Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age

a cross-sectional study

Julie C Kendall, Lars G Hvid, Jan Hartvigsen, Azharuddin Fazalbhoy, Michael F Azari, Mathias Skjødt, Stephen R Robinson, Paolo Caserotti

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain.

OBJECTIVE: This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain.

METHODS: 48 older adults with a gait speed of < 0.9 m/s from Odense, Denmark were recruited through the public health service. Self-reported neck pain, low back pain, and concerns of falling were recorded on questionnaires. Sway range, velocity and area were recorded on a force plate in a comfortable standing stance. Pain intensity was rated on an 11 point numerical rating scale (0-10). Participants were sub-grouped into mild (0-4) and intense (> 5) neck pain or low back pain.

RESULTS: Intense neck pain was associated with increased anterior-posterior sway range and area of sway. Intense low back pain was associated with increased concerns of falling.

CONCLUSION: Intense neck pain in mobility-limited older adults is associated with significant changes in postural balance, and intense low back pain is associated with significantly higher concerns of falling.

OriginalsprogEngelsk
TidsskriftAging Clinical and Experimental Research
Vol/bind30
Udgave nummer8
Sider (fra-til)969-975
ISSN1594-0667
DOI
StatusUdgivet - aug. 2018

Fingeraftryk

Accidental Falls
Independent Living
Neck Pain
Low Back Pain
Cross-Sectional Studies
Postural Balance
Young Adult

Citer dette

@article{1ffbe01a7c8b4d93a34d1ef1bb347e1e,
title = "Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age: a cross-sectional study",
abstract = "BACKGROUND: In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain.OBJECTIVE: This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain.METHODS: 48 older adults with a gait speed of < 0.9 m/s from Odense, Denmark were recruited through the public health service. Self-reported neck pain, low back pain, and concerns of falling were recorded on questionnaires. Sway range, velocity and area were recorded on a force plate in a comfortable standing stance. Pain intensity was rated on an 11 point numerical rating scale (0-10). Participants were sub-grouped into mild (0-4) and intense (> 5) neck pain or low back pain.RESULTS: Intense neck pain was associated with increased anterior-posterior sway range and area of sway. Intense low back pain was associated with increased concerns of falling.CONCLUSION: Intense neck pain in mobility-limited older adults is associated with significant changes in postural balance, and intense low back pain is associated with significantly higher concerns of falling.",
keywords = "Journal Article, Mobility-limitation, Musculoskeletal pain, Balance, Older adults, Falls risk, Cross-Sectional Studies, Humans, Independent Living, Male, Pressure, Posture, Musculoskeletal Pain/epidemiology, Low Back Pain/epidemiology, Accidental Falls/statistics & numerical data, Aged, 80 and over, Denmark, Female, Surveys and Questionnaires, Aged, Postural Balance",
author = "Kendall, {Julie C} and Hvid, {Lars G} and Jan Hartvigsen and Azharuddin Fazalbhoy and Azari, {Michael F} and Mathias Skj{\o}dt and Robinson, {Stephen R} and Paolo Caserotti",
year = "2018",
month = "8",
doi = "10.1007/s40520-017-0876-7",
language = "English",
volume = "30",
pages = "969--975",
journal = "Aging Clinical and Experimental Research",
issn = "1594-0667",
publisher = "Editrice/Kurtis s.r.l.",
number = "8",

}

Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age : a cross-sectional study. / Kendall, Julie C; Hvid, Lars G; Hartvigsen, Jan; Fazalbhoy, Azharuddin; Azari, Michael F; Skjødt, Mathias; Robinson, Stephen R; Caserotti, Paolo.

I: Aging Clinical and Experimental Research, Bind 30, Nr. 8, 08.2018, s. 969-975.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age

T2 - a cross-sectional study

AU - Kendall, Julie C

AU - Hvid, Lars G

AU - Hartvigsen, Jan

AU - Fazalbhoy, Azharuddin

AU - Azari, Michael F

AU - Skjødt, Mathias

AU - Robinson, Stephen R

AU - Caserotti, Paolo

PY - 2018/8

Y1 - 2018/8

N2 - BACKGROUND: In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain.OBJECTIVE: This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain.METHODS: 48 older adults with a gait speed of < 0.9 m/s from Odense, Denmark were recruited through the public health service. Self-reported neck pain, low back pain, and concerns of falling were recorded on questionnaires. Sway range, velocity and area were recorded on a force plate in a comfortable standing stance. Pain intensity was rated on an 11 point numerical rating scale (0-10). Participants were sub-grouped into mild (0-4) and intense (> 5) neck pain or low back pain.RESULTS: Intense neck pain was associated with increased anterior-posterior sway range and area of sway. Intense low back pain was associated with increased concerns of falling.CONCLUSION: Intense neck pain in mobility-limited older adults is associated with significant changes in postural balance, and intense low back pain is associated with significantly higher concerns of falling.

AB - BACKGROUND: In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain.OBJECTIVE: This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain.METHODS: 48 older adults with a gait speed of < 0.9 m/s from Odense, Denmark were recruited through the public health service. Self-reported neck pain, low back pain, and concerns of falling were recorded on questionnaires. Sway range, velocity and area were recorded on a force plate in a comfortable standing stance. Pain intensity was rated on an 11 point numerical rating scale (0-10). Participants were sub-grouped into mild (0-4) and intense (> 5) neck pain or low back pain.RESULTS: Intense neck pain was associated with increased anterior-posterior sway range and area of sway. Intense low back pain was associated with increased concerns of falling.CONCLUSION: Intense neck pain in mobility-limited older adults is associated with significant changes in postural balance, and intense low back pain is associated with significantly higher concerns of falling.

KW - Journal Article

KW - Mobility-limitation

KW - Musculoskeletal pain

KW - Balance

KW - Older adults

KW - Falls risk

KW - Cross-Sectional Studies

KW - Humans

KW - Independent Living

KW - Male

KW - Pressure

KW - Posture

KW - Musculoskeletal Pain/epidemiology

KW - Low Back Pain/epidemiology

KW - Accidental Falls/statistics & numerical data

KW - Aged, 80 and over

KW - Denmark

KW - Female

KW - Surveys and Questionnaires

KW - Aged

KW - Postural Balance

U2 - 10.1007/s40520-017-0876-7

DO - 10.1007/s40520-017-0876-7

M3 - Journal article

VL - 30

SP - 969

EP - 975

JO - Aging Clinical and Experimental Research

JF - Aging Clinical and Experimental Research

SN - 1594-0667

IS - 8

ER -