Life satisfaction in patients with chronic musculoskeletal pain and its predictors

Boonstra, Albert; Reneman, Michiel F.; Stewart, Roy E.; Post, Marcel W M; Preuper, Henrica R. Schiphorst

doi:10.1007/s11136-012-0132-8

Cited by 42 publications

(24 citation statements)

References 26 publications

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“…While there were no group differences with respect to descriptive data for age, anthropometrics or grip strength, the WAD group scored significantly poorer than the controls for both the physical and mental component summary scales of the SF-36, reflecting limitations in physical ability and psychological distress. Such reductions in scores of SF-36 seem to be a common finding in people with chronic musculoskeletal diseases [61,62]. The control group scored about the same as the Norwegian normative values for both the physical and mental component summary scales of the SF-36.…”

Section: Discussionmentioning

confidence: 71%

Muscle activity and head kinematics in unconstrained movements in subjects with chronic neck pain; cervical motor dysfunction or low exertion motor output?

Vikne

Bakke

Liestøl

et al. 2013

BMC Musculoskelet Disord

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BackgroundChronic neck pain after whiplash associated disorders (WAD) may lead to reduced displacement and peak velocity of neck movements. Dynamic neck movements in people with chronic WAD are also reported to display altered movement patterns such as increased irregularity, which is suggested to signify impaired motor control. As movement irregularity is strongly related to the velocity and displacement of movement, we wanted to examine whether the increased irregularity in chronic WAD could be accounted for by these factors.MethodsHead movements were completed in four directions in the sagittal plane at three speeds; slow (S), preferred (P) and maximum (M) in 15 men and women with chronic WAD and 15 healthy, sex and age-matched control participants. Head kinematics and measures of movement smoothness and symmetry were calculated from position data. Surface electromyography (EMG) was recorded bilaterally from the sternocleidomastoid and splenius muscles and the root mean square (rms) EMG amplitude for the accelerative and decelerative phases of movement were analyzed.ResultsThe groups differed significantly with regard to movement velocity, acceleration, displacement, smoothness and rmsEMG amplitude in agonist and antagonist muscles for a series of comparisons across the test conditions (range 17 – 121%, all p-values < 0.05). The group differences in peak movement velocity and acceleration persisted after controlling for movement displacement. Controlling for differences between the groups in displacement and velocity abolished the difference in measures of movement smoothness and rmsEMG amplitude.ConclusionsSimple, unconstrained head movements in participants with chronic WAD are accomplished with reduced velocity and displacement, but with normal muscle activation levels and movement patterns for a given velocity and displacement. We suggest that while reductions in movement velocity and displacement are robust changes and may be of clinical importance in chronic WAD, movement smoothness of unconstrained head movements is not.

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Section: Discussionmentioning

confidence: 71%

Muscle activity and head kinematics in unconstrained movements in subjects with chronic neck pain; cervical motor dysfunction or low exertion motor output?

Vikne

Bakke

Liestøl

et al. 2013

BMC Musculoskelet Disord

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“…Studies report that individuals in older age groups had more pain problems. 25,26 The reason for women experiencing more pain has been an important discussion and analysis topic in the literature. A comprehensive review study on this issue reported that this case was associated with various factors, such as women expressing their pain more easily, their anatomical and fertility features, and lifestyle and sociocultural features.…”

Section: Discussionmentioning

confidence: 99%

Investigation of pain and life satisfaction in older adults

Arlı

Bakan

Varol

et al. 2017

Geriatrics Gerontology Int

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Aim The present study aimed to investigate pain and life satisfaction in older adults. Methods This study, which is descriptive in nature, utilized the relational screening model. It was carried out between September 2016 and March 2017, with 387 people aged ≥65 years who were registered in Family Health Centers in Ağrı, a city located in eastern Turkey. Results The participants’ mean Geriatric Pain Measure score was 53.23 ± 29.40, indicating moderate pain. The mean Life Satisfaction Scale score was 8.50 ± 5.34, indicating moderate life satisfaction level. The study also found a statistically significant, negative relationship between life satisfaction and geriatric pain. Conclusions An increase in the elderly population brings various health problems. The results of the present study showed that the rate of chronic diseases is very high in older adults. Therefore, pain is one of the most frequently encountered health problems, and it has negative effects on life satisfaction. In conclusion, is it considered that older adults’ life satisfaction could increase if their pain is identified and reduced effectively. Geriatr Gerontol Int 2018; 18: 5–11.

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“…Chronic pain markedly decreases individuals’ health status and quality of life (QoL) [10,11,28-31] and can detrimentally affect the families of patients [32]. The degree of this effect is grossly underestimated.…”

Section: Introductionmentioning

confidence: 99%

The individual and societal burden of chronic pain in Europe: the case for strategic prioritisation and action to improve knowledge and availability of appropriate care

2013

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BackgroundChronic pain is common in Europe and elsewhere and its under treatment confers a substantial burden on individuals, employers, healthcare systems and society in general. Indeed, the personal and socioeconomic impact of chronic pain is as great as, or greater, than that of other established healthcare priorities. In light of review of recently published data confirming its clinical and socioeconomic impact, this paper argues that chronic pain should be ranked alongside other conditions of established priority in Europe. We outline strategies to help overcome barriers to effective pain care resulting in particular from deficiencies in education and access to interdisciplinary pain management services. We also address the confusion that exists between proper clinical and scientific uses of opioid medications and their potential for misuse and diversion, as reflected in international variations in the access to, and availability of, these agents.DiscussionAs the economic costs are driven in part by the costs of lost productivity, absenteeism and early retirement, pain management should aim to fully rehabilitate patients, rather than merely to relieve pain. Accredited education of physicians and allied health professionals regarding state-of-the-art pain management is crucial. Some progress has been made in this area, but further provision and incentivization is required. We support a tiered approach to pain management, whereby patients with pain uncontrolled by non-specialists are able to consult a physician with a pain competency or a specialist in pain medicine, who in turn can recruit the services of other professionals on a case-by-case basis. A fully integrated interdisciplinary pain service should ideally be available to patients with refractory pain. Governments and healthcare systems should ensure that their policies on controlled medications are balanced, safeguarding public health without undue restrictions that compromise patient care, and that physician education programmes support these aims.SummaryStrategic prioritization and co-ordinated actions are required nationally and internationally to address the unacceptable and unnecessary burden of uncontrolled chronic pain that plagues European communities and economies. An appreciation of the ‘return on investment’ in pain management services will require policymakers to adopt a long-term, cross-budgetary approach.

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Life satisfaction in patients with chronic musculoskeletal pain and its predictors

Cited by 42 publications

References 26 publications

Muscle activity and head kinematics in unconstrained movements in subjects with chronic neck pain; cervical motor dysfunction or low exertion motor output?

Muscle activity and head kinematics in unconstrained movements in subjects with chronic neck pain; cervical motor dysfunction or low exertion motor output?

Investigation of pain and life satisfaction in older adults

The individual and societal burden of chronic pain in Europe: the case for strategic prioritisation and action to improve knowledge and availability of appropriate care

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