%0 Journal Article
%T The benefit of adding a physiotherapy or occupational therapy intervention programme to a standardized group
%A Bente Danneskiold-Sams£¿e
%A Cecilie von B¨¹low
%A Elisabeth Bandak
%A Eva E W£¿hrens
%A Kirstine Amris
%A Marianne Uggen Rasmussen
%A Robin Christensen
%J Clinical Rehabilitation
%@ 1477-0873
%D 2019
%R 10.1177/0269215519843986
%X To evaluate the benefit of adding occupational therapy or physiotherapy interventions to a standard rehabilitation programme targeted for chronic widespread pain. Randomized active-controlled non-blinded trial. Women with chronic widespread pain recruited in a tertiary outpatient clinic. Participants were randomized to a two-week, group-based standard rehabilitation programme followed by 16£¿weeks of group-based occupational therapy (Group BOT, n£¿=£¿43) or 16£¿weeks of group-based physiotherapy (Group BPT, n£¿=£¿42). Group A only received the two-week rehabilitation programme acting as comparator (n£¿=£¿96). Primary outcomes were the Assessment of Motor and Process Skills and Short Form-36 (SF36) Mental Component Summary score. Mean changes in motor and process ability measures were clinically and statistically insignificant and without differences across the three groups assessed 88£¿weeks from baseline. Motor ability measures: £¿0.006 (95% confidence interval (CI): £¿0.244 to 0.233) in Group BOT; £¿0.045 (95% CI: £¿0.291 to 0.202) in Group BPT; and £¿0.017 (95% CI: £¿0.248 to 0.213) in Group A, P£¿=£¿0.903. Process ability measures: 0.087 (95% CI: £¿0.056 to 0.231) in Group BOT; 0.075 (95% CI: £¿0.075 to 0.226) in Group BPT; and 0.072 (95% CI: £¿0.067 to 0.211) in Group A, P£¿=£¿0.924. Mean changes in patient-reported outcomes were likewise small; clinically and statistically insignificant; and independent of group allocation, except for the SF36 mental component summary score in the BPT group: 8.58 (95% CI: 1.75 to 15.41). Participants were on average stable in observation-based measures of functional ability and patient-reported outcomes, except in overall mental well-being, favouring the enhanced intervention. Efficacy of additional interventions on functional ability remains uncertain
%K Chronic widespread pain
%K physiotherapy
%K occupational therapy
%K activities of daily living
%K rehabilitation
%U https://journals.sagepub.com/doi/full/10.1177/0269215519843986