Disclosures: Armando S. Miciano, Jr., MD: No financial relationships or conflicts of interest
Objective : 1) Quantify body function (BF) change(s) in individuals with poly-trauma and chronic pain (PtP); and, 2) Determine inter-relationships between BF and other WHO-ICF disablement components: activity limitation (AL) and participation restrictions (PR) in PtP.
Design: Retrospective cross-sectional study
Setting : PMR clinic
Participants : 25 subjects (age range 22 – 84) found to have poly-trauma (defined as >/=2 injuries to multiple body parts/organ systems) and chronic pain (defined as >6 months)
Interventions: n/a
Main Outcome Measures: PROMIS-29v2.0-Anxiety (AN), Depression (DE), Fatigue (FA) and Sleep Disturbance (SL) sub-scales assessed BF. PROMIS-29v2.0-physical-function (PF) described AL; and, PROMIS-29v2.0-satisfaction-with-social-role (SSR) and Pain Interference (PInt) quantified PR.
Results: Mean (SD) BF T-scores were: AN 62.66(11.2); DE 59.74(10.5); FA 60.20(9.3); SL 65.35(8.9); F 36.85(7.96); SSR 37.66(7.67); and, PInt 64.05(7.81). Compared to males, females had significantly higher DE and AN scores, not correlated with other variables for females. For males, AN significantly correlated with DE, FA, and SL; and, DE correlated with SL. PF negatively correlated with SL (r=-0.44;p=0.03) and positively correlated with SSR (r=0.51;p=0.009). PInt was positively associated with FA (r=0.664;p=0.00) and negatively correlated with SSR (r=-0.54;p=0.005).
Conclusions: PtP individuals tend to have moderate levels of AN, DE, FA, and SD, while having severe AL and severe PR. Their sleep disturbances had a statistically significant association with activity limitations, while their fatigue had a positive association with participation restrictions. The study supports the role of patient reported outcomes (PRO) in quantifying body function changes (i.e. fatigue, sleep disturbance, anxiety/depression) and thereby also addressing home and community reintegration efforts. Further research should be on inter-relationships of WHO-ICF components in other musculoskeletal syndromes, such as fall injuries.
Level of Evidence: Level II
To cite this abstract in AMA style:
Miciano AS. Body Functions of Individuals with Poly-Trauma and Chronic Pain [abstract]. PM R. 2020; 12(S1)(suppl 1). https://pmrjabstracts.org/abstract/body-functions-of-individuals-with-poly-trauma-and-chronic-pain/. Accessed May 8, 2025.« Back to AAPM&R Annual Assembly 2020
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/body-functions-of-individuals-with-poly-trauma-and-chronic-pain/