{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:28:52Z","timestamp":1760146132101,"version":"build-2065373602"},"reference-count":38,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T00:00:00Z","timestamp":1728604800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Walailak University under the international research collaboration scheme","award":["WU-CIA-02804\/2024"],"award-info":[{"award-number":["WU-CIA-02804\/2024"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Locomotive Syndrome (LS), a condition related to impaired mobility, is influenced by balance control, which comprises six components. Deficiencies in these components can lead to reduced mobility and decreased quality of life. This study aimed to evaluate the relationship between the components of postural control and LS in older adults using the Brief-BESTest. Therefore, this cross-sectional study involved 122 elderly participants from Tha Sala District, Nakhon Si Thammarat Province, both with and without LS. Participants underwent assessments using the Instrumental Activities of Daily Living (IADL) assessment, the Thai Mental State Examination (TMSE), the Two-Step Test, and the Brief-BESTest. The Brief-BESTest covers six balance components: Biomechanical Constraints, Stability Limits, Anticipatory Postural Adjustments, Postural Responses, Sensory Orientation, and Stability in Gait. Descriptive statistics were used to summarize participant characteristics, and Chi-square tests were conducted to examine the relationship between each balance component and LS. Cramer\u2019s V was used to assess the strength of the relationships. The results showed the average age of the sample was 67.67 \u00b1 6.01 years with 85.20 percent female and 14.80 percent male. There were significant relationships between LS and three balance components: Biomechanical Constraints (Chi-square = 5.35, p = 0.021, Cramer\u2019s V = 0.209), Stability Limits (Chi-square = 5.00, p = 0.025, Cramer\u2019s V = 0.204), and Anticipatory Postural Adjustments (left: Chi-square = 4.12, p = 0.042, Cramer\u2019s V = 0.213; right: Chi-square = 5.50, p = 0.019, Cramer\u2019s V = 0.213). No significant associations were found for Reactive Postural Response, Sensory Orientation, and Stability in Gait. These findings suggest that targeted interventions focusing on specific balance components consist of Biomechanical Constraints, Stability Limits, and Anticipatory Postural Adjustments could help reduce the risk of LS in older adults.<\/jats:p>","DOI":"10.3390\/ijerph21101349","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T04:02:58Z","timestamp":1728878578000},"page":"1349","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship between Components of Postural Control and Locomotive Syndrome in Older Adults"],"prefix":"10.3390","volume":"21","author":[{"given":"Charupa","family":"Lektip","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand"},{"name":"Movement Sciences and Exercise Research Center, Walailak University, Nakhon Si Thammarat 80160, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3551-4039","authenticated-orcid":false,"given":"Chadapa","family":"Rungruangbaiyok","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand"},{"name":"Movement Sciences and Exercise Research Center, Walailak University, Nakhon Si Thammarat 80160, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7121-2519","authenticated-orcid":false,"given":"Jiraphat","family":"Nawarat","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand"},{"name":"Movement Sciences and Exercise Research Center, Walailak University, Nakhon Si Thammarat 80160, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Miyake","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Nursing and Rehabilitation Sciences, Showa University, Tokyo 142-6555, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0338-2372","authenticated-orcid":false,"given":"Keiichiro","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Nursing and Rehabilitation Sciences, Showa University, Tokyo 142-6555, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5191-5620","authenticated-orcid":false,"given":"Hiroyuki","family":"Ohtsuka","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Nursing and Rehabilitation Sciences, Showa University, Tokyo 142-6555, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuko","family":"Inaba","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Nursing and Rehabilitation Sciences, Showa University, Tokyo 142-6555, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6288-3772","authenticated-orcid":false,"given":"Yoshinori","family":"Kagaya","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Nursing and Rehabilitation Sciences, Showa University, Tokyo 142-6555, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirawee","family":"Chaovalit","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"ref_1","unstructured":"National Statistical Office of Thailand (2022). The Elderly Population in Thailand."