Pain and fractures are independently related to lower walking speed and grip strength: Results from the population study "Good Ageing in Skåne".
Research output: Contribution to journal › Article
Background Earlier reports on reduced physical performance and osteoporosis-related fractures have mostly been short-term studies. The aim of this investigation was to examine the effects of fractures on physical functioning 3 years after trauma, the latter being stratified for pain. Participants and methods The study consisted of a population-based case-control study including 289 subjects from the "Good Ageing in Skane" project. Men and women with fractures, aged 60-93 years, were divided into one group with pain (FP, n = 71) and one without pain (FnP, n = 53). Fractures included vertebrae, hip, pelvis or ankle according to the national medical register. A third group of subjects without fractures or pain (CnP, n = 165) was used as control. Pain during the previous month, health variables, lifestyle, medication, use of a walking aid, and sociodemographic variables were self-reported. Walking 15 m, 2 x 15 m, and timed get-up-and-go (TUG)-all at self-selected and maximum speed-and maximum handgrip strength were assessed objectively. Results Among the FP patients, almost half of the group suffered pain on a daily basis. The subjects in the CnP and FnP groups performed significantly better than the FP patient group in all functional tests. Median time for walking a distance of 15 m at self-selected speed was 16, 13 and 12 sec for the CnP, FnP and FP groups, respectively. Both fracture and pain independently explained lower walking speed (self-selected and maximum) as well as TUG, adjusted for age, sex and co-morbidity in a multiple regression model. Those who had sustained fractures more than 3 years previously performed significantly better in walking 15 m and 2 x 15 in at both self-elected and maximum speed than those with a more recent fracture, irrespective of pain. Interpretation After 3 years, patients who had sustained a fracture but who experienced no pain performed almost as well as control subjects. Pain and fracture were independently influenced by physical function.
|Research areas and keywords||
Subject classification (UKÄ) – MANDATORY
|Publication status||Published - 2006|
Related research output
The influence of fracture on activity, social participation and quality of life among older adults. Results from the population study Good Ageing in Skåne.Henrik Ekström, 2009, Department of Health Sciences, Lund University. 175 p.
Research output: Thesis › Doctoral Thesis (compilation)