Fall Risk Profile and Quality-of-Life Status of Older Chiropractic Patients

Holt, Kelly; Noone, Paul; Short, Krystal; Elley, C Raina; Haavik, Heidi

doi:10.1016/j.jmpt.2010.12.010

Cited by 9 publications

(22 citation statements)

References 44 publications

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“…Additional file 4 presents individual study results, including effect estimates and confounders that were included in calculations. Eighty-two percent of studies demonstrated a statistically significant association between the presence of multisite pain and falls when adjusting for confounding factors [5–7, 9, 10, 12, 13, 15, 16, 18–23, 26, 28]; 18% of studies found no statistically significant relationship between multisite pain and falls after adjusting for confounders [14, 17, 24, 27]. Studies that classified multisite pain by number of pain sites or included a measure of widespreadness found a linear correlation between the number of pain sites and an increasing risk of falls [5, 6, 22, 23, 25].…”

Section: Resultsmentioning

confidence: 99%

“…Eighty-five percent of studies demonstrated a statistically significant cross-sectional relationship between the presence of multisite pain and previous history of falls when adjusting for confounding factors [6, 7, 9, 12, 13, 15, 16, 18–21]; 15% of studies found no statistically significant cross-sectional relationship after adjusting for confounders [14, 17].…”

Section: Resultsmentioning

confidence: 99%

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Multisite pain and self-reported falls in older people: systematic review and meta-analysis

et al. 2019

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Background Multisite pain and falls are common in older people, and isolated studies have identified multisite pain as a potential falls risk factor. This study aims to synthesise published literature to further explore the relationship between multisite pain and falls and to quantify associated risks. Methods Bibliographic databases were searched from inception to December 2017. Studies of community-dwelling adults aged 50 years and older with a multisite pain measurement and a falls outcome were included. Two reviewers screened articles, undertook quality assessment and extracted data. Random-effects meta-analysis was used to pool the effect estimate (odds ratio (OR) and 95% confidence interval (95%CI)). Heterogeneity was assessed by I 2 ; sensitivity analyses used adjusted risk estimates and exclusively longitudinal studies. Results The search identified 49,577 articles, 3145 underwent abstract review, 22 articles were included in the systematic review and 18 were included in the meta-analysis. The unadjusted pooled OR of 1.82 (95%CI 1.55–2.13), demonstrating that those reporting multisite pain are at increased risk of falls, is supported by the adjusted pooled OR of 1.56 (95%CI 1.39–1.74). Multisite pain predicts future falls risk (OR = 1.74 (95%CI 1.57–1.93)). For high-quality studies, those reporting multisite pain have double the odds of a future fall compared to their pain-free counterparts. Conclusion Multisite pain is associated with an increased future falls risk in community-dwelling older people. Increasing public awareness of multisite pain as a falls risk factor and advising health and social care professionals to identify older people with multisite pain to signpost accordingly will enable timely falls prevention strategies to be implemented. Electronic supplementary material The online version of this article (10.1186/s13075-019-1847-5) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Multisite pain and self-reported falls in older people: systematic review and meta-analysis

et al. 2019

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“…The literature search terms were limited and may have missed additional relevant or more recently published articles in the area of health promotion, disease prevention, and wellness. [78][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97] There was meager evidence in the literature to inform the panel about whether periodic screenings and manipulation of asymptomatic joint and muscle dysfunction can reduce the recurrence of future episodes of musculoskeletal pain or slow down the degenerative process. Chiropractic care for prevention of injury is a theory that should be investigated in future longitudinal observational research and cost-effectiveness studies to determine the preventive benefits of such care.…”

Section: Limitations and Future Studiesmentioning

confidence: 99%

Consensus Process to Develop a Best-Practice Document on the Role of Chiropractic Care in Health Promotion, Disease Prevention, and Wellness

Hawk

Schneider

Evans

et al. 2012

Journal of Manipulative and Physiological Therapeutics

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“…9 Manual therapists have been urged to incorporate the principles of health promotion when providing care to their patients who are at risk for falling. 10,11 Several resources are available to manual therapists to assist them in this role. 11,12 Besides a general public health role, manual therapists may be in a position to assist older patients to prevent falls because of the therapeutic interventions that they use.…”

mentioning

confidence: 99%