Impact of musculoskeletal pain in functional disability
DOI:
https://doi.org/10.1590/1809-2950/19006327012020Keywords:
Pain, Statistics on Sequelae and Disability, Public policyAbstract
The objective is to estimate the prevalence of incapacity to perform tasks of daily living and to identify its association with pain and sociodemographic factors. This is a cross-sectional study, with a convenience sample, composed of individuals who actively sought healthcare in a small city with complaints of musculoskeletal pain and difficulties in carrying out activities of daily living. The sample comprised 766 individuals. Questionnaires were applied to assess the degree of difficulty in performing activities of daily living and pain (Nordic Musculoskeletal Complaints Questionnaire and Numerical Pain Scale). The prevalence of disability and pain was estimated, as well as five logistic regression models for disability were constructed considering sex, age, occupation and presence and characteristics of pain. The data found showed that the prevalence of some difficulty in performing activities of daily living was 87.6%, with a lot of difficulty 66.1%; musculoskeletal pain was 67.5%. The individuals were unable to perform 3.6 activities of daily living on average. Pain was the main association factor to explain it (OR 9.9; 95%CI 5.9-16.5), followed by age. Difficulty in performing activities of daily living was associated with pain in the lower limbs, with a frequency greater than four days a week, beginning more than five years ago and severe or unbearable intensity in crisis episodes. The prevalence of disability and pain was high. Musculoskeletal pain and age impacted functional disability. This study contributes to direct the construction of care actions that aim to minimize and prevent difficulties to perform daily tasks.
Downloads
References
Di Nubila HBV, Buchalla CM. O papel das classificações
da OMS – CID e CIF nas definições de deficiência e
incapacidade. Rev Bras Epidemiol. 2008;11(2):324-35. doi:
1590/S1415-790X2008000200014
World Health Organization. WHO global disability action plan
-2021: better health for all people with disability [Internet].
Geneva: World Health Organization; 2015 [cited 2020 Feb 19].
Available from: https://www.who.int/disabilities/actionplan/en/
Lee H, Hübscher M, Moseley GL, Kamper SJ, Traeger AC,
Mansell G, et al. How does pain lead to disability? A systematic
review and meta-analysis of mediation studies in people with
back and neck pain. Pain. 2015;156(6):988-97. doi: 10.1097/j.
pain.0000000000000146
Mota PHS, Gaudereto BL, Cardoso MRA, Schmitt ACB. Prevalence
of musculoskeletal pain and impact on physical function and health
care services in Belterra/PA. Fisioter Mov. 2016;29(1):103-12. doi:
1590/0103-5150.029.001.AO11
Vasconcelos FH, Araújo GC. Prevalência de dor crônica
no Brasil: estudo descritivo. BrJP. 2018;1(2):176-9.
doi: 10.5935/2595-0118.20180034
Elliott AM, Smith BH, Penny KI, Smith PWC, Chambers WA.
The epidemiology of chronic pain in the community. Lancet.
;354(9186):1248-52. doi: 10.1016/S0140-6736(99)03057-3
Mata MS, Costa FA, Souza TO, Mata ANS, Pontes JF. Dor e
funcionalidade na atenção básica à saúde. Cienc Saúde Coletiva.
;16(1):221-30. doi: 10.1590/S1413-81232011000100025
Marley J, Tully MA, Porter-Armstrong A, Bunting B, O’Hanlon J,
McDonough SM. A systematic review of interventions aimed at
increasing physical activity in adults with chronic musculoskeletal
pain-protocol. Syst Rev. 2014,3:106. doi: 10.1186/2046-4053-3-106
Brasil. Ministério da Saúde. Portaria de Consolidação nº 3, de
de setembro de 2017. Diário Oficial da União [Internet]. 2017
[cited 2020 Feb 19]. Available from: http://bvsms.saude.gov.br/
bvs/saudelegis/gm/2017/prc0003_03_10_2017.html
IBGE – Instituto Brasileiro de Geografia e Estatística.
Censo demográfico 2010. Características da população e
dos domicílios: resultados do universo [Internet]. Rio de
Janeiro; 2011 [cited 2020 Feb 19]. Available from: https://
biblioteca.ibge.gov.br/visualizacao/periodicos/93/cd_2010_
caracteristicas_populacao_domicilios.pdf
Del Duca GF, Silva MC, Hallal PC. Incapacidade funcional
para atividades básicas e instrumentais da vida diária
em idosos. Rev Saúde Pública. 2009;43(5):796-805. doi:
1590/S0034-89102009005000057
Andrade KRC, Silva MT, Galvão TF, Pereira MG. Incapacidade
funcional de adultos no Brasil: prevalência e fatores
associados. Rev Saúde Pública. 2015;49:89. doi: 10.1590/
S0034-8910.2015049005945
Roland M, Morris R. A study of the natural history of back pain.
