Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness

Yuji Kasukawa, Naohisa Miyakoshi, Michio Hongo, Yoshinori Ishikawa, Daisuke Kudo, Hiroaki Kijima, Ryota Kimura, Yuichi Ono, Yasuhiro Takahashi, Yoichi ShimadaDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, JapanPurpose: The purpose of this study was to evaluate...

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Autores principales:	Kasukawa Y, Miyakoshi N, Hongo M, Ishikawa Y, Kudo D, Kijima H, Kimura R, Ono Y, Takahashi Y, Shimada Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	lumbar spinal stenosis locomotive syndrome locomotive syndrome risk test grip strength back extensor strength lower extremity muscle strength Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/d259182585ee4f5899814d3630add5f0
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spelling	oai:doaj.org-article:d259182585ee4f5899814d3630add5f02021-12-02T09:30:14ZLumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness1178-1998https://doaj.org/article/d259182585ee4f5899814d3630add5f02019-08-01T00:00:00Zhttps://www.dovepress.com/lumbar-spinal-stenosis-associated-with-progression-of-locomotive-syndr-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Yuji Kasukawa, Naohisa Miyakoshi, Michio Hongo, Yoshinori Ishikawa, Daisuke Kudo, Hiroaki Kijima, Ryota Kimura, Yuichi Ono, Yasuhiro Takahashi, Yoichi ShimadaDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, JapanPurpose: The purpose of this study was to evaluate the association between the early stages of lumbar spinal stenosis (LSS) and the risk of locomotive syndrome, as well as its effect upon muscle strength of the back, upper extremities, and lower extremities.Patients and methods: LSS was diagnosed with a self-administered, self-reported history questionnaire. Participants (n=113) who agreed to be tested by the diagnostic support tool for LSS underwent three risk tests for locomotive syndrome: a stand-up test, a two-step test, and a 25-question Geriatric Locomotive Function Scale (GLFS-25), as well as measurements of the strength of their grip, back extensor, hip flexor, and knee extensor muscles.Results: Twenty-three participants were diagnosed with LSS by the questionnaire. Results of the stand-up test in the LSS group were significantly worse than those in the no-LSS group (P=0.003). The results of the two-step test and the total score on the GLFS-25 in the LSS group were significantly worse than those in the no-LSS group (P=0.002 and P<0.0001, respectively). The stages of locomotive syndrome assessed by the stand-up test, two-step test, and the GLFS-25 were significantly worse in the LSS group than in the no-LSS group (P=0.0004, P=0.0007, and P<0.0001, respectively). Hip flexor and knee extensor strength, but not grip and back extensor strength, in the LSS group were significantly lower than that in the no-LSS group.Conclusions: LSS diagnosed using the self-reported support tool worsened the stage of locomotive syndrome in older people. Furthermore, participants with LSS had significant lower extremity weakness.Keywords: lumbar spinal stenosis, locomotive syndrome, locomotive syndrome risk test, grip strength, back extensor strength, lower extremity muscle strengthKasukawa YMiyakoshi NHongo MIshikawa YKudo DKijima HKimura ROno YTakahashi YShimada YDove Medical Pressarticlelumbar spinal stenosislocomotive syndromelocomotive syndrome risk testgrip strengthback extensor strengthlower extremity muscle strengthGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 1399-1405 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	lumbar spinal stenosis locomotive syndrome locomotive syndrome risk test grip strength back extensor strength lower extremity muscle strength Geriatrics RC952-954.6
spellingShingle	lumbar spinal stenosis locomotive syndrome locomotive syndrome risk test grip strength back extensor strength lower extremity muscle strength Geriatrics RC952-954.6 Kasukawa Y Miyakoshi N Hongo M Ishikawa Y Kudo D Kijima H Kimura R Ono Y Takahashi Y Shimada Y Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness
description	Yuji Kasukawa, Naohisa Miyakoshi, Michio Hongo, Yoshinori Ishikawa, Daisuke Kudo, Hiroaki Kijima, Ryota Kimura, Yuichi Ono, Yasuhiro Takahashi, Yoichi ShimadaDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, JapanPurpose: The purpose of this study was to evaluate the association between the early stages of lumbar spinal stenosis (LSS) and the risk of locomotive syndrome, as well as its effect upon muscle strength of the back, upper extremities, and lower extremities.Patients and methods: LSS was diagnosed with a self-administered, self-reported history questionnaire. Participants (n=113) who agreed to be tested by the diagnostic support tool for LSS underwent three risk tests for locomotive syndrome: a stand-up test, a two-step test, and a 25-question Geriatric Locomotive Function Scale (GLFS-25), as well as measurements of the strength of their grip, back extensor, hip flexor, and knee extensor muscles.Results: Twenty-three participants were diagnosed with LSS by the questionnaire. Results of the stand-up test in the LSS group were significantly worse than those in the no-LSS group (P=0.003). The results of the two-step test and the total score on the GLFS-25 in the LSS group were significantly worse than those in the no-LSS group (P=0.002 and P<0.0001, respectively). The stages of locomotive syndrome assessed by the stand-up test, two-step test, and the GLFS-25 were significantly worse in the LSS group than in the no-LSS group (P=0.0004, P=0.0007, and P<0.0001, respectively). Hip flexor and knee extensor strength, but not grip and back extensor strength, in the LSS group were significantly lower than that in the no-LSS group.Conclusions: LSS diagnosed using the self-reported support tool worsened the stage of locomotive syndrome in older people. Furthermore, participants with LSS had significant lower extremity weakness.Keywords: lumbar spinal stenosis, locomotive syndrome, locomotive syndrome risk test, grip strength, back extensor strength, lower extremity muscle strength
format	article
author	Kasukawa Y Miyakoshi N Hongo M Ishikawa Y Kudo D Kijima H Kimura R Ono Y Takahashi Y Shimada Y
author_facet	Kasukawa Y Miyakoshi N Hongo M Ishikawa Y Kudo D Kijima H Kimura R Ono Y Takahashi Y Shimada Y
author_sort	Kasukawa Y
title	Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness
title_short	Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness
title_full	Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness
title_fullStr	Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness
title_full_unstemmed	Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness
title_sort	lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/d259182585ee4f5899814d3630add5f0
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Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness

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