Association between dysfunction of upper extremity and locomotive syndrome in general population

Tajika, Tsuyoshi; Yamamoto, Atsushi; Oya, Noboru; Okura, Chisa; Shinagawa, Satoshi; Kitagawa, Takanori; Kobayashi, Hiroki; Iizuka, Haku; Takagishi, Kenji

doi:10.1016/j.jos.2016.11.004

Cited by 10 publications

(7 citation statements)

References 20 publications

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“…Although muscle strength is also an essential factor associated with locomotor function, 14 , 15 , 24 , 36 , 46 , 47 , 56 the impact of muscle strength on LoS may be more prominent in women than in men. 15 …”

Section: Discussionmentioning

confidence: 99%

Locomotive syndrome: clinical perspectives

Ikemoto¹,

Arai²

2018

CIA

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The deterioration of locomotive components, which comprise bones, joints, and intervertebral discs, and muscles and nerves, can lead to symptoms such as pain, limitations in the range of joint mobility, malalignment, impaired balance, and difficulty walking. Locomotive syndrome (LoS) was proposed by the Japanese Orthopedic Association in 2007 as a concept for people who are at a high risk of developing a musculoskeletal ambulation disability attributed to locomotor organs. Although many international articles related to LoS have been published, an international consensus of this concept seems to be lacking. This review article on LoS introduces the concept, the related assessment methods, and the condition’s prevalence based on the most up-to-date literature, and discusses discrimination from frailty and sarcopenia, relevance to musculoskeletal problems, management plan, and future directions. Familiarity with recent evidence would be useful for the health care providers in an aging society to educate individuals with LoS or pre-LoS and to maintain their well-being and prevent them from requiring long-term care.

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Section: Discussionmentioning

confidence: 99%

Locomotive syndrome: clinical perspectives

Ikemoto¹,

Arai²

2018

CIA

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“…The prevalence rate for LS in patients with type 2 diabetes mellitus is likely to be high, and a simple handgrip measurement test could be useful to test for LS; however, this method of patient assessment remains to be investigated. Previous studies, which were carried out in healthy individuals, reported that handgrip would reflect LS 17–21 . We aimed to investigate the prevalence of LS, and the diagnostic value of handgrip measurement for detecting LS in a population of Japanese patients with type 2 diabetes mellitus.…”

Section: Introductionmentioning

confidence: 98%

Handgrip measurement as a useful benchmark for locomotive syndrome in patients with type 2 diabetes mellitus: A KAMOGAWA‐DM cohort study

Kitagawa

Okamura

Hashimoto

et al. 2020

J of Diabetes Invest

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Aims/Introduction To carry out a cross‐sectional single‐center study in a Japanese hospital to determine the diagnostic value of handgrip measurement to detect locomotive syndrome (LS). Materials and Methods Consecutive outpatients underwent an LS risk test, which comprised a stand‐up test and a two‐step test, and a handgrip measurement, along with general diabetes‐related tests. We calculated the prevalence of LS, and evaluated the association between handgrip strength and LS. Results We enrolled 234 patients in this study. The prevalence of LS in the stand‐up and two‐step tests was 51.5 and 79.0%, respectively. The prevalence of LS in the stand‐up or two‐step tests increased with age both in men and women. Using the stand‐up and two‐step tests, 107 patients (46.7%) were diagnosed with LS. The area under the receiver operating characteristic curve, used to assess our identification of LS in terms of grip strength in men and women, showed 95% confidence intervals of 0.703 (0.563–0.813) and 0.698 (0.500–0.842), respectively. The odds ratios of grip strength for LS were 0.90 (95% confidence interval 0.83–0.97) and 0.87 (95% confidence interval 0.76–0.98) in men and women, respectively. Conclusions Our findings showed that handgrip measurement was useful in detecting LS, and LS should be considered when evaluating patients with type 2 diabetes mellitus.

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“…Although older, lower-demand patients appear better able to tolerate malunion following distal radius fracture, 16 these patients are more likely to require upper extremity function for mobility. 17…”

Section: Introductionmentioning

confidence: 99%

“Age Is Just a Number”: Distal Radius Fractures in Patients Over 75

Tulipan

Lechtig

Rozental

et al. 2020

Hand (New York, N,Y.)

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Background: Management of distal radius fractures in patients over 65 is a topic of significant study, but there are variations within this group in terms of independence and activity level. This study compares the outcomes of operative distal radius fracture treatment in patients over 75 with those aged 65 to 74, to evaluate the effects of patient demand and advanced age on outcome. Methods: A retrospective review of a single-institution distal radius fracture database was performed. All patients over age 65 were evaluated for inclusion. Patient factors including activity, independence level, and quick disabilities of the arm, shoulder and hand (QuickDASH) score were recorded. Patients were selected for open reduction and internal fixation (ORIF) based on a discussion between the patient and the treating surgeon. Outcome measures including QuickDASH were recorded at 1-year post-injury. Patients aged 65 to 74 and 75 and over were compared to evaluate for demographic, functional, and outcome differences. Results: In all, 75 patients were included in the study. Fifty-one patients were aged 65 to 74, and 24 patients were aged over 75. The majority of patients rated themselves as “completely independent” and “active,” the highest levels of each. There was no difference in QuickDASH scores between those patients who rated themselves as completely partially independent, or active versus moderately active. There was no statistically significant difference in QuickDASH or range of motion parameters at final follow-up. Conclusions: This study demonstrates that, in a group of patients with high levels of independence and activity, outcomes are similar in patients aged 65 to 74 and over 75 at 1 year following distal radius ORIF.

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Association between dysfunction of upper extremity and locomotive syndrome in general population

Cited by 10 publications

References 20 publications

Locomotive syndrome: clinical perspectives

Locomotive syndrome: clinical perspectives

Handgrip measurement as a useful benchmark for locomotive syndrome in patients with type 2 diabetes mellitus: A KAMOGAWA‐DM cohort study

“Age Is Just a Number”: Distal Radius Fractures in Patients Over 75

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