Physical Therapy Assessment Tool Threshold Values to Identify Sarcopenia and Locomotive Syndrome in the Elderly

This study aimed to evaluate sarcopenia and locomotive syndrome in Korean elderly patients, analyze the closely related factors, and determine the threshold for distinguishing participants with sarcopenia, locomotive syndrome, and non-disease. To this end, we enrolled 210 subjects aged 65 years or more and classified them into the sarcopenia (n = 36) and locomotive syndrome (n = 164) groups; a control group was also included (n = 10). We evaluated the characteristics of these patients using the Timed Up and Go (TUG) test and Berg Balance Scale (BBS) and performed statistical analysis. Our findings showed statistically significant differences between the groups, leading to the derivation of a significant threshold value. The threshold value of the TUG test between the control and locomotive syndrome groups was 9.47 s; the threshold value of the BBS was 54 points, respectively. The threshold value of the TUG test between the locomotive syndrome and sarcopenia groups was 10.27 s, and the threshold value of the BBS was 50 points, respectively. These findings suggest that sarcopenia is closely related to locomotive syndrome, and that sarcopenia and locomotive syndrome can be identified using a physical therapy diagnostic evaluation tool.

[1]  Ryo Takeda,et al.  Evaluation of Lower-Limb Kinematics during Timed Up and Go (TUG) Test in Subjects with Locomotive Syndrome (LS) Using Wearable Gait Sensors (H-Gait System) , 2023, Sensors.

[2]  A. Ponsiglione,et al.  Impact of Sarcopenia on Clinical Outcomes in a Cohort of Caucasian Active Crohn’s Disease Patients Undergoing Multidetector CT-Enterography , 2022, Nutrients.

[3]  Hae-In Kim,et al.  An analysis study of sarcopenia and locomotive syndrome in the old people using evaluation tool , 2022, Journal of exercise rehabilitation.

[4]  L. Sconfienza,et al.  Sarcopenia: imaging assessment and clinical application , 2021, Abdominal Radiology.

[5]  F. Matsuda,et al.  Prevalence and physical characteristics of locomotive syndrome stages as classified by the new criteria 2020 in older Japanese people: results from the Nagahama study , 2021, BMC Geriatrics.

[6]  C. Won,et al.  Sarcopenia in Korean Community-Dwelling Adults Aged 70 Years and Older: Application of Screening and Diagnostic Tools From the Asian Working Group for Sarcopenia 2019 Update. , 2020, Journal of the American Medical Directors Association.

[7]  T. Kurihara,et al.  Adverse effects of the coexistence of locomotive syndrome and sarcopenia on the walking ability and performance of activities of daily living in Japanese elderly females: a cross-sectional study , 2020, Journal of physical therapy science.

[8]  L. Peng,et al.  Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. , 2020, Journal of the American Medical Directors Association.

[9]  Kyeong Eun Uhm,et al.  Suggested Assessments for Sarcopenia in Patients With Stroke Who Can Walk Independently , 2020, Annals of rehabilitation medicine.

[10]  Y. Shim,et al.  Normal aging: definition and physiologic changes , 2017 .

[11]  Huihui Wang,et al.  Correlation among proprioception, muscle strength, and balance , 2016, Journal of physical therapy science.

[12]  Toru Ogata,et al.  Locomotive Syndrome: Definition and Management , 2016, Clinical Reviews in Bone and Mineral Metabolism.

[13]  Kozo Nakamura,et al.  Development of a screening program to assess motor function in the adult population: a cross-sectional observational study , 2015, Journal of Orthopaedic Science.

[14]  Isabel Gomes,et al.  Accuracy of the Timed Up and Go test for predicting sarcopenia in elderly hospitalized patients , 2015, Clinics.

[15]  Anasua Bhattacharya,et al.  Costs of occupational musculoskeletal disorders (MSDs) in the United States , 2014 .

[16]  Young-Chae Cho,et al.  [Relationship between status of physical and mental function and quality of life among the elderly people admitted from long-term care insurance]. , 2010, Journal of preventive medicine and public health = Yebang Uihakhoe chi.

[17]  J. Michel,et al.  Understanding sarcopenia as a geriatric syndrome , 2010, Current opinion in clinical nutrition and metabolic care.

[18]  R. Wolfe,et al.  Role of dietary protein in the sarcopenia of aging. , 2008, The American journal of clinical nutrition.

[19]  Jin Hee Park,et al.  Reliability Test of Korean Version of Berg Balance Scale , 2006 .

[20]  Richard W. Bohannon,et al.  Reference Values for the Timed Up and Go Test: A Descriptive Meta‐Analysis , 2006, Journal of geriatric physical therapy.

[21]  Alan Peters,et al.  Structural changes that occur during normal aging of primate cerebral hemispheres , 2002, Neuroscience & Biobehavioral Reviews.

[22]  M. Morris,et al.  Reliability of measurements obtained with the Timed "Up & Go" test in people with Parkinson disease. , 2001, Physical therapy.

[23]  S. Heymsfield,et al.  Epidemiology of sarcopenia among the elderly in New Mexico. , 1998, American journal of epidemiology.

[24]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[25]  Gerry Purdy,et al.  Summary comments , 1981, SIGB.

[26]  Myung-chul Kim,et al.  A Study on the Analysis of Physical Function in Adults with Sarcopenia , 2020 .

[27]  Masami Akai,et al.  Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-question Geriatric Locomotive Function Scale , 2012, Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association.

[28]  Victor R. Preedy,et al.  Korea Ministry of Health and Welfare , 2010 .

[29]  K. Berg.  Measuring balance in the elderly: preliminary development of an instrument , 1989 .