Locomotive Syndrome and Lumbar Spine Disease: A Systematic Review

Kobayashi, Takaomi; Morimoto, Tadatsugu; Otani, Koji; Mawatari, Masaaki

doi:10.3390/jcm11051304

Cited by 11 publications

(10 citation statements)

References 57 publications

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“…The Locomo Age of patients with sarcopenia was higher than those without sarcopenia. Previous reports indicated that osteoarthritis, 19,20 spinal disorders, 19,21,22 and sarcopenia [23][24][25][26] are closely related to LS severity. Therefore, these comorbidities increase Locomo Age and hence, the patients with these conditions should be treated to decrease their Locomo Age.…”

Section: Discussionmentioning

confidence: 97%

Can the measurement of Locomo Age improve motivation for exercise in fitness club users?

Hisamoto,

Okubo,

Fukushima

et al. 2023

Geriatrics Gerontology Int

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In 2022, the Japanese Orthopaedic Association developed "Locomo Age," which can be used to measure mobility. The potential effects of measuring Locomo Age on motivation to exercise are yet to be explored. This study aimed to determine whether the measurement of Locomo Age improved motivation for exercise.Methods: In total, 90 fitness club users (17 men and 73 women) were enrolled in the study. The participants performed the locomotive syndrome risk test. These results were entered on a smartphone website, and their Locomo Age was automatically calculated. Questionnaires about impressions of Locomo Age and changes in motivation for exercise after measuring Locomo Age were surveyed. Results:The mean Locomo Age of the participants was 84.4 AE 8.5 years, which was significantly higher than their actual age (75.9 AE 7.2 years, P < 0.001). Questionnaires showed that 55 participants (61.1%) felt that their Locomo Age was higher than expected; 42 participants (46.7%) had increased motivation for exercise, and only two participants (2.2%) had decreased motivation. The rate of improvement in motivation for exercise was higher in the group of participants who reported having an older Locomo Age than they expected compared with that of the group with a Locomo Age that was the same as they expected (P < 0.05). Conclusions:The measurement of Locomo Age improved the motivation for exercise. This result remained true even when the Locomo Age was higher than expected, as it did not decrease the participants' motivation. Locomo Age allows for the comprehension of participants' mobility without medical knowledge.

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Section: Discussionmentioning

confidence: 97%

Can the measurement of Locomo Age improve motivation for exercise in fitness club users?

Hisamoto,

Okubo,

Fukushima

et al. 2023

Geriatrics Gerontology Int

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“…Particularly, sagittal spinopelvic malalignment was associated with LS. Therefore, sagittal spinopelvic malalignment may be a trigger for suspected LS 49. The spinal inclination angle was observed as the most relevant for LS among the sagittal spinopelvic parameters, and a spinal inclination angle of ≥6° has a sensitivity of 52% and specificity of 87% for LS category 31…”

Section: Discussionmentioning

confidence: 97%

“…The Newcastle-Ottawa Scale adapted for cross-sectional studies 49 was used to make a quality assessment of the included studies.…”

Section: Methodsmentioning

confidence: 99%

Clinical characteristics of locomotive syndrome categorised by the 25-question Geriatric Locomotive Function Scale: a systematic review

