オカザキ　ケン   Okazaki Ken   岡崎　賢    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Feasibility and applicability of locomotive syndrome risk test in elderly patients who underwent total knee arthroplasty.
掲載誌名	正式名：Modern rheumatology 略　 称：Mod Rheumatol ISSNコード：14397609/14397595
掲載区分	国外
巻・号・頁	epub,pp.epub
著者・共著者	Ogata Toru, Yamada Keiko, Miura Hiromasa, Hino Kazunori, Kutsuna Tatsuhiko, Watamori Kunihiko, Kinoshita Tomofumi, Ishibashi Yasuyuki, Yamamoto Yuji, Sasaki Tomoyuki, Matsuda Shuichi, Kuriyama Shinichi, Watanabe Mutsumi, Tomita Tetsuya, Tamaki Masashi, Ishibashi Teruya, Okazaki Ken, Mizu-Uchi Hideki, Ishibashi Shojiro, Ma Yuan, Ito Yoichi M, Nakamura Kozo, Tanaka Sakae
発行年月	2022/11
概要	OBJECTIVES:The concept of locomotive syndrome (LS) and its evaluation method, the LS risk test, have been applied in an integrated manner to capture the decline in mobility resulting from musculoskeletal disorders. The purpose of this study was to evaluate the impact of total knee arthroplasty (TKA) in the elderly with knee osteoarthritis, a common disorder found in LS.METHODS:A total of 111 patients were registered prior to TKA and postoperatively followed up for 1 year. Three components of the LS risk test (the two-step test, stand-up test, and geriatric locomotive function scale-25) were assessed pre- and postoperatively.RESULTS:After surgery, all three components of the test showed significant improvements from the baseline. The ratio of stage 3 LS patients (progressed stage of decrease in mobility) reduced from 82.3% to 33.9% postoperatively. There was no significant difference in the degree of change in the scores between the younger (60-74 years) and older (≥75 years) age groups.CONCLUSIONS:We found that TKA has a major impact in preventing the progression of LS in patients with knee osteoarthritis. The LS risk test is a feasible tool for longitudinal evaluation of patients with musculoskeletal diseases of varying severity and with multiple symptoms.
DOI	10.1093/mr/roac131
PMID	36318460