Методы диагностики локомотивного синдрома у лиц пожилого и старческого возрастов
https://doi.org/10.34215/1609-1175-2025-2-11-17
Аннотация
Статья посвящена проблеме диагностики нарушений локомоторных функций у пожилых людей. В обзоре представлены методы диагностики локомотивного синдрома, базирующиеся на результатах анкетирования, оценке физических возможностей. Определен круг инструментальных методов, потенциально пригодных для диагностики у лиц пожилого и старческого возраста. Проведен критический анализ диагностической значимости скрининговых опросников, физикальных методов исследования. В настоящее время отсутствуют общепринятые и валидированные диагностические методы. На основе анализа литературы показано, что, несмотря на наличие различных методов диагностики локомотивного синдрома, существует потребность в комплексном инструменте, который сможет адекватно учесть весь спектр его компонентов.
Ключевые слова
Об авторах
М. М. ИванюкРоссия
М. А. Кабалык
Россия
Кабалык Максим Александрович – канд. мед. наук, ведущий научный сотрудник
960002, г. Владивосток, пр-т Острякова, 2
П. В. Гороховская
Россия
Н. Г. Плехова
Россия
960002, г. Владивосток, пр-т Острякова, 2
О. Ю. Агеева
Россия
Список литературы
1. Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas. 2020 Sep;139:6– 11. doi: 10.1016/j.maturitas.2020.05.018
2. Sahoo PM, Rout HS, Jakovljevic M. Consequences of India's population aging to its healthcare financing and provision. J Med Econ. 2023 Jan–Dec;26(1):308–315. doi: 10.1080/13696998
3. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007 May;55(5):780–91. doi: 10.1111/j.1532-5415.2007.01156.x
4. Cornette P, Swine C, Malhomme B, Gillet JB, Meert P, D'Hoore W. Early evaluation of the risk of functional decline following hospitalization of older patients: development of a predictive tool. Eur J Public Health. 2006 Apr;16(2):203–8. doi: 10.1093/eurpub/cki054
5. Matsumoto H, Hagino H, Wada T, Kobayashi E. Locomotive syndrome presents a risk for falls and fractures in the elderly Japanese population. Osteoporos Sarcopenia. 2016 Sep;2(3):156– 163. doi: 10.1016/j.afos.2016.06.001
6. Silva TCAD, Figueiredo MDLF, Costa ACDSES., Rocha EPD, Borges LMC, Darder JJT Prevalence and factors associated with locomotive syndrome in community-dwelling older adults. Texto e Contexto Enfermagem. 2021;30:84–94. doi: 10.1590/1980-265x-tce-2020-0494
7. Тополянская С.В., Романова М.А., Вакуленко О.Н., Бубман Л.И., Елисеева Т.А., Ларина Д.С., Рачина С.А., Дворецкий Л.И. «Локомотивный синдром» в практике гериатрического стационара. Медицинский алфавит. 2023;(13):36–41.
8. Ikemoto T, Arai YC. Locomotive syndrome: clinical perspectives. Clin Interv Aging. 2018 Apr 30;13:819–827. doi: 10.2147/cia.s148683
9. Lee C, Woods PC, Paluch AE, Miller MS. Effects of age on human skeletal muscle: a systematic review and meta-analysis of myosin heavy chain isoform protein expression, fiber size, and distribution. Am J Physiol Cell Physiol. 2024 Dec 1;327(6):C1400–C1415. doi: 10.1152/ajpcell.00347.2024
10. Yoshimura N, Muraki S, Iidaka T, Oka H, Horii C, Kawaguchi H, Akune T, Nakamura K, Tanaka S. Prevalence and co-existence of locomotive syndrome, sarcopenia, and frailty: the third survey of Research on Osteoarthritis/Osteoporosis Against Disability (ROAD) study. J Bone Miner Metab. 2019 Nov;37(6):1058–1066. doi: 10.1007/s00774-019-01012-0
11. Kobayashi T, Morimoto T, Shimanoe C, Ono R, Otani K, Mawatari M. Risk factors for progression of the severity of locomotive syndrome: A two-year longitudinal observational study. J Orthop Sci. 2024 Mar;29(2):646–652. doi: 10.1016/j.jos.2023.02.008
12. Burr DB. Changes in bone matrix properties with aging. Bone. 2019 Mar;120:85–93. doi: 10.1016/j.bone.2018.10.010
