順天堂醫事雑誌
Online ISSN : 2188-2126
Print ISSN : 2187-9737
ISSN-L : 2187-9737
Poster Sessions - Locomotive Syndrome
An Outpatient-Based Survey About the Recognition of Locomotive Syndrome in Tokyo: A Survey for 3 Years
YU TANABEYOSHIYUKI SUEHARAKIM YONGJIMIDORI ISHIITAKAYUKI KAWASAKIJOE MATSUOKAKEISUKE AKAIKEKENTA MUKAIHARATAKETO OKUBODAISUKE KUBOTATSUYOSHI SAITOTATSUYA TAKAGIKAZUO KANEKO
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2016 年 62 巻 Suppl.1 号 p. 236

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Background: In 2007, the Japanese Orthopedic Association (JOA) proposed the term locomotive syndrome (LS) to designate a condition in high-risk groups of patients with musculoskeletal diseases who are highly likely to require nursing care. LS is caused by weakening of the musculoskeletal organs, such as the bones, joints and muscles. Disorders of these organs leads to self-transportation disabilities. These conditions force people suffering from this syndrome to require outside care and support. Therefore, to prevent the decline into disability, patients need to maintain their health, especially their locomotor function. To prevent locomotor dysfunction, the JOA has carried out numerous campaigns to increase the awareness of LS. However, there are no accurate studies regarding the recognition of LS. Therefore, we have started to survey the recognition of LS since 2013 to elucidate the effects and trends of the recognition of LS and the promotion campaigns using orthopedic outpatient cohost.

Methods: To investigate the recognition of LS, we conducted a questionnaire survey including both the 25-question Geriatric Locomotive Function Scale (GLFS-25) and/or the “loco-check” in approximate 1,000 orthopedic outpatients at Juntendo University Hospital (Tokyo, Japan) from March to June (for 3 months) since 2013 (for 3 years).

Results: We have performed these surveys for 3 years (in 2013, 2014 and 2015). In first year, we surveyed the recognition of LS and found 24.6% of outpatients knew about LS in 2013. In 2014, a total of 26.4% of the patients knew about the concept of LS, which was increased 1.8% in comparison to our survey in 2013. With regard to the prevalence of LS in orthopedic outpatients, 60.5% (734 of 1,027 people who answered the questions) were classified into the LS high-risk group as determined using the GLFS-25. The prevalence of LS was 54.9% in males and 64.3% in females. We also resurveyed the recognition of LS and the prevalence of LS in 2015, and we are analyzing these acquired data in 2015 as on-going study.

Conclusion: We investigated the recognition of LS and the prevalence of LS using an outpatient cohort from the Tokyo area. This study demonstrated that the recognition of LS is a little bit increasing. Our outpatient-based survey is therefore considered to positively help obtain a better understanding of the effects and trends of promoting the concept of LS.

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© 2016 The Juntendo Medical Society. This is an open access article distributed under the terms of Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original source is properly credited.
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