Study on Functional Level and Influencing Factors of Patients with Chronic Neck,Shoulder,Back and Leg Pain Based on the International Classification of Functioning,Disability and Health Rehabilitation Set
Objective To explore the levels of body function,daily activities,and social participation,as well as the influencing factors in patients with chronic neck,shoulder,back and leg pain based on the International Classification of Functioning,Disability and Health Rehabilitation Set(ICF-RS).Methods A total of 162 patients with primary chronic pain in neck,shoulder,back and legs from the outpatient departments of the South,Dongjin and North Campuses of Xiangyang Central Hospital from July to Decem-ber 2023 were selected.The basic demographic data[gender,age,education level,source of medical expenses,body mass index(BMI)],living habits(smoking,drinking),medical history(hypertension,hyperlipidemia,diabetes)and the use of painkillers were recorded in detail by trained assessors in the form of questionnaires.The ICF-RS was used to assess functional levels(body function,activities,social participation).Multivariate ordered logistic regression analysis was used to analyze independent risk factors for body function,activities and social participation(mild,moderate and severe impairment)in patients with chronic neck,shoulder,back and leg pain.Results There were 10 ICF-RS categories(33.33%)with a functional impairment rate over 50%,involving 4 categories in the body function dimension,2 categories in the daily activities dimension,and 4 categories in the social participation dimension.There was a statistically significant difference in exercise tolerance and mobility function among patients with chronic neck,shoulder,back and leg pain at different ages(P=0.040,P=0.030),a statistically significant difference in the ability to help oth-ers among patients with chronic neck,shoulder,back and leg pain at different ages and alcohol consumption status(P=0.008,P=0.021),and a statistically significant difference in entertainment and leisure ability among patients with chronic neck,shoulder,back and leg pain at different ages and hyperlipidemia status(P=0.028,P=0.004).Conclusion The patients with chronic neck,shoulder,back and leg pain experience varing degrees of functional impairments in body function,daily activities and social participation,with mild functional impairments being the predominant form.Age,alcohol consumption and hyperlipidemia are independent influ-encing factors for functional impairment in body function,daily activities and social participation.
chronic neck,shoulder,back and leg painInternational Classification of Functioning,Disability and Health Reha-bilitation Setbody functiondaily activitysocial participation
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