Differences of lumbopelvic sagittal parameters among community-dwelling middle-age and elderly individuals: Relations with locomotor physical function
Differences of lumbopelvic sagittal parameters among community-dwelling middle-age and elderly individuals: Relations with locomotor physical function
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DOI：
10.1016/j.jocn.2020.01.033
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发表时间：
2020-03-01
影响因子：
2
通讯作者：
Imagama, Shiro
中科院分区：
文献类型：
--
作者：
Machino, Masaaki;Ando, Kei;Imagama, Shiro
本研究的目的是建立一个中年社区的腰骨盆矢状位的影像学参数，性别相关的差异，和年龄相关的变化，以调查是否腰骨盆矢状位的年龄相关的变化反映了运动综合征（LS）的风险。这项研究包括448名健康的日本志愿者，他们参加了当地政府支持的基本健康检查。受试者（184名男性和264名女性，平均年龄：62.7岁）根据年龄按十年进行分组。通过脊柱侧位片收集骶髂腰盆参数，包括腰椎前凸（L1-S1，LL）、下腰椎前凸（L4-S1，LLL）、骨盆倾斜度（PI）、骨盆倾斜度（PT）和骶骨倾斜度（SS）。进行了构成LS风险测试的三项测试（站立测试、两步测试和25题老年人运动功能量表[GLFS-25]）。男性的LL显著低于女性。女性的LL和LLL在60 ~ 70 s显著降低。PI没有显着改变与年龄在任何性别，但男性较低。女性PT在60 ~ 70 s显著增加。SS没有显着变化，随着年龄的增长，在所有的几十年中，男性较低。LS风险在男性和女性中的患病率随着年龄的增长而逐渐增加，并且在任何十年中女性的患病率都更高。与无LS风险的70岁女性相比，有LS风险的70岁女性的LL显著降低，PT显著升高。在社区居住的中年和老年人中建立了腰骨盆矢状位的影像学参数。(C)2020爱思唯尔有限公司保留所有权利。
This study aims to establish radiographic parameters of lumbopelvic sagittal alignment, gender related differences, and age-related changes in a middle-aged community, to investigate whether age-related changes of lumbopelvic alignment reflect the risk of locomotive syndrome (LS). This study included 448 healthy Japanese volunteers who attended a basic health checkup supported by the local government. The subjects (184 males and 264 females, mean age: 62.7 years) were grouped according to their age by decade. Sagittal lumbopelvic parameters were collected by lateral spine radiographs including lumbar lordosis (L1-S1, LL), lower lumbar lordosis (L4-S1, LLL), pelvic incidence (PI), pelvic tilt (PT) and sacral slope (SS). The three tests (stand-up test, two-step test, and 25-question geriatric locomotive function scale [GLFS-25]) composing the LS risk test were performed. LL was significantly lower in males than in the females. A significant decrease of LL and LLL was observed from 60 s to 70 s in the females. PI did not markedly change with aging in either gender but was lower in males. A remarkable increase of PT was seen from 60 s to 70 s in the females. SS did not markedly change with aging and was lower in males in all decades. The prevalence of LS risk in males and females increased gradually with age and was greater in females in any decade. 70 s females with LS risk had significantly lower LL and higher PT compared to them without LS risk. Radiographic parameters of lumbopelvic sagittal alignment were established in community-dwelling middle-age and elderly individuals. (C) 2020 Elsevier Ltd. All rights reserved.