13. Chen H, Zhou X, Fujita H, Onozuka M, Kubo KY. Age-related changes in trabecular and cortical bone microstructure. Int J Endocrinol. 2013;2013:213234. doi: 10.1155/2013/213234
14. Ribitsch I, Gueltekin S, Keith MF, Minichmair K, Peham C, Jenner F, Egerbacher M. Age-related changes of tendon fibril micro-morphology and gene expression. J Anat. 2020 Apr;236(4):688–700. doi: 10.1111/joa.13125
15. Nakahara E, Iidaka T, Chiba A, Kurasawa H, Fujino A, Shiomi N, Maruyama H, Horii C, Muraki S, Oka H, Kawaguchi H, Nakamura K, Akune T, Tanaka S, Yoshimura N. Identifying factors associated with locomotive syndrome using machine learning methods: The third survey of the research on osteoarthritis/osteoporosis against disability study. Geriatr Gerontol Int. 2024 Aug;24(8):806–813. doi: 10.1111/ggi.14923
16. Ide K, Yamato Y, Hasegawa T, Yoshida G, Yasuda T, Banno T, Arima H, Oe S, Mihara Y, Ushirozako H, Yamada T, Watanabe Y, Nakai K, Hoshino H, Niwa H, Togawa D, Matsuyama Y. Prospective nursing care certification using the 25-question Geriatric Locomotive Function Scale. Geriatr Gerontol Int. 2021 Jun;21(6):492–497. doi: 10.1111/ggi.14169
17. Seichi A, Hoshino Y, Doi T, Akai M, Tobimatsu Y, Iwaya T. Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-question Geriatric Locomotive Function Scale. J Orthop Sci. 2012 Mar;17(2):163–72. doi: 10.1007/s00776-011-0193-5
18. Kim MC, Park HS, Kim HI, Paik JK, Chung DK. An analysis study of sarcopenia and locomotive syndrome in the old people using evaluation tool. J Exerc Rehabil. 2022 Aug 26;18(4):256– 263. doi: 10.12965/jer.2244234.117
19. Tanabe Y, Suehara Y, Kim Y, Nojiri S, Okubo T, Ishii M, Kawasaki T, Matsuoka K, Akaike K, Mukaihara K, Okubo N, Saito T, and Kaneko K. The Development of the Short-Form of ‘25-Question Geriatric Locomotive Function Scale. Journal of Advances in Medicine and Medical Research, 2018 Mar.;25(10):1–13. doi: 10.9734/JAMMR/2018/40196
20. Shigematsu H, Tanaka M, Munemoto M, Kawasaki S, Iwata E, Okuda A, Masuda K, Yamamoto Y, Suga Y, Tanaka Y. Affirmative answers on loco-check as a predictor of health-related quality of life and locomotive syndrome progression in the elderly: A cross-sectional study. Mod Rheumatol. 2020 May;30(3):580– 585. doi: 10.1080/14397595.2019.1621459
21. Kobayashi T, Morimoto T, Shimanoe C, Ono R, Otani K, Mawatari M. Development of a tool for screening the severity of locomotive syndrome by the loco-check. J Orthop Sci. 2022 May;27(3):701–706. doi: 10.1016/j.jos.2021.03.011
22. Kim, Youngji, Yoshiyuki Suehara, Midori Ishii, Takayuki Kawasaki, Kiyoshi Matsuoka, Taketo Okubo, Naoko Okubo, Yu Tanabe, Keisuke Akaike, Kenta Mukaihara, Daisuke Kubota, Yuichiro Maruyama, Tsuyoshi Saito, and Kazuo Kaneko. A Comparative Study of 2 Screening Tools for Locomotive Syndrome (The “Lococheck” and the ‘GLFS-25’): An Orthopedic Outpatient-Based Survey. Journal of Advances in Medicine and Medical Research 2016;17(5):1–13. doi: 10.9734/BJMMR/2016/28194
23. Saito Y, Ishida T, Kataoka Y, Takeda R, Tadano S, Suzuki T, Nakamura K, Nakata A, Osuka S, Yamada S, Samukawa M, Tohyama H. Evaluation of gait characteristics in subjects with locomotive syndrome using wearable gait sensors. BMC Musculoskelet Disord. 2022 May 14;23(1):457. doi: 10.1186/s12891-022-05411-9
24. Arbex MCFB, Okazaki JEF, Tavares DRB, Figueiredo Bersani AL, Santos FC. Locomotive Syndrome is associated with chronic pain and poor quality of life in Brazilian oldest old: LOCOMOV Project. J Orthop Sci. 2021 Jan;26(1):162–166. doi: 10.1016/j.jos.2020.02.007
25. Kim HI, Kim MC. Physical Therapy Assessment Tool Threshold Values to Identify Sarcopenia and Locomotive Syndrome in the Elderly. Int J Environ Res Public Health. 2023 Jun 10;20(12):6098. doi: 10.3390/ijerph20126098
