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The Functional Barometer — An analysis of a self-assessment questionnaire with ICF-coding regarding functional/activity limitations and quality of life due to pain — Differences in age gender and origin of pain

Jan-Rickard Norrefalk and Kristian Borg

Abstract

Long standing non-malignant pain leads to a variety of limitations which can be assessed by means of the self-assessment questionnaire Functional Barometer. It is designed to assess the extent and limitations in function, activity and decreased quality-of-life and is adapted to the International Classification of Functioning and Health.

Aim

To investigate the outcome and differences in age, gender and origin of pain in patients with longstanding non-malignant pain regarding the subjective experience of functional-, activity- and quality-of-life limitations.

Method

300 patients with a median duration of pain of 49 months referred to a Pain Management Centre filled out the Functional Barometer questionnaire, adapted to the International Classification of Functioning and Health.

Results

66% patients were women and 34% were men. Seventy-five percent were in working age, 18-64 years. The duration before being referred to a pain specialist was over 4 years and 65% reported pain from more than three origins. Significant differences in functioning, activity and quality-of-life were found in comparing gender, age and origin of pain. Men more often reported physiological limitations while women more often reported psychological limitations of functioning, activity and quality-of-life. The most important were that men more often had difficulties in walking and climbing stairs, while women reported problems with concentration, stress and psychological demands, family relations and contact with friends.

Conclusion

The significant differences regarding functioning, activity and quality-of-life between women and men as age and origin of pain must be taken into account when tailoring individual treatment and rehabilitation programmes.

  1. Conflicts of interest: The authors state they have no conflict of interest.

Acknowledgements

The study was supported by grants from, Neuro-Förbundet (Neuro Sweden). A special thanks to Lisbet Broman at the Department of Rehabilitation, Danderyd Hospital, for statistical support and to Lovisa Pernskold for admin support and to all the team members at the Pain Management Unit at Södersjukhuset University Hospital.

Reference

[1] Turk DC, Rudy TE. Persistent pain and the injured worker. J Occup Rehabil 1991;1:159–79. Search in Google Scholar

[2] Breivik H, Collett B, Ventafridda V, Cohen R, Gallagher D. Survey of persistent pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain 2006;10:287–333. Search in Google Scholar

[3] Pain Proposal. Improving the current and future management of persistent pain, a European consensus report; 2010.www.efic.org/index.asp_sub=B57HFCF6J4043I. Search in Google Scholar

[4] Norrefalk JR, Ekholm K, Linder J, Borg K, Ekholm J. Evaluation of a multiprofessional rehabilitation programme for persistent muscuoskeletal-related pain: economic benefits of return to work. J Rehabil Med 2008;40:15–22. Search in Google Scholar

[5] Norrefalk JR, Littwold-Poljo A, Ryhle L, Jansen GB. Effect on work ability after team evaluation of functioning regarding pain, self-rated disability, and work ability assessment. J Multidiscip Healthc 2010;3:155–9. Search in Google Scholar

[6] SBU. The Swedish council on technology assessment in health care. Methods of treating chronic pain. A systematic review. Stockholm: Statens beredning för medicinsk utvärdering (SBU), SBU-rapport nr 177/1; 2006 [in Swedish]. Search in Google Scholar

[7] Norrefalk J-R, Svensson E. The functional barometer - a self-report questionnaire in accordance with the international classification of functioning, disability and health for pain related problems; validity and patient-observer comparisons. BMC Health Services Research 2014;14:187,http://dx.doi.org/10.1186/1472-6963-14-187. Search in Google Scholar

[8] http://www.funktionsbarometern.se/data/Informationsfolder_FunktionsBarometern.pdf. Search in Google Scholar

[9] Norrefalk J-R. Funktions Barometern - ett validerat instrument för smärt- funktions-och aktivitetsanalys, direkt anpassat till ICF. Best Practice Smarta 2015;11:16–20. Search in Google Scholar

[10] Cieza A, Stucki G. The international classification of functioning disability and health: its development process and content validity. Eur J Phys Rehabil Med 2008;44:303–13. Search in Google Scholar

[11] The Swedish Social Insurance Agency, the World Health Organization. Klassifikation av funktionstillstånd, funktionshinder och hälsa.The Swedish version of the International Classification of Functioning, Disability and Health (ICF). Stockholm, Socialstyrelsen: World Health Organization; 2003. p. 4. ISBN 917201-755-4. Search in Google Scholar

[12] Cieza A, Stucki G, Weigl M, Kullman L, Stoll T, Kamen L, Kostanjsek N, Walsh N. ICF core sets for chronic widespread pain. J Rehabil Med 2004;44:63–8. Search in Google Scholar

[13] Stucki G, Cieza A. The international classification of functioning, disability and health (ICF) in physical and rehabilitation medicine. Eur J Phys Rehabil Med 2008;44:299–302. Search in Google Scholar

[14] Rauch A, Cieza A, Stucki G. How to apply international classification of functioning, disability and health (ICF) for rehabilitation management in clinical practice. EurJ Phys Rehabil Med 2008;44:329–42. Search in Google Scholar

[15] Cieza A, Ewert T, Üstün TB, Chatterji S, Kostanjsek N, Stucki G. Development of ICF core sets for patients with chronic conditions. J Rehab Med 2004;44:9–11. Search in Google Scholar

[16] Daltroy LH, Larson MG, Eaton HM, Philips CB, Liang MH. Discrepancies between self-reported and observed physical function in elderly: the influence of response shift and other factors. Soc Sci Med 1999;48:1549–61. Search in Google Scholar

[17] Ostlund G, Wahlin A, Sunnerhagen KS, Borg K. Vitality among Swedish patients with post-polio: a physiological phenomenon. J Rehabil Med 2008;40: 709-14. Search in Google Scholar

[18] Werhagen L, Borg K. Analysis of long-standing nociceptive and neuropathic pain in patients with post-polio syndrome. J Neurol 2010;257:1027–31. Search in Google Scholar

[19] Werhagen L, Borg K. Impact of pain on quality of life in patients with post-polio syndrome. J Rehabil Med 2013;45:161–3. Search in Google Scholar

[20] Norrefalk JR. Outcome of an 8-week multiprofessional work related rehabilitation programme for patients suffering from persistent musculoskeletalrelated pain.PhD Thesis. Stockholm: Department of Public Health Sciences, Karolinska Institutet; 2006. ISBN 91-7140-961-0. Search in Google Scholar

[21] Norrefalk J-R, Svensson O, Ekholm J, Borg K. Can the back-to-work rate of patients with long-term non-malignant pain be predicted? Int J Rehabil Res 2005;28:9–16. Search in Google Scholar

[22] Norrefalk J-R, Ekholm J, Borg K. Ethnic background does not Influence outcome for return-to-work in work-related interdisciplinary. Rehabilitation for longterm pain: 1- and 3-year follow-up. J Rehabil Med 2006;38:87–92. Search in Google Scholar

[23] Norrefalk J-R, Ekholm J, Linder J, Borg K. A 6-year follow-up study of 122 patients attending a multiprofessional rehabilitation programme for persistent musculoskeletalrelated pain. Int J Rehabil Res 2007;30:9–18. Search in Google Scholar

Received: 2017-04-28
Accepted: 2017-06-11
Published Online: 2017-10-01
Published in Print: 2017-10-01

© 2017 Scandinavian Association for the Study of Pain