Evidence map›Paper›PMID 33658074›Full record

ArticleArthritis research & therapy2021

Hip osteoarthritis signs and symptoms are associated with increased fall risk among community-dwelling older adults with chronic low back pain: a prospective study.

Patrick J Knox, Peter C Coyle, Jenifer M Pugliese, Ryan T Pohlig, Jaclyn M Sions, Gregory E Hicks

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthritis research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
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  9. Observational
  10. Musculoskeletal pain in Parkinson's disease: a narrative review.Neurodegenerative disease management · 2021
    Review
  11. Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults.International journal of environmental research and public health · 2021
    Article
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

6 authors at 1 institution in 1 country.

Patrick J KnoxDepartment of Physical Therapy, University of Delaware, 540 S. College Ave, Newark, DE, 19713, USA.
Peter C CoyleDepartment of Physical Therapy, University of Delaware, 540 S. College Ave, Newark, DE, 19713, USA.
Jenifer M PuglieseDepartment of Physical Therapy, University of Delaware, 540 S. College Ave, Newark, DE, 19713, USA.
Ryan T PohligDepartment of Epidemiology, University of Delaware, Newark, DE, USA.
Jaclyn M SionsDepartment of Physical Therapy, University of Delaware, 540 S. College Ave, Newark, DE, 19713, USA.
Gregory E HicksDepartment of Physical Therapy, University of Delaware, 540 S. College Ave, Newark, DE, 19713, USA. ghicks@udel.edu.ORCID 0000-0001-8611-994X
University of Delaware · US

Funding

Chronic Low Back Pain in Older Adults: The Role of Co-Existing Hip ImpairmentsR01AG041202 · NIA · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2012 to 2026
$8.4M
PT/PHD Predoctoral Training Program Diversity SupplementT32HD007490 · NICHD · UNIVERSITY OF DELAWARE · PI DARCY S. REISMAN · 1996 to 2026
$3.7M
NIA NIH HHS R01 AG041202NICHD NIH HHS T32 HD007490
6 · The paper itself

Abstract

backgroundOlder adults with concurrent low back and hip pain are predisposed to reductions in physical performance and health-related quality of life. Yet no study to date has assessed whether or not coexisting hip impairments increase fall risk in older adults with chronic low back pain (CLBP). The objective of this study was to determine if hip osteoarthritis (OA) signs and symptoms per American College of Rheumatology (ACR) criteria are associated with fall risk over a 1-year span.

methodsFalls were prospectively monitored for 1 year via fall calendars. Age, sex, body mass index (BMI), anxiolytic use, balance confidence, LBP-related disability, and prior fall history were identified as covariates. Hip pain, pain with hip internal rotation (IR), hip IR range of motion (ROM) ≥ 15°, and morning stiffness lasting ≤ 60 min were evaluated at baseline and summed to represent hip OA impairment burden. A generalized linear model with a Poisson distribution and log link function assessed the association between ACR criteria and fall risk beyond established covariates. As a secondary analysis, binary logistic regression assessed ACR criteria and the odds of falling two or more times within a year.

resultsData from two-hundred and ten participants were analyzed. Hip OA signs and symptoms were present in 97.1% of the participants, and hip OA impairment burden was significantly greater (p < 0.050) in participants who fell ≥ 2 times compared to single and non-fallers. Higher hip OA impairment burden was associated with significantly increased fall risk (p = 0.001, risk ratio = 1.23, 95% CI 1.09-1.38) and odds of falling multiple times (p < 0.05, odds ratio = 1.41, 95% CI 1.01-1.95) after adjustment for covariates.

conclusionsOlder adults with CLBP and concomitant hip impairments are an at-risk group for falling. Healthcare professionals should employ falls screening and preventive measures to avoid negative sequelae in this vulnerable population.

Indexed as

Low Back PainOsteoarthritis, HipAgedHumansIndependent LivingProspective StudiesQuality of LifeRisk FactorsAccidental fallsAgedLow back painOsteoarthritisRisk factors

Identifiers

PMID33658074
PMCPMC7927382
OpenAlexW3135833340

What OpenQuestion holds

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LicenceCC BY
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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.