Part I: development of a reliable and sensitive measure of disability
in low-back pain. Spine (Phila Pa 1976). 1983;8(2):141-4. doi:
1097/00007632-198303000-00004
Pinheiro FA, Tróccoli BT, Carvalho CV. Validação do Questionário
Nórdico de Sintomas Osteomusculares como medida de
morbidade. Rev Saúde Pública. 2002;36(3):307-12. doi: 10.1590/
S0034-89102002000300008
Lara-Muñoz C, De Leon SP, Feinstein AR, Wells CK.
A comparison of three rating scales for measuring subjective
phenomena in clinical research: II. Use of experimentally
controlled visual stimuli. Arch Med Res. 2004;35(1):43-8. doi:
1016/j.arcmed.2003.07.007
Silva AG, Alvarelhão J, Queirós A, Rocha NP. Pain intensity is
associated with self-reported disability for several domains
of life in a sample of patients with musculoskeletal pain aged
or more. Disabil Health J. 2013;6(4):369-76. doi: 10.1016/j.
dhjo.2013.04.007
Rodríguez-Romero B1, Pita-Fernández S, Pértega-Díaz S. Impact
of musculoskeletal pain on health-related quality of life among
fishing sector workers. Clin Rheumatol. 2015;34(6):1131-9. doi:
1007/s10067-014-2550-1
Lan TY, Melzer D, Tom BDM, Guralnik JM. Performance tests
and disability: developing an objective index of mobilityrelated limitation in older populations. J Gerontol Med Sci.
;57(5):M294-301. doi: 10.1093/gerona/57.5.M294
Tavares DMS, Dias FA. Functional capacity, morbidities
and quality of life of the elderly. Texto Contexto Enferm.
;21(1):112-20. doi: 10.1590/S0104-07072012000100013
Virtuoso Júnior JS, Martins CA, Roza LB, Paulo TRS,
Ribeiro MCL, Tribess S. Prevalência de incapacidade funcional
e fatores associados em idosos. Texto Contexto Enferm.
;24(2):521-9. doi: 10.1590/0104-07072015001652014
Mitra S, Sambamoorthi U. Disability prevalence among
adults: estimates for 54 countries and progress toward
a global estimate. Disabil Rehabil. 2014;36(11):940-7. doi:
3109/09638288.2013.825333
Trippolini MA, Dijkstra PU, Jansen B, Oesch P, Geertzen JH,
Reneman MF. Reliability of clinician rated physical effort
determination during functional capacity evaluation in
patients with chronic musculoskeletal pain. J Occup Rehabil.
;24(2):361-9. doi: 10.1007/s10926-013-9470-9
Monnier A, Larsson H, Djupsjöbacka M, Brodin LA,
Äng BO. Musculoskeletal pain and limitations in work ability
in Swedish marines: a cross-sectional survey of prevalence
and associated factors. BMJ Open. 2015;5:e007943. doi:
1136/bmjopen-2015-007943
Silva AG, Alvarelhão J, Queirós A, Rocha NP. Pain intensity is
associated with self-reported disability for several domains
of life in a sample of patients with musculoskeletal pain
aged 50 or more. Disabil Health J. 2013;6(4):369-76. doi:
1016/j.dhjo.2013.04.007
Björnsdóttir SV, Jónsson SH, Valdimarsdóttir UA. Functional
limitations and physical symptoms of individuals with
chronic pain. Scand J Rheumatol. 2013;42(1):59-70. doi:
3109/03009742.2012.697916
Zale EL, Lange KL, Fields SA, Ditre JW. The relation between painrelated fear and disability: a meta-analysis. J Pain. 2013;14(10):1019-
doi: 10.1016/j.jpain.2013.05.005
Brito KQD, Menezes TN, Olinda RA. Incapacidade funcional e fatores
socioeconômicos e demográficos associados em idosos. Rev Bras
Enferm. 2015;68(4):633-40. doi: 10.1590/0034-7167.2015680409i
Theis KA, Roblin D, Helmick CG, Luo R. Prevalence and causes of
work disability among working-age U.S. adults, 2011-2013, NHIS.
Disabil Health J. 2018;11(1):108-15. doi: 10.1016/j.dhjo.2017.04.010
Candotti CT, Noll M, Marchetti BV, Rosa BN, Medeiros MGS,
Vieira A, et al. Prevalence of back pain, functional disability, and
spinal postural changes. Fisioter Mov. 2015;28(4):711-22. doi:
1590/0103-5150.028.004.AO08
Trindade KMC, Schmitt ACB, Casarotto RA. Queixas
musculoesqueléticas em uma Unidade Básica de Saúde:
implicações para o planejamento das ações em saúde e
fisioterapia. Fisioter Pesqui. 2013;20(3):228-34. doi: 10.1590/
S1809-29502013000300006
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Paulo Henrique dos Santos Mota, Thais Alves de Lima, Flavia Rupolo Berach, Ana Carolina Basso Schmitt
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
