The Relationship Between Pain, Neuropsychological Performance, and Physical Function in Community-Dwelling Older Adults with Chronic Low Back Pain
| العنوان: | The Relationship Between Pain, Neuropsychological Performance, and Physical Function in Community-Dwelling Older Adults with Chronic Low Back Pain |
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| المؤلفون: | Jill C. Slaboda, S.J. Lieber, Debra K. Weiner, Thomas E. Rudy, Lisa A. Morrow |
| المصدر: | Pain Medicine. 7:60-70 |
| بيانات النشر: | Oxford University Press (OUP), 2006. |
| سنة النشر: | 2006 |
| مصطلحات موضوعية: | Male, Pain Threshold, Aging, medicine.medical_specialty, Trail Making Test, Neuropsychological Tests, Cohort Studies, Physical medicine and rehabilitation, Quality of life, Surveys and Questionnaires, Activities of Daily Living, Threshold of pain, medicine, Humans, Aged, Pain Measurement, Aged, 80 and over, Depressive Disorder, Memory Disorders, Exercise Tolerance, business.industry, Chronic pain, Neuropsychology, General Medicine, medicine.disease, Low back pain, Anesthesiology and Pain Medicine, Motor Skills, McGill Pain Questionnaire, Chronic Disease, Quality of Life, Physical therapy, Female, Geriatric Depression Scale, Neurology (clinical), medicine.symptom, Cognition Disorders, business, Low Back Pain |
| الوصف: | Bioengineering, and Abstract Objective. Chronic pain and cognitive impairment are prevalent and disabling in older adults (OA), but their interrelationship has not been rigorously tested. We did so in OA with chronic low back pain (CLBP). Design. A total of 323 OA (160 pain-free, 163 CLBP; mean age 73.5 years, 45% female) had neuropsychological (NP) testing with the Repeatable Battery for the Assessment of Neuropsycho- logical Status, Trail Making Test, and the Grooved Pegboard Test. Pain intensity was measured with the McGill Pain Questionnaire Short Form. Physical performance (gait speed, functional reach, chair rise, trunk rotation, and static/dynamic lifting), psychosocial disruption (Geriatric Depression Scale, the Short Form-36 Mental Health and Role Limitations-Emotional Composite scale), and self-reported disability (Functional Status Index, the Short From-36 Physical Function- ing/Role-Physical Composite scale) were also measured. Setting. Outpatient research laboratory. Results. There were no group differences in age, gender, or educational level, but significant differences in NP scores ( P = 0.01) were found. Five scales accounted for the differences: immediate memory ( P = 0.002), language ( P = 0.004), delayed memory ( P = 0.04), mental flexibility (Trails B ( P = 0.02)), and Grooved Pegboard ( P = 0.05). NP scores were significantly correlated with physical performance ( R 2 = 0.30, P < 0.001), but not self-reported disability ( R 2 = 0.04, P = 0.52) or psycho- social disruption ( R 2 = 0.05, P = 0.46). NP function was correlated with pain intensity ( R 2 = 0.17, P < 0.001), and NP function mediated the relationship between pain and physical performance. Conclusions. OA with CLBP demonstrated impaired NP performance as compared with pain-free OA. Further, pain severity was inversely correlated with NP performance, and NP performance mediated the relationship between pain and physical performance. Future research should examine whether cognitive function and impaired physical performance can be improved with pain reduction. |
| تدمد: | 1526-4637 1526-2375 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::276389fc7a8088b6bf6b14da899e6221 https://doi.org/10.1111/j.1526-4637.2006.00091.x |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....276389fc7a8088b6bf6b14da899e6221 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15264637 15262375 |
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