Exercise & Training

Physical function, daily activities, and spinal pain in the elderly: A cross-sectional study.

TL;DR

Spinal pain and age are significantly associated with functional decline and impaired balance in older adults, suggesting that assessing cervical disability and postural stability should be integral to geriatric evaluation.

Key Findings

Age was significantly correlated with functional mobility as measured by the Timed Up and Go test.

  • The correlation between age and TUG test performance was r = 0.61, p < 0.001.
  • The study included 28 community-dwelling seniors (25 women, 3 men) with a mean age of 70.8 ± 5.1 years.
  • The TUG test was used as the primary measure of functional mobility.
  • Reaction time was also assessed alongside TUG as a measure of functional mobility.

Neck Disability Index (NDI) scores were significantly correlated with postural sway area.

  • The correlation between NDI and postural sway area was r = 0.45, p = 0.016.
  • Postural balance was measured using a force platform.
  • Disability was evaluated using both the Neck Disability Index (NDI) and the Oswestry Disability Index (ODI).
  • This finding suggests that greater cervical spine disability is associated with larger postural sway in older adults.

No significant relationship was observed between spinal pain and physical activity levels.

  • Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ).
  • The absence of a significant correlation between pain and physical activity was noted despite significant associations found between pain-related disability and balance measures.
  • The sample consisted of 28 community-dwelling seniors.

The study population consisted of community-dwelling older adults assessed across multiple functional domains.

  • A total of 28 participants were included: 25 women and 3 men with a mean age of 70.8 ± 5.1 years.
  • Assessments included the TUG test, reaction time, force platform-based postural balance, NDI, ODI, and IPAQ.
  • The cross-sectional design was used to evaluate relationships between spinal pain, functional mobility, balance, and physical activity.
  • Participants were community-dwelling seniors, representing a relatively independent older adult population.

Assessing cervical disability and postural stability was identified as important for identifying older adults at higher risk of mobility limitations.

  • The authors suggest these assessments should be integral to geriatric evaluation.
  • Findings were based on significant associations between NDI and postural sway area (r = 0.45, p = 0.016) and between age and TUG (r = 0.61, p < 0.001).
  • The authors frame these findings in the context of population aging being associated with progressive functional decline and rising prevalence of chronic spinal pain.

Have a question about this study?

Citation

Kowalewska P, W&#xf3;jcik M, Banaszak A, Bernatowicz K, Motyl M, Wo&#x142;od&#x17a;ko P, et al.. (2026). Physical function, daily activities, and spinal pain in the elderly: A cross-sectional study.. PloS one. https://doi.org/10.1371/journal.pone.0344292