The influence of locomotive syndrome on health-related quality of life in a community-living population

The influence of locomotive syndrome on health-related quality of life in a community-living population
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DOI:
10.1007/s10165-012-0770-2
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发表时间:
2013-09-01
影响因子:
2.2
通讯作者:
Ishiguro, Naoki
Ishiguro, Naoki
中科院分区:
医学3区
文献类型:
--
作者:
Hirano, Kenichi;Imagama, Shiro;Ishiguro, Naoki

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日本整形外科协会(JOA)提出了“运动综合征”(LS)一词,用来指代高危人群中肌肉骨骼疾病患者极有可能需要护理的一种情况。本研究调查了LS对社区居民生活质量的影响。共有386名年龄在50岁以下的受试者参加了这项研究。那些在25个问题的老年运动功能量表上的分数为千分之16的人被定义为LS。参与者回答了JOA背痛评估问卷(JOABPEQ)和下腰痛、腿痛、腿麻木以及左右膝痛的视觉模拟评分(VAS);罗兰·莫里斯残疾问卷(RDQ);以及简表36(SF-36)。我们比较了诊断为LS和不诊断为LS的受试者在三项生活质量测量上的得分。有LS的受试者在JOABPEQ和SF-36上的得分显著低于无LS的受试者。他们在五项VASS和RDQ上的得分也显著高于没有LSS的人。我们发现LS对生活质量和VASS的得分有很大的影响。对于因肌肉骨骼疾病,特别是退行性腰椎疾病和膝骨性关节炎而生活质量降低的受试者来说,LS似乎是一个有用的概念。
The Japanese Orthopaedic Association (JOA) has proposed the term "locomotive syndrome" (LS) to designate a condition in individuals with musculoskeletal disease in high-risk groups who are highly likely to require nursing care. The present study investigated the influence of LS on the quality of life (QOL) of a community-living population.A total of 386 subjects a parts per thousand yen 50 years of age were enrolled in the study. Those whose scores on the 25-question Geriatric Locomotive Function Scale were a parts per thousand yen16 were defined as having LS. Participants answered the JOA Back Pain Evaluation Questionnaire (JOABPEQ) and visual analogue scales (VAS) for low back pain, leg pain, leg numbness, and left and right knee pain; the Roland Morris Disability Questionnaire (RDQ); and the Short Form 36 (SF-36). We compared the scores on the three QOL measures between subjects diagnosed with and without LS.There were 62 people defined as having LS. Subjects with LS scored significantly lower on the JOABPEQ and SF-36 than those without LS. They also had significantly higher scores on the five VASs and the RDQ compared with those without LS.We found that LS strongly impacted QOL and the scores from the VASs. LS appears to be a useful concept for screening subjects who are experiencing a lowered QOL due to musculoskeletal diseases, especially degenerative lumbar diseases and knee osteoarthritis.