Association of spinal inclination with physical performance measures among community‐dwelling <scp>J</scp>apanese women aged 40 years and older

Abe, Yasuyo; Aoyagi, Kiyoshi; Tsurumoto, Tadao; Chen, Chih-Yu; Kanagae, Mitsuo; Mizukami, Satoshi; Ye, Zhaojia; Kusano, Yosuke

doi:10.1111/ggi.12020

Cited by 8 publications

(9 citation statements)

References 36 publications

(44 reference statements)

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“…These performances are reported to be associated with balance, posture or lower limb strength [35–39]. Women who had difficulty performing the test safely, such as needing a walking aid, recent lower limb fracture or operation or neurological comorbidity, were not examined.…”

Section: Methodsmentioning

confidence: 99%

Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older

Arima

Abe

Nishimura

et al. 2017

BMC Musculoskelet Disord

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BackgroundNumerous reported studies have shown that vertebral compression fractures are associated with impaired function or disability; however, few examined their association with objective measures of physical performance or functioning.MethodsWe examined the association of vertebral compression fractures with physical performance measures in 556 Japanese women aged 40–89 years. Lateral spine radiographs were obtained and radiographic vertebral compression fractures were assessed by quantitative morphometry, defined as vertebral heights more than 3 SD below the normal mean. Measures of physical performance included walking speed, chair stand time and functional reach. Adjusted means of performance-based measures according to the number and severity of vertebral compression fractures were calculated using general linear modeling methods.ResultsAfter adjusting for age, body mass index, back pain, number of painful joints, number of comorbidities and regular physical activities, the walking speed of women with two or more compression fractures (1.17 m/s) was significantly slower than that of women without compression fracture (1.24 m/s) (p = 0.03). Compared with women without compression fracture, chair stand time was longer in women with two or more compression fractures (p = 0.01), and functional reach was shorter (p = 0.01). No significant differences were observed in walking speed, chair stand time, or functional reach between women with one compression fracture and those without compression fracture.ConclusionsHaving multiple vertebral compression fractures affects physical performance in community-dwelling Japanese women. Poor physical functioning may lead to functional dependence, accelerated bone loss, and increased risk for falls, injuries, and fractures. Preventing vertebral compression fracture is considered important for preserving the independence of older adults.

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Section: Methodsmentioning

confidence: 99%

Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older

Arima

Abe

Nishimura

et al. 2017

BMC Musculoskelet Disord

Self Cite

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“…Body balance was assessed using more accurate methods of measurement, such as stabilometry, force plate [14,21,22,24,29,36], and functional tests such as the Timed Up and Go (TUG) test [8, 23, 32 -35], functional reach (FR) [8], Berg Balance Scale (BBS) [30], one-led stance [23,32,33], Four-Square Step Test (FSST) [34,35] and feet-together stance, semitandem and tandem standing [25]. Table 2 -Characteristics of the studies with regard to methodologies, sample profile, outcomes and tools used for assessing body posture, balance and falls risk Table 2 -Characteristics of the studies with regard to methodologies, sample profile, outcomes and tools used for assessing body posture, balance and falls risk -Characteristics of the studies with regard to methodologies, sample profile, outcomes and tools used for assessing the feet and the ankle, as well as balance and falls risk The methodological quality of the studies is shown in Table 4.…”

Section: Resultsmentioning

confidence: 99%

“…The Clinical Guidance Statement on Management of Falls [44] recommends the screening of different risk factors for falls and interventions, such as foot assessment and footwear correction, with level two evidence. It is important to highlight that other variables associated with postural changes may influence balance impairment and risk of falls in older adults, such as visual and proprioceptive muscle response [31], paravertebral muscle weakness [21 -24], decreased spinal mobility [21] and low physical function [8].…”

Section: Resultsmentioning

confidence: 99%

“…Ideal postural alignment is indirectly associated with aging [8,12,14]. The body undergoes changes in the bones, muscles, and joints that lead to changes in the physiological spinal curvature [10,13].…”

Section: Introductionmentioning

confidence: 99%

“…Patients with hyperkyphosis may have anterior displacement of the head, protrusion Fisioter Mov. 2018;31:e003125 of the scapula, loss of lumbar lordosis [17], and, consequently, anteriorly project into the line of the center of gravity [8]. Changes in the projection of the center of gravity negatively affect body balance control [17].…”

Section: Introductionmentioning

confidence: 99%

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Postural changes versus balance control and falls in community-living older adults: a systematic review

et al. 2018

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Introduction: Since falls are considered to be a public health problem, it is important to identify whether postural changes over time contribute to the risk of falls in older adults. Objective: To investigate whether postural changes increase fall risk and/or postural imbalance in healthy, community-dwelling older adults. Methods: In April 2016, two reviewers independently searched the PubMed, Web of Science, SPORTDiscus, and CINAHL databases for studies in English published in the previous 10 years, using the following combined keywords: "posture" or ("kyphosis","lumbar lordosis","flexed posture","spinal curvature","spinal sagittal contour") AND "elderly" AND "fall". Study quality was assessed according to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines for observational studies. Results: The search retrieved 1,734 articles. Only observational studies that assessed posture, balance, and/or falls in older adults were considered eligible for review. The final sample included 17 articles: reliability and reproducibility of the instruments were not reported in five studies, while two studies offered a questionable description of the instruments used. Fourteen

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Sagittal alignment and mobility of the thoracolumbar spine are associated with radiographic progression of secondary hip osteoarthritis

Tateuchi

Akiyama

Goto

et al. 2018

Osteoarthritis and Cartilage

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Association of spinal inclination with physical performance measures among community‐dwelling Japanese women aged 40 years and older

Abstract: Forward spinal inclination was associated with impairment in various physical performance measures. Proper prevention and treatment of underlying disorders should be prompted.

Cited by 8 publications

References 36 publications

Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older

Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older

Postural changes versus balance control and falls in community-living older adults: a systematic review

Sagittal alignment and mobility of the thoracolumbar spine are associated with radiographic progression of secondary hip osteoarthritis

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