2022, Number 2
<< Back Next >>
Acta Ortop Mex 2022; 36 (2)
Impact of COVID-19 pandemic confinement on musculoskeletal pain and quality of life
Luque-Pérez R, Garríguez-Pérez D, Collado-Gosálvez A, Gómez-Muñoz E, Sánchez-del-Saz J, Miguel-Miguel C, Marco-Martínez F
Language: Spanish
References: 21
Page: 85-91
PDF size: 219.20 Kb.
ABSTRACT
Introduction: in March 2020, lockdown was established in Spain because of the COVID-19 pandemic. The aim of this study is to assess its impact on pain and quality of life in patients with musculoskeletal pain.
Material and methods: prospective study including 490 individuals grouped in: 140 people without pain, 140 people with musculoskeletal pain but without any related pathology diagnosed, 140 patients diagnosed for a musculoskeletal condition and 70 patients in surgical waiting list (SWL) for a musculoskeletal condition. Data regarding pain, physical activity and quality of life (EuroQol-5D) was collected at the beginning of lockdown and one year after (March 2021).
Results: mean age was 53 ± 17.5 years old (18-88) and 51.3% were women. Patients in SWL referred significantly more pain than the rest of groups (p < 0.001), with a score in the visual analogue scale of 6.3 ± 1.9. Groups 3 and 4 suffered a significant increase of their pain from 2020 to 2021 (p < 0.001), while decreasing in group 2 (p < 0.001). Analgesics intake grew from 2020 to 2021 (39.9% versus 44.3%, p = 0.007). 70.2% experienced a worsening of at least one dimension of EuroQol-5D over last year, with patients in SWL being the most affected (p < 0.001).
Conclusion: lockdown has caused in patients with musculoskeletal conditions a greater aggravation of pain and deterioration of quality of life than in the general population, especially in patients in SWL, translating in an increase in analgesics intake.
REFERENCES
Ministerio de Sanidad, Consumo y Bienestar Social de España. Información general de salud y evaluación. Dirección General de Salud Pública, Calidad e Innovación. Estadísticas de centros de salud de atención especializada. 2016. Disponible en: https://www.mscbs.gob.es/estadEstudios/estadisticas/estHospiInternado/inforAnual/homeESCRI.htm
Sáez F, Francia A, Díaz A, Sufrate D, Gómez Ferreras M, Barquín JL. Derivaciones desde atención primaria a traumatología: el punto de vista del especialista. Aten Primaria. 1997; 20(10): 570-1.
Smith AC, Thomas E, Snoswell CL, Haydon H, Mehrotra A, Clemensen J, et al. Telehealth for global emergencies: implications for coronavirus disease 2019 (COVID-19). J Telemed Telecare. 2020; 26(5): 309-13. doi: 10.1177/1357633X20916567.
Buvik A, Bugge E, Knutsen G, Smabrekke A, Wilsgaard T. Patient reported outcomes with remote orthopaedic consultations by telemedicine: a randomised controlled trial. J Telemed Telecare. 2019; 25(8): 451-9. doi: 10.1177/1357633X18783921.
Patterson R, McNamara E, Tainio M, de Sá TH, Smith AD, Sharp SJ, et al. Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. Eur J Epidemiol. 2018; 33(9): 811-29. doi: 10.1007/s10654-018-0380-1.
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 international online survey. Nutrients. 2020; 12(6): 1583. doi: 10.3390/nu12061583.
Phillipou A, Meyer D, Neill E, Tan EJ, Toh WL, Van Rheenen TE, et al. Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. Int J Eat Disord. 2020; 53(7): 1158-65. doi: 10.1002/eat.23317.
Fitbit Staff. The impact of coronavirus on global activity. Fitbit News. 2020 [Accessed 02 June 2020]. Available in: https://blog.fitbit.com/covid-19-global-activity/
Goethals L, Barth N, Guyot J, Hupin D, Celarier T, Bongue B. Impact of home quarantine on physical activity among older adults living at home during the COVID-19 pandemic: qualitative interview study. JMIR Aging. 2020; 3(1): e19007. doi: 10.2196/19007.
Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann Intern Med. 2015; 162(2): 123-32. doi: 10.7326/M14-1651. Erratum in: Ann Intern Med. 2015; 163(5): 400.
Casale R, Chimento PL, Bartolo M, Taveggia G. Exercise and movement in musculoskeletal pain: a double-edged problem. Curr Opin Support Palliat Care. 2018; 12(3): 388-92. doi: 10.1097/SPC.0000000000000365.
Hurley M, Dickson K, Hallett R, Grant R, Hauari H, Walsh N, et al. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. Cochrane Database Syst Rev. 2018; 4(4): CD010842. doi: 10.1002/14651858.CD010842.pub2.
Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017; 4(4): CD011279. doi: 10.1002/14651858.CD011279.pub3.
Shanthanna H, Strand NH, Provenzano DA, Lobo CA, Eldabe S, Bhatia A, et al. Caring for patients with pain during the COVID-19 pandemic: consensus recommendations from an international expert panel. Anaesthesia. 2020; 75(7): 935-44. doi: 10.1111/anae.15076.
Fayaz A, Ayis S, Panesar SS, Langford RM, Donaldson LJ. Assessing the relationship between chronic pain and cardiovascular disease: a systematic review and meta-analysis. Scand J Pain. 2016; 13: 76-90. doi: 10.1016/j.sjpain.2016.06.005.
Parker L, Moran GM, Roberts LM, Calvert M, McCahon D. The burden of common chronic disease on health-related quality of life in an elderly community-dwelling population in the UK. Fam Pract. 2014; 31(5): 557-63. doi: 10.1093/fampra/cmu035.
Darnall BD, Carr DB, Schatman ME. Pain psychology and the biopsychosocial model of pain treatment: ethical imperatives and social responsibility. Pain Med. 2017; 18(8): 1413-5. doi: 10.1093/pm/pnw166.
Deer TR, Sayed D, Pope JE, Chakravarthy KV, Petersen E, Moeschler SM, et al. Emergence from the COVID-19 pandemic and the care of chronic pain: guidance for the interventionalist. Anesth Analg. 2020; 131(2): 387-94. doi: 10.1213/ANE.0000000000005000.
DePhillipo NN, Larson CM, O'Neill OR, LaPrade RF. Guidelines for ambulatory surgery centers for the care of surgically necessary/time-sensitive orthopaedic cases during the COVID-19 pandemic. J Bone Joint Surg Am. 2020; 102(11): 933-6. doi: 10.2106/JBJS.20.00489.
Hernandez G, Garin O, Pardo Y, Vilagut G, Pont A, Suárez M, et al. Validity of the EQ-5D-5L and reference norms for the Spanish population. Qual Life Res. 2018; 27(9): 2337-48. doi: 10.1007/s11136-018-1877-5.
Encuesta Nacional de Salud. España 2011/12. Calidad de vida relacionada con la salud en adultos: EQ5D-5L. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2014. Disponible en: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuestaNac2011/informesMonograficos/CVRS_adultos_EQ_5D_5L.pdf
EVIDENCE LEVEL
III