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Vol. 21. Num. 5.01 September 2017
Pages 305-388
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Vol. 21. Num. 5.01 September 2017
Pages 305-388
Original Research
DOI: 10.1016/j.bjpt.2017.06.008
Disability in older adults with acute low back pain: the study Back Complaints in the Elderly – (Brazil)
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Alessandra Regina Silva Araujo Aguiara, Giane Amorim Ribeiro-Samorab, Leani Souza Maximo Pereirab, Larissa Birro Godinhoa, Marcella Guimarães Assisc,
Corresponding author
mga@ufmg.br

Corresponding author at: Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Campus Pampulha, Belo Horizonte, MG, Brazil.
a Programa de Pós-Graduação em Ciência da Reabilitação da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
b Departamento de Fisioterapia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
c Departamento de Terapia Ocupacional, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
Highlights

  • Older adults reported moderate to severe acute low back pain.

  • Irrelevant association between acute pain intensity with disability was observed.

  • There is interaction between age groups and marital status with disability.

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Figures (2)
Tables (3)
Table 1. Characteristics of participants (n=532).
Table 2. Age, marital status, and interaction effects according to disability outcomes (n=532).
Table 3. Mean difference and 95% confidence interval of the difference for the comparisons between age groups, marital status, and interaction effects, according to disability outcomes (n=532).
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Abstract
Background

The increase in the older adult and oldest old population in Brazil is growing. This phenomenon may be accompanied by an increase in musculoskeletal symptoms such as low back pain. This condition is usually associated with disability.

Objective

To verify the association between pain intensity and disability in older adults with acute low back pain and assess whether these variables differ depending on the age group and marital status.

Methods

This is a cross-sectional study conducted with 532 older adults with acute low back pain episodes. Pain intensity was assessed through the Numeric Pain Scale and disability through the Late Life Function and Disability Instrument, which shows two dimensions: “frequency” and “limitation” in performing activities. The association between pain and disability was analyzed.

Results

For the interaction effect between age groups and marital status, we found that the oldest old living with a partner performed activities of the personal domain less often compared to the oldest old living alone. The oldest old group living with a partner had a lower frequency of performing activities, but did not report feeling limited. The association of pain with disability was minimal (rho<0.20) and thus considered irrelevant.

Conclusion

Disability in older adults with acute low back pain was influenced by the interaction between age groups and marital status and is not associated with pain intensity.

Keywords:
Disability
Older adults
Oldest old
Acute low back pain
Rehabilitation

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