{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:48:26Z","timestamp":1787017706378,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T00:00:00Z","timestamp":1554681600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Advances in Orthopedics"],"published-print":{"date-parts":[[2019,4,8]]},"abstract":"<jats:p>On the basis of rapid population aging, in 2007, the Japanese Orthopaedic Association (JOA) proposed a new disease concept \u201clocomotive syndrome\u201d as a degenerative condition of reduced mobility due to the impairment of the musculoskeletal system. Worsened locomotive components, which consist of bones, joints, and intervertebral discs, and muscles and nerves, can lead to symptoms such as pain, limited range of motion, malalignment, impaired balance, and difficulty in walking, ultimately resulting in the requirement of nursing care. \u201cLocomotive syndrome\u201d has gained increased interest in Japan but still not worldwide. Hence, in this brief review, we summarize an updated definition, assessment, and management of \u201clocomotive syndrome\u201d. The JOA recommends \u201clocomotion training\u201d exercise intervention to be effective in maintaining motor function that comprises two simple exercises\u2014squatting and single-leg standing. However, the extent to which exercises affect \u201clocomotive syndrome\u201d is unknown. Here, we further report hypothesis-generating patient cases who presented the improved sagittal spinopelvic alignment in standing radiographs and postural stability in piezoelectric force-plate measurements through our 6-month \u201clocomotion training\u201d outpatient rehabilitation program. It is noteworthy that \u201clocomotion training\u201d facilitated these improvements despite the presence of specific disorders including thoracic kyphosis and symptomatic lumbar spinal canal stenosis. This raises the need for further investigations to clarify effects of \u201clocomotion training\u201d exercises on the spinal alignment, global balance, and quality of life in patients with \u201clocomotive syndrome\u201d.<\/jats:p>","DOI":"10.1155\/2019\/6496901","type":"journal-article","created":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T19:32:03Z","timestamp":1554751923000},"page":"1-7","source":"Crossref","is-referenced-by-count":25,"title":["Possible Improvement of the Sagittal Spinopelvic Alignment and Balance through \u201cLocomotion Training\u201d Exercises in Patients with \u201cLocomotive Syndrome\u201d: A Literature Review"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3007-361X","authenticated-orcid":true,"given":"Takashi","family":"Yurube","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, 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