scholarly journals Older adults with back pain and spinal morning stiffness longer than 30 minutes are more at risk of developing long-term physical functioning limitations

2020 ◽  
Vol 28 ◽  
pp. S255
Author(s):  
R. van den Berg ◽  
A. Chiarotto ◽  
W.T. Enthoven ◽  
E. de Schepper ◽  
E.H. Oei ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Back Pain ◽  
Physical Functioning ◽  
Morning Stiffness

scholarly journals Nutrition support in critically ill COVID-19 patients

2020 ◽  
Vol 4 (1-3) ◽  
pp. 8
Author(s):  
Abdolreza Norouzy
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Critically Ill ◽  
Diagnosis And Treatment ◽  
Nutrition Support ◽  
Patients At Risk ◽  
Short And Long Term ◽  
Long Term Prognosis ◽  
Poor Outcomes

Diagnosis and treatment of malnutrition should be considered in the management of COVID-19 patients to improve both short- and long-term prognosis. Patients at risk for poor outcomes and higher mortality following infection with COVID-19, namely older adults and polymorbid individuals, should be checked for malnutrition through screening and assessment.

Evolution of the Greater Manchester Nutrition and Hydration Programme

2020 ◽  
Vol 25 (Sup8) ◽  
pp. S25-S29
Author(s):  
Kirstine Farrer ◽  
Emma Rose ◽  
Dave Haynes ◽  
Steven Edwards ◽  
John McLaughlin
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Return On Investment ◽  
Budget Impact ◽  
Cost Savings ◽  
Later Life ◽  
Healthy Life ◽  
Good Nutrition ◽  
Nutrition And Hydration

Older adults in the community are at risk of malnutrition and dehydration. The present article aims to outline an intervention and a population-health approach to raise awareness of the importance of good nutrition and hydration in later life. This was addressed by developing strong partnership working, governance frameworks and local steering committees. Through the Greater Manchester Nutrition and Hydration Programme, 39 500 older people have been asked about appetite and weight loss and/or used the PaperWeight Armband to date. A total of 5586 people from this population were found to be at risk of malnutrition. All were provided resources, advice and signposting to address this issue. The gross fiscal return on investment over a 5-year period was 3.2-fold and the net present budget impact was £800 000. The long-term cashable fiscal return on investment was estimated at 2.69. This very promising approach has potential to enable older adults to extend their healthy life span and deliver cost savings to the health and care system.

scholarly journals Conversion of Hip Arthrodesis to Hip Resurfacing: A Case Report

2009 ◽  
Vol 17 (2) ◽  
pp. 243-244
Author(s):  
Satyajit Sinha ◽  
Ugo Ihedioha ◽  
Sajan Shareef ◽  
Alexander Campbell
Keyword(s):  
At Risk ◽  
Back Pain ◽  
Case Report ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Resurfacing ◽  
Total Hip ◽  
Hip Arthrodesis

Patients with hip arthrodeses are at risk of developing back pain or pain in other joints in the long term. Conversion to a total hip replacement or hip resurfacing leads to resolution of symptoms in most patients. We report a 40-year-old man who underwent conversion of a hip arthrodesis to hip resurfacing with good results.

Multi-site Pain Is Associated with Long-term Patient-Reported Outcomes in Older Adults with Persistent Back Pain

Pain Medicine ◽  
2019 ◽  
Vol 20 (10) ◽  
pp. 1898-1906 ◽  
Author(s):  
Sean D Rundell ◽  
Kushang V Patel ◽  
Melissa A Krook ◽  
Patrick J Heagerty ◽  
Pradeep Suri ◽  
...  
Keyword(s):  
Older Adults ◽  
Back Pain ◽  
Pain Intensity ◽  
Mixed Effects ◽  
Mixed Effects Models ◽  
Widespread Pain ◽  
Pain Site ◽  
Multisite Pain ◽  
Persistent Back Pain

AbstractObjectiveTo estimate the prevalence of co-occurring pain sites among older adults with persistent back pain and associations of multisite pain with longitudinal outcomes.DesignSecondary analysis of a cohort study.SettingThree integrated health systems in the United States.SubjectsEight hundred ninety-nine older adults with persistent back pain.MethodsParticipants reported pain in the following sites: stomach, arms/legs/joints, headaches, neck, pelvis/groin, and widespread pain. Over 18 months, we measured back-related disability (Roland Morris, scored 0–24), pain intensity (11-point numerical rating scale), health-related quality of life (EuroQol-5D [EQ-5D], utility from 0–1), and falls in the past three weeks. We used mixed-effects models to test the association of number and type of pain sites with each outcome.ResultsNearly all (N = 839, 93%) respondents reported at least one additional pain site. There were 216 (24%) with one additional site and 623 (69%) with multiple additional sites. The most prevalent comorbid pain site was the arms/legs/joints (N = 801, 89.1%). Adjusted mixed-effects models showed that for every additional pain site, RMDQ worsened by 0.65 points (95% confidence interval [CI] = 0.43 to 0.86), back pain intensity increased by 0.14 points (95% CI = 0.07 to 0.22), EQ-5D worsened by 0.012 points (95% CI = –0.018 to –0.006), and the odds of falling increased by 27% (odds ratio = 1.27, 95% CI = 1.12 to 1.43). Some specific pain sites (extremity pain, widespread pain, and pelvis/groin pain) were associated with greater long-term disability.ConclusionsMultisite pain is common among older adults with persistent back pain. Number of pain sites was associated with all outcomes; individual pain sites were less consistently associated with outcomes.

