title: Relationship between physician-judged functioning level and self-reported disabilities in elderly people with locomotive disorders.
abstract: Locomotive disorders due to musculoskeletal involvement are one of the main causes requiring long-term care services in aging Japan. "Locomotive syndrome (LoS)" is a concept referring to the condition under which people require assistance from others or at risk in future. The object of this study is to examine the relationship between self-reported measure and physician-judged degrees on ADL disability in elder people with locomotive disorders.
  
  
  
  In a cross-sectional study, 711 patients who were aged 65 years old or more were recruited from 49 outpatient clinics and hospitals. We investigated ADL disabilities by self-reported questionnaire (Geriatric Locomotive Function Scale-25: GLFS-25) and physician-judged grading (Locomotive Dysfunction Grade: LDG) and examined the relationship between these two.
  
  
  
  We classified the severity of locomotive disability by clinical phenotype into six grades: LDG Grade 1 (N = 77), Grade 2 (213), Grade 3 (139), Grade 4 (162), Grade 5 (78), and Grade 6 (42). The mean of GLFS-25 was 25.9. The mean of GLFS-25 was 5.68 for Grade 1, 14.33 for Grade 2, 22.34 for Grade 3, 35.40 for Grade 4, 43.25 for Grade 5, and 60.24 for Grade 6. Significant differences of GLFS-25 scores were found between adjacent LDGs.
  
  
  
  Physician-judged grade of locomotive dysfunction was significantly related to self-reported assessment scale on ADL disability. Physician-judged dysfunction grade is readily administered scale and useful to assess the severity of locomotive dysfunction. Self-reported scale provides precise information on ADL disabilities due to locomotive organ dysfunction and is useful to develop intervention programs.
authors.affiliation: Nagano University of Health and Medicine, 11-1 Imaihara, Kawanakajima-chou, Nagano, 381-2227, Japan.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Iwaya
authors.affiliation: Geriatric Care Facility Excellent Care Shizu, 1316-1 Kami-Shizu, Sakura, Chiba, 285-0846, Japan.
authors.forename: Tokuhide
authors.initials: T
authors.lastname: Doi
authors.affiliation: Mitsui Memorial Hospital, 1 Kanda-Izumi-chou, Chiyoda-ku, Tokyo, 101-0024, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Seichi
authors.affiliation: Tochigi Rehabilitation Center, 3337-1 Komanyu-machi, Utsunomiya, Tochigi, 320-8503, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Hoshino
authors.affiliation: National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa, Saitama, 359-8555, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Ogata
authors.affiliation: Graduate School, International University of Health and Welfare, 4F, Aoyama 1-Chome Tower, 1-3-3 Minami-Aoyama, Minato-ku, Tokyo, 107-0062, Japan. akai-masami@iuhw.ac.jp.
authors.forename: Masami
authors.initials: M
authors.lastname: Akai
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D020233:Gait Disorders, Neurologic / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D010817:Physician-Patient Relations; D011788:Quality of Life; D057566:Self Report; D011795:Surveys and Questionnaires
keywords: Concurrent validity; Geriatric Locomotive Function Scale-25; Locomotion Dysfunction Grade; Locomotive syndrome