Background & Aims
Musculoskeletal disorders represent the highest contribution to the need for rehabilitation. Musculoskeletal trauma including fractures shown an increase prevalence change of 69% from 1990 to 201. Early prognostic factors for persistent pain following traumatic musculoskeletal injuries indicates biopsychological factors can play a role. Depression, state and trait anxiety, catastrophizing and kinesiophobia have a weak, but significant,association with presence and intensity of chronic postsurgical pain. Understanding the characteristics of post-surgery patients due to upper and lower limbs injuries is important for describing the presentation of symptoms during this important time and for providing appropriate pain management short and long term. The aim of this study was to identify the profile of post-surgery patients due to musculoskeletal trauma in upper and lower limbs through grouping in relation to the same parameters.
Methods
A total of 107 post-surgery patients due to acute musculoskeletal trauma in upper and lower limbs were evaluated in the hospital. The categorical variables were sex (male or female), injured side (right or left), injured segment (upper or lower limb), injury cause (traffic, work or domestic trauma), pain intensity (slight, moderate and severe), kinesiophobia (with or without), catastrophizing pain (with or without) and anxiety and depression (normal, slight, moderate and severe). The Tampa Scale for Kinesiophobia (TSK), the Pain Catastrophizing Scale (PCS), the Hospital Anxiety and Depression Scale (HADS) and the Numeric Visual Pain Scale (NVPS) were used. The cutoff for TSK was 37, for PCS was 30, for HAD was normal (0-7), slight (8-10), moderate (11-14) and severe (15-21) and for pain intensity was slight (1-3), moderate (4-6) and severe (7-10). Exploratory multivariate analysis using Multiple Correspondence Analysis followed by Agglomerative Hierarchical Cluster Analysis.
Results
We highlighted three groups based on cluster analysis. One group included male, right side injury, upper and lower limb injuries, injury caused by traffic, severe pain intensity, with kinesiophobia or without, without pain catastrophizing and normal anxiety and depression. A second group included female, left side injury, injury caused by domestic and work traumas, slight and moderate pain intensity, and slight and moderate anxiety and depression. A third group included patients with catastrophizing pain and severe anxiety and depression.
Conclusions
This cluster analysis revealed three profiles of post-surgery patients after musculoskeletal trauma. The male and female groups considered injury cause and pain intensity parameters; and the third group considered two psychological parameters: catastrophizing pain and severe anxiety and depression.
References
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Presenting Author
Jaqueline Martins
Poster Authors
Denise Rossi
PhD
Institute of Health Sciences, Department of Applied Physiotherapy, Federal University of Triângulo M
Lead Author
Marco Aurélio Grecco
Dr.
Department of Orthopedics and Traumatology, Federal University of Triângulo Mineiro, Brazil.
Lead Author
Giovanna Almeida
PT
Department of Applied Physiotherapy, Federal University of Triângulo Mineiro, Brazil.
Lead Author
Felipe Soares
PT
Department of Applied Physiotherapy, Federal University of Triângulo Mineiro, Brazil.
Lead Author
Luciane Fernanda Fernandes
PT
Department of Applied Physiotherapy, Federal University of Triângulo Mineiro, Brazil.
Lead Author
Felipe José dos Reis
PT
Instituto Federal do Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil.
Lead Author
Jaqueline Martins
Lead Author
Topics
- Models: Musculoskeletal