Influencing walking behavior can increase the physical activity of patients with chronic pain hospitalized for multidisciplinary rehabilitation: an observational study
| Autor: | Caroline Praz, Philippe Terrier, François Luthi, Joane Le Carré, Philippe Vuistiner, Bertrand Léger |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Biopsychosocial model medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Chronic musculoskeletal pain Sports medicine medicine.medical_treatment Upper limb pain Walking Accelerometer Multidisciplinary biopsychosocial rehabilitation Orthopedic trauma Pain interference Physical functioning 03 medical and health sciences 0302 clinical medicine Rheumatology Quality of life Musculoskeletal Pain Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Patient Care Team 030203 arthritis & rheumatology Inpatients 030222 orthopedics Rehabilitation business.industry Chronic pain Middle Aged medicine.disease Brief Pain Inventory Questionnaire Physical activity level Exercise Therapy Cross-Sectional Studies Treatment Outcome Quality of Life Physical therapy Female lcsh:RC925-935 Chronic Pain Patient Participation business Research Article |
| Zdroj: | BMC musculoskeletal disorders, vol. 20, no. 1, pp. 188 BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-12 (2019) |
| Popis: | Background Physical therapy and exercising are key components of biopsychosocial rehabilitation for chronic pain. Exercise helps reduce pain and improve physical functions. In addition, a high level of physical activity benefits quality of life and emotional well-being. However, the degree to which hospitalization for extensive rehabilitation effectively increases physical activity has not yet been studied. Therefore, we investigated the physical activity level and the walking behavior of inpatients with musculoskeletal pain. The objectives were 1) to compare physical activity level and walking with or without rehabilitation, 2) to evaluate whether pain site influences physical activity level, and 3) to measure the association between physical activity and pain-related interference with physical functioning. Methods During a rehabilitation stay, 272 inpatients with lower limb, spine, or upper limb pain wore an accelerometer over 1 week. We assessed the daily duration of the practice of moderate physical activity and walking. Weekend days, during which the participants went home (days off), were used as a reference for habitual activities. We also evaluated 93 patients before the hospitalization to validate the use of days off as a baseline. Pain interference was measured with the brief pain inventory questionnaire. Generalized linear mixed models analyzed the association between physical activity and walking levels, and 1) rehabilitation participation, 2) pain sites, and 3) pain interference. Results Weekend days during the stay have similar physical activity level as days measured before the stay (73 min / day at the clinic, versus 70 min / day at home). Rehabilitation days had significantly higher physical activity levels and walking durations than days off (+ 28 min [+ 37%] and + 32 min [+ 74%], respectively). Mixed models revealed 1) a negative association between physical activity and pain interference, and 2) no effect of pain sites. Overall, patients increased their physical activity level independently of reported pain interference. Conclusions Despite their painful condition, the inpatients were able to engage themselves in a higher level of physical activity via increased participation in walking activities. We conclude that walking incentives can be a valid solution to help patients with chronic pain be more physically active. Electronic supplementary material The online version of this article (10.1186/s12891-019-2561-9) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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