Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
J Orthop Surg (Hong Kong). 2021 Sep-Dec;29(3):23094990211060967. doi: 10.1177/23094990211060967.
BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has affected people in various ways, including restricting their mobility and depriving them of exercise opportunities. Such circumstances can trigger locomotor deterioration and impairment, which is known as locomotive syndrome. The purpose of this study was to investigate the incidence of locomotive syndrome in the pandemic and to identify its risk factors. This was a multicenter questionnaire survey performed between 1 November 2020 and 31 December 2020 in Japan. Patients who visited the orthopedics clinic were asked to answer a questionnaire about their symptoms, exercise habits, and locomotor function at two time points, namely, pre-pandemic and post-second wave (current). The incidence of locomotive syndrome in the COVID-19 pandemic was investigated. Additionally, multiple logistic regression analysis was used to identify the risk factors for developing locomotive syndrome during the pandemic. A total of 2829 patients were enrolled in this study (average age: 61.1 ± 17.1 years; 1532 women). The prevalence of locomotive syndrome was 30% pre-pandemic, which increased significantly to 50% intra-pandemic. Among the patients with no symptoms of locomotive syndrome, 30% developed it in the wake of the pandemic. In the multinomial logistic regression analysis, older age, deteriorated or newly occurring symptoms of musculoskeletal disorders, complaints about the spine or hip/knee joints, and no or decreased exercise habits were independent risk factors for developing locomotive syndrome. The prevalence of locomotive syndrome in patients with musculoskeletal disorders has increased during the COVID-19 pandemic. In addition to age, locomotor symptoms, especially spine or hip/knee joint complaints, and exercise habits were associated with the development of locomotive syndrome. Although the control of infection is a priority, the treatment of musculoskeletal disorders and ensuring exercise habits are also essential issues to address during a pandemic such as COVID-19.
2019 年冠状病毒病（COVID-19）大流行以各种方式影响着人们，包括限制他们的活动能力和剥夺他们的运动机会。这种情况可能会引发运动功能恶化和损伤，即运动综合征。本研究旨在调查大流行期间运动综合征的发生率，并确定其危险因素。
这是一项于 2020 年 11 月 1 日至 12 月 31 日在日本进行的多中心问卷调查。在骨科诊所就诊的患者被要求在两个时间点（大流行前和第二波后（当前））回答关于他们的症状、运动习惯和运动功能的问卷。研究调查了 COVID-19 大流行期间运动综合征的发生率。此外，还使用多变量逻辑回归分析确定了在大流行期间发生运动综合征的危险因素。
本研究共纳入 2829 例患者（平均年龄：61.1±17.1 岁；女性 1532 例）。大流行前运动综合征的患病率为 30%，大流行期间显著增加至 50%。在没有运动综合征症状的患者中，30%的患者在大流行后出现了这种症状。在多项逻辑回归分析中，年龄较大、肌肉骨骼疾病症状恶化或新发、对脊柱或髋关节/膝关节的抱怨以及运动习惯减少或消失是发生运动综合征的独立危险因素。
COVID-19 大流行期间，肌肉骨骼疾病患者的运动综合征患病率有所增加。除了年龄之外，运动症状，尤其是脊柱或髋关节/膝关节的抱怨以及运动习惯与运动综合征的发生有关。虽然控制感染是当务之急，但在 COVID-19 等大流行期间，还需要解决肌肉骨骼疾病的治疗和确保运动习惯等问题。
