Quantitative assessment of locomotive syndrome by the loco-check questionnaire in older Japanese females.
Sachiko Noge, Tatsuo Ohishi, Takuya Yoshida and 1 others
PMID 28932003WHAT IT FOUND
In 71 older Japanese women, more yes answers on the loco-check were linked with lower physical quality of life, lower serum albumin and lower protein intake, and with muscle and performance tests.
It may help grade mobility problems, but this study did not test outcomes.
Key findings
01The number of yes answers on the loco-check was significantly associated with age, thigh muscle mass, grip strength, knee extension strength, one-leg standing, walking speed, timed up-and-go, and the SF-36 physical factor.
02Higher yes counts were associated with greater weight reduction and lower serum albumin, GNRI, energy intake, and protein intake; grip strength, timed up-and-go, and protein intake remained in the final regression model.
03Participants with histories of falling, fracture, or lumbar pain reported more yes answers than those without, while knee pain did not show a significant difference.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Small sample, and only 71 women were analysed. Males were excluded from analysis because few participated. 87.3% of women had at least one yes answer, so LS and non-LS groups could not be compared well. The study measured associations at one assessment period, not outcomes over time. Some participants could not complete all physical tests. Dietary data relied on 3-day records, with portion weights approximated by a dietitian. The sample was older Japanese women from a hospital outpatient clinic, so it may not apply elsewhere.
The easy way to misread this
Do not use the loco-check as a proven severity scale for all older patients. It was studied only in 71 older Japanese women, and the results show links with current measurements, not that more yes answers predict future outcomes.