Effect on health-related quality of life of a multimodal physiotherapy program in patients with chronic musculoskeletal
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RESEARCH
Open Access
Effect on health-related quality of life of a multimodal physiotherapy program in patients with chronic musculoskeletal disorders Antonio Ignacio Cuesta-Vargas1,2*, Manuel González-Sánchez2 and María Jesús Casuso-Holgado2
Abstract Background: Musculoskeletal disorders are major causes of morbidity in the world, and these conditions have a strong negative influence in terms of health-related quality of life. The purpose of this study was to evaluate the effect of an 8-week multimodal physical therapy program on general health state and health-related quality of life in patients with chronic musculoskeletal disorders. Methods: There were 244 participants in this prospective cohort analysis with 8-week follow-up. The primary outcome was general health state (physical and mental components), determined with the Short Form-12 Health Survey (SF-12). The secondary outcome was health related quality of life, determined with the EuroQoL-5D and VAS. The intervention was evaluated by comparing pre- and post-outcome measurements. T-tests were performed for paired data. Results: Differences were statistically significant for physical health state: +1.68 (p < 0.05) (baseline: 42.38); mental health state: +3.15 (p < 0.001) (baseline: 46.57); and health related quality of life: +0.18 (EuroQoL 5D) (baseline: 46.57) and +7.22 (EuroQoL_VAS) (p < 0.001) (baseline: 60.81). Intervention resulted in clinically relevant changes in terms of percentage improvement from baseline scores. Conclusions: Eight weeks of a Multimodal Physical Therapy Program seemed to moderately enhance the general health state and HRQoL of patients with chronic musculoskeletal diseases. This kind of therapeutic exercise can be recommended to patients with chronic low back pain, chronic neck pain and osteoarthritis, at least in the short term. Keywords: Chronic musculoskeletal disorders, Multimodal physiotherapy, Aquatic exercise, HRQoL
Background Musculoskeletal disorders (MSKD) are major causes of morbidity in the world and these conditions have a strong negative influence in terms of health-related quality of life [1]. In Europe, chronic musculoskeletal pain of moderate or severe intensity occurs in 19% of adults and these conditions can limit daily activities to a great degree [2]. It has been shown that people with musculoskeletal pain estimate their health-related quality of life very low compared to a pain free population, and that their perceived health can predict musculoskeletal pain * Correspondence: [email protected] 1 School of Clinical Science, Queensland University of Technology, Brisbane, Australia 2 Physiotherapy Department, University of Malaga, Malaga, Spain
outcome [3,4]. Musculoskeletal disorders have also been associated with more mental distress and depression [5]. In this way, one goal of the Bone and Joint Decade is to improve the health-related quality of life for people with, or at risk of, musculoskeletal disorders throughout the world by raising awareness of the suffering and cost to society associated with these
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