Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20220034-en
Brazilian Journal of Pain
Artigo Original

Musculoskeletal pain, multimorbidity and associated factors in individuals followed at a physiotherapy service: cross-sectional observational study

Dor musculoesquelética, multimorbidade e fatores associados em indivíduos acompanhados por serviço de fisioterapia: estudo observacional de corte transversal

Ana Francisca Ferreira; Jesús Enrique Patiño Escarcina; Dryele Teles C. Luz; Ruan Barbosa Souza; Eduardo Martins Netto

http://dx.doi.org/10.5935/2595-0118.20220034-en BrJP, vol.5, n3, p.200-205, 2022
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Abstract

BACKGROUND AND OBJECTIVES: Musculoskeletal pain is among the most disabling conditions, aggravating multimorbidity scenarios. Difficulties in the treatment of pain and multimorbidity highlight the importance of the study of these populations. The objective of this study was to determine the frequency of musculoskeletal pain and multimorbidity, the main complaints in patients admitted to physiotherapy services.

METHODS: This is a cross-sectional observational study. Patients 50 years or older were evaluated using the Brief Pain Inventory, Roland Morris Disability Questionnaire for general pain, sociodemographic and clinical data form, and timed-up-and-go test. Descriptive analyses were performed through the distribution of absolute numbers and proportions for categorical variables.

RESULTS: The sample consisted of 62 patients with 2 or more painful regions, 88.7% women with a median age of 67 years [IQR 62-72], 81% with body mass index above normal, 71% hypertensive and 97% with multimorbidity. The median of painful regions was 7 [IQR 4-8], the most prevalent being low back and knees (87%); 66% of patients describe severe pain, and median pain duration of 7.5 years [IQR 3-15]. The high number of painful regions had greater interference (p<0.05) in the lives of individuals and was associated with females (p=0.04) and the occurrence of a fall in the last year (p<0.003).

CONCLUSION: The described population is mostly composed of hypertensive, overweight women with multimorbidity, chronic pain and a high number of painful regions, interfering in activities and in the affective components of life. A continuous study of chronic, diffuse musculoskeletal pain and multimorbidity is necessary, seeking better interventions for these patients.

HIGHLIGHTS

  • Almost all patients had multimorbidity and described a median of 7 painful regions
  • The high number of painful regions had high interference in the lives of individuals
  • Two-thirds of the patients described severe pain, and median duration of 7.5 years.

Keywords

Chronic pain, Multimorbidity, Musculoskeletal pain.

Resumo

JUSTIFICATIVA E OBJETIVOS: Dores musculoesqueléticas estão entre as condições mais incapacitantes, agravando quadros de multimorbidade. Dificuldades no tratamento da dor e multimorbidade ressaltam a importância do estudo dessas populações. O objetivo deste estudo foi determinar a frequência de dor musculoesquelética e multimorbidade, principais queixas em pacientes admitidos em serviço de fisioterapia.

MÉTODOS: Este é um estudo observacional de corte transversal. Pacientes com 50 anos ou mais foram avaliados através do Inventário Breve de Dor, Questionário de Incapacidade de Roland Morris para dor em geral, formulário de dados sociodemográficos e clínicos e teste timed-up-and-go. Foram realizadas análises descritivas através da distribuição de números absolutos e proporções para as variáveis categóricas.

RESULTADOS: A amostra foi composta por 62 pacientes com 2 ou mais regiões dolorosas, 88,7% mulheres com mediana de idade de 67 anos [IQR 62-72], 81% com índice de massa corpórea acima da normalidade, 71% hipertensos e 97% com multimorbidade. A mediana de regiões dolorosas foi de 7 [IQR 4-8], sendo as mais prevalentes lombar e joelhos (87%); 66% dos pacientes descrevem dor intensa e mediana da duração da dor de 7,5 anos [IQR 3-15]. O alto número de regiões dolorosas teve maior interferência (p<0,05) na vida dos indivíduos e foi associado ao sexo feminino (p=0,04) e a ocorrência de queda no último ano (p<0,003).

CONCLUSÃO: A população descrita é majoritariamente composta por mulheres hipertensas, com sobrepeso, multimorbidade, dor crônica e alto número de regiões dolorosas, interferindo nos componentes de afetividade e atividades da vida. Faz-se necessário contínuo estudo da dor musculoesquelética crônica, difusa e multimorbidade, buscando melhores intervenções para estes pacientes.

DESTAQUES

  • Quase todos os pacientes apresentaram multimorbidade e relataram uma mediana de 7 regiões dolorosas
  • O alto número de regiões dolorosas teve alta interferência na vida das pessoas
  • Dois terços dos pacientes relataram dor intensa e duração mediana de 7,5 anos.

Palavras-chave

Dor crônica, Dor musculoesquelética, Multimorbidade.

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Submetido em:
31/12/2021

Aceito em:
02/08/2022

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