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Centre for Policy on Ageing | |
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| The role of pain in the recovery of instrumental and social functioning after hip fracture | | Author(s) | Christianna S Williams, Mary E Tinetti, Stanislav V Kasl |
| Journal title | Journal of Aging and Health, vol 18, no 5, October 2006 |
| Pages | pp 743-762 |
| Source | http://www.sagepublications.com |
| Keywords | Pain ; Fractures ; Rehabilitation ; Self care capacity ; Mobility ; Participation ; Longitudinal surveys ; United States of America. |
| Annotation | It is critical to identify modifiable factors associated with functional recovery from hip fracture. The authors examined the association between pain intensity and two functional endpoints - instrumental activities of daily living (IADLs) and social activity participation - after hip fracture. 270 cognitively intact, community-dwelling people aged 65+ who underwent surgical hip fracture repair in New Haven Connecticut, were followed for 12 months. Pain intensity was strongly negatively associated with both instrumental and social functioning. Increases in pain intensity between 6 and 12 months were also associated with concurrent decreases in function. These relationships were partly explained by depressive symptoms and a marker of physical ability - gait speed. Interventions to control pain may enhance functional status after hip fracture. However, pain relief must be maintained to sustain recovery. Attention to the complex relationships between pain, depressive symptoms and physical impairments should inform intervention development. (RH). |
| Accession Number | CPA-070115210 A |
| Classmark | CT7: CUF: LM: CA: C4: TMB: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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