Activity-related pain in patients with chronic musculoskeletal disorders
| Autor: | Cecilie Røe, Elin Damsgård, Audny Anke, Gyrd Thrane, Terese Fors |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty VDP::Social science: 200::Psychology: 260 Movement Alternative medicine MEDLINE Pain Motor Activity Surveys and Questionnaires Humans Medicine In patient Musculoskeletal Diseases Pain Measurement business.industry Rehabilitation VDP::Medical disciplines: 700::Health sciences: 800 Fear Self Efficacy Logistic Models Chronic disease VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Samfunnsvitenskap: 200::Psykologi: 260 Chronic Disease Physical therapy Pain psychology Female business Stress Psychological |
| Zdroj: | Disability and Rehabilitation. 32:1428-1437 |
| ISSN: | 1464-5165 0963-8288 |
| DOI: | 10.3109/09638280903567877 |
| Popis: | Accepted manuscript version, reprinted with permission (Informa Helthcare). Published version available at http://dx.doi.org/10.3109/09638280903567877 This article is part of Elin Damsgård's doctoral thesis which is available in Munin at http://hdl.handle.net/10037/2500 Purpose. Activity related pain may be a barrier to rehabilitation in patients with chronic musculoskeletal disorders. This study investigated patients’ reports of increased pain during activity, and the association between such pain and psychological factors and pain variables. Method. Questionnaires from 232 adults with chronic musculoskeletal pain measured pain intensity, spread of pain and pain duration. Pain during activity was assessed both on a 11 point Numeric Rating Scale (NRS), and operationalized as a dichotomous measure, where responders defined if they experienced pain during general activity and exercise. Psychological factors were measured by the Hopkins Symptom Check List 25, the Tampa Scale for Kinesiophobia and a subscale of the Arthritis Self – Efficacy Scale. Multiple and logistic regression was used to analyse associations between increased pain during activity and associated variables. Results. Increased pain during activity was reported by 69 % of participants. Fear of movement was a significant factor for reporting increased pain during activity, both general activity and exercise, also in a subsample with low psychological distress. Other significant factors were spread of pain and a low sense of self efficacy. Conclusion. Patients with high fear of movement, large spread of pain and low self efficacy were more likely to report increased pain during activity even in the absence of psychological distress. |
| Databáze: | OpenAIRE |
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