Biopsychosocial Measures Related to Chronic Low Back Pain Postural Control in Older Adults

Abstract

This study examined the biopsychosocial measures related to postural control in the growing population of older adults (i.e., 60 years and older). The sample of the study consisted of 129 older adults (M = 74.45, SD = 6.95), with 34 males and 95 females; 36 were classified with chronic low-back pain (CLBP), and 93 without chronic low-back pain (NCLBP). Physical and psychosocial constructs were analyzed as predictors for postural control measures. Additionally, gender and classification of low-back pain were examined as moderators for all physical and psychosocial measures. Results demonstrated that physical and psychosocial measures were able to significantly predict composite, visual, and vestibular balance measures, but not somatosensory or preference balance measures. The chair-stand test, modified sit-and-reach test, sleep disturbance, and balance efficacy were all identified as individually significant predictors. Gender and CLBP did not moderate the utility of any predictor variables. Results of the current study re-confirm the importance of utilizing the biopsychosocial approach for future research examining postural control in older adults.

The biopsychosocial approach and considerations involved in chronic pain

“…Such an issue is important for consideration since it impacts older adults by lowering their quality-of-life [45][46][47] . As mentioned above, one reason for increased falls is due to the influence that chronic pain can have on balance capabilities from physical deconditioning of older adults [48][49][50] . For example, patients with lumbar spine chronic disc disease not only have decreased postural control, but also have significant asymmetry in foot pressure resulting from pain radiating to a lower limb [51] .…”

Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigation

“…This fear can lead to altered movement patterns and heightened muscle tension, further perturbing proprioceptive input ( 19 ). Additionally, fractures can result in chronic pain and muscle weakness, negatively impacting postural stability and balance ( 20 , 21 ). Collectively, low BMD can disrupt the intricate interplay between skeletal integrity, sensory input, and neuromuscular control, ultimately predisposing individuals to proprioceptive deficits and impaired balance, which are critical factors contributing to the heightened fall risk observed in osteoporotic individuals ( 22 ).…”