The meanings given to gender in studies on multimodal rehabilitation for patients with chronic musculoskeletal pain–a literature review
Abstract
PURPOSE: The purpose of this study is to assess and describe the meanings given to "gender" in scientific publications that evaluate multidisciplinary, interdisciplinary or multimodal rehabilitation for patients with chronic musculoskeletal pain. METHOD: A systematic literature search for papers evaluating multimodal rehabilitation was conducted. The PubMed and EBSCO databases were searched from 1995 to 2015. Two or three researchers independently read each paper, performed a quality assessment and coded meanings of gender using qualitative content analysis. RESULTS: Twenty-seven papers were included in the review. Gender was used very differently in the MMR studies investigated but primarily it referred to factual differences between men and women. Only one paper provided a definition of the concept of gender and how it had been used in that study. In the content analysis, the meaning of gender formed three categories: "Gender as a factual difference", "The man is the ideal" and "Gender as a result of social role expectations". CONCLUSIONS: The meaning of the concept of gender in multimodal rehabilitation is undefined and needs to be developed further. The way the concept is used should be defined in the design and evaluation of multimodal rehabilitation in future studies. Implications for rehabilitation Healthcare professionals should reflect on gender relations in encounters with patients, selection of patients into rehabilitation programs and design of programs. In rehabilitation for chronic pain the patients' social circumstances and cultural context should be given the same consideration as biological sex and pain symptoms.
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Women are notably overrepresented among patients living with chronic pain.
“Women are notably overrepresented among patients living with chronic pain [65–67]”
The unbalanced gender ratio in this sample is characteristic of the pain patient population nationally as well as globally.
“The unbalanced gender ratio (See Table 1) in this sample is noteworthy, and characteristic of the pain patient population nationally as well as globally, illuminating a gender issue.”
Response to treatment for chronic pain differs between sexes.
“In addition, response to treatment differs between sexes [6–10].”
From Chronic pain and sex-differences; women accept and move, while men feel blue (2017) · cites this paper as [6]
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(2025) · Elsevier eBooks · doi:10.1016/b978-3-437-21835-4.00116-5
- Authors
- Ahlgren, C., Fjellman-Wiklund, A., Hamberg, K., Johansson, E. E., & Stålnacke, B.-M.
- Affiliations
- Umeå University (SE)
- Corresponding author
- Ahlgren, Christina
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2016-01-05
- Volume
- 38
- Issue
- 23
- Pages
- 2255-2270
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2226139128
- Cited by
- 26
- References
- 79
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 5 · 2018: 1 · 2017: 4
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vetenskapsrådet
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
- Keywords
- gender, multimodal rehabilitation, chronic musculoskeletal pain, concept definition, gender differences, social role expectations, interdisciplinary rehabilitation, patient selection
- MeSH terms
- Female, Gender Identity, Humans, Male, Sex Characteristics, Randomized Controlled Trials as Topic, Chronic Pain, Musculoskeletal Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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