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.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Aging Clinical and Experimental Research |
| Vol/bind | 30 |
| Udgave nummer | 8 |
| Sider (fra-til) | 969-975 |
| ISSN | 1594-0667 |
| DOI | |
| Status | Udgivet - aug. 2018 |
Fingeraftryk
Citer dette
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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 tidsskrift › Tidsskriftartikel › Forskning › peer 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 -