[Pain and pain-related behavior during orthopedic rehabilitation].
BACKGROUND
Problems concerning the sustainability of medical rehabilitation are well known. Persistent avoidance behavior might be a potential cause. The present study is designed to determine the relationship between pain and pain-related behavior (resignation, distraction, avoidance) during the rehabilitation process. In addition, the impact of gender, age, level of chronicity, and location of ailments are investigated.


METHODS
Pain (German pain perception scale, SES) and pain-related behavior (German pain control questionnaire, FSR) were measured in 309 orthopedic rehabilitation patients.


RESULTS
Affective pain, resignation and distraction are more pronounced in women than in men. Participants with highly increased levels of chronicity have more affective and sensory pain and higher values of avoidance and resignation. During the rehabilitation process, there was a decrease in affective pain, sensory pain and resignation. The difference values correlate significantly.


CONCLUSIONS
Rehabilitation is effective for pain reduction. However, only limited changes in pain-related behavior were detected.
Michalski
D
D
Klinik und Poliklinik für Neurologie, Universität Leipzig, Liebigstrasse 20, 04103, Leipzig, Deutschland. dominik.michalski@medizin.uni-leipzig.de
Zweynert
U
U
Kittel
J
J
Hinz
A
A
D001362:Avoidance Learning; D001416:Back Pain / Q000503:physiopathology / Q000523:psychology; D001519:Behavior; D005260:Female; D050723:Fractures, Bone / Q000503:physiopathology / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods* / Q000523:psychology / Q000534:rehabilitation; D010146:Pain / Q000503:physiopathology* / Q000523:psychology*; D010147:Pain Measurement; D011795:Surveys and Questionnaires