Changes in pain, daily occupations, lifestyle, and health following an occupational therapy lifestyle intervention: a secondary analysis from a feasibility study in patients with chronic high-impact pain-Reference-Cited by-同舟云学术

Changes in pain, daily occupations, lifestyle, and health following an occupational therapy lifestyle intervention: a secondary analysis from a feasibility study in patients with chronic high-impact pain

Published:2023-12-01 Issue:1 Volume:24 Page:
ISSN:1877-8860
Container-title:Scandinavian Journal of Pain
language:en
Short-container-title:

Author:

Nielsen Svetlana Solgaard¹²,Skou Søren T.¹³^ORCID,Larsen Anette Enemark⁴,Polianskis Romanas⁵,Arendt-Nielsen Lars⁶,Østergaard Anne Skov³,Kjær-Staal Petersen Kristian⁶,Vægter Henrik Bjarke⁷⁸,Søndergaard Jens⁹,Christensen Jeanette Reffstrup⁹¹⁰¹¹

Affiliation:

1. Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy , Naestved, Slagelse & Ringsted Hospitals , Slagelse , Denmark

2. Institute of Regional Health Research , University of Southern Denmark , Odense , Denmark

3. Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences , University of Southern Denmark , Odense , Denmark

4. Department of Therapy and Midwifery Studies, Faculty of Health Sciences , University College Copenhagen , Copenhagen , Denmark

5. Multidisciplinary Pain Centre, Department of Anesthesiology , Naestved Hospital , Naestved , Denmark

6. Department of Health Science and Technology, Faculty of Medicine , Aalborg University Hospital , Aalborg , Denmark

7. Pain Research Group/Pain Centre, Department of Anesthesiology and Intensive Care Medicine , Odense University Hospital , Odense , Denmark

8. Department of Clinical Research, Faculty of Health Sciences , University of Southern Denmark , Odense , Denmark

9. Research Unit of General Practice, Department of Public Health, Faculty of Health Sciences , University of Southern Denmark , Odense , Denmark

10. User Perspectives, Department of Public Health, Faculty of Health Sciences , University of Southern Denmark , Odense , Denmark

11. Research Unit of General Practice, Department of Public Health, Faculty of Health Sciences , Aarhus University , Aarhus , Denmark

Abstract

Abstract Objectives This study explored changes in pain-related parameters, occupational function, occupational balance, lifestyle factors, and self-perceived health status in adults with chronic high-impact pain participating in an occupational therapy lifestyle intervention. Methods This one-group longitudinal feasibility study was performed in three continuous feasibility rounds. The occupational therapists-led intervention targeted meaningful occupations, regular physical activity, and a healthy diet. The intervention contained individual and group sessions and was added to the standard multidisciplinary chronic pain treatment. Outpatients (n=40, 85 % females, 46.6 ± 10.9 years old) participated in the study between April 2019 and December 2021. The analysis includes data for 31 participants. Analysis of pre-post changes assessed after each feasibility round were performed for the outcomes: pain intensity, pain sensitivity and pain modulation (pressure pain threshold and tolerance, temporal summation of pain and conditioned pain modulation), pain self-efficacy, pain catastrophizing, motor and process skills, occupational balance, daily wake-time movement, daily walking steps, body mass index, waist circumference, blood pressure, and self-perceived health status. Results Improvements in motor skills (assessment of motor and process skills score=0.20 (1.37; 1.57), 95 % CI 0.01; 0.38) and temporal summation of pain (−1.19 (2.86; −1.67), 95 % CI −2.16; −0.22), but a decrease in pain tolerance (−7.110 (54.42; 47.32), 95 % CI −13.99; −0.22) were observed. Correlation analysis suggested moderate-to-very strong statistically significant relationships in several outcomes related to pain, health, pain coping, occupational balance, occupational functioning, body anthropometrics, and pain sensitivity. Conclusions This study suggested that the lifestyle intervention would benefit motor skills while effects on other outcomes were unclear in adults with chronic pain. To confirm the findings, a randomized trial evaluating effectiveness is needed. Ethical committee number: SJ-307 Reg. Clinicaltrials.gov: NCT03903900

Publisher

Walter de Gruyter GmbH

Subject

Anesthesiology and Pain Medicine,Neurology (clinical)

Link

https://www.degruyter.com/document/doi/10.1515/sjpain-2023-0043/pdf

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