Log In

Forgot Password?
Create New Account

Loading... please wait

Abstract Details

Subjective Mental and Physical Wellbeing Correlates with Pain in Military Personnel with Knee Pain
Pain
Pain and Palliative Care Posters (7:00 AM-5:00 PM)
002

Knee injuries are common problem for active duty military members which  may impact on their mental and physical well-being and their force readiness. In previous work, we noted in military members, who participated in a rehabilitation study after traumatic trans-tibial amputation, a negative association between pain, as estimated from 4 pain scales, and physical-wellbeing from the SF36. Mental-wellbeing from the SF36 was only related to one of the four scales. We now ask whether a similar relationship between pain and physical and mental wellbeing is observed in active duty military members who participated in a randomized treatment trial for knee injury.

NA
Seventy-eight active duty military members with a knee injury participated in an 18-week program. Pain and SF12 were assessed at weeks 0,3,6,9,12,18. The pain scales used included a Visual Analog Scale (0-10) assessing knee pain intensity after functional test performance (6 minute walk, step test, and chair stand), and knee pain assessed using 3 items from the IDKC Subjective Knee evaluation (how severe, how often, and during daily activity). Correlations between two SF12 scores and each pain scale  calculated  using Bayesian robust regression discussed by Kurz (https://solomonkurz.netlify.com/post/bayesian-robust-correlations-with-brms-and-why-you-should-love-student-s-t/).

SF12 physical-wellbeing improved from a normalized score mean 40.6-(SD 7.10) to 46.5-(SD=5.8), while the mental-wellbeing showed little change from mean 59.5-(SD 7.4) to 59.0-(SD5.5). The SF12 physical-wellbeing scale was significantly associated with each of the pain scales when considering the repeated measurements for each subject. The SF12 mental scale was not significantly associated with any of the pain scales.

Association noted between physical-wellbeing on SF12 and each of the pain scales, but not the mental-wellbeing scale. Military members had high mental-wellbeing score that showed relatively little change, while the physical well being was low and tended to improve during the intervention but not to the level of their mental-wellbeing.

Authors/Disclosures
Igal Mirman, MD
PRESENTER
Dr. Mirman has nothing to disclose.
William H. Mays III, MD (UCH) Dr. Mays has nothing to disclose.
No disclosure on file
No disclosure on file