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

**Authors:** Paulina Kowalewska, Małgorzata Wójcik, Aleksandra Banaszak, Kacper Bernatowicz, Mateusz Motyl, Patrycja Wołodźko, Matylda Sauermann, Maciej Wołczek, Eryk Pietruszak, Bartosz Aniśko, Thomas Rulleau, Thomas Rulleau, Yih-Kuen Jan, Yih-Kuen Jan

PMC · DOI: 10.1371/journal.pone.0344292 · 2026-03-10

## TL;DR

This study explores how spinal pain and aging affect physical function and balance in older adults.

## Contribution

It identifies significant associations between spinal pain, age, and functional decline in seniors.

## Key findings

- Age and TUG test scores are strongly correlated (r = 0.61, p < 0.001).
- Neck Disability Index is linked to postural sway (r = 0.45, p = 0.016).
- No significant relationship exists between spinal pain and physical activity levels.

## Abstract

Population aging is associated with progressive functional decline and a rising prevalence of chronic spinal pain, representing a major challenge for public health and geriatric care.

To evaluate the relationships between spinal pain, functional mobility, balance, and physical activity level in older adults.

A total of 28 community-dwelling seniors (25 women, 3 men; mean age 70.8 ± 5.1 years) participated in the study. Functional mobility was assessed using the Timed Up and Go (TUG) test and reaction time. Postural balance was measured using a force platform. Disability was evaluated with NDI and ODI, and physical activity with IPAQ.

Significant correlations were found between age and TUG (r = 0.61, p < 0.001), and between Neck Disability Index (NDI) and postural sway area (r = 0.45, p = 0.016). No significant relationship was observed between pain and physical activity levels.

Spinal pain and age are significantly associated with functional decline and impaired balance in older adults. These findings suggest that assessing cervical disability and postural stability should be integral to the geriatric evaluation, as they may identify individuals at higher risk of mobility limitations.

## Full-text entities

- **Genes:** HHIP (hedgehog interacting protein) [NCBI Gene 64399] {aka HIP}
- **Diseases:** obese (MESH:D009765), musculoskeletal pain (MESH:D059352), falls (MESH:C537863), sensorimotor (MESH:D020233), non-communicable diseases (MESH:D000073296), stroke (MESH:D020521), decreased hip extensor strength (MESH:D025981), osteoarthritis (MESH:D010003), balance deficits (MESH:D009461), Neck pain (MESH:D019547), cervical and lumbar disability (MESH:D002575), mobility limitations (MESH:D051346), balance disorders (MESH:D009358), Chronic low back pain (MESH:D017116), headache (MESH:D006261), sarcopenia (MESH:D055948), degenerative joint diseases (MESH:D019636), unintentional injuries (MESH:D014947), physical (MESH:D059445), Pain (MESH:D010146), fractures (MESH:D050723), decline in cervical proprioception (MESH:D020886), cancer (MESH:D009369), decline (MESH:D060825), reduced hip extensor (MESH:D001523), ORCID iD (MESH:C535742), anxiety (MESH:D001007), spinal radiculopathy (MESH:D011843), NDI (MESH:D006258), Chronic spinal pain (MESH:D059350), depression (MESH:D003866), cranial neuralgias (MESH:D009437), musculoskeletal disorders (MESH:D009140), type 2 diabetes (MESH:D003924), loss of muscle strength, function, and mass (MESH:D009135), peripheral neuropathy (MESH:D010523), mechanical (MESH:D041781), chronic diseases (MESH:D002908), R2-19 (MESH:D000094024), Disability (MESH:D009069), decline of physical and cognitive functions (MESH:D003072), impaired postural balance (MESH:D054972), ODI (MESH:C566784), impaired functional mobility (MESH:D014086), death (MESH:D003643), neurological injury (MESH:D020196), cardiovascular diseases (MESH:D002318), health (OMIM:603663), osteoporosis (MESH:D010024), joint pain (MESH:D018771), decreased bone mass (MESH:D001847)
- **Chemicals:** PONE-D-25-51057R2 (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12974841/full.md

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Source: https://tomesphere.com/paper/PMC12974841