Research Group Lifestyle and Health, University of Applied Sciences Utrecht, the Netherlands; Department of Health Sciences, VU University, Amsterdam, The Netherlands and the EMGO Institute for Health and Care Research, the Netherlands.
Department of Health Sciences, VU University, Amsterdam, The Netherlands and the EMGO Institute for Health and Care Research, the Netherlands; Department of Epidemiology and Biostatistics, VU University Medical Centre, Amsterdam, The Netherlands and the EMGO Institute for Health and Care Research, the Netherlands.
Musculoskelet Sci Pract. 2020 Feb;45:102072. doi: 10.1016/j.msksp.2019.102072. Epub 2019 Oct 23.
Musculoskeletal pain (MSP) is a burden to patients and to society. In addition to well-known prognostic factors, illness perceptions (IPs) may be associated with pain intensity and physical functioning in MSP but their role is not fully understood. Our research focused on these questions: 1) Do IPs differ between patients with acute, sub-acute and persistent MSP 2) Are IPs, in addition to well-known prognostic factors, associated with pain intensity and with limitations in physical functioning?
Eligible MSP patients from 29 physical therapy practices were invited to participate in a cross-sectional study. IPs were measured with the Brief IPQ-DLV. We compared IPs between patients with acute, sub-acute and persistent MSP (1-way ANOVA with Tukey post-hoc tests). Secondly, associations between IPs with pain intensity and physical functioning were assessed (multiple linear regression).
With 658 participants, most IP dimensions showed small differences between acute, sub-acute or persistent pain. For pain intensity, the IP dimensions Consequences, Identity and Comprehensibility explained an additional 13.3% of the variance. For physical functioning, the dimensions Consequences, Treatment Control, Identity and Concern explained an additional 26.5% of the variance.
DISCUSSION/CONCLUSION: Most IP dimensions showed small differences between acute, sub-acute or persistent pain. In addition to some well-known prognostic variables, higher scores on some IP dimensions are associated with higher pain intensity and more limitations in physical functioning in patients with MSP. Longitudinal studies are needed to explore the longitudinal associations.
肌肉骨骼疼痛（MSP）给患者和社会带来了负担。除了众所周知的预后因素外，疾病认知（IP）可能与 MSP 的疼痛强度和身体功能有关，但它们的作用尚不完全清楚。我们的研究重点是这些问题：1）急性、亚急性和持续性 MSP 患者的 IP 是否不同；2）除了众所周知的预后因素外，IP 是否与疼痛强度以及身体功能受限有关？
从 29 个物理治疗实践中邀请符合条件的 MSP 患者参加横断面研究。使用 Brief IPQ-DLV 测量 IP。我们比较了急性、亚急性和持续性 MSP 患者之间的 IP（单因素方差分析，Tukey 事后检验）。其次，评估了 IP 与疼痛强度和身体功能之间的关联（多元线性回归）。
在 658 名参与者中，大多数 IP 维度在急性、亚急性或持续性疼痛之间显示出微小差异。对于疼痛强度，后果、身份和可理解性这三个 IP 维度解释了额外的 13.3%的方差。对于身体功能，后果、治疗控制、身份和关注这四个 IP 维度解释了额外的 26.5%的方差。
讨论/结论：大多数 IP 维度在急性、亚急性或持续性疼痛之间显示出微小差异。除了一些已知的预后变量外，某些 IP 维度的得分较高与 MSP 患者的疼痛强度较高和身体功能受限较多有关。需要进行纵向研究来探讨纵向关联。
