Prevalence and characteristics of widespread pain in female primary health care patients with chronic low back pain.

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Nordeman, Lena MargaretaGothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine (författare)

Prevalence and characteristics of widespread pain in female primary health care patients with chronic low back pain.

Artikel/kapitelEngelska2012

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2012

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LIBRIS-ID:oai:gup.ub.gu.se/146954
https://gup.ub.gu.se/publication/146954URI
https://doi.org/10.1097/AJP.0b013e318223622cDOI

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Språk:engelska

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Objectives: To estimate the prevalence of widespread pain (WP) according to the American College of Rheumatology, 1990, in women with chronic low back pain (CLBP) consulting primary health care and to evaluate the differences in body function, activity, participation, environmental factors, health-related quality of life, and other health-related aspects between patients having CLBP with or without WP. Methods: A cross-sectional study of women with CLBP including clinical assessment and questionnaires was conducted. Patients were categorized as having CLBP with or without WP and differences between these groups were evaluated. Results: One hundred thirty patients were assessed. Twenty-eight percent (n=37) had WP. Patients with CLBP+WP showed more impaired physical performance (6-min walk test, handgrip strength), higher numbers of tender points, more severe pain, fatigue, and depression compared with CLBP (P<0.05). The CLBP+WP showed greater activity limitation (P=0.00047). Work disability was 35% (n=13/37) in CLBP+WP compared with 16% (n=15/93) in CLBP (P=0.032). Private social support was negatively impacted in CLBP+WP (P=0.010). The CLBP+WP showed lower health-related quality of life (SF-36) in the physical function, bodily pain, and vitality dimension (P<0.05). More severe clinical stress symptoms and risk for future disability were registered for the CLBP+WP (P<0.001). Discussion: Twenty-eight percent fulfilled the American College of Rheumatology 1990 criteria for WP. When WP was present, patients reported significantly more impaired body functions, more severe activity limitations, and participation restrictions. Environmental factors, health-related quality of life, and other health-related aspects were also negatively impacted. It is suggested that the presence of WP should be evaluated in female patients with CLBP.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Allmänmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine General Practice hsv//eng
Pain

Biuppslag (personer, institutioner, konferenser, titlar ...)

Gunnarsson, Ronny K,1955Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine(Swepub:gu)xgunro (författare)
Mannerkorpi, Kaisa,1955Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine(Swepub:gu)xmannk (författare)
Göteborgs universitetInstitutionen för medicin (creator_code:org_t)

Sammanhörande titlar

Ingår i:The Clinical Journal of Pain28:1, s. 65-720749-8047

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Av författaren/redakt...: Nordeman, Lena M ...; Gunnarsson, Ronn ...; Mannerkorpi, Kai ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Allmänmedicin

Artiklar i publikationen: The Clinical Jou ...

Av lärosätet: Göteborgs universitet

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