The impact of musculoskeletal diseases on the presence of locomotive syndrome

Akahane, Manabu; Maeyashiki, Akie; Tanaka, Yasuhito; Imamura, Tomoaki

doi:10.1080/14397595.2018.1452173

Cited by 23 publications

(15 citation statements)

References 34 publications

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“…The age-related increase was particularly remarkable among women, with the prevalence of LS stage 3 increasing from 2.9% in the age group 60-64 years to 18.4% in the age group > 75 years. Although it is known that female sex is one of the risk factors for LS [6], it could be confounded by the presence of osteoporosis [29]. In fact, this study indicated that the overall prevalence of osteoporosis in women was 21.9%, but was 1.4% in men; the proportion being the highest in LS stage 3.…”

Section: Discussionmentioning

confidence: 62%

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Prevalence and physical characteristics of locomotive syndrome stages as classified by the new criteria 2020 in older Japanese people: results from the Nagahama study

et al. 2021

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Background The Japanese Orthopaedic Association (JOA) proposed the concept of locomotive syndrome (LS) in 2007 for detecting high-risk individuals with mobility limitation. In 2020, the JOA revised the clinical decision limits and introduced LS stage 3, which carried the highest-risk for LS compared to the conventional stages, 1 and 2. The purpose of this study was to characterize the prevalence, comorbidities, and physical characteristics in each LS stage, as per the LS criteria 2020. Methods We analyzed 2077 participants (64.9% women; mean age, 68.3 ± 5.4 years) from the Nagahama Study aged ≥60 years. Participants were classified into 4 groups, non-LS and LS stages 1, 2, and 3, based on a 25-question Geriatric Locomotive Function Scale. The prevalence of comorbidities (sarcopenia, osteoporosis, diabetes mellitus, low back pain [LBP], and knee pain) were investigated. Physical characteristics were measured based on the physical performance tests including gait speed, five-times chair-stand, single-leg stand, and short physical performance battery; muscle strength tests including grip, knee extension, hip flexion, and abduction; and body-composition analysis including muscle quantity and quality. Differences in the prevalence of comorbidities between LS stages were tested using the chi-square test. The general linear model was performed for univariate and multivariate analyses with post-hoc test to compare the differences in physical characteristics among the LS stages. Results The prevalence of LS increased with age, and the mean prevalence of LS stages 1, 2, and 3 were 24.4, 5.5, and 6.5%, respectively. The prevalence of comorbidities, including sarcopenia, osteoporosis, LBP, and knee pain, increased with worsening LS stage. Physical performance tests were significantly different between LS stages 2 and 3; and muscle strength differed significantly between LS stages 1 and 2. Additionally, in terms of body composition analysis, muscle quality but not muscle quantity showed significant differences among all the LS stages. Conclusions Our findings suggest that muscle strengthening and dynamic training, including balance training in LS stage 1 and 2, respectively, were needed for preventing the LS progression. Individuals with LS stage 3 should perform dynamic training and muscle strengthening exercises while receiving treatment for comorbidities.

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Section: Discussionmentioning

confidence: 62%

“…Moreover, the proportion of LBP in all the three LS stages was remarkably high (76.1 to 88.2%) as compared to that in the non-LS group. LBP has already been recognized as a risk factor for LS [29]. This attribution has not changed following the revision of the LS criteria.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and physical characteristics of locomotive syndrome stages as classified by the new criteria 2020 in older Japanese people: results from the Nagahama study

et al. 2021

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“…Several studies have demonstrated a relationship between exercise habits and LS among community-dwelling people. [28][29][30] Kota et al 31) reported that home exercise intervention led to improved physical function in communitydwelling elderly individuals. Maruya et al 32) showed the effectiveness of a 6-month exercise program for improving GLFS-25 scores.…”

Section: Discussionmentioning

confidence: 99%

Impact of Habitual Exercise on Locomotive Function of Middle-aged and Elderly Volunteers: A Longitudinal Study

Yamada

Yamato

Hasegawa

et al. 2021

PRM

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Objectives: This longitudinal study aimed to evaluate the effect of acquisition of an exercise habit on locomotive dysfunction (LD). Methods: The subjects were 121 male and 196 female volunteers aged more than 50 years who attended health checkups in Toei, central Japan, in 2012 and 2014. We divided the subjects into three groups: an acquiring exercise group (Ac-Ex) composed of those who acquired an exercise habit between 2012 and 2014, a non-exercise group (Non-Ex) who did not acquire an exercise habit, and an exercise group (Ex) who already had an exercise habit in 2012. We compared the 25-question Geriatric Locomotive Function Scale (GLFS-25) score among the three groups. Results: In men in the Ac-Ex group, the GLFS-25 score improved significantly between 2012 and 2014 (P=0.046), and sub-analysis of the GLFS-25 responses showed that fundamental and instrumental activities of daily living (ADL) improved significantly. In women in the Ac-Ex group, the prevalence of radiologically diagnosed knee osteoarthritis was significantly higher (P=0.027) than that for the other two groups, and there was no significant improvement in GLFS-25 score over the 2-year period. Conclusions: The acquisition of an exercise habit had a positive effect on the locomotive function in men. Orthopedic surgeons must enlighten people on the need for a continuous exercise habit.

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“…For example, our study showed that female gender increases the risk of LS up to 5 times. A positive history for chronic pain and chronic diseases increases the odds for LS, 4 and [15][16][17][18][19][20][21][22]. Regarding the high prevalence of LS in the elderly and its known correlation with these factors, screening the older people who are at risk for LS and taking proper precautions are highly recommended.…”

Section: Resultsmentioning

confidence: 99%

Locomotive Syndrome in the Elderly and Its Risk Factors

Sadeghimahalli¹,

Hosseini²,

Rahgozar³

et al. 2019

Salmand

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1. Objectives he increase in life expectancy is the inevitable result of development in the health sector [1]. By 2050, the number of Iranian elders will be quintupled [2, 3]. Aging affects different aspects of life (Activities of daily living, mobility, health status) [4]. Also, with population aging, the num-T ber of people who need nursing care will increase, which results in financial, social, and health burden on society [5, 6]. Orthopedic disorders are the main reasons for calling nursing services [7, 8]. In 2007, the Japanese Orthopedic Association introduced the term Locomotive Syndrome (LS) [9]. LS is the condition of reduced mobility due to impairment of locomotive organs [10, 11]. LS results in a limitation in movement, imbalance, pain sensation, muscle weakness, and high demand for long-term nursing care [12, 13]. Early detection of the risk factors can help prevent this

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The impact of musculoskeletal diseases on the presence of locomotive syndrome

Cited by 23 publications

References 34 publications

Prevalence and physical characteristics of locomotive syndrome stages as classified by the new criteria 2020 in older Japanese people: results from the Nagahama study

Prevalence and physical characteristics of locomotive syndrome stages as classified by the new criteria 2020 in older Japanese people: results from the Nagahama study

Impact of Habitual Exercise on Locomotive Function of Middle-aged and Elderly Volunteers: A Longitudinal Study

Locomotive Syndrome in the Elderly and Its Risk Factors

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