Comparison of physical, cognitive, and psychological functioning among local elderly with and without musculoskeletal ambulation disability symptom complex

  • KUBO ATSUKO
    Faculty of Rehabilitation Science, Nishikyushu University Graduate School of Medicine, Saga University
  • MURATA SHIN
    Faculty of Rehabilitation Science, Nishikyushu University
  • OTAO HIROSHI
    Faculty of Health and Welfare, Prefectural University of Hiroshima
  • HORIE JUN
    Faculty of Rehabilitation Science, Kobe International University
  • MURATA JUN
    Department of Health Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • MIYAZAKI JUNYA
    Faculty of Rehabilitation Science, Kobe International University
  • YAMASAKI SAKIYA
    Graduate school of medicine and pharmaceutical sciences for research, university of toyama
  • MIZOTA KATSUHIKO
    Faculty of Rehabilitation Science, Nishikyushu University
  • ASAMI TOYOKO
    Graduate School of Medicine, Saga University

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Other Title
  • 地域在住高齢者における運動器不安定症該当者と非該当者の 身体・認知・心理機能の比較
  • チイキ ザイジュウ コウレイシャ ニ オケル ウンドウキ フアンテイショウ ガイトウシャ ト ヒガイトウシャ ノ シンタイ ・ ニンチ ・ シンリ キノウ ノ ヒカク

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Abstract

This study examined physical, cognitive, and psychological functioning among 320 elderly people living in a local community with (79) and without (241) musculoskeletal ambulation disability symptom complex (MADS), and the characteristics of MADS were comprehensively evaluated. The following measurement items were used for comparison: physical functioning including gait (gait speed, 10-meter walk over an obstacle course) and muscle strength (hand grip strength, quadriceps muscle strength), cognitive functioning including mini-mental state examination (MMSE) and trail making test (TMT), and psychological functioning including subjective wellbeing, life satisfaction, and purpose in life. As the results, the elderly with MADS showed a significant decrease in physical functioning such as gait and muscle strength compared to those without. Significant decreases were also observed in MMSE in cognitive functioning, and subjective wellbeing in psychological functioning. However, no significant difference was observed in TMT, life satisfaction, and purpose in life between the groups. In light of the above findings, in addition to physical functioning such as gait and muscle strength, the cognitive and psychological health status should be evaluated for the elderly with MADS.

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