26. Hirano K, Imagama S, Hasegawa Y, Ito Z, Muramoto A, Ishiguro N. Impact of low back pain, knee pain, and timed up-and-go test on quality of life in community-living people. J Orthop Sci. 2014 Jan;19(1):164–71. doi: 10.1007/s00776-013-0476-0
27. Kobayashi T, Morimoto T, Shimanoe C, Ono R, Otani K, Mawatari M. Development of a simple screening tool based on the 5-question geriatric locomotive function scale for locomotive syndrome. J Orthop Sci. 2022 Jul;27(4):913–920. doi: 10.1016/j.jos.2021.05.001
28. Chen H, Smith SS. Item Distribution in the Berg Balance Scale: A Problem for Use With Community-Living Older Adults. J Geriatr Phys Ther. 2019 Oct/Dec;42(4):275–280. doi: 10.1519/JPT.0000000000000208
29. Meseguer-Henarejos AB, Rubio-Aparicio M, López-Pina JA, Carles-Hernández R, Gómez-Conesa A. Characteristics that affect score reliability in the Berg Balance Scale: a meta-analytic reliability generalization study. Eur J Phys Rehabil Med. 2019 Oct;55(5):570–584. doi: 10.23736/S1973-9087.19.05363-2
30. Miyamoto R, Sawada SS, Gando Y, Matsushita M, Kawakami R, Muranaga S, Osawa Y, Ishii K, Oka K. Stand-up test overestimates the decline of locomotor function in taller people: a crosssectional analysis of data from the Kameda Health Study. J Phys Ther Sci. 2019 Feb;31(2):175–184. doi: 10.1589/jpts.31.175
31. Prachuab K, Chanpen A, Alongkorn C, Chalalai W. A study and tests for the age range at risk to Locomotive Syndrome Disease by standing up test: A case study of sample group in Bangkok Metropolitan Region. Songklanakarin Journal of Science and Technology (SJST). 2021;43(2): 478–484. doi: 10.14456/sjst-psu.2021.63
32. Prayogo M, Satyawati R, Sari DI, Tinduh D, Wulan SMM, Mikami Y, Melaniani S. Locomotion training addition to regular aerobic exercise improves walking speed and two-step test of the institutionalized older adult with Locomotive Syndrome stage 1: a randomized controlled trial. Bali Medical Journal. 2023;12(1):771–775. doi: 10.15562/bmj.v12i1.4085
33. Yamada K, Ito YM, Akagi M, Chosa E, Fuji T, Hirano K, Ikeda S, Ishibashi H, Ishibashi Y, Ishijima M, Itoi E, Iwasaki N, Izumida R, Kadoya K, Kamimura M, Kanaji A, Kato H, Kishida S, Mashima N, Matsuda S, Matsui Y, Matsunaga T, Miyakoshi N, Mizuta H, Nakamura Y, Nakata K, Omori G, Osuka K, Uchio Y, Ryu K, Sasaki N, Sato K, Senda M, Sudo A, Takahira N, Tsumura H, Yamaguchi S, Yamamoto N, Nakamura K, Takashi Ohe. Reference values for the locomotive syndrome risk test quantifying mobility of 8681 adults aged 20–89 years: A crosssectional nationwide study in Japan. J Orthop Sci. 2020 Nov;25(6):1084–1092. doi: 10.1016/j.jos.2020.01.011
34. Arai T, Fujita H, Maruya K, Morita Y, Asahi R, Ishibashi H. The one-leg portion of the Stand-Up Test predicts fall risk in aged individuals: A prospective cohort study. J Orthop Sci. 2020 Jul;25(4):688–692. DOI: 10.1016/j.jos.2019.06.014
35. Kobayashi T, Morimoto T, Shimanoe C, Ono R, Otani K, Mawatari M. A Simplified Screening Tool for the One-Leg Standing Test to Determine the Severity of Locomotive Syndrome. Life (Basel). 2023 May 16;13(5):1190. doi: 10.3390/life13051190
36. Seichi A, Hoshino Y, T. Doi, Akai M, Tobimatsu Y, Kita K, Iwaya T. Determination of the optimal cutoff time to use when screening elderly people for locomotive syndrome using the one-leg standing test (with eyes open). J Orthop Sci. 2014 Jul;19(4):620–626. doi: 10.1007/s00776-014-0581-8
37. Ogata T, Muranaga S, Ishibashi H, Ohe T, Izumida R, Yoshimura N, Iwaya T, Nakamura K. Development of a screening program to assess motor function in the adult population: a cross-sectional observational study. J Orthop Sci. 2015 Sep;20(5):888–895. doi: 10.1007/s00776-015-0737-1
