TY - JOUR
T1 - Relationships between type of pain and work participation in people with long-standing spinal cord injury
T2 - results from a cross-sectional study
AU - Roels, Ellen H
AU - Reneman, Michiel F
AU - Stolwijk-Swuste, Janneke
AU - van Laake-Geelen, Charlotte C
AU - de Groot, Sonja
AU - Adriaansen, Jacinthe J E
AU - Post, Marcel W M
PY - 2018/5
Y1 - 2018/5
N2 - STUDY DESIGN: Multicentre, cross-sectional study.OBJECTIVES: To describe the relationships between the presence of (different types of) pain and participation in paid work in people with long-standing spinal cord injury (SCI). Furthermore, the associations of pain-related work limitations, age, gender, relationship, education, lesion level, and time since injury (TSI) with work participation (WP) were investigated.SETTING: The Netherlands.METHODS: Individuals (n = 265) with SCI for ≥ 10 years were included. Data were collected through a structured consultation with a rehabilitation physician and self-report questionnaire. Descriptive statistics and logistic regression analysis were performed.RESULTS: Median age of participants was 47.9 years, median time since injury was 22 years, 73% were male, 69% had complete SCI and 59% had paraplegia, 50% had paid work, 63% reported musculoskeletal pain, 49% reported neuropathic pain, and 31% reported other pain. Self-reported pain-related work limitations were significantly (V = 0.26 and V = 0.27) related to WP. In bivariable logistic regression analyses, no statistically significant relationships between type of pain and WP were observed. Younger age (OR=0.96), male gender (OR=0.52), a stable relationship (OR = 1.70), and shorter time since SCI (OR = 0.97) were significantly associated with a higher chance of being employed. Multivariable analysis confirmed these findings and in addition showed a higher level of education to be positively related with WP.CONCLUSION: Age, gender, relationship, education, TSI and self-reported work limitations showed a relationship with WP. Different types of pain were unrelated to WP.SPONSORSHIP: Fonds NutsOHRA through the Dutch Organization for Health Research and Development (ZonMw), Project number 89000006.
AB - STUDY DESIGN: Multicentre, cross-sectional study.OBJECTIVES: To describe the relationships between the presence of (different types of) pain and participation in paid work in people with long-standing spinal cord injury (SCI). Furthermore, the associations of pain-related work limitations, age, gender, relationship, education, lesion level, and time since injury (TSI) with work participation (WP) were investigated.SETTING: The Netherlands.METHODS: Individuals (n = 265) with SCI for ≥ 10 years were included. Data were collected through a structured consultation with a rehabilitation physician and self-report questionnaire. Descriptive statistics and logistic regression analysis were performed.RESULTS: Median age of participants was 47.9 years, median time since injury was 22 years, 73% were male, 69% had complete SCI and 59% had paraplegia, 50% had paid work, 63% reported musculoskeletal pain, 49% reported neuropathic pain, and 31% reported other pain. Self-reported pain-related work limitations were significantly (V = 0.26 and V = 0.27) related to WP. In bivariable logistic regression analyses, no statistically significant relationships between type of pain and WP were observed. Younger age (OR=0.96), male gender (OR=0.52), a stable relationship (OR = 1.70), and shorter time since SCI (OR = 0.97) were significantly associated with a higher chance of being employed. Multivariable analysis confirmed these findings and in addition showed a higher level of education to be positively related with WP.CONCLUSION: Age, gender, relationship, education, TSI and self-reported work limitations showed a relationship with WP. Different types of pain were unrelated to WP.SPONSORSHIP: Fonds NutsOHRA through the Dutch Organization for Health Research and Development (ZonMw), Project number 89000006.
KW - Journal Article
KW - Spinal Cord Injuries/complications
KW - Paraplegia/etiology
KW - Age Factors
KW - Cross-Sectional Studies
KW - Pain/complications
KW - Physicians
KW - Humans
KW - Middle Aged
KW - Self Report
KW - Male
KW - Educational Status
KW - Time Factors
KW - Employment
KW - Sex Factors
KW - Adult
KW - Female
KW - Chronic Disease
UR - http://www.scopus.com/inward/record.url?scp=85040318306&partnerID=8YFLogxK
U2 - 10.1038/s41393-017-0048-9
DO - 10.1038/s41393-017-0048-9
M3 - Article
C2 - 29323228
SN - 1362-4393
VL - 56
SP - 453
EP - 460
JO - Spinal Cord
JF - Spinal Cord
IS - 5
ER -