Evidence map›Paper›PMID 31634443›Full record

ArticleArchives of physical medicine and rehabilitation2020

Chronic Pain Characteristics and Gait in Older Adults: The MOBILIZE Boston Study II.

Elisa F Ogawa, Ling Shi, Jonathan F Bean, Jeffrey M Hausdorff, Zhiyong Dong, Brad Manor, Robert R McLean, Suzanne G Leveille

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  18. Musculoskeletal Pain Characteristics and Objectively Measured Physical Activity in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  19. Article
  20. Is Tai Chi beneficial for multisite pain syndrome in older adults?Aging clinical and experimental research · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Elisa F OgawaNew England GRECC, VA Boston Healthcare System, Boston, Massachusetts.
Ling ShiCollege of Nursing and Health Sciences, University of Massachusetts Boston, Boston, Massachusetts.
Jonathan F BeanNew England GRECC, VA Boston Healthcare System, Boston, Massachusetts; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts; Spaulding Rehabilitation Hospital, Boston, Massachusetts.
Jeffrey M HausdorffCenter for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; Department of Physical Therapy, Sackler Faculty of Medicine, and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; Rush Alzheimer's Disease Center and Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
Zhiyong DongCollege of Nursing and Health Sciences, University of Massachusetts Boston, Boston, Massachusetts.
Brad ManorInstitute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts; Department of Medicine, Harvard Medical School, Boston, Massachusetts.
Robert R McLeanInstitute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts; Department of Medicine, Harvard Medical School, Boston, Massachusetts; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Suzanne G LeveilleCollege of Nursing and Health Sciences, University of Massachusetts Boston, Boston, Massachusetts; Department of Medicine, Harvard Medical School, Boston, Massachusetts; Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts. Electronic address: Suzanne.leveille@umb.edu.
Harvard University · USUniversity of Massachusetts Boston · USHebrew SeniorLife · USSpaulding Rehabilitation Hospital · USTel Aviv University · ILVA Boston Healthcare System · US

Funding

VITAMIN D NUTRITION IN THE INSTITUTIONALIZED ELDERLYP01AG004390 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI CHENG, DEBBIE M. · 1985 to 2008
$13.2M
Attention Demands of Chronic Pain and Risk for Falls in Older AdultsR01AG041525 · NIA · UNIVERSITY OF MASSACHUSETTS BOSTON · PI LEVEILLE, SUZANNE G. · 2011 to 2015
$3.0M
NIA NIH HHS P01 AG004390NIA NIH HHS R01 AG041525
6 · The paper itself

Abstract

objectiveTo investigate a proposed cognitively-mediated pathway whereby pain contributes to gait impairments by acting as a distractor in community-living older adults.

designA cross-sectional study of a population-based cohort of older adults.

settingUrban and suburban communities in a large metropolitan area.

participantsCommunity-living participants (N=302) 70 years and older recruited from a previous population-based cohort.

interventionsNot applicable.

main outcome measuresGait parameters including gait speed, stride length, double support and swing characteristics, and variability were assessed under single- and dual-task conditions involving cognitive challenges (eg, counting backward). A joint pain questionnaire assessed pain distribution in the back and major joints. We examined pain-gait relationships using multivariable linear regression and bootstrapping mediation procedures.

resultsForty-three percent of participants had pain in 2 or more musculoskeletal sites. Pain distribution was related to slower gait speed and other gait characteristics for all gait conditions. Associations persisted after adjustment for age, sex, education, body mass index, medication, and vision. Decrements in gait measures related to pain were comparable with decrements in gait related to dual-task conditions. There were no differences in dual-task cost among the pain distribution groups. Adjusted for confounders, pain-gait relationships appear mediated by selective attention.

conclusionsThese findings suggest that chronic pain contributes to decrements in gait, including slower gait speed, and that it operates through a cognitively-mediated pathway. Further research is needed to understand the mechanisms via pain alters mobility and to develop interventions to improve mobility among older adults with chronic pain.

Indexed as

GaitAgedAged, 80 and overBostonChronic PainCross-Sectional StudiesFemaleHumansLongitudinal StudiesMalePain MeasurementSurveys and QuestionnairesAgingChronic painCognitionGaitMobility limitationRehabilitation

Identifiers

PMID31634443
PMCPMC7050337
OpenAlexW2981101475

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.