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An occupational therapy program for chronic back pain.

A Flower, E Naxon, R E Jones

    The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
    |April 1, 1981
    PubMed
    Summary
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    This study presents a multidisciplinary approach for chronic spinal pain management, focusing on occupational therapy to improve patient function and productivity. The program successfully reduced patient return to orthopedic clinics, indicating improved long-term outcomes.

    Area of Science:

    • Rehabilitation Medicine
    • Pain Management
    • Occupational Therapy

    Background:

    • Chronic spinal pain significantly impacts patient function and quality of life.
    • Traditional treatment approaches may not fully address the multifaceted nature of chronic pain.
    • A multidisciplinary approach is often necessary for comprehensive pain management.

    Purpose of the Study:

    • To describe a multidisciplinary program for evaluating and treating patients with chronic spinal pain.
    • To emphasize the integrated roles of physical disabilities and psychosocial occupational therapists.
    • To facilitate patient transition from a dependent, pain-centered role to a more productive, self-managed state.

    Main Methods:

    • Implementation of a multidisciplinary treatment program involving specialized occupational therapists.

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  • Focus on patient education and skill-building for self-management of pain.
  • Evaluation of program success based on increased patient activity levels and coping abilities.

    • Main Results:

    • A significant reduction in patients returning to orthopedic back clinics after program completion.
    • Out of 54 patients who completed the program, only 4 required follow-up outpatient care.
    • Demonstrated improvement in patients' ability to manage home and job demands.

    Conclusions:

    • A multidisciplinary occupational therapy approach is effective in managing chronic spinal pain.
    • The program empowers patients to assume greater control over their pain and daily functioning.
    • This model of care leads to sustained functional improvements and reduced healthcare utilization.