Low back pain in older adults

2017 ◽  
pp. 563-570
Author(s):  
Kieran O’Sullivan ◽  
Kjartan Vibe Fersum ◽  
Wim Dankaerts ◽  
Peter O’Sullivan
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Service ◽  
Pain Control ◽  
Functional Approach ◽  
Low Back ◽  
Specific Factors ◽  
Systemic Pathology

Low back pain (LBP) is one of the most common reasons for enduring long-term disability and difficulty with activities of daily living. The assessment of LBP in older adults should first carefully rule out the rare possibility that the pain represents a serious spinal or systemic pathology. Thereafter, a clinical reasoning framework can be used to identify the specific mix of biopsychosocial factors which are most relevant in the pain presentation of each individual patient. A cognitive functional approach for each patient should then address those specific factors for each person, with a view to enhancing pain control, maintaining participation in valued activities, and reducing dependence on the health service.

Clinical and radiographic features of spinal osteoarthritis predict long-term persistence and severity of back pain in older adults

2020 ◽  
Author(s):  
Roxanne van den Berg ◽  
Alessandro Chiarotto ◽  
Wendy T. Enthoven ◽  
Evelien de Schepper ◽  
Edwin H.G. Oei ◽  
...  
Keyword(s):  
Older Adults ◽  
Back Pain ◽  
Radiographic Features ◽  
Spinal Osteoarthritis

scholarly journals Physical Functioning Among Older Adults New to Long-Term Services and Supports

2017 ◽  
Vol 58 (6) ◽  
pp. 1147-1155
Author(s):  
Jo-Ana D Chase ◽  
Karen B Hirschman ◽  
Alexandra L Hanlon ◽  
Liming Huang ◽  
Kathryn H Bowles ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Functioning ◽  
Services And Supports

scholarly journals Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability

2019 ◽  
Vol 56 (1) ◽  
pp. 141-146 ◽  
Author(s):  
Erik J. Groessl ◽  
Robert M. Kaplan ◽  
W. Jack Rejeski ◽  
Jeffrey A. Katula ◽  
Nancy W. Glynn ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Mobility Disability ◽  
Performance Impact ◽  
And Performance

scholarly journals Self-perceived functional ability and performance-based testing of physical function in older women with or without long-term back pain – results of the H70 study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hilda Kristin Svensson ◽  
Jon Karlsson ◽  
Therese Rydberg Sterner ◽  
Felicia Ahlner ◽  
Ingmar Skoog ◽  
...  
Keyword(s):  
Older Adults ◽  
Back Pain ◽  
Activities Of Daily Living ◽  
Physical Function ◽  
Older Women ◽  
Birth Cohort ◽  
Functional Ability ◽  
Daily Living ◽  
And Performance

Abstract Background The proportion of older adults is increasing rapidly, and the majority are female. In 2050, the number of persons aged 60 years and over is estimated to reach 2.1 billion worldwide, constituting one-third of the total population of Europe. Long-term back pain is a disabling and common condition, primarily affecting older women. Although standardized functional evaluations are essential in the screening of older adults, self-rated activities of daily living capture a different aspect of the person’s ability in the context of his or her environment and social support system. This study aimed to describe how older women with or without long-term back pain self-rate their activities of daily living (ADL) and instrumental activities of daily living (IADL) in relation to their performance-based testing of physical function, including walking test, leg muscle strength, balance, and endurance. Method This study is part of the Gothenburg H70 Birth Cohort Studies in Sweden (H70 studies) and uses data from the 1944 birth cohort examined in 2015–16 at age 70. In the present study, only female participants were included in the analysis, and all cases of dementia (n = 17) and cases of acute and sub-acute back pain excluded (n = 181), leaving an effective sample of 446 female participants. Results Women with long-term back pain self-perceived their ADL and IADL as being as good as those without back pain, although they performed poorer in all performance-based tests and perceived themselves as less physically fit. Conclusion The discrepancy between self-perceived functional ability (ADL/IADL) and performance-based testing of functioning based on clinical tests calls for further investigation to incentivize person-centered care in older women with long-term back pain in municipal or emergency health-care settings.

Sign in / Sign up

Export Citation Format

Share Document