INTRODUCTION: The current aging population has a major impact on public health. Locomotive syndrome (LS) is a condition that carries a high risk for developing systemic musculoskeletal disability. METHODS: Participants were patients with chronic pain (n = 415) who were examined at the Japanese multidisciplinary pain centers of the research consortium. They completed the 25-question geriatric locomotive function scale (GLFS-25; LS screening tool), an 11-point numerical rating scale (NRS) of pain intensity and its psychological distresses, health-related quality of life (HRQOL) questionnaire, and a survey of exercise habits. A multifaceted analysis of the relevance of the pain, psychological distresses, and LS were conducted using SPSS and AMOS software. RESULTS: 337 patients (81.2%) were found to have LS. The final model of a multifaceted analysis demonstrated good fitness for the "vicious cycle" model among the results of LS, pain intensity, impairment of self-efficacy, and depression; these parameters independently impaired HRQOL. Anxiety related to falling (GLFS-25) and exercise habits affected the model. CONCLUSIONS: These findings indicate LS, LS-related pain, and psychological distress create a vicious cycle, resulting in the impairment of HRQOL. Treatment strategies for LS should inclusively focus on musculoskeletal disorders, pain, and pain-related psychological factors.
INTRODUCTION: The current aging population has a major impact on public health. Locomotive syndrome (LS) is a condition that carries a high risk for developing systemic musculoskeletal disability. METHODS: Participants were patients with chronic pain (n = 415) who were examined at the Japanese multidisciplinary pain centers of the research consortium. They completed the 25-question geriatric locomotive function scale (GLFS-25; LS screening tool), an 11-point numerical rating scale (NRS) of pain intensity and its psychological distresses, health-related quality of life (HRQOL) questionnaire, and a survey of exercise habits. A multifaceted analysis of the relevance of the pain, psychological distresses, and LS were conducted using SPSS and AMOS software. RESULTS: 337 patients (81.2%) were found to have LS. The final model of a multifaceted analysis demonstrated good fitness for the "vicious cycle" model among the results of LS, pain intensity, impairment of self-efficacy, and depression; these parameters independently impaired HRQOL. Anxiety related to falling (GLFS-25) and exercise habits affected the model. CONCLUSIONS: These findings indicate LS, LS-related pain, and psychological distress create a vicious cycle, resulting in the impairment of HRQOL. Treatment strategies for LS should inclusively focus on musculoskeletal disorders, pain, and pain-related psychological factors.
Authors: L Klenerman; P D Slade; I M Stanley; B Pennie; J P Reilly; L E Atchison; J D Troup; M J Rose Journal: Spine (Phila Pa 1976) Date: 1995-02-15 Impact factor: 3.468
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Authors: Leila M M Sarquis; David Coggon; Georgia Ntani; Karen Walker-Bone; Keith T Palmer; Vanda E Felli; Raul Harari; Lope H Barrero; Sarah A Felknor; David Gimeno; Anna Cattrell; Sergio Vargas-Prada; Matteo Bonzini; Eleni Solidaki; Eda Merisalu; Rima R Habib; Farideh Sadeghian; M Masood Kadir; Sudath S P Warnakulasuriya; Ko Matsudaira; Busisiwe Nyantumbu; Malcolm R Sim; Helen Harcombe; Ken Cox; Maria H Marziale; Florencia Harari; Rocio Freire; Natalia Harari; Magda V Monroy; Leonardo A Quintana; Marianela Rojas; E Clare Harris; Consol Serra; J Miguel Martinez; George Delclos; Fernando G Benavides; Michele Carugno; Marco M Ferrario; Angela C Pesatori; Leda Chatzi; Panos Bitsios; Manolis Kogevinas; Kristel Oha; Tiina Freimann; Ali Sadeghian; Roshini J Peiris-John; Nalini Sathiakumar; A Rajitha Wickremasinghe; Noriko Yoshimura; Helen L Kelsall; Victor C W Hoe; Donna M Urquhart; Sarah Derrett; David McBride; Peter Herbison; Andrew Gray; Eduardo J Salazar Vega Journal: Pain Date: 2016-05 Impact factor: 7.926