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A Psychosocial risk factor--targeted intervention for the prevention of chronic pain and disability following whiplash injury
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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“There is some evidence to suggest that identifying and managing signs of distress in the aftermath of a musculoskeletal (MSK) injury can help to reduce the incidence of chronic pain and long-term disability.1216”
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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Metadata
- 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
- 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
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Physical Sciences › Engineering › Biomedical Engineering › 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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