作業療法によるロコモティブシンドローム予防の基盤づくり—ロコモティブシンドロームと作業遂行の関連に着目して

Using occupational therapy to prevent locomotive syndrome: The relationship between locomotive syndrome and occupational performance

要旨：本研究の目的はロコモティブシンドローム（以下，ロコモ）と作業遂行の関連を明らかにすることである．地域在住高齢者58名に対し集団的特性，ロコモ25，立ち上がりテストとSOPI，重要活動項目数を測定した．対象者を2群（ロコモ群，非ロコモ群）に分け集団的特性，作業遂行の状況を比較した結果，非ロコモ群に比べロコモ群は年齢が有意に高く，SOPI余暇活動，重要活動項目数で有意に低い値を示した．ロコモ25と作業遂行の関連を分析した結果，ロコモ25とSOPI満足，SOPI余暇活動で中等度の負の相関，SOPIセルフケア，SOPI総得点で弱い負の相関を認めた．本研究によりロコモの方の作業遂行の状況が明らかとなった．

　The purpose of this study was to substantiate the relationship between locomotive syndrome (Locomo) and occupational performance. A total of 58 elderly living in the community participated in this study. Measurement items were comprised of the 25-question Geriatric Locomotive Function Scale, standing test, Self-completed Occupational Performance Index (SOPI), and a number of important activities. The subjects were divided two groups: the Locomo group and the non-Locomo group, and the locomotive syndrome and occupational performance were compared. As a result, age was higher in the Locomo group than in the non-Locomo group, and SOPI leisure and the number of important activities were lower in the Locomo group than in the non-Locomo group. Analyzing the relationship between the 25-question Geriatric Locomotive Function Scale and occupational performance indicated a moderate negative correlation between the 25-question Geriatric Locomotive Function Scale and SOPI satisfaction, and the 25-question Geriatric Locomotive Function Scale and SOPI leisure. Furthermore, there were poor negative correlations between the 25-question Geriatric Locomotive Function Scale and SOPI self-care，and the 25-question Geriatric Locomotive Function Scale and SOPI total score. This study reveals Locomo's occupational performance.