Change over time in functional capacity and self-perceived health status for patients with chronic musculoskeletal pain : a registry-based longitudinal study

Schütz, Franziska; Haffter, Eva; Meichtry, André; Winteler, Balz; Gantschnig, Brigitte

doi:10.57187/smw.2023.40083

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-28279

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Change over time in functional capacity and self-perceived health status for patients with chronic musculoskeletal pain : a registry-based longitudinal study
Authors:	Schütz, Franziska Haffter, Eva Meichtry, André Winteler, Balz Gantschnig, Brigitte
et. al:	No
DOI:	10.57187/smw.2023.40083 10.21256/zhaw-28279
Published in:	Swiss Medical Weekly
Volume(Issue):	153
Issue:	5
Page(s):	40083
Issue Date:	18-May-2023
Publisher / Ed. Institution:	EMH Swiss Medical Publishers
ISSN:	1424-3997
Language:	English
Subjects:	Human; Longitudinal study; Quality of life; Registy; Musculoskeletal pain; Chronic pain; Occupational therapy; Physical therapy
Subject (DDC):	615: Pharmacology and therapeutics 616.7: Diseases of musculoskeletal system and orthopaedics
Abstract:	Background and aims: Chronic musculoskeletal pain is a major public health problem worldwide. Both self-reported functional capacity and self-perceived health status are reduced in patients with chronic musculoskeletal pain. Previous studies mostly assessed functional capacity through self-reported questionnaires instead of objective measurements. The aim of this study, therefore, is to assess the amount of change over time and its clinical meaningfulness in functional capacity and self-perceived health status of patients with chronic musculoskeletal pain undergoing Bern Ambulatory Interprofessional Rehabilitation (BAI-Reha). Methods: The registry-based longitudinal cohort study with prospectively collected data from a rehabilitation programme took place in a real-life setting. Patients (n = 81) with chronic musculoskeletal pain took part in the BAI-Reha. The main outcomes were the six-minute-walk test (6MWT), the safe maximum floor-to-waist lift (SML) and the European Quality of Life and Health measure visual analogue scale (EQ VAS). Timepoints of measurement were at baseline and post-BAI-Reha (i.e., at 4 months). The quantity of interest was the adjusted time effect (point estimate, 95% confidence interval, and p-value for testing the null hypothesis of no change over time). Statistical significance (α = 0.05) and clinical meaningfulness of the mean value change over time were assessed using predefined thresholds (six-minute-walk test 50 m, SML 7 kg, and EQ VAS 10 points). Results: The linear mixed model analysis showed a statistically significant change over time for the six-minute-walk test (mean value change 56.08 m, 95% CI [36.13, 76.03]; p <0.001), SML (mean value change 3.92 kg, 95% CI [2.66, 5.19]; p <0.001), and EQ VAS (mean value change 9.58 points, 95% CI [4.87, 14.28]; p <0.001). Moreover, the improvement in the six-minute-walk test is clinically meaningful (mean value change 56.08 m) and almost clinically meaningful (mean value change 9.58 points) in the EQ VAS. Conclusion: Patients walk further, lift more weight, and feel healthier after interprofessional rehabilitation when compared to baseline measurement. These findings confirm and add to previous results. Implications: We encourage other providers of rehabilitation for patients with chronic musculoskeletal pain to measure functional capacity with objective outcome variables and to use self-reported outcome measures in addition to self-perceived health status. The well-established assessments used in this study are suitable for this purpose.
URI:	https://digitalcollection.zhaw.ch/handle/11475/28279
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Occupational Therapy (IER) Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Schütz, F., Haffter, E., Meichtry, A., Winteler, B., & Gantschnig, B. (2023). Change over time in functional capacity and self-perceived health status for patients with chronic musculoskeletal pain : a registry-based longitudinal study. Swiss Medical Weekly, 153(5), 40083. https://doi.org/10.57187/smw.2023.40083

Schütz, F. et al. (2023) ‘Change over time in functional capacity and self-perceived health status for patients with chronic musculoskeletal pain : a registry-based longitudinal study’, Swiss Medical Weekly, 153(5), p. 40083. Available at: https://doi.org/10.57187/smw.2023.40083.

F. Schütz, E. Haffter, A. Meichtry, B. Winteler, and B. Gantschnig, “Change over time in functional capacity and self-perceived health status for patients with chronic musculoskeletal pain : a registry-based longitudinal study,” Swiss Medical Weekly, vol. 153, no. 5, p. 40083, May 2023, doi: 10.57187/smw.2023.40083.

SCHÜTZ, Franziska, Eva HAFFTER, André MEICHTRY, Balz WINTELER und Brigitte GANTSCHNIG, 2023. Change over time in functional capacity and self-perceived health status for patients with chronic musculoskeletal pain : a registry-based longitudinal study. Swiss Medical Weekly. 18 Mai 2023. Bd. 153, Nr. 5, S. 40083. DOI 10.57187/smw.2023.40083

Schütz, Franziska, Eva Haffter, André Meichtry, Balz Winteler, and Brigitte Gantschnig. 2023. “Change over Time in Functional Capacity and Self-Perceived Health Status for Patients with Chronic Musculoskeletal Pain : A Registry-Based Longitudinal Study.” Swiss Medical Weekly 153 (5): 40083. https://doi.org/10.57187/smw.2023.40083.

Schütz, Franziska, et al. “Change over Time in Functional Capacity and Self-Perceived Health Status for Patients with Chronic Musculoskeletal Pain : A Registry-Based Longitudinal Study.” Swiss Medical Weekly, vol. 153, no. 5, May 2023, p. 40083, https://doi.org/10.57187/smw.2023.40083.