Activity-related pain in patients with chronic musculoskeletal disorders

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Activity-related pain in patients with chronic musculoskeletal disorders

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dc.contributor.author Damsgård, Elin
dc.contributor.author Thrane, Gyrd
dc.contributor.author Anke, Audny
dc.contributor.author Fors, Terese
dc.contributor.author Røe, Cecilie
dc.date.accessioned 2011-08-12T11:03:41Z
dc.date.available 2011-08-12T11:03:41Z
dc.date.issued 2010
dc.description.abstract Purpose. Activity related pain may be a barrier to rehabilitation in patients with chronic musculoskeletal disorders. This study investigated patients’ reports of increased pain during activity, and the association between such pain and psychological factors and pain variables. Method. Questionnaires from 232 adults with chronic musculoskeletal pain measured pain intensity, spread of pain and pain duration. Pain during activity was assessed both on a 11 point Numeric Rating Scale (NRS), and operationalized as a dichotomous measure, where responders defined if they experienced pain during general activity and exercise. Psychological factors were measured by the Hopkins Symptom Check List 25, the Tampa Scale for Kinesiophobia and a subscale of the Arthritis Self – Efficacy Scale. Multiple and logistic regression was used to analyse associations between increased pain during activity and associated variables. Results. Increased pain during activity was reported by 69 % of participants. Fear of movement was a significant factor for reporting increased pain during activity, both general activity and exercise, also in a subsample with low psychological distress. Other significant factors were spread of pain and a low sense of self efficacy. Conclusion. Patients with high fear of movement, large spread of pain and low self efficacy were more likely to report increased pain during activity even in the absence of psychological distress.
dc.description Accepted manuscript version, reprinted with permission (Informa Helthcare). <br>Published version available at <a href=http://dx.doi.org/10.3109/09638280903567877>http://dx.doi.org/10.3109/09638280903567877</a> <br>This article is part of Elin Damsgård's doctoral thesis which is available in Munin at <a href=http://hdl.handle.net/10037/2500>http://hdl.handle.net/10037/2500</a>
dc.identifier.citation Disability and Rehabilitation, 2010; 32(17): 1428–1437
dc.identifier.other doi: 10.3109/09638280903567877
dc.identifier.uri http://hdl.handle.net/10037/3549
dc.identifier.urn URN:NBN:no-uit_munin_3270
dc.language.iso eng
dc.publisher Informa healthcare
dc.subject VDP::Medical disciplines: 700::Health sciences: 800
dc.subject VDP::Medisinske Fag: 700::Helsefag: 800
dc.subject VDP::Social science: 200::Psychology: 260
dc.subject VDP::Samfunnsvitenskap: 200::Psykologi: 260
dc.title Activity-related pain in patients with chronic musculoskeletal disorders
dc.type Journal article
dc.type Tidsskriftartikkel
dc.type Peer reviewed


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