Reck T, Dumat W, Krebs J, Ljutow A
Zentrum für Schmerzmedizin, Schweizer Paraplegiker Zentrum, Guido A. Zäch Str. 1, 6207, Nottwil, Schweiz.
Clinical Trial Unit, Schweizer Paraplegiker Zentrum, Nottwil, Schweiz.
Schmerz. 2017 Oct;31(5):508-515. doi: 10.1007/s00482-017-0211-4.
Interdisciplinary pain therapy is nowadays the state of the art for the treatment of chronic unspecific back pain. The aim of this article is to present the retrospective analysis of the data from a 1-week intensive outpatient multimodal interdisciplinary pain therapy group program for treatment of patients with chronic unspecific back pain.
The questionnaire-based data from patients who attended the program were evaluated before as well as 3 and 12 months after finishing the program. The patients were questioned regarding parameters, such as pain severity, quality of life, pain-related disability, depression and pain acceptance.
On average a significant improvement of all parameters after 3 and 12 months could be demonstrated (excluding the domains "social" and "environment" in the context of quality of life).
Interestingly, the results showed a significant improvement of almost all evaluated parameters even after a period of 12 months (unfortunately only data for 41 patients were available). In our opinion this improvement is due to the special constellation of the presented program, which with 1 week is relatively short but very intensive with 34 h of treatment. In addition, the program is integrated into a long-term multimodal outpatient treatment, a concept in which the multimodal treatment is individually continued after the 1‑week program. On the other hand, the results especially after 12 months have to be interpreted particularly in this context.
如今,多学科疼痛治疗是慢性非特异性背痛治疗的最新方法。本文旨在对一个为期1周的强化门诊多模式多学科疼痛治疗小组项目的数据进行回顾性分析,该项目用于治疗慢性非特异性背痛患者。
对参加该项目的患者基于问卷的数据在项目结束前以及结束后3个月和12个月进行评估。询问患者有关疼痛严重程度、生活质量、疼痛相关残疾、抑郁和疼痛接受度等参数。
3个月和12个月后所有参数平均有显著改善(在生活质量方面不包括“社会”和“环境”领域)。
有趣的是,结果显示即使在12个月后几乎所有评估参数都有显著改善(遗憾的是仅有41名患者的数据可用)。我们认为这种改善归因于所呈现项目的特殊组合,该项目为期1周相对较短,但治疗时长34小时非常密集。此外,该项目融入了长期多模式门诊治疗,即在为期1周的项目结束后多模式治疗会单独继续的一种理念。另一方面,尤其是12个月后的结果必须在此背景下进行特别解读。