Prevalence of pain in university teachers: a systematic review

Authors

DOI:

https://doi.org/10.62827/fb.v25i1.kg23

Keywords:

pain; teachers; public health.

Abstract

Introduction: Pain is a global public health problem, which impacts the young adult population. However, it is unclear what proportion of university professors suffer from pain. Objective: To verify the prevalence of pain in Brazilian university professors. Methods: Systematic review, with PROSPERO registration (CRD42020223759), carried out in the databases PUBMED, EBSCOhost/SPORTdiscus, LILACS, MEDLINE, VHL Portal, Google Scholar and SciELO. Descriptors: “Pain”, “Chronic Pain”, “Faculty”, “Faculty, Dental”, “Faculty, Medical”, “Faculty, Nursing”, “Faculty, Pharmacy”. Included: Observational studies; transversal; developed with university professors, in Brazilian higher education institutions; who have assessed the prevalence of pain. Excluded: studies that did not report the methodology for measuring the outcome; studies with instruments that did not evaluate pain as a primary outcome, subsequently presenting insufficient data to analyze the results. The risk of bias assessed with the scale proposed by Hoy. Results: 1,364 articles were identified, but 6 were included. These were cross-sectional studies, published between 2004 and 2015, 4 of them from the south/northeast regions. The sample totaled 853 teachers, 70% of whom were women. The prevalence of pain varied between 36.5% and 96%. The greatest perception of self-reported pain was of moderate intensity. The main pain complaints were in the cervical and lumbar regions. The studies have moderate to high risk of bias. Conclusion: There is a high prevalence of pain, as well as a possible chronicity in university professors. However, studies with adequate methodological rigor are still necessary to confirm the results presented.

 

Author Biographies

  • Ramon Martins Barbosa, EBMSP, FARESI, UNIFACS

    Graduado em Fisioterapia pela Universidade Salvador (UNIFACS); Pós Graduado em Fisioterapia Neurofuncional pela Universidade Nove de Julho (UNINOVE); Mestrando em Medicina e Saúde Humana pela Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, BA, Brasil 

  • Alan Carlos Nery dos Santos, FARESI

    Graduado em Fisioterapia pela Centro Universitário Social da Bahia (UNISBA); Mestre em Medicina e Saúde Humana pela Escola Bahiana de Medicina e Saúde Pública (EBMSP); Pós-Graduado em Fisiologia do Exercício Clínico pela (EBMSP); Pós-Graduação em Fisioterapia Ortopédica e Traumatológica pela Faculdade Vanguarda; Pós-Graduando em Osteopatia e Fisioterapia Manipulativa (Ebrafim); Título de Especialista Profissional em Fisioterapia Traumato-Ortopédica pela Associação Brasileira de Fisioterapia Traumato-Ortopédica, Salvador, BA, Brasil 

  • Marvyn de Santana do Sacramento, EBMSP

    Actus Cordios Reabilitação Cardiovascular, Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, BA, Brasil, Faculdade Adventista da Bahia (FADBA), Capoeiruçu, BA, Brasil, Faculdade Atenas, Valença, BA, Brasil

  • Davi Martins Barbosa, UniFTC

    Graduando em Psicologia pelo Centro Universitário Faculdade de Tecnologia e Ciências (UniFTC), Feira de Santana, BA, Brasil

  • Maria Hortencia Rocha do Nascimento, FARESI

    Graduanda em Fisioterapia pela Faculdade da Região Sisaleira (FARESI), Conceição do Coité, BA, Brasil 

  • Livia Barros de Oliveira Calado de Oliveira Calado, FARESI

    Graduanda em Fisioterapia pela Faculdade da Região Sisaleira (FARESI), Conceição do Coité, BA, Brasil 

  • Isabelle Cedraz Pinho Oliveira , FARESI

    Graduanda em Fisioterapia Pela Faculdade da Região Sisaleira (FARESI), Conceição do Coité, BA, Brasil 

  • Ícaro Santos de Oliveira, FARESI

    Graduado em Biomedicina pela Faculdade Atenas, Pós-Graduado em Bioquímica pela Faculdade Metropolitana, Pós-Graduado em Saúde Pública pela Faveni, Salvador, BA, Brasil    

  • Jefferson Petto, UniFTC

    Graduado em Fisioterapia pela Universidade Federal de São Carlos (UFSCAR); Mestre e Doutor em Medicina e Saúde Humana (EBMSP); Especialista em Fisioterapia Cardiovascular - ASSOBRAFIR (COFFITO); Curso de Medicina, Centro Universitário Faculdade de Tecnologia e Ciências (UniFTC), Feira de Santana, BA, Brasil

References

Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain : concepts, challenges, and compromises. Pain. 2020;00(00):1–7. doi: 10.1097/j.pain.0000000000001939

Aziz Q, Barke A, Bennett MI, Benoliel R, Cohen M, Evers S, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003–7. doi: 10.1097/j.pain.0000000000000160

Silva CD, Ferraz GC, Souza LAF, Cruz LVS, Stival MM, Pereira LV. Prevalence of chronic pain in nursing undergraduate students. Texto e Context Enferm. 2011;20(3):319–25. doi: 10.1590/S0104-07072011000300013

Mills SEE, Nicolson KP, Smith BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. Br J Anaesth [Internet]. 2019;123(2):e273–83. doi: 10.1016/j.bja.2019.03.023

Goldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health [Internet]. 2011;11(1):770.

