Miyazaki Shigeaki, Tsuruta Kurumi, Yoshinaga Saori, Fujii Yoshinori, Hombu Amy, Funamoto Taro, Sakamoto Takero, Tajima Takuya, Nakamura Yoshihiro, Arakawa Hideki, Nakatake Jun, Chosa Etsuo
Rehabilitation Unit, University of Miyazaki Hospital, Miyazaki, Japan.
Department of Nursing, Faculty of Human Health Sciences, Shunan University, Shunan, Yamaguchi, Japan.
PLoS One. 2025 Jun 9;20(6):e0315353. doi: 10.1371/journal.pone.0315353. eCollection 2025.
The 25-Question Geriatric Locomotive Function Scale (GLFS-25) is one of the tests used to assess the risk of locomotive syndrome (LS). It is a comprehensive tool for measuring LS improvement after total hip arthroplasty (THA) and provides beneficial information for rehabilitation after THA. The primary objective of this study was to clarify LS improvement in patients with hip osteoarthritis (OA) who have undergone unilateral primary THA using GLFS-25. A secondary objective was to identify the impact of THA on each specific GLFS-25 item for optimizing functional recovery.
The participants of this study were 273 patients who underwent primary THA for hip OA. LS was evaluated using the GLFS-25, stand-up test, and two-step test before receiving THA and three months after THA.
Before THA, items rated as "moderately difficult" (score ≥2) in GLFS-25 included pain-related Q3 and Q4, activities of daily living (ADL)-related Q12, Q13, Q15, and Q18, and social function-related Q21 and Q23. At three months after THA, these subjective symptoms showed significant improvement. Further analysis of the relationship between these subjective symptom improvements and LS improvement revealed that all items, except pain-related Q3, were significantly associated with LS improvement.
Patients experienced not only severe hip pain and physical discomfort but also significant difficulties with activities of daily living (ADL) and social participation before THA. LS improvement after THA was strongly associated with improvements in the subjective symptoms of ADL and social functioning. Based on these findings, rehabilitation strategies that focus on enhancing mobility, improving ADL and social engagement, and optimizing gait function after THA are crucial for further supporting LS recovery.
25 项老年机车功能量表（GLFS - 25）是用于评估机车综合征（LS）风险的测试之一。它是测量全髋关节置换术（THA）后 LS 改善情况的综合工具，并为 THA 后的康复提供有益信息。本研究的主要目的是使用 GLFS - 25 阐明接受单侧初次 THA 的髋骨关节炎（OA）患者的 LS 改善情况。次要目的是确定 THA 对 GLFS - 25 各具体项目的影响，以优化功能恢复。
本研究的参与者为 273 例因髋 OA 接受初次 THA 的患者。在接受 THA 前及 THA 后三个月，使用 GLFS - 25、起立试验和两步试验评估 LS。
在 THA 前，GLFS - 25 中被评为“中度困难”（评分≥2）的项目包括与疼痛相关的 Q3 和 Q4、与日常生活活动（ADL）相关的 Q12、Q13、Q15 和 Q18，以及与社会功能相关的 Q21 和 Q23。在 THA 后三个月，这些主观症状有显著改善。对这些主观症状改善与 LS 改善之间关系的进一步分析表明，除与疼痛相关的 Q3 外，所有项目均与 LS 改善显著相关。
患者在 THA 前不仅经历严重的髋部疼痛和身体不适，而且在日常生活活动（ADL）和社会参与方面也存在显著困难。THA 后 LS 的改善与 ADL 和社会功能主观症状的改善密切相关。基于这些发现，专注于增强活动能力、改善 ADL 和社会参与度以及优化 THA 后步态功能的康复策略对于进一步支持 LS 恢复至关重要。
