Research: WIGERS and FINSET,

Listed in Issue 144

Abstract

WIGERS and FINSET, Opptreningssenteret Jeloy Kurbad, Bratengaten 94, 1515 Moss, Norway, sigrid.wigers@c2i.net, present evidence-based guidelines for the treatment of chronic pain.

Background

Chronic musculoskeletal pain of diffuse origin affects many, and at a significant cost. The aim of this study was to present and exemplify evidence-based guidelines for therapeutic interventions.

Methodology

200 patients with chronic myofascial pain and/or fibromyalgia who participated in a 4-week multidimensional rehabilitation programme, were included in the study. The programme included education and pain management in a cognitive setting, various forms of aerobic exercises, myofascial pain treatment, relaxation and medication as needed. The patients filled in questionnaires on arrival, at follow-up after six and 12-months and at discharge. They completed visual analogue scales for pain, fatigue, sleep problems, depression, the Nottingham Health Profile, the Fibromyalgia Impact Questionnaire, global subjective improvement, and during the follow-up period also the physical activity level, changes in quality of life and occupational workload.

Results

Significant improvements were seen in all variables throughout the follow-up period. 30% of the fibromyalgia patients no longer met the diagnostic criteria at discharge. There was a significant increase in quality of life over time. After one year, more patients had returned to work and fewer were off sick, but there was also an increased number on disability pensions. The majority did exercise training on a regular basis.

Conclusion

These findings confirm the existing evidence-based guidelines by showing that multidimensional rehabilitation is an effective intervention for patients with widespread chronic pain.

References

Wigers SH, Finset A. Rehabilitation of chronic myofascial pain disorders. Tidsskrift for Den Norske Laegeforening 127 (5): 604-608, Mar 1, 2007.

Comment

The above studies indicate that a variety of multi-dimensional Complementary Therapies were clinically effective in the treatment of chronic pain not related to cancer.

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