Low back pain precedes the development of new knee pain in the elderly population; a novel predictive score from a longitudinal cohort study

Ito, Hiromu; Tominari, Shinjiro; Tabara, Yasuharu; Nakayama, Takeo; Furu, Moritoshi; Kawata, Tomotoshi; Azukizawa, Masayuki; Setoh, Kazuya; Kawaguchi, Takahisa; Matsuda, Fumihiko; Matsuda, Shinya

doi:10.1186/s13075-019-1884-0

Cited by 18 publications

(16 citation statements)

References 35 publications

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“…Some authors reported the association between LBP and hand or foot [31], knee [12,28], shoulder [31], and neck pain [11] in cross-sectional studies. There have also been a small number of longitudinal studies regarding the association between LBP and each musculoskeletal pain, and preexisting LBP was reported to be associated with onset of knee [27] and neck pain [10]. To our knowledge, the present study was the first to report that preexisting knee and neck pain were individually associated with onset of LBP, even if the effect of the other musculoskeletal pain was considered.…”

Section: Discussionmentioning

confidence: 63%

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Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake

Yabe

Hagiwara

Sekiguchi

et al. 2020

BMC Musculoskelet Disord

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Background: Low back pain (LBP) is a common health problem experienced after natural disasters. LBP is often concurrent with other musculoskeletal pain; however, the effects of preexisting musculoskeletal pain on the development of LBP are not clear. The purpose of this study was to elucidate the association of musculoskeletal pain in other body sites with new-onset LBP among survivors of the Great East Japan Earthquake (GEJE). Methods: A longitudinal study was conducted with survivors of the GEJE. The survivors who did not have LBP at the 3 year time period after the GEJE were followed up 1 year later (n = 1782). Musculoskeletal pain, such as low back, hand and/or foot, knee, shoulder, and neck pain, were assessed with self-reported questionnaires. The outcome of interest was new-onset LBP, which was defined as LBP absent at 3 years but present at 4 years after the disaster. The main predictor was musculoskeletal pain in other body sites 3 years after the GEJE, which was categorized according to the number of pain sites (0, 1, ≥ 2). Multiple regression analyses were performed to calculate the odds ratio (OR) and 95% confidence interval (CI) for new-onset LBP due to musculoskeletal pain in other body sites. Results: The incidence of new-onset LBP was 14.1% (251/1782). Musculoskeletal pain in other body sites was significantly associated with new-onset LBP. Including people without other musculoskeletal pain as a reference, the adjusted OR and 95% CI for new-onset LBP were 1.73 (1.16-2.57) for people with one musculoskeletal pain site and 3.20 (2.01-5.09) for people with ≥ 2 sites (p < 0.001). Conclusions: Preexisting musculoskeletal pain in other body sites was associated with new-onset LBP among survivors in the recovery period after the GEJE.

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Section: Discussionmentioning

confidence: 63%

“…There has been speculation in the literature about the association between concurrent pain at different sites. Pain at one site can negatively affect motion or posture and place additional burden on the other parts of the body [27]. The factors associated with one pain can also be related to the other pain [28].…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake

Yabe

Hagiwara

Sekiguchi

et al. 2020

BMC Musculoskelet Disord

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show abstract

Section: Discussionmentioning

confidence: 57%

Musculoskeletal pain in other body sites is associated with new-onset low back pain: A longitudinal study among survivors of the Great East Japan Earthquake

