Musculoskeletal Injures in Older Adults

Platts‐Mills, Timothy F.; Dayaa, Joseph A.

doi:10.18043/ncm.78.5.318

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…Another study with several consecutive semiannual assessments in residents included at admission reported the prevalence of persistent presence of pain to vary between 36 and 41% [ 7 ]. The fluctuation of pain across two or more assessments may partly be explained by the multifactual causes of pain in NH residents [ 19 , 25 , 26 ] and to the dementia itself [ 19 , 27 , 28 ]. In addition, some of the fluctuation may be due to the pain treatment, both pharmacological and non-pharmacological [ 65 ], which is an essential part of the care of residents in NH [ 66 ].…”

Section: Discussionmentioning

confidence: 99%

“…Pain in NH residents with dementia is often linked to medical co-morbidities, particularly musculoskeletal conditions [ 19 ] and long-term neuropathic conditions such as diabetes [ 25 , 26 ]. Furthermore, the experience of pain may be affected by neuropathological changes in the brain due to dementia that has its origins in white matter lesions and grey matter atrophy [ 19 , 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of prevalence of pain in nursing home residents with dementia

Helvik,

Bergh,

Tevik

2023

BMC Geriatr

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Background The prevalence of dementia in nursing home (NH) residents is high, and pain is a troublesome symptom for them. Several studies since 2010 have focused on pain in NH residents with dementia, but there is a lack of systematic reviews on the prevalence of pain in NH residents with dementia. Aim To systematically review observational studies published from 2010 to 2023 on how pain is assessed and prevalence of pain found in NH residents with dementia. Methods A systematic search was conducted in the MEDLINE, PubMed, PsycINFO, Embase, CINAHL, AgeLine, and Cochrane databases for studies published from January 2010 to August 2023. Studies were included if they were observational studies with a quantitative design where self-report, staff assessment, and/or chart review were used to define the prevalence of pain in samples or subsamples of NH residents with dementia. Results Of 184 studies considered, 25 were included. The studies assessed pain as daily, present, clinically relevant, chronic, intermittent, persistent pain and/or if pain affected quality of life. The prevalence of pain was high in most studies of NH residents with dementia independent of whether pain was reported as presence of pain or clinically relevant pain, but the prevalence varied from 8.6% to 79.6%. This prevalence was quite stable across the NH stay, but higher towards the end of life (up to 80.4%). Study designs and methodologies differed considerably. About half relied on an observational assessment inventory. Conclusion The number of studies focusing on pain in NH residents with dementia was restricted and methodologies differed considerably. Relatively few studies used an observational assessment inventory. In view of the fact that residents with dementia may have difficulties communicating pain, clinicians should pay attention to pain in these residents, systematically and reliably uncover pain by use of observational inventories, and subsequently treat pain to secure high quality care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A systematic review of prevalence of pain in nursing home residents with dementia

Helvik,

Bergh,

Tevik

2023

BMC Geriatr

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“…These contributing factors can lead to decreased care and increased painful outcomes. 102 The elderly have constant low-grade inflammation 103 and often aging-associated neurodegeneration, 104 which suggests that changes in brain structure play an important role in neuroplasticity associated with chronic pain. Age-associated comorbidities show decreased CNS plasticity and tissue degeneration.…”

Section: Source Recommendationsmentioning

confidence: 99%

Pain and aging: A unique challenge in neuroinflammation and behavior

Singh,

Guindon,

Mody

et al. 2023

Mol Pain

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Chronic pain is one of the most common, costly, and potentially debilitating health issues facing older adults, with attributable costs exceeding $600 billion annually. The prevalence of pain in humans increases with advancing age. Yet, the contributions of sex differences, age-related chronic inflammation, and changes in neuroplasticity to the overall experience of pain are less clear, given that opposing processes in aging interact. This review article examines and summarizes pre-clinical research and clinical data on chronic pain among older adults to identify knowledge gaps and provide the base for future research and clinical practice. We provide evidence to suggest that neurodegenerative conditions engender a loss of neural plasticity involved in pain response, whereas low-grade inflammation in aging increases CNS sensitization but decreases PNS sensitivity. Insights from preclinical studies are needed to answer mechanistic questions. However, the selection of appropriate aging models presents a challenge that has resulted in conflicting data regarding pain processing and behavioral outcomes that are difficult to translate to humans.

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Effects of a Digital Musculoskeletal Acute Care Program on Chronic Pain Prevention: An Observational Study with Nonparticipant Comparison Group

Hong¹,

Topete²,

Yang³

et al. 2022

JPR

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Background:There is limited research on whether digital interventions can prevent acute or subacute pain from developing into chronic pain. This observational study's primary objective examined whether chronic pain was more likely to be prevented in digital acute MSK program participants than nonparticipants. An exploratory objective was time to pain relief for program participants versus nonparticipants. Patients and Methods:The intervention group participants conducted video visits with physical therapists and were recommended exercise therapies and educational articles delivered through an app dedicated to addressing musculoskeletal (MSK) needs. This study used a multidimensional approach incorporating pain, function, depression, and anxiety scores to determine whether chronic pain prevention was achieved at 12 weeks. Descriptive analyses, unadjusted, and adjusted logistic regression were conducted. Time-toevent analysis was performed to compare the time to pain relief between groups. Results: A total of 171 participants (intervention: 75, nonparticipants: 96) with baseline and 3, 6, and 12 week follow-up data were included in the sample. Baseline mean (SD) age was 44.2 (11.8) years and mean VAS pain was 43.3 (22.9), out of 100. Results showed significantly higher odds of achieving chronic pain prevention at 12 weeks in the intervention participants versus nonparticipants. After adjusting for age, pain region, registration month, number of weeks of pain experienced, and healthcare service use at 12 weeks, 20.5% of the intervention group and 5.5% of the nonparticipant group achieved chronic pain prevention. At 91 days, the probability of developing chronic pain was 77.7% for nonparticipants and 46.5% for intervention participants (p<0.001; Log rank test). Conclusion:A digital acute MSK program may help to prevent chronic pain from developing among those with acute and subacute MSK needs. Study results also suggest that program participants achieve chronic pain relief sooner compared to nonparticipants.

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Musculoskeletal Injures in Older Adults

Cited by 5 publications

References 31 publications

A systematic review of prevalence of pain in nursing home residents with dementia

A systematic review of prevalence of pain in nursing home residents with dementia

Pain and aging: A unique challenge in neuroinflammation and behavior

Effects of a Digital Musculoskeletal Acute Care Program on Chronic Pain Prevention: An Observational Study with Nonparticipant Comparison Group

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