title: Neck pain, concerns of falling and physical performance in community-dwelling Danish citizens over 75 years of age: A cross-sectional study.
abstract: OBJECTIVE
  The aim of this study was to determine the associations between neck pain, concerns of falling and physical performance in older people.
  
  
  METHODS
  Cross-sectional study of 423 community-dwelling Danes aged 75 years and older. Measures consisted of self-reported neck pain, physical performance (Short Physical Performance Battery), self-reported psychological concerns related to falling (Falls Efficacy Scale International), depression (Major Depression Inventory), cognitive function (Mini Mental State Examination), self-reported low-back pain and self-reported history of falls. Associations between neck pain and fear of falling were determined using multivariable logistic regression modelling.
  
  
  RESULTS
  Bothersome neck pain that limits daily activities is significantly associated with concerns of falling (unadjusted odds ratio (OR) 3.29, 95% confidence interval (CI) 1.54-7.03) and impaired physical performance (unadjusted OR 2.26, 95% CI 1.09-4.69). However, these relationships became nonsignificant after adjusting for potential confounders. Bothersome neck pain and concerns of falling is attenuated by depression, and the relationship between bothersome neck pain and decreased physical performance is attenuated by concerns of falling, depression and previous history of falls.
  
  
  CONCLUSIONS
  Bothersome neck pain in older people is associated with increased concerns of falling and decreased physical performance that are two known risk factors for falls in older people. However, these relationships are complicated by other variables, particularly depression.
authors: 1 Discipline of Chiropractic, School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
authors: Julie C
authors: JC
authors: Kendall
authors: 2 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.|3 Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
authors: Eleanor
authors: E
authors: Boyle
authors: 2 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.|4 Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.
authors: Jan
authors: J
authors: Hartvigsen
authors: 2 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
authors: Lars G
authors: LG
authors: Hvid
authors: 1 Discipline of Chiropractic, School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
authors: Michael F
authors: MF
authors: Azari
authors: 2 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
authors: Mathias
authors: M
authors: Skjødt
authors: 2 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.|5 National Institutes of Health, National Institute on Aging, Bethesda, USA.
authors: Paolo
authors: P
authors: Caserotti
keywords: Aged; fear of falling; pain; physical performance