Reduced strength, poor balance and concern about falls mediate the relationship between knee pain and fall risk in older people

BMC Geriatrics
Cameron HicksDaina L Sturnieks

Abstract

Pain is an independent risk factor for falling. One in two older community-dwelling people with musculoskeletal pain fall each year. This study examined physical, psychological and medical factors as potential mediators to explain the relationship between knee pain and falls. Three hundred and thirty-three community-dwelling people aged 70+ years (52% women) participated in this cohort study with a 1-year follow-up for falls. Participants completed questionnaires (medical history, general health and concern about falls) and underwent physical performance tests. Participants were classified into 'pain' and 'no pain' groups based on self-reported knee pain. Poisson Regression models were computed to determine the Relative Risk (RR) of having multiple falls and potential mediators for increased fall risk. One hundred and eighteen (36%) participants were categorised as having knee pain. This group took more medications and had more medical conditions (P < 0.01) compared to the no pain group. The pain group had poorer balance, physical function and strength and reported increased concern about falls. Sixty one participants (20%) reported ≥2 falls, with the pain group twice as likely to experience multiple falls over the 12 month fol...Continue Reading

References

Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
Mar 1, 1996·Archives of Physical Medicine and Rehabilitation·S R LordP Williams
Feb 14, 1998·Annals of the Rheumatic Diseases·M V HurleyD J Newham
May 20, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·R G CummingG Szonyi
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Oct 5, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·S R Lord, R C Fitzpatrick
Jan 31, 2004·British Journal of Sports Medicine·R M PalmieriM B Stone
Mar 23, 2004·American Journal of Epidemiology·Guangyong Zou
Mar 15, 2006·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Debra K WeinerSusan Lieber
May 24, 2006·Archives of Internal Medicine·Robert L SpitzerBernd Löwe
Jul 29, 2006·Arthritis and Rheumatism·Nigel K ArdenCyrus Cooper
Feb 27, 2008·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Neilly BuckalewDebra Weiner
May 29, 2009·British Journal of Sports Medicine·K DelbaereS R Lord
Nov 26, 2009·JAMA : the Journal of the American Medical Association·Suzanne G LeveilleJonathan F Bean
Nov 26, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Pazit LevingerNeil R Bergman
Feb 27, 2013·Age and Ageing·Aza AbdullaUNKNOWN British Geriatric Society
Sep 17, 2013·Archives of Physical Medicine and Rehabilitation·Brendon StubbsPat Schofield
Sep 30, 2014·Clinical Psychology Review·Carolyn BerrymanG Lorimer Moseley
Jan 9, 2015·The Cochrane Database of Systematic Reviews·Marlene FransenKim L Bennell
Apr 25, 2017·The Cochrane Database of Systematic Reviews·Louise J GeneenBlair H Smith

❮ Previous
Next ❯

Citations

Nov 2, 2021·Frontiers in Physiology·Nejc ŠarabonMihael Perman

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Lynn M MarshallStudy of Osteoporotic Fractures (SOF) Research Group
Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Pazit LevingerNeil Bergman
Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Pazit LevingerNeil Bergman
Arthritis Care & Research
Michael C NevittMulticenter Osteoarthritis Study Investigators
© 2021 Meta ULC. All rights reserved