Objective: To investigate an impact of emotional instabilities on locomotive functions in elderly people with locomotive disorders. Methods: Participants aged ≥65 years (n= 314) were recruited from 5 orthopedic clinics and affiliated nursing care facilities. We investigated 40 items, such as diagnoses related to the locomotive organs, comorbidities, living environment and the 25-question Geriatric Locomotive Function Scale (GLFS-25). We also asked the participants whether they feel bothersome to do daily tasks, depressed and useless person. Relationship between the presence of negative mood and GLFS-25 score were investigated statistically using SPSS statistics 20. Results: A total of 219 participants felt bothersome to do daily task, 175 participants felt depressed and 113 participants felt useless person. GLFS-25 score in participants with emotional instability were higher than those without negative emotional changes regardless of gender and age groups. Conclusion: Negative emotions were suggested to affect deterioration of locomotive functions in elderly people with locomotive disorders.
Background and purpose: Investigate the feasibility and significance of simple and objective posture evaluation methods for preventing intervention of daily care for elderly people. Subjects and Methods: The subjects were 42 healthy community-dwelling elderly people. We performed three methods of posture evaluation ((1)kyphosis index, (2)occiput-to-wall distance: OWD, and (3)observation scale). Participants answered a questionnaire on disability during daily life. Results: The 3 methods of posture evaluation showed significant correlations with each other ((1)-(2): ρ=0.527, p=0.000, (2)-(3): ρ=0.315, p=0.042, (1)-(3): ρ=0.416, p=0.006). As the results of the questionnaire, subjects with "orthopedic disease" and "osteoporosis" showed significantly poorer scores with all three methods compared to the subjects without these symptoms. On the other hand, subjects with "pain, numbness, and stiffness", and a "fear of falling" showed significantly poorer scores only for OWD compared to the subjects without these symptoms. Conclusion: OWD was suggested to be a feasible and objective posture evaluation method, which may be correlated with "pain, numbness, and stiffness" and a "fear for falling", and may prevent intervention of care for daily life in elderly people.
The patient was an 85-year-old man who developed lung metastasis and intrahepatic bile duct cancer after undergoing surgery for kidney cancer. He had a 1-month history of persistent pain from the neck to both shoulders and proximal limb muscles prior to hospitalization. Computed tomography revealed no findings leading to the development of pain. The patient's condition did not improve despite the use of acetaminophen, immediate-release oxycodone, and kakkonto. Polymyalgia rheumatica (PMR) was suspected based on the clinical findings, with the erythrocyte sedimentation rate showing a marked increase at 107mm/h. As the diagnostic criteria were satisfied, a diagnosis of paraneoplastic syndrome with PMR-like symptoms was made. Accordingly, prednisolone administration at 20mg/day was initiated, which markedly reduced the pain. In cancer patients, pain that is not directly associated with cancer sometimes occurs. Paraneoplastic syndrome rarely occurs, and thus is relatively likely to remain undiagnosed. This is the first report of a case of paraneoplastic syndrome in a patient with kidney and bile duct cancers in Japan.
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