Falls risk is associated with pain and dysfunction but not radiographic osteoarthritis in older adults: Tasmanian Older Adult Cohort study

Foley, Stella; Lord, Stephen R.; Srikanth, Velandai; Cooley, Helen M; Jones, Graeme

doi:10.1016/j.joca.2005.12.007

Cited by 116 publications

(114 citation statements)

References 24 publications

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“…Another relevant aspect is the association of the presence of pain with the occurrence of stiffness and alterations in functional activities, especially those related to knee flexion. 5,13,17 Leveille et al 17 demonstrated that in elderly individuals with OA the greatest difficulty in the performance of daily functions was related to muscle weakness developed in avoiding the execution of tasks that produced pain, such as climbing stairs or walking for a longer distance. Therefore, pain is an important and common clinical symptom in patients with OA, and can constitute a limiting factor of functional ability.…”

Section: Discussionmentioning

confidence: 99%

“…2 Individuals with knee OA have greater difficulty in performing functional activities, particularly those that involve mobility and transfers when compared with healthy individuals. 4 Functional decline, increased risk of falls and presence of pain are, in many studies, related to the muscle weakness caused by OA, 4,5 especially weakness of the quadriceps and hamstring muscles. 6 Individuals with knee OA present reduction of strength in the muscles of this joint, which might or might not be associated with muscle atrophy, pain and edema.…”

Section: Introductionmentioning

confidence: 99%

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Desempenho muscular, dor, rigidez e funcionalidade de idosas com osteoartrite de joelho

et al. 2011

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Objective: To determine the correlation between performance of the knee muscles and pain, stiffness, and functionality, through the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Questionnaire applied to an elderly population with osteoarthritis of the knee (OA). Methods: This study uses an observational, cross-sectional approach applied to a convenience sample of 80 elderly individuals (71.2 ± 5.3 years of age) with a clinical diagnosis of OA of the knee. Muscle strength, resistance, and balance of the knee were evaluated using the Biodex System 3 Pro isokinetic dynamometer at angular speeds of 60º/s and 180º/s. The self-reported functionality, presence of pain, and stiffness were evaluated by the WOMAC questionnaire. The correlation between the variables was analyzed by Spearman's coefficient of correlation (α = 0.05). Results: A significant inverse Acta Ortop Bras. 2011;19(4): 193-7All the authors declare that there is no potential conflict of interest referring to this article. correlation was observed between muscle strength and resistance of the quadriceps muscle (Q) and the hamstring muscle (H) at speeds of 60º/s and 180°/s, respectively, as well as in the relation between H/Q muscle balance at 180°/s and all domains of the WOMAC (p<0.05). Conclusions: The reduction in strength, resistance, and presence of imbalance in the knee muscles are inversely correlated with all the domains of the WOMAC in elderly individuals with OA. These results indicate a need for intervention that involves strengthening, resistance, and balance of the knee extensor and flexor muscles, aimed at reducing the impact of OA in relation to pain, stiffness, and functionality in elderly individuals. Level of Evidence: Level I, diagnostic studies -investigating a diagnostic test. ORiginAl ARticle

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Desempenho muscular, dor, rigidez e funcionalidade de idosas com osteoartrite de joelho

et al. 2011

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“…A total of 21 articles fit the search criteria and were included in the review. 6,7,[9][10][11][12][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Although all 21 studies included adults with OA or joint pain (including hip and knee), only 14 were specific to either hip or knee OA. 10,11,12,16,19,[20][21][22][23][25][26][27][28][29] We found few studies that addressed the relationship between personal and environmental contextual factors and fall risk spe- Adapted from the Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons.…”

Section: Methodsmentioning

confidence: 99%

“…16 A second study found a threefold increase in fall risk, as measured by the Physiologic Profile Assessment (PPA), in women who scored higher in function and pain disability (scored b50 on the Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC]) related to their OA. 24 Not all studies produced evidence of site-specific arthritis-related fall risk. The presence of any arthritis or joint pain was shown to be a risk factor for falls.…”

Section: Fall and Fracture Riskmentioning

confidence: 99%

“…13 In fact, up to 30% of older adults with hip OA reported one or more near falls per week, while 45% had experienced one or more falls in the past year. 10 Foley and colleagues 24 found that self-reported functional ability and pain related to hip or knee OA were associated with reaction time, balance, proprioception, knee extension strength, and edge-contrast sensitivity. Other studies found balance impairment in older adults with hip or knee OA.…”

Section: The Relationship Of Balance and Walking Limitations To Incrementioning

confidence: 99%

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Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

Arnold

Gyurcsik

2012

Physiotherapy Canada

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Purpose: As the numbers of Canadians aged 65 years and over increases over the next 20 years, the prevalence of chronic conditions, including arthritis, will rise as will the number of falls. Although known fall-risk factors are associated with hip and knee osteoarthritis (OA), minimal research has evaluated fall and fracture risk and/or rates in this population. Thus, the purpose was to summarize research on fall and fracture risk in older adults with hip or knee OA and to develop a conceptual framework of fall-risk screening and assessment. Method: The International Classification of Functioning, Disability and Health, clinical practice guidelines for fall-risk screening, and a selected literature review were used. Results: Gaps exist in our knowledge of fall and fracture risk for this population. Muscle performance, balance, and mobility impairments have been identified, but little is known about whether personal and environmental contextual factors impact fall and fracture risk. Physical activity may help to prevent falls, but non-adherence is a problem. Conclusion: A need exists to assess fall risk in older adults with hip and knee OA. Promoting regular physical activity by focusing on disease-and activity-specific personal contextual factors may help direct treatment planning.

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Post-acute physiotherapy for primary total knee arthroplasty

Westby¹,

Kennedy²,

Jones

et al. 2008

Cochrane Database of Systematic Reviews

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Falls risk is associated with pain and dysfunction but not radiographic osteoarthritis in older adults: Tasmanian Older Adult Cohort study

Abstract: Self-reported functional ability and pain, and to a lesser extent, stiffness (but not knee and hip ROA), have a modest but independent association with physiological predictors of falls risk.

Cited by 116 publications

References 24 publications

Desempenho muscular, dor, rigidez e funcionalidade de idosas com osteoartrite de joelho

Desempenho muscular, dor, rigidez e funcionalidade de idosas com osteoartrite de joelho

Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

Post-acute physiotherapy for primary total knee arthroplasty

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