Falls and musculoskeletal pain in older adults with chronic heart failure

Kuys, Suzanne, van der Ham, Elise, Hwang, Rita, Adsett, Julie and Mandrusiak, Allison (2013) Falls and musculoskeletal pain in older adults with chronic heart failure. Cardiopulmonary Physical Therapy Journal, 24 4: 12-33.

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Name Description MIMEType Size Downloads
Author Kuys, Suzanne
van der Ham, Elise
Hwang, Rita
Adsett, Julie
Mandrusiak, Allison
Title Falls and musculoskeletal pain in older adults with chronic heart failure
Journal name Cardiopulmonary Physical Therapy Journal   Check publisher's open access policy
ISSN 1541-7891
Publication date 2013-12
Sub-type Article (original research)
Open Access Status
Volume 24
Issue 4
Start page 12
End page 33
Total pages 7
Place of publication St. Louis, MO, United States
Publisher Cardiovascular & Pulmonary Section, American Physical Therapy Association
Collection year 2014
Language eng
Formatted abstract
Purpose: People with chronic heart failure (HF) are typically aged over 65 years and are likely to experience many falls risks. Musculoskeletal pain also appears to be an issue. However, the frequency of falls and musculoskeletal pain in this group is largely unknown. This study sought to determine the frequency of mechanical falls, known falls risk factors and relationship between musculoskeletal pain and falls in older adults with HF.

Methods: Community-dwelling people with HF completed a questionnaire.

Results: Of 212 distributed questionnaires, 96 (45%) were returned. Overall, 34 respondents (36%) reported they had fallen in the previous year. Fallers more frequently reported orthostatic hypotension and took more medications (mean10) compared to non-fallers (mean 9) (p = 0.05). The majority (91%) of respondents reported musculoskeletal pain during the previous 12 months. Most frequently reported areas included lower back (60%), ankles and feet (59%), shoulders (54%), and knees (54%). No difference was found between fallers and nonfallers for the frequency of musculoskeletal pain.

Conclusions: This group of older adults with HF reported a high mechanical falls rate with significant risk factors including orthostatic hypotension and polypharmacy. It appears that musculoskeletal pain although common may not be a falls risk.
Keyword Falls
Heart failure
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
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Created: Tue, 25 Mar 2014, 12:29:17 EST by Ms Allison Mandrusiak on behalf of Physiotherapy