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Abstract

Background: Musculoskeletal pain commonly affects the elderly, but the extent of this problem within the Malaysian community remains unknown. This study aimed to investigate the prevalence and impact of musculoskeletal pain among the elderly living in the community.

Methods: Elderly individuals aged 60 years and above with musculoskeletal pain and intact cognition were recruited for this study. Musculoskeletal pain was scored using the Nordic Musculoskeletal Questionnaire, and functional ability was assessed via the Lawton Instrumental Activities of Daily Living scale. Mental wellbeing was evaluated using the Short Warwick–Edinburgh Mental Wellbeing scale, and risk of falling was determined via the Short Falls Efficacy Scale – International.

Results: A total of 216 community-dwelling elderly individuals participated in this research. Knee pain was the most common pain type experienced by the participants in the past 12 months (58.8%) and 7 days (28.8%). This type of pain was also the most common reason cited by the elderly for their difficulty in working. Age, gender, and body mass index were not significant predictors of musculoskeletal pain in the elderly (p > 0.05).

Conclusions: Musculoskeletal pain significantly impacts the functional ability and fear of falling of elderly individuals in the east-coast region of Malaysia. Mental wellbeing scores indicated a decreasing trend, but no significant difference was noted.

References

1. Aweto HA, Aiyejusunle C, Egbunah IV. Age-related musculoskeletal disorders associated with sedentary lifestyles among the elderly. Indian J Physiother Occup Ther. 2016;10:145–50.

2. Mohamed Zaki LR, Hairi NN. Chronic pain and pattern of health care utilization among Malaysian elderly population: National Health and Morbidity Survey III (NHMS III, 2006). Maturitas. 2014;79(4):435–41.

3. Department of Statistics Malaysia. Report of household income and basic amenities survey 2014. Putrajaya: Department of Statistics Malaysia, 2015.

4. Van Beek JHGM, Kirkwood TBL, Bassingthwaighte JB. Understanding the physiology of the ageing individual: Computational modelling of changes in metabolism and endurance. Interface Focus. 2016;6:20150079.

5. Blyth FM, Noguchi N. Chronic musculoskeletal pain and its impact on older people. Best Pract Res Clin Rheumatol. 2017;31:160–8.

6. Stubbs B, Schofield P, Patchay S. Mobility limitations and fall-related factors contribute to the reduced health-related quality of life in older adults with chronic musculoskeletal pain. Pain Pract. 2016;16:80–9.

7. Mallen CD, Thomas E, Belcher J, Rathod T, Croft P, Peat G. Point-of-care prognosis for common musculoskeletal pain in older adults. JAMA Intern Med. 2013;173:1119–25.

8. Lucky TM. Pattern of musculoskeletal disorder among geriatric people residing old home. MOJ Public Health. 2017;5:112–5.

9. Dean AG, Sullivan KM, Soe MM. OpenEpi: Open source epidemiologic statistics for public health version 3.01. Atlanta: OpenEpi, 2013.

10. Crawford JO. The Nordic musculoskeletal questionnaire. Occup Med. 2007;57:300–1.

11. Kadar M, Ibrahim S, Razaob NA, Chai SC, Harun D. Validity and reliability of a Malay version of the Lawton instrumental activities of daily living scale among the Malay speaking elderly in Malaysia. Aust Occup Ther J. 2018;65:63–8.

12. Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86.

13. Stewart-Brown S, Platt S, Tennant A, Maheswaran H, Parkinson J, Weich S, et al. The Warwick-Edinburgh Mental Well-Being Scale (WEMWBS): A valid and reliable tool for measuring mental well-being in diverse populations and projects. J Epidemiol Community Health. 2011;65:A38–9.

14. Che Hasan MK, Stanmore E, Todd C. A Feasibility Study of the ESCAPE-pain Programme for Patients with Knee Osteoarthritis in the Malaysian Context: Preparation of A Protocol. Int J Care Sch. 2019;2(2):21–9.

15. Kempen GI, Yardley L, van Haastregt JC, Zijlstra GA, Beyer N, Hauer K, et al. The Short FES-I: A shortened version of the falls efficacy scale-international to assess fear of falling. Age Ageing. 2008;37:45–50.

16. Tan MP, Nalathamby N, Mat S, Tan PJ, Kamaruzzaman SB, Morgan K. Reliability and validity of the short falls efficacy scale international in English, Mandarin, and Bahasa Malaysia in Malaysia. Int J Aging Hum Dev. 2018;87:415–28.

17. James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:1789–858.

18. Wang C, Pu R, Ghose B, Tang S. Chronic musculoskeletal pain, self-reported health and quality of life among older populations in South Africa and Uganda. Int J Environ Res Public Health. 2018;15:2806.

19. March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Riera L, Blyth F, et al. Burden of disability due to musculoskeletal (MSK) disorders. Best Pract Res Clin Rheumatol. 2014;28:353–66.

20. Stubbs B, Patchay S, Soundy A, Schofield P. The avoidance of activities due to fear of falling contributes to sedentary behavior among community-dwelling older adults with chronic musculoskeletal pain: A multisite observational study. Pain Med. 2014;15:1861–71.

21. Mänty M, Thinggaard M, Christensen K, Avlund K. Musculoskeletal pain and physical functioning in the oldest old. Eur J Pain. 2014;18:522–9.

22. Keenan AM, Tennant A, Fear J, Emery P, Conaghan PG. Impact of multiple joint problems on daily living tasks in people in the community over age fifty-five. Arthritis Rheum. 2006;55:757–64.

23. Oliveira MC, Vullings J, van de Loo FAJ. Osteoporosis and osteoarthritis are two sides of the same coin paid for obesity. Nutrition. 2020;70:110486.

24. Cavallari JM, Ahuja M, Dugan AG, Meyer JD, Simcox N, Wakai S, et al. Differences in the prevalence of musculoskeletal symptoms among female and male custodians. Am J Ind Med. 2016;59:841–52.

25. Henchoz Y, Büla C, Guessous I, Rodondi N, Goy R, Demont M, et al. Chronic symptoms in a representative sample of community-dwelling older people: A cross-sectional study in Switzerland. BMJ Open. 2017;7:e014485.

26. Beales D, Smith A, O'Sullivan P, Hunter M, Straker L. Back pain beliefs are related to the impact of low back pain in baby boomers in the Busselton Healthy Aging Study. Phys Ther. 2015;95:180–9

27. Muchna A, Najafi B, Wendel CS, Schwenk M, Armstrong DG, Mohler J. Foot problems in older adults: Associations with incident falls, frailty syndrome, and sensor-derived gait, balance, and physical activity measures. J Am Podiatr Med Assoc. 2018;108:126–39.

28. Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology and burden of osteoarthritis. Br Med Bull. 2013;105:185–99.

29. Mickle KJ, Steele JR. Obese older adults suffer foot pain and foot-related functional limitation. Gait Posture. 2015;42:442–7.

30. Makino K, Lee S, Bae S, Jung S, Shinkai Y, Chiba I, et al. Pain characteristics and incidence of functional disability among community-dwelling older adults. PLoS One. 2019;14:e0215467.

31. Hoy DG, Smith E, Cross M, Sanchez-Riera L, Blyth FM, Buchbinder R, et al. Reflecting on the global burden of musculoskeletal conditions: Lessons learnt from the global burden of disease 2010 study and the next steps forward. Ann Rheum Dis. 2015;74:4–7.

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