Recovery of physical activity after cesarean delivery and its relationship with pain
Pain Oct 03, 2019
Sharpe EE, Booth JL, Houle TT, et al. - Researchers examined the pattern of recovery after surgery and assessed how this recovery is related to pain in short- and long-term. Data on daily pain assessments and hourly steps were acquired from 98 women undergoing elective cesarean delivery for 2 months after surgery. Over the first 2 postoperative months, they observed an increase in activity in a log(time) manner. An inverse correlation was observed between the slope of each modeled individual curve for activity and the worst daily pain. After removing these 2-month trends, there was a negative association of pain and activity within an individual day with each point increase in pain being inversely associated with −119 steps. These data demonstrate that measuring hourly activity for 2 months after surgery is feasible. The tight correlation between recovery from pain and inactivity was observed, and in stark contrast to findings in chronic pain conditions, they observed the negative relationship between within-day pain and activity without interday carryover relationships.
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