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Influence of Global Spine Sagittal Balance and Spinal Degenerative Changes on Locomotive Syndrome Risk in a Middle-Age and Elderly Community-Living Population
Joint Authors
Kobayashi, Kazuyoshi
Ando, Kei
Machino, Masaaki
Ito, Sadayuki
Inoue, Taro
Hasegawa, Yukiharu
Seki, Taisuke
Ishizuka, Shinya
Nakashima, Hiroaki
Kanbara, Shunsuke
Yamaguchi, Hidetoshi
Koshimizu, Hiroyuki
Takegami, Yasuhiko
Ishiguro, Naoki
Imagama, Shiro
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-24
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
The aim of this study was to describe the characteristics of each locomotive syndrome (LS) risk stage, including global spine sagittal alignment, spinal degenerative changes evident on plain radiographs, low back pain (LBP), muscle strength, and physical ability in middle-aged and elderly people in a health checkup.
Methods.
This study included 211 healthy Japanese volunteers (89 men and 122 women; mean age, 64.0 years) who underwent assessment with both radiographs and Spinal Mouse.
Spinal sagittal parameters included thoracic kyphosis angle (TKA), lumbar lordosis angle (LLA), sagittal vertical axis, and spinal inclination angle (SIA).
Lumbar disc height (LDH) and lumbar osteophyte formation (LOF) at each level were evaluated as the spinal degenerative changes.
The LS assessment comprised three tests: stand-up test, two-step test, and 25-question Geriatric Locomotive Function Scale (GLFS-25).
The subjects were divided into three groups (no risk, stage 1 LS, or stage 2 LS) according to LS risk test criteria.
The prevalence of LBP was investigated with a visual analogue scale (VAS), and physical performances were also compared among the groups.
Results.
Of the participants, 122 had no risk of LS, 56 had stage 1 LS risk, and 29 had stage 2 LS risk.
With increasing LS risk stage, the prevalence of and VAS score for LBP increased significantly, and back muscle strength and physical abilities decreased significantly.
The TKA did not differ among the three groups.
The LLA decreased gradually with LS risk stage (P=0.0001).
At each level except L1–L2 and L5–S1, LDH decreased gradually with LS risk stage.
The prevalence of LOF increased significantly with increasing LS risk stage.
The SIA increased significantly with LS risk stage (P=0.0167).
Conclusions.
Participants with LS had higher prevalence of spinal degeneration, small LLA, and global spinal imbalance by anterior spinal inclination.
American Psychological Association (APA)
Machino, Masaaki& Ando, Kei& Kobayashi, Kazuyoshi& Nakashima, Hiroaki& Kanbara, Shunsuke& Ito, Sadayuki…[et al.]. 2020. Influence of Global Spine Sagittal Balance and Spinal Degenerative Changes on Locomotive Syndrome Risk in a Middle-Age and Elderly Community-Living Population. BioMed Research International،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1133114
Modern Language Association (MLA)
Machino, Masaaki…[et al.]. Influence of Global Spine Sagittal Balance and Spinal Degenerative Changes on Locomotive Syndrome Risk in a Middle-Age and Elderly Community-Living Population. BioMed Research International No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1133114
American Medical Association (AMA)
Machino, Masaaki& Ando, Kei& Kobayashi, Kazuyoshi& Nakashima, Hiroaki& Kanbara, Shunsuke& Ito, Sadayuki…[et al.]. Influence of Global Spine Sagittal Balance and Spinal Degenerative Changes on Locomotive Syndrome Risk in a Middle-Age and Elderly Community-Living Population. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1133114
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133114