geriatrРоссийский журнал гериатрической медициныRussian Journal of Geriatric Medicine2686-86362686-8709Сайт издателя10.37586/2686-8636-4-2025-538-545geriatr-582Research ArticleОБЗОРЫREVIEWSДиагностика локомотивного синдрома при остеоартрите у лиц пожилого и старческого возраста: обзор литературыDiagnosis of Locomotive Syndrome in Osteoarthritis in Elderly and Senile Individuals: Literature ReviewИванюкМ. М.IvaniukM. M.

Иванюк Мария Михайловна

Владивосток

Ivaniuk Mariia Mikhailovna

Vladivostok

mariaivanuk1999@gmail.comКабалыкМ. А.KabalykM. A.

Владивосток

Vladivostok

ГороховскаяП. В.GorokhovskayaP. V.

Владивосток

Vladivostok

ПлеховаН. Г.PlekhovaN. G.

Владивосток

Vladivostok

АгееваО. Ю.AgeevaO. Y.

Владивосток

Vladivostok

КГБУЗ «ГВВ»РоссияHospital for War VeteransRussian FederationКГБУЗ «ГВВ»; ФГБОУ ВО ТГМУРоссияHospital for War Veterans; Pacific State Medical UniversityRussian FederationФГБОУ ВО ТГМУРоссияPacific State Medical UniversityRussian Federation20251412202504538545Copyright © Иванюк М.М., Кабалык М.А., Гороховская П.В., Плехова Н.Г., Агеева О.Ю., 20252025Иванюк М.М., Кабалык М.А., Гороховская П.В., Плехова Н.Г., Агеева О.Ю.Ivaniuk M.M., Kabalyk M.A., Gorokhovskaya P.V., Plekhova N.G., Ageeva O.Y.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.geriatr-news.com/jour/article/view/582

Нарушение функций опорно-двигательного аппарата представляет большую медико-социальную проблему для лиц старших возрастных групп. Клинический феномен локомотивного синдрома (ЛС) наблюдается при старческой астении (СА), является ключевым при дегенеративно-воспалительных заболеваниях суставов. Статья посвящена критическому анализу литературных данных о ЛС с точки зрения гериатрии и артрологии. В статье подчеркивается, что традиционные методы диагностики заболеваний суставов не в полной мере учитывают важнейший клинический и прогностический аспект – реальные физические возможности пациента, которые напрямую влияют на качество жизни и уровень автономности. В настоящее время растет потребность в разработке комплексных методов клинической оценки, ориентированных на функциональные показатели и раннее выявление ЛС у пожилых пациентов с остеоартритом (ОА) и СА.

Цель обзора. Критический анализ существующих подходов к диагностике ЛС у пожилых пациентов с ОА, определение векторов дальнейших исследований.

Disorders of the musculoskeletal system pose a major medical and social problem for older people. The clinical phenomenon of locomotive syndrome (LS) is observed in senile asthenia (SA) and is a key feature of degenerative and inflammatory joint diseases. This article is a critical analysis of the literature on LS from the perspective of geriatrics and arthrology. It highlights that traditional methods for diagnosing joint diseases don't fully consider a key clinical and prognostic aspect: the patient's actual physical abilities, which directly affect their quality of life and level of independence. Currently, there is a growing need to develop comprehensive clinical assessment methods focused on functional indicators and early detection of joint diseases in elderly patients with osteoarthritis (OA) and SA.

Objective of the review. Critical analysis of existing approaches to the diagnosis of sarcopenia in elderly patients with osteoarthritis and to identifying directions for future research.

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Differences of 2-year longitudinal changes of locomotive syndrome among patients treated with thoracolumbar interbody fusion, total hip arthroplasty, and total knee arthroplasty for degenerative diseases. Mod Rheumatol. 2022 ; 32 (3) : 641–649. doi: 10.1093/mr/roab033.Taniguchi N., Jinno T., Ohba T., et al. Differences of 2-year longitudinal changes of locomotive syndrome among patients treated with thoracolumbar interbody fusion, total hip arthroplasty, and total knee arthroplasty for degenerative diseases. Mod Rheumatol. 2022 ; 32 (3) : 641–649. doi: 10.1093/mr/roab033.

The authors declare that there are no conflicts of interest present.