ArticlePM & R : the journal of injury, function, and rehabilitation2016
The Relationship Among Neuromuscular Impairments, Chronic Back Pain, and Mobility in Older Adults.
Article in PM & R : the journal of injury, function, and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Association of Back Pain with Mortality: a Systematic Review and Meta-analysis of Cohort Studies.Journal of general internal medicine · 2021Pooled it
- Chronic neck pain is associated with altered gait performance compared to healthy controls: Cross-sectional observations.Gait & posture · 2026Observational
- Feasibility of Integrating Pilates with Conventional Kinesiotherapy for Managing Chronic Low Back Pain: A Pilot Study.Journal of orthopaedic case reports · 2025Article
- Psychological and immunological associations with movement-evoked low back pain among older adults.Pain reports · 2025Article
- Effect of an Online Mobility Self-Management Program on Walking Speed in Older Adults With Preclinical Mobility Limitation: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Considerations beyond spine pain: do different co-occurring lower body joint pains differentially influence physical function and quality of life ratings?BMC musculoskeletal disorders · 2024Article
- Is Tai Chi beneficial for multisite pain syndrome in older adults?Aging clinical and experimental research · 2023Review
- The Live Long Walk Strong Rehabilitation Program Study: Design and Methods.Archives of rehabilitation research and clinical translation · 2022Article
- Classification of Geriatric Low Back Pain Based on Hip Characteristics With a 12-Month Longitudinal Exploration of Clinical Outcomes: Findings From Delaware Spine Studies.Physical therapy · 2021Article
- Chronic Musculoskeletal Pain and Foot Reaction Time in Older Adults.The journal of pain · 2021Article
- The Association of Pain Phenotype with Neuromuscular Impairments and Mobility Limitations Among Older Primary Care Patients: A Secondary Analysis of the Boston Rehabilitative Impairment Study of the Elderly.PM & R : the journal of injury, function, and rehabilitation · 2020Article
- Chronic Pain Characteristics and Gait in Older Adults: The MOBILIZE Boston Study II.Archives of physical medicine and rehabilitation · 2020Article
- Interrelated Neuromuscular and Clinical Risk Factors That Contribute to Falls.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Article
- Using Pain Medication Intensity to Stratify Back Pain Among Older Adults.Pain medicine (Malden, Mass.) · 2019Article
- Association of Neuromuscular Attributes With Performance-Based Mobility Among Community-Dwelling Older Adults With Symptomatic Lumbar Spinal Stenosis.Archives of physical medicine and rehabilitation · 2017Article
- The Double-Transforaminal Lumbar Interbody Fusion: An Innovative One-Stage Surgical Technique for Posterior Kyphosis Correction.Orthopedic reviews · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundFor older adults with mobility problems, one focus of rehabilitation is treating the underlying neuromuscular impairment(s) that lead to functional decline and disability. Knowing which neuromuscular impairments contribute to basic mobility tasks among older adults with back pain will fill an important knowledge gap and is a critical step towards developing mechanistically based rehabilitative interventions.
objectiveTo evaluate the relationship of neuromuscular impairments with performance of mobility tasks among older adults with and without back pain.
designCross-sectional analysis of baseline data from the Boston Rehabilitative Impairment Study of the Elderly.
settingPrimary care-based population. PATIENTS: Participants (N = 430) were older primary care patients who completed assessments of neuromuscular impairments and mobility tasks.
methodsBack pain was assessed by the use of an established comorbidity questionnaire. Neuromuscular impairments included trunk extensor muscle endurance, kyphosis, leg strength, leg strength asymmetry, leg speed, mean reaction time, leg coordination, and knee and ankle range of motion. MAIN OUTCOME MEASUREMENTS: Mobility tasks included gait speed, standing balance, chair stand, and patient-reported functional status. Analysis of covariance was used to generate adjusted means for neuromuscular impairments that differed significantly by back pain status. Separate multivariable regression models evaluated the association between neuromuscular impairments and mobility based on back pain status after we adjusted for sociodemographic factors and physiologic impairments.
resultsParticipants had an average age of 77 years, 68% were female, and 31% reported back pain. Trunk extensor muscle endurance, leg strength, and rapid leg coordination were significantly lower among those with back pain compared to those without (P < .01, P = .01, P = .04, respectively). Patterns of neuromuscular impairments that were associated with mobility tasks differed according to back pain status.
conclusionsThe neuromuscular impairment profiles associated with mobility function among older adults with back pain vary compared with older adults without back pain.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.