The impact of chronic low back pain on older adults: A comparative study of patients and controls
| Autor: | Debra K. Weiner, Thomas E. Rudy, Jill C. Slaboda, J. Robert Boston, S.J. Lieber |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Comorbidity Risk Assessment Article Degenerative disc disease Disability Evaluation Risk Factors Sickness Impact Profile Activities of Daily Living Prevalence medicine Humans Psychology Aged Aged 80 and over Geriatrics Mental Disorders Chronic pain Pennsylvania medicine.disease Low back pain Anesthesiology and Pain Medicine Mood Neurology Chronic Disease Physical therapy Female Geriatric Depression Scale Neurology (clinical) medicine.symptom Low Back Pain Intervertebral Disc Displacement |
| Zdroj: | Pain. 131:293-301 |
| ISSN: | 0304-3959 |
| Popis: | Chronic low back pain (CLBP) is one of the most common, poorly understood, and potentially disabling chronic pain conditions from which older adults suffer. Many older adults remain quite functional despite CLBP, and because age-related comorbidities often exist independently of pain (e.g., medical illnesses, sleep disturbance, mobility difficulty), the unique impact of CLBP is unknown. We conducted this research to identify the multidimensional factors that distinguish independent community dwelling older adults with CLBP from those that are pain-free. Three hundred twenty cognitively intact participants (162 with ≥ moderate pain for ≥ 3 months, and 158 pain-free) underwent comprehensive assessment of pain severity, medical comorbidity (illnesses, body mass index, medications), severity of degenerative disc and facet disease, lumbar flexion, psychological constructs (self-efficacy, mood, overall mental health), and self-reported as well as performance-based physical function. Significant differences were ascertained for all 22 measures. Discriminant function analysis revealed that eight measures uniquely maximized the separation between the two groups (self-reported function with the Functional Status Index and the SF-36, performance-based function with repetitive trunk rotation and functional reach, mood with the Geriatric Depression Scale, comorbidity with the Cumulative Illness Rating Scale and BMI, and severity of degenerative disc disease). These results should help to guide investigators that perform studies of CLBP in older adults and practitioners that want an easily adaptable battery for use in clinical settings. |
| Databáze: | OpenAIRE |
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