Kidney and Metabolic Bone Diseases Vol.29 No.4(7)

Theme Nutrition and exercise for the fracture prevention
Title Prevalence of locomotive syndrome and prevention strategies
Publish Date 2016/10
Author Hiromi Matsumoto Rehabilitation Division, Tottori University Hospital
Author Mari Osaki Rehabilitation Division, Tottori University Hospital
[ Summary ] "Locomotive syndrome (LS)" designates a condition affecting individuals with musculoskeletal disease who are highly likely to require nursing care.
The prevalence of LS was 8.4 % of those in their 40s, 9.2 % for those in their 50s, 8.3 % for those in their 60s, and 16.3 % for those in their 70s. The number of LS elderly was estimated to be roughly 6.5 million in Japan.
Loco-check and the 25-question Geriatric Locomotive Function Scale are self-check methods for assessing awareness in LS elderly. Recently, the locomotive syndrome risk test, composed of the Two-Step test, and the Stand-Up test, was developed as a detail screening tool to identify LS.
Locomotive-training (squats and one-leg standing exercises) may be suggested to improve muscle strength and balance function in older people with LS. For older adults with LS, we recommend that exercise be prescribed based on assessment of the type of LS, and that comprehensive care be provided to improve or prevent LS.
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