Functional limitations and physical symptoms of individuals with chronic pain

Björnsdóttir, Sigrún Vala; Jönsson, Sofia; Valdimarsdóttir, Unnur

doi:10.3109/03009742.2012.697916

Cited by 61 publications

(49 citation statements)

References 49 publications

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“…First, consistent findings point to socioeconomic indicators, such as educational level, as strong predictors of musculoskeletal disorders and reporting of chronic pain conditions in both men and women [30]–[34]. MacFarlaine et al found that low socioeconomic status in adulthood was associated with major regional musculoskeletal pain and chronic widespread pain [32].…”

Section: Discussionmentioning

confidence: 97%

Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs

et al. 2014

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BackgroundThere is a lack of research about a potential education-related bias in assessment of patients with chronic pain. The aim of this study was to analyze whether low-educated men and women with chronic pain were less often selected to multidisciplinary rehabilitation than those with high education.MethodsThe population consisted of consecutive patients (n = 595 women, 266 men) referred during a three-year period from mainly primary health care centers for a multidisciplinary team assessment at a pain rehabilitation clinic at a university hospital in Northern Sweden. Patient data were collected from the Swedish Quality Registry for Pain Rehabilitation National Pain Register. The outcome variable was being selected by the multidisciplinary team assessment to a multidisciplinary rehabilitation program. The independent variables were: sex, age, born outside Sweden, education, pain severity as well as the hospital, anxiety and depression scale (HADS).ResultsLow-educated women were less often selected to multidisciplinary rehabilitation programs than high-educated women (OR 0.55, CI 0.30–0.98), even after control for age, being born outside Sweden, pain intensity and HADS. No significant findings were found when comparing the results between high- and low-educated men.ConclusionOur findings can be interpreted as possible discrimination against low-educated women with chronic pain in hospital referrals to pain rehabilitation. There is a need for more gender-theoretical research emphasizing the importance of taking several power dimensions into account when analyzing possible bias in health care.

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Section: Discussionmentioning

confidence: 97%

Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs

et al. 2014

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“…Especially when measuring hand strength and NME, biological sex has been shown to be important to consider when interpreting the results. 27,28 Women with chronic pain also tend to give up physical activity to a greater extent than men, 45 which can further influence the physical measures. To be able to compare these patient groups with healthy volunteers and to limit the effect of different levels of representation, hand strength and NME were stratified by biological sex in the analysis.…”

Section: Study Limitationsmentioning

confidence: 99%

Function in Patients With Cervical Radiculopathy or Chronic Whiplash-Associated Disorders Compared With Healthy Volunteers

Peolsson

Ludvigsson

Wibault

et al. 2014

Journal of Manipulative and Physiological Therapeutics

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Objective The purposes of this study were to examine whether any differences in function and health exist between patients with cervical radiculopathy (CR) due to disk disease scheduled for surgery and patients with chronic whiplash-associated disorders (WADs) and to compare measures of patients' physical function with those obtained from healthy volunteers. Methods This is a cross-sectional study of patients with CR (n = 198) and patients with chronic WAD (n = 215). Patient data were compared with raw data previously obtained from healthy people. Physical measures included cervical active range of motion, neck muscle endurance, and hand grip strength. Self-rated measures included pain intensity (visual analog scale), neck disability (Neck Disability Index), self-efficacy (Self-Efficacy Scale), and health-related quality of life (EuroQol 5-dimensional self-classifier). Results Patient groups exhibited significantly lower performance than the healthy group in all physical measures (P < .0005) except for neck muscle endurance in flexion for women (P > .09). There was a general trend toward worse results in the CR group than the WAD group, with significant differences in neck active range of motion, left hand strength for women, pain intensity, Neck Disability Index, EuroQol 5-dimensional self-classifier, and Self-Efficacy Scale (P < .0001). Conclusions Patients had worse values than healthy individuals in almost all physical measures. There was a trend toward worse results for CR than WAD patients

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“…Musculoskeletal pain often results in functional limitations in daily life (Bingefors and Isacson, 2004;Bj€ ornsd ottir et al, 2013) and many patients with persistent pain experience a high level of disability, affecting work capacity (Gureje et al, 2001;Gerdle et al, 2004;Landmark et al, 2013). Persistent pain has also been found to negatively influence quality of life (Kroenke et al, 2013;Landmark, et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy triage assessment of patients referred for orthopaedic consultation – Long-term follow-up of health-related quality of life, pain-related disability and sick leave

Samsson¹,

Larsson²

2015

Manual Therapy

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Functional limitations and physical symptoms of individuals with chronic pain

Abstract: Chronic pain is a prevalent condition and those who report chronic pain generally suffer from ill health and limitations in their daily life compared to individuals not suffering from the condition.

Cited by 61 publications

References 49 publications

Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs

Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs

Function in Patients With Cervical Radiculopathy or Chronic Whiplash-Associated Disorders Compared With Healthy Volunteers

Physiotherapy triage assessment of patients referred for orthopaedic consultation – Long-term follow-up of health-related quality of life, pain-related disability and sick leave

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