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Tytuł pozycji:

Evaluation of a Functional Restoration Program at Fort Bliss Interdisciplinary Pain Management Clinic.

Tytuł:
Evaluation of a Functional Restoration Program at Fort Bliss Interdisciplinary Pain Management Clinic.
Autorzy:
Nguyen KT; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Beauchamp DW; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Lovett U; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Tillman D; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Janze A; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Ruiz A; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Romero R; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Ting WC; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Wilson EB; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Wright D; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Edlin C; Interdisciplinary Pain Management Center (IPMC), 2485-D Hinman Drive, Fort Bliss, TX, 79916.
Źródło:
Military medicine [Mil Med] 2020 Dec 30; Vol. 185 (11-12), pp. e2097-e2103.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: 2018- : Oxford : Oxford University Press
Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955-
MeSH Terms:
Pain Management*
Canada ; Chronic Pain/therapy ; Exercise Therapy ; Humans ; Quality of Life
Entry Date(s):
Date Created: 20200829 Date Completed: 20210414 Latest Revision: 20210414
Update Code:
20240105
DOI:
10.1093/milmed/usaa200
PMID:
32856041
Czasopismo naukowe
Introduction: In partnership with the Veterans Health Administration, in 2010, the Department of Defense/Veterans Health Administration Pain Management Task Force Final Report recommended a comprehensive pain management plan. Consequently, each Army medical center established an Interdisciplinary Pain Management Clinic (IPMC) for pain treatment, and each IPMC implements a multidisciplinary outpatient functional restoration program (FRP) as an alternative to or in addition to pharmacological therapy. This article reports our first-year FRP results at William Beaumont Army Medical Center IPMC.
Materials and Methods: The FRP is designed to improve the participants' functionality and quality of life, both personally and professionally. Service members with chronic pain were evaluated for psychological and physical clearance before enrollment in an intense and structured FRP for 8 hours a day over 3 weeks. The program focused on physical and occupational exercises, yoga, acupuncture, and educational classes regarding pain medications, nutrition, and coping skills. The resulting data were analyzed using paired two-tailed t-tests with a predetermined significance level of 0.05 to examine the participants' mean changes upon completion of the FRP.
Results: The pre-post comparison indicated significant improvement after completion of the FRP. The fear-avoidance of physical activities and the fear of movement scores were reduced significantly (P < 0.05); the Canadian occupational performance and satisfaction, physical strength and endurance were improved significantly (P < 0.0001) in sit-to-stand, plank balance, lifting and carrying, and 10-minute 7-to-1 Pyramid tests; however, fear-avoidance of work was not significantly reduced (P = 0.2319).
Conclusions: Because of the lack of randomization and the small number of subjects (N = 32, 7 cohorts), unknown sources of bias may have influenced the results. Despite these limitations, the results from this report support the program's effectiveness and are consistent with the outcomes from FRP programs in other military facilities and in civilian studies.
(Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2020. This work is written by US Government employees and is in the public domain in the US.)
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