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- Lilje, Stina, et al.
(författare)
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The importance of weak physical performance in older adults for the development of musculoskeletal pain that interferes with normal life : A prospective cohort study
- 2019
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Ingår i: Scandinavian Journal of Pain. - : De Gruyter. - 1877-8860 .- 1877-8879. ; 19:4, s. 789-796
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Tidskriftsartikel (refereegranskat)abstract
- There are associations between pain, comorbidity and risk of falling, and falling increases the risk of mortality in older persons, but few studies have investigated the development of pain as a result of impaired physical function. The aim of this study was to examine possible associations between weak physical performance and the development of musculoskeletal pain that interferes with normal life in a sample of older adults. The sample derived from a national, longitudinal multicenter study; the Swedish National Study on Ageing and Care; SNAC-B. The participants (n = 490) were between 60 and 78 years at the baseline examinations. Three variables were chosen for the exposure physical function, from the baseline examinations; One Leg Stand, Grip strength and Sit-to-Stand. The outcome musculoskeletal pain that interferes with normal life was measured using EQ5D and SF-12 6 years later, and logistic regression was used to investigate possible associations between the exposures and the outcome. Maximum grip strength (Grippit) was inversely associated with musculoskeletal pain that interferes with normal life (OR 2.31; 95% CI 1.15-4.61), and One-Leg Stand and Sit-to-Stand were not associated with the development of pain (OR 1.30; 95% CI 0.64-2.64) and (OR 0.91; 95% CI 0.45-1.86), respectively. Weak grip strength was inversely associated with the development of musculoskeletal pain that interferes with normal life in older adults. Impaired proprioceptive function, strength and mobility in elderly with pain have been found in earlier research. Since pain increases the risk of falling, it is important to investigate if it may develop as a function of an impaired physical function. The results of the present study could be of importance for future prevention programs aiming to protect elderly from falling.
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| 2. |
- Palmlöf, Lina, et al.
(författare)
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Does income matter for troublesome neck pain? : A population-based study on risk and prognosis
- 2012
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Ingår i: Journal of Epidemiology and Community Health. - : BMJ. - 0143-005X .- 1470-2738. ; 66:11, s. 1063-1070
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Tidskriftsartikel (refereegranskat)abstract
- Background Studies have shown associations between higher income and better health, but income has not been studied in relation to neck pain. The aims of this cohort study were to assess the sex-specific role of disposable income for onset and prognosis of neck pain in the general population and if economic stress influences such potential associations. Methods Two subcohorts were identified in the Stockholm Public Health Cohort with data from 2002. Cohort I (risk cohort) included persons without neck pain (n = 8348). Cohort II (prognostic cohort) included persons with occasional neck pain during the previous 6 months (n =0 523). Both cohorts were assessed for long duration troublesome neck pain (LDNP) in 2007. Individual income was defined as aggregated annual family income in 2002 with each family member assigned a weighted consumption share, based on salary, pensions and social benefits. LDNP in 2007 was defined as having had troublesome neck pain lasting for three or more consecutive months the previous 5 years. Association between income and LDNP, considering potential confounding, was investigated by multivariable logistic regression. Economic stress was tested as effect modifier between income and LDNP. Results In both cohorts, associations were found between lower income and a higher risk for LDNP. The results were similar between the sexes. Economic stress modified the associations in both cohorts. Conclusions Low income may be a risk as well as prognostic factor for developing LDNP. Furthermore, the results indicate that economic stress may be an underlying factor to consider when studying associations between income and neck pain.
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| 3. |
- Palmlöf, Lina
(författare)
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Neck pain : factors of importance for the risk and prognosis
- 2014
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: Considering the recurring nature of neck pain, and that it is a big societal as well as individual burden, it is of great importance to increase the knowledge about what factors that affect the risk and prognosis of neck pain. Objectives: The objective of this thesis was to study factors of potential importance for the risk and prognosis of neck pain, including whiplash-associated disorders (WAD). The specific objectives for study I were to assess the sex specific role of disposable income for onset and prognosis of neck pain in the general population, and if economic stress influences such potential associations. In study II the objectives were to investigate if work related physical activity and physical activity during leisure time are of importance for the risk and prognosis of neck pain. The objective of study III was to investigate if pre-treatment expectations of recovery is a prognostic factor for recovery from neck pain at seven weeks follow-up in patients seeking manual therapy treatment. And in study IV the objective was to determine if prevalent self-reported cardiovascular disorders (CVD) are associated with poor self-rated recovery in persons with WAD. Material and methods: Study I and II were based on the Stockholm Public Health Cohort (n=23 794) with information on exposures and potential confounders collected at baseline in 2002-2003. The outcome Long Duration troublesome Neck Pain (LDNP) was measured at follow-up in 2007. Those answering “yes” to the question: “During the last five-year period, have you had neck pain for at least three consecutive months that bothered you considerably?” were classified as cases. Study III was based on the Stockholm Manual Intervention Trial (n=1057), a randomized controlled trial where patients with neck pain were studied as one cohort for the objectives of this thesis. The outcome was “recovery" measured by a modified version of the Global Perceived Recovery Question at seven weeks follow-up. Study IV was based on the Saskatchewan Government Insurance cohort including individuals who made a traffic-injury claim or received health care after a traffic injury, between 1997 and 1999. Included in study IV were 6011 participants reporting WAD. The outcome “recovery” was measured at six weeks, three months, six months, nine months, and twelve months post injury by the Global Perceived Recovery Question. Results and conclusions: Having a low income yielded a higher odds of getting LDNP in both a cohort without neck pain at baseline (assessing risk) and a cohort with occasional neck pain at baseline (assessing prognosis), and among both sexes. Combining low income with perceived economic stress in the analyses indicates that income and economic stress interact in their association with LDNP. Higher levels of leisure physical activity than sedentary are protective of developing LDNP in a population free from neck pain at baseline. The prognosis for neck pain was not affected by leisure physical activity according to the results and physical activity within the work tasks was neither associated with risk nor prognosis of neck pain. The results from study III show that expectations of recovery is a prognostic factor for recovery from neck pain in a population seeking and receiving treatment. In study IV the results showed no associations between CVD and recovery from WAD among men and likely there is no association among women either as only weak associations were detected, and they are possibly subject to bias from residual confounding.
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