Nakamura Kozo, Ogata Toru
National Rehabilitation Center for Persons with Disabilities, 4-1, Namiki, Tokorozawa, Saitama Japan.
Clin Rev Bone Miner Metab. 2016;14(2):56-67. doi: 10.1007/s12018-016-9208-2. Epub 2016 May 25.
Locomotive syndrome is a condition of reduced mobility due to impairment of locomotive organs. Since upright bipedal walking involves minutely controlled movement patterns, impairment of any aspect of the locomotive organs has the potential to adversely affect it. In addition to trauma, chronic diseases of the locomotive organs, which progress with repeated bouts of acute exacerbations, are common causes of the locomotive syndrome. In Japan's super-aging society, many people are likely to experience locomotive syndrome in the later part of their lives. Exercise intervention is effective in improving motor function, but because the subjects are elderly people with significant degenerative diseases of the locomotor organs, caution should be taken in choosing the type and intensity of exercise. The present review discusses the definition, current burden, diagnosis and interventions pertaining to the locomotive syndrome. The concept and measures are spreading throughout Japan as one of the national health policy targets.
运动机能不全综合征是一种由于运动器官受损导致活动能力下降的病症。由于直立双足行走涉及精细控制的运动模式，运动器官任何方面的损伤都有可能对其产生不利影响。除了创伤之外，运动器官的慢性疾病会随着急性加重的反复发作而进展，是运动机能不全综合征的常见病因。在日本的超老龄化社会中，许多人在晚年可能会患上运动机能不全综合征。运动干预对改善运动功能有效，但由于受试者是患有运动器官严重退行性疾病的老年人，在选择运动类型和强度时应谨慎。本综述讨论了与运动机能不全综合征相关的定义、当前负担、诊断和干预措施。作为国家卫生政策目标之一，这些概念和措施正在日本全国范围内推广。
