The Association Between Pain and the Risk of Falling in the Elderly With Knee Osteoarthritis


The risk of falling is a major problem for the elderly with knee osteoarthritis. Factors that increase the risk of falling include postural disorders caused by pain. Severe pain affects the functional activities of the elderly. This might lead to weakened muscles and exacerbate the loss of postural control or impaired balance, which increases the risk of falling. This study aimed to analyze the correlation between pain and the risk of falling in the elderly in Malang. It was conducted through a cross-sectional study with 53 participants recruited from a healthcare center in Malang. These participants were all diagnosed with knee osteoarthritis and were aged above 55 years old. The VAS scale was used to measure the pain level, while the Hopkins Falls Grading scale was used to measure the risk of falling. The Spearman test analysis showed that there was a significant correlation between pain and the risk of falling (r = 0.46, p < 0.05).

Keywords: pain, risk of fall, knee osteoarthritis, elderly

[1] G.S. Dulay, C. Cooper, and E.M. Dennison, “Knee pain, knee injury, knee osteoarthritis & work.,” Best Practice & Research Clinical Rheumatology. vol. 29, no. 3, pp. 454– 461, 2015.

[2] M.J. Lespasio, N.S. Piuzzi, M.E. Husni, G.F. Muschler, A. Guarino, and M.A. Mont, “Knee Osteoarthritis: A Primer.,” The Permanente journal. vol. 21, pp. 1–7, 2017.

[3] C. Hicks, P. Levinger, J.C. Menant, et al., “Reduced strength, poor balance and concern about falls mediate the relationship between knee pain and fall risk in older people.,” BMC Geriatrics. vol. 20, no. 1, p. 94, 2020.

[4] J.I. Sains, B. Histologi, F. Kedokteran, and U. Malikussaleh, “KERUSAKAN PROTEOGLIKAN PADA OSTEOARTRITIS Meutia Maulina.,” vol. 1, no. 1, pp. 61–67, 2017.

[5] A. Rudy and R.B. Setyanto, “Analisis faktor yang mempengaruhi risiko jatuh pada lansia.,” vol. 5, pp. 162–166, 2019.

[6] P.G. Miake-lye, I. M., Hempel, S., Ganz, D. A., & Shekelle, “Annals of Internal Medicine Inpatient Fall Prevention Programs as a Patient Safety Strategy.,” vol. 158, no. 5, p. 2013.

[7] J.B. Dore, A. L., Golightly, Y. M., Mercer, V. S., Shi, X. A., & Renner, “Lower Limb Osteoarthritis and the Risk of Falls in a Community Based Longitudinal Study of Adults with and without Osteoarthritis.,” Physiology & behavior. vol. 176, no. 3, pp. 139–148, 2016.

[8] Y. Eker and B. Belgen Kaygisiz, “The effect of pain severity on balance, postural stability and fall risk in patients with shoulder pathologies.,” Archives of medical science : AMS. vol. 17, no. 2, pp. 390–396, 2019.

[9] V. No and A.D. Pratama, “RSPAD GATOT SOEBROTO Abstrak Jurnal Sosial Humaniora Terapan.,” vol. 1, no. 2, pp. 21–34, 2019.

[10] A.I. Pratiwi, “Diagnosis and Treatment Osteoarthritis.,” Journal Majority,. vol. 4, no. 4, p. 2015.