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Curso clínico, com base nos perfis psicossociais ocupacionais, em utentes com dor cervical crónica de origem não específica submetidos a um programa de fisioterapia multimodal
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Abstract(s)
Introdução: A dor cervical crónica (DCC) é uma condição com elevada prevalência
e persistência ao nível da população ocupacional. Têm vindo a ser demonstradas
associações entre os diferentes perfis psicossociais ocupacionais e a capacidade
de predizer outcomes de saúde na dor cervical (DC), sendo desta forma relevante
o estudo do curso clinico associado aos perfis psicossociais ocupacionais em
utentes com DCC de origem não específica (DCCNE) . Objetivo: Estudar o curso
clínico dos diversos perfis psicossociais ocupacionais em relação às variáveis
incapacidade funcional, intensidade da dor e perceção global de melhoria em
utentes com DCCNE submetidos a um programa de fisioterapia multimodal.
Definiu-se como objetivo secundário exploratório estudar os fatores psicossociais
ocupacionais como potencial fator de prognóstico de resultados de “sucesso” nas
mesmas variáveis dependentes. Metodologia: Realizou-se um estudo
observacional de coorte prospetivo de natureza exploratória com 18 participantes
com DCCNE, no ativo. Os participantes foram categorizados em 4 perfis
psicossociais ocupacionais de acordo com a escala JCQ-VP. Foram realizados 8
momentos de avaliação: baseline, 1ª, 2ª, 3ª, 4ª, 5ª, 6ª e 7ª semana de intervenção.
As variáveis analisadas foram: intensidade da dor, incapacidade funcional e
perceção global de melhoria. Resultados: O curso clínico dos utentes com
DCCNE, apresentou uma tendência de melhoria transversal aos 4 perfis
psicossociais ocupacionais, ao longo das 7 semanas de intervenção. Contudo,
apenas o perfil Active job apresentou diferenças significativas ao longo das 7
semanas de intervenção para as variáveis intensidade da dor (p<0,002) e
incapacidade funcional (p<0,003). A análise inter-grupos sugere não existirem
diferenças entre os diversos perfis, à exceção da intensidade da dor na baseline
(p=0,047). Conclusão: Considerando a natureza exploratória do presente estudo,
os resultados parecem sugerir que o perfil psicossocial ocupacional poderá
influenciar o curso clinico dos utentes com DCCNE submetidos a um programa de
fisioterapia. Contudo, não se verificou associação destes perfis como potencial fator
de prognóstico.
Introduction: Chronic Neck Pain (CNP) is a high prevalent and persistent condition in occupational population. Evidence suggests that different work-related psychosocial profiles can predict different health outcomes in patients with Neck Pain (NP), making it relevant to study the clinical course associated with workrelated psychosocial profiles in patients with Chronic non-specific neck pain (CNNP). Objectives: To investigate the clinical course of different work-related psycosocial profiles in relation to pain, disability and global perceived change in patients with CNNP undergoing multimodal physiotherapy program. The secondary objective was to evatuate work-related psychosocial profiles as a potential indicators of “successful” outcomes for these dependent variables. Methodology: prospective observational cohort study of an exploratory nature was carried out with 18 active participants with DCCNE. The participants were categorised into 4 occupational psychosocial profiles according to the JCQ-VP scale. There were 8 assessment moments: baseline, 1st, 2nd, 3rd, 4th, 5th, 6th and 7th week of intervention. The variables analysed were: pain intensity, functional disability and global perception of improvement. Results: The clinical course of patients with CNNP showed a trend of improvement across the 4 occupational psychosocial profiles over the 7 weeks of intervention. However, only the Active job profile showed significant differences over the 7 weeks of intervention for the variables pain intensity (p<0.002) and functional disability (p<0.003). Inter-group analysis suggests no differences between profiles, except for pain intensity at baseline (p=0.047). Conclusion: Considering the exploratory nature of the present study, the results seem to suggest that the workrelated profile may influence the clinical course of patients with CNNP undergoing a physicaltherapy program . however, no association was found between these profiles as a potential prognostic factor.
Introduction: Chronic Neck Pain (CNP) is a high prevalent and persistent condition in occupational population. Evidence suggests that different work-related psychosocial profiles can predict different health outcomes in patients with Neck Pain (NP), making it relevant to study the clinical course associated with workrelated psychosocial profiles in patients with Chronic non-specific neck pain (CNNP). Objectives: To investigate the clinical course of different work-related psycosocial profiles in relation to pain, disability and global perceived change in patients with CNNP undergoing multimodal physiotherapy program. The secondary objective was to evatuate work-related psychosocial profiles as a potential indicators of “successful” outcomes for these dependent variables. Methodology: prospective observational cohort study of an exploratory nature was carried out with 18 active participants with DCCNE. The participants were categorised into 4 occupational psychosocial profiles according to the JCQ-VP scale. There were 8 assessment moments: baseline, 1st, 2nd, 3rd, 4th, 5th, 6th and 7th week of intervention. The variables analysed were: pain intensity, functional disability and global perception of improvement. Results: The clinical course of patients with CNNP showed a trend of improvement across the 4 occupational psychosocial profiles over the 7 weeks of intervention. However, only the Active job profile showed significant differences over the 7 weeks of intervention for the variables pain intensity (p<0.002) and functional disability (p<0.003). Inter-group analysis suggests no differences between profiles, except for pain intensity at baseline (p=0.047). Conclusion: Considering the exploratory nature of the present study, the results seem to suggest that the workrelated profile may influence the clinical course of patients with CNNP undergoing a physicaltherapy program . however, no association was found between these profiles as a potential prognostic factor.
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Keywords
Dor cervical crónica não específica Fatores psicossociais ocupacionais Perfis psicossociais ocupacionais Curso clínico Chronic non-specific neck pain Work-related psychosocial factors Occupational psychological profiles Clinical course