Examination of movement in patients with long‐lasting musculoskeletal pain: reliability and validity

Abstract

Movement may be reliably and validly assessed with composite scores from 4 x 4 items. The method may be useful as a global screening instrument in order to examine where, and to what extent, patients with long-lasting pain problems have movement aberrations; findings to be addressed in treatment.

Posture, movement patterns, and body awareness in women with chronic pelvic pain

“…Other physical findings reported are swelling and tissue edema in the hypogastric, inguinal, and pelvic regions in women with CPP [10,11]. In patients with chronic musculoskeletal pain, movement aberrations, especially the ability to give in to gravity and the ability to relax, have been described [12,13]. Some authors describe altered body awareness in these patients [14 -16].…”

What Functional Aspects Explain Patients' Impression of Change after Rehabilitation for Long‐lasting Low Back Pain?

“…In the backward stepwise analysis, endurance strength of the back muscles and sagittal mobility of the spine both contributed to the explained variance of perceived change in addition to pain and daily life functioning. Strength and mobility are generally considered to be important elements in back pain rehabilitation programmes and were also an important element in our intervention programme (Moradi et al, 2009, Kvale et al, 2003. In the measure of daily life functioning (RMDQ), only 1 of 24 questions deals with muscle strength and thus measuring back endurance strength might be a supplement to RMDQ.…”

“…Typically, patients with LBP demonstrate decreased strength and endurance of back muscles (Simmonds et al, 1998, Moradi et al, 2009) and decreased flexibility of the spine and trunk (Kvale et al, 2003, Strand et al, 2002, affecting performance of daily life activities. A multitude of physical tests are being used to measure physical functioning and outcome of rehabilitation.…”

Different outcomes in subgroups of patients with long-term musculoskeletal pain

“…The physical tests consist of four different types of physiotherapy examinations that seem suitable for a wide range of musculoskeletal problems. The different tests have individually been tested for reliability and validity (Sundsvold et al 1982, Wolfe et al 1990, Strand and Wie 1999, Mayer et al 1998, Kvåle et al 2003. When the right patient gets appropriate treatment, large sums of money can be saved.…”

“…The other part of the screening instrument consisted of four standardised physiotherapy examinations performed at the first visit: 1) Examination of movement: seven separate movement tests examining flexibility and ability to relax, taken from the Global Physiotherapeutic Examination (Sundsvold et al 1982, Kvåle et al 2003; 2) Presence and number of 18 tender points, using the American College of Rheumatology test procedure for fibromyalgia (Wolfe et al 1990); 3) The Sock Test, which reflects a functional ability in sitting (Strand and Wie 1999); 4) Performance on a lifting test, called PILE (progressive isoinertial lifting evaluation) (Mayer et al 1998(Mayer et al , 1990. The final score for return to work was based on both parts of the screening instrument, each part counting equally.…”