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Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives

Prompt and appropriate treatment of chronic low back pain (cLBP) is of the utmost importance for preventing relevant disability, high burden of disease, and increasing costs for the healthcare system. Recently, the concept of functional impairment has been associated with any type of chronic pain, a...

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Autores principales: Cuomo, Arturo, Marinangeli, Franco, Magni, Alberto, Petrucci, Emiliano, Vittori, Alessandro, Cascella, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10302515/
https://www.ncbi.nlm.nih.gov/pubmed/37374001
http://dx.doi.org/10.3390/jpm13061012
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author Cuomo, Arturo
Marinangeli, Franco
Magni, Alberto
Petrucci, Emiliano
Vittori, Alessandro
Cascella, Marco
author_facet Cuomo, Arturo
Marinangeli, Franco
Magni, Alberto
Petrucci, Emiliano
Vittori, Alessandro
Cascella, Marco
author_sort Cuomo, Arturo
collection PubMed
description Prompt and appropriate treatment of chronic low back pain (cLBP) is of the utmost importance for preventing relevant disability, high burden of disease, and increasing costs for the healthcare system. Recently, the concept of functional impairment has been associated with any type of chronic pain, and mounting attention has been paid to extending the aims of treatment beyond mere pain remission, including restoration of working capacity, everyday functioning, mobility, and quality of life. Nevertheless, a shared definition of functionality is still lacking. Notably, different specialists involved in the treatment of cLBP such as general practitioners, orthopedists, pain therapists, and physiatrists, and patients themselves have different opinions on what “functional impairment” actually means. On these premises, a qualitative interview study was performed to investigate how the concept of “functionality” is interpreted by different specialists involved in the management of cLBP, and by patients. Overall, all different specialists agreed that functionality should be assessed in clinical practice. However, in spite of several instruments available for evaluating functionality, no homogeneity of behavior is observable.
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spelling pubmed-103025152023-06-29 Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives Cuomo, Arturo Marinangeli, Franco Magni, Alberto Petrucci, Emiliano Vittori, Alessandro Cascella, Marco J Pers Med Article Prompt and appropriate treatment of chronic low back pain (cLBP) is of the utmost importance for preventing relevant disability, high burden of disease, and increasing costs for the healthcare system. Recently, the concept of functional impairment has been associated with any type of chronic pain, and mounting attention has been paid to extending the aims of treatment beyond mere pain remission, including restoration of working capacity, everyday functioning, mobility, and quality of life. Nevertheless, a shared definition of functionality is still lacking. Notably, different specialists involved in the treatment of cLBP such as general practitioners, orthopedists, pain therapists, and physiatrists, and patients themselves have different opinions on what “functional impairment” actually means. On these premises, a qualitative interview study was performed to investigate how the concept of “functionality” is interpreted by different specialists involved in the management of cLBP, and by patients. Overall, all different specialists agreed that functionality should be assessed in clinical practice. However, in spite of several instruments available for evaluating functionality, no homogeneity of behavior is observable. MDPI 2023-06-19 /pmc/articles/PMC10302515/ /pubmed/37374001 http://dx.doi.org/10.3390/jpm13061012 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cuomo, Arturo
Marinangeli, Franco
Magni, Alberto
Petrucci, Emiliano
Vittori, Alessandro
Cascella, Marco
Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives
title Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives
title_full Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives
title_fullStr Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives
title_full_unstemmed Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives
title_short Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives
title_sort investigating functional impairment in chronic low back pain: a qualitative study from the patients and specialists’ perspectives
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10302515/
https://www.ncbi.nlm.nih.gov/pubmed/37374001
http://dx.doi.org/10.3390/jpm13061012
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