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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

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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
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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