Hip Symptoms, Physical Performance, and Health Status in Older Adults With Chronic Low Back Pain: A Preliminary Investigation
To determine (1) whether there are differences in the prevalence of clinical hip symptoms between older adults with and without chronic low back pain (CLBP); and (2) whether coexisting hip symptoms are associated with worse physical performance and poorer health-related quality of life (HRQOL). Case...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2018-07, Vol.99 (7), p.1273-1278 |
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| creator | Hicks, Gregory E. Sions, J. Megan Velasco, Teonette O. |
| description | To determine (1) whether there are differences in the prevalence of clinical hip symptoms between older adults with and without chronic low back pain (CLBP); and (2) whether coexisting hip symptoms are associated with worse physical performance and poorer health-related quality of life (HRQOL).
Case-control study.
Individuals participated in a standardized evaluation in a clinical laboratory.
Clinical hip symptoms, which are proposed predictors of radiographic hip osteoarthritis according to American College of Rheumatology guidelines, were evaluated in a volunteer sample of community-dwelling older adults with CLBP (n=54; aged 60–85y) and in age- and sex-matched healthy controls (n=54).
Not applicable.
Physical performance was measured by the repeated chair rise test and stair-climbing test. HRQOL was measured by the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
Hip joint pain, morning stiffness, and pain with hip internal rotation were more common among older adults with CLBP (P |
| doi_str_mv | 10.1016/j.apmr.2017.10.006 |
| format | Article |
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Case-control study.
Individuals participated in a standardized evaluation in a clinical laboratory.
Clinical hip symptoms, which are proposed predictors of radiographic hip osteoarthritis according to American College of Rheumatology guidelines, were evaluated in a volunteer sample of community-dwelling older adults with CLBP (n=54; aged 60–85y) and in age- and sex-matched healthy controls (n=54).
Not applicable.
Physical performance was measured by the repeated chair rise test and stair-climbing test. HRQOL was measured by the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
Hip joint pain, morning stiffness, and pain with hip internal rotation were more common among older adults with CLBP (P<.05). Participants with CLBP and coexisting hip symptoms had worse physical performance than individuals without CLBP or hip symptoms (P<.0001). Additionally, the presence of coexisting hip symptoms was associated with worse HRQOL, particularly in the domains of social functioning, mental health, and role limitations attributable to emotional problems as measured by the SF-36 (P<.01).
Given our limited understanding of CLBP among older adults, there is a definitive need to systematically explore coexisting pain conditions that may contribute to worse outcomes. Based on these data, future longitudinal studies should explore whether coexisting hip symptoms are associated with a worse prognosis in older adults with CLBP.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2017.10.006</identifier><identifier>PMID: 29111171</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Case-Control Studies ; Chronic Pain - diagnostic imaging ; Chronic Pain - etiology ; Chronic Pain - physiopathology ; Exercise Test - methods ; Female ; Health Status ; Health Surveys ; Hip ; Hip - diagnostic imaging ; Humans ; Low back pain ; Low Back Pain - diagnostic imaging ; Low Back Pain - etiology ; Low Back Pain - physiopathology ; Male ; Middle Aged ; Osteoarthritis, Hip - complications ; Osteoarthritis, Hip - diagnostic imaging ; Osteoarthritis, Hip - physiopathology ; Physical Functional Performance ; Quality of Life ; Rehabilitation</subject><ispartof>Archives of physical medicine and rehabilitation, 2018-07, Vol.99 (7), p.1273-1278</ispartof><rights>2017 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-5ac8a88c15a07feefb3edbc58922a312ab3fab8443f85a77c41f65a6415849023</citedby><cites>FETCH-LOGICAL-c455t-5ac8a88c15a07feefb3edbc58922a312ab3fab8443f85a77c41f65a6415849023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2017.10.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29111171$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hicks, Gregory E.</creatorcontrib><creatorcontrib>Sions, J. Megan</creatorcontrib><creatorcontrib>Velasco, Teonette O.</creatorcontrib><title>Hip Symptoms, Physical Performance, and Health Status in Older Adults With Chronic Low Back Pain: A Preliminary Investigation</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>To determine (1) whether there are differences in the prevalence of clinical hip symptoms between older adults with and without chronic low back pain (CLBP); and (2) whether coexisting hip symptoms are associated with worse physical performance and poorer health-related quality of life (HRQOL).
Case-control study.
Individuals participated in a standardized evaluation in a clinical laboratory.
Clinical hip symptoms, which are proposed predictors of radiographic hip osteoarthritis according to American College of Rheumatology guidelines, were evaluated in a volunteer sample of community-dwelling older adults with CLBP (n=54; aged 60–85y) and in age- and sex-matched healthy controls (n=54).
Not applicable.
Physical performance was measured by the repeated chair rise test and stair-climbing test. HRQOL was measured by the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
Hip joint pain, morning stiffness, and pain with hip internal rotation were more common among older adults with CLBP (P<.05). Participants with CLBP and coexisting hip symptoms had worse physical performance than individuals without CLBP or hip symptoms (P<.0001). Additionally, the presence of coexisting hip symptoms was associated with worse HRQOL, particularly in the domains of social functioning, mental health, and role limitations attributable to emotional problems as measured by the SF-36 (P<.01).
