Neck pain, concerns of falling and physical performance in community-dwelling Danish citizens over 75 years of age: A cross-sectional study

Kendall, J, Boyle, E, Hartvigsen, J, Hvid, L, Azari, M, Skojdt, M and Caserotti, P 2016, 'Neck pain, concerns of falling and physical performance in community-dwelling Danish citizens over 75 years of age: A cross-sectional study', Scandinavian Journal of Public Health, vol. 44, no. 7, pp. 695-701.


Document type: Journal Article
Collection: Journal Articles

Title Neck pain, concerns of falling and physical performance in community-dwelling Danish citizens over 75 years of age: A cross-sectional study
Author(s) Kendall, J
Boyle, E
Hartvigsen, J
Hvid, L
Azari, M
Skojdt, M
Caserotti, P
Year 2016
Journal name Scandinavian Journal of Public Health
Volume number 44
Issue number 7
Start page 695
End page 701
Total pages 7
Publisher Sage Publications
Abstract Aims: The aim of this study was to determine the associations between neck pain, concerns of falling and physical performance in older people. Methods: Cross-sectional study of 423 community-dwelling Danes aged 75 years and older. Measures consisted of self-reported neck pain, physical performance (Short Physical Performance Battery), self-reported psychological concerns related to falling (Falls Efficacy Scale International), depression (Major Depression Inventory), cognitive function (Mini Mental State Examination), self-reported low-back pain and self-reported history of falls. Associations between neck pain and fear of falling were determined using multivariable logistic regression modelling. Results: Bothersome neck pain that limits daily activities is significantly associated with concerns of falling (unadjusted odds ratio (OR) 3.29, 95% confidence interval (CI) 1.54-7.03) and impaired physical performance (unadjusted OR 2.26, 95% CI 1.09-4.69). However, these relationships became nonsignificant after adjusting for potential confounders. Bothersome neck pain and concerns of falling is attenuated by depression, and the relationship between bothersome neck pain and decreased physical performance is attenuated by concerns of falling, depression and previous history of falls. Conclusions: Bothersome neck pain in older people is associated with increased concerns of falling and decreased physical performance that are two known risk factors for falls in older people. However, these relationships are complicated by other variables, particularly depression.
Subject Geriatrics and Gerontology
Motor Control
Chiropractic
Keyword(s) Aged
fear of falling
pain
physical performance
DOI - identifier 10.1177/1403494816666414
Copyright notice © Author(s) 2016
ISSN 1403-4948
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