Can the loco-check be used as a self-check tool for evaluating fall risk among older subjects? A prospective study |
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| Institution: | 1. Department of Orthopedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 6348522, Japan;2. Department of Orthopedic Surgery, Wada Orthopedic Clinic, 2-1-21 Nagao Motomachi, Hirakata, Japan;3. Department of Orthopedic Surgery, Miyata Orthopedic Clinic, 1-11-26 Koganedai, Tondabayashi, Japan;4. Department of Orthopedic Surgery, Kisanuki Orthopedic Clinic, 4-2-21 Nakagawa Ikunoku, Osaka, Japan;5. Department of Orthopedic Surgery, Tatsumi Orthopedic & Plastic Surgery Clinic, 1-257-1 Midorigaoka, Itami, Japan;6. Department of Orthopedic Surgery, Nishimori Orthopedic Clinic, 5-1-4 Hitotsuya, Matsubara, Japan;1. Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi Prefecture, 980-8574, Japan;2. Omagari Orthopaedic Clinic, 11-6-8 Ohanacho, Daisen, Akita Prefecture, 014-0022, Japan;1. Spine and Spinal Cord Center, International University of Health and Welfare (IUHW), Mita Hospital, Tokyo, Japan;2. Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan;3. Department of Orthopaedic Surgery, Kawasaki Municipal Kawasaki Hospital, Kanagawa, Japan;4. Department of Orthopaedic Surgery, Saiseikai Yokohamashi Nanbu Hospital, Kanagawa, Japan;5. Department of Orthopaedic Surgery, Kyorin University School of Medicine, Tokyo, Japan;6. Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare (IUHW), Narita, Japan;7. Keio Spine Research Group (KSRG), Tokyo, Japan;1. Department of Orthopaedic Surgery, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan;2. Department of Orthopaedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-city, Saitama, 332-8558, Japan;3. Department of Orthopaedic Surgery, Kudanzaka Hospital, 1-6-12 Kudan-minami, Chiyoda-ku, Tokyo, 102-0074, Japan;4. TMDU Spine Group, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan;1. Department of Orthopedics and Traumatology, Umraniye Education and Research Hospital, Istanbul, Turkey;2. Department of Orthopedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey;3. Department of Orthopedics and Traumatology, Şişli Etfal Education and Research Hospital, Istanbul, Turkey;4. Department of Orthopedics and Traumatology, Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey;1. Department of Orthopedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara City, Nara, 6348522, Japan;2. Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan;3. Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan;4. Department of Orthopedic Surgery, Kansai Medical University, Osaka, Japan;5. Department of Orthopedic Surgery, Tokyo Medical and Dental University, Tokyo, Japan;6. Department of Orthopedic Surgery, Kurume University School of Medicine, Kurume, Japan;7. Department of Orthopedic Surgery, Yamaguchi Rosai Hospital, Yamaguchi, Japan;8. Department of Orthopedic Surgery, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan;9. Department of Orthopedic Surgery, Wakayama Medical University, Wakayama, Japan;10. Department of Orthopedic Surgery, Kochi University, Kochi, Japan;11. Department of Orthopedic Surgery, Kyorin University, Tokyo, Japan;12. Department of Orthopedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;13. Department of Orthopedic Surgery, Tokyo Women''s Medical University Medical Center East, Tokyo, Japan;14. Department of Orthopedic Surgery, Yamaguchi University, Yamaguchi, Japan;15. Department of Orthopaedic Surgery, National Defense Medical College, Saitama, Japan;p. Department of Orthopedic Surgery, Kubokawa Hospital, Kochi, Japan;1. Department of Orthopaedic Surgery, Kyushu Rosai Hospital, Kitakyushu, Japan;2. Department of Health Care, Administration and Management, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan |
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| Abstract: | BackgroundJapan has now become a super-aged society. Notably, as the Japanese society ages, the prevalence of falls, which represent an aging-related problem, has increased. Locomotive syndrome (LS) is a condition of decreased mobility due to locomotive organ disorder. The loco-check is simple tool to detect early-stage LS. The loco-check comprises seven items relating to daily activities. Higher numbers of affirmative answers in the loco-check are negatively associated with physical functions. The purpose of this study was to examine the potential correlation between the number of affirmative answers given on the “loco-check” survey and the likelihood of experiencing at least one fall during the following one-year period.MethodsThis prospective study included 154 cases (35 men, 119 women), all aged 65 years or older, answered the loco-check at baseline. As part of their normal treatment process, the participants made monthly visits to the out-patient department; thus, at each of these visits for the following 12 months a medical doctor interviewed each patient to determine whether they had experienced a fall during the previous month.ResultsThe mean age of the sample was 77.3 years, and the median number of affirmative answers given was 2.0. The number of affirmative answers significantly correlated with the cases which had a fall event within the follow-up period. Specifically, an increase in one “yes” answer on the loco-check increased the relative risk of fall (odds ratio: 1.32; 95% Confidence interval (CI): 1.03–1.70). In addition, the risk of fall was high in cases which showed the number of affirmative answers given on the loco-check ≥4 (odds ratio: 9.26; 95% CI: 1.05–81.7).ConclusionThe number of affirmative answers given on the loco-check is positively correlated with a fall event within the following year. |
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