Abstract:
Background. Chronic musculoskeletal pain (CMSP) is a common condition that significantly
affects the functionality and quality of life of patients. The efficiency of rehabilitation of these
patients is often hampered by multiple interrelated factors, such as biological, psychological,
and social barriers.
Objective(s). Estimation of the impact of biological, psychological, and social barriers on the
rehabilitation of patients with chronic musculoskeletal pain, with the aim of optimizing
rehabilitation strategies.
Materials and methods. The impact of biopsychosocial barriers was evaluated in 62
patients with chronic musculoskeletal pain. Biological factors were analyzed based on
medical history, psychological factors were assessed using specific scales, and social factors
were examined through questionnaires addressing family support and access to healthcare
services.
Results. It was found that 42 patients (67.7%) presented biological barriers, highlighted by
comorbidities and associated chronic conditions. Psychological factors, such as anxiety and
pain catastrophizing, were identified in 45 patients (72.6%). Social barriers, reflected by
insufficient family support and financial difficulties, were reported by 28 patients (45.2%).
The application of the Chi-square test revealed a statistically significant difference between
the types of barriers identified (χ² = 47.68, p < 0.001), suggesting that each category of
barriers exerts a distinct impact on the effectiveness of rehabilitation.
Conclusion(s). The impact of biological, psychological, and social factors on the
rehabilitation process plays a major role in compromising the effectiveness of rehabilitation
in patients with chronic musculoskeletal pain. Recognizing and addressing these barriers is
crucial to enhancing recovery outcomes.
