Department of Community Medicine and Rehabilitation, Umeå University, Umeå; Department of Development and Research, Region Norrbotten, Luleå, Sweden.
Department of Community Medicine and Rehabilitation, Umeå University, Umeå.
J Rehabil Med. 2022 Nov 1;54:jrm00333. doi: 10.2340/jrm.v54.2336.
To investigate the outcomes of a multimodal rehabilitation programme (MMRP) regarding pain intensity, emotional functioning, activity and physical functioning, social response, and health, with regard to sex and age.
This retrospective longitudinal study was based on data from patients at 2 specialist pain clinics in northern Sweden immediately after MMRP (short-term) and at 1-year follow-up (long-term). Data from 439 patients were analysed according to sex and to age groups 18-30, 31-45 and 46-65 years.
The men improved with larger effect sizes (ESs) than women immediately after MMRP. The youngest age group showed improvements with greater ESs compared with the older age groups, both in the short and long term. Social support decreased for both women and men and in all 3 age groups in the long term. Improvements in both the short and long term were found in pain intensity, emotional functioning, and activity and physical functioning, in both women and men, as well as the different age groups.
Both women and men with chronic pain, and from all of the different age groups, benefitted from MRRP. Since improvements for men were not sustained over time, they may need further support after the programme.
探讨多模式康复方案（MMRP）对疼痛强度、情绪功能、活动和身体功能、社会反应以及健康的影响，同时考虑到性别和年龄因素。
这是一项回顾性纵向研究，基于瑞典北部 2 家专科疼痛诊所患者在 MMRP 后即刻（短期）和 1 年随访时（长期）的数据。根据性别和年龄组（18-30 岁、31-45 岁和 46-65 岁）对 439 名患者的数据进行分析。
MMRP 后，男性的改善效果比女性更为显著（较大的效应量[ES]）。在短期和长期内，最年轻的年龄组与较年长的年龄组相比，改善效果更为显著。在长期随访中，女性和男性以及所有 3 个年龄组的社会支持均下降。在短期和长期内，女性和男性以及不同年龄组的疼痛强度、情绪功能、活动和身体功能均有改善。
患有慢性疼痛的女性和男性，以及来自不同年龄组的患者，均从 MMRP 中获益。由于男性的改善效果不能持续，他们可能需要在方案结束后获得进一步的支持。
