Skip to main content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 1/2017

28-07-2016

Relationship between physician-judged functioning level and self-reported disabilities in elderly people with locomotive disorders

Auteurs: Tsutomu Iwaya, Tokuhide Doi, Atsushi Seichi, Yuichi Hoshino, Toru Ogata, Masami Akai

Gepubliceerd in: Quality of Life Research | Uitgave 1/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstracts

Purpose

Locomotive disorders due to musculoskeletal involvement are one of the main causes requiring long-term care services in aging Japan. “Locomotive syndrome (LoS)” is a concept referring to the condition under which people require assistance from others or at risk in future. The object of this study is to examine the relationship between self-reported measure and physician-judged degrees on ADL disability in elder people with locomotive disorders.

Methods

In a cross-sectional study, 711 patients who were aged 65 years old or more were recruited from 49 outpatient clinics and hospitals. We investigated ADL disabilities by self-reported questionnaire (Geriatric Locomotive Function Scale-25: GLFS-25) and physician-judged grading (Locomotive Dysfunction Grade: LDG) and examined the relationship between these two.

Results

We classified the severity of locomotive disability by clinical phenotype into six grades: LDG Grade 1 (N = 77), Grade 2 (213), Grade 3 (139), Grade 4 (162), Grade 5 (78), and Grade 6 (42). The mean of GLFS-25 was 25.9. The mean of GLFS-25 was 5.68 for Grade 1, 14.33 for Grade 2, 22.34 for Grade 3, 35.40 for Grade 4, 43.25 for Grade 5, and 60.24 for Grade 6. Significant differences of GLFS-25 scores were found between adjacent LDGs.

