Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20220036-en
Brazilian Journal of Pain
Original Article

Pain self-efficacy and physical activity during COVID-19-related social distancing: cross-sectional study

Autoeficácia para dor e atividade física durante o distanciamento social relacionado à COVID-19: estudo transversal

Francisco Fleury Uchoa Santos-Júnior; Isabela de Paula Rodrigues; Rafael Krasic Alaiti; Anamaria Siriani de Oliveira

http://dx.doi.org/10.5935/2595-0118.20220036-en BrJP, vol.5, n3, p.219-225, 2022
PDF English
PDF Português
SciELO
Downloads: 1
Views: 243

Abstract

BACKGROUND AND OBJECTIVES: The COVID-19 pandemic has impacted the practice of physical activity in the population with musculoskeletal pain, and one of the ways to increase the performance of physical activity is to stimulate pain self-efficacy. However, to date, no study that brought the association between self-efficacy and physical activity in this population has been observed in the literature. The aim of this study was to analyze the association of the level of pain self-efficacy and physical activity weekly time in the population with pain during social distancing related to the COVID-19 pandemic in the states of Ceará and São Paulo.

METHODS: This study is characterized as a cross-sectional study with a quantitative approach. Data collection was performed using an electronic form. To identify the association between pain self-efficacy (Pain Self-Efficacy Questionnaire) and physical activity weekly time (dependent variable) in the population with pain, a multiple linear regression was performed.

RESULTS: Self-efficacy showed a direct association (ß = 0.015; p = 0.0016) with the time of physical activity practiced during the pandemic. Other variables were associated with longer time of physical activity, such as lower pain intensity during the pandemic (ß = -0.064; p = 0.0223), lower body mass index (ß = -0.036; p = 0.0004), the male gender (ß = -0.441; p<0.0001) and absence of reported comorbidities (ß = -0.297; p = 0.0116). The history of positive diagnosis for COVID-19 was not associated with the physical activity duration (p = 0.5347) in an alternative model.

CONCLUSION: A direct association between pain self-efficacy and time of physical activity in the population with musculoskeletal pain during COVID-19-related social distancing was identified.

HIGHLIGHTS

  • Greater self-efficacy for pain management was associated with more time of physical activities during the pandemic.
  • More time of physical activities was also associated with lower pain intensity during the pandemic.
  • History of positive diagnosis for COVID-19 did not show association with time of physical activity during the pandemic.

Keywords

Exercise therapy, Health belief model, Pain.

Resumo

JUSTIFICATIVA E OBJETIVOS: A pandemia de COVID-19 impactou a prática de atividade física da população com dor musculoesquelética (DME), e um dos modos de ampliar a realização da atividade física é estimulando a autoeficácia para dor. Entretanto, até o momento, não se observou na literatura qualquer estudo que trouxesse a relação entre autoeficácia e atividade física nessa população. O objetivo deste estudo foi analisar a associação do nível de autoeficácia e do tempo semanal de prática de atividade física na população com dor durante o distanciamento social relacionado à pandemia de COVID-19 nos estados do Ceará e São Paulo.

MÉTODOS: Este estudo se caracteriza como um estudo transversal com abordagem quantitativa. A coleta de dados foi realizada a partir de um formulário eletrônico. Para identificação da associação entre autoeficácia (Pain Self-Efficacy Questionnaire) e tempo semanal de prática de atividade física (variável dependente) na população com dor, foi realizada uma regressão linear múltipla.

RESULTADOS: A autoeficácia apresentou relação direta (ß = 0,015; p = 0,0016) com tempo de atividade física praticada durante a pandemia. Outras variáveis apresentaram associação com maior tempo de prática de atividade física, como menor intensidade de dor durante a pandemia (ß = -0,064; p = 0,0223), menor índice de massa corporal (ß = -0,036; p=0,0004), ser do sexo masculino (ß = -0,441; p<0,0001) e relatar ausência de comorbidades (ß = -0,297; p = 0,0116). O histórico de diagnóstico positivo para COVID-19 não apresentou associação com tempo de atividade física (p = 0,5347).

