Top

Published in:

Open Access 01-09-2015 | Original Article

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

Authors: Toru Ogata, Shingo Muranaga, Hideaki Ishibashi, Takashi Ohe, Ryoichi Izumida, Noriko Yoshimura, Tsutomu Iwaya, Kozo Nakamura

Published in: Journal of Orthopaedic Science | Issue 5/2015

Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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.

Yoshimura N, Muraki S, Oka H, Mabuchi A, En-Yo Y, Yoshida M, Saika A, Yoshida H, Suzuki T, Yamamoto S, Ishibashi H, Kawaguchi H, Nakamura K, Akune T. Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab. 2009;27(5):620–8.CrossRefPubMed

Nakamura K. A “super-aged” society and the “locomotive syndrome”. J Orthop Sci. 2008;13(1):1–2.PubMedCentralCrossRefPubMed

Nakamura K. The concept and treatment of locomotive syndrome: its acceptance and spread in Japan. J Orthop Sci. 2011;16(5):489–91.PubMedCentralCrossRefPubMed

Akai M, Doi T, Fujino K, Iwaya T, Kurosawa H, Nasu T. An outcome measure for Japanese people with knee osteoarthritis. J Rheumatol. 2005;32(8):1524–32.PubMed

Shirado O, Doi T, Akai M, Fujino K, Hoshino Y, Iwaya T. An outcome measure for Japanese people with chronic low back pain: an introduction and validation study of Japan Low Back Pain Evaluation Questionnaire. Spine (Phila Pa 1976). 2007;32(26):3052-9.

Onder G, Penninx BW, Ferrucci L, Fried LP, Guralnik JM, Pahor M. Measures of physical performance and risk for progressive and catastrophic disability: results from the women’s health and aging study. J Gerontol A Biol Sci Med Sci. 2005;60(1):74–9.CrossRefPubMed

Seichi A, Hoshino Y, Doi T, Akai M, Tobimatsu Y, Iwaya T. Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-question geriatric locomotive function scale. J Orthop Sci. 2012;17(2):163–72.CrossRefPubMed

Akune T, Muraki S, Oka H, Tanaka S, Kawaguchi H, Tokimura F, Yoshida H, Suzuki T, Nakamura K, Yoshimura N. Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese population-based cohorts: the ROAD study. Geriatr Gerontol Int. 2014;11(14):695–701.CrossRef

Muranaga S, Hirano K. Development of a convenient way to predict ability to walk, using a two-step test. J Showa Med Assoc. 2003;63(3):301–3.

10.

Muranaga S. Evaluation of the muscular strength of the lower extremities using the standing movement and clinical application. J Showa Med Assoc. 2001;61(3):362–7.

11.

Ministry of Health Law. The outline of the results of National livelihood survey 2010.URL: http://www.mhlw.go.jp/toukei/saikin/hw/k-tyosa/k-tyosa10/4-2.html Cited (18 Jun 2013)

12.

Feder G, Cryer C, Donovan S, Carter Y. Guidelines for the prevention of falls in people over 65. Guide’ Dev Grp. BMJ. 2000;321(7267):1007–11.

13.

Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995;332(9):556–61.CrossRefPubMed

14.

Volpato S, Cavalieri M, Sioulis F, Guerra G, Maraldi C, Zuliani G, Fellin R, Guralnik JM. Predictive value of the short physical performance battery following hospitalization in older patients. J Gerontol A Biol Sci Med Sci. 2011;66(1):89–96.CrossRefPubMed

15.

Vereeck L, Wuyts F, Truijen S, Van de Heyning P. Clinical assessment of balance: normative data, and gender and age effects. Int J Audiol. 2008;47(2):67–75.CrossRefPubMed

16.

Miyatake N, Nishikawa H, Fujii M. Clinical evaluation of physical fitness in male obese Japanese. Chin Med J (Engl). 2001;114(7):707–10.PubMed

17.

Pahor M, Guralnik JM, Ambrosius WT, Blair S, Bonds DE, Church TS, Espeland MA, Fielding RA, Gill TM, Groessl EJ, King AC, Kritchevsky SB, Manini TM, McDermott MM, Miller ME, Newman AB, Rejeski WJ, Sink KM, Williamson JD. Effect of structured physical activity on prevention of major mobility disability in older adults: the life study randomized clinical trial. JAMA. 2014;311(23):2387–96.PubMedCentralCrossRefPubMed

18.

Legrand D, Adriaensen W, Vaes B, Mathei C, Wallemacq P, Degryse J. The relationship between grip strength and muscle mass (MM), inflammatory biomarkers and physical performance in community-dwelling very old persons. Arch Gerontol Geriatr. 2013;57(3):345–51.CrossRefPubMed

Title: Development of a screening program to assess motor function in the adult population: a cross-sectional observational study
Authors: Toru Ogata
Shingo Muranaga
Hideaki Ishibashi
Takashi Ohe
Ryoichi Izumida
Noriko Yoshimura
Tsutomu Iwaya
Kozo Nakamura
Publication date: 01-09-2015
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 5/2015
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-015-0737-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 5/2015

Risk factors for limb overgrowth after the application of titanium elastic nailing in the treatment of pediatric femoral fracture

Diagnostic accuracy of the Self-administered, Self-reported History Questionnaire for lumbar spinal stenosis patients in Japanese primary care settings: a multicenter cross-sectional study (DISTO-project)

Evaluation of pedicle screw placement by pedicle channel grade in adolescent idiopathic scoliosis: should we challenge narrow pedicles?

Comparison of the effects of sodium hyaluronate-chondroitin sulphate and corticosteroid in the treatment of lateral epicondylitis: a prospective randomized trial

Association between new indices in the locomotive syndrome risk test and decline in mobility: third survey of the ROAD study

Transtrochanteric rotational osteotomy combined with intra-articular procedures for pigmented villonodular synovitis of the hip