Vasconcelos FH, Araújo GC de. Prevalence of chronic pain in Brazil: a descriptive study. Brazilian J Pain. 2018;1(2):176–9. doi: 10.5935/2595-0118.20180034

Carvalho RC de, Maglioni CB, Machado GB, Araújo JE de, Silva JRT da, Silva ML da. Prevalence and characteristics of chronic pain in Brazil: a national internet-based survey study. Brazilian J Pain. 2018;1(4):331–8. doi: 10.5935/2595-0118.20180063

Vos T, Abajobir AA, Abbafati C, Abbas KM, Abate KH, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390:1211–59. doi:10.1016/S0140-6736(17)32154-2

Torrance N, Elliott AM, Lee AJ, Smith BH. Severe chronic pain is associated with increased 10 year mortality. A cohort record linkage study. Eur J Pain [Internet]. 2010;14(4):380–6. doi: 10.1016/j.ejpain.2009.07.006

Fayaz A, Ayis S, Panesar SS, Langford RM, Donaldson LJ. Assessing the relationship between chronic pain and cardiovascular disease: A systematic review and meta-analysis. Scand J Pain [Internet]. 2016;13:76–90. doi: 10.1016/j.sjpain.2016.06.005

Jank R, Gallee A, Boeckle M, Fiegl S, Pieh C. Chronic Pain and Sleep Disorders in Primary Care. Pain Res Treat. 2017;2017:34–7. doi:10.1155/2017/9081802

Parker R, Bergman E, Mntambo A, Stubbs S, Wills M. Levels of physical activity in people with chronic pain. South African J Physiother. 2017;73(1):1–7. doi: 10.4102/sajp.v73i1.323

Barbosa RM, Moura RF, Sousa RVL, Silva BS, Petto J, Santos ACN. Prevalência De Dor Crônica Em Acadêmicos De Uma Instituição De Ensino Superior Privada. Saúde (Santa Maria). 2020;46(2).

Barbosa RM, Queiroz HS, Santos LO, Júnior MNS, Santos ACN. Prevalência da dor em estudantes universitários. Sci Med (Porto Alegre) [Internet]. 2021 19;31(1):e38883.

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. doi:10.1371/journal.pmed.1000097

Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, et al. Assessing risk of bias in prevalence studies: Modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol [Internet]. 2012;65(9):934–9. doi: 10.1016/j.jclinepi.2011.11.014

Dallepiane S, Bigolin SE. A Presença De Dor No Cotidiano De Professores Da Universidade Regional Do Noroeste Do Estado Do Rio Grande Do Sul – Unijuí. Rev Context e Saúde. 2013;4(07):231–9.

Coelho CT, Dias D, Neto M, Matos MA. Prevalência Da Síndrome Do Ombro Doloroso (Sod) E Sua Influência Na Qualidade De Vida Em Professores De Uma Instituição Privada De Nível Superior Na Cidade De Lauro De Freitas, Bahia. Rev Baiana Saúde Pública. 2011;34:19.

Suda EY, Coelho AT, Bertaci AC, Santos BB dos. Relação entre nível geral de saúde, dor musculoesquelética e síndrome de burnout em professores universitários. Fisioter e Pesqui. 2011;18(3):270–4.

Sanchez HM, Gouveia E, Sanchez DM, Barbosa MA. Incidência de dor musculoesquelética em docentes do ensino superior Incidence of musculoskeletal pain among university teachers. Rev Bras Med do Trab [Internet]. 2013;11(2):66–75.

Granja CF, Maria Fernandes Pinheiro, Marina Miyuki Yasue MG, Fréz AR,, Gladson Ricardo Flor Bertolini MRB. Avaliação dos sintomas osteomusculares em professores universitários. Rev Inspirar. 2014;6(4).

Ceballos AG da de C, Santos GB. Fatores associados à dor musculoesqueletica em professores: Aspectos sociodemográficos, saúde geral e bem-estar no trabalho. Rev Bras Epidemiol. 2015;18(3):702–15.

Meaza H, Temesgen MH, Redae G, Hailemariam TT, Alamer A. Prevalence of Musculoskeletal Pain Among Academic Staff of Mekelle University, Ethiopia. Clin Med Insights Arthritis Musculoskelet Disord. 2020 Dec 24;13:1179544120974671. doi: 10.1177/1179544120974671.

Malfliet A, Coppieters I, Van Wilgen P, et al. Brain changes associated with cognitive and emotional factors in chronic pain: A systematic review. Eur J Pain. 2017;21(5):769-786. doi:10.1002/ejp.1003

IsHak WW, Wen RY, Naghdechi L, et al. Pain and Depression: A Systematic Review. Harv Rev Psychiatry. 2018;26(6):352-363. doi:10.1097/HRP.0000000000000198

Li JL, Yan CQ, Wang X, Zhang S, Zhang N, Hu SQ, et al. Brain functional alternations of the pain-related emotional and cognitive regions in patients with chronic shoulder pain. J Pain Res. 2020;13:575-83.

