Effectiveness of Combined General Rehabilitation Gymnastics and Muscle Energy Techniques in Older Women with Chronic Low Back Pain

Objective. The aim of this study was to determine the effect of general rehabilitation gymnastics on subjective and objective characteristics of locomotor system in older women with chronic LBP. To satisfy this goal, the outcomes in exercising women were compared with the results of nonexercising controls. Material and Methods. The study group included 21 women with chronic LBP (age 65-75 years), participating in a 3-year general rehabilitation program combining strength, stretching, endurance, balance, and stabilization exercises with Muscle Energy Techniques (MET). Control group included 20 women with chronic LBP, who neither undertook the gymnastics nor participated in other forms of physical activity. The list of outcome measures included pain severity (Numeric Rating Scale), limitations in the activities of daily living (Oswestry Disability Index and Roland-Morris Disability Questionnaire), mobility of all spinal segments (tensometric electrogoniometry), and bioelectrical activity of back muscles (kinesiologic electromyography). Results. Exercising women presented with lesser severity of current pain (by 62%, p<0.001) and pain experienced during the last three months (by 32.5%, p<0.001), reported less ailments during the last three months, and had fewer limitations in the activities of daily living (a 30% decrease in Oswestry Disability Index, p<0.05, and a 65% decrease in Roland-Morris Disability Questionnaire scores, p<0.001) than the controls. Moreover, they showed significantly higher values of nearly all spondylometric parameters except for cervical lateral flexion. The study groups did not differ in the amplitudes of bioelectrical signal from the back muscles. Conclusions. These findings may point to beneficial effects of the combined exercise program.

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Are the Roland Morris Disability Questionnaire and Oswestry Disability Index interchangeable in patients after lumbar spinal fusion?

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-200206 ◽

2021 ◽

pp. 1-7

Author(s):

R.F.M.R. Kersten ◽

J. Fikkers ◽

N. Wolterbeek ◽

F.C. Öner ◽

S.M. van Gaalen

Keyword(s):

Back Pain ◽

Spinal Fusion ◽

Outcome Measures ◽

Oswestry Disability Index ◽

Roland Morris Disability Questionnaire ◽

Leg Pain ◽

Lumbar Spinal Fusion ◽

Patient Reported ◽

Disability Questionnaire ◽

Lumbar Spinal

BACKGROUND: Low back pain is a common health problem for which there are several treatment options. For optimizing clinical decision making, evaluation of treatments and research purposes it is important that health care professionals are able to evaluate the functional status of patients. Patient reported outcome measures (PROMs) are widely accepted and recommended. The Roland Morris Disability Questionnaire (RMDQ) and the Oswestry Disability Index (ODI) are the two mainly used condition-specific patient reported outcomes. Concerns regarding the content and structural validity and also the different scoring systems of these outcome measures makes comparison of treatment results difficult. OBJECTIVE: Aim of this study was to determine if the RMDQ and ODI could be used exchangeable by assessing the correlation and comparing different measurement properties between the questionnaires. METHODS: Clinical data from patients who participated in a multicenter RCT with 2 year follow-up after lumbar spinal fusion were used. Outcome measures were the RMDQ, ODI, Short Form 36 – Health Survey (SF-36), leg pain and back pain measured on a 0–100 mm visual analogue scale (VAS). Cronbach’s alpha coefficients, Spearman correlation coefficients, multiple regression analysis and Bland-Altman plots were calculated. RESULTS: three hundred and seventy-six completed questionnaires filled out by 87 patients were used. The ODI and RMDQ had both a good level of internal consistency. There was a very strong correlation between the RMDQ and the ODI (r= 0.87; p< 0.001), and between the VAS and both the ODI and RMDQ. However, the Bland-Altman plot indicated bad agreement between the ODI and RMDQ. CONCLUSIONS: The RMDQ and ODI cannot be used interchangeably, nor is there a possibility of converting the score from one questionnaire to the other. However, leg pain and back pain seemed to be predictors for both the ODI and the RMDQ.

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Who cares? Provision of Care and Assistance Among Older Persons in the Philippines

Journal of Aging and Health ◽

10.1177/0898264318799219 ◽

2018 ◽

Vol 30 (10) ◽

pp. 1536-1555 ◽

Cited By ~ 3

Author(s):

Jeofrey B. Abalos ◽

Yasuhiko Saito ◽

Grace T. Cruz ◽

Heather Booth

Keyword(s):

Activities Of Daily Living ◽

Older Women ◽

Daily Living ◽

Older Persons ◽

Older Men ◽

The Philippines ◽

Regression Analyses ◽

Functional Activities ◽

Provision Of Care ◽

Experience Difficulty

Objective: This study aims to examine the provision of assistance among older persons in the Philippines who experience difficulty with activities of daily living (ADLs) or instrumental activities of daily living (IADLs). Method: Data for this research are drawn from the 2007 Philippine Study on Aging (PSOA). Cross-tabulations and regression analyses are used to identify who provides assistance to older Filipinos. Results: The study shows that the Filipino family, particularly spouse and daughters, plays an important role in providing assistance to older Filipinos who need help in carrying out functional activities. This provision of caregiving, however, follows a gendered pattern. Specifically, the spouse provides assistance to older men, whereas daughters provide assistance to older women. Grandchildren and noncoresident family members, to some extent, are also active in providing care to older Filipinos. Discussion: The Filipino family remains faithful to its filial duty toward older persons, but who provides care and the way it is provided are likely to change due to the demographic changes and values shifts that have swept the country.

