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The effectivness of LS in patients experiencing surgeries for degenerative ailments of lumbar region and lower extremitieshas been explored in this study.
There are limited number of studies revolving around the
efficacy of locomotive syndrome (LS) treatment, comprising surgery. This
particular study revealed that, the prevalence
of LS and LS stage 2 in the patients aged ≥60 years who underwent surgeries for
the degenerative diseases of the lumbar region and lower extremities was 100
and 94.9%. Knee group patients commonly had total LS stage 2.
The effectivness of LS in patients experiencing surgeries
for degenerative ailments of lumbar region and lower extremitieshas been
explored in this study. The consequences of surgery on LS and the issues of LS evaluation
in these patients has also been deliberated.
Overall, 257 individuals (aged 60 years or old) undergoing surgery for degenerative ailments of lumbar region and lower extremities took part in this study. These patients were willing to take part in prior to operation and; 6 and 12 month LS assessments following the surgery.
The patients were stratified into the hip (106 patients), lumbar (81 patients), knee (43 patients), and foot and ankle (27 patients) groups. The 25-Question Geriatric Locomotive Function Scale and; two-step and stand-up test (LS risk tests) assessment was done.
A 95% incidence was observed LS stage 2, preoperatively. In the stand-up test, just the hip group presented noteworthy improvements. At at all time points, the knee group showed the poorest results in the two-step and stand-up tests. All 4 groups had substantial improvements in GLFS-25 scores as shown in below figure:
Figure:
Distribution of the GLFS-25
results before the operation and at 6 and 12 months after operation among the 4
surgical groups
Almost 40% of all patients had progress in their LS stage after the operation. Nevertheless, 90% of the patients in the knee group had LS stage 2.
The progressive conditions (LS
stage 2) were witnessed in almost all elderly patients requiring surgeries for
degenerative ailments of the lumbar region and lower extremities. Operations could
be advantageous in lessening LS.
BMC Musculoskeletal disorders
Improvement of locomotive syndrome with surgical treatment in patients with degenerative diseases in the lumbar spine and lower extremities: a prospective cohort study
Satoshi Kato et al.
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