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Chronic musculoskeletal conditions (specifically low back pain, hip and knee osteoarthritis) are highly prevalent in mid-life and older adults and adversely affect mobility.

Chronic musculoskeletal conditions account for over 50% of disability in adults over 65.

Declines in physical activity associated with chronic musculoskeletal conditions are directly linked to an increased risk of metabolic and cardiovascular disease.  Patients often experience a downward spiral of pain, reduced physical activity, increased co-morbidities adn health concerns that negatively impact quality-of-life and sense of well-being.  The Patient Centered Outcomes Research Institute (PCORI) identifies musculoskeletal conditions in older adults as priority conditions, calling for healthcare organizations to improve management strategies.

A number of community programs have been developed that are successful in reducing health risk and improving mobility for individuals with chronic pain conditions, however, care coordination between health providers and community programs is poor.

Providers only refer between 20-35% of individuals at greatest need to community programs and even fewer access the programs.

This suggests that despite numerous resources, we have not established the optimal support mechanisms for sustained physical activity in this population.  The focus of the B.R.I.D.G.E.S. project is to work with patient and community stakeholders interested in improving mechanisms for sustaining physical activity in mid-life and older adults with pain and limited mobility.

The B.R.I.D.G.E.S project was started through a Tier one funding grant through the Patient Centered Outcomes Research Institute (PCORI) in October of 2017.

B.R.I.D.G.E.S Project:  Building Relationships to Influence program Development to Generate Enduring physical activity Support

The goal of the B.R.I.D.G.E.S project was to establish an advisory board of stakeholders bringing together patients, community leaders, providers, clinicians and innovators to:

1. Understand the barriers and challenges to sustained Physical Activity for Senior Citizens age 60+ with joint pain or mobility issues.

2. Understand incentives, support and resources needed to ensure that Seniors have support for sustained Physical Activity.

3. Establish patient-centered research around interventions that will improve sustained Physical Activity and enhanced quality of life for seniors with chronic musculoskeletal and mobility issues.

Learn more:

B.R.I.D.G.E.S Background: Chronic Musculoskeletal conditions are the most common cause of long-term disability and activity limitation

B.R.I.D.G.E.S Awarded Patient Centered Outcome Research Institute Grant

B.R.I.D.G.E.S. Advisory Board Three Teams Overview


Heathcare systems in the U.S struggle to provide an effective support structure for sustained Physical activity for mid-life and older adults with chronic musculoskeletal conditions and limited mobility.