若年成人を対象としたロコモティブシンドロームの有無による運動機能の比較
The purpose of this study was to clarify differences in motor function based on the presence or absence of “Locomotive syndrome” (LS) by conducting the LS risk test and assessing motor function measurements related to LS in young adults. The study included 124 undergraduate and graduate students (72...
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| Published in | 体育測定評価研究 p. jjtehpe.HPM202504 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本体育測定評価学会
2025
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| Online Access | Get full text |
| ISSN | 1347-1309 2758-206X |
| DOI | 10.14859/jjtehpe.HPM202504 |
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| Abstract | The purpose of this study was to clarify differences in motor function based on the presence or absence of “Locomotive syndrome” (LS) by conducting the LS risk test and assessing motor function measurements related to LS in young adults. The study included 124 undergraduate and graduate students (72 females). The LS risk tests (stand-up test, two-step test, and 25-question Geriatric Locomotive Function Scale (GLFS-25)) were used to determine LS. Motor function measurements included center of pressure measurement (single-leg standing with eyes open/closed), single-leg standing time with eyes open/closed, Functional Reach Test, Timed Up and Go Test (TUG), grip strength, and seated forward bending. Group comparisons were conducted separately by sex using independent t-tests or the Wilcoxon signed-rank tests. In total, 33 subjects (26.6%) were identified as having LS. Sex-specific group comparisons revealed significant differences in the male LS group in the stand-up test (p = 0.024) and GLFS-25 (p < 0.001). In contrast, the female LS group showed significant differences in the two-step test (t (27.55) = -2.397, p = 0.024), TUG (t (33.23) = 3.000, p = 0.005), left single-leg standing time with eyes closed (p = 0.021), and GLFS-25 (p < 0.001). These findings suggest that males with LS show lower-limb muscle weakness, while females with LS exhibit reduced composite mobility involving maintaining a large step length, standing up, walking, and sitting down. In other words, differences in motor function based on the presence or absence of LS were observed even in young adults. |
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| AbstractList | The purpose of this study was to clarify differences in motor function based on the presence or absence of “Locomotive syndrome” (LS) by conducting the LS risk test and assessing motor function measurements related to LS in young adults. The study included 124 undergraduate and graduate students (72 females). The LS risk tests (stand-up test, two-step test, and 25-question Geriatric Locomotive Function Scale (GLFS-25)) were used to determine LS. Motor function measurements included center of pressure measurement (single-leg standing with eyes open/closed), single-leg standing time with eyes open/closed, Functional Reach Test, Timed Up and Go Test (TUG), grip strength, and seated forward bending. Group comparisons were conducted separately by sex using independent t-tests or the Wilcoxon signed-rank tests. In total, 33 subjects (26.6%) were identified as having LS. Sex-specific group comparisons revealed significant