A Psychosocial risk factor--targeted intervention for the prevention of chronic pain and disability following whiplash injury

Sullivan, Michael JL; Adams, Heather; Rhodenizer, Trina; Stanish, William D

doi:10.1093/ptj/86.1.8

Cited by 270Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationAutomotive and Human Injury Biomechanics

A Psychosocial risk factor--targeted intervention for the prevention of chronic pain and disability following whiplash injury

Sullivan, Michael JL, Adams, Heather, Rhodenizer, Trina, Stanish, William D·2006·Physical Therapy

DOI 10.1093/ptj/86.1.8

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Abstract

BACKGROUND AND PURPOSE: The objective of this study was to determine whether the addition of a psychosocial intervention improved return-to-work rates beyond those associated with participation in a functional restoration physical therapy intervention. Subjects who had sustained whiplash injuries participated in the Progressive Goal Attainment Program (PGAP), which is a 10-week psychosocial intervention program that aims to increase activity involvement and minimize psychological barriers to rehabilitation progress. SUBJECTS AND METHODS: A sample of 60 subjects enrolled in a functional restoration physical therapy intervention were used as a historical cohort comparison group. Subjects who received the functional restoration physical therapy intervention were compared with a sample of 70 subjects who received PGAP in addition to physical therapy. RESULTS: Participation in PGAP plus physical therapy resulted in a higher return-to-work rate (75%) than participation in physical therapy alone (50%). Differences between treatment conditions were most pronounced for the subgroup of subjects who had the largest number of psychosocial risk factors. DISCUSSION AND CONCLUSION: The findings suggest that a psychosocial risk reduction intervention can be an effective means of improving function and facilitating return to work in people who are at risk for prolonged pain-related disability.

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From Impact of healthcare interventions on distress following acute musculoskeletal/orthopaedic injury: A scoping review of systematic reviews (2024) · cites this paper as [16]

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Authors: Sullivan, M. J., Adams, H., Rhodenizer, T., & Stanish, W. D.
Affiliations: Université de Montréal (CA)
T Rhodenizer, OT, is Occupational Therapist, University Centre for Research on Pain and Disability, Halifax, Nova Scotia, Canada
Dalhousie University (CA)
Corresponding author: Sullivan, Michael JL
ORCID: Sullivan, Michael JL
Adams, Heather
Venue: Physical Therapy
Publisher: Oxford University Press (OUP)
Published: 2006-01-01
Volume: 86
Issue: 1
Pages: 8-18
ISSN: 0031-9023 (ISSN-L)
1538-6724
DOI: 10.1093/ptj/86.1.8
OpenAlex: W2164292070
Cited by: 270
References: 44
Citations by year: 2025: 8 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 11 · 2020: 8 · 2019: 13 · 2018: 18 · 2017: 19 · 2016: 14 · 2015: 15 · 2014: 17 · 2013: 21 · 2012: 15
FWCI: 7.11
Type: journal article
Language: en
Open access: closed
Locations: Physical Therapy (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
Keywords: whiplash injury, psychosocial interventions, return to work, chronic pain, disability prevention, psychosocial risk factors, activity involvement
MeSH terms: Adult, Employment, Female, Goals, Humans, Male, Pain, Pain Measurement, Risk Factors, Social Support, Time Factors, Whiplash Injuries, Program Evaluation, Multivariate Analysis, Physical Therapy Modalities

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A Psychosocial risk factor--targeted intervention for the prevention of chronic pain and disability following whiplash injury

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