The prevalence, characteristics, and associated factors of pain in individuals with and without chronic obstructive pulmonary disease.

IF 1.6 4区 医学 Q2 REHABILITATION Physiotherapy Theory and Practice Pub Date : 2024-11-21 DOI:10.1080/09593985.2024.2431206
Natharin Boontha, Ubon Pirunsan, Athavudh Deesomchok, Warawut Chaiwong, Leonard Henry Joseph, Jiu Jenq Lin
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Abstract

Background: The coexistence of pain and chronic obstructive pulmonary disease (COPD) is acknowledged, yet the pain prevalence and associated factors of the common pain area in the COPD population are unknown.

Objective: This study aims to examine the prevalence of pain in individuals with and without COPD and to explore the connections between common pain areas and related factors.

Methods: Data was gathered through spirometry tests and surveys, including demographics, pain characteristics, Shoulder Pain and DisabilityIndex (SPADI), Neck Disability Index (NDI), COPD assessment test, and dyspnea score.

Results: Comparing pain characteristics between 85 individuals with COPD and 85 age- and gender-matched non-COPD subjects, results showed significantly higher pain prevalence (75.3% versus 42.4%, p < .001), pain severity (3.9 ± 3.1 versus 2.1 ± 2.8, p < .001), pain locations (2 [IQR 0.5, 4.0] versus 0 [IQR 0.0, 2.0], p < .001), NDI (1.9 ± 5.3 versus 0.3 ± 1.7, p < .001), and SPADI (10.1 ± 17.4 versus 4.4 ± 10.6, p < .001) in individuals with COPD. The shoulder is the most common area of pain, followed by the thoracic region and the lower extremities. Notably, individuals with COPD with shoulder pain were more likely to have multiple pain locations (OR = 1.53 [95% CI 1.17, 2.01], p = .002), a high SPADI score (OR = 1.10 [95% CI 1.03, 1.16], p = .003), and a reduced % predicted of forced expiratory volume in the first second (%predicted FEV1) (OR = 0.96[95% CI 0.92, 0.99], p = .018).

Conclusion: Individuals with COPD exhibit higher pain prevalence than those without, especially in the shoulder area. Multiple pain locations, SPADI score, and % predicted FEV1may predict shoulder pain in individuals with COPD. The findings suggest further research on shoulder pain causes to develop better treatments for individuals with COPD.

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慢性阻塞性肺病患者和非慢性阻塞性肺病患者疼痛的发生率、特征和相关因素。
背景:疼痛与慢性阻塞性肺病(COPD)共存已得到公认,但慢性阻塞性肺病人群中常见疼痛部位的疼痛发生率和相关因素尚不清楚:本研究旨在检查慢性阻塞性肺病患者和非慢性阻塞性肺病患者的疼痛发生率,并探讨常见疼痛部位与相关因素之间的联系:方法:通过肺活量测试和调查收集数据,包括人口统计学、疼痛特征、肩痛与残疾指数(SPADI)、颈部残疾指数(NDI)、慢性阻塞性肺病评估测试和呼吸困难评分:比较 85 名慢性阻塞性肺病患者和 85 名年龄和性别匹配的非慢性阻塞性肺病患者的疼痛特征,结果显示疼痛发生率明显更高(75.3% 对 42.4%,P P P P P = .002)、SPADI 得分高(OR = 1.10 [95% CI 1.03, 1.16],P = .003)、第一秒用力呼气容积预测百分比(FEV1 预测百分比)降低(OR = 0.96 [95% CI 0.92, 0.99],P = .018):结论:慢性阻塞性肺病患者的疼痛发生率高于非慢性阻塞性肺病患者,尤其是肩部。多个疼痛部位、SPADI 评分和预测 FEV1%可预测慢性阻塞性肺病患者的肩部疼痛。研究结果表明,应进一步研究肩部疼痛的原因,以便为慢性阻塞性肺病患者开发出更好的治疗方法。
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来源期刊
CiteScore
3.40
自引率
10.00%
发文量
300
期刊介绍: The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
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