Functioning description according to the icf model in chronic back pain: disablement appears even more complex with
Marjon E A Wormgoor1, Aage Indahl, Maurits W van Tulder
1Hospital for Rehabilitation, Department Stavern, Unit of the Rikshospital University Hospital, Oslo, Norway. marjon.wormgoor@rehabilitering.net
Journal of Rehabilitation Medicine
|March 21, 2006
Summary
The complexity of chronic back pain disablement increases as symptoms become less specific. Less specific pain is linked to greater mental distress and life dissatisfaction, impacting participation.
Area of Science:
- Rehabilitation Medicine
- Pain Management
- Disability Studies
Background:
- Chronic back pain is a significant cause of disability.
- Understanding factors influencing disablement is crucial for effective management.
- Symptom specificity may play a role in the disablement process.
Purpose of the Study:
- To investigate the role of symptom specificity in chronic back pain disablement.
- To compare the functioning of patients with specific, non-specific, and widespread back pain.
- To analyze how symptom specificity relates to activity and participation limitations.
Main Methods:
- Cross-sectional study design.
- Inclusion of patients on sick-leave for 8 weeks due to back pain.
- Classification into "specific back pain," "non-specific back pain," and "widespread pain" groups.
- Functioning assessment based on the International Classification of Functioning, Disability and Health (ICF) model.
Main Results:
- No significant differences in pain components or participation restriction across diagnostic subgroups.
- Increasing symptom specificity correlated with greater loss of physical body functions and activity limitations.
- Decreasing symptom specificity was associated with increased mental distress, negative contextual factors, and life dissatisfaction.
Conclusions:
- The disablement condition in chronic back pain appears more complex with decreasing symptom specificity.
- ICF model components highlight varied impacts of symptom specificity on functioning.
- Symptom specificity is a relevant factor in understanding the multifaceted nature of back pain disablement.
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