The efficacy of surgical treatment on locomotive syndrome and physical function in patients with lumbar spinal canal stenosis

Shimizu, Takaki; Kato, Satoshi; Demura, Satoru; Shinmura, Kazuya; Yokogawa, Noriaki; Kurokawa, Yuki; Yonezawa, Noritaka; Oku, Norihiro; Kitagawa, Ryo; Handa, Makoto; Annen, Ryohei; Okamoto, Yoshiyuki; Murakami, Hideki

doi:10.1016/j.jos.2020.03.021

Cited by 14 publications

(16 citation statements)

References 21 publications

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“…We determined that among the locomotive syndrome risk tests, the two-step test is particularly strongly correlated with the severity of LSS 21 . Importantly, we and others recently found that surgical treatment improves locomotive syndrome severity in patients with LSS 24,25) , with Shimizu et al noting that risk factors associated with non-improvement of neurological symptoms by surgical treatment were late elderly age and postoperative sagittal imbalance 25) . To summarize, LSS exacerbates locomotive syndrome, whereas surgical treatment is one method for improving it.…”

Section: Lumbar Spinal Canal Stenosis and Locomotive Syndromementioning

confidence: 59%

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Lumbar Spinal Canal Stenosis from the Perspective of Locomotive Syndrome and Metabolic Syndrome: A Narrative Review

Fujita

2021

Spine Surg Relat Res

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Patients with lumbar spinal canal stenosis (LSS) have impaired activities of daily living because of pain or motor paralysis, but no effective preventive treatment is currently available. The number of patients with LSS is predicted to continually increase as the average age of the global population increases. To provide a conceptual framework for improving healthy life expectancy, the Japanese Orthopaedic Association introduced the concept of locomotive syndrome, to which LSS is related. Ours and other studies have shown that LSS exacerbates locomotive syndrome and that surgical treatment is one method for improving it. Furthermore, we propose that the two-step test, a locomotive syndrome risk test, is effective for assessing the risk for falls and severity of LSS. Meanwhile, lumbar spinal epidural lipomatosis (LSEL), which is a manifestation of LSS, has been shown to be related to metabolic syndrome. Previous studies have suggested that the whole LSS can be also associated with metabolic syndrome. Although locomotive syndrome is very different from metabolic syndrome, which involves lipid metabolism, these two syndromes overlap, such as in LSS. Conducting research on LSS from the perspectives of both locomotive syndrome and metabolic syndrome may lead to novel methods for prevention and treatment of LSS and, conversely, may yield clues for resolving symptoms of the two syndromes. This review 2 provides an overview of LSS from the perspective of locomotive syndrome and metabolic syndrome, along with findings from our research group.

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Section: Lumbar Spinal Canal Stenosis and Locomotive Syndromementioning

confidence: 59%

“…4). We and others have demonstrated that LSS was associated with locomotive syndrome and that surgical treatment for LSS was effective in decreasing the severity of locomotive syndrome [21][22][23][24][25] .…”

Section: Future Tasksmentioning

confidence: 91%

Lumbar Spinal Canal Stenosis from the Perspective of Locomotive Syndrome and Metabolic Syndrome: A Narrative Review

