scholarly journals How Does Low Back Pain Impact Physical Function in Independent, Well-Functioning Older Adults? Evidence from the Health ABC Cohort and Implications for the Future

Pain Medicine ◽  
2003 ◽  
Vol 4 (4) ◽  
pp. 311-320 ◽  
Author(s):  
Debra K. Weiner ◽  
Catherine L. Haggerty ◽  
Stephen B. Kritchevsky ◽  
Tamara Harris ◽  
Eleanor M. Simonsick ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Low Back ◽  
The Future

scholarly journals Multifidi Muscle Characteristics and Physical Function Among Older Adults With and Without Chronic Low Back Pain

2017 ◽  
Vol 98 (1) ◽  
pp. 51-57 ◽  
Author(s):  
J. Megan Sions ◽  
Peter C. Coyle ◽  
Teonette O. Velasco ◽  
James M. Elliott ◽  
Gregory E. Hicks
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Chronic Low Back Pain ◽  
Low Back

Poster 140 Sex Differences in Associations of Physical Function, Gait Parameters and Fear Avoidance in Older Adults with Low Back Pain

PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S238-S238
Author(s):  
Heather K. Vincent ◽  
Bryan Conrad ◽  
Clarissa Lomonaco ◽  
Matthew Martenson ◽  
Cindy Montero ◽  
...  
Keyword(s):  
Older Adults ◽  
Sex Differences ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Low Back ◽  
Fear Avoidance ◽  
Gait Parameters

scholarly journals Epidural Fat and Its Association with Pain, Physical Function, and Disability Among Older Adults with Low Back Pain and Controls

Pain Medicine ◽  
2017 ◽  
Vol 19 (10) ◽  
pp. 1944-1951
Author(s):  
Jaclyn Megan Sions ◽  
Christina Angelica Rodriguez ◽  
Ryan Todd Pohlig ◽  
Gregory Evan Hicks ◽  
Peter Charles Coyle
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Physical Function ◽  
Chronic Low Back Pain ◽  
Chronic Back Pain ◽  
Leg Pain ◽  
Low Back ◽  
Epidural Fat

Abstract Objective To examine epidural fat and its relationship to pain, physical function, and disability among older adults with chronic low back pain, chronic low back pain plus leg pain, and controls. Design Cross-sectional, comparative study. Setting Standardized examinations were conducted in a research laboratory, and magnetic resonance images were obtained. Subjects A total of 93 adults age 60 to 85 years (24 with chronic back pain, 25 with chronic back pain plus leg pain, and 44 controls). Methods Reliability for assessment of epidural fat diameter, averaged across spinal levels, was established (intraclass correlation coefficient = 0.95). Linear regression was used to explore how epidural fat diameter related to self-reported (Short Form-36 Health Survey: physical component summary score) and performance-based (stair climb performance) measures of physical function among adults with chronic back pain with and without leg pain, as compared with controls, while controlling for age, sex, and body mass index. Associations between epidural fat and pain intensity and low back pain–related disability were also explored (P ≤ 0.050). Results Epidural fat helped explain self-reported function (P < 0.001); adults with axial low back pain (LBP) may have a relationship between epidural fat and self-report function that is different from controls (P = 0.015). Relationships between epidural fat and stair performance were significantly different from controls for those with LBP (P = 0.000) but not for those with LBP plus leg pain (P = 0.366). Relationships between epidural fat and pain intensity and/or disability were not found. Conclusions Increased epidural fat may help explain better function among older adults with chronic axial back pain, but not among those who also report leg pain.

scholarly journals Paradigm Shift in Geriatric Low Back Pain Management: Integrating Influences, Experiences, and Consequences

2018 ◽  
Vol 98 (5) ◽  
pp. 434-446 ◽  
Author(s):  
Corey B Simon ◽  
Gregory E Hicks
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Physical Therapist ◽  
Low Back ◽  
Younger Adults ◽  
Major Health ◽  
Spine Degeneration

AbstractGeriatric low back pain (LBP) can have a profound impact on physical activity and can cause a decline in physical function, which is a major health risk for older adults. Within the last decade, physical therapist management of LBP has shifted from an emphasis on pathoanatomical mechanisms, such as spine degeneration, to addressing psychological distress factors. Although this approach is promising, the complexity of LBP in older adults (including biological, psychological, cognitive, and social influences), which may differ from that in younger adults, must be considered. Further, outcome assessment should represent not only the LBP experience (eg, pain intensity, pain with movement) but also LBP consequences, such as physical activity decline and physical function decline. This perspective discusses influences on geriatric LBP, experiences, and consequences with the goal of facilitating standardized and comprehensive physical therapist management.

scholarly journals Low Back Pain and Substance Use: Diagnostic and Administrative Coding for Opioid Use and Dependence Increased in U.S. Older Adults with Low Back Pain

Pain Medicine ◽  
2021 ◽  
Author(s):  
Beth B Hogans ◽  
Bernadette C Siaton ◽  
Michelle N Taylor ◽  
Leslie I Katzel ◽  
John D Sorkin
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Low Back Pain ◽  
Back Pain ◽  
National Sample ◽  
Cross Sectional Study ◽  
Diagnostic Code ◽  
Low Back ◽  
Opioid Use ◽  
Cross Sectional

Abstract Objective Low back pain (LBP) is a leading cause of pain and disability. Substance use complicates the management of LBP, and potential risks increase with aging. Despite implications for an aging, diverse U.S. population, substance use and LBP comorbidity remain poorly defined. The objective of this study was to characterize LBP and substance use diagnoses in older U.S. adults by age, gender, and race. Design Cross-sectional study of a random national sample. Subjects Older adults including 1,477,594 U.S. Medicare Part B beneficiaries. Methods Bayesian analysis of 37,634,210 claims, with 10,775,869 administrative and 92,903,649 diagnostic code assignments. Results LBP was diagnosed in 14.8±0.06% of those more than 65 years of age, more in females than in males (15.8±0.08% vs. 13.4±0.09%), and slightly less in those more than 85 years of age (13.3±0.2%). Substance use diagnosis varied by substance: nicotine, 9.6±0.02%; opioid, 2.8±0.01%; and alcohol, 1.3±0.01%. Substance use diagnosis declined with advancing age cohort. Opioid use diagnosis was markedly higher for those in whom LBP was diagnosed (10.5%) than for those not diagnosed with LBP (1.5%). Most older adults (54.9%) with an opioid diagnosis were diagnosed with LBP. Gender differences were modest. Relative rates of substance use diagnoses in LBP were modest for nicotine and alcohol. Conclusions Older adults with LBP have high relative rates of opioid diagnoses, irrespective of gender or age. Most older adults with opioid-related diagnoses have LBP, compared with a minority of those not opioid diagnosed. In caring for older adults with LBP or opioid-related diagnoses, health systems must anticipate complexity and support clinicians, patients, and caregivers in managing pain comorbidities. Older adults may benefit from proactive incorporation of non-opioid pain treatments. Further study is needed.

Sign in / Sign up

Export Citation Format

Share Document