Impact of spinal sagittal malalignment on locomotive syndrome and physical function in community-dwelling middle aged and older women

BMC Musculoskeletal Disorders

Research

Mio Yahata¹  Hiroyuki Kawashima¹  Masayuki Ohashi¹  Kei Watanabe¹  Atsushi Nawata¹  Takuya Yoda²  Hideki Tashi³  Kazutoshi Nakamura⁴ 

[1] Division of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi Dori, Chuo-Ku, 951-8510, Niigata City, Niigata, Japan;Division of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi Dori, Chuo-Ku, 951-8510, Niigata City, Niigata, Japan;Division of Comprehensive Musculoskeletal Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;Division of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi Dori, Chuo-Ku, 951-8510, Niigata City, Niigata, Japan;Division of Musculoskeletal Science for Frailty, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;Division of Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;

关键词: Adult spinal deformity;    Sagittal alignment;    Locomotive syndrome;    Low back pain;    Quality of life;   

DOI  :  10.1186/s12891-023-06686-2

 received in 2022-11-23, accepted in 2023-07-02,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAdult spinal deformity has a substantially debilitating effect on older people’s physical and mental health. However, the impact of sagittal malalignment on locomotive syndrome (LS), sarcopenia, and physical function in community-dwelling older women has not yet been clarified. This study aimed to investigate the association between these factors in community-dwelling middle aged and older women.MethodsA total of 361 women were recruited from participants performing aquatic exercises in a rural area of Japan. The body mass index, skeletal muscle mass index, trunk muscle mass, spinal inclination angle (SIA), grip strength, timed up-and-go test (TUG), maximum stride of the participants, and one-leg standing time were measured. Low back pain (LBP)- and health-related quality of life (HRQOL) were evaluated using the Oswestry Disability Index (ODI) and the Short-Form 8 questionnaire. Associations between the global sagittal alignment using SIA and investigating parameters were analyzed.ResultsThe prevalence of sarcopenia was 3.6%. The prevalence of LS (stages 1, 2, and 3) was 43.8% (158 of 361), and the number of participants in each LS stage was 203 (stage 0), 95 (stage 1), 28 (stage 2), and 35 (stage 3). The SIA was significantly correlated with the 25-question geriatric locomotive function scale (r′ = 0.292, p < 0.001), ODI (r′ = 0.267, p < 0.001), and TUG (r′ = 0.453, p < 0.001) after adjusting for age. In the receiver-operating characteristic curve analysis, the cutoff values of SIA for LS ≥ stage 2 and ODI ≥ 20% were 5°.ConclusionsLBP-related QOL and physical performance were significantly associated with global sagittal alignment. Global sagittal alignment was correlated with the three-stage category of LS. The spinal inclination of 5° was a cutoff value to predict exacerbation of mobility function and HRQOL status.

【 授权许可】

CC BY   
© The Author(s) 2023

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