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Erschienen in: Journal of Orthopaedic Science 2/2012

01.03.2012 | Original Article

Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-question Geriatric Locomotive Function Scale

verfasst von: Atsushi Seichi, Yuichi Hoshino, Tokuhide Doi, Masami Akai, Yoshiko Tobimatsu, Tsutomu Iwaya

Erschienen in: Journal of Orthopaedic Science | Ausgabe 2/2012

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Abstract

Objective

To evaluate the reliability and validity of a new questionnaire, the 25-question Geriatric Locomotive Function Scale (GLFS-25), for early detection of locomotive syndrome.

Methods

This new screening tool was designed to detect Japanese individuals under high-risk conditions who may soon require care services because of problems of the locomotive organs. Content validity, construct validity, criterion validity, internal-consistency reliability, and reproducibility (test-retest reliability) were examined using psychometric analysis, and a cutoff score to detect locomotive syndrome was determined. To investigate construct validity of the GLFS-25 and determine the cutoff score, the Akaike Information Criteria (AIC) were used.

Results

Study 1 analyzed 711 Japanese elderly people ≥65 years old. No floor or ceiling effects were included in the GLFS-25. Internal consistency was confirmed by a Cronbach’s α reliability coefficient of 0.961. As for the association between the GLFS-25 and European Quality of Life Scale-5 Dimensions (EQ-5D), Spearman’s correlation coefficient was 0.85 (P < 0.001), showing excellent concurrent validity of the GLFS-25. Categorical principal component analysis showed that the construct structure consisted of one item cluster or the GLFS-25 was unifactorial. The AIC showed that one cluster of seven items was located in the center, with significant associations with the other five clusters. In study 2, 205 individuals were analyzed, and the test-retest interclass correlation was satisfactory (range 0.712–0.924). The cutoff score for identifying locomotive syndrome was set at 16. Validity and reliability of this new measurement were psychometrically confirmed as sufficient.

