Physical activity restriction in the pandemic is associated with lower pain self-efficacy in the population with musculoskeletal pain: cross-sectional study

Authors

DOI:

https://doi.org/10.1590/1809-2950/22012229042022PT

Keywords:

Self Efficacy, Pain, Exercise, COVID-19

Abstract

During the COVID-19 pandemic, a lower level
of physical activity was observed in the population, which
may influence the level of pain self-efficacy in the population
with musculoskeletal pain. In this context, this study sought
to analyze whether there is an association between the time
of physical activity practice and the level of pain self-efficacy
in the population with pain during the COVID-19 pandemic in
the state of São Paulo, controlled by biopsychosocial variables.
This study was conducted via an online form with questions
about sociodemographic aspects, weekly physical activity
practice, stress and anxiety levels, pain intensity and pain
self-efficacy (Pain Self-Efficacy Questionnaire – PSEQ-10).
The analysis was determined by two models of multiple
linear regression, with (Model A) and without (Model B) the
control of data by psycho-emotional factors (anxiety and
stress) in 150 subjects. An association was found between
weekly physical activity practice time and pain self-efficacy
level, Model A (p=0.0271, β=1.914) and Model B (p=0.0333,physical activity practice was associated with a higher pain selfefficacy level in the population with musculoskeletal pain during the
COVID-19 pandemic. Pain intensity during the pandemic, BMI and
sex also were associated with pain self-efficacy leve
β=1.826). Pain intensity during the pandemic, body mass
index (BMI) and sex, among the control variables, also were
associated with the pain self-efficacy level. A higher time of

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References

Bandura A. Self-efficacy: toward a unifying theory of

behavioral change. Adv Behav Res Ther. 1978;1(4):139-61.

doi: 10.1016/0146-6402(78)90002-4.

Wong WK, Li MY, Yung PSH, Leong HT. The effect of psychological

factors on pain, function and quality of life in patients with

rotator cuff tendinopathy: a systematic review. Musculoskelet

Sci Pract. 2020;47:102173. doi: 10.1016/j.msksp.2020.102173.

Karasawa Y, Yamada K, Iseki M, Yamaguchi M, Murakami Y, et al.

Association between change in self-efficacy and reduction

in disability among patients with chronic pain. PLoS One.

;14(4):e0215404. doi: 10.1371/journal.pone.0215404.

La Touche R, Grande-Alonso M, Arnes-Prieto P, Paris-Alemany A.

How does self-efficacy influence pain perception, postural

stability and range of motion in individuals with chronic low

back pain? Pain Phys. 2019;22(1):E1-13.

Klompstra L, Jaarsma T, Stromber A. Self-efficacy mediates

the relationship between motivation and physical activity in

patients with heart failure. J Cardiovasc Nurs. 2018;33(3):211-6.

doi: 10.1097/JCN.0000000000000456.

Degerstedt A, Alinaghizadeh H, Thortensson CA, Olsson CB.

High self-efficacy – a predictor of reduced pain and higher

levels of physical activity among patients with osteoarthritis: na

observational study. BMC Musculoskelet Disord. 2020;21(1):380.

doi: 10.1186/s12891-020-03407-x.

International Association for the Study of Pain. Exercise

in management of musculoskeletal pain [Internet].

Washington (DC): IASP; 2009 [cited 2022 Nov 9]. Available

from: https://www.aped-dor.org/images/FactSheets/

DorMusculoEsqueletica/en/Exercise.pdf

Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, et al.

Physical activity and exercise for chronic pain in adults:

an overview of Cochrane Reviews. Cochrane Database Syst

Rev. 2017;(4):CD011279. doi: 10.1002/14651858.CD011279.pub3.

George SZ, Fritz JM, Silfies SP, Schneider MJ, Beneciuk JM,

et al. Interventions for the management of acute and chronic

low back pain: revision 2021. J Orthop Sports Phys Ther.

;51(11):CPG1-60. doi: 10.2519/jospt.2021.0304.

Pieters L, Lewis J, Kuppens K, Jockens J, Bruijstens T, et al.

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.

doi: 10.2519/jospt.2020.8498.

Caspersen CJ, Powell KE, Christenson GM. Physical activity,

exercise, and physical fitness: definitions and distinctions for

health-related research. Public Health Rep. 1985;100(2):126-31.

World Health Organization. WHO guidelines on physical activity

and sedentary behaviour. Geneva: WHO; 2020.

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde.

Departamento de Análise em Saúde e Vigilância de Doenças

Não Transmissíveis. Vigitel Brasil 2019: 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 brasileiros e no Distrito Federal em

Brasília (DF): Ministério da Saúde; 2020.

