Ma Yixuan, Wu Xinze, Shen Shaoshuai, Hong Weihao, Qin Ying, Sun Mingyue, Luan Yisheng, Zhou Xiao, Zhang Bing
Division of Sports Science and Physical Education, Tsinghua University, Beijing 100081, China.
Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, Sendai, Miyagi 980-8574, Japan.
Healthcare (Basel). 2023 Feb 10;11(4):532. doi: 10.3390/healthcare11040532.
This study aims to investigate the prevalence of locomotive syndrome (LS) and to examine the relationship of LS with musculoskeletal symptoms (pain, generalized joint laxity (GJL)) in young Chinese adults. Our study population (n = 157; mean age of 19.8 ± 1.2 years) comprises college student residents at Tsinghua University in Beijing, China. Three screening methods were used to evaluate LS: 25-question Geriatric Locomotive Function Scale (GLFS-25), a two-step test, and a stand-up test. Musculoskeletal pain was assessed by self-report and visual analog scale (VAS), and joint body laxity was evaluated using the GJL test. The prevalence of LS was 21.7% of all participants. Musculoskeletal pain affected 77.8% of the college students with LS and was strongly associated with LS. A total of 55.0% of college students with LS had four or more site joints that were positive for GJL, and higher scores of GJL were associated with a higher prevalence rate of LS. Young Chinese college students have a relatively high prevalence of LS, and musculoskeletal pain and GJL were significantly related to LS. The present results suggest that we need early screening of musculoskeletal symptoms and LS health education in young adults to prevent the mobility limitations of LS in the future.
本研究旨在调查中国年轻成年人中机车综合征（LS）的患病率，并探讨LS与肌肉骨骼症状（疼痛、全身关节松弛（GJL））之间的关系。我们的研究对象（n = 157；平均年龄19.8±1.2岁）包括中国北京清华大学的大学生居民。采用三种筛查方法评估LS：25个问题的老年机车功能量表（GLFS-25）、两步测试和站立测试。通过自我报告和视觉模拟量表（VAS）评估肌肉骨骼疼痛，并使用GJL测试评估关节松弛度。LS的患病率在所有参与者中为21.7%。肌肉骨骼疼痛影响了77.8%患有LS的大学生，并且与LS密切相关。共有55.0%患有LS的大学生有四个或更多部位的关节GJL呈阳性，GJL得分越高，LS的患病率越高。中国年轻大学生中LS的患病率相对较高，肌肉骨骼疼痛和GJL与LS显著相关。目前的结果表明，我们需要对年轻人进行肌肉骨骼症状的早期筛查和LS健康教育，以预防未来LS导致的活动受限。
