TY - JOUR
T1 - The Association of Persistent Low Back Pain With Older Adult Falls and Collisions
T2 - A Longitudinal Analysis
AU - Bell, Tyler
AU - Pope, Caitlin
AU - Fazeli, Pariya
AU - Crowe, Michael
AU - Ball, Karlene
N1 - Publisher Copyright:
© The Author(s) 2020.
PY - 2021/11
Y1 - 2021/11
N2 - Mobility-related injuries associate with reduced quality of life, greater functional dependence, and quicker mortality in older adults—warranting prevention efforts. One factor elevating injury risk may be persistent low back pain, which can negatively affect cognitive and physical functions essential for safe mobility. Among older adults obtaining license renewal (n = 1,127), this study examined the association between persistent low back pain and incidence of falls and motor vehicle collisions (MVCs) for up to 15 years. Overall, older adults with persistent low back pain were more likely to have a fall (odds ratio [OR] = 1.54, 95% confidence interval [CI] = [1.34, 1.77]) or MVC (OR = 1.38, 95% CI = [1.07, 1.77]) than those without back pain. Furthermore, the number of falls and MVCs was lower for people with better lower limb and visuospatial function, respectively. Ameliorating pain and functioning in persistent lower back pain might contribute to improved mobility and a reduction of injury-related risk in later life.
AB - Mobility-related injuries associate with reduced quality of life, greater functional dependence, and quicker mortality in older adults—warranting prevention efforts. One factor elevating injury risk may be persistent low back pain, which can negatively affect cognitive and physical functions essential for safe mobility. Among older adults obtaining license renewal (n = 1,127), this study examined the association between persistent low back pain and incidence of falls and motor vehicle collisions (MVCs) for up to 15 years. Overall, older adults with persistent low back pain were more likely to have a fall (odds ratio [OR] = 1.54, 95% confidence interval [CI] = [1.34, 1.77]) or MVC (OR = 1.38, 95% CI = [1.07, 1.77]) than those without back pain. Furthermore, the number of falls and MVCs was lower for people with better lower limb and visuospatial function, respectively. Ameliorating pain and functioning in persistent lower back pain might contribute to improved mobility and a reduction of injury-related risk in later life.
KW - cognition
KW - falls
KW - injury
KW - motor vehicle collisions
KW - pain
UR - http://www.scopus.com/inward/record.url?scp=85093969257&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85093969257&partnerID=8YFLogxK
U2 - 10.1177/0733464820966517
DO - 10.1177/0733464820966517
M3 - Article
C2 - 33095077
AN - SCOPUS:85093969257
SN - 0733-4648
VL - 40
SP - 1455
EP - 1464
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 11
ER -