Differences of lumbopelvic sagittal parameters among community-dwelling middle-age and elderly individuals: Relations with locomotor physical function

被引:8
作者
Machino, Masaaki [1 ]
Ando, Kei [1 ]
Kobayashi, Kazuyoshi [1 ]
Nakashima, Hiroaki [1 ]
Morozumi, Masayoshi [1 ]
Tanaka, Satoshi [1 ]
Kanbara, Shunsuke [1 ]
Ito, Sadayuki [1 ]
Seki, Taisuke [1 ]
Ishizuka, Shinya [1 ]
Ishiguro, Naoki [1 ]
Hasegawa, Yukiharu [2 ]
Imagama, Shiro [1 ]
机构
[1] Nagoya Univ, Dept Orthopaed Surg, Grad Sch Med, Showa Ku, 65 Tsurumai, Nagoya, Aichi 4668550, Japan
[2] Kansai Univ Welf Sci, Dept Rehabil, 3-11-1 Asahigaoka, Kashiwara, Osaka 5820026, Japan
关键词
Radiographic parameters; Pelvic sagittal alignment; Community-dwelling people; Age-related change; Gender distribution; Locomotor physical function; Locomotive syndrome risk; SYNDROME RISK TEST; QUALITY-OF-LIFE; SPINAL ALIGNMENT; PEOPLE; DECREASE; BALANCE; COHORT; IMPACT; ANGLE;
D O I
10.1016/j.jocn.2020.01.033
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study aims to establish radiographic parameters of lumbopelvic sagittal alignment, gender related differences, and age-related changes in a middle-aged community, to investigate whether age-related changes of lumbopelvic alignment reflect the risk of locomotive syndrome (LS). This study included 448 healthy Japanese volunteers who attended a basic health checkup supported by the local government. The subjects (184 males and 264 females, mean age: 62.7 years) were grouped according to their age by decade. Sagittal lumbopelvic parameters were collected by lateral spine radiographs including lumbar lordosis (L1-S1, LL), lower lumbar lordosis (L4-S1, LLL), pelvic incidence (PI), pelvic tilt (PT) and sacral slope (SS). The three tests (stand-up test, two-step test, and 25-question geriatric locomotive function scale [GLFS-25]) composing the LS risk test were performed. LL was significantly lower in males than in the females. A significant decrease of LL and LLL was observed from 60 s to 70 s in the females. PI did not markedly change with aging in either gender but was lower in males. A remarkable increase of PT was seen from 60 s to 70 s in the females. SS did not markedly change with aging and was lower in males in all decades. The prevalence of LS risk in males and females increased gradually with age and was greater in females in any decade. 70 s females with LS risk had significantly lower LL and higher PT compared to them without LS risk. Radiographic parameters of lumbopelvic sagittal alignment were established in community-dwelling middle-age and elderly individuals. (C) 2020 Elsevier Ltd. All rights reserved.
引用
收藏
页码:80 / 84
页数:5
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