38. Imagama S, Hasegawa Y, Ando K, Kobayashi K, Hida T, Ito K, Tsushima M, Nishida Y, Ishiguro N. Staged decrease of physical ability on the locomotive syndrome risk test is related to neuropathic pain, nociceptive pain, shoulder complaints, and quality of life in middle-aged and elderly people – The utility of the locomotive syndrome risk test. Mod Rheumatol. 2017 Nov;27(6):1051–1056. doi: 10.1080/14397595.2017.1285856
39. Alissa N, Akinlosotu RY, Shipper AG, Wheeler LA, Westlake KP. A systematic review of upper extremity responses during reactive balance perturbations in aging. Gait Posture. 2020 Oct;82:138- 146. doi: 10.1016/j.gaitpost.2020.08.134
40. Mullaney MJ, McHugh MP, Johnson CP, Tyler TF. Reliability of shoulder range of motion comparing a goniometer to a digital level. Physiother Theory Pract. 2010 Jul;26(5):327–33. doi: 10.3109/09593980903094230
41. Hannah DC, Scibek JS. Collecting shoulder kinematics with electromagnetic tracking systems and digital inclinometers: A review. World J Orthop. 2015 Nov 18;6(10):783–94. doi: 10.5312/wjo.v6.i10.783
42. Muramoto A, Imagama S, Ito Z, Hirano K, Tauchi R, Ishiguro N, Hasegawa Y. Waist circumference is associated with locomotive syndrome in elderly females. J Orthop Sci. 2014 Jul;19(4):612–9. doi: 10.1007/s00776-014-0559-6
43. Tanaka S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y, Imagama S. The decreasing phase angles of the entire body and trunk during bioelectrical impedance analysis are related to locomotive syndrome. J Orthop Sci. 2019 Jul;24(4):720–724. doi: 10.1016/j.jos.2018.12.016
44. Tanaka S, Ando K, Kobayashi K, Seki T, Hamada T, Machino M, Ota K, Morozumi M, Kanbara S, Ito S, Ishiguro N, Hasegawa Y, Imagama S. Low Bioelectrical Impedance Phase Angle Is a Significant Risk Factor for Frailty. Biomed Res Int. 2019 Jun 10;2019:6283153. doi: 10.1155/2019/6283153
45. Stenroth L, Sillanpää E, McPhee JS, Narici MV, Gapeyeva H, Pääsuke M, Barnouin Y, Hogrel JY, Butler-Browne G, Bijlsma A, Meskers CG, Maier AB, Finni T, Sipilä S. Plantarflexor Muscle- Tendon Properties are Associated With Mobility in Healthy Older Adults. J Gerontol A Biol Sci Med Sci. 2015 Aug;70(8):996– 1002. doi: 10.1093/gerona/glv011
46. Wawrzy´nski T, Pietrzak BA, Mika A. Does Mobility of the Ankle Joint Depends on Length of the Free Part of the Achilles Tendon? Symmetry 2022;14:2313. doi: 10.3390/sym14112313
47. Smith RE, Shelton AD, Sawicki GS, Franz JR. The effects of plantarflexor weakness and reduced tendon stiffness with aging on gait stability. PLoS One. 2024 Apr 16;19(4):e0302021. doi: 10.1371/journal.pone.0302021
48. Knaus K, Ebrahimi A, Martin J, Loegering I, Thelen D, & Blemker S. Achilles Tendon Morphology Is Related to Triceps Surae Muscle Size and Peak Plantarflexion Torques During Walking in Young but Not Older Adults. Frontiers in Sports and Active Living. 2020;2. doi: 10.3389/fspor.2020.00088
49. Frouin A, Guenanten H, Le Sant G, Lacourpaille L, Liebard M, Sarcher A, McNair PJ, Ellis R, Nordez A. Validity and Reliability of 3-D Ultrasound Imaging to Measure Hamstring Muscle and Tendon Volumes. Ultrasound Med Biol. 2023 Jun;49(6):1457– 1464. doi: 10.1016/j.ultrasmedbio.2023.02.012
Рецензия
Для цитирования:
Иванюк М.М., Кабалык М.А., Гороховская П.В., Плехова Н.Г., Агеева О.Ю. Методы диагностики локомотивного синдрома у лиц пожилого и старческого возрастов. Тихоокеанский медицинский журнал. 2025;(2):11-17. https://doi.org/10.34215/1609-1175-2025-2-11-17
For citation:
Ivaniuk M.M., Kabalyk M.A., Gorokhovskaya P.V., Plekhova N.G., Ageeva O.Y. Diagnostic methods for locomotive syndrome in elderly and senile individuals. Pacific Medical Journal. 2025;(2):11-17. (In Russ.) https://doi.org/10.34215/1609-1175-2025-2-11-17