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Perfil clínico e epidemiológico de pessoas com dor de origem músculo-esquelética que recorrem aos serviços privados de Fisioterapia
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Advisor(s)
Abstract(s)
Introdução: As condições músculo-esqueléticas (ME) constituem a segunda maior causa
de anos vividos com incapacidade, manifestando-se pela presença de dor, e em Portugal tem se assistido a um aumento gradual da sua prevalência e carga associada. Embora a
Fisioterapia tenha demonstrado ser capaz de gerir este tipo de condições, existe uma lacuna
no conhecimento das características de quem recorre aos tratamentos de Fisioterapia no
contexto privado, tornando-se assim prioritário conhecê-las de forma a preparar os cuidados
de Fisioterapia e os Fisioterapeutas para as necessidades desses utentes. Assim, os objetivos
deste estudo foram (1) caracterizar as pessoas com dor ME que recorrem a tratamentos de
Fisioterapia na prática privada e (2) ainda analisar as relações entre a intensidade de dor e a
saúde ME, qualidade de vida relacionada com a saúde (QVRS) e características individuais.
Metodologia: Este estudo foi realizado em duas fases. A primeira fase integrou a construção
e validação de um questionário de caracterização. A segunda fase foi a realização de um
estudo observacional, transversal, integrando uma amostra de indivíduos com dor ME em
vários tipos de contexto privado de Fisioterapia e em vários locais em Portugal. A recolha
de dados foi realizada com recurso a um caderno de instrumentos autorreportados
disponibilizado aos participantes, e com o preenchimento de questões de caracterização
dirigidas ao Fisioterapeuta. Para o primeiro objetivo, foi utilizada estatística descritiva, e
para o segundo objetivo, os dados foram analisados através do coeficiente de correlação de
Pearson e modelos de regressão logística binária.
Resultados: O integrou uma amostra de 140 participantes, predominantemente do sexo
feminino e com idade média de 47,09 anos; fisicamente inativa, com excesso de peso e com
presença de comorbilidades associadas; presença de dor no joelho ou ombro e do tipo
nociceptivo; presença de indicadores psicossociais e comportamentos de redução do nível
de atividade e participação, sobretudo relacionados com o trabalho e a rotina diária.
Verificaram-se associações significativas (p<0,05) entre a saúde ME, a QVRS e os níveis de
intensidade da dor, e entre níveis elevados de dor e o sexo, habilitações literárias, agregado
familiar, tipo de trabalho, tempo de deslocação à Fisioterapia, tipo de dor, problemas com o
sono e presença de indicadores de catastrofização e comportamentos/ estratégias de coping.
Conclusão: Este estudo permitiu caracterizar as pessoas que recorrem aos tratamentos de
Fisioterapia na prática privada e verificou relações significativas entre múltiplas variáveis,
que podem contribuir para que os Fisioterapeutas e serviços de Fisioterapia melhorarem os
cuidados prestados, assim como informar a formação dos Fisioterapeutas e decisões de
âmbito profissional.
Introduction: Musculoskeletal (MSK) conditions are the second leading cause of years lived with disability, manifested by the presence of pain, and in Portugal there has been a gradual increase in its prevalence and associated burden. Although Physiotherapy has shown to be able to manage this type of conditions, there is a gap in the knowledge of the characteristics of those who use Physiotherapy treatments in the private context, thus making it a priority to know them in order to prepare Physiotherapy care and the Physiotherapists for the needs of these users. Thus, the aims of this study were (1) to characterize people with MSK pain who resort to Physioterapy treatments in private practice, and (2) to analyze the relationship between pain intensity and MSK health and health-related quality of life (HRQoL), amd individual characteristics. Methodology: This study was carried out in two phases. The first phase integrated the construction and validation of a characterization questionnaire. The second phase was to carry out a cross-sectional observation study, integrationg a sample of individuals with MSK pain in various types of private Physiotherapy context and in various locations in Portugal. Data collection was carried out using a notebook of self-reported instruments made available to the participants, and with the completion of characterization questions adderessed to the Physiotherapist. For the first objective, descriptive statistics were used, and for the second objective, the data were analyzed using Pearson’s correlation coeficiente and binary logistic regression models. Results: The integrated a sample of 140 participants, predominantly female and with a mean age of 47,09 years; physically inactive, overweigh and with associated comorbilities; presence of pain in the knee or shoulder and nociceptive type; presence of psychosocial indicators and behaviors that reduce the level of activity and participation, especially related to work and daily routine. There were significant associations (p<0,05) between MSK health, HRQoL and pain intensity levels, and between high pain levels and gender, educational qualifications, household, type of work, travel time Physiotherapy, type of pain, sleep problems and presence of catastrophizing indicators and coping behaviors/ strategies. Conclusion: This study allowed the characterization of people who resort to Physiotherapy treatmens in private practice and verified significant relationships between multiple variables, which can help Physiotherapists and Physiotherapy services to improve the care provided, as well as inform the training of Physiotherapists and decisions of a professional scope.
Introduction: Musculoskeletal (MSK) conditions are the second leading cause of years lived with disability, manifested by the presence of pain, and in Portugal there has been a gradual increase in its prevalence and associated burden. Although Physiotherapy has shown to be able to manage this type of conditions, there is a gap in the knowledge of the characteristics of those who use Physiotherapy treatments in the private context, thus making it a priority to know them in order to prepare Physiotherapy care and the Physiotherapists for the needs of these users. Thus, the aims of this study were (1) to characterize people with MSK pain who resort to Physioterapy treatments in private practice, and (2) to analyze the relationship between pain intensity and MSK health and health-related quality of life (HRQoL), amd individual characteristics. Methodology: This study was carried out in two phases. The first phase integrated the construction and validation of a characterization questionnaire. The second phase was to carry out a cross-sectional observation study, integrationg a sample of individuals with MSK pain in various types of private Physiotherapy context and in various locations in Portugal. Data collection was carried out using a notebook of self-reported instruments made available to the participants, and with the completion of characterization questions adderessed to the Physiotherapist. For the first objective, descriptive statistics were used, and for the second objective, the data were analyzed using Pearson’s correlation coeficiente and binary logistic regression models. Results: The integrated a sample of 140 participants, predominantly female and with a mean age of 47,09 years; physically inactive, overweigh and with associated comorbilities; presence of pain in the knee or shoulder and nociceptive type; presence of psychosocial indicators and behaviors that reduce the level of activity and participation, especially related to work and daily routine. There were significant associations (p<0,05) between MSK health, HRQoL and pain intensity levels, and between high pain levels and gender, educational qualifications, household, type of work, travel time Physiotherapy, type of pain, sleep problems and presence of catastrophizing indicators and coping behaviors/ strategies. Conclusion: This study allowed the characterization of people who resort to Physiotherapy treatmens in private practice and verified significant relationships between multiple variables, which can help Physiotherapists and Physiotherapy services to improve the care provided, as well as inform the training of Physiotherapists and decisions of a professional scope.
Description
Keywords
Dor músculo-esquelética Condições músculo-esqueléticas Fisioterapia Prática privada Musculoskeletal pain Musculoskeletal conditions Physiotherapy Private practice