differences in the male LS group in the stand-up test (p = 0.024) and GLFS-25 (p < 0.001). In contrast, the female LS group showed significant differences in the two-step test (t (27.55) = -2.397, p = 0.024), TUG (t (33.23) = 3.000, p = 0.005), left single-leg standing time with eyes closed (p = 0.021), and GLFS-25 (p < 0.001). These findings suggest that males with LS show lower-limb muscle weakness, while females with LS exhibit reduced composite mobility involving maintaining a large step length, standing up, walking, and sitting down. In other words, differences in motor function based on the presence or absence of LS were observed even in young adults. |
| Author | 井上 咲子 檜皮 貴子 |
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| Copyright | 2025 日本体育測定評価学会 |
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| References | Yamada, K., Ito, Y. M., Akagi, M., Chosa, E., Fuji, T., Hirano, K., Ikeda, S., Ishibashi, H., Ishibashi, Y., Ishijima, M., Itoi, E., Iwasaki, N., Izumida, R., Kadoya, K., Kamimura, M., Kanaji, A., Kato, H., Kishida, S., Mashima, N., Matsuda, S., Matsui, Y., Matsunaga, T., Miyakoshi, N., Mizuta, H., Nakamura, Y., Nakata, K., Omori, G., Osuka, K., Uchio, Y., Ryu, K., Sasaki, N., Sato, K., Senda, M., Sudo, A., Takahira, N., Tsumura, H., Yamaguchi, S., Yamamoto, N., Nakamura, K., and Ohe, T.（2020） Reference values for the locomotive syndrome risk test quantifying mobility of 8681 adults aged 20-89 years: A cross-sectional nationwide study in Japan. Journal of Orthopaedic Science 25(6): 1084-1092. 厚生労働省（2023b）“健康日本21（第三次）推進のための説明資料（その1）．”,〈https://www.mhlw.go.jp/content/001234702.pdf〉（参照2024年12月27日） Yoshimura, N., Muraki, S., Oka, H., Mabuchi, A., En-Yo, Y., Yoshida, M., Saika, A., Yoshida, H., Suzuki, T., Yamamoto, S., Ishibashi, H., Kawaguchi, H., Nakamura, K., and Akune, T. (2009) Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: The research on osteoarthritis/osteoporosis against disability study. Journal of Bone and Mineral Metabolism 27: 620-628. 中原凱文（1991）整体の適応と健康・体力学．（監修）名取礼二，健康体力づくりハンドブック．大修館書店，東京，pp.8–43. 日本整形外科学会，日本運動器科学会（2021）ロコモティブシンドローム診療ガイド2021．文光堂，東京，pp.2–99. 文部科学省（online）“新体力テスト実施要項（20歳～64歳対象）”，〈https://www.mext.go.jp/component/a_menu/sports/detail/__icsFiles/afieldfile/2010/07/30/1295079_03.pdf〉（参照2024年12月26日） Yamada, K., Yamaguchi, S., Ito, Y. M., and Ohe, T. (2021) Factors associated with mobility decrease leading to disability: A cross-sectional nationwide study in Japan, with results from 8681 adults aged 20-89 years. BMC Geriatrics 21: 651-661. Aoki, K., Sakuma, M., and Endo, N. (2018) The impact of exercise and vitamin D supplementation on physical function in community-dwelling elderly individuals: A randomized trial. Journal of Orthopaedic Science 23(4): 682-687. Duncan, P.W., Weiner, D.K., Chandler, J., and Studenski, S. (1990) Funcutinal reach: A new clinical measure of balance. Journal of Gerontology 45(6): 192-197. 山本陽平，阿部彰浩，康徳龍，小林量作（2017）若年者におけるロコモ度テストの該当率とその要因についての検討―アンケート調査及び運動機能検査の分析．第52回日本理学療法学術大会抄録集44（2）：165. 遠藤慎也，熊野陽人，小西康仁，宮崎彰吾，小泉綾（2018） 女子学生におけるロコモ度判定と体力テスト結果との関連について．湘北紀要39：135–142. Yasuda, T. (2021) Identifying preventative measures against frailty, locomotive syndrome, and sarcopenia in young adults: A pilot study. The Journal of Physical Therapy Science 33(11): 823-827. 渡辺律子，柳宏（2017）青年期以前の運動器機能不全の原状と子どもロコモ体操．