Antiaging Dock: Evaluation of Locomotive Syndrome

In our country, the rapid progression of an aging society with fewer children is a significant issue, and extending the “healthy lifespan,” where one can live independently without the need for care, is a crucial challenge. In 2007, the Japanese Orthopaedic Association named the condition of reduced mobility due to musculoskeletal disorders as Locomotive Syndrome (hereafter, Locomo). Initially, a simple check called Loco-check was used to detect reduced mobility, but in 2013, the Locomo degree test was developed. The Locomo degree test consists of three parts: the stand-up test, the 2-step test, and the Locomo 25 questionnaire (Fig. 147.1). In 2015, a three-tier classification of non-Locomo, Locomo degree 1, and Locomo degree 2 was announced as clinical judgment values (Locomo degrees) for Locomo. Furthermore, in 2020, the most severe Locomo degree 3, which could hinder participation in social activities, was announced, and it was classified into four stages (Table 147.1). The Locomo degree is determined by the results of the three tests, and the most severe Locomo degree is applied.