Article

The purpose of this study was to
establish whether pain interference is associated with PCRF in community-dwelling
older adults. DESIGN: This was a multisite cross-sectional study. METHOD: Two
hundred ninety-five community-dwelling older adults (mean age=77.5 years, SD=8.1;
66.4% female) participated in the study. All participants completed the Brief
Pain Inventory (BPI) interference subscale, Short Falls Efficacy
Scale-International (FES-I), Activities-specific Balance Confidence Scale (ABC),
modified version of the Survey of Activities and Fear of Falling in Elderly Scale
(mSAFFE), and Consequences of Falling Scale (CoF). Hierarchical multiple
regression analysis were conducted. In the first step of the study,
sociodemographic and known risk factors for psychological concerns related to
falls were inserted into the model, followed by the BPI interference subscale
score in the second step. RESULTS: One hundred sixty-nine participants (57.3%)
reported some pain interference. The BPI interference subscale was highly
correlated with all PCRF (r>.5, P<.0001). After the adjustment for established
risk factors, the BPI interference subscale significantly increased the variance
in the Short FES-I (R(2) change=13.2%), ABC (R(2) change=4.7%), mSAFFE (R(2)
change=5.0%), and CoF (R(2) change=10.0%). Pain interference was a significant
and independent predictor in the final model for the Short FES-1 (beta=0.455,
P<.001), ABC (beta=-0.265, P<.001), mSAFFE (beta=0.276, P<.001), and CoF
(beta=0.390, P<.001). LIMITATIONS: The study was cross-sectional. CONCLUSIONS:
Pain interference is an important contributing factor in each of the
psychological concerns related to falls. Pain interference had the strongest
impact on reducing falls efficacy and increasing older adults' concerns about the
consequences of falling.
CI - (c) 2014 American Physical Therapy Association.

Langue : ANGLAIS