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Relationships among chronic pain, obesity, and participation intensity
Dissertation   Open access

Relationships among chronic pain, obesity, and participation intensity

Jennifer Brilmyer
Doctor of Health Science (D.H.Sc.), Drexel University
Mar 2020
DOI:
https://doi.org/10.17918/00000227
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Abstract

Chronic Pain Obesity Occupational Therapy Physical Therapy
Aims: To determine: (1) if intensity (metabolic equivalents (MET) levels) of leisure and recreational physical activities performed by youth with chronic pain who are obese/overweight differs compared with youth with chronic pain and healthy weight, (2) the relationship between perceived limitations in daily function due to pain and physical activity intensity, and (3) to describe activities youth with chronic pain enjoy and their perceptions of what limits them from doing these activities. Methods: A convenience sample of 30 youth with chronic pain, 11-19 years-old, completed the Children's Assessment of Participation and Enjoyment (CAPE), Functional Disability Inventory (FDI), and a questionnaire. MET values for CAPE activities were estimated. Results: Youth in both groups reported participating in and enjoying low intensity activities. Participation in low, moderate, and high intensity leisure and recreational physical activities did not differ between the two groups (youth with chronic pain who are overweight/obese verses youth with chronic pain and healthy weight). There was no relationship between perceived impairment in daily function due to pain and intensity of physical activity. Conclusion: Participation in physical activity is complex and multi-factorial and can be influenced by pain and anxiety/stress, among other factors. Clinicians may use the CAPE to identify preferred activities and integrate them into physical therapy strategies to promote moderate to high MET activity during interventions.

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