Interdisciplinary Functional Restoration and Pain Programs
The major purpose of the present chapter is to provide a review of the currently most therapeutically effective method for managing chronic pain—functional restoration (FR). Before doing so, a brief overview of the rehabilitation process will be provided. Indeed, throughout history, the treatment of chronic pain conditions has been difficult, time consuming, expensive, and, all too often, unsuccessful. Many modes of treatment, both invasive (injections, procedures, surgery, etc.) and noninvasive methods (medications, physical therapy, counseling, applications of heat, ice, transcutaneous electrical stimulation, and many others), have been used by the health-care profession in an attempt to eliminate pain and return these patients to a productive, fulfilling life.
KeywordsChronic Pain Cognitive Behavioral Therapy Chronic Pain Patient Chronic Pain Condition Biopsychosocial Model
- 1.Andersson GBJ, Cocchiarella L, editors. The AMA guides to the evaluation of permanent impairment. 5th ed. Chicago: American Medical Association; 2000.Google Scholar
- 2.The AMA guides to the evaluation of permanent impairment. 6th ed. Chicago: American Medical Association; 2007.Google Scholar
- 3.The American Physical Therapy Association. Guide to physical therapist practice. Second edition. American Physical Therapy Association. Phys Ther. 2001;81(1):729–38.Google Scholar
- 4.International Classification of Functioning, Disability and Health (ICF). http://www.who.int/classifications/icf/en/.
- 5.Foley BS, Buschbacher RM. Occupational rehabilitation. In: Braddom RL, editor. Physical medicine and rehabilitation. 3rd ed. Philadelphia: Saunders/Elsevier; 2007. p. 1047–54.Google Scholar
- 6.Zimmerman M. The history of pain concepts and treatment before IASP. In: Merskey H, Loeser J, Dubner R, editors. The paths of pain. Seattle: IASP Press; 1975–2005.Google Scholar
- 9.Turk DC, Monarch ES. Biopsychosocial perspective on chronic pain. In: Turk DC, Gatchel RJ, editors. Psychological approaches to pain management: a practitioner’s handbook. 2nd ed. New York: Guilford; 2002. p. 3–29.Google Scholar
- 10.Gatchel RJ, Bruga D. Multi- and interdisciplinary intervention for injured workers with chronic low back pain: invited review. SpineLine. 2005. http://www.spine.org/Pages/Publications/SpineLine/PreviousIssues/2005/sle05sepoct.aspx.
- 11.Murphy WB, editor. Healing the generations: a history of physical therapy and the American Physical Therapy Association. Alexandria: American Physical Therapy Association; 1995.Google Scholar
- 13.Turk DC. Biopsychosocial perspective on chronic pain. In: Gatchel RJ, Turk DC, editors. Psychological approaches to pain management: a practitioner’s handbook. New York: Guilford Press; 1996. p. 33–52.Google Scholar
- 14.Brena SF. Pain control facilities: patterns of operation and problems of organization in the USA. Clin Anesth. 1985;3:183–95.Google Scholar
- 20.Curry R. Understanding patients with chronic pain in work hardening programs. Work programs special interest section newsletter (American Occupational Therapy Association). 1989;3:3.Google Scholar
- 22.Chou R, Loeser JD, Owens DK, Rosenquist RW, Atlas SJ, Baisden J, Carragee EJ, Grabois M, Murphy DR, Resnick DK, Stanos SP, Shaffer WO, Wall EM, American Pain Society Low Back Pain Guideline Panel. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine. 2009;34(10):1066–77. doi: 10.1097/BRS.0b013e3181a1390d.PubMedCrossRefGoogle Scholar
- 23.American College of Occupational and Environmental Medicine. Occupational medicine practice guidelines, chronic pain chapter update. Beverly Farms: Occupational and Environmental Medicine Press; 2008.Google Scholar
- 26.Turks DC, Swanson K. Efficacy and cost effectiveness treatment of chronic pain: AN analysis and evidence –based synthesis. In: Schatman MF, Campbell A, editors. Chronic pain management guidelines for multidisciplinary program development. New York: Informa Healthcare; 2007. p. 15–38.Google Scholar
- 27.Siddall PJ, Cousins MJ. Persistent pain: a disease entity. J Pain Manag. 2007;33 suppl 2:s4–10.Google Scholar
- 31.Jelinek S, Germes D, Leyckes N. The Photograph series of Daily Activities (PHODA); lower extremities [CD-ROM]. The Netherlands: Hogeschool Zuyd, University Maastricht and Institute for Rehabilitation Research; 2003 (iRv).Google Scholar
- 42.Gatchel RJ, Noe C, Gajarj N, Vakharia A, Polatin PB, Deschner M, Pulliam C. The negative impact on an interdisciplinary pain management program of insurance “treatment carve out” practices. J Workmans Compens. 2001;10:50–63.Google Scholar
- 44.Curtis RS. Values and valuing in rehabilitation. J Rehabil. 1998;64:42–7.Google Scholar