Evidence map›Paper›PMID 40489499›Full record

ArticlePloS one2025

Investigation of locomotive syndrome improvement by total hip arthroplasty in patients with hip osteoarthritis: A before-after comparative study focusing on 25-question geriatric locomotive function scale.

Shigeaki Miyazaki, Kurumi Tsuruta, Saori Yoshinaga, Yoshinori Fujii, Amy Hombu, Taro Funamoto, Takero Sakamoto, Takuya Tajima, Yoshihiro Nakamura, Hideki Arakawa and 2 more

Abstract readComparative Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Shigeaki MiyazakiRehabilitation Unit, University of Miyazaki Hospital, Miyazaki, Japan.ORCID 0000-0002-6216-2000
Kurumi TsurutaDepartment of Nursing, Faculty of Human Health Sciences, Shunan University, Shunan, Yamaguchi, Japan.
Saori YoshinagaSchool of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Yoshinori FujiiDepartment of Mathematics Education, Faculty of Education, University of Miyazaki, Miyazaki, Japan.
Amy HombuCenter for Language and Cultural Studies, Lecturer, University of Miyazaki, Miyazaki, Japan.
Taro FunamotoDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Takero SakamotoDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Takuya TajimaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Yoshihiro NakamuraDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Hideki ArakawaRehabilitation Unit, University of Miyazaki Hospital, Miyazaki, Japan.
Jun NakatakeRehabilitation Unit, University of Miyazaki Hospital, Miyazaki, Japan.ORCID 0000-0003-3691-8609
Etsuo ChosaCommunity Medical Center, University of Miyazaki Hospital, Miyazaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsThe 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.

resultsBefore 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.

conclusionsPatients 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.

Indexed as

Arthroplasty, Replacement, HipGeriatric AssessmentLocomotionOsteoarthritis, HipActivities of Daily LivingAgedAged, 80 and overFemaleHumansMaleMiddle AgedRecovery of FunctionSurveys and QuestionnairesSyndromeTreatment Outcome

Identifiers

PMID40489499
PMCPMC12148190

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.