ABSTRACT
ABSTRACT Objective: The term Locomotive Syndrome refers to conditions in which the elderly are at high risk of inability to ambulate due to problems in locomotor system. For Locomotive Syndrome screening, the 25-Question Geriatric Locomotive Function Scale was created. The objective here was to translate, adapt culturally to Brazil, and study the psychometric properties of 25-Question Geriatric Locomotive Function Scale. Method: The translation and cultural adaptation of 25-Question Geriatric Locomotive Function Scale were carried out, thus resulting in GLFS 25-P, whose psychometric properties were analyzed in a sample of 100 elderly subjects. Sociodemographic data on pain, falls, self-perceived health and basic and instrumental functionalities were determined. GLFS 25-P was applied three times: in one same day by two interviewers, and after 15 days, again by the first interviewer. Result: GLFS 25-P showed a high internal consistency value according to Cronbach's alpha coefficient (0.942), and excellent reproducibility, according to intraclass correlation, with interobserver and intraobserver values of 97.6% and 98.4%, respectively (p < 0.01). Agreements for each item of the instrument were considerable (between 0.248 and 0.673), according to Kappa statistic. In its validation, according to the Pearson's coefficient, regular and good correlations were obtained for the basic (BADL) and instrumental (IADL) activities of daily living, respectively (p < 0.01). Statistically significant associations with chronic pain (p < 0.001), falls (p = 0.02) and self-perceived health (p < 0.001) were found. A multivariate analysis showed a significantly higher risk of Locomotive Syndrome in the presence of chronic pain (OR 15.92, 95% CI 3.08–82.27) and with a worse self-perceived health (OR 0.23, 95% CI 0.07–0.79). Conclusion: GLFS 25-P proved to be a reliable and valid tool in Locomotive Syndrome screening for the elderly population.
RESUMO Objetivo: O termo síndrome locomotora (SL) designa condições nas quais os idosos apresentam alto risco de incapacidade para deambulação em decorrência de problemas em órgãos locomotores. Para seu rastreio foi criado o 25-Question Geriatric Locomotive Function Scale (GLFS-25). Objetivou-se aqui, traduzir, adaptar transculturalmente para o Brasil e estudar as propriedades psicométricas do GLFS-25. Método: Feitas tradução e adaptação transcultural do GLFS-25 que originaram o GLFS 25-P, cujas propriedades psicométricas foram analisadas numa amostra de 100 idosos. Apurados dados sociodemográficos relativos a dor, queda, autopercepção da saúde e funcionalidades básica e instrumental. O GLFS 25-P foi aplicado em três momentos: num mesmo dia por dois entrevistadores e após 15 dias novamente pelo primeiro entrevistador. Resultado: O GLFS 25-P apresentou alto valor de consistência interna, segundo o coeficiente Alfa de Cronbach (0,942); e reprodutibilidade ótima, segundo a correlação intraclasses: valores de 97,6% e 98,4%, interobservador e intraobservador, respectivamente (p < 0,01). As concordâncias para cada item do instrumento foram consideráveis (entre 0,248 e 0,673), segundo a estatística Kappa. Na validação, segundo o coeficiente de Pearson, foram obtidas correlações regular e boa para as atividades de vida diária básicas (AVDB) e instrumentais (AIVD), respectivamente (p < 0,01). Encontradas associações estatisticamente significantes com dor crônica (p < 0,001), queda (p = 0,02) e autopercepção de saúde (p < 0,001). A análise multivariada evidenciou risco de SL significativamente maior na presença de dor crônica (OR 15,92, IC 95% 3,08-82,27) e pior autopercepção de saúde (OR 0,23, IC 95% 0,07-0,79). Conclusão: O GLFS 25-P demonstrou ser confiável e válido no rastreio da SL em idosos.
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Syndrome , Translating , Geriatric Assessment/methods , Gait Disorders, Neurologic/diagnosis , Gait Disorders, Neurologic/physiopathology , Cultural Competency , Locomotion/physiology , Psychometrics , Brazil , Reproducibility of Results , Gait Disorders, Neurologic/ethnology , Disability Evaluation , Postural Balance/physiology , Mobility Limitation , Muscle Strength/physiology , Middle AgedABSTRACT
Background: To prevent locomotor dysfunction, the Japanese Orthopaedic Association (JOA) proposed the concept of locomotive syndrome (LS) in 2007, and has carried out numerous campaigns to increase the awareness of LS. We previously surveyed the recognition of LS and reported that 24.6% of outpatients knew about it in 2013. Were surveyed the recognition of LS and the prevalence of LS in 2014 to elucidate the effects and trends of the recognition of LS and the promotion campaigns. Methods: To investigate the recognition of LS and the prevalence of LS, we conducted a questionnaire survey including both the 25-question Geriatric Locomotive Function Scale (GLFS- 25) and the “loco-check” in 1,027 (450 male and 577 female) orthopaedic outpatients. This survey was performed at Juntendo University Hospital (Tokyo, Japan), from March to June 2014. Results: The concept about LS was known to 26.4% of the patients, which was increased 1.8% in comparison to our survey in 2013. And, the most common media source to obtain information about LS was TV. Newspapers and magazines were also common media sources. In terms of the prevalence of LS in orthopaedic outpatients, 60.5% (734 of 1,027 people who answered the questions) were classified into the LS high-risk group as determined using the GLFS-25. The prevalence of LS was 54.9% in males and 64.3% in females. Conclusion: We investigated the recognition of LS and the prevalence of LS using an outpatient cohort from the Tokyo area. This study demonstrated that the recognition of LS in 2014 was 26.4%, which increased by 1.8% compared to our survey in 2013. Our outpatient-based survey is therefore considered to positively help obtain a better understanding of the effects and trends of promoting the concept of LS.