The actual state of the effects, treatment and incidence of disabling pain in a gender perspective - a Swedish study

Müllersdorf, Maria; Söderback, Ingrid

doi:10.1080/09638280050207893

Cited by 28 publications

(46 citation statements)

References 27 publications

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“…Secondly, although our results were adjusted for sex, the majority of participants in this study were female. Some studies reported that a sex difference existed in disability due to musculoskeletal pain including LBP; female had greater pain-related disability than male [31][32][33]. Thus, caution should be taken in generalization of the results.…”

Section: Acknowledgmentsmentioning

confidence: 97%

Association between metabolic syndrome and disability due to low back pain among care workers

Tsuboi

Ueda

Sugimoto

et al. 2017

Int J Occup Med Environ Health

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Objectives: To elucidate the association between metabolic syndrome (MetS) and disability due to low back pain (LBP) among care workers. Material and Methods: This cross-sectional study enrolled 656 care workers having experienced LBP in the year prior to the year of this study. The Roland-Morris Disability questionnaire (RDQ) and self-reported questionnaires regarding LBP, fear of movement, depressive symptom, psychosocial factors, intensity of pain, and duration of pain were administered, and a medical examination was performed. Metabolic syndrome was defined according to the international definition agreed in 2009. Out of the 656 care workers, we included 316 care workers (response rate: 48.2%) who had fully completed the questionnaires as the study sample (males: 13.6%, median age = 51 years old, range: 35-74 years old). To examine the association between MetS and the level of disability due to LBP, we used the Poisson regression analysis and estimated crude and adjusted prevalence ratios (PR). Results: Out of the 316 care workers, 52 (16.5%) were diagnosed as having MetS. Metabolic syndrome was significantly associated with the RDQ score (adjusted PR: 1.57, 95% confidence interval (CI): 1.17-2.11) after adjusting for covariates, such as age, sex, fear of movement, job demands, social support, intensity of pain, and duration of pain. Conclusions: This study showed that MetS was independently associated with disability due to LBP among care workers. A multidisciplinary intervention taking MetS into consideration may be an effective way to reduce disability due to LBP in people with both LBP and MetS. MATERIAL AND METHODS Study populationsA cross-sectional survey was conducted from January 2014 to March 2014. We distributed self-reported questionnaires to 954 care workers employed by a Japanese company providing senior care services and performed their medical examination. We included 656 care workers (68.8%) who had experienced LBP in the year prior to this study. Ethical approval for this study was given by the Ethics Committee of Kobe University Graduate School of Health Sciences. By completing the questionnaires, the participants indicated their consent to participation. The protocol number of approval of this study is 336-1. MeasurementsData on demographics and health status was collected from the results of the medical examination. Self-reported questionnaires were designed to collect information on the level of disability due to LBP, the details of the LBP, MetS, physical workload, fear of movement, depressive symptom, and psychosocial factors. A Japanese version of the Roland-Morris Disability Questionnaire (RDQ) [14] was used for assessing disability in those having experienced LBP in the previous year. The RDQ is a validated and reliable instrument for assessing disability due to LBP [14]. It includes 20 items concerning limitations due to LBP in different daily life activities and 4 items concerning pain, sleep, appetite and emotional functions. Each item is scored either 0 or 1, with all t...

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Section: Acknowledgmentsmentioning

confidence: 97%

Association between metabolic syndrome and disability due to low back pain among care workers

Tsuboi

Ueda

Sugimoto

et al. 2017

Int J Occup Med Environ Health

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“…In patients with disabling pain, women were more often found to be treated with drugs, physical therapy , acupuncture, ergonomics, psychosomatic treatment, information, and relaxation therapy, while men more often had surgery and joint manipulation (8), but it was not reported whether this was a desire from the patients or a therapeutic choice. In another study, doctors suggested that men with neck pain should be sent for laboratory tests, while women more often had diagnostic referral to a physiotherapist or an orthopaedist, and were given prescriptions for drugs (9).…”