教育学部紀要51：133–142. 村永信吾，平野清孝，田代尚範（2009）特集 老化による身体機能低下と理学療法 高齢者の運動機能（健康増進）と理学療法．理学療法ジャーナル43（10）：861–868. 日本めまい平衡医学会（2006）平衡機能検査法基準化のための資料―2006年平衡機能検査法診断基準化委員会答申書，及び英文項目―．Equilibrium Research 65（6）：468–503. Nakamura, K. (2008). A “super-aged” society and the “locomotive syndrome”. Journal of Orthopaedic Science 13: 1-2. 小林薰，佐藤珠江，柊幸伸（2017）大学生を対象とした運動器セルフチェックでの「運動機能の低下」の発生率．理学療法とちぎ7（1）：37–40. 青野光子（2020）保育学生のロコモティブ・シンドロームの指導方法に関する研究．新潟青陵大学短期大学部研究報告 50（50）：129–136. 中村耕三（2012）ロコモティブシンドローム（運動器症候群）．老年医学会雑誌49（4）：393–401. Sawaya, Y., Hirose, T., Onuma, S., Nakajima, R., Fujita, S., Muroi, S., Sato, R., Yin, L., Shiba, T., Kobayashi, K., and Urano, T. (2024) Prevalence and associated factors of locomotive syndrome in young Japanese adults: A cross-sectional study. BMC Musculoskeletal Disorders 25: 366-375. Podsiadlo, D. and Richardson, S. (1991) The timed "Up & Go": A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society 39(2): 142-148. 太田実来，佐々木佳都樹，杉田健彦，高橋敦（2013）ロコモティブシンドロームに対するロコモーショントレーニングの効果―6ヶ月間継続できた症例について―．日本臨床スポーツ医学会誌21（1）：237–241. 池田望，村田伸，大田尾浩，村田潤，堀江淳，溝田勝彦（2011）地域在住女性高齢者の握力と身体機能との関係．理学療法科学26（2）：255–258. 厚生労働省（2023a）“健康日本21（第三次）推進のための説明資料（その2）”，〈https://www.mhlw.go.jp/content/001158871.pdf〉（参照2024年12月27日） McKay, M.J., Baldwin, J.N., Ferreira, P., Simic, M., Vanicek, N., and Burns, J. (2017) Normative reference values for strength and flexibility of 1,000 children and adults. Neurology 88(1): 36-43. 後藤亮吉，佐々木ゆき，轟木孝浩，花井望佐子，中井智博（2015）当院におけるロコモティブシンドローム予防教室の効果検証．日本農村医学会雑誌64（1）：1–7. 厚生労働省（2013）“国民の健康の増進の総合的な推進を図るための基本的な方針”，〈https://www.mhlw.go.jp/bunya/kenkou/dl/kenkounippon21_01.pdf〉 （参照2024年12月26日） R Core Team (2024). R, 〈https://www.R-project.org/〉 （参照2025年2月13日） 林承弘，柴田輝明，鮫島弘武（2017）子どもロコモと運動器検診について．日本整形外科学会雑誌91（5）：338–344. 佐藤公一（2021）整形外科診療所における取組み.（監修）大江隆史，（編集）ロコモチャレンジ！推進協議会，ロコモティブシンドロームビジュアルテキスト．株式会社学研プラス，東京，p.148. |
| References_xml | – reference: 厚生労働省（2023a）“健康日本21（第三次）推進のための説明資料（その2）”，〈https://www.mhlw.go.jp/content/001158871.pdf〉（参照2024年12月27日） – reference: 渡辺律子，柳宏（2017）青年期以前の運動器機能不全の原状と子どもロコモ体操．教育学部紀要51：133–142. – reference: 日本整形外科学会，日本運動器科学会（2021）ロコモティブシンドローム診療ガイド2021．文光堂，東京，pp.2–99. – reference: R Core Team (2024). R, 〈https://www.R-project.org/〉 （参照2025年2月13日） – reference: 小林薰，佐藤珠江，柊幸伸（2017）大学生を対象とした運動器セルフチェックでの「運動機能の低下」の発生率．理学療法とちぎ7（1）：37–40. – reference: Nakamura, K. (2008). A “super-aged” society and the “locomotive syndrome”. Journal of Orthopaedic Science 13: 1-2. – reference: 林承弘，柴田輝明，鮫島弘武（2017）子どもロコモと運動器検診について．日本整形外科学会雑誌91（5）：338–344. – reference: 中村耕三（2012）ロコモティブシンドローム（運動器症候群）．老年医学会雑誌49（4）：393–401. – reference: 青野光子（2020）保育学生のロコモティブ・シンドロームの指導方法に関する研究．新潟青陵大学短期大学部研究報告 50（50）：129–136. – reference: 遠藤慎也，熊野陽人，小西康仁，宮崎彰吾，小泉綾（2018） 女子学生におけるロコモ度判定と体力テスト結果との関連について．湘北紀要39：135–142. – reference: 文部科学省（online）“新体力テスト実施要項（20歳～64歳対象）”，〈https://www.mext.go.jp/component/a_menu/sports/detail/__icsFiles/afieldfile/2010/07/30/1295079_03.pdf〉（参照2024年12月26日） – reference: 太田実来，佐々木佳都樹，杉田健彦，高橋敦（2013）ロコモティブシンドロームに対するロコモーショントレーニングの効果―6ヶ月間継続できた症例について―．日本臨床スポーツ医学会誌21（1）：237–241. – reference: 山本陽平，阿部彰浩，康徳龍，小林量作（2017）若年者におけるロコモ度テストの該当率とその要因についての検討―アンケート調査及び運動機能検査の分析．