A Comparative Study of 2 Screening Tools for Locomotive Syndrome (The “Loco-check” and the “GLFS-25”): An Orthopedic Outpatient-based Survey
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 17, Issue 5
Abstract
Background: In 2007, the Japanese Orthopaedic Association (JOA) proposed the term “locomotive syndrome” (LS) to designate a condition in high-risk groups with musculoskeletal diseases who are highly likely to require nursing care. The JOA developed two screening tools for LS: The 25-question Geriatric Locomotive Function Scale (“GLFS-25”) and the “Loco-check”. The present study represents the first comparison of these tools. Methods: To compare the diagnostic abilities and characteristics of the two diagnostic tools, we investigated the associations of LS with clinical information including the general status, orthopedic diseases (degenerative diseases), past history (general diseases) and exercise activities using a questionnaire survey employing both diagnostic tools at Juntendo University Hospital (Tokyo, Japan) from April to June 2014. Results: 664 of 1,027 patients answered both questionnaires. Three hundred nineteen (48.0%) and 251 (37.8%) were diagnosed with LS according to the “Loco-check” and “GLFS-25”, respectively. Our survey indicated that the “Loco-check” had a 10.2% higher detection rate than the “GLFS-25”. The correlation between the scores was investigated. The Spearman’s rank coefficient was r=0.454 and the area under the curve (AUC) value was 0.8181, which indicated a moderate correlation. We then investigated the associations between LS and the clinical factors of the patients. The results showed that female gender, advanced age, a high BMI, lumbar spondylosis and heart disease were significantly associated with a diagnosis of LS with both of the diagnostic tools. Conclusions: We investigated the associations between the prevalence of LS and ortho-clinical information in an outpatient cohort based on both the “Loco-check” and the “GLFS-25”. These analyses are the first to report compared statistical associations between both tools. These analyses also provide critical information to help clinicians determine whether to use the “Loco-check” or “GLFS-25” in various situations.
Authors and Affiliations
Youngji Kim, Yoshiyuki Suehara, Midori Ishii, Takayuki Kawasaki, Kiyoshi Matsuoka, Taketo Okubo, Naoko Okubo, Yu Tanabe, Keisuke Akaike, Kenta Mukaihara, Daisuke Kubota, Yuichiro Maruyama, Tsuyoshi Saito, Kazuo Kaneko
Keywords
Related Articles
- EP ID EP341948
- DOI 10.9734/BJMMR/2016/28194
- Views 91
- Downloads 0
Interrelationship of Serum Uric Acid Levels and Cardiovascular Disease Risk Factors in Bangladeshi Patients Treated with Antihypertensive Drugs
Aims: To explore the association between serum uric acid levels and cardiovascular disease (CVD) risk factors in hypertensive subjects treated with (WD) or without lipid-lowering and antihypertensive drugs (WOD). Study...
Dearth of Haematologists in Nigeria: Unfriendly Specialty among Medical Students in Niger-Delta Region of Nigeria
Background: There is continuous rise in haematology and haemato-oncology cases in Nigeria. Unfortunately, there is inadequate number of haematologists to care for these rising cases despite the high number of medical doc...
Antispermatogenic Activity of Aspilia africana Methanol Leaf Extract in Male Wistar Rats
Aims: This study was carried out to investigate the effect of Aspilia africana on the reproductive activity of male Wistar rats. Place and Duration of Study: The research was carried out in the Department of Human Anatom...
Effect of Age and Gender Variation in Normal Pituitary Gland Height Using Magnetic Resonance Imaging
Aims: The aim of this study was to analyze the age and sex related changes in pituitary gland height in a selected population from Sudan, and also to compare findings with those of other authors. Study Design: This prosp...
Commercial Drivers’ Participation in the Use of Family Planning Services in Ibadan, Southwest Nigeria
Aims: To determine the participation of male commercial drivers in the choice and use of family planning methods and possible implications for reproductive health policy formulation. Study Design: A cross-sectional stud...