ArticleJournal of the American Geriatrics Society2015
Association Between Pain and Functional Independence in Older Adults During and After Admission to Rehabilitation After an Acute Illness or Injury.
Article in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Prediction of Chronic Fracture Pain in Patients with Osteoporotic Fractures Using the Japanese Short-form Central Sensitization Inventory: A Single-center Retrospective Observational Study in a Convalescent Rehabilitation Ward.Physical therapy research · 2025Article
- Nonopioid analgesic use in older patients admitted for orthopedic rehabilitation.PM & R : the journal of injury, function, and rehabilitation · 2024Article
- Opioid use in older orthopedic rehabilitation inpatients: a retrospective study.European journal of physical and rehabilitation medicine · 2023Observational
- Challenges in the Development and Implementation of Older Adult Trauma Prognostication Tools to Facilitate Shared Decision-Making.The Journal of surgical research · 2021Article
Corrections and comments
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Authors and funding
9 authors.
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Abstract
objectivesTo investigate the association between pain and functional independence in older adults during and after admission to rehabilitation after an acute illness or injury.
designProspective, observational cohort study.
settingOne community and one Veterans Affairs rehabilitation center.
participantsIndividuals aged 65 and older admitted for rehabilitation after an acute illness or injury (postacute rehabilitation) (N = 245; mean age 80.6, 72% male)). MEASUREMENTS: Pain was assessed using the Geriatric Pain Measure (GPM, score 0-100). Functional independence was measured using the motor component of the Functional Independence Measure (mFIM, score 13-91). Both scores were obtained at admission; discharge; and 3-, 6-, and 9-month follow-up. In bivariate analyses, discharge GPM and persistent pain (lasting >3 months) were evaluated as predictors of mFIM score at 9 months. Applying a multilevel modeling (MLM) approach, individual deviations in GPM scores were used to predict variations in mFIM.
resultsAt admission, 210 participants (87.9%) reported pain (16.3% mild (GPM<30); 49.3% moderate (GPM: 30-69); 22.1% severe (GPM>70)); 21.3% reported persistent pain after discharge. The bivariate analyses did not find statistically significant associations between discharge GPM or persistent pain and mFIM score at 9 months, but in the MLM analysis, deviations in GPM were significant predictors of deviations in mFIM score, suggesting that, when individuals experienced above-average levels of pain (GPM > their personal mean GPM), they also experienced worse functional independence (mFIM < their personal mean mFIM).
conclusionTwenty-one percent of older adults undergoing postacute rehabilitation reported persistent pain after discharge from rehabilitation. The bivariate analysis did not find association between pain and functional independence, but MLM analysis showed that, when participants experienced more pain than their average, they had less functional independence.
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