Characteristics of disability in activity of daily living in elderly people associated with locomotive disorders
Characteristics of disability in activity of daily living in elderly people associated with locomotive disorders
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DOI：
10.1186/s12877-017-0543-z
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发表时间：
2017-07-26
期刊：
影响因子：
4.1
通讯作者：
Akai, Masami
中科院分区：
文献类型：
--
作者：
Iwaya, Tsutomu;Doi, Tokuhide;Akai, Masami
背景：衰老与运动功能和日常活动能力的下降有关。运动障碍是导致老年人不良健康状况的主要疾病之一。为了解决运动障碍患者的问题，延长健康预期寿命，提出了运动综合征的概念。为了制定干预策略，它是强制性的，以调查障碍，功能障碍的人与运动障碍的经验，并检查这些参数之间的关系。为此，我们开发了老年运动功能量表（GLFS-25）。虽然有几个物理性能测试的报告，以识别或监测的严重程度LoS，有很少的研究报告的特点，残疾的人与运动障碍的经验。本研究的目的是报告的特点，ADL残疾的老年人与运动障碍的数量和程度的activitylimitation.Methods：我们组织了一项队列研究，并招募了314名年龄在65岁及以上的参与者从五个骨科诊所或护理设施。这是一项横断面研究，使用该队列的基线数据。采用GLFS-25量表评定ADL功能障碍，采用R语言程序将GLFS-25量表分为不同等级。确定活动限制的数量和程度，并在不同级别之间进行比较。频率的限制，在有关社会活动，家务劳动，运动，流动性和自我照顾的活动进行了比较之间的整个disability level.Results：GLFS-25评分数学分为7个级别。活动受限的数量和每种活动受限的程度在高GLFS-25水平下显著大于低水平。结论：GLFS-25评分越高，患者的日常生活能力残疾程度越高。活动受限数量的一致增加和活动受限的严重程度进展可能导致残疾进展。活动受限可能按以下顺序发生：体育活动、行走、转移和自我护理。
Background: Ageing is associated with a decline of motor function and ability to perform daily activities. Locomotive disorders are one of the major disorders resulting in adverse health condition in elderly people. Concept of Locomotive syndrome (LoS) was proposed to tackle the problems and prolong healthy life expectancy of people with locomotive disorders. To develop intervention strategy for LoS it is mandatory to investigate impairments, functional disabilities which people with locomotive disorder experience and to examine relationships among these parameters. For this purpose we have developed Geriatric Locomotive Function Scale-25 (GLFS-25). Though several physical performance tests were reported for identification or monitoring the severity of LoS, there are few studies reported on characteristics of disability which people with locomotive disorders experience. The aim of this study was to report the characteristics of ADL disabilities in elderly people with locomotive disorders in terms of numbers and degree of activity limitations.Methods: We organized a cohort study and recruited 314 participants aged 65 years and over from five orthopedic clinics or nursing care facilities. This was a cross-sectional study to use the baseline data of such cohort. ADL disabilities were assessed using GLFS-25 scale arranging the GLFS-25 scores in ordinal levels using "R language" program. Numbers and degrees of activity limitations were determined and compared among the levels. Frequency of limitation in activities regarding social activity, housework, locomotion, mobility and self-care was compared among across the disability level.Results: The GLFS-25 score was mathematically categorized into 7 levels. The number of activity limitations and the degrees of each activity limitation were significantly greater in high GLFS-25 levels than in low levels. Difficulties in mobility appeared in less severe level, difficulties in domestic and social life appeared in moderately severe level, and difficulties in self-care appeared in advanced level.Conclusions: High GLFS-25 score represented high degree of disability on ADLs. Concordant increase of numbers of activity limitation and severity progression in activity limitation may contribute to progression of disability. Activity limitation may occur in the following order: sports activity, walking, transferring, and self-care.