第52回日本理学療法学術大会抄録集44（2）：165. – reference: Yamada, K., Ito, Y. M., Akagi, M., Chosa, E., Fuji, T., Hirano, K., Ikeda, S., Ishibashi, H., Ishibashi, Y., Ishijima, M., Itoi, E., Iwasaki, N., Izumida, R., Kadoya, K., Kamimura, M., Kanaji, A., Kato, H., Kishida, S., Mashima, N., Matsuda, S., Matsui, Y., Matsunaga, T., Miyakoshi, N., Mizuta, H., Nakamura, Y., Nakata, K., Omori, G., Osuka, K., Uchio, Y., Ryu, K., Sasaki, N., Sato, K., Senda, M., Sudo, A., Takahira, N., Tsumura, H., Yamaguchi, S., Yamamoto, N., Nakamura, K., and Ohe, T.（2020） Reference values for the locomotive syndrome risk test quantifying mobility of 8681 adults aged 20-89 years: A cross-sectional nationwide study in Japan. Journal of Orthopaedic Science 25(6): 1084-1092. – reference: 村永信吾，平野清孝，田代尚範（2009）特集 老化による身体機能低下と理学療法 高齢者の運動機能（健康増進）と理学療法．理学療法ジャーナル43（10）：861–868. – reference: Yoshimura, N., Muraki, S., Oka, H., Mabuchi, A., En-Yo, Y., Yoshida, M., Saika, A., Yoshida, H., Suzuki, T., Yamamoto, S., Ishibashi, H., Kawaguchi, H., Nakamura, K., and Akune, T. (2009) Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: The research on osteoarthritis/osteoporosis against disability study. Journal of Bone and Mineral Metabolism 27: 620-628. – reference: 中原凱文（1991）整体の適応と健康・体力学．（監修）名取礼二，健康体力づくりハンドブック．大修館書店，東京，pp.8–43. – reference: Podsiadlo, D. and Richardson, S. (1991) The timed "Up & Go": A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society 39(2): 142-148. – reference: McKay, M.J., Baldwin, J.N., Ferreira, P., Simic, M., Vanicek, N., and Burns, J. (2017) Normative reference values for strength and flexibility of 1,000 children and adults. Neurology 88(1): 36-43. – reference: 日本めまい平衡医学会（2006）平衡機能検査法基準化のための資料―2006年平衡機能検査法診断基準化委員会答申書，及び英文項目―．Equilibrium Research 65（6）：468–503. – reference: Sawaya, Y., Hirose, T., Onuma, S., Nakajima, R., Fujita, S., Muroi, S., Sato, R., Yin, L., Shiba, T., Kobayashi, K., and Urano, T. (2024) Prevalence and associated factors of locomotive syndrome in young Japanese adults: A cross-sectional study. BMC Musculoskeletal Disorders 25: 366-375. – reference: Yasuda, T. (2021) Identifying preventative measures against frailty, locomotive syndrome, and sarcopenia in young adults: A pilot study. The Journal of Physical Therapy Science 33(11): 823-827. – reference: 佐藤公一（2021）整形外科診療所における取組み.（監修）大江隆史，（編集）ロコモチャレンジ！推進協議会，ロコモティブシンドロームビジュアルテキスト．株式会社学研プラス，東京，p.148. – reference: Aoki, K., Sakuma, M., and Endo, N. (2018) The impact of exercise and vitamin D supplementation on physical function in community-dwelling elderly individuals: A randomized trial. Journal of Orthopaedic Science 23(4): 682-687. – reference: 厚生労働省（2013）“国民の健康の増進の総合的な推進を図るための基本的な方針”，〈https://www.mhlw.go.jp/bunya/kenkou/dl/kenkounippon21_01.pdf〉 （参照2024年12月26日） – reference: 厚生労働省（2023b）“健康日本21（第三次）推進のための説明資料（その1）．”,〈https://www.mhlw.go.jp/content/001234702.pdf〉（参照2024年12月27日） – reference: Duncan, P.W., Weiner, D.K., Chandler, J., and Studenski, S. (1990) Funcutinal reach: A new clinical measure of balance. Journal of Gerontology 45(6): 192-197. – reference: Yamada, K., Yamaguchi, S., Ito, Y. M., and Ohe, T. (2021) Factors associated with mobility decrease leading to disability: A cross-sectional nationwide study in Japan, with results from 8681 adults aged 20-89 years. BMC Geriatrics 21: 651-661. – reference: 池田望，村田伸，大田尾浩，村田潤，堀江淳，溝田勝彦（2011）地域在住女性高齢者の握力と身体機能との関係．理学療法科学26（2）：255–258. – reference: 後藤亮吉，佐々木ゆき，轟木孝浩，花井望佐子，中井智博（2015）当院におけるロコモティブシンドローム予防教室の効果検証．日本農村医学会雑誌64（1）：1–7. |
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