Factors associated with the quality of life of adults with chronic musculoskeletal pain
DOI:
https://doi.org/10.28957/rcmfr.345Keywords:
Chronic pain, musculoskeletal pain, quality of life, physical activityAbstract
Introduction. It is estimated that one in five people in the world suffer from chronic pain and that chronic musculoskeletal pain (CMP) is the leading cause of pain and disability in Western society.
Objective. To analyze the sociodemographic, clinical and functional characteristics that influence the quality of life (QoL) of people with a diagnosis of CMP.
Methods. Descriptive, observational, cross-sectional study conducted in 101 patients with CMP. Functional testing was performed with measurement of the 6-minute walk test, QoL (SF-36 questionnaire), and assessment of disability (WHODAS II test) and symptoms of depression (PHQ-9 questionnaire). Demographic, clinical, and lifestyle characteristics are described.
Results. The most frequent reason for consultation was low back pain (35.6%), but central sensitization (36.6%) and metabolic (34.7%) and cardiovascular (7.8%) comorbidities were also documented. 90% of the patients were sedentary and 53.5% obtained a performance of less than 350 meters in the 6-minute walk test, or the test had to be suspended due to pain. In relation to the SF-36 questionnaire, the dimensions related to better QoL were female gender, age between 34 and 64 years, marital status: married, low and medium socioeconomic strata, residence in an urban area, secondary education level, active employment status, overweight and no consumption of toxic substances.
Conclusions. CMP undermines QoL in a broader way than acute pain. According to the results found, there is a relationship between unhealthy lifestyles and a poor QoL; the foregoing is a field of deepening for new studies towards the promotion of healthy habits, management of emotions and strengthening of social skills by multidisciplinary teams as a strategy for the prevention of CMP.
References
Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain. 2019;160(1):19-27. Disponible en: https://dx.doi.org/10.1097/j.pain.0000000000001384
Bonanni R, Cariati I, Tancredi V, Iundusi R, Gasbarra E, Tarantino U. Chronic Pain in Musculoskeletal Diseases: Do You Know Your Enemy? J Clin Med. 2022;11(9):2609. Disponible en: https://doi.org/10.3390/jcm11092609
Kosek E, Clauw D, Nijs J, Baron R, Gilron I, Harris RE, et al. Chronic nociplastic pain affecting the musculoskeletal system: clinical criteria and grading system. Pain. 2021;162(11):2629-34. Disponible en: https://dx.doi.org/10.1097/j.pain.0000000000002324
Goldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health. 2011;11:770. Disponible en: https://dx.doi.org/10.1186/1471-2458-11-770
Woolf AD, Er win J, March L. The need to address the burden of musculoskelet al conditions. Bes t Pract R es Clin Rheumatol. 2012;26(2):183-224. Disponible en: https://doi.org/10.1016/j.berh.2012.03.005
Access Economics Pty Limited. The high price of pain: The eco-nomic impact of persistent pain in Australia. Sidney: MBF Foundation; 2007.
Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey S, DeBar L, et al. Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults - United States, 2016. MMWR Morb Mortal Wkly Rep. 2018;67(36):1001-6. Disponible en: https://dx.doi.org/10.15585/mmwr.mm6736a2
Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287-333. Disponible en: https://dx.doi.org/10.1016/j.ejpain.2005.06.009
Miranda JP, Quezada P, Caballero P, Jiménez, Morales A, Bilbeny N, et al. Revisión sistematica: epidemiología de dolor crónico no oncológico en Chile. Revista El Dolor. 2013;59:10-7.
Guerrero-Liñeiro AM, Gómez-López MP. VIII Estudio Nacional de Dolor 2014. Prevalencia del dolor crónico en Colombia. Bogotá D.C.: Asociación Colombiana para el Estudio del Dolor; 2014.
Casanova C, Celli BR, Barria P, Casas A, Cote C, de Torres JP, et al. The 6-min walk distance in healthy subjects: reference standards from seven countries. Eur Respir J. 2011;37(1):150-6. Disponible en: https://dx.doi.org/10.1183/09031936.00194909
Nijs J, Torres-Cueco R, van Wilgen CP, Girbes EL, Struyf F, Roussel N, et al. Applying modern pain neuroscience in clinical practice: criteria for the classification of central sensitization pain. Pain Physician. 2014;17(5):447-57.
Lugo LH, García HI, Gómez C. Confiabilidad del cuestionario de calidad de vida SF-36 en Medellín, Colombia. Rev. Fac. Nac. Salud Pública. 2006;24(2):37-50.
Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV 3rd, Hahn SR, et al. Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study. JAMA. 1994;272(22), 1749-56.
Booth FW, Roberts CK, Laye MJ. Lack of Exercise Is a Major Cause of Chronic Diseases. Compr Physiol. 2012; 2(2):1143-211. Disponible en: https://doi.org/10.1002/cphy.c110025
Fayaz A, Ayis S, Panesar SS, Langford RM, Donaldson LJ. Assessing the relationship between chronic pain and cardiovascular disease: A systematic review and meta-analysis. Scand J Pain. 2016;13(1):76-90. Disponible en: https://doi.org/10.1016/j.sjpain.2016.06.005
Ji RR, Nackley A, Huh Y, Terrando N, Maixner W. Neuroinf lammation and Central Sensitization in Chronic and Widespread Pain. Anesthesiology. 2018;129(2):343-66. Disponible en: https://doi.org/10.1097/ALN.0000000000002130
Booth J. Exercise for chronic musculoskeletal pain: A biopsychosocial approach. Musculoskeletal Care. 2017;15(4), 413-21.
Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med. 2019;53(9):554-9. Disponible en: https://doi.org/10.1136/bjsports-2017-098673
How to Cite
Downloads
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
