期刊
JOURNAL OF REHABILITATION MEDICINE
卷 53, 期 6, 页码 -出版社
FOUNDATION REHABILITATION INFORMATION
DOI: 10.2340/16501977-2851
关键词
ultrasound; quadriceps; muscle; Sonographic Thigh Adjustment Ratio; function; frailty; Internatioanl Society of Physical and Rehabilitation Medicine
Sarcopenia is a significant public health issue characterized by age-related muscle mass and function loss. A new diagnostic algorithm has been proposed by experts, with special attention to disorders related to the renin-angiotensin system and an emphasis on measuring anterior thigh muscle mass and function loss.
Sarcopenia is an important public health problem, characterized by age-related loss of muscle mass and muscle function. It is a precursor of physical frailty, mobility limitation, and premature death. Muscle loss is mainly due to the loss of type II mus-cle fibres, and progressive loss of motor neurones is thought to be the primary underlying factor. Ante-rior thigh muscles undergo atrophy earlier, and the loss of anterior thigh muscle function may therefore be an antecedent finding. The aim of this review is to provide an in-depth (and holistic) neuromusculoske-letal approach to sarcopenia. In addition, under the umbrella of the International Society of Physical and Rehabilitation Medicine (ISPRM), a novel diagnostic algorithm is proposed, developed with the consen-sus of experts in the special interest group on sar-copenia (ISarcoPRM). The advantages of this algo-rithm over the others are: special caution concerning disorders related to the renin-angiotensin system at the case finding stage; emphasis on anterior thigh muscle mass and function loss; incorporation of ul-trasound for the first time to measure the anterior thigh muscle; and addition of a chair stand test as a power/performance test to assess anterior thigh muscle function. Refining and testing the algorithm remains a priority for future research.
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