scholarly journals Factors Associated with Higher Reported Pain Levels in Patients with Chronic Musculoskeletal Pain: A Cross-Sectional, Correlational Analysis

PLoS ONE ◽  
2016 ◽  
Vol 11 (9) ◽  
pp. e0163132 ◽  
Author(s):  
Sang Jun Park ◽  
Duck Mi Yoon ◽  
Kyung Bong Yoon ◽  
Ji Ae Moon ◽  
Shin Hyung Kim
2021 ◽  
Author(s):  
Keiko Yamada ◽  
Heather Adams ◽  
Tamra Ellis ◽  
Robyn Clark ◽  
Craig Sully ◽  
...  

Abstract Objective: Numerous investigations have revealed significant relations between pain and fatigue in individuals with persistent pain conditions. However, the direction of influence between pain and fatigue remains unclear. Shortcomings of design and analytic approaches used in previous research limit the nature of conclusions that can be drawn about possible causal relations between pain and fatigue. The present study investigated the temporal relation between changes in pain and changes in fatigue in individuals with musculoskeletal pain enrolled in a 10-week behavioral activation intervention. On the basis of previous findings, it was hypothesized that analyses would yield support for a bi-directional relation between pain and fatigue. Methods: The study sample consisted of 104 individuals with chronic musculoskeletal pain participating in a 10-week standardized rehabilitation intervention. Measures of pain intensity and fatigue were completed pre-, mid-, and post-treatment. The three-wave data panel permitted examination of the direction of influence between pain and fatigue through the course of the intervention. A random-intercept cross-lagged panel model (RI-CLPM) was used to examine the temporal relation between pain and fatigue. Results: Consistent with previous research, cross-sectional analyses of pre-treatment data revealed significant correlations between measures of pain and fatigue. Significant reductions in pain and fatigue were observed through the course of treatment (d=.33 and d =.66, p < .001, respectively). RI-CLPM revealed that pain severity predicted later fatigue (pre to mid-treatment standardized path coefficient (β) = 0.55, p = 0.02; mid to post-treatment β = 0.36, p = 0.001); however, fatigue did not predict later pain severity.Conclusions: Discussion addresses the processes that might underlie the temporal relation between pain and fatigue. Clinical implications of the findings are also discussed.


Author(s):  
Yahya Abdullah Mohammed Al-Shareef ◽  
Ali Abdullah Mohammed Alshareef ◽  
Ibrahim Mohammed Almoftery

Background: Chronic pain is a common clinical feature that accompanies osteopathy.  Knowledge and attitudes of both patients and their treating clinicians would influence the patients' outcomes and pain control. Objective: This systematic review will provide an understanding of the knowledge and attitudes of patients and clinicians towards musculoskeletal pain accompanying osteopathy. Methods: Different keywords were used to search the medical literature, including: “knowledge” OR “Attitude” AND “Osteopathy” AND “Pain” AND “patient” OR “clinician." The search databases included Medline, Embase PubMed, and SCOPUS. The following step was reviewing the appearing results to ensure that they were original research articles that examined the knowledge and attitudes about chronic musculoskeletal pain with osteopathy. All the eligible studies should mention the type of participants examined (either patients or clinicians). Results: A total of 89 studies were obtained. After removing review articles and choosing original research studies solely, 11 studies appeared from the filtration process. Eight research articles were eligible. All the included studies had a quantitative cross-sectional design. Only health care professionals were asked about osteopathy, where all the studies included osteopaths from different countries, except one study that included physiotherapists. Osteopaths knew about the benefits of osteopathy, particularly for lower back pain; however, their knowledge about biopsychosocial factors requires improvement. Conclusion: Knowledge about osteopathy benefits for controlling chronic musculoskeletal pain should be improved even among osteopaths. Awareness campaigns are also needed for patients in orthopedic and physiotherapy clinics about osteopathy.