Section: Introductionmentioning

confidence: 99%

A gender perspective on physiotherapy treatment in patients with neck and back pain

Stenberg¹,

Ahlgren²

2009

Adv. in Physiotherapy

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Women report more pain from the musculoskeletal system, and more disability, than do men. As a consequence, women more often seek health care than men do, and are more often on sick leave. Research shows that female patients and male patients are treated differently by physicians and that the physician's gender also influenced the choice of treatment. The aim was to study whether the patients' and/or the physiotherapists' gender influences physiotherapy treatments for patients with neck and/or low back pain. During three days in April 2006, 73 physiotherapists in primary care and private practices collected information on 586 patients with neck and/or low back pain. The information included data on the affected pain sites and the treatment procedures used by the physiotherapist. Baseline data on the physiotherapists were collected with a questionnaire. The results showed that female and male physiotherapists mainly used the same treatment procedures, but with some differences. The female physiotherapists used significantly more acupuncture and procedures directed toward treatment of mental function. They also gave their patients a unique combination of treatment procedures to a greater extent than their male colleagues. The male physiotherapists used significantly more training of joint mobility. Male and female patients were given the same treatment.

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“…The result of a meta-analysis of studies investigating the relationship between pain sensitivity and the menstrual cycle conducted by Riley et al [1999] suggested less pain sensitivity for pressure induced pain, thermal heat stimulation, cold pressor tests or ischaemic muscle pain was demonstrated during the follicular phase (days 6-11) in healthy menstruating females [86]. The least pain sensitivity for electrical stimulation was demonstrated in the luteal phase (days 17-23) [69]. In contrast, pain thresholds elicited by cold pressor stimuli in females was found to be higher during the late ovulatory phase (days 20-24) [87].…”

Section: Biological Mechanismsmentioning

confidence: 99%

“…Overall, women are more likely to experience chronic pain [7], present with pain at multiple sites [21] and be more immobilised by pain than men [69].…”

Section: Sex Differences In Clinical Painmentioning

confidence: 99%

Effect of Age, Sex and Gender on Pain Sensitivity: A Narrative Review

Eltumi¹,

Tashani²

2017

TOPAINJ

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Introduction:An increasing body of literature on sex and gender differences in pain sensitivity has been accumulated in recent years. There is also evidence from epidemiological research that painful conditions are more prevalent in older people. The aim of this narrative review is to critically appraise the relevant literature investigating the presence of age and sex differences in clinical and experimental pain conditions. Methods:A scoping search of the literature identifying relevant peer reviewed articles was conducted on May 2016. Information and evidence from the key articles were narratively described and data was quantitatively synthesised to identify gaps of knowledge in the research literature concerning age and sex differences in pain responses. Results:This critical appraisal of the literature suggests that the results of the experimental and clinical studies regarding age and sex differences in pain contain some contradictions as far as age differences in pain are concerned. While data from the clinical studies are more consistent and seem to point towards the fact that chronic pain prevalence increases in the elderly findings from the experimental studies on the other hand were inconsistent, with pain threshold increasing with age in some studies and decreasing with age in others. Conclusion:There is a need for further research using the latest advanced quantitative sensory testing protocols to measure the function of small nerve fibres that are involved in nociception and pain sensitivity across the human life span. Implications:Findings from these studies should feed into and inform evidence emerging from other types of studies (e.g. brain imaging technique and psychometrics) suggesting that pain in the older humans may have unique characteristics that affect how old patients respond to intervention.

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The actual state of the effects, treatment and incidence of disabling pain in a gender perspective - a Swedish study

Cited by 28 publications

References 27 publications

Association between metabolic syndrome and disability due to low back pain among care workers

Association between metabolic syndrome and disability due to low back pain among care workers

A gender perspective on physiotherapy treatment in patients with neck and back pain

Effect of Age, Sex and Gender on Pain Sensitivity: A Narrative Review

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