Decline in physical activity, disability and pain‐related fear in sub‐acute low back pain

Verbunt, Jeanine; Sieben, Judith M.; Seelen, Henk; Vlaeyen, Johan W.S.; Bousema, Eric J.; Heijden, Geert J. van der; Knottnerus, J. André

doi:10.1016/j.ejpain.2004.09.011

Cited by 74 publications

(65 citation statements)

References 31 publications

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“…Encontrou-se maior prevalência, com gradiente positivo, de sujeitos com distúrbios musculoesqueléticos no grupo que relatou baixa frequência ou ausência de atividade física, sendo respectivamente 19% e 27% maior nas referidas situações, se comparado ao grupo que relatou três ou mais episódios de atividades por semana. Provavelmente, a capacidade para a prática da atividade física esteja comprometida pelas limitações esperadas em sujeitos com relato de distúrbios musculoesqueléticos 30 , mas não é imprudente supor que tal resultado seja a expressão do efeito protetor das atividades físicas para um grande leque de morbidades, incluindo aquelas do aparelho musculoesquelético 31 . Em todo caso, em se tratando de um estudo transversal, não é possível indicar a direção desta evidência.…”

Section: Discussionunclassified

Distúrbios musculoesqueléticos em trabalhadores do setor saúde de Belo Horizonte, Minas Gerais, Brasil

2012

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Estudo transversal que investigou a prevalência de distúrbios musculoesqueléticos e os fatores associados em uma amostra de 1.808 sujeitos do universo de 13.602 trabalhadores do sistema municipal de saúde de Belo Horizonte, Minas Gerais, Brasil. A prevalência foi avaliada com base no autorrelato de dor nos membros superiores, membros inferiores e dorso; a magnitude das associações foi estimada por meio da regressão de Poisson, em modelos univariados (p < 0,20) e multivariados (p < 0,05). A prevalência de distúrbios musculoesqueléticos foi de 49,9%; e permaneceu positivamente associada a ser do sexo feminino; viver com um companheiro; praticar atividade física menos que duas vezes por semana; relato compatível com transtorno mental comum; exercer cargos de dentista, técnico de odontologia e agente comunitário de saúde; alta demanda física e condições de trabalho inadequadas. Os resultados confirmam a complexidade dos distúrbios musculoesqueléticos e indicam pistas para a elaboração de programas de promoção da saúde nos estabelecimentos sanitários.

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Distúrbios musculoesqueléticos em trabalhadores do setor saúde de Belo Horizonte, Minas Gerais, Brasil

2012

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“…However, recent research has begun to raise some questions about the validity of self-reported disability measures for quantifying actual function. Studies on LBP patients have indicated that there is often discrepancy between self-reported disability and an individual's actual daily activity level [6,7] and the level of agreement between performance-based measures of disability and self-reported measures of disability is not strong [6,[8][9][10][11][12][13][14][15], suggesting that these measures might describe different aspects of functional capacity.…”

Section: Introductionmentioning

confidence: 99%

Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain

et al. 2009

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For an individual, the functional consequences of an episode of low back pain is a key measure of their clinical status. Self-reported disability measures are commonly used to capture this component of the back pain experience. In non-acute low back pain there is some uncertainty of the validity of this approach. It appears that self-reported assessment of disability and direct measurements of functional status are only moderately related. In this cross-sectional study, we investigated this relationship in a sample of 94 acute low back pain patients. Both selfreported disability and a performance-based assessment of disability were assessed, along with extensive profiling of patient characteristics. Scale consistency of the performance-based assessment was investigated using Cronbach's alpha, the relationship between self-reported and performance-based assessment of disability was investigated using Pearson's correlation. The relationship between clinical profile and each of the disability measures were examined using Pearson's correlations and multivariate linear regression. Our results demonstrate that the battery of tests used are internally reliable (Cronbach's alpha = 0.86). We found only moderate correlations between the two disability measures (r = 0.471, p \ 0.001). Self-reported disability was significantly correlated with symptom distribution, medication use, physical well-being, pain intensity, depression, somatic distress and anxiety. The only significant correlations with the performance-based measure were symptom distribution, physical well-being and pain intensity. In the multivariate analyses no psychological measure made a significant unique contribution to the prediction of the performance-based measure, whereas depression made a unique contribution to the prediction of the self-reported measure. Our results suggest that selfreported and performance-based assessments of disability are influenced by different patient characteristics. In particular, it appears self-reported measures of disability are more influenced by the patient's psychological status than performance-based measures of disability.

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“…Both findings are consistent with the majority of existing literature that has examined gender differences in the PSOCQpcon subscale or TSK scores. 31,[50][51][52][53] Moreover, the significant gender differences found on the PSOCQpcon and TSK further suggest that males may hold stronger beliefs that pain is a medical problem and exhibit more pain-related fear of movement correspondingly, compared to females. 31,54 However, when Bonferoni corrections were applied, the gender differences on the PSOCQ pre-contemplation subscale and TSK were no longer significant.…”

Section: Discussionmentioning

confidence: 99%

Accessibility of Chronic Pain Treatment for Individuals Injured in a Motor Vehicle Accident

Hapidou¹,

Mollica²,

Culig³

2016

Psychol Cogn Sci Open J

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ResearchPage 15 ABSTRACT Background: Chronic Pain (CP) is a pervasive problem that can drastically lower one's quality of life. Therefore, it is imperative that CP sufferers receive appropriate intervention. At the Michael G. DeGroote Pain Clinic of Hamilton Health Sciences, assessed individuals are either recommended or not recommended for admission into the four-week interdisciplinary pain management Program. Despite receiving recommendation for admission, many are denied insurance coverage for unspecified reasons and cannot undergo required treatment. Purpose: To investigate if there were clinically significant differences in demographics and pain-related measures between individuals granted versus denied insurance coverage for CP treatment. Methods: Data were collected from 99 patients recommended for admission into the Program. Pain-related questionnaire scores and demographic information were compared between patients denied coverage (n=49) and patients granted coverage (n=50) using two-way MANOVA and Pearson chi-square tests of independence. Results: Findings on pain-related variables revealed scores that warranted clinical attention in all patients. The majority of measures revealed no patient need-related differences between groups. Pain Stages of Change Questionnaire (PSOCQ) contemplation scores between groups were significantly, yet not clinically, different. Consistent with the literature, Tampa Scale for Kinesiophobia and PSOCQ pre-contemplation scores were significantly higher in males than females. Conclusions: As hypothesized, these findings strongly support the hypothesis that there are no clinically meaningful differences between groups, suggesting that the separation of groups established by insurance companies was artificial, and not based on any tangible clinical factors. It also implies that insurance companies are likely provisioning funds on systems-related rather than patient need-related criteria.

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Decline in physical activity, disability and pain‐related fear in sub‐acute low back pain

Abstract: The perceived decline in physical activity, rather than the current physical activity itself is important in the evaluation of the impact of activity related changes on disability in low back pain.

Cited by 74 publications

References 31 publications

Distúrbios musculoesqueléticos em trabalhadores do setor saúde de Belo Horizonte, Minas Gerais, Brasil

Distúrbios musculoesqueléticos em trabalhadores do setor saúde de Belo Horizonte, Minas Gerais, Brasil

Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain

Accessibility of Chronic Pain Treatment for Individuals Injured in a Motor Vehicle Accident

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