2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Adedapo W Awotidebe ◽  
Auwalu Shehu

BACKGROUND፡ There are few data concerning the prevalence and predictors of musculoskeletal pain among adults with type 2 diabetes in population with low-risk of obesity. Our objective was to describe the point prevalence and factors associated with increased risk of musculoskeletal pain in this population.METHODS: A cross-sectional data of 200 adults with type 2 diabetes, aged ≥ 18 years who were attending two tertiary hospitals were examined. Musculoskeletal pain and physical activity were collected with Nordic Musculoskeletal Questionnaire (NMQ) and International Physical Activity Questionnaire (IPAQSF) respectively. We used logistic regression to examine the risks associated with musculoskeletal pain.RESULTS: The point prevalence of musculoskeletal pain was 72.7% and similar between men (72.3%) and women (73.1%). In the last 7days, advancing age (odds ratio=1.09;95%CI:1.02-1.16) and comorbidity (odds ratio=3.0;95%CI:1.07-8.39) were risk factors associated with musculoskeletal pain. In the last 12 months, only comorbidity (odds ratio=5.57;95%CI:1.62-19.17) was a risk factor for increasing musculoskeletal pain. However, a unit increase in physical activity level (odds ratio=0.06;95%CI:0.008-0.51) was associated with decreased odds of musculoskeletal pain.CONCLUSIONS: The prevalence of musculoskeletal pain was high and physical activity was associated with a decreased risk thereof. A further research should be evaluated on the influence of physical activity on musculoskeletal pain.


2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Nguyen Huu Ben ◽  
Phan Van Manh ◽  
Bui Duy Hoan ◽  
Vu Quang Phong ◽  
Nguyen Van Khoi ◽  
...  

Objective: To describe the characteristics of work related musculoskeletal disorders in commandos. Subjects and methods: A cross-sectional descriptive study on 1,500 servicemen of the comando forces participating in the investigation of musculoskeletal disorders. Results: The prevalence of chronic musculoskeletal pain (in 12 months) was 60% of which the pain was mainly found in the nape, shoulder and lower back. Chronic musculoskeletal pain having to leave work only had a low rate (17,73%), most in the lower back with 9.40%. The nape and lower back had the highest rate of acute musculoskeletal pain, 21.40% and 21.27%, respectively. The Comandos soldiers worked mainly in standing and sitting positions. High REBA scores associated with musculoskeletal pain in the neck, elbows, wrists or hands, upper and lower back, thighs, and knees. Conclusion: The rate of musculoskeletal disorders in the commandos was 60%, of which the nape, shoulder, and lower back are the areas with the highest rate of musculoskeletal pain. Standing and sitting are the two main working positions of commandos. High REBA scores are associated with musculoskeletal pain in commandos.


2021 ◽  
Vol 11 (11) ◽  
pp. 244-251
Author(s):  
Humanshi Abbhi ◽  
Pradip Sarkar ◽  
Hariharan Ramasubbu

Background: Dental specialists are at a higher risk of work related musculoskeletal disorders (WMSD) that lead to physical disability. Musculoskeletal pain in dentists is due to constrained body postures for prolonged period of time. Limited number of studies has been done in India to check the prevalence and factors associated with the musculoskeletal pain among dentists. Purpose: To see the prevalence and assess the intensity of musculoskeletal pain in different anatomical parts among dentists from two different institutes of Chandigarh along with identification of selected factors associated with the onset of musculoskeletal (MS) pain among them. Methods: A cross-sectional study was made among interns, postgraduate students and faculty members from two different institutes of Chandigarh. A total of 120 members completed a questionnaire containing 24 questions. The study variables in the questionnaire were divided into 3 groups as: Socio-demographic information, ergonomic variables and work- related musculoskeletal pain. Results: Most of the dentists (79.2%) reported musculoskeletal pain during the past 12 months. On comparing different locations of pain, the lower back region was frequently affected area (87.4%) followed by pain in neck region (83.2%). Females were more susceptible to pain than males. A significant association (p<0.05) was found between sitting posture adopted by dentists, years of practice and the MS pain. Highest prevalence was found in dentists adopting forward bent posture in sitting during work (87.3%) and those working for >15 years (90.9%). Conclusion: The study revealed that prevalence of musculoskeletal pain was high among dentists. Higher incidence of pain was found in women and younger dentists. The lower back region was most commonly affected area followed by neck region. The study also found that musculoskeletal pain increased with increase in years of practice with significant association between them. Key words: Musculoskeletal pain, Socio-demographic information, Ergonomic variables.


Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3360-3365
Author(s):  
Kazuaki Uchida ◽  
Shunsuke Murata ◽  
Rika Kawaharada ◽  
Yamato Tsuboi ◽  
Tsunenori Isa ◽  
...  

