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http://hdl.handle.net/10397/75500
Title: | Low back pain in older adults : risk factors, management options and future directions | Authors: | Wong, A Karppinen, J Samartzis, D |
Issue Date: | 2017 | Source: | Scoliosis and spinal disorders, 2017, v. 12, no. 14, 14, p. 1-23 | Abstract: | Low back pain (LBP) is one of the major disabling health conditions among older adults aged 60 years or older. While most causes of LBP among older adults are non-specific and self-limiting, seniors are prone to develop certain LBP pathologies and/or chronic LBP given their age-related physical and psychosocial changes. Unfortunately, no review has previously summarized/discussed various factors that may affect the effective LBP management among older adults. Accordingly, the objectives of the current narrative review were to comprehensively summarize common causes and risk factors (modifiable and non-modifiable) of developing severe/chronic LBP in older adults, to highlight specific issues in assessing and treating seniors with LBP, and to discuss future research directions. Existing evidence suggests that prevalence rates of severe and chronic LBP increase with older age. As compared to working-age adults, older adults are more likely to develop certain LBP pathologies (e.g., osteoporotic vertebral fractures, tumors, spinal infection, and lumbar spinal stenosis). Importantly, various age-related physical, psychological, and mental changes (e.g., spinal degeneration, comorbidities, physical inactivity, age-related changes in central pain processing, and dementia), as well as multiple risk factors (e.g., genetic, gender, and ethnicity), may affect the prognosis and management of LBP in older adults. Collectively, by understanding the impacts of various factors on the assessment and treatment of older adults with LBP, both clinicians and researchers can work toward the direction of more cost-effective and personalized LBP management for older people. | Keywords: | Risk factors Spine Disc degeneration Management Low back pain Elderly Genetics Falls Brain Pain assessment |
Publisher: | BioMed Central | Journal: | Scoliosis and spinal disorders | EISSN: | 2397-1789 | DOI: | 10.1186/s13013-017-0121-3 | Rights: | © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. The following publication Wong, A., Karppinen, J., & Samartzis, D. (2017). Low back pain in older adults : risk factors, management options and future directions. Scoliosis and Spinal Disorders, 12(14), 14, 1-23 is available at https://dx.doi.org/10.1186/s13013-017-0121-3 |
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