Conclusions

Physician-judged grade of locomotive dysfunction was significantly related to self-reported assessment scale on ADL disability. Physician-judged dysfunction grade is readily administered scale and useful to assess the severity of locomotive dysfunction. Self-reported scale provides precise information on ADL disabilities due to locomotive organ dysfunction and is useful to develop intervention programs.
Literatuur
2.
go back to reference Tamiya, N., Noguchi, H., Nishi, A., Reich, M. R., Ikegami, N., Hashimoto, H., et al. (2011). Population ageing and wellbeing: Lessons from Japan’s long-term care insurance policy. The Lancet, 378(9797), 1183–1192. CrossRef Tamiya, N., Noguchi, H., Nishi, A., Reich, M. R., Ikegami, N., Hashimoto, H., et al. (2011). Population ageing and wellbeing: Lessons from Japan’s long-term care insurance policy. The Lancet, 378(9797), 1183–1192. CrossRef
5.
go back to reference Nakamura, K. (2011). The concept and treatment of locomotive syndrome: Its acceptance and spread in Japan. Journal of Orthopaedic Sciences, 16(5), 489–491. CrossRef Nakamura, K. (2011). The concept and treatment of locomotive syndrome: Its acceptance and spread in Japan. Journal of Orthopaedic Sciences, 16(5), 489–491. CrossRef
6.
go back to reference Yoshimura, N., Muraki, S., Oka, H., Mabuchi, A., En-Yo, Y., Yoshida, M., et al. (2009). Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: The research on osteoarthritis/osteoporosis against disability study. Journal of Bone and Mineral Metabolism, 27(5), 620–628. CrossRefPubMed Yoshimura, N., Muraki, S., Oka, H., Mabuchi, A., En-Yo, Y., Yoshida, M., et al. (2009). Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: The research on osteoarthritis/osteoporosis against disability study. Journal of Bone and Mineral Metabolism, 27(5), 620–628. CrossRefPubMed
7.
go back to reference Vos, T., Flaxman, A. D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M., et al. (2012). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2163–2196. CrossRef Vos, T., Flaxman, A. D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M., et al. (2012). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2163–2196. CrossRef
8.
go back to reference Nakamura, K. (2008). A ‘‘super-aged’’ society and the ‘‘locomotive syndrome’’. Journal of Orthopaedic Sciences, 13(1), 1–2. CrossRef Nakamura, K. (2008). A ‘‘super-aged’’ society and the ‘‘locomotive syndrome’’. Journal of Orthopaedic Sciences, 13(1), 1–2. CrossRef
9.
go back to reference Nakamura, K. (2009). Locomotive syndrome: Disability-free life expectancy and locomotive organ health in a ‘‘super-aged’’ society. Journal of Orthopaedic Sciences, 14(1), 1–2. CrossRef Nakamura, K. (2009). Locomotive syndrome: Disability-free life expectancy and locomotive organ health in a ‘‘super-aged’’ society. Journal of Orthopaedic Sciences, 14(1), 1–2. CrossRef
11.
go back to reference Seichi, A., Hoshino, Y., Doi, T., Akai, M., Tobimatsu, Y., & Iwaya, T. (2012). Development of a screening tool for risk of locomotive syndrome in the elderly: The 25-question Geriatric Locomotive Function Scale. Journal of Orthopaedic Sciences, 17(2), 163–172. CrossRef Seichi, A., Hoshino, Y., Doi, T., Akai, M., Tobimatsu, Y., & Iwaya, T. (2012). Development of a screening tool for risk of locomotive syndrome in the elderly: The 25-question Geriatric Locomotive Function Scale. Journal of Orthopaedic Sciences, 17(2), 163–172. CrossRef
12.
go back to reference Ogata, T., Muranaga, S., Ishibashi, H., Ohe, T., Izumida, R., Yoshimura, N., et al. (2015). Development of a screening program to assess motor function in the adult population: A cross-sectional observational study. Journal of Orthopaedic Sciences, 20(5), 888–895 . CrossRef Ogata, T., Muranaga, S., Ishibashi, H., Ohe, T., Izumida, R., Yoshimura, N., et al. (2015). Development of a screening program to assess motor function in the adult population: A cross-sectional observational study. Journal of Orthopaedic Sciences, 20(5), 888–895 . CrossRef
13.
go back to reference Muramoto, A., Imagama, S., Ito, Z., Hirano, K., Ishiguro, N., & Hasegawa, Y. (2012). Physical performance tests are useful for evaluation and monitoring the severity of locomotive syndrome. Journal of Orthopaedic Sciences, 17(6), 782–788. CrossRef Muramoto, A., Imagama, S., Ito, Z., Hirano, K., Ishiguro, N., & Hasegawa, Y. (2012). Physical performance tests are useful for evaluation and monitoring the severity of locomotive syndrome. Journal of Orthopaedic Sciences, 17(6), 782–788. CrossRef
14.
go back to reference Muramoto, A., Imagama, S., Ito, Z., Hirano, K., Tauchi, R., Ishiguro, N., et al. (2013). Threshold values of physical performance tests for locomotive syndrome. Journal of Orthopaedic Sciences, 18(4), 618–626. CrossRef Muramoto, A., Imagama, S., Ito, Z., Hirano, K., Tauchi, R., Ishiguro, N., et al. (2013). Threshold values of physical performance tests for locomotive syndrome. Journal of Orthopaedic Sciences, 18(4), 618–626. CrossRef
15.
