Locomotive Syndrome: Operational Definition Based on a Questionnaire, and Exercise Interventions on Mobility Dysfunction in Elderly People
| Autor: | Atsushi Seichi, Tsutomu Iwaya, Y. Okuma, T. Doi, Toru Ogata, Masami Akai |
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| Jazyk: | angličtina |
| Předmět: |
Gerontology
medicine.medical_specialty Endocrinology Diabetes and Metabolism Population Psychological intervention 03 medical and health sciences Nursing care Long-term care 0302 clinical medicine Endocrinology medicine Orthopedics and Sports Medicine 030212 general & internal medicine education Prospective cohort study Exercise education.field_of_study Operational definition business.industry Physical activity Public health International health Locomotive disorders Physical therapy Locomotive Syndrome Aging society business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Reviews in Bone and Mineral Metabolism |
| ISSN: | 1534-8644 |
| DOI: | 10.1007/s12018-016-9210-8 |
| Popis: | The increasing elderly population has a great impact on public health, and it is important to understand the progression of musculoskeletal disorders seen in this population. To establish useful preventative methods for such locomotive disorders, we must detect early changes in these individuals and identify those at risk in order to implement early interventions. The purpose of this review was: (1) to introduce an operational definition of locomotion dysfunction to prevent a care-need condition, and to verify its validity through a prospective cohort study, and (2) to review the indication of exercise intervention for multiple musculoskeletal involvements from the preceding literature. We developed a measurement scale called the Geriatric Locomotive Function Scale (GLFS)-25, which clearly reflects the degree of functional deterioration. We used it in a prospective cohort study of 314 patients recruited from 5 clinics or nursing care facilities and investigated the relationship of the GLFS-25 with 46 variables covering various clinical manifestations. The results clearly revealed that the change in the GLFS-25 classification reflected a common pattern seen in those with locomotive dysfunction. Recently, several important movements regarding physical activity and its public promotion have been advocated by international health organizations and journal publishers. Though it has not been confirmed yet that complex musculoskeletal diseases can be treated using therapeutic exercise, the promotion of physical activity appears promising. The degree of activity limitation in aged individuals with locomotive disorders can be evaluated using this scale, which may be useful in predicting the effectiveness of future interventions. |
| Databáze: | OpenAIRE |
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