Background Rheumatic diseases require high healthcare recourses. The pain associated with these inflammatory or degenerative conditions require a multidisciplinary and continuous therapeutic approach. Due to cost restraints the value of day clinics for patients with rheumatic disorders is under debate.
Objectives Therefore we measured the Pain Experience Scale before and after treatment of patients with rheumatic diseases using the multimodal treatment programme of our specialised day clinic.
Methods From 1.1.2010 until 12.11.2011 199 consecutive patients scheduled for our day clinic were asked to fill out a the Pain Experience Scale (“Schmerzempfindungsskala”-SES; Geissner E.: Rehabilitation (Stuttg). 1995 Nov; 34 (4)), which measures two dimensions of subjectively felt pain, the affective characterization as well as modes of sensory characterization of pain. Multimodal treatment consisted of 15 days of treatment with physiotherapy (structured approach, assessment, treatment and evaluation), psychological pain management approaches and adjustment of medical treatment. For statistical analysis a Students t-test for paired samples was performed.
Results 127 patients (47 with rheumatoid arthritis; 21 with SpA, 32 with osteoarthritis, 14 with psoriasis and SpA, 5 with fibromyalgia, 8 with various rheumatic disorders) filled out the questionnaire before entering the day clinic and 103 patients returned the questionnaire 14 days after completion of the treatment.
The affective felt pain after completion of a 3 week treatment program in our day clinic was sign. improved (p=0.001). In contrast the sensory felt pain did not change after treatment (p=0.264).
Conclusions Multidisciplinary treatment in a day clinic is useful to change the course of pain in patients with rheumatic diseases. A long term follow up is needed.
Geissner E.: Rehabilitation (Stuttg). 1995 Nov; 34 (4)
Disclosure of Interest None Declared