Risk Factors for Disabling Low Back Pain in Older Adults

 

BACKGROUND

DESCRIPTION OF STUDY

Inclusion Criteria
Exclusion Criteria
Potential participants must…
  • be between the ages of 60 and 85 years.
  • have current low back pain.
  • have at least moderate low back pain.
  • have low back pain that occurs every day or almost every day.
  • be community-dwelling (i.e. cannot live in nursing home or skilled nursing facility).
  • be ambulatory.
  • be able to complete phone interviews and written forms independently.
Older adults will be excluded if they have…
  • certain conditions of the back (i.e. ankylosing spondylitis, rheumatoid arthritis, vertebral compression fractures, carcinoma metastatic to the spine).
  •  Lower extremity pain that is greater than their back pain.
  • have a progressive, concurrent condition (i.e. Parkinson’s, multiple sclerosis, etc.).
  • severely limited mobility.
  • uncontrolled high blood pressure.
  • severe vision or hearing impairments.

STAGES OF THE STUDY

PHONE INTERVIEW

Prior to entering into the study, each potential participant will be interviewed via phone by a member of the research team to determine whether he/she meets preliminary criteria for inclusion in the study.  He/she shall be given a detailed description of the study and have all questions answered.

PARTICIPATION BENEFITS

CONTACT INFORMATION

If you have any questions, please contact Megan Sions, PhD, PT, OCS, a co-investigator for this study.  Dr. Sions’ contact information is:

REFERENCES

  1. Bressler HB, Keyes WJ, Rochon PA, Badley E. The prevalence of low back pain in the     elderly. A systematic review of the literature. Spine 1999;24:1813-9.
  2. Koch H SM. Office-based ambulatory care for patients 75 years old and over, National Ambulatory Medical Care Survey, 1980 and 1981. Hyattsville, MD: Advance Data from Vital and Health Statistics, National Center for Health Statistics (NCHS). 1985. Report No.: No.110.DHHS Pub.No.(PHS) 85-1250.
  3. Leveille SG, Guralnik JM, Hochberg M, et al. Low back pain and disability in older women: independent association with difficulty but not inability to perform daily activities. J Gerontol A Biol Sci Med Sci 1999;54:M487-93.
  4. Reid MC, Williams CS, Gill TM. Back pain and decline in lower extremity physical function among community-dwelling older persons. J Gerontol A Biol Sci Med Sci 2005;60:7-93
  5. Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome: identifying and staging patients for conservative treatment. Phys Ther 1995;75:470-85; discussion 85-9.
  6. Borkan JM, Koes B, Reis S, Cherkin DC. A report from the Second International Forum for Primary Care Research on Low Back Pain. Reexamining priorities. Spine (Phila Pa 1976) 1998;23:1992-6.