Pain, lower-extremity muscle strength, and physical function among older Mexican Americans.

Abstract:

OBJECTIVE:To examine the relation between pain on weight bearing, lower-extremity muscle strength, and physical function among older Mexican Americans. DESIGN:Cross-sectional study. SETTING:Five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. PARTICIPANTS:A population-based sample of 544 noninstitutionalized Mexican-American men and women age 71 years and older. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Pain on weight bearing, lower-extremity muscle strength, and physical function. RESULTS:Of the 544 subjects, 244 (44.9%) reported pain on weight bearing. Mean muscle strength in men ranged from 9.3 kg for knee extension, 12.8 kg for hip flexion, to 13.0 kg for hip abduction. In women, mean strength ranged from 6.6 kg for knee extension, 9.5 kg for hip flexion, to 8.6 kg for hip abduction. Mean of physical function score was 70.7 for men and 60.6 for women. Pain on weight bearing was negatively associated with summary lower-extremity muscle strength only in women (-.05, P < .001) after controlling for all covariates. Pain on weight bearing was negatively associated with physical function in both men (-15.33, P < .001) and women (-11.03, P < .001), and lower-extremity muscle strength was positively associated with physical function in both men (37.77, P < .001) and women (73.50, P < .001), after controlling for all covariates. CONCLUSIONS:Among older Mexican Americans, the presence of pain was associated with decreased muscle strength in women and decreased physical function in both men and women. High muscle strength was associated with high physical function in both men and women.

journal_name

Arch Phys Med Rehabil

authors

Al Snih S,Raji MA,Peek MK,Ottenbacher KJ

doi

10.1016/j.apmr.2004.12.038

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

1394-400

issue

7

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(05)00215-7

journal_volume

86

pub_type

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