Skip to main content
Journal cover image

Restricted activity and persistent pain following motor vehicle collision among older adults: a multicenter prospective cohort study.

Publication ,  Journal Article
Platts-Mills, TF; Nicholson, RJ; Richmond, NL; Patel, KV; Simonsick, EM; Domeier, RM; Swor, RA; Hendry, PL; Peak, DA; Rathlev, NK; Jones, JS ...
Published in: BMC Geriatr
April 19, 2016

BACKGROUND: Restricted physical activity commonly occurs following acute musculoskeletal pain in older adults and may influence long-term outcomes. We sought to examine the relationship between restricted physical activity after motor vehicle collision (MVC) and the development of persistent pain. METHODS: We examined data from a prospective study of adults ≥65 years of age presenting to the emergency department (ED) after MVC without life-threatening injuries. Restricted physical activity 6 weeks after MVC was defined in three different ways: 1) by a ≥25 point decrease in Physical Activity Scale in the Elderly (PASE) score, 2) by the answer "yes" to the question, "during the past two weeks, have you stayed in bed for at least half a day?", and 3) by the answer "yes" to the question, "during the past two weeks, have you cut down on your usual activities as compared to before the accident?" We examined relationships between each definition of restricted activity and pain severity, pain interference, and functional capacity at 6 months with adjustment for confounders. RESULTS: Within the study sample (N = 164), adjusted average pain severity scores at 6 months did not differ between patients with and without restricted physical activity based on decreased PASE score (2.54 vs. 2.07, p = 0.32). In contrast, clinically and statistically important differences in adjusted average pain severity at 6 months were observed for patients who reported spending half a day in bed vs. those who did not (3.56 vs. 1.91, p < 0.01). In adjusted analyses, both decreased PASE score and cutting down on activity were associated with functional capacity at 6 months, but only decreased PASE score was associated with increased ADL difficulty at 6 months (0.70 vs. -0.01, p = 0.02). CONCLUSIONS: Among older adults experiencing MVC, those reporting bed rest or reduced activity 6 weeks after the collision reported higher pain and pain interference scores at 6 months. More research is needed to determine if interventions to promote activity can improve outcomes after MVC in older adults.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

BMC Geriatr

DOI

EISSN

1471-2318

Publication Date

April 19, 2016

Volume

16

Start / End Page

86

Location

England

Related Subject Headings

  • Prospective Studies
  • Pain Measurement
  • Pain
  • Motor Vehicles
  • Motor Activity
  • Mobility Limitation
  • Male
  • Longitudinal Studies
  • Humans
  • Geriatrics
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Platts-Mills, T. F., Nicholson, R. J., Richmond, N. L., Patel, K. V., Simonsick, E. M., Domeier, R. M., … McLean, S. A. (2016). Restricted activity and persistent pain following motor vehicle collision among older adults: a multicenter prospective cohort study. BMC Geriatr, 16, 86. https://doi.org/10.1186/s12877-016-0260-z
Platts-Mills, Timothy F., Robert J. Nicholson, Natalie L. Richmond, Kushang V. Patel, Eleanor M. Simonsick, Robert M. Domeier, Robert A. Swor, et al. “Restricted activity and persistent pain following motor vehicle collision among older adults: a multicenter prospective cohort study.BMC Geriatr 16 (April 19, 2016): 86. https://doi.org/10.1186/s12877-016-0260-z.
Platts-Mills TF, Nicholson RJ, Richmond NL, Patel KV, Simonsick EM, Domeier RM, et al. Restricted activity and persistent pain following motor vehicle collision among older adults: a multicenter prospective cohort study. BMC Geriatr. 2016 Apr 19;16:86.
Platts-Mills, Timothy F., et al. “Restricted activity and persistent pain following motor vehicle collision among older adults: a multicenter prospective cohort study.BMC Geriatr, vol. 16, Apr. 2016, p. 86. Pubmed, doi:10.1186/s12877-016-0260-z.
Platts-Mills TF, Nicholson RJ, Richmond NL, Patel KV, Simonsick EM, Domeier RM, Swor RA, Hendry PL, Peak DA, Rathlev NK, Jones JS, Lee DC, Weaver MA, Keefe FJ, McLean SA. Restricted activity and persistent pain following motor vehicle collision among older adults: a multicenter prospective cohort study. BMC Geriatr. 2016 Apr 19;16:86.
Journal cover image

Published In

BMC Geriatr

DOI

EISSN

1471-2318

Publication Date

April 19, 2016

Volume

16

Start / End Page

86

Location

England

Related Subject Headings

  • Prospective Studies
  • Pain Measurement
  • Pain
  • Motor Vehicles
  • Motor Activity
  • Mobility Limitation
  • Male
  • Longitudinal Studies
  • Humans
  • Geriatrics