et al. 2023

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ObjectivesThe purpose of this study was to compile the currently available evidence on the clinical characteristics of the locomotive syndrome (LS) categorised by the 25-question Geriatric Locomotive Function Scale (GLFS-25) and clarify its clinical usefulness for assessing mobility function.DesignSystematic review.Data sourcesThe PubMed and Google Scholar were searched for the relevant studies on 20 March 2022.Eligibility criteriaWe included relevant peer-reviewed articles, available in English language, on clinical LS characteristics categorised with the GLFS-25.Data extraction and synthesisPooled ORs or mean differences (MDs) of the LS groups were calculated and compared with the non-LS groups for each clinical characteristic.ResultsIn total, 27 studies that involve 13 281 participants (LS, n=3385; non-LS, n=9896) were examined in this analysis. Older age (MD 4.71; 95% (CI) 3.97 to 5.44; p<0.00001), female gender (OR 1.54; 95% CI 1.38 to 1.71; p<0.00001), higher body mass index (MD 0.78; 95% CI 0.57 to 0.99; p<0.00001), osteoporosis (OR 1.68; 95% CI 1.32 to 2.13; p<0.0001), depression (OR 3.14; 95% CI 1.81 to 5.44; p<0.0001), lower lumbar lordosis angle (MD −7.91; 95% CI −10.08 to −5.74; p<0.00001), higher spinal inclination angle (MD 2.70; 95% CI 1.76 to 3.65; p<0.00001), lower grip strength (MD −4.04; 95% CI −5.25 to −2.83; p<0.00001), lower back muscle strength (MD −15.32; 95% CI −23.83 to −6.81; p=0.0004), lower maximum stride (MD −19.36; 95% CI −23.25 to −15.47; p<0.00001), higher timed up-and-go (MD 1.36; 95% CI 0.92 to 1.79; p<0.00001), lower one-leg standing time (MD −19.13; 95% CI −23.29 to −14.97; p<0.0001) and slower normal gait speed (MD −0.20; 95% CI −0.22 to −0.18; p<0.0001) were found to be associated with LS. No significant differences were noted in other clinical characteristics between the two groups.ConclusionsGLFS-25 is clinically useful for assessing mobility function according to the evidence available on the clinical characteristics of LS categorised by the GLFS-25 questionnaire items until.

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“…It is scored by normalizing the maximal length of two steps by the height. Two-Step Test scores < 0.9, <1.1, <1.3, and ≥1.3 points correspond to LS-3, LS-2, LS-1, and non-LS [ 7 ].…”

Section: Methodsmentioning

confidence: 99%

Comparative Study for Characteristics of Locomotive Syndrome in Patients with Lumbar Stenosis and Adult Spinal Deformity

Ohba

Goto

Oda

et al. 2023

JCM

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Introduction: The differential diagnoses of lumbar spinal stenosis (LSS) and adult spinal deformity (ASD) have been demonstrated primarily using sagittal radiographic spinopelvic parameters. However, it is more important to know the differences in the characteristic clinical symptoms to make accurate treatment decisions. Recently, the relationship between spinal disease and Locomotive Syndrome (LS) has been reported. Additionally, the Geriatric Locomotive Function Scale-25 (GLFS-25) was reported to be a useful scale to evaluate disease severity and characteristic clinical symptoms in spinal disease. Methods: Sixty-nine consecutive patients with ASD and 196 patients with LSS who underwent spinal surgery were included. Locomotive dysfunction was evaluated using the GLFS-25 questionnaire and physical performance tests including the two-step test and the stand-up test, measured preoperatively. The correlations between sagittal spinopelvic parameters of ASD and LS were examined. Results: All subjects with lumbar degenerative disease in the present study were diagnosed with LS preoperatively. The severity of LS in patients with LSS and ASD were statistically similar. GLFS-25 scores in the mobility and community domain were similarly poor in both groups. Several scores in the domestic life and self-care domains were significantly worse in the ASD group. Question 20 of the GLFS-25, related to load-bearing tasks and housework, was significantly associated with a large pelvic incidence in ASD patients. Conclusions: Lumbar degenerative disease requiring surgery severely affects the LS of older people. ASD patients had more difficulty with load-bearing tasks and housework such as cleaning the yard, carrying heavy bedding, dressing, and bathing compared to LSS patients.

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Locomotive Syndrome and Lumbar Spine Disease: A Systematic Review

Cited by 11 publications

References 57 publications

Can the measurement of Locomo Age improve motivation for exercise in fitness club users?

Can the measurement of Locomo Age improve motivation for exercise in fitness club users?

Clinical characteristics of locomotive syndrome categorised by the 25-question Geriatric Locomotive Function Scale: a systematic review

Comparative Study for Characteristics of Locomotive Syndrome in Patients with Lumbar Stenosis and Adult Spinal Deformity

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