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, Julie C.; Hvid, Lars G.; Hartvigsen, Jan; Fazalbhoy, Azharuddin; Azari, Michael F.; Skjødt, Mathias; Robinson, Stephen R.; Caserotti, Paolo

doi:10.1007/s40520-017-0876-7

Cited by 17 publications

(20 citation statements)

References 26 publications

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“…proprioceptive losses, weakening of lower-extremity sensory feedback, and trunk muscle weakness and atrophy [26,28,29,32] . Thus, when aging is combined with LBP, impaired motor performance and balance dysfunction worsen.…”

Section: Discussionmentioning

confidence: 99%

“…Following the title andabstract screening, 35 fulltext articles were retrieved. The full-text review was completed to determine nal inclusion; 17 articles (13 case-control studies [20][21][22][23][24][25][26][27][28][29][30][31][32] , four RCTs [33][34][35][36] ) met the inclusion criteria. Only the 13 case-control studies were included in the meta-analysis.…”

Section: Study Selectionmentioning

confidence: 99%

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Effects of Low Back Pain on Balance Performance in Older People: A Systematic Review and Meta-analysis

Wang²,

Zhou

et al. 2020

Preprint

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Background: Research suggests that individuals with low back pain (LBP) may have poorer motor control compared to their healthy counterparts; however, the sample population of almost 90% of related articles are young and middle-aged people. There is still a lack of a systematicreview about the balance performance of elderly people with low back pain. This study aimed to conduct a systematic review and meta-analysis to understand the effects of LBP on balance performance in elderly people.Methods: This systematic review and meta-analysis included a comprehensive search of PubMed, Embase, and Cochrane Library databases for full-text articles published before January 2020. Two independent reviewers screened the relevant articles, and disagreements were resolved by a third reviewer.Results: Thirteen case-control studies comparing balance performance parameters between LBP and healthy subjects and four randomised controlled studies on physical therapy to improve thebalance performance of elderly people with LBP were included. The experimental group (LBP group) was associated with significantly larger area of centre of pressure movement (P < 0.001), higher velocity of centre of pressure sway in the anteroposterior and mediolateral directions(P= 0.01 and P = 0.02, respectively), longer path length in the anteroposterior direction (P < 0.001), slower walking speed (P = 0.05), and longer timed up and go test time (P = 0.004) than the control group.Conclusion: The results showed that balance performance was impaired in elderly people with LBP. We should pay more attention to the balance control of elderly people with LBP.

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Section: Discussionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Effects of Low Back Pain on Balance Performance in Older People: A Systematic Review and Meta-analysis

Wang²,

Zhou

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Following the title andabstract screening, 35 full-text articles were retrieved. The full-text review was completed to determine nal inclusion; 17 articles (13 case-control studies [20][21][22][23][24][25][26][27][28][29][30][31][32] , four RCTs [33][34][35][36] ) met the inclusion criteria. Only the 13 case-control studies were included in the meta-analysis.…”

Section: Selection Criteriamentioning

confidence: 99%

Effects of Low Back Pain on Motor Performance in Older People: A Systematic Review and Meta-analysis

Wang²,

Zhou

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Research suggests that individuals with low back pain (LBP) may have poorer motor control compared to their healthy counterparts; however, the sample population of almost 90% of related articles are young and middle-aged people. There is still a lack of a systematic review about the motor performance of elderly people with low back pain. This study aimed to conduct a systematic review and meta-analysis to understand the effects of LBP on motor performance in eldly people.Methods: This systematic review and meta-analysis included a comprehensive search of PubMed, Embase, and Cochrane Library databases for full-text articles published before January 2020. Two independent reviewers screened the relevant articles, and disagreements were resolved by athird reviewer.Results: Thirteen case-control studies comparing motor performance parameters between LBP and healthy subjects and four randomised controlled studies on physical therapy to improve the motor performance of elderly people with LBP were included. The experimental group (LBP group) was associated with significantly larger area of centre of pressure movement (P < 0.001),higher velocity of centre of pressure sway in the anteroposterior and mediolateral directions (P= 0.01 and P = 0.02, respectively), longer path length in the anteroposterior direction (P < 0.001), slower walking speed (P = 0.05), and longer timed up and go test time (P = 0.004) thanthe control group.Conclusion: The results show that motor performance is impaired in elderly people with LBP. We should pay more attention to the balance control of elderly people with LBP.

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“…There may be two reasons for these inconsistent ndings: (i) those studies did not take different di culty levels of postural tasks and cognitive tasks into consideration;(ii) the sample population in those dual-task studies were young and middle-aged people with LBP. For older people, contradictory results in bipedal standing have been shown in participants with LBP compared with that in healthy controls [15][16] . However, little is known about the modulation of cognitive loads to PC in older women with LBP.…”

Section: Introductionmentioning

confidence: 98%

How cognitive loads modulate the postural control of older women with low back pain ?

Wang

et al. 2020

Preprint

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Background: The capacity of postural control is a key factor related to falling in older people, particularly in older women with low back pain (LBP). Cognitive involvement in postural control increases with age.However, most scholars have not considered different difficulty levels of cognitive loads when exploring the effects of cognition on postural control in older patients with LBP. The present study is to investigate how different levels of cognitive loads modulate postural control in older women with LBP. Methods: This was a cross-sectional study. Twenty older women with LBP were recruited into the LBP group, and 20 healthy older women without the history of LBP were recruited into the healthy control group. Balance parameters were computed to quantify postural control. All participants underwent the balance test , which required the participant to maintain stability during standing on a force platform with or without a concurrent cognitive task. The balance test included three levels of difficulties of posture tasks (eyes-open vs. eyes-closed vs. and one-leg stance) and three cognitive tasks (without cognitive task vs. auditory arithmetic task vs. serial-7s arithmetic task). Results: A repeated-measure analysis of variance (3 postural tasks × 3 congnitive tasks× 2 groups) testing the effects of the different congnitive task levels on the performance in different postural conditions.Older women with LBP had worse postural control (as reflected by larger center of pressure (COP) parameters) than control group regardless of postural or cognitive difficulties. Compared with the single task, the COP parameters of participants with LBP were larger during dual tasks, even though the difficulty level of the cognitive task was low. Larger COP parameters were shown only if the difficulty level of the cognitive task was high in control group. Correlations between sway area/sway length and the number of falls were significant in dual tasks. Conclusion: Our findings shed light on how cognitive loads modulate postural control for older women with LBP. Compared with control group, cognitive loads showed more disturbing effects on postural control in older women with LBP, which was associated with falling.

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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

Abstract: 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.

Cited by 17 publications

References 26 publications

Effects of Low Back Pain on Balance Performance in Older People: A Systematic Review and Meta-analysis

Effects of Low Back Pain on Balance Performance in Older People: A Systematic Review and Meta-analysis

Effects of Low Back Pain on Motor Performance in Older People: A Systematic Review and Meta-analysis

How cognitive loads modulate the postural control of older women with low back pain ?

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