AI Article Synopsis
- - The study focused on identifying characteristics of locomotive syndrome (LS) risk among elderly individuals by examining spinal alignment, degenerative changes, muscle strength, physical abilities, and low back pain (LBP).
- - A total of 232 participants were assessed through radiographs and LS risk tests, classifying them into three groups: no risk, stage 1 LS, and stage 2 LS, revealing that increased LS risk correlated with higher prevalence of LBP and lower physical performance.
- - Findings indicated that as LS risk progressed, there was notable spinal degeneration, reduced lumbar lordosis, and a shift towards anterior spinal inclination, with lumbar disc height and strength diminishing with increasing risk stages.
Article Abstract
Background: The aim of this study was to delineate the features of the locomotive syndrome (LS) risk stage in the elderly population, encompassing global spine sagittal alignment, visible spinal degenerative changes on plain radiographs, muscle strength, physical capabilities, and low back pain (LBP).
Methods: The study enrolled 232 subjects, evaluated using plain radiographs. The evaluation included measurements of lumbar lordosis (LLA), thoracic kyphosis (TKA), spinal inclination (SIA) angles, and sagittal vertical axis. Assessments included lumbar osteophyte formation (LOF) and lumbar disc height (LDH) to examine spinal degenerative changes. LS evaluation used the locomotive syndrome risk test based on LS risk criteria, classifying participants into no risk, stage 1 LS, and stage 2 LS groups. Using a visual analogue scale (VAS), we investigated the prevalence of low back pain (LBP) and assessed physical performances across these groups.
Results: There were 132 participants with no LS risk, 71 with stage 1 LS risk, and 29 with stage 2 LS risk. As LS risk increased, LBP prevalence and VAS scores rose, physical abilities, and back muscle strength decreased. TKA showed no variation across groups, while LLA decreased with advancing LS risk stage. Except for L1-L2 and L5-S1, lumbar disc height (LDH) decreased with higher LS risk stages. LOF occurrence increased notably with higher LS risk stages. Spinal inclination angle (SIA) significantly increased with advancing LS risk stages.
Conclusion: Participants diagnosed with LS exhibited an increased incidence of spinal degeneration, reduced LLA, and global spinal imbalance characterized by anterior spinal inclination.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666610 | PMC |
| http://dx.doi.org/10.1007/s11845-024-03813-3 | DOI Listing |
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