Pain Factors Associated With Physical Disability in a Sample of Community-Dwelling Senior Citizens

Scudds, Rhonda J.; Robertson, James

doi:10.1093/gerona/55.7.m393

Cited by 108 publications

(77 citation statements)

References 30 publications

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“…In individuals older than 65 years, osteoarthritis of the knees or hands and rotator cuff disease are the most prevalent causes of musculoskeletal pain. A high prevalence of these degenerative musculoskeletal diseases has been reported [23], and prevalence of concurrent upper and lower extremity pain in patients older than 65 years is reportedly greater than 40% [25]. Furthermore, musculoskeletal pain or disability is reportedly more prevalent [18] and more severe in women [8], which concurs with our findings.…”

Section: Discussionsupporting

confidence: 90%

How Much Are Upper or Lower Extremity Disabilities Associated with General Health Status in the Elderly?

Roh

Kim

Paik

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionsupporting

confidence: 90%

How Much Are Upper or Lower Extremity Disabilities Associated with General Health Status in the Elderly?

Roh

Kim

Paik

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…The morbidity was, however, in general low, with gradually increasing morbidity if LBP was associated with sciatica and neurological deficits. The 46 % one-year prevalence of LBP in our old male population is somewhat high in the perspective of the reported prevalence of 13-49 % in other reports [11][12][13][14][15]. It is, however, difficult to directly compare results since there is no well-established definition of LBP.…”

Section: Discussionmentioning

confidence: 59%

The prevalence and severity of low back pain and associated symptoms in 3,009 old men

et al. 2013

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Purpose The aim of this study is to evaluate the prevalence and severity of low back pain (LBP) and the influence of sciatica and neurological deficits in old men. Material and method Mister osteoporosis Sweden includes 3,014 community-dwelling men aged 69-81 years. At study start 3,009 participants answered questions on LBP, low back pain and sciatica (LBP ? SCI) or low back pain and sciatica with associated neurological deficits (LBP ? SCI ? NEU) during the preceding 12 months. Data are presented as proportions or medians with mid-quartile ranges. Differences between groups were tested by v 2 test and Kruskall-Wallis test. Conclusions The 1-year prevalence of LBP in community living men aged 69-81 years was close to 50 % but for individuals with LBP or LBP ? SCI the morbidity was low with more than two-thirds having no limitations in ADL. In men with LBP ? SCI ? NEU more than one-third rated the pain as severe and close to half had limitations in ADL.

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“…We have found that the ACR classification of widespread pain provides a sound method for classifying the most disabling pain that causes quantitatively different risks for older persons compared to lower extremity pain or mild musculoskeletal pain in 1 joint area. Prior studies have shown that location and severity of pain are key pain characteristics that are associated with disability (Lichtenstein et al, 1998;Scudds and Robertson, 2000). In addition, more severe joint pain is associated with multisite pain (Leveille et al, 1998;Vogt et al, 2003;Croft et al, 2005) and multisite pain is more disabling than other pain (Hopman-Rock et al, 1997;Leveille et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

The pathway from musculoskeletal pain to mobility difficulty in older disabled women

Leveille

Bean

Ngo

et al. 2007

Pain

116

110

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Little is known about the pathway from musculoskeletal pain to mobility difficulty among older persons. We examined potential physical and psychological mediators of the pain-disability relationship in the Women's Health and Aging Study (WHAS), a cohort of women aged ≥65 who had at least mild disability at baseline. Pain was classified according to location and severity (widespread pain; lower extremity pain; other pain; none or mild pain in only one site). Among women without a lot of difficulty in stair climbing (n = 676) or walking (n = 510) at baseline, those who reported widespread pain were more likely than those with none or mild pain to develop a lot of difficulty with mobility during the 3 year follow-up. The likelihood for mobility difficulty was unchanged after adjusting for physical impairments and symptoms of depression and anxiety (walking aOR = 1.85, 95%CI, 1.08-3.17; stair climbing, aOR = 2.68, 95%CI, 1.56-4.62). Lower extremity pain was associated with increased likelihood for difficulty with climbing stairs but not with walking. However, this association was attenuated after adjusting for physical impairments and psychological symptoms (aOR = 1.66, 95%CI, 0.99-2.77). Pain was not associated with increased risk for becoming unable to walk or climb stairs. The findings suggest that pain is a unique domain as a cause of disablement, independent of the usual pathway to disability via physical impairments. Research is needed to better understand the development of pain-related disability in order to determine optimum approaches to prevent and treat mobility disability in older persons with persistent pain.

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Pain Factors Associated With Physical Disability in a Sample of Community-Dwelling Senior Citizens

Abstract: A thorough pain evaluation and appropriate management of certain aspects of pain may aid in the independent functioning of elderly persons.

Cited by 108 publications

References 30 publications

How Much Are Upper or Lower Extremity Disabilities Associated with General Health Status in the Elderly?

How Much Are Upper or Lower Extremity Disabilities Associated with General Health Status in the Elderly?

The prevalence and severity of low back pain and associated symptoms in 3,009 old men

The pathway from musculoskeletal pain to mobility difficulty in older disabled women

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