Loading...
Publication
Association of pain extent with pain intensity, disability and headache frequency in office workers with neck pain and headache undergoing physiotherapy: a secondary analysis
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.24 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: Cervicalgia e cefaleia são comuns em trabalhadores de escritório (TE) e levam a
um encargo significativo a nível pessoal, social e económico. A Extensão de dor (ED), obtida
através de pain drawings (PDs), pode estar associada com outros outcomes clínicos. Porém, a
associação entre a ED e outros outcomes, assim como a associação entre a evolução na ED e a
evolução em outros outcomes, não foram estudadas nesta população. Objetivo: Descrever 1)
as mudanças na ED, intensidade da dor cervical, incapacidade e frequência das cefaleias;
estudar 2) a associação entre a ED e os restantes outcomes; e 3) a associação entre a evolução
na ED e a evolução nestes outcomes, em TE com cervicalgia e/ou cefaleia. Metodologia: Foi
realizada uma análise secundária com 112 participantes, que foram divididos em três grupos
consoante a localização da dor. Os outcomes considerados foram a intensidade da dor cervical
(END), incapacidade (NDI e HIT-6) e frequência das cefaleias. Foram considerados dois
momentos de avaliação - baseline e follow-up. As correlações foram calculadas para cada
grupo, através do teste de correlação de Spearman. Resultados: A intensidade da dor cervical
permaneceu relativamente estável ao longo do tempo. As restantes variáveis melhoraram ao
longo do tempo, excepto a ED no grupo com cervicalgia. Não foram encontradas associações
para TE com cervicalgia. Em TE com cervicalgia e cefaleia, uma maior ED parece estar
associada com maiores níveis de incapacidade (NDI) e frequência das cefaleias, em ambos os
momentos. No follow-up, uma maior ED parece estar associada com maior intensidade de dor
cervical e maiores níveis de incapacidade (HIT-6). A evolução na ED demonstrou estar
associada com a evolução da dor cervical e com os níveis de incapacidade (NDI). Em TE com
cefaleia, uma maior ED parece estar associada com maiores níveis de incapacidade (HIT-6) e
frequência das cefaleias, mas apenas no follow-up. Conclusão: O benefício do uso de PDs
parece ser limitado em condições que afetam pequenas áreas (cervicalgia, cefaleia). Em TE
com cervicalgia e cefaleia, os PDs podem ser um complemento valioso a outros outcomes
clínicos, melhorando a profundidade e precisão da avaliação.
Introduction: Neck pain and headache are common among office workers (OW) and lead to a significant personal, societal and economic burden. Pain extent (PE) obtained from pain drawings (PDs) can be associated with other clinical outcomes. However, the association between PE and other outcome variables, as well as the association between changes in PE and changes in other outcome variables is unknown in this population. Objective: To describe 1) the changes in PE, neck pain intensity, disability and headache frequency; to study 2) the association between PE and the other outcomes; and 3) the association between changes in PE and changes in these variables, in OW with neck pain and/or headache. Methodology: A secondary analysis with 112 participants was conducted. Participants were divided into three groups considering their pain location. The outcome measures were neck pain intensity (NRS), disability (NDI and HIT-6) and headache frequency. Two time points were considered, baseline and follow-up. Correlations between PE and other outcome variables were calculated for each group, using Spearman’s correlation coefficient. Results: Neck pain intensity remained relativelly stable over time. All other variables improved over time, except PE in the 'headache group'. No associations were found for OW with isolated neck pain. In office workers with neck pain and headache, a larger PE was associated with higher NDI scores and headache frequency, at both time points. At follow-up, a larger PE was associated with higher neck pain intensity and higher HIT-6 scores. A change in PE was positively associated with a change in neck pain intensity and in NDI scores. For OW with isolated headaches, a larger PE was associated with higher HIT-6 scores and headache frequency, but only at follow-up. Conclusion: The utility of PDs seems to be limited in conditions with smaller pain areas (isolated neck pain, isolated headache). In OW with neck pain and headache, PDs could be a valuable complement to other clinical and patient-reported outcomes, by enhancing the depth and precision of the assessment.
Introduction: Neck pain and headache are common among office workers (OW) and lead to a significant personal, societal and economic burden. Pain extent (PE) obtained from pain drawings (PDs) can be associated with other clinical outcomes. However, the association between PE and other outcome variables, as well as the association between changes in PE and changes in other outcome variables is unknown in this population. Objective: To describe 1) the changes in PE, neck pain intensity, disability and headache frequency; to study 2) the association between PE and the other outcomes; and 3) the association between changes in PE and changes in these variables, in OW with neck pain and/or headache. Methodology: A secondary analysis with 112 participants was conducted. Participants were divided into three groups considering their pain location. The outcome measures were neck pain intensity (NRS), disability (NDI and HIT-6) and headache frequency. Two time points were considered, baseline and follow-up. Correlations between PE and other outcome variables were calculated for each group, using Spearman’s correlation coefficient. Results: Neck pain intensity remained relativelly stable over time. All other variables improved over time, except PE in the 'headache group'. No associations were found for OW with isolated neck pain. In office workers with neck pain and headache, a larger PE was associated with higher NDI scores and headache frequency, at both time points. At follow-up, a larger PE was associated with higher neck pain intensity and higher HIT-6 scores. A change in PE was positively associated with a change in neck pain intensity and in NDI scores. For OW with isolated headaches, a larger PE was associated with higher HIT-6 scores and headache frequency, but only at follow-up. Conclusion: The utility of PDs seems to be limited in conditions with smaller pain areas (isolated neck pain, isolated headache). In OW with neck pain and headache, PDs could be a valuable complement to other clinical and patient-reported outcomes, by enhancing the depth and precision of the assessment.
Description
Keywords
Pain drawings Extensão da dor Cervicalgia Cefaleia Trabalhadores de escritório Intensidade da dor Incapacidade Frequência das cefaleias