Given our limited understanding of CLBP among older adults, there is a definitive need to systematically explore coexisting pain conditions that may contribute to worse outcomes. Based on these data, future longitudinal studies should explore whether coexisting hip symptoms are associated with a worse prognosis in older adults with CLBP.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Case-Control Studies</subject><subject>Chronic Pain - diagnostic imaging</subject><subject>Chronic Pain - etiology</subject><subject>Chronic Pain - physiopathology</subject><subject>Exercise Test - methods</subject><subject>Female</subject><subject>Health Status</subject><subject>Health Surveys</subject><subject>Hip</subject><subject>Hip - diagnostic imaging</subject><subject>Humans</subject><subject>Low back pain</subject><subject>Low Back Pain - diagnostic imaging</subject><subject>Low Back Pain - etiology</subject><subject>Low Back Pain - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Hip - complications</subject><subject>Osteoarthritis, Hip - diagnostic imaging</subject><subject>Osteoarthritis, Hip - physiopathology</subject><subject>Physical Functional Performance</subject><subject>Quality of Life</subject><subject>Rehabilitation</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1vEzEQhi0EoqHwBzggHzl0gz_W-4FQpRAVUilSIxUEN2vW620cdu3F9gbl0P-Oo5QKLliyrJl55_XYD0KvKZlTQot3uzmMg58zQsuUmBNSPEEzKjjLKka_P0UzQgjP6rrmZ-hFCLsUFoLT5-iM1TStks7Q_cqM-PYwjNEN4QJvtodgFPR4o33n_ABW6QsMtsUrDX3c4tsIcQrYWHzTt9rjRTv1MeBvJtWWW--sUXjtfuGPoH7gDRj7Hi_wxuveDMaCP-Bru9chmjuIxtmX6FkHfdCvHs5z9PXT1ZflKlvffL5eLtaZyoWImQBVQVUpKoCUndZdw3XbKFHVjAGnDBreQVPlOe8qAWWpctoVAoqciiqvCePn6PLkO07NoFulbfTQy9GbIc0kHRj5b8WarbxzeylqxnNOk8HbBwPvfk7pAXIwQem-B6vdFCStC1rkafMkZSep8i4Er7vHayiRR25yJ4_c5JHbMZeopKY3fw_42PIHVBJ8OAl0-qa90V4GZXSi0xqvVZStM__z_w0sbqtg</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Hicks, Gregory E.</creator><creator>Sions, J. Megan</creator><creator>Velasco, Teonette O.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180701</creationdate><title>Hip Symptoms, Physical Performance, and Health Status in Older Adults With Chronic Low Back Pain: A Preliminary Investigation</title><author>Hicks, Gregory E. ; Sions, J. Megan ; Velasco, Teonette O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-5ac8a88c15a07feefb3edbc58922a312ab3fab8443f85a77c41f65a6415849023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Case-Control Studies</topic><topic>Chronic Pain - diagnostic imaging</topic><topic>Chronic Pain - etiology</topic><topic>Chronic Pain - physiopathology</topic><topic>Exercise Test - methods</topic><topic>Female</topic><topic>Health Status</topic><topic>Health Surveys</topic><topic>Hip</topic><topic>Hip - diagnostic imaging</topic><topic>Humans</topic><topic>Low back pain</topic><topic>Low Back Pain - diagnostic imaging</topic><topic>Low Back Pain - etiology</topic><topic>Low Back Pain - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Hip - complications</topic><topic>Osteoarthritis, Hip - diagnostic imaging</topic><topic>Osteoarthritis, Hip - physiopathology</topic><topic>Physical Functional Performance</topic><topic>Quality of Life</topic><topic>Rehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hicks, Gregory E.</creatorcontrib><creatorcontrib>Sions, J. Megan</creatorcontrib><creatorcontrib>Velasco, Teonette O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hicks, Gregory E.</au><au>Sions, J. Megan</au><au>Velasco, Teonette O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hip Symptoms, Physical Performance, and Health Status in Older Adults With Chronic Low Back Pain: A Preliminary Investigation</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>99</volume><issue>7</issue><spage>1273</spage><epage>1278</epage><pages>1273-1278</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>To determine (1) whether there are differences in the prevalence of clinical hip symptoms between older adults with and without chronic low back pain (CLBP); and (2) whether coexisting hip symptoms are associated with worse physical performance and poorer health-related quality of life (HRQOL).
Case-control study.
Individuals participated in a standardized evaluation in a clinical laboratory.
Clinical hip symptoms, which are proposed predictors of radiographic hip osteoarthritis according to American College of Rheumatology guidelines, were evaluated in a volunteer sample of community-dwelling older adults with CLBP (n=54; aged 60–85y) and in age- and sex-matched healthy controls (n=54).
Not applicable.
Physical performance was measured by the repeated chair rise test and stair-climbing test. HRQOL was measured by the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
Hip joint pain, morning stiffness, and pain with hip internal rotation were more common among older adults with CLBP (P<.05). Participants with CLBP and coexisting hip symptoms had worse physical performance than individuals without CLBP or hip symptoms (P<.0001). Additionally, the presence of coexisting hip symptoms was associated with worse HRQOL, particularly in the domains of social functioning, mental health, and role limitations attributable to emotional problems as measured by the SF-36 (P<.01).
Given our limited understanding of CLBP among older adults, there is a definitive need to systematically explore coexisting pain conditions that may contribute to worse outcomes. Based on these data, future longitudinal studies should explore whether coexisting hip symptoms are associated with a worse prognosis in older adults with CLBP.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29111171</pmid><doi>10.1016/j.apmr.2017.10.006</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Aging Case-Control Studies Chronic Pain - diagnostic imaging Chronic Pain - etiology Chronic Pain - physiopathology Exercise Test - methods Female Health Status Health Surveys Hip Hip - diagnostic imaging Humans Low back pain Low Back Pain - diagnostic imaging Low Back Pain - etiology Low Back Pain - physiopathology Male Middle Aged Osteoarthritis, Hip - complications Osteoarthritis, Hip - diagnostic imaging Osteoarthritis, Hip - physiopathology Physical Functional Performance Quality of Life Rehabilitation |
| title | Hip Symptoms, Physical Performance, and Health Status in Older Adults With Chronic Low Back Pain: A Preliminary Investigation |
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