Contribution of Musculoskeletal Pain to Postural Balance in Community-Dwelling People Aged 75 Years and Older

Lihavainen, Katri; Sipilä, Sarianna; Rantanen, Taina; Sihvonen, Sanna; Sulkava, Raimo; Hartikainen, Sirpa

doi:10.1093/gerona/glq052

Cited by 79 publications

(76 citation statements)

References 40 publications

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“…Mental stress causes neuromuscular tension and correlates with musculoskeletal complaints, such as pain (Kopec and Sayre 2004). In crosssectional studies, perceived pain was found to be associated with poorer physical functioning (Lihavainen et al 2010), and perceived pain also predicts subsequent disabilities (Hughes et al 1994). Stress is also associated with cardiovascular risk factors, such as higher smoking rates and metabolic indicators including higher blood cholesterol and glucose levels (Vrijkotte et al 1999), and thus consequently with incident cardiovascular disease (Greenwood et al 1996) and diabetes (Nyberg et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Work-related stress in midlife is associated with higher number of mobility limitation in older age—results from the FLAME study

Kulmala

Hinrichs

Törmäkangas

et al. 2014

AGE

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The aim of this study is to investigate whether work-related stress symptoms in midlife are associated with a number of mobility limitations during three decades from midlife to late life. Data for the study come from the Finnish Longitudinal Study of Municipal Employees (FLAME). The study includes a total of 5429 public sector employees aged 44-58 years at baseline who had information available on work-related stress symptoms in 1981 and 1985 and mobility limitation score during the subsequent 28-year follow-up. Four midlife work-related stress profiles were identified: negative reactions to work and depressiveness, perceived decrease in cognition, sleep disturbances, and somatic symptoms. People with a high number of stress symptoms in 1981 and 1985 were categorized as having constant stress. The number of self-reported mobility limitations was computed based on an eight-item list of mobility tasks presented to the participants in 1992, 1997, and 2009. Data were analyzed using joint Poisson regression models. The study showed that depending on the stress profile, persons suffering from constant stress in midlife had a higher risk of 30-70 % for having one more mobility limitation during the following 28 years compared to persons without stress after adjusting for mortality, several lifestyle factors, and chronic conditions. A less pronounced risk increase (20-40 %) was observed for persons with occasional symptoms. The study suggests that effective interventions aiming to reduce work-related stress should focus on both primary and secondary prevention. AGE (2014) 36:9722

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Section: Discussionmentioning

confidence: 99%

Work-related stress in midlife is associated with higher number of mobility limitation in older age—results from the FLAME study

Kulmala

Hinrichs

Törmäkangas

et al. 2014

AGE

View full text Add to dashboard Cite

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“…Detailed review of full texts led to excluding 13 studies due to assessment of sway during single-leg stance [15][16][17] or quiet stance with shoulder flexion [18], the lack of a control group [19][20][21], use of a dynamic platform for assessment of postural sway [22] or external perturbations [23,24]. Furthermore, studies were excluded from the review due to use of COP parameters not reflecting sway amplitude or velocity [25], and including individuals with general musculoskeletal pain [26] or experimentally induced Correction for confounding effect on dependent variables Positive points were assigned if confounders (i.e. age, gender, body height, body mass and physical activity) were taken into account, or appropriate matching on these variables was performed.…”

Section: Literature Searchmentioning

confidence: 99%

Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review

et al. 2013

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“…[20][21][22] An experimental report also stipulates that prolonged exposure to nociceptive stimulations from the skin or sore muscles could lead to over estimation of the level of torque generated in the painful limb of an individual thereby compromising the balance.…”

Section: Discussionmentioning

confidence: 99%

Pain, range of motion and activity level as correlates of dynamic balance among elderly people with musculoskeletal disorder

Bello

Ababio

Antwi-Baffoe

et al. 2015

Ghana Medical Journal

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SUMMARYBackground: Assessment of impairment and disability measures on dynamic balance status of elderly patients is well documented in the rehabilitation of neuromuscular disorders. Few studies however considered similar evaluation in musculoskeletal disorders. Objective: To determine the influence of pain, hip range of motion and level of activity on dynamic balance among elderly people with hip osteoarthritis (OA). Methods: Elderly patients with hip OA participated in the cross-sectional survey. The impairment measures were assessed using the visual analogue scale and double-arm universal goniometer whilst their levels of activity were assessed with the Barthel Index. Participants performed Turn-180 on two trials by taking steps clockwise and anti-clockwise round a sturdy arm chair. The total number of steps taken to complete each Turn-180 was determined. Descriptive statistics were used to summarize data whilst Pearson moment correlation coefficient determined the correlations of the variables at 95% confidence interval. Results: The study involved 87 participants comprising 40(46%) males and 47(54%) females. The age of the participants ranged from 60 to 74years with a mean of 65.8±4.5years. There was a positive and significant correlation (r=0.596; p<0.001) between the participants' pain and steps taken to complete Turn-180. The participants' hip flexibility and the level of activity were also significantly and inversely correlated with the performance of Turn-180. Conclusion:The dynamic balance of the sampled elderly patients was considerably influenced by pain, hip flexibility and level of activity, thereby putting premium on the assessment of the variables during musculoskeletal rehabilitation of elderly patients.

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Contribution of Musculoskeletal Pain to Postural Balance in Community-Dwelling People Aged 75 Years and Older

Abstract: The findings demonstrate a direct relationship between the moderate to severe musculoskeletal pain and impaired postural balance. Pain seems to be an important target for the prevention of balance impairment and further mobility limitation among older people.

Cited by 79 publications

References 40 publications

Work-related stress in midlife is associated with higher number of mobility limitation in older age—results from the FLAME study

Work-related stress in midlife is associated with higher number of mobility limitation in older age—results from the FLAME study

Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review

Pain, range of motion and activity level as correlates of dynamic balance among elderly people with musculoskeletal disorder

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