Conclusions

The GLFS-25 offers a valid and reliable questionnaire scale for detecting locomotive syndrome in elderly Japanese individuals.
Literatur
1.
Zurück zum Zitat Nakamura K. A “super-aged” society and the “locomotive syndrome”. J Orthop Sci. 2007;13:1–2.CrossRef Nakamura K. A “super-aged” society and the “locomotive syndrome”. J Orthop Sci. 2007;13:1–2.CrossRef
2.
Zurück zum Zitat Nakamura K. Locomotive syndrome: disability-free life expectancy and locomotive organ health in a “super-aged” society. J Orthop Sci. 2009;14:1–2.PubMedCrossRef Nakamura K. Locomotive syndrome: disability-free life expectancy and locomotive organ health in a “super-aged” society. J Orthop Sci. 2009;14:1–2.PubMedCrossRef
3.
Zurück zum Zitat Hoshino Y, Seichi A, Doi T, Akai M, Tobimatsu Y, Iwaya T. Development of a screening tool for risk of locomotive syndrome in the elderly. J Clin Sports Med. 2009;27:33–40. (in Japanese). Hoshino Y, Seichi A, Doi T, Akai M, Tobimatsu Y, Iwaya T. Development of a screening tool for risk of locomotive syndrome in the elderly. J Clin Sports Med. 2009;27:33–40. (in Japanese).
4.
Zurück zum Zitat Hoshino Y, Seichi A, Iwaya T, Akai M, Tobimatsu Y, Doi T. Development of diagnostic-tool for locomotive syndrome. J Phys Med. 2009;20:311–8. (in Japanese). Hoshino Y, Seichi A, Iwaya T, Akai M, Tobimatsu Y, Doi T. Development of diagnostic-tool for locomotive syndrome. J Phys Med. 2009;20:311–8. (in Japanese).
5.
Zurück zum Zitat Hoshino Y, Seichi A, Doi T, Akai M, Tobimatsu Y, Iwaya T. Development of a screening tool for risk of locomotive syndrome in the elderly. Mod Phys. 2010;30:2010–4. (in Japanese). Hoshino Y, Seichi A, Doi T, Akai M, Tobimatsu Y, Iwaya T. Development of a screening tool for risk of locomotive syndrome in the elderly. Mod Phys. 2010;30:2010–4. (in Japanese).
6.
Zurück zum Zitat Hoshino Y, Seichi A. Development of diagnostic-tool for locomotive syndrome. J Jpn Orthop Assoc. 2011;85:12–20. (in Japanese). Hoshino Y, Seichi A. Development of diagnostic-tool for locomotive syndrome. J Jpn Orthop Assoc. 2011;85:12–20. (in Japanese).
7.
Zurück zum Zitat Akai M, Doi T, Fujino K, Iwaya T, Kurosawa H, Nasu T. An outcome measure for Japanese people with knee osteoarthritis. J Rheumatol. 2005;32:1524–32.PubMed Akai M, Doi T, Fujino K, Iwaya T, Kurosawa H, Nasu T. An outcome measure for Japanese people with knee osteoarthritis. J Rheumatol. 2005;32:1524–32.PubMed
8.
Zurück zum Zitat Fukui M, Chiba K, Kawakami M, Kikuchi S, Konno S, Miyamoto M, Seichi A, Shimamura T, Shirado O, Taguchi T, Takahashi K, Takeshita K, Tani T, Toyama Y, Yonenobu K, Wada E, Tanaka T, Hirota Y. JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). The report on the development of revised versions. J Orthop Sci. 2009;14:348–65.PubMedCrossRef Fukui M, Chiba K, Kawakami M, Kikuchi S, Konno S, Miyamoto M, Seichi A, Shimamura T, Shirado O, Taguchi T, Takahashi K, Takeshita K, Tani T, Toyama Y, Yonenobu K, Wada E, Tanaka T, Hirota Y. JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). The report on the development of revised versions. J Orthop Sci. 2009;14:348–65.PubMedCrossRef
9.
Zurück zum Zitat Shirado O, Doi T, Akai M, Fujino K, Hoshino Y, Iwaya T. An outcome measure for Japanese people with chronic low back pain. Spine. 2007;32:3052–9.PubMedCrossRef Shirado O, Doi T, Akai M, Fujino K, Hoshino Y, Iwaya T. An outcome measure for Japanese people with chronic low back pain. Spine. 2007;32:3052–9.PubMedCrossRef
11.
Zurück zum Zitat Akai M, Doi T. Methodological topics to develop a new outcome measure. In: Goldfarb PM, editor. Psychological tests and testing research trends. New York: Nova Science Publishers; 2007. pp. 265–81. Akai M, Doi T. Methodological topics to develop a new outcome measure. In: Goldfarb PM, editor. Psychological tests and testing research trends. New York: Nova Science Publishers; 2007. pp. 265–81.
14.
Zurück zum Zitat Akaike H. Information theory and an extension of the maximum likelihood principles. In: Petrov B, Caski F, editors. The second international symposium on information theory. Budapest: Akademia Kiado; 1973. p. 267–81. Akaike H. Information theory and an extension of the maximum likelihood principles. In: Petrov B, Caski F, editors. The second international symposium on information theory. Budapest: Akademia Kiado; 1973. p. 267–81.
15.
Zurück zum Zitat Sakamoto Y, Ishiguro M, Kitagawa G. Akaike Information Criterion Statistics. Dordrecht: Reidel; 1986. Sakamoto Y, Ishiguro M, Kitagawa G. Akaike Information Criterion Statistics. Dordrecht: Reidel; 1986.
16.
Zurück zum Zitat FORTRAN Program CATDAP-02. In: Sakamoto Y, editor. Categorical data analysis by AIC. 1991. Tokyo: KTK Scientific Publishers, Kluwer Academic Publishers; pp. 163–206 (appendix). FORTRAN Program CATDAP-02. In: Sakamoto Y, editor. Categorical data analysis by AIC. 1991. Tokyo: KTK Scientific Publishers, Kluwer Academic Publishers; pp. 163–206 (appendix).
17.
Zurück zum Zitat Gregg EW, Pereira MA, Caspersen CJ. Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. JAGS. 2000;48:883–93. Gregg EW, Pereira MA, Caspersen CJ. Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. JAGS. 2000;48:883–93.
18.
Zurück zum Zitat Feder G, Cryer C, Donovan S, Carter Y. Guidelines for the prevention of falls in people over 65. BMJ. 2000;321:1007–11.PubMedCrossRef Feder G, Cryer C, Donovan S, Carter Y. Guidelines for the prevention of falls in people over 65. BMJ. 2000;321:1007–11.PubMedCrossRef
19.
Zurück zum Zitat Michikawa T, Nishiwaki Y, Takebayashi T, Toyama Y. One-leg standing test for elderly populations. J Orthop Sci. 2009;14:675–85.PubMedCrossRef Michikawa T, Nishiwaki Y, Takebayashi T, Toyama Y. One-leg standing test for elderly populations. J Orthop Sci. 2009;14:675–85.PubMedCrossRef
20.
Zurück zum Zitat Kita K, Hujino K, Nasu K, Kawahara K, Sunami Y. A simple protocol for preventing falls and fractures in elderly individuals with musculoskeletal disease. Osteoporos Int. 2007;18:611–9.PubMedCrossRef Kita K, Hujino K, Nasu K, Kawahara K, Sunami Y. A simple protocol for preventing falls and fractures in elderly individuals with musculoskeletal disease. Osteoporos Int. 2007;18:611–9.PubMedCrossRef
21.
Zurück zum Zitat Sakamoto K, Nakamura T, Hagino H, Endo N, Mori S, Muto Y, Harada A, Nakano T, Itoi E, Yoshimura M, Norimatsu H, Yamamoto H, Ochi T. Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial. J Orthop Sci. 2006;11:467–72.PubMedCrossRef Sakamoto K, Nakamura T, Hagino H, Endo N, Mori S, Muto Y, Harada A, Nakano T, Itoi E, Yoshimura M, Norimatsu H, Yamamoto H, Ochi T. Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial. J Orthop Sci. 2006;11:467–72.PubMedCrossRef
22.
Zurück zum Zitat Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel JP, Rolland Y, Schneider M, Topinkova E, Vandewoude M, Zamboni M. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39:412–23.PubMedCrossRef Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel JP, Rolland Y, Schneider M, Topinkova E, Vandewoude M, Zamboni M. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39:412–23.PubMedCrossRef
Metadaten
Titel
Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-question Geriatric Locomotive Function Scale
verfasst von
Atsushi Seichi
Yuichi Hoshino
Tokuhide Doi
Masami Akai
Yoshiko Tobimatsu
Tsutomu Iwaya
Publikationsdatum
01.03.2012
Verlag
Springer Japan
Erschienen in
Journal of Orthopaedic Science / Ausgabe 2/2012
Print ISSN: 0949-2658
Elektronische ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-011-0193-5

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