CONCLUSÃO: Identificou-se associação direta entre autoeficácia para dor e tempo de prática de atividade física na população com dor musculoesquelética durante o distanciamento social relacionado à COVID-19.

DESTAQUES 

  • Maior autoeficácia para o gerenciamento da dor foi associada com maior tempo de atividade física praticada durante a pandemia.
  • Maior tempo de prática de atividade física também foi associado com menor intensidade de dor durante a pandemia.
  • Histórico de diagnóstico positivo para COVID-19 não apresentou associação com tempo de atividade física durante a pandemia.

Palavras-chave

Dor, Modelo de crenças de saúde, Terapia por exercício.

References

Sohrabi C, Alsafi Z, O’Neill N, Khan M, Kerwan A, Al-Jabir A. World Health Organization declares global emergency: a review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76(1):71-6.

Levin AT, Hanage WP, Owusu-Boaitey N, Cochran KB, Walsh SP, Meyerowitz-Katz G. Assessing the age specificity of infection fatality rates for COVID-19: systematic review, meta-analysis, and public policy implications. Eur J Epidemiol. 2020;35(12):1123-38.

Santos HLPC, Maciel FBM, Santos Junior GM, Martins PC, Prado NMBL. Gastos públicos com internações hospitalares para tratamento da covid-19 no Brasil em 2020. Rev Saúde Pública. 2021;55:52.

Khan M, Adil SF, Alkhathlan HZ, Tahir MN, Saiif S, Khan M, Khan ST. COVID-19: a global challenge with old history, epidemiology and progress so far. Molecules. 2020;26(1):39.

Cruz CHB. Social distancing in São Paulo state: demonstrating the reduction in cases using time series analysis of deaths due to COVID-19. Rev Bras Epidemiol. 2020;23:e200056.

Barros AJD, Victora CG, Menezes AMB, Horta BL, Hartwig F, Victora G, Pellanda LC. Padrões de distanciamento social em nove cidades gaúchas: estudo Epicovid19/RS. Rev Saúde Pública. 2020;54:75.

COVID-19 | Coronavírus no Brasil | Inloco [Internet]. .

Aquino EML, Silveira IH, Pescarini JM, Aquino R, Souza-Filho JA, Rocha AS, Ferreira A, Victor A, Teixeira C. Social distancing measures to control the COVID-19 pandemic: Potential impacts and challenges in Brazil. Cien Saude Colet. 2020;25(Suppl 1):2423-46.

Silva GAE, Jardim BC, Lotufo PA. Age-adjusted COVID-19 mortality in state capitals in different regions of Brazil. Cad Saude Publica. 2021;37(6):e00039221.

Hruschak V, Flowers KM, Azizoddin DR, Jamison RN, Edwards RR, Schreiber KL. Cross-sectional study of psychosocial and pain-related variables among patients with chronic pain during a time of social distancing imposed by the coronavirus disease 2019 pandemic. Pain. 2021;162(2):619-29.

DeSantana JM. What about patients with pain during and after the COVID-19 pandemic?. BrJP. 2020;3(3):292-3.

Aguiar DP, Souza CP, Barbosa WJ, Santos-Júnior FF, Oliveira AS. Prevalence of chronic pain in Brazil: systematic review. BrJP. 2021;4(3):257-67.

Santos Junior FFU. Autogerenciamento da dor crônica musculoesquelética durante e após o distanciamento social imposto pela pandemia de COVID-19: quais as nossas opções?. In: Educação e Dor: Sementes de Um Novo Futuro. 2021.

Turk DC, Okifuji A. Psychological factors in chronic pain: Evolution and revolution. J. Consult Clin Psychol. 2002;70(3):678-90.

Souza CM, Martins J, Libardoni TC, de Oliveira AS. Self-efficacy in patients with chronic musculoskeletal conditions discharged from physical therapy service: a cross-sectional study. Musculoskeletal Care. 2020;18(3):365-71.

