Do medical factors predict disability in older adults with persistent low back pain

作者: Debra K. Weiner , Thomas E. Rudy , Young-Sin Kim , Sara Golla

DOI: 10.1016/J.PAIN.2004.08.027

关键词:

摘要: Abstract Persistent low back pain (LBP) is one of the most common and challenging persistent conditions in older adults. Medical comorbidity also these individuals, but its impact on disability has not been examined. The purpose this study was, using a cross-sectional design, to examine functional pain-related general medical 100 community dwelling adults (mean age 74.3) with mechanical LBP. Subjects received structured history physical examination, lumbosacral spine X-rays, standardized tests function. Pain-related variables included intensity, duration, extent, lumbar motion-induced pain. General age, comorbidity, number medications, depressive symptoms, range motion, body mass index, severity radiographic pathology. Function/disability measures self-reported disability, gait speed, mean static lifts amount work performed during dynamic lifting task. Structural equation modeling was used evaluate influence function/disability. overall regression model indicated were significantly associated function/disability (R2=0.45, P

参考文章(40)
Mantero-Atienza E, Christakis G, Sotomayor Mg, Baum Mk, Beach Rs, Nutritional status of institutionalized elderly in south Florida. Archivos Latinoamericanos De Nutricion. ,vol. 42, pp. 242- ,(1992)
Lucy Gagliese, Ronald Melzack, The Assessment of Pain in the Elderly Handbook of Pain and Aging. pp. 69- 96 ,(1997) , 10.1007/978-1-4899-0283-2_4
M Carrington Reid, Christianna S Williams, John Concato, Mary E Tinetti, Thomas M Gill, None, Depressive symptoms as a risk factor for disabling back pain in community-dwelling older persons. Journal of the American Geriatrics Society. ,vol. 51, pp. 1710- 1717 ,(2003) , 10.1046/J.1532-5415.2003.51554.X
K. G. Jöreskog, Dag Sörbom, Lisrel 8: User's Reference Guide ,(1997)
Jette Am, Functional Status Index: reliability of a chronic disease evaluation instrument. Archives of Physical Medicine and Rehabilitation. ,vol. 61, pp. 395- 401 ,(1980)
Thomas E Rudy, Robert J. Boston, Susan J Lieber, John A Kubinski, Brett R Stacey, Body motion during repetitive isodynamic lifting: a comparative study of normal subjects and low-back pain patients ☆ Pain. ,vol. 105, pp. 319- 326 ,(2003) , 10.1016/S0304-3959(03)00247-1
Pekka Mäntyselkä, Esko Kumpusalo, Riitta Ahonen, Anne Kumpusalo, Jussi Kauhanen, Heimo Viinamäki, Pirjo Halonen, Jorma Takala, Pain as a reason to visit the doctor: a study in Finnish primary health care. Pain. ,vol. 89, pp. 175- 180 ,(2001) , 10.1016/S0304-3959(00)00361-4
S. G. Leveille, J. M. Guralnik, M. Hochberg, R. Hirsch, L. Ferrucci, J. Langlois, T. Rantanen, S. Ling, Low Back Pain and Disability in Older Women: Independent Association With Difficulty But Not Inability to Perform Daily Activities Journals of Gerontology Series A-biological Sciences and Medical Sciences. ,vol. 54, ,(1999) , 10.1093/GERONA/54.10.M487
Debra K. Weiner, Bruce Distell, Stephanie Studenski, Salutario Martinez, Laurie Lomasney, Dennis Bongiorni, Does Radiographic Osteoarthritis Correlate with Flexibility of the Lumbar Spine Journal of the American Geriatrics Society. ,vol. 42, pp. 257- 263 ,(1994) , 10.1111/J.1532-5415.1994.TB01748.X