Fujita

2021

Spine Surg Relat Res

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“…Lumbar spinal stenosis is the most commonly encountered lumbar spine disorders in daily practice, accounting for 10.7–12.9% of cases [ 10 ]. Lumbar spinal stenosis showed an association with the Loco-Check [ 36 ], GLFS-25 [ 28 , 37 ], GLFS-5 [ 24 ], Two-Step Test [ 25 ], and total assessment [ 39 ] but not the Stand-Up Test [ 39 ] ( Table 1 ). Furthermore, spinal surgery for lumbar spinal stenosis (i.e., posterior decompression or short segment spinal fusion surgeries) improves the GLFS-25 [ 39 , 40 , 41 , 48 ], Two-Step Test [ 39 , 40 , 41 ], and total assessment [ 39 , 40 , 41 ], but not the Stand-Up Test [ 39 , 40 , 41 ] ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Lumbar spinal stenosis showed an association with the Loco-Check [ 36 ], GLFS-25 [ 28 , 37 ], GLFS-5 [ 24 ], Two-Step Test [ 25 ], and total assessment [ 39 ] but not the Stand-Up Test [ 39 ] ( Table 1 ). Furthermore, spinal surgery for lumbar spinal stenosis (i.e., posterior decompression or short segment spinal fusion surgeries) improves the GLFS-25 [ 39 , 40 , 41 , 48 ], Two-Step Test [ 39 , 40 , 41 ], and total assessment [ 39 , 40 , 41 ], but not the Stand-Up Test [ 39 , 40 , 41 ] ( Table 1 ). There was no report regarding the effect of surgery for lumbar spine disorders on the Loco-Check and GLFS-5.…”

Section: Resultsmentioning

confidence: 99%

“…Given the above, it is necessary to consider which LS test is the most useful in the field of spinal surgery. Preoperatively, the severity of LS based on the GLFS-25 and total assessment is almost the same [ 39 , 40 , 41 ]; in patients scheduled for primary surgery for the treatment of lumbar spinal stenosis, the prevalence of LS-1 and LS-2 assessed by GLFS-25 was 2.4–6.9% and 93.1–97.6%, respectively. Similarly, in patients scheduled to undergo primary surgery for lumbar spinal stenosis, the prevalence of LS-1 and LS-2 assessed by the total assessment were 1.8–5.0% and 95.0–98.2%, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Locomotive Syndrome and Lumbar Spine Disease: A Systematic Review

Kobayashi

Morimoto

Otani

et al. 2022

JCM

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Locomotive syndrome (LS) is defined based on the Loco-Check, 25-question Geriatric Locomotive Function Scale (GLFS-25), 5-question Geriatric Locomotive Function Scale (GLFS-5), Stand-Up Test, Two-Step Test, or a total assessment (i.e., positive for one or more of the GLFS-25, Stand-Up Test, and Two-Step Test). Lumbar spine disease has been reported to be one of the most common musculoskeletal disorders leading to LS. We therefore conducted a systematic review via PubMed, Google Scholar, Cochrane Library, Web of Science, and MEDLINE, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 26 studies were considered to be eligible for inclusion in this systematic review. The GLFS-25 showed an association with low back pain, sagittal spinopelvic malalignment, and lumbar spinal stenosis but not vertebral fracture. The GLFS-5 showed an association with low back pain and lumbar spinal stenosis. The Loco-Check and Two-Step Test showed an association with low back pain, sagittal spinopelvic malalignment, and lumbar spinal stenosis. The Stand-Up Test showed no association with lumbar spinal stenosis. The total assessment showed an association with low back pain and lumbar spinal stenosis. Furthermore, the GLFS-25, Two-Step Test, and total assessment were improved by spinal surgery for lumbar spinal stenosis. The current evidence concerning the relationship between LS and lumbar spine disease still seems insufficient, so further investigations are required on this topic.

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Locomotive syndrome affects the acquisition of long-term care insurance system certification

Kitaura

Nishimura

Senga

et al. 2024

Journal of Orthopaedic Science

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The efficacy of surgical treatment on locomotive syndrome and physical function in patients with lumbar spinal canal stenosis

Cited by 14 publications

References 21 publications

Lumbar Spinal Canal Stenosis from the Perspective of Locomotive Syndrome and Metabolic Syndrome: A Narrative Review

Lumbar Spinal Canal Stenosis from the Perspective of Locomotive Syndrome and Metabolic Syndrome: A Narrative Review

Locomotive Syndrome and Lumbar Spine Disease: A Systematic Review

Locomotive syndrome affects the acquisition of long-term care insurance system certification

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