Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age: a cross-sectional study

Kendall, J, Hvid, L, Hartvigsen, J, Fazalbhoy, A, Azari, M, Skjødt, M, Robinson, S and Caserotti, P 2018, 'Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age: a cross-sectional study', Aging Clinical and Experimental Research, vol. 30, no. 8, pp. 969-975.


Document type: Journal Article
Collection: Journal Articles

Title Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age: a cross-sectional study
Author(s) Kendall, J
Hvid, L
Hartvigsen, J
Fazalbhoy, A
Azari, M
Skjødt, M
Robinson, S
Caserotti, P
Year 2018
Journal name Aging Clinical and Experimental Research
Volume number 30
Issue number 8
Start page 969
End page 975
Total pages 7
Publisher Springer
Abstract Background In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain. Objective This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain. Methods 48 older adults with a gait speed of < 0.9 m/s from Odense, Denmark were recruited through the public health service. Self-reported neck pain, low back pain, and concerns of falling were recorded on questionnaires. Sway range, velocity and area were recorded on a force plate in a comfortable standing stance. Pain intensity was rated on an 11 point numerical rating scale (0-10). Participants were sub-grouped into mild (0-4) and intense (> 5) neck pain or low back pain. Results Intense neck pain was associated with increased anterior-posterior sway range and area of sway. Intense low back pain was associated with increased concerns of falling. Conclusion Intense neck pain in mobility-limited older adults is associated with significant changes in postural balance, and intense low back pain is associated with significantly higher concerns of falling.
Subject Geriatrics and Gerontology
Neurology and Neuromuscular Diseases
Keyword(s) Balance
Falls risk
Musculoskeletal pain
Older adults
Mobility-limitation
DOI - identifier 10.1007/s40520-017-0876-7
Copyright notice © 2017 Springer International Publishing AG, part of Springer Nature
ISSN 1720-8319
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