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Inpatients had more severe pain and more functional limitation than did outpatients (p = 0.001 and p<0.001 respectively).

Vogt MT et al also determined a high prevalence of back pain in postmenopausal women; moreover, they established a relationship between this symptom and reduced physical health and more functional limitation [ 21].

Specifically, higher arthritis helplessness, depression and passive coping correlated significantly with more functional limitation in the final model, mirroring findings in other chronic arthritic conditions [ 19, 24, 29, 31- 34].

The presence of any cheiroarthropathy was associated with higher DASH scores, reflecting more functional limitation, and there was a progressive effect on functional limitation with the presence of more elements of cheiroarthropathy (P < 0.0001).

The univariate regression analysis found the following variables to be significantly associated with higher BASFI scores (more functional limitation): older age, tobacco use, number of medical co-morbidities, higher ESR, disease duration at baseline visit, higher BASRI scores (more radiographic disease damage), high passive coping, high helplessness, and high depression scores.

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Dr. Richard Deyo, a professor of family medicine at Oregon Health and Science University, said that despite the increase in injections and other aggressive treatments, surveys and Social Security disability records suggest that "people with back pain are reporting more functional limitations and work limitation, rather than less".

The initial hypothesis was that the study population had more functional limitations than the healthy population.

Poorer QOL was predicted by more functional limitations and greater levels of psychological distress.

Women are more likely to rate their health poorer and to report more functional limitations and disability than men (16– 20).

In 2007, 42% of people ≥ 65 years of age reported one or more functional limitations (Federal Interagency Forum on Aging Related Statistics 2010).

However, in the present study, the children with more functional limitations (GMFCS IV V) never had walking as a goal.

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