Staying active despite pain: Pain beliefs and experiences with activity‐related pain in patients with chronic musculoskeletal pain

Damsgård, Elin; Dewar, Anne; Røe, Cecilie; Hamran, Torunn

doi:10.1111/j.1471-6712.2010.00798.x

Cited by 29 publications

(26 citation statements)

References 39 publications

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“…During the discussions, participants further highlighted the advantages of walking such as pain relief, increased strength and mobility, improved appetite, weight loss, lower blood sugar and cholesterol levels, as well as increased independence, self-esteem, and well-being. These findings are aligned with those obtained in previous studies with people suffering from chronic musculoskeletal pain [36] and from fibromyalgia specifically [6,37].…”

Section: Discussionsupporting

confidence: 93%

“…Some authors have explored the beliefs and attitudes of patients suffering from chronic pain toward physical activity [19], but the literature is remarkably silent in regard to the reasons behind the decision to walk or not to walk of patients with fibromyalgia. Our aim in this study was to fill this knowledge gap in order to ultimately improve therapeutic interventions and increase adherence to walking as a foundation of these interventions in patients suffering from fibromyalgia.…”

Section: Introductionmentioning

confidence: 99%

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To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia

et al. 2016

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Walking improves health outcomes in fibromyalgia; however, there is low adherence to this practice. The aim of this research was to explore the beliefs of women suffering from fibromyalgia toward walking, and the meaning that they attribute to the behavior of walking as part of their fibromyalgia treatment. This study is a qualitative description research. Forty-six (46) women suffering from fibromyalgia and associated with local fibromyalgia associations located in four different Spanish cities (Elche, Alicante, Madrid, and Talavera de la Reina) participated in focus group discussions in the summer 2012. Thematic content analysis was performed in transcribed verbatim from interviews. Participants perceived several inhibitors for walking even when they had positive beliefs toward its therapeutic value. Whereas participants believed that walking can generate improvement in their disease and their health in general, they did not feel able to actually do so given their many physical impediments. Furthermore, participants struggled with social isolation and stigma, which was lessened through the conscious support of family. Advice from family doctors was also a very important facilitator to participants. In a health care delivery context that favors person-centered care, and in order to foster adherence to walking-based fibromyalgia treatments, it is recommended that therapeutic walking programs be tailored to each woman' individual circumstances, and developed in close collaboration with them to help them increase control over their health and their condition.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia

et al. 2016

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“…Experiences such as not being listened to, not believed, and not seen as a whole human being are reported (20,21). The importance of receiving a diagnosis was reported in our study and has been found in previous research (22,23).There is a view among patients with chronic pain that a diagnosis of pain symptoms serves as evidence to legitimize their pain (23). LaChapelle et al argue that having a diagnosis is key in the process of accepting pain, and the starting point of self-management strategies (22).…”

Section: Discussionsupporting

confidence: 66%

”The acceptance” of living with chronic pain – an ongoing process: A qualitative study of patient experiences of multimodal rehabilitation in primary care

Holmner¹,

Stålnacke²,

Enthoven³

et al. 2018

J Rehabil Med

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Objective: To explore patient experiences of participating in multimodal pain rehabilitation in primary care. Subjects: Twelve former patients (7 women and 5 men) in multimodal rehabilitation in primary care were interviewed about their experiences of multimodal rehabilitation. Methods: The interviews were analysed using qualitative content analysis. Results: Analysis resulted in 4 categories: (i) from discredited towards obtaining redress; (ii) from uncertainty towards knowledge; (iii) from loneliness towards togetherness; and (iv) "acceptance of pain": an ongoing process. The results show that having obtained redress, to obtain knowledge about chronic pain, and to experience fellowship with others with the same condition were helpful in the acceptance process. However, there were patients who found it difficult to reconcile themselves with a life with chronic pain after multimodal rehabilitation. To find what was "wrong" and to have a medical diagnosis and cure were important. Conclusion: Patients in primary care multimodal rehabilitation experience a complex, ongoing process of accepting chronic pain. Four important categories were described. These findings will help others to understand the experience and perspective of patients with chronic pain who engage in multimodal rehabilitation.

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“…not to have their pain disappear but rather to learn how to cope with it to promote functional improvements. Damsgard et al reported in their 2011 study that there were two main criteria influencing staying active in spite of chronic musculoskeletal pain: benefits of physical activity, possibility of resuming a social life thanks to PA [23]. …”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to physical activity in people with chronic low back pain: A qualitative study

et al. 2017

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BackgroundFor medical teams, one of the main objectives of rehabilitation for people with chronic low back pain is adherence to physical activity (PA).ObjectiveThe objective of this study was to identify PA barriers and facilitators in this population.MethodsThis qualitative study included 4 discussion groups and 16 semi-structured interviews conducted among people with non-specific chronic low back pain who were involved in a specific rehabilitation program or seen in primary care settings.ResultsThree main themes were identified: physical factors, psychological factors and socio-environmental factors. The main barrier to PA practice is pain. Psychological barriers were associated with the difficulty in integrating PA in the person’s daily life. Environmental barriers were dominated by lack of time. Facilitators identified associated the supervised nature of the physical activity (supervision by professionals) and group practice, which improved people’s adherence.ConclusionThe results of this study will allow teams to target relevant educational objectives for these people and develop dedicated self-management programs.

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Staying active despite pain: Pain beliefs and experiences with activity‐related pain in patients with chronic musculoskeletal pain

Abstract: The findings provide insights that may improve the educational rehabilitation of patients with musculoskeletal pain.

Cited by 29 publications

References 39 publications

To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia

To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia

”The acceptance” of living with chronic pain – an ongoing process: A qualitative study of patient experiences of multimodal rehabilitation in primary care

Facilitators and barriers to physical activity in people with chronic low back pain: A qualitative study

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