• Swiss medical weekly · Jan 2017

    Effectiveness of the Bern Ambulatory Interprofessional Rehabilitation (BAI-Reha) programme for patients with chronic musculoskeletal pain: a cohort study.

    • Brigitte Elisabeth Gantschnig, Franziska Heigl, Colette Widmer Leu, Lukas Bütikofer, Stephan Reichenbach, and Peter Matthias Villiger.
    • Department of Rheumatology, Immunology, Allergology, University Hospital (Inselspital) and University of Bern, Switzerland; Institute of Occupational Therapy, School of Health Professions, ZHAW Zurich University of Applied Sciences, Switzerland.
    • Swiss Med Wkly. 2017 Jan 1; 147: w14433.

    Questions Under StudyChronic pain has a high impact on individuals and society. (Cost-)effective interventions are desperately needed. We evaluated short- and long-term effects of the Bern Ambulatory Interprofessional Rehabilitation (BAI-Reha) for patients with chronic musculoskeletal pain.MethodsWe analysed data prospectively collected from patients with chronic musculoskeletal pain before and after BAI-Reha (at 12 weeks, 1 year and 2 years) using linear mixed-models and logistic generalised estimating equations.ResultsThe first thirty consecutive patients with chronic musculoskeletal pain, aged between 20 and 73 years (mean 44.83, standard deviation 12.57 years) were included. We found significant changes over time compared with baseline for return to work (p <0.001), Euro quality of life visual analogue scale score (p = 0.026), burden of suffering (p = 0.001), self-rated and observed quality of daily life task motor performance (p <0.001 and p = 0.012, respectively) but not for pain intensity (p = 0.16) and observed quality of daily life task process performance (p = 0.28). At the first postintervention visit we found significant differences compared with baseline in return to work (odds ratio 5.26, 95% confidence interval [CI] 1.80-15.39], burden of suffering (mean difference 5.26, 95% CI 2.09-8.44], self-rated quality (mean difference 2.31, 95% CI 1.57-3.05) and satisfaction (mean difference 2.80, 95% CI 1.95-3.66) with daily life task performance, and observed quality with daily life task motor performance (mean difference 0.31, 95% CI 0.02-0.60).ConclusionsThis study confirms earlier data and supports the effectiveness of interprofessional rehabilitation for patients with chronic musculoskeletal pain.

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