Development of a screening program to assess motor function in the adult population: a cross-sectional observational study.

Development of a screening program to assess motor function in the adult population: a cross-sectional observational study.
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DOI:
10.1007/s00776-015-0737-1
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发表时间:
2015-09
期刊:
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
影响因子:
--
通讯作者:
Nakamura K
Nakamura K
中科院分区:
其他
文献类型:
--
作者:
Ogata T;Muranaga S;Ishibashi H;Ohe T;Izumida R;Yoshimura N;Iwaya T;Nakamura K

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运动功能障碍是老年人在日常生活中丧失独立性的主要原因。运动综合征的概念被提出来描述由各种运动器官疾病引起的运动依赖的风险。现在,在中老年人口中,保存运动器官具有重要的社会意义。因此,重要的是建立一个筛查计划,以评估运动功能和相关的生活质量在广泛的年龄范围内。我们提出了一套新的预先存在的量表(两步测试、站立测试和25个问题的老年运动功能量表)作为筛查工具来识别机车综合征的高危人群。我们对777名没有明显运动功能障碍的受试者进行了初步调查。我们还检查了两步测试和站立测试的可靠性。我们发现,在不同的年龄段,每个量表都没有表现出天花板或地板效应。由于三个量表之间的相关性很大,但相关性很弱,我们假设每个量表涵盖了流动性的不同方面。两步测验和站立测验的重测信度均令人满意。我们的研究结果表明,我们的“机车综合征短程测试组”是一种可行且可靠的工具,可用于对成年人群进行筛查,作为高龄化社会中机车综合征的预防策略。
Motor dysfunction is a major reason why the elderly lose their independence in their daily lives. The concept of locomotive syndrome has been proposed to describe the risk of mobility dependence caused by various locomotive organ disorders. The preservation of locomotive organs is now socially important in the middle-aged and geriatric population. Therefore, it is important to establish a screening program to evaluate motor function and related quality of life in a wide range of ages. We propose a new set of pre-existing scales (the Two-Step test, Stand-Up test, and 25-question Geriatric Locomotive Function Scale) as screening tools to identify the population at high risk for locomotive syndrome. We performed a preliminary survey on 777 subjects who had no apparent disorders related to motor function. We also examined the reliability of the Two-Step test and Stand-Up test. We found that each scale did not show ceiling or floor effects in various age groups. Because the correlations between the three scales were significant but weak, we assume that each scale covers different aspects of mobility. The test–retest reliability was found to be satisfactory for the Two-Step test and the Stand-Up test. Our results suggest that our “Short Test Battery for Locomotive syndrome” is a feasible and reliable tool for screening the adult population as a preventative strategy for locomotive syndrome in a super-aged society.