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Measures of adult general functional status: The Barthel Index, Katz Index of Activities of Daily Living, Health Assessment Questionnaire (HAQ), MACTAR Patient Preference Disability Questionnaire, and Modified Health Assessment Questionnaire (MHAQ)

Arthritis & Rheumatism ◽

10.1002/art.11415 ◽

2003 ◽

Vol 49 (S5) ◽

pp. S15-S27 ◽

Cited By ~ 22

Author(s):

Patricia P. Katz for the Association of Rheumat

Keyword(s):

Activities Of Daily Living ◽

Functional Status ◽

Patient Preference ◽

Barthel Index ◽

Daily Living ◽

Health Assessment Questionnaire ◽

Health Assessment ◽

Katz Index ◽

Disability Questionnaire ◽

Assessment Questionnaire

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The Assessment of Functional Age Using “Activities of Daily Living” Performance Tests: A Study of Korean Women

Journal of Aging and Physical Activity ◽

10.1123/japa.3.1.39 ◽

1995 ◽

Vol 3 (1) ◽

pp. 39-53 ◽

Cited By ~ 32

Author(s):

Hee Sik Kim ◽

Kiyoji Tanaka

Keyword(s):

Activities Of Daily Living ◽

Older Women ◽

Older Adult ◽

Daily Living ◽

Principal Component ◽

Performance Tests ◽

Korean Women ◽

Principal Component Score ◽

Performance Tasks ◽

Adl Performance

The purpose of this study was to assess the extent to which a battery of 24 activities of daily living (ADL) performance tasks could be used to determine functional age in a sample of older women. The subjects were 253 older adult Korean women, aged 60 to 91 years. All subjects completed a comprehensive battery of 24 performance tests related to common activities of daily living. Correlations between the measures were computed, and principal component analysis was applied to the 24 × 24 correlation matrix. A principal component score was computed for each subject and was found to decrease significantly with advancing age. Multiple regression analysis revealed that out of the initial 24 variables, 5 variables accounted for 81% of the variability. An equation was developed to determine ADL age; the equation was considered useful for the assessment of daily living activities of older adult Korean women.

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Hospitalization and Development of Dependence in Activities of Daily Living in a Cohort of Disabled Older Women: The Women's Health and Aging Study I

The Journals of Gerontology Series A ◽

10.1093/gerona/60.7.888 ◽

2005 ◽

Vol 60 (7) ◽

pp. 888-893 ◽

Cited By ~ 78

Author(s):

C. M. Boyd ◽

Q.-L. Xue ◽

J. M. Guralnik ◽

L. P. Fried

Keyword(s):

Activities Of Daily Living ◽

Women’S Health ◽

Women's Health ◽

Older Women ◽

Daily Living ◽

Aging Study

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Subjective memory complaints and difficulty performing activities of daily living among older women in Australia

Australian Occupational Therapy Journal ◽

10.1111/1440-1630.12548 ◽

2018 ◽

Vol 66 (2) ◽

pp. 227-238 ◽

Cited By ~ 2

Author(s):

Reinie Cordier ◽

Yu‐Wei Chen ◽

Lindy Clemson ◽

Julie Byles ◽

Natasha Mahoney

Keyword(s):

Activities Of Daily Living ◽

Older Women ◽

Daily Living ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Memory Complaints

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Association between exercise type and the decline in instrumental activities of daily living in community-dwelling older women: A 4-year prospective study

Preventive Medicine ◽

10.1016/j.ypmed.2018.03.019 ◽

2018 ◽

Vol 112 ◽

pp. 23-30 ◽

Cited By ~ 7

Author(s):

Yosuke Osuka ◽

Takao Suzuki ◽

Miji Kim ◽

Narumi Kojima ◽

Ken Fujino ◽

...

Keyword(s):

Activities Of Daily Living ◽

Prospective Study ◽

Older Women ◽

Daily Living ◽

Community Dwelling ◽

Instrumental Activities ◽

Exercise Type

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Identifying Early Decline of Physical Function in Community-Dwelling Older Women: Performance-Based and Self-Report Measures

Physical Therapy ◽

10.1093/ptj/82.4.320 ◽

2002 ◽

Vol 82 (4) ◽

pp. 320-328 ◽

Cited By ~ 109

Author(s):

Jennifer S Brach ◽

Jessie M VanSwearingen ◽

Anne B Newman ◽

Andrea M Kriska

Keyword(s):

Activities Of Daily Living ◽

Physical Function ◽

Older Women ◽

Gait Speed ◽

Daily Living ◽

Performance Test ◽

Social Activity ◽

Community Dwelling ◽

Self Report ◽

Functional Status Questionnaire

Abstract Background and Purpose. The ability to identify early decline in physical function is important, but older people experiencing decline may fail to report the early changes in physical function. The purpose of this study was to compare the descriptions of physical function in community-dwelling older women obtained using performance-based and self-report measures. Subjects and Methods. One hundred seventy community-dwelling women with a mean age of 74.3 years (SD=4.3, range=56.6–83.6) completed the activities of daily living (ADL), instrumental activities of daily living (IADL), and social activity (SA) sections of the Functional Status Questionnaire (FSQ). They also completed performance-based measures of gait speed and the 7-item Physical Performance Test (PPT). Results. The majority of the women scored at the ceiling for the self-report measures of function (ADL=77%, IADL=61%, SA=94%), whereas only 7% scored at the ceiling for the PPT and 30% scored at the ceiling for gait speed (defined as >1.2 m/s). For 2 items of the FSQ, sensitivity was low (8% and 9%) and specificity was high (97% and 98%) compared with performance on the PPT. Discussion and Conclusion. In this sample of community-dwelling older women, performance-based measures identified more limitations in physical function than did self-report measures.

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