go back to reference Seichi, A., Hoshino, Y., Doi, T., Akai, M., Tobimatsu, Y., Kita, K., et al. (2014). Determination of the optimal cutoff time to use when screening elderly people for locomotive syndrome using the one-leg standing test (with eyes open). Journal of Orthopaedic Sciences, 19(4), 620–626. CrossRef Seichi, A., Hoshino, Y., Doi, T., Akai, M., Tobimatsu, Y., Kita, K., et al. (2014). Determination of the optimal cutoff time to use when screening elderly people for locomotive syndrome using the one-leg standing test (with eyes open). Journal of Orthopaedic Sciences, 19(4), 620–626. CrossRef
16.
go back to reference Iwaya, T., Doi, T., Nakamura, K., Akai, M., Tobimatsu, Y., Hoshino, Y., et al. (2014). Operational definition of locomotive syndrome. Japanese Journal of the Orthopaedic Association, 88(10), 731–738. (in Japanese). Iwaya, T., Doi, T., Nakamura, K., Akai, M., Tobimatsu, Y., Hoshino, Y., et al. (2014). Operational definition of locomotive syndrome. Japanese Journal of the Orthopaedic Association, 88(10), 731–738. (in Japanese).
17.
go back to reference Iwaya, T., Akai, M., & Doi, T. (2015). Clinical picture of Locomotive Syndrome with disabilities in elderly people. Japanese Journal of the Orthopaedic Association, 89(5), 365–372. (in Japanese). Iwaya, T., Akai, M., & Doi, T. (2015). Clinical picture of Locomotive Syndrome with disabilities in elderly people. Japanese Journal of the Orthopaedic Association, 89(5), 365–372. (in Japanese).
18.
go back to reference Tsuts ui, T., & Muramatsu, N. (2005). Care-needs certification in the long-term care insurance system of Japan. Journal of the American Geriatrics Society, 53(3), 522–527. CrossRef Tsuts ui, T., & Muramatsu, N. (2005). Care-needs certification in the long-term care insurance system of Japan. Journal of the American Geriatrics Society, 53(3), 522–527. CrossRef
19.
go back to reference Clegg, A., Young, J., Ilife, S., Rikkert, M. O., & Rockwood, K. (2013). Frailty in elderly people. The Lancet, 381(9868), 752–762. CrossRef Clegg, A., Young, J., Ilife, S., Rikkert, M. O., & Rockwood, K. (2013). Frailty in elderly people. The Lancet, 381(9868), 752–762. CrossRef
20.
go back to reference Morley, J. E., Vellas, B., van Kan, G. A., Anker, S. D., Bauer, J. M., Bernabei, R., et al. (2013). Frailty consensus: A call to action. Journal of the American Medical Directors Association, 14(6), 392–397. CrossRefPubMedPubMedCentral Morley, J. E., Vellas, B., van Kan, G. A., Anker, S. D., Bauer, J. M., Bernabei, R., et al. (2013). Frailty consensus: A call to action. Journal of the American Medical Directors Association, 14(6), 392–397. CrossRefPubMedPubMedCentral
21.
go back to reference Kelaiditi, E., Cesari, M., Canevelli, M., van Kan, G. A., Ousset, P. J., Gillette-Guyonnet, S., et al. (2013). Cognitive frailty: Rational and definition from an IANA/IAGG international consensus group. The Journal of Nutrition, Health and Aging, 17(9), 726–734. CrossRefPubMed Kelaiditi, E., Cesari, M., Canevelli, M., van Kan, G. A., Ousset, P. J., Gillette-Guyonnet, S., et al. (2013). Cognitive frailty: Rational and definition from an IANA/IAGG international consensus group. The Journal of Nutrition, Health and Aging, 17(9), 726–734. CrossRefPubMed
22.
go back to reference Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsh, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56(3), M146–M156. CrossRefPubMed Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsh, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56(3), M146–M156. CrossRefPubMed
23.
go back to reference Mitnitski, A. B., Graham, J. E., Mogilner, A. J., & Rockwood, K. (2002). Frailty, fitness and late-life mortality in relation to chronological and biological age. BioMed Central Geriatrics, 2, 1. doi: 10.​1186/​1471-2318-2-1. CrossRef Mitnitski, A. B., Graham, J. E., Mogilner, A. J., & Rockwood, K. (2002). Frailty, fitness and late-life mortality in relation to chronological and biological age. BioMed Central Geriatrics, 2, 1. doi: 10.​1186/​1471-2318-2-1. CrossRef
24.
go back to reference Rockwood, K., Song, X., MacKnight, C., Bergman, H., Hogan, D. B., McDowell, I., et al. (2005). A global clinical measure of fitness and frailty in elderly people. Canadian Medical Association Journal, 173(5), 489–495. CrossRefPubMedPubMedCentral Rockwood, K., Song, X., MacKnight, C., Bergman, H., Hogan, D. B., McDowell, I., et al. (2005). A global clinical measure of fitness and frailty in elderly people. Canadian Medical Association Journal, 173(5), 489–495. CrossRefPubMedPubMedCentral
25.
go back to reference Seidele, D., Brayne, C., & Jagger, C. (2011). Limitations in physical functioning among older people as a predictor of subsequent disability in instrumental activities of daily living. Age and Ageing, 40(4), 463–469. CrossRef Seidele, D., Brayne, C., & Jagger, C. (2011). Limitations in physical functioning among older people as a predictor of subsequent disability in instrumental activities of daily living. Age and Ageing, 40(4), 463–469. CrossRef
Metagegevens
Titel
Relationship between physician-judged functioning level and self-reported disabilities in elderly people with locomotive disorders
Auteurs
Tsutomu Iwaya
Tokuhide Doi
Atsushi Seichi
Yuichi Hoshino
Toru Ogata
Masami Akai
Publicatiedatum
28-07-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1377-4

Andere artikelen Uitgave 1/2017

Quality of Life Research 1/2017 Naar de uitgave