗似乎是一种有用的远程医疗干预措施，特别是对于疼痛和残疾程度中等到较高、感知帮助/无望程度较高、以及倾向于通过避免社交和体育活动来应对疼痛的参与者。
