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SP0077 Identifying Key Elements in the Structure, Process and Outcome of Rehabilitation in Chronic Pain
  1. M. Klokkerud
  1. Dep. of Rheumatology, NKRR, Diakonhjemmet Hospital, Oslo, Norway


Chronic pain is a major symptom in most rheumatic and musculoskeletal diseases, both inflammatory and non-inflammatory. When chronic pain leads to problems with coping and functioning in everyday life, rehabilitation is an important part of the health care service that should be provided. Most key elements of rehabilitation are independent of diagnosis and functional cause, like patient involvement, team organisation and goal orientation. In this lecture a framework for describing important elements of arthritis rehabilitation will be presented and used to explore the evidence of rehabilitation in patients with chronic pain. The framework, called the STAR-ETIC framework, was developed through a Delphi consensus procedure in a North-European expert group comprising patients, researchers and clinicians (The STAR-ETIC collaboration). The overall aim of developing the framework was to provide an instrument facilitating rigorous and congruent description of arthritis rehabilitation. The framework was based on 3 existing models that are well recognized within the field of rehabilitation: Wade's rehabilitation model, ICF, and Donabedian's healthcare model. What distinguish rehabilitation from other interventions and what are the key elements in the structure, process and outcome of rehabilitation in chronic pain? These questions will be shed light on in this lecture.


  1. Klokkerud M, Hagen KB, Kjeken I, Bremander A, Hørslev-Petersen K, Vliet Vlieland T, Grotle M and the STAR-ETIC collaboration. Development of a framework identifying domains and elements of importance for arthritis rehabilitation. Journal of Rehabilitation Medicine 2012 May; 44(5):406-13.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.6151

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