Abstract：
OBJECTIVE: Persistent musculoskeletal pain (PMP) is multifactorial and causes both societal and financial burdens. Integration of multifactorial management in patients with PMP remains challenging. A single-case experimental design was performed on three patients suffering from high impact PMP (lumbar spine, shoulder and knee) to i) assess the potential for Cognitive Functional Therapy (CFT) in interdisciplinary care, ii) describe in detail the clinical journey patients experienced during the intervention, and iii) evaluate the changes and associations in relation to the outcome measures of pain, disability, maladaptive movement behavior, subjective overall improvement, health related quality of life and work status. These were monitored over one year, at the end of each of the six intervention modules.
RESULTS: After introducing the intervention systematic changes were seen, with medium to large changes (Non-overlap of All Pairs 0.67-1) for all outcome measures. Associations between changes of the outcome measures were large (r ≥ 0.50) and changes occurred concurrently. Minimally clinically important difference thresholds were exceeded for all outcome measures and two patients achieved relevant improvements related to work reintegration.
CONCLUSIONS: The positive results of this study are comparable with recent CFT studies. However, the difference regarding the number of sessions and duration of the intervention is evident. The length of the intervention in this study seemed to enable continuous significant improvements up until 12 months post onset and follow-up.
CONCLUSIONS: CFT in interdisciplinary care was effective for all measures. The detailed descriptions of the clinical processes aim to improve clinical care.
RESULTS: After introducing the intervention systematic changes were seen, with medium to large changes (Non-overlap of All Pairs 0.67-1) for all outcome measures. Associations between changes of the outcome measures were large (r ≥ 0.50) and changes occurred concurrently. Minimally clinically important difference thresholds were exceeded for all outcome measures and two patients achieved relevant improvements related to work reintegration.
CONCLUSIONS: The positive results of this study are comparable with recent CFT studies. However, the difference regarding the number of sessions and duration of the intervention is evident. The length of the intervention in this study seemed to enable continuous significant improvements up until 12 months post onset and follow-up.
CONCLUSIONS: CFT in interdisciplinary care was effective for all measures. The detailed descriptions of the clinical processes aim to improve clinical care.
摘要：
目的：持续性肌肉骨骼疼痛（PMP）是多因素的，会造成社会和经济负担。在PMP患者中整合多因素管理仍然具有挑战性。对三名患有高冲击力PMP（腰椎，肩和膝)到i)评估认知功能疗法(CFT)在跨学科护理中的潜力，ii)详细描述患者在干预期间经历的临床旅程，和iii)评估与疼痛结果测量相关的变化和关联，残疾,适应不良的运动行为，主观整体改进，健康相关的生活质量和工作状态。这些被监测了一年多，在六个干预模块的末尾。
结果：在介绍干预措施后，观察到系统性变化，所有结果指标均有中等到较大的变化（所有对0.67-1不重叠）。结果测量值变化之间的关联很大（r≥0.50），同时发生变化。所有结果指标均超过了最小临床重要差异阈值，两名患者实现了与工作重返相关的相关改善。
结论：这项研究的阳性结果与最近的CFT研究相当。然而,会议次数和干预持续时间的差异是明显的。这项研究中的干预时间似乎可以持续显着改善，直到发病和随访后12个月。
结论：CFT在跨学科护理中对所有措施都有效。临床过程的详细描述旨在改善临床护理。
结果：在介绍干预措施后，观察到系统性变化，所有结果指标均有中等到较大的变化（所有对0.67-1不重叠）。结果测量值变化之间的关联很大（r≥0.50），同时发生变化。所有结果指标均超过了最小临床重要差异阈值，两名患者实现了与工作重返相关的相关改善。
结论：这项研究的阳性结果与最近的CFT研究相当。然而,会议次数和干预持续时间的差异是明显的。这项研究中的干预时间似乎可以持续显着改善，直到发病和随访后12个月。
结论：CFT在跨学科护理中对所有措施都有效。临床过程的详细描述旨在改善临床护理。
