Relationships between type of pain and work participation in people with long-standing spinal cord injury: results from a cross-sectional study

Ellen H Roels, Michiel F Reneman, Janneke Stolwijk-Swuste, Charlotte C van Laake-Geelen, Sonja de Groot, Jacinthe J E Adriaansen, Marcel W M Post

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)453-460
Number of pages8
JournalSpinal Cord
Volume56
Issue number5
Early online date11-Jan-2018
DOIs
Publication statusPublished - May-2018

Keywords

  • SECONDARY HEALTH CONDITIONS
  • QUALITY-OF-LIFE
  • EMPLOYMENT STATUS
  • PSYCHOSOCIAL FACTORS
  • CHRONOLOGICAL AGE
  • UNITED-STATES
  • INDIVIDUALS
  • ADJUSTMENT
  • RETURN
  • ASSOCIATION

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