Rondon-Ramos A, Martinez-Calderon J, Diaz-Cerrillo JL, Rivas-Ruiz F, Ariza-Hurtado GR, Clavero-Cano S, Luque-Suarez A. Pain neuroscience education plus usual care is more effective than usual care alone to improve self-efficacy beliefs in people with chronic musculoskeletal pain: a non-randomized controlled trial. J Clin Med. 2020;9(7):2195.

Xiong H, Yi S, Lin Y. The psychological status and self-efficacy of nurses during COVID-19 outbreak: a cross-sectional survey. Inquiry. 2020;57:46958020957114.

Shahrour G, Dardas LA. Acute stress disorder, coping self-efficacy and subsequent psychological distress among nurses amid COVID-19. J Nurs Manag. 2020;28(7):1686-95.

Botero JP, Farah BQ, Correia MA, Lofrano-Prado MC, Cucato GG, Shumate G. Impact of the COVID-19 pandemic stay at home order and social isolation on physical activity levels and sedentary behavior in Brazilian adults. Einstein. 2021;19:eAE6156.

Martínez-de-Quel Ó, Suárez-Iglesias D, López-Flores M, Pérez CA. Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: a longitudinal study. Appetite. 2021;158:105019.

Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017;1(1):CD011279.

Hayden JA, Ellis J, Ogilvie R, Malmivaara A, van Tulder MW. Exercise therapy for chronic low back pain. Cochrane Database Syst. Rev. 2021;9(9):CD009790.

Rajati F, Sadeghi M, Feizi A, Sharifirad G, Hasandokht T, Mostafavi F. Self-efficacy strategies to improve exercise in patients with heart failure: a systematic review. ARYA Atheroscler. 2014;10(6):319-33.

Martinez-Calderon J, Zamora-Campos C, Navarro-Ledesma S, Luque-Suarez A. The role of self-efficacy on the prognosis of chronic musculoskeletal pain: a systematic review. J Pain. 2018;19(1):10-34.

Silva DRP, Werneck AO, Malta DC, Souza Júnior PRB, Azevedo LO, Azevedo LO, Barros MBA. Changes in the prevalence of physical inactivity and sedentary behavior during COVID-19 pandemic: A survey with 39,693 Brazilian adults. Cad Saude Publica. 2021;37(3):e00221920.

Textor J, van der Zander B, Gilthorpe MS, Liśkiewicz M, Ellison GT. Robust causal inference using directed acyclic graphs: The R package “dagitty”. Int J Epidemiol. 2016;45(6):1887-94.

Degerstedt Å, Alinaghizadeh H, Thorstensson CA, Olsson CB. High self-efficacy - a predictor of reduced pain and higher levels of physical activity among patients with osteoarthritis: an observational study. BMC Musculoskelet. Disord. 2020;21(1):380.

Seghers J, van Hoecke AS, Schotte A, Opdenacker J, Boen F. The added value of a brief self-efficacy coaching on the effectiveness of a 12-week physical activity program. J Phys Act Health. 2014;11(1):18-29.

ACSMs Guidelines for Exercise Testing and Prescription [Internet]. 2018.

Reis FJJ, Fullen BM. Physical Activity for Pain Prevention. IASP. 2020.

Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico [Internet]. Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico : estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados. 2019:139.

Pieters L, Lewis J, Kuppens K, Jochems J, Bruijstens T, Joossens L, Struyf F. An update of systematic reviews examining the effectiveness of conservative physical therapy interventions for subacromial shoulder pain. J Orthop Sports Phys Ther. 2020;50(3):131-41.

Hotta GH, Gomes de Assis Couto A, Cools AM, McQuade KJ, Siriane de Oliveira A. Effects of adding scapular stabilization exercises to a periscapular strengthening exercise program in patients with subacromial pain syndrome: a randomized controlled trial. Musculoskelet Sci Pract. 2020;49:102171.

Submitted date:
04/12/2022

Accepted date:
07/22/2022

6399e169a953950b882c9164 brjp Articles
2595-3192 (Electronic) 2595-0118 (Printed)
BrJP ©2024 All rights reserved.

BrJP

Share this page
Page Sections