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. Importantly, various age-related physical, psychological, and mental changes e. 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. The average lifespan of humans has dramatically increased in the last decade due to the advance in medicine [ 1 ]. However, the fast-growing aging population also increases the likelihood of non-communicable diseases e. Low back pain LBP is the most common health problem among older adults that results in pain and disability [ 4 , 7 — 10 ]. However, recent studies have revealed that LBP remains ubiquitous among older adults at their retirement ages [ 20 , 21 ]. It is noteworthy that both the incidence and prevalence of severe and chronic LBP increase with older age [ 13 , 29 , 30 ].
Test your knowledge
Young vs Old Face Illusion
Bent barbell - stock cliparts and vectors. Photos bent over. Illustrations bent over. White curled paper page corner template. Neck Pain from Smartphone. Businesswoman standing on a chair holding the sign. Paper lower left corner like! Paper lower right corner soccer field.
Gait disorders encompass a number of issues, including slowing of gait speed and loss of smoothness, symmetry, or synchrony of body movement. For older adults, walking, standing up from a chair, turning, and leaning are necessary for independent mobility. Gait speed, chair rise time, and the ability to do tandem stance standing with one foot in front of the other—a measure of balance are independent predictors of the ability to do instrumental activities of daily living eg, shopping, traveling, cooking and of the risk of nursing home admission and death. Walking without assistance requires adequate attention and muscle strength plus effective motor control to coordinate sensory input and muscle contraction. Gait speed, chair rise time, and the ability to do tandem stance are independent predictors of the ability to do instrumental activities of daily living and of the risk of nursing home admission and death. Gait velocity is a powerful predictor of mortality—as powerful as an older person's number of chronic medical conditions and hospitalizations. Gait velocity slows because older people take shorter steps at the same rate cadence. The most likely reason for shortened step length the distance from one heel strike to the next is weakness of the calf muscles, which propel the body forward; calf muscle strength is substantially decreased in older adults. However, older people seem to compensate for decreased lower calf power by using their hip flexor and extensor muscles more than young adults.
Sign Up. Languages English. All Images.