Costa CLA, Costa TM, Barbosa Filho VC, Bandeira PFR,

Siqueira RCL. Influência do distanciamento social no nível de

atividade física durante a pandemia do COVID-19. Rev Bras

Ativ Fis Saude. 2020;25:e0123. doi: 10.12820/rbafs.25e0123.

Hruschak V, Flowers KM, Azizoddin DR, Jamison RN,

Edwards RR. Cross-sectional study of psychosocial and painrelated variables among patients with chronic pain during a

time of social distancing imposed by the coronavirus disease

pandemic. Pain. 2021;162(2):619-29. doi: 10.1097/j.

pain.0000000000002128.

Brasil. Ministério da Saúde. Painel Coronavírus Brasil [Internet].

Brasília (DF): Ministério da Saúde; 2021 [updated 2022 Nov 7;

cited 2021 Nov 18]. Available from: https://covid.saude.gov.br

Freire RS, Lélis FLO, Fonseca Filho JA, Nepomuceno MO, Silveira MF.

Prática regular de atividade física: estudo de base populacional

no Norte de Minas Gerais, Brasil. Rev Bras Med Esporte.

;20(5):345-9. doi: 10.1590/1517-86922014200502062.

Puccinelli PJ, Costa TS, Seffrin A, Lira CAB, Vancini RL, et al.

Reduced level of physical activity during COVID-19 pandemic

is associated with depression and anxiety levels: an internetbased survey. BMC Public Health. 2021;21(1):425. doi: 10.1186/

s12889-021-10470-z.

Santos Junior FFU. Autogerenciamento da dor crônica

musculoesquelética durante e após o distanciamento social

imposto pela pandemia de COVID-19: quais as nossas opções?

J Comites. 2021;5(3):40-1. doi: 10.5935/2675-7133.20210048.

Pituch KA, Stevens JP. Applied multivariate statistics for the

social sciences: analyses with SAS and IBM’s SPSS. 6th ed.

Abingdon: Routledge; 2015.

Miró J, de la Veja R, Solé E, Racine M, Jensen MP, et al.

Defining mild, moderate, and severe pain in young people

with physical disabilities. Disabil Rehabil. 2017;39(11):1131-5.

doi: 10.1080/09638288.2016.1185469.

Nicholas MK. Self-efficacy and chronic pain. Proceedings of the

Annual Conference of the British Psychological Society; 1989;

St. Andrews. St. Andrews: British Psychological Society; 1989.

Sardá Junior J, Nicholas MK, Pimenta CAM, Asghari A. Painrelated self-efficacy beliefs in a Brazilian chronic pain patient

sample: a psychometric analysis. Stress Health. 2007;23(3):185-

doi: 10.1002/smi.1135.

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.

doi: 10.1093/ije/dyw341.

Bement MH, Weyer A, Keller M, Harkins AL, Hunter SK.

Anxiety and stress can predict pain perception following a

cognitive stress. Physiol Behav. 2010;101(1):87-92. doi: 10.1016/j.

physbeh.2010.04.021.

American College of Sports Medicine. Staying active

during the coronavirus pandemic. Indianapolis: Exercise is

Medicine; 2020 [cited 2022 Nov 9]. Available from: https://

www.exerciseismedicine.org/assets/page_documents/EIM_

Rx%20for%20Health_%20Staying%20Active%20During%20

Coronavirus%20Pandemic.pdf

Clement S. The self-efficacy expectations and occupational

preferences of females and males. J Occup Organ Psychol.

;60(3):257-65. doi: 10.1111/j.2044-8325.1987.tb00258.x.

Carissimi A, Adan A, Tonetti L, Fabbri M, Hidalgo MP, et al.

Physical self-efficacy is associated to body mass index in

schoolchildren. J Pediatr (Rio J). 2017;93(1):64-9. doi: 10.1016/j.

jped.2016.04.011.

Wellens RI, Roche AF, Khamis HJ, Jackson AS, Pollock ML,

et al. Relationships between the Body Mass Index and body

composition. Obes Res. 1996;4(1):35-44. doi: 10.1002/j.1550-

1996.tb00510.x.

IBGE. Instituto Brasileiro de Geografia e Estatística. Pesquisa

Nacional por Amostra de Domicílios Contínua: acesso à internet

e à televisão e posse de telefone móvel celular para uso pessoal.

Rio de Janeiro: IBGE; 2018.

Published

2022-12-12

Issue

Section

Original Research

How to Cite

Physical activity restriction in the pandemic is associated with lower pain self-efficacy in the population with musculoskeletal pain: cross-sectional study. (2022). Fisioterapia E Pesquisa, 29(4), 363-370. https://doi.org/10.1590/1809-2950/22012229042022PT