The Relationship Among Neuromuscular Impairments, Chronic Back Pain, and Mobility in Older Adults

PM & R : the Journal of Injury, Function, and Rehabilitation
Una E MakrisJonathan F Bean

Abstract

For older adults with mobility problems, one focus of rehabilitation is treating the underlying neuromuscular impairment(s) that lead to functional decline and disability. Knowing which neuromuscular impairments contribute to basic mobility tasks among older adults with back pain will fill an important knowledge gap and is a critical step towards developing mechanistically based rehabilitative interventions. To evaluate the relationship of neuromuscular impairments with performance of mobility tasks among older adults with and without back pain. Cross-sectional analysis of baseline data from the Boston Rehabilitative Impairment Study of the Elderly. Primary care-based population. Participants (N = 430) were older primary care patients who completed assessments of neuromuscular impairments and mobility tasks. Back pain was assessed by the use of an established comorbidity questionnaire. Neuromuscular impairments included trunk extensor muscle endurance, kyphosis, leg strength, leg strength asymmetry, leg speed, mean reaction time, leg coordination, and knee and ankle range of motion. Mobility tasks included gait speed, standing balance, chair stand, and patient-reported functional status. Analysis of covariance was used to gener...Continue Reading

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Citations

Feb 6, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Rachel E WardJonathan F Bean
Feb 3, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Shirley MusichCharlotte S Yeh
Apr 27, 2020·Journal of the American Medical Directors Association·Tatsuya HiraseStephen R Lord
Apr 21, 2021·Journal of General Internal Medicine·Eric J RoseenRobert B Saper

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