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Cited by 63Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyChronic Disease Management Strategies

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Do medical factors predict disability in older adults with persistent low back pain?

Weiner, Debra K., Rudy, Thomas E., Kim, Young-Sin, Golla, Sara·2004·Pain
DOI 10.1016/j.pain.2004.08.027
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Abstract

Persistent low back pain (LBP) is one of the most common and challenging persistent pain conditions in older adults. Medical comorbidity also is common in these individuals, but its impact on disability has not been examined. The purpose of this study was, using a cross-sectional design, to examine the functional impact of pain-related and general medical comorbidity on 100 community dwelling older adults (mean age 74.3) with persistent mechanical LBP. Subjects received a structured history and physical examination, lumbosacral spine X-rays, and standardized tests of physical function. Pain-related variables included intensity, duration, extent, and lumbar motion-induced pain. General medical variables included age, comorbidity, number of medications, depressive symptoms, back range of motion, body mass index, and severity of radiographic pathology. Function/disability measures included self-reported disability, gait speed, and mean number of static lifts and amount of work performed during a dynamic lifting task. Structural equation modeling was used to evaluate the influence of pain and medical variables on function/disability. The overall regression model indicated pain and medical variables were significantly associated with function/disability measures (R2=0.45, P<0.01). Individual regression coefficients, however, indicated that only pain duration (r=-0.36, P<0.05) and pain severity (r=0.37, P<0.001) were significantly associated with function/disability. Despite the pr…

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Metadata

Authors
Weiner, D. K., Rudy, T. E., Kim, Y.-S., & Golla, S.
Affiliations
University of Pittsburgh (US)
Corresponding author
Weiner, Debra K.
ORCID
Weiner, Debra K.
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2004-11
Volume
112
Issue
1
Pages
214-220
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/j.pain.2004.08.027
OpenAlex
W1998446147
Cited by
63
References
2
Citations by year
2026: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 1 · 2018: 6 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 5 · 2013: 8 · 2012: 5
FWCI
2.77
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service
  • National Institute on Aging (R01AG018299)
  • National Center for Complementary and Alternative Medicine
  • National Center for Complementary and Integrative Health (R01AT000985)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Keywords
chronic low back pain, older adults, disability, comorbidities, pain duration, pain intensity, physical function, lumbar range of motion, walking speed, dynamic lifting, medication use, depressive symptoms, body mass index, community-dwelling older adults
MeSH terms
Aged, Aged, 80 and over, Chronic Disease, Cross-Sectional Studies, Female, Humans, Male, Pain Measurement, Predictive Value of Tests, Regression Analysis, Risk Factors, Multivariate Analysis, Low Back Pain

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