Yabe

Hagiwara²,

Sekiguchi

et al. 2020

Preprint

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Background: Low back pain (LBP) is a common health problem experienced after natural disasters. LBP is often concurrent with other musculoskeletal pain; however, the effects of preexisting musculoskeletal pain on the development of LBP are not clear. The purpose of this study was to elucidate the association of musculoskeletal pain in other body sites with new-onset LBP among survivors of the Great East Japan Earthquake (GEJE). Methods: A longitudinal study was conducted with survivors of the GEJE. The survivors who did not have LBP at the three year time period after the GEJE were followed up one year later (n = 1,782). Musculoskeletal pain, such as low back, hand and/or foot, knee, shoulder, and neck pain, were assessed with self-reported questionnaires. The outcome of interest was new-onset LBP, which was defined as LBP absent at three years but present at four years after the disaster. The main predictor was musculoskeletal pain in other body sites three years after the GEJE, which was categorized according to the number of pain sites (0, 1, ≥ 2). Multiple regression analyses were performed to calculate the odds ratio (OR) and 95% confidence interval (CI) for new-onset LBP due to musculoskeletal pain in other body sites. Results: The incidence of new-onset LBP was 14.1% (251/1,782). Musculoskeletal pain in other body sites was significantly associated with new-onset LBP. Including people without other musculoskeletal pain as a reference, the adjusted OR and 95% CI for new-onset LBP were 1.73 (1.16-2.57) for people with one musculoskeletal pain site and 3.20 (2.01-5.09) for people with ≥ 2 sites (p < 0.001). Conclusions: Preexisting musculoskeletal pain in other body sites was associated with new-onset LBP among survivors in the recovery period after the GEJE .

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“…Clinical reports have documented patients with co-occurring LSS and hip OA [ 27 , 33 ], but the relationship with co-occurring knee OA [ 34 ], is relatively unknown. However, there is evidence suggesting knee OA and low back pain commonly co-exist [ 24 ] and low back pain has been identified as a risk factor for the development of knee pain in older adults [ 35 ]. A recent study also found the presence of radiographic knee OA was associated with all phenotypes of spinal OA (odds ratios ranging from 1.8 to 4.3) [ 36 ], which may represent the spinal changes found in LSS.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of multimorbid degenerative lumbar spinal stenosis with knee and/or hip osteoarthritis: protocol for a systematic review and meta-analysis

et al. 2020

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Background Lumbar spinal stenosis (LSS) and knee and hip osteoarthritis (OA) are prevalent conditions in the aging population and published literature suggests they share many symptoms and often are present at the same time in patients. However, no prevalence estimates of multimorbid LSS and knee and/or hip OA are currently available. The primary objective of this systematic review is therefore to estimate the prevalence of multimorbid LSS with knee and/or hip OA using radiological, clinical, and combined case definitions. Methods This systematic review protocol has been designed according to the guidelines from the Cochrane Collaboration and is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. A comprehensive search will be performed in the following databases: MEDLINE, EMBASE, CENTRAL, and CINAHL. Forward citation tracking will be performed in Web of Science. No restriction for publication date and language will be applied in the literature search, but only articles in English will be included. The search strategy will include the following domains: LSS, knee OA, and hip OA. Retrieved citations will be screened by two authors independently. Disagreements will be discussed until consensus, and a third reviewer will be consulted if consensus cannot be reached. Data extraction and assessment of risk of bias assessment will be done by two authors independently, using a standardized data extraction form and a modified risk of bias tool for prevalence studies. Meta-analysis estimating prevalence with 95% CI will be performed using a random effects model. Meta-regression analyses will be performed to investigate the impact of the following covariates: LSS clinical presentations, sample population, healthcare setting, risk of bias, and other patient characteristics on prevalence estimates for multimorbid LSS and knee and/or hip OA. Discussion The results of this review will provide the first estimates of the prevalence of multimorbid LSS and hip and knee OA based on various case definitions. The impact of covariates such as LSS clinical presentations, sample population, healthcare setting, risk of bias, and patient characteristics on prevalence estimates will also be presented. Systematic review registration PROSPERO, awaiting registration

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Low back pain precedes the development of new knee pain in the elderly population; a novel predictive score from a longitudinal cohort study

Cited by 18 publications

References 35 publications

Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake

Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake

Musculoskeletal pain in other body sites is associated with new-onset low back pain: A longitudinal study among survivors of the Great East Japan Earthquake

Prevalence of multimorbid degenerative lumbar spinal stenosis with knee and/or hip osteoarthritis: protocol for a systematic review and meta-analysis

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