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- Title
Association between Step Count Measured with a Smartphone App (Pain-Note) and Pain Levels in Patients with Chronic Pain: Observational Study.
- Authors
Takahisa Ogawa
- Abstract
Chronic pain affects 20%-50% of the population globally. Physical activity, measurable via pedometers, is a recommended treatment. However, adherence issues can skew results. Few studies have explored the relationship between physical activity and chronic pain. We introduced the Pain-Note smartphone app, utilising the phone's pedometer, to study the correlation between daily steps and pain. (1) Examine the link between daily steps and pain in chronic pain patients. (2) Ascertain if the relationship was curvilinear. A cross-sectional study was conducted using the app's step data and questionnaires assessing pain duration, intensity, and related symptoms. We employed a restricted cubic spline model to analyse the nonlinear relationship between step count and pain. A subgroup analysis was also performed based on fibromyalgia criteria. From June 1, 2018, to June 11, 2020, 1323 out of 6138 records were analysed. Participants' average age was 38.7, with 81.9% being female. Chronic pain persisted for over 5 years in 43.2% of participants. 38.6% met fibromyalgia criteria, and 17% met clinical insomnia criteria. Participants taking more than 3045 and 5668 steps daily displayed a significant association between higher step count and reduced pain. The inflection point was at 5000 steps. This correlation wasn't evident in fibromyalgia patients. The Pain-Note app revealed a link between step count and pain level in chronic sufferers. While a negative correlation between steps and pain was observed generally, fibromyalgia patients showed a positive association below 2000 steps, indicating a distinct pain perception response in this subgroup.
- Subjects
CHRONIC pain; MOBILE apps; PAIN measurement; PAIN perception; SCIENTIFIC observation; FIBROMYALGIA
- Publication
Malaysian Journal of Medicine & Health Sciences, 2023, Vol 19, p93
- ISSN
1675-8544
- Publication type
Abstract