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Paradigm Shift in Geriatric Low Back Pain Management: Integrating Influences, Experiences, and Consequences.

Publication ,  Journal Article
Simon, CB; Hicks, GE
Published in: Phys Ther
May 1, 2018

Geriatric low back pain (LBP) can have a profound impact on physical activity and can cause a decline in physical function, which is a major health risk for older adults. Within the last decade, physical therapist management of LBP has shifted from an emphasis on pathoanatomical mechanisms, such as spine degeneration, to addressing psychological distress factors. Although this approach is promising, the complexity of LBP in older adults (including biological, psychological, cognitive, and social influences), which may differ from that in younger adults, must be considered. Further, outcome assessment should represent not only the LBP experience (eg, pain intensity, pain with movement) but also LBP consequences, such as physical activity decline and physical function decline. This perspective discusses influences on geriatric LBP, experiences, and consequences with the goal of facilitating standardized and comprehensive physical therapist management.

Duke Scholars

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Published In

Phys Ther

DOI

EISSN

1538-6724

Publication Date

May 1, 2018

Volume

98

Issue

5

Start / End Page

434 / 446

Location

United States

Related Subject Headings

  • Rehabilitation
  • Physical Therapy Modalities
  • Pain Measurement
  • Pain Management
  • Low Back Pain
  • Humans
  • Geriatric Assessment
  • Disability Evaluation
  • Comorbidity
  • Aged
 

Citation

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Chicago
ICMJE
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Simon, C. B., & Hicks, G. E. (2018). Paradigm Shift in Geriatric Low Back Pain Management: Integrating Influences, Experiences, and Consequences. Phys Ther, 98(5), 434–446. https://doi.org/10.1093/ptj/pzy028
Simon, Corey B., and Gregory E. Hicks. “Paradigm Shift in Geriatric Low Back Pain Management: Integrating Influences, Experiences, and Consequences.Phys Ther 98, no. 5 (May 1, 2018): 434–46. https://doi.org/10.1093/ptj/pzy028.
Simon, Corey B., and Gregory E. Hicks. “Paradigm Shift in Geriatric Low Back Pain Management: Integrating Influences, Experiences, and Consequences.Phys Ther, vol. 98, no. 5, May 2018, pp. 434–46. Pubmed, doi:10.1093/ptj/pzy028.
Journal cover image

Published In

Phys Ther

DOI

EISSN

1538-6724

Publication Date

May 1, 2018

Volume

98

Issue

5

Start / End Page

434 / 446

Location

United States

Related Subject Headings

  • Rehabilitation
  • Physical Therapy Modalities
  • Pain Measurement
  • Pain Management
  • Low Back Pain
  • Humans
  • Geriatric Assessment
  • Disability Evaluation
  • Comorbidity
  • Aged