Journal CME July 2025, Physical function and perceived pain following inpatient intensive interdisciplinary pain treatment for children and adolescents-PM R - 2025 - Seth - Physical function and perceived pain following inpatient intensive interdisciplinary pain treatment

PM R - 2025 - Seth - Physical function and perceived pain following inpatient intensive interdisciplinary pain treatment

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This study examines the effectiveness of an inpatient Intensive Interdisciplinary Pain Treatment (IIPT) program on children and adolescents with chronic pain. Conducted at Children’s Specialized Hospital in New Jersey, the research involved 258 participants, primarily female, with a mean age of 16.5 years, from 2011 to 2023. The participants underwent a 4-week IIPT program that included physical therapy, cognitive behavioral therapy, and other therapeutic activities aimed at improving physical function and reducing pain perception.<br /><br />The study measured outcomes such as pain intensity, lower and upper extremity function, motor proficiency, and occupational performance and satisfaction. Results indicated significant improvements across these measures at discharge compared to admission. For instance, median changes in lower extremity function, upper extremity function, and motor proficiency surpassed minimal clinically important difference thresholds. Additionally, participants reported substantial reductions in pain intensity and decreased reliance on pain medication from admission to discharge.<br /><br />The study supports the efficacy of IIPT in improving physical function and reducing perceived pain, suggesting these improvements may have practical implications for real-world activities. The researchers emphasize the need for IIPT due to its comprehensive approach, which addresses physical, emotional, and cognitive aspects of chronic pain, moving away from pharmacological interventions.<br /><br />Despite its strengths in sample size and diverse participant demographics, the study lacks a control group and long-term follow-up data, limiting the understanding of sustained effects. The authors suggest further research to explore long-term outcomes and the potential link between improved function and pain reduction.<br /><br />Overall, the findings highlight the relevance of IIPT programs for managing chronic pain in young populations, providing significant functional and pain relief benefits that could influence future treatment approaches.

Keywords

Intensive Interdisciplinary Pain Treatment

chronic pain

children and adolescents

physical therapy

cognitive behavioral therapy

pain intensity

motor proficiency

occupational performance

pain medication

long-term outcomes