Musculoskeletal pain characteristics associated with lower balance confidence in community-dwelling older adults

Stubbs, Brendon; Schofield, Patricia; Patchay, Sandhiran; Leveille, Suzanne G.

doi:10.1016/j.physio.2015.03.3721

Cited by 24 publications

(21 citation statements)

References 34 publications

(53 reference statements)

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“…[28] Deficiencies or suboptimal performance in each of these important factors are established risk factors for falls [29] and improvements in each of these may account for a reduction in falls. Such improvements may also improve balance confidence in older adults [30], which may therefore account for the improvements in fear of falling reported in the included studies.…”

Section: Discussionmentioning

confidence: 91%

Dance movement therapy and falls prevention

et al. 2017

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Falls are a leading cause of morbidity, healthcare use and mortality. Dance is a popular form of physical activity among older people and previous research has suggested that it may improve various health outcomes in this population, including balance, gait and muscle performance. A systematic review of the potential benefits of dance on falls and fear of falling is lacking. Thus, we conducted a systematic review considering all randomized controls trials (RCTs) investigating if dance can reduce falls and improve fear of falling in older adults. Major databases were searched from inception until 1 March 2017 and a total of 10 RCTs were identified, which included a total of 680 people (n=356 dance, n=324 control). Overall, the mean age of the samples was 69.4 years, and 75.2% were female. Across four RCTs, dance therapy reduced falls versus usual care in only one study. Dance therapy improved fear of falling in two out of three included RCTs. There were no serious adverse events reported in the RCTs. In summary, we found a paucity of studies investigating the effect of dance on falls and fear of falling and the evidence base is preliminary and equivocal. Given the heterogeneity of the included samples and interventions, in addition to the short-term follow-up, no firm conclusions can be drawn. However, dance appears to be safe and, given its popularity and demonstrated benefits on other health/wellbeing outcomes in older adults, it is important that future research considers its potential benefits on falls/fear of falling in older age.

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Section: Discussionmentioning

confidence: 91%

Dance movement therapy and falls prevention

et al. 2017

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“…2). One recent study discussed this hypothesis 43) by explaining the previous findings that older people with a decline in physical performance were likely to have lower functional mobility with an increased risk of falls, and therefore, tended to avoid activities due to a fear of falling 44,45) . Another study also indicates that community-dwelling older people with…”

Section: Conflict Of Interestsmentioning

confidence: 99%

Association between middle- to late-life physical performance and incident Alzheimer's disease: Recent findings and potential mechanisms

Narazaki

Nofuji

Kumagai

2017

JPFSM

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Dementia is recognized as one of the major formidable public health challenges in modern aging societies. Among the several subtypes of dementia, Alzheimer's disease (AD) is the most frequent, probably accounting for 40-50% of total dementia cases. Recent findings from prospective cohort studies suggest that impairment, found in certain physical performance measures, precedes the clinical diagnosis of AD. The main aim of this review paper is to provide a brief summary of recent findings regarding the associations between middle-to late-life physical performance measures and incident AD and total dementia including AD. This paper also aims to discuss the potential mechanisms underlying the prospective associations between physical performance and incident AD. The reviewed findings suggest that poor baseline status in physical performance measures, including gait performance, muscle strength, balance, aerobic performance, and composite physical performance, is associated with greater risk for the subsequent incidence of AD. Preclinical pathologies leading to AD and physical fitness are named as part of plausible factors underlying the prospective association between physical performance and incident AD. It is also speculated that the prospective association is mostly noncausal, where physical performance measures probably serve as "early markers" of the future incidence of AD. Further studies are expected to establish solid evidence of the prospective association, to clarify the whole picture of the mechanisms underlying the association, and to explore the practical application of physical performance measures in attempts to identify individuals at a higher risk of AD before or early in the disease.

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“…The Australian Institute of Health and Welfare reported that chronic back problems affect 27% of people aged between 65 and 74 years in Australia [9]. Furthermore, the severity and number of chronic musculoskeletal pain sites are associated with reduced balance performance and falls risk [10].…”

Section: Introductionmentioning

confidence: 99%

Effects of manual therapies on stability in people with musculoskeletal pain: a systematic review

et al. 2020

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Introduction: Chronic musculoskeletal pain is associated with reduced balance performance and falls risk. Manual therapies are commonly used interventions for musculoskeletal pain. There is emerging evidence that manual therapies may improve balance. The aim of this systematic review was to examine the effectiveness of manual therapies for musculoskeletal pain on measures of static and dynamic stability.Methods: Six electronic databases were searched using pre-defined eligibility criteria and two independent reviewers assessed all identified records. Risk of bias was assessed using the 12-item Cochrane Risk of Bias assessment by two authors independently and any discrepancies resolved through consensus. Meta-analysis was conducted when three or more studies used the same outcome measures including gait speed, timed up and go test, step test and sit-to-stand test.Results: Twenty-six studies were included in the analysis. Both spinal and extremity musculoskeletal pain conditions were represented. Manual therapies included manipulation, mobilisation and massage. The most common intervention compared to manual therapy was exercise. Outcome measures included both clinical and objective measures of stability. Overall the risk of bias was reported as generally low or unclear.Conclusion: Improvement in stability measures were reported in studies comparing manual therapy in the short term, but not long-term follow-up. There was no clear association between significant pain reduction and measures of stability. Further prospective studies are recommended to investigate whether manual therapies should be part of an integrative healthcare plan for risk of falls management and when a transition from manual therapy to more active interventions should occur for long term management.

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Musculoskeletal pain characteristics associated with lower balance confidence in community-dwelling older adults

Abstract: Please cite this article as: Stubbs B, Schofield P, Patchay S, Leveille S, Musculoskeletal pain characteristics associated with lower balance confidence in community-dwelling older adults, Physiotherapy (2015), http://dx

Cited by 24 publications

References 34 publications

Dance movement therapy and falls prevention

Dance movement therapy and falls prevention

Association between middle- to late-life physical performance and incident Alzheimer's disease: Recent findings and potential mechanisms

Effects of manual therapies on stability in people with musculoskeletal pain: a systematic review

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