Abstract Objective Kinesiophobia (i.e., fear of movement caused by pain) is increasingly acknowledged as a determinant of disuse among patients with chronic musculoskeletal pain. Kinesiophobia may affect life space—a crucial indicator of an active lifestyle among older people. This study aimed to investigate the previously unexamined association between kinesiophobia and life space among community-dwelling older people with chronic musculoskeletal pain. Design Cross-sectional study. Setting Community. Subjects We analyzed data from 194 community-dwelling older people (age ≥65 years, mean age = 75.7 years, 71.6% women) with chronic musculoskeletal pain. Methods Kinesiophobia, life space, and pain severity were assessed using the Tampa Scale for Kinesiophobia, Life Space Assessment, and Brief Pain Inventory. Linear regression models were applied to analyze the associations between kinesiophobia and life space, and pain severity and life space. Results In our sample, the prevalence rates for chronic musculoskeletal pain were 10.82% (N = 21) for neck, 55.15% (N = 107) for lower back, 25.26% (N = 49) for shoulder, and 50.00% (N = 97) for knee. The results suggest that higher kinesiophobia is associated with smaller life space (adjusted beta = −0.91, 95% CI = −1.43 to −0.45, P &lt; 0.001), even after adjustment for age, gender, years of education, pain severity, and presence of comorbidity. On the contrary, no significant association between pain severity and life space was observed (adjusted beta = −0.61, 95% CI = −2.92 to 1.72, P = 0.624). Conclusions Our findings suggest that kinesiophobia plays an important role in the determination of life space among older people with chronic musculoskeletal pain.


2020 ◽  
Author(s):  
Hiroshige Jinnouchi ◽  
Tetsuya Ohira ◽  
Hironobu Kakihana ◽  
Ko Matsudaira ◽  
Masaharu Maeda ◽  
...  

Abstract Background: While the prevalence of post-disaster musculoskeletal pain has been documented, its associated disaster-related factors have not been investigated. This study determined the prevalence of and lifestyle factors associated with musculoskeletal pain among evacuees of the Great East Japan Earthquake. Methods: We conducted a cross-sectional study of 34,919 evacuees, aged 40-89 years, without obvious disabilities in activities of daily living at about 1 year after the disaster. The evacuees were asked about their musculoskeletal pain (low back and limb pain) and lifestyle factors: use of evacuation shelters or temporary housing at any point of time, job loss after the disaster, decreased income after the disaster, current smoking status, current drinking status, lack of sleep, regular exercise, and participation in recreational or community activities. Furthermore, psychological factors, such as traumatic reactions, psychological distress, and somatic symptoms, affecting musculoskeletal pain were assessed. We used multinomial logistic regression analysis to calculate odds ratios of each lifestyle factor for prevalent and prevalent plus exacerbated musculoskeletal pain. Results: Musculoskeletal pain prevalence was 32.8%: 27.6% for prevalent and 5.2% for prevalent plus exacerbated musculoskeletal pain. Multivariable adjusted odds ratios and 95% confidence intervals of lifestyle factors associated with prevalent and prevalent plus exacerbated musculoskeletal pain were as follows: shelter use (prevalent: 1.02, 0.96-1.08; exacerbated: 1.44, 1.29-1.60), job loss (prevalent: 1.03, 0.96-1.10; exacerbated: 1.30, 1.16-1.47), decreased income (prevalent: 1.13, 1.05-1.21; exacerbated: 1.29, 1.14-1.45), current heavy drinking (prevalent: 1.33, 1.21-1.47; exacerbated: 1.38, 1.14-1.68), insomnia (prevalent: 1.22, 1.15-1.29; exacerbated: 1.50, 1.36-1.65), exercising almost daily (prevalent: 0.83, 0.77-0.91; exacerbated: 0.80, 0.68-0.95), and participating in community activities often (prevalent: 0.83, 0.75-0.92; exacerbated: 0.76, 0.61-0.95). Conclusions: Prevalent and exacerbated musculoskeletal pain were inversely associated with frequencies of exercise and participating in recreational or community activities and positively associated with decreased income, current heavy drinking, and insomnia. The use of evacuation shelters or temporary housing/job loss was positively associated only with exacerbated musculoskeletal pain. These results suggest that post-disaster lifestyle factors are potentially associated with musculoskeletal pain. For better post-disaster pain management, further studies are needed to confirm these results in other disasters and highlight underlying mechanisms.


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