The severity and number of musculoskeletal pain associated with gait in community-dwelling elderly individuals
The severity and number of musculoskeletal pain associated with gait in community-dwelling elderly individuals
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DOI：
10.1016/j.gaitpost.2017.03.013
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发表时间：
2017-05-01
期刊：
影响因子：
2.4
通讯作者：
Ono, Rei
中科院分区：
文献类型：
--
作者：
Sawa, Ryuichi;Doi, Takehiko;Ono, Rei
背景：定量步态特征，如步态变异性与肌肉骨骼疼痛的关系知之甚少。我们的目的是研究步态速度和步态变异性是否与肌肉骨骼疼痛的严重程度和数量在社区居住的老年人individual.Methods：共176名老年人参加了这项研究。将无线运动记录传感器单元在步态过程中连接到下躯干和脚跟，并在三个方向上计算自相关系数作为躯干运动步态变异性的参数。肌肉骨骼疼痛进行了评估，在两个方面：严重程度和数量的sites.Results：中度/重度疼痛强度显着相关缓慢的步态速度和低AC中外侧方向（P = 0.024和0.026，分别）。与肌肉骨骼疼痛在多个网站的参与者有显着较低的自相关系数在中外侧方向比那些没有疼痛（P = 0.003）。结论：存在中度/重度疼痛强度在至少一个网站或任何强度的疼痛在多个网站与较慢的步态速度和较高的步态变异性躯干运动功能良好的老年人生活在社区。进一步的研究是必要的，以阐明肌肉骨骼疼痛和步态之间的因果关系。(C)2017爱思唯尔B. V.保留所有权利。
Background: The association of quantitative gait characteristics, such as gait variability with musculoskeletal pain is poorly understood. We aimed to examine whether gait speed and gait variability are associated with musculoskeletal pain assessed by the severity and the number of sites in community-dwelling elderly individuals.Methods: A total of 176 elderly individuals participated in this study. The wireless motion-recording sensor units were attached to the lower trunk and heel during gait, and an autocorrelation coefficient was calculated in three directions as parameters of gait variability of trunk movement. Musculoskeletal pain was assessed in two aspects: severity and the number of sites.Results: Moderate/severe pain intensity was significantly associated with slow gait speed and low AC in a mediolateral direction (P = 0.024 and 0.026, respectively). Participants with musculoskeletal pain in multiple sites had significantly lower autocorrelation coefficient in mediolateral direction than did those without pain (P = 0.003).Conclusions: Presence of moderate/severe pain intensity in at least one site or any-intensity pain in multiple sites is associated with slower gait speed and higher gait variability of trunk movement in well functioning elderly individuals living in the community. Additional studies are necessary to elucidate the causal relationships between musculoskeletal pain and gait.(C) 2017 Elsevier B.V. All rights reserved.