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Spinal Deformity and the Musculoskeletal Cohort Study of the General Older Population

Uehara, Masashi Takahashi, Jun Ikegami, Shota Tokida, Ryosuke Nishimura, Hikaru Sakai, Noriko Kato, Hiroyuki 信州大学

2021.06.16

概要

The proportion of adults aged 65 years or more in Japan has reached 28 % according to the 2019 Minis­ try of Internal Affairs and Communications Statistics Bureau Population Census. It is socially important to unveil the impact of aging and extend healthy life expectancy. One of the most important factors di­ minishing healthy life expectancy is the aging of motor organs, such as the bones, joints, nerves, and muscle tendons. In recent years, corrective surgeries for spinal postural abnormalities in the sagittal plane of the spine have been performed in older adults across Japan since it was reported that such disorders are associated with impaired walking and mobility, respiratory and digestive symptoms, and low back pain1)2). However, little research exists on the epide­ miology, pathogenesis, evaluation methods, and treat­ ment effects on gait and mobility for spinal postural abnormality in order to establish treatment guidelines. In this paper, we review the history of spinal pos­ tural abnormalities and discuss the Obuse Study, a musculoskeletal cohort study of agricultural commu­ nity residents conducted by our department in con­ junction with the Rehabilitation Center, New Life Hospital, and the Obuse town office.

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