Epidemiology of Back Pain in a Representative Cohort of Italian Persons 65 Years of Age and Older

Cecchi, Francesca; Debolini, P. L.; Lova, Raffaele Molino; Macchi, Claudio; Bandinelli, Stefania; Bartali, Benedetta; Lauretani, Fulvio; Benvenuti, Enrico; Hicks, Gregory E.; Ferrucci, Luigi

doi:10.1097/01.brs.0000216606.24142.e1

Cited by 106 publications

(83 citation statements)

References 31 publications

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“…In detail, we asked about patients education, working and family status, practice of a physical activity, and one question on selfperceived health [26]. We also enquired about psychological features, such as life satisfaction [26], mood, assessed by one item of the SF36-mental health: in the past 4 weeks did you ever feel discouraged or in a low mood?…”

Section: Potential Predictorsmentioning

confidence: 99%

Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up

et al. 2010

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The aim of this study was to describe the clinical course of patients with chronic, non-specific neck pain undergoing a public health covered, exercise-based rehabilitation program and to identify predictors of poor outcome. A prospective cohort study was carried out on patients with non-specific neck pain (6 months or longer), referred by their general practitioner to a 6-session program, including education and individually tailored exercise. The primary outcome measure for the course of neck pain was the Northwick neck pain questionnaire (NPQ) administered on baseline, discharge, and 1 year from discharge. Poor outcome was defined as NPQ score improving \30% (minimal clinically important difference-MCID-NPQ). The potential predictors included demographics, general health and psychological factors, neck pain history, and the clinical features described by NPQ. From January 2008 to June 2009, 212 patients were consecutively assessed for eligibility: 178 were enrolled and 162 completed follow-up (mean age = 65.3; 75% women). Baseline NPQ average score (40.7 ? 17.1) improved by MCID on discharge (26.1 ? 16.3) and at 1 year (28.5 ? 17.3%).The poor outcome was reported by 45% patients on discharge and by 56% at follow-up. Pain-related medication intake independently predicted poor short-(OR 4.24; 95% CI 1.83-9.84; p = 0.001) and long-term (OR 2.69; 95% CI 1.19-6.06; p = 0.017) outcome, and catastrophizing (OR 2.91; 95% CI 1.31-6.48; p = 0.009) predicted poor outcome at 1 year. Our cohort of patients with chronic neck pain undergoing an exercise-based rehabilitation program reported improvement by or beyond MICD-NPQ in 55% cases on discharge and in 44% cases at 1 year. Poor outcome was predicted by pain-related medication intake in the short and long term, and by catastrophizing in the long term.

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Section: Potential Predictorsmentioning

confidence: 99%

Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up

et al. 2010

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“…Men and women could also report pain differently, therefore, effecting the association between hip pain, disk space narrowing, and gender. Cecchi et al [23] showed that women presented with significantly more severe pain than men. Finally, the explanation for the absence of an association between hip pain and disk space narrowing at L2/L3 in men compared to women is also unknown.…”

Section: Discussionmentioning

confidence: 99%

Disk degeneration of the upper lumbar disks is associated with hip pain

et al. 2012

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Purpose A possible cause of hip pain is the presence of radiating pain from the higher lumbar spine. Identification of factors associated with hip pain arising from the lumbar spine would aid the physician. The first step in identifying possible factors is to look at the association between hip pain and osteoarthritis of the lumbar spine.Methods In an open population based study of people 55 years and older (Rotterdam study), 2,819 lumbar radiographs were scored for the presence and severity of individual radiographic features of disk degeneration. Hip osteoarthritis was scored on anteroposterior pelvic radiographs, and questionnaires including self-reported hip pain were taken. Logistic regression adjusted for possible confounders was used to determine the association between self-reported hip pain and the individual radiographic features of lumbar disk degeneration. Results The presence of dis space narrowing grade C1 at level L1/L2 was significantly associated with hip pain in the last month (men OR = 2.0; 95 % CI 1.1-3.8 and women OR = 1.7; 95 % CI 1.1-2.5). The presence of disk space narrowing grade C1 at level L2/L3 was only significantly associated with hip pain in women. The strength of the associations increased for self-reported chronic hip pain, especially in men (L1/L2 OR = 2.5; 95 % CI 1.3-5.0). The presence of disk space narrowing at the lower levels (L3/L4/L5/S1) was not significantly associated with hip pain. Conclusion Our data provide evidence for an association between hip pain and disk space narrowing at disk level L1/L2 and L2/L3. In case of uncertainty of the cause of hip pain, evaluation of lumbar radiographs may help to identify those hip pain patients who might have pain arising from the lumbar spine.

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“…Our review has observed that long-term physiotherapy has significant effects on CLBP in the elderly. When encouraged to continue with physical exercises after discharge, in addition to improving QL and decreasing the use of continuous drugs, adhesion to treatment by the elderly is significant, which is important to improve functionality 26 .…”

Section: Discussionmentioning

confidence: 99%

Physiotherapeutic intervention on chronic lumbar pain impact in the elderly

Jorge¹,

Zanin²,

Knob³

et al. 2015

Revista Dor

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BACKGROUND AND OBJECTIVES:Geriatric population is considerably increasing. However, musculoskeletal disorders, especially chronic low back pain, which is one of the most common complaints during outpatient assistance, seem to grow together with this phenomenon and physiotherapy may be an alternative to treat such pathology. This study aimed at reviewing in the literature information about physiotherapeutic management for chronic low back pain in the elderly. CONTENTS: Twenty-six articles were selected by means of a query with research keywords in electronic databases Scielo and Pubmed, published in Portuguese and English, using the keywords low back pain (dor lombar), chronic pain (dor crônica), physical therapy specialty (fisioterapia) and aged (idoso), and published between 2006 and 2015. CONCLUSION: Different physiotherapeutic techniques and resources are effective to manage the impact of low back pain in the elderly, such as kinesiotherapy (especially by means of stabilizing exercises), electrotherapy, hydrotherapy and individual education management. Keywords: Chronic pain, Elderly, Low back pain, Physiotherapy. RESUMO JUSTIFICATIVA E OBJETIVOS:A população geriátrica vem crescendo consideravelmente nos últimos tempos. Contudo, os distúrbios osteomioarticulares, especialmente a dor lombar crônica, que é uma das queixas mais comuns nos atendimentos ambulatoriais, parecem crescer juntamente com esse fenômeno e a fisioterapia pode servir como alternativa no tratamento dessa doença. O objetivo deste estudo foi revisar na literatura informações a respeito do tratamento fisioterapêutico no impacto da dor lombar crônica em idosos. Physiotherapeutic intervention on chronic lumbar pain impact in the elderly Intervenção fisioterapêutica no impacto da dor lombar crônica em idosos

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Epidemiology of Back Pain in a Representative Cohort of Italian Persons 65 Years of Age and Older

Cited by 106 publications

References 31 publications

Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up

Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up

Disk degeneration of the upper lumbar disks is associated with hip pain

Physiotherapeutic intervention on chronic lumbar pain impact in the elderly

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