Exploring the Association between Pain and Fracture Characteristics in Women with Osteoporotic Vertebral Fractures

被引:3
|
作者
Manji, Rahim [1 ,2 ]
Ponzano, Matteo [1 ,3 ]
Ashe, Maureen C. [4 ]
Wark, John D. [5 ,6 ,7 ]
Kendler, David [8 ]
Papaioannou, Alexandra [9 ,10 ]
Cheung, Angela M. [11 ,12 ,13 ]
Adachi, Jonathan D. [9 ]
Thabane, Lehana [14 ]
Scherer, Samuel C. [5 ]
Ziebart, Christina [15 ]
Gibbs, Jenna C. [16 ]
Giangregorio, Lora M. [1 ,3 ,17 ]
机构
[1] Univ Waterloo, Dept Kinesiol & Hlth Sci, Waterloo, ON, Canada
[2] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada
[3] Univ Hlth Network, Toronto Rehabil Inst, Toronto, ON, Canada
[4] Univ British Columbia, Ctr Hip Hlth & Mobil, Vancouver, BC, Canada
[5] Univ Melbourne, Dept Med, Parkville, Vic, Australia
[6] Royal Melbourne Hosp, Bone & Mineral Med, Parkville, Vic, Australia
[7] Royal Melbourne Hosp, Dept Diabet & Endocrinol, Parkville, Vic, Australia
[8] Univ British Columbia, Dept Med, Vancouver, BC, Canada
[9] McMaster Univ, Dept Med, Hamilton, ON, Canada
[10] Geriatr Educ & Res Aging Sci Ctr, Hamilton, ON, Canada
[11] Univ Hlth Network, Dept Med, Toronto, ON, Canada
[12] Univ Hlth Network, Joint Dept Med Imaging, Toronto, ON, Canada
[13] Univ Toronto, Dept Med, Toronto, ON, Canada
[14] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
[15] Western Univ, Sch Phys Therapy, London, ON, Canada
[16] McGill Univ, Dept Kinesiol & Phys Educ, Montreal, PQ, Canada
[17] Univ Waterloo, Schlegel UW Res Inst Aging, Waterloo, ON, Canada
基金
加拿大健康研究院;
关键词
back pain; osteoporosis; spinal fractures; spine vertebrae; QUALITY-OF-LIFE; BACK-PAIN; PREVALENT; EXERCISE;
D O I
10.3138/ptc-2020-0067
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose: The purpose of this study was to estimate the association between pain and the number, severity, and location of fractures in women with osteoporotic vertebral fractures. Method:We used an 11-point numeric pain rating scale to assess pain during movement in the preceding week and lateral spinal radiographs to confirm number, location, and severity of vertebral fractures. In model 1, we assessed the association between pain during movement and the number, severity, and location of fractures. We adjusted model 2 for pain medication use and age. Results: The mean age of participants was 76.4 (SD 6.9) years. We found no statistically significant associations between pain and fracture number (estimated beta = 0.23, 95% CI: -0.27, 0.68), fracture severity (estimated beta = -0.46, 95% CI: -1.38, 0.49), or fracture location at T4-T8 (estimated beta = 0.06, 95% CI: -1.26, 1.34), T9-L1 (estimated beta = 0.35, 95% CI: -1.17, 1.74), or L2-L4 (estimated beta = 0.40, 95% CI: -1.01, 1.75). Age and pain medication use were not significantly associated with pain. Model 1 accounted for 4.7% and model 2 for 7.2% of the variance in self-reported pain. Conclusion: The number, location, and severity of fractures do not appear to be the primary explanation for pain in women with vertebral fractures. Clinicians must consider other factors contributing to pain.
引用
收藏
页码:165 / 172
页数:8
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