Hanna F, Daas RN, El-Shareif TJ, Al-Marridi HH, Al--Rojoub ZM, Adegboye OA. The relationship between sedentary behavior, back pain, and psychosocial cor-relates among university employees. Front Public Heal. 2019;7:1-7.

Wiech K, Tracey I. The influence of negative emotions on pain: Behavioral effects and neural mechanisms. Neuroimage [Internet]. 2009;47(3):987–94. doi: 10.1016/j.neuroimage.2009.05.059

Apkarian AV, Bushnell MC, Treede RD, Zubieta JK. Human brain mechanisms of pain perception and regulation in health and disease. Eur J Pain. 2005;9(4):463. doi: 10.1016/j.ejpain.2004.11.001

Lieberman G, Shpaner M, Watts R, Andrews T, Filippi CG, Davis M, et al. White matter involvement in chronic musculoskeletal pain. J Pain [Internet]. 2014;15(11):1110–9. doi: 10.1016/j.jpain.2014.08.002

Racine M, Tousignant-Laflamme Y, Kloda LA, Dion D, Dupuis G, Choinière M. A systematic literature review of 10 years of research on sex/gender and pain perception - part 2: do biopsychosocial factors alter pain sensitivity differently in women and men? Pain. 2012;153(3):619-35. doi: 10.1016/j.pain.2011.11.026

Defrin R, Eli I, Pud D. Interactions among sex, ethnicity, religion, and gender role expectations of pain. Gend Med. 2011;8(3):172-83. doi: 10.1016/j.genm.2011.04.001

Hurley RW, Adams MC. Sex, gender, and pain: an overview of a complex field. Anesth Analg. 2008;107(1):309-17. doi: 10.1213/01.ane.0b013e31816ba437

Chen Y, Moutal A, Navratilova E, et al. The prolactin receptor long isoform regulates nociceptor sensitization and opioid-induced hyperalgesia selectively in females [published correction appears in Sci Transl Med. 2020 Mar 4;12(533):]. Sci Transl Med. 2020;12(529):eaay7550. doi:10.1126/scitranslmed.aay7550

Vincent K, Warnaby C, Stagg CJ, Moore J, Kennedy S, Tracey I. Brain imaging reveals that engagement of descending inhibitory pain pathways in healthy women in a low endogenous estradiol state varies with testosterone. Pain. 2013;154(4):515-524. doi:10.1016/j.pain.2012.11.016

Bromley Milton M, Börsbo B, Rovner G, Lundgren-Nilsson Å, Stibrant-Sunnerhagen K, Gerdle B. Is Pain Intensity Really That Important to Assess in Chronic Pain Patients? A Study Based on the Swedish Quality Registry for Pain Rehabilitation (SQRP). PLoS One. 2013;8(6):1-13. doi:10.1371/journal.pone.0065483

Bushnell MC, Čeko M, Low LA. Cognitive and emotional control of pain and its disruption in chronic pain. Nat Rev Neurosci. 2013;14(7):502–11. doi: 10.1038/nrn351

Jahre H, Grotle M, Smedbråten K, Dunn KM, Øiestad BE. Risk factors for non-specific neck pain in young adults. A systematic review. BMC Musculoskelet Disord. 2020;21(1):366. Published 2020 Jun 9. doi:10.1186/s12891-020-03379-y

Ortego G, Villafañe JH, Doménech-García V, Berjano P, Bertozzi L, Herrero P. Is there a relationship between psychological stress or anxiety and chronic nonspecific neck-arm pain in adults? A systematic review and meta-analysis [published correction appears in J Psychosom Res. 2017 May;96:107]. J Psychosom Res. 2016;90:70-81. doi:10.1016/j.jpsychores.2016.09.006

Sribastav SS, Peiheng H, Jun L, zemin L, Fuxin W, Jianru W, et al. Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain. PeerJ. 2017;5:e3282:1-18. doi: 10.7717/peerj.3282

Dorner TE, Stein KV, Hahne J, Wepner F, Friedrich M, Mittendorfer-Rutz E. How are socio-demographic and psycho-social factors associated with the prevalence and chronicity of severe pain in 14 different body sites? A cross-sectional population-based survey. Wien Klin Wochenschr. 2018;130(1–2):14–22. doi: 10.1007/s00508-017-1223-x

Dorner TE, Muckenhuber J, Stronegger WJ, Ràsky E, Gustorff B, Freidl W. The impact of socio-economic status on pain and the perception of disability due to pain Eur J Pain. 2011;15(1):103-109. doi:10.1016/j.ejpain.2010.0

Published

2024-05-14

How to Cite

Prevalence of pain in university teachers: a systematic review. (2024). Fisioterapia Brasil, 25(1), 1221-1236. https://doi.org/10.62827/fb.v25i1.kg23