},{"key":"ref_2","unstructured":"(2023, August 08). Department of Older Persons Affairs, Available online: https:\/\/www.dop.go.th\/th\/know\/side\/1\/1\/1962?fbclid=IwAR1gxVStpX6ZHkkdeslAInS8-qC67iUBkhNaDuHlga0RCzM27YkfJoDVQ_aem_AW86NpMEpET83K9rYC6gmJ8X7tRlpi0twmv932BO736yLgNLaf5d5LwXhN4mHKmfxCE."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Nascimento, M.D., Gouveia, \u00c9.R., Gouveia, B.R., Marques, A., Fran\u00e7a, C., Marconcin, P., Freitas, D.L., and Ihle, A. (2023). Sex differences in falls: The mediating role of gait stability ratio and body balance in vulnerable older adults. J. Clin. Med., 12.","DOI":"10.3390\/jcm12020450"},{"key":"ref_4","first-page":"17","article-title":"Physical Activity, Cognitive Decline, and Quality of Life in Older Adults","volume":"7","author":"Faraziani","year":"2024","journal-title":"Int. J. Sport Stud. Health"},{"key":"ref_5","first-page":"175","article-title":"Locomotive Syndrome: A Hidden Condition in the Elderly","volume":"27","author":"Buntham","year":"2020","journal-title":"Kuakarun J. Nurs."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"ii7","DOI":"10.1093\/ageing\/afl077","article-title":"Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls?","volume":"35","author":"Horak","year":"2006","journal-title":"Age Ageing"},{"key":"ref_7","first-page":"1359","article-title":"Locomotive Syndrome Associated with Risk for Fall and Fracture in Elderly Population","volume":"4","author":"Ashraf","year":"2021","journal-title":"Pak. J. Med. Health Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1007\/s00776-012-0283-z","article-title":"Physical Performance Tests Are Useful for Evaluating and Monitoring the Severity of Locomotive Syndrome","volume":"17","author":"Muramoto","year":"2012","journal-title":"J. Orthop. Sci."},{"key":"ref_9","first-page":"174","article-title":"Mini-BESTest Balance Assessment in Thai: Translation, Inter-rater Reliability, and Concurrent Validity in the Elderly","volume":"42","author":"Rattanawijit","year":"2020","journal-title":"J. Phys. Ther."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"484","DOI":"10.2522\/ptj.20080071","article-title":"The Balance Evaluation Systems Test (BESTest) to Differentiate Balance Deficits","volume":"89","author":"Horak","year":"2009","journal-title":"Phys. Ther."},{"key":"ref_11","unstructured":"(2024, January 12). Mini Balance Evaluation Systems Test. Available online: https:\/\/www.sralab.org\/rehabilitation-measures\/mini-balance-evaluation-systems-test."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1080\/09593985.2020.1822967","article-title":"Reliability and Validity of Persian Versions of Mini-BESTest and Brief-BESTest in Persons with Parkinson\u2019s Disease","volume":"38","author":"Ansari","year":"2022","journal-title":"Physiother. Theory Pract."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e00649","DOI":"10.1002\/brb3.649","article-title":"Psychometric Properties of Brief-Balance Evaluation Systems Test (Brief-BESTest) in Evaluating Balance Performance in Individuals with Chronic Stroke","volume":"7","author":"Huang","year":"2017","journal-title":"Brain Behav."},{"key":"ref_14","unstructured":"(2024, January 20). Tha Sala Subdistrict Data Report, Available online: https:\/\/3doctor.hss.moph.go.th\/main."},{"key":"ref_15","unstructured":"Brain Rehabilitation Group (1993). Thai Cognitive Performance Test. Siriraj Med. J., 45, 359\u2013374."},{"key":"ref_16","unstructured":"Department of Medical Services, Ministry of Public Health (2013). Quality Elderly Clinic Standards and Operations Manual."},{"key":"ref_17","unstructured":"Panasit, M. (2016). A Study on the Validity and Reliability of the Thai Versions of The Lawton Instrumental Activities of Daily Living (IADL) Scale and the Older People\u2019s Quality of Life Questionnaire (OPQOL-Brief), Thammasat University Hospital."},{"key":"ref_18","unstructured":"Kooha, O., Wachawarot, J., Boonmeepipat, B., and Thammanawat, N. (2008). Medical Technology Assessment Project: Comparison of the Relationship between the 2002 Thai Version of the Mini-Mental State Examination (MMSE-Thai) and the Thai Mini-Mental State Examination (TMSE) for Screening Dementia in the Elderly, Institute of Geriatric Medicine."},{"key":"ref_19","first-page":"409","article-title":"A Study of the Measurement Properties of the Cognistat Screening Test","volume":"59","author":"Kanjananopinit","year":"2014","journal-title":"J. Psychiatr. Assoc. Thail."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"819","DOI":"10.2147\/CIA.S148683","article-title":"Locomotive Syndrome: Clinical Perspectives","volume":"13","author":"Ikemoto","year":"2018","journal-title":"Clin. Interv. Aging"},{"key":"ref_21","unstructured":"(2024, March 12). Locomotive Syndrome. Available online: https:\/\/locomo-joa.jp."},{"key":"ref_22","first-page":"301","article-title":"Development of a Convenient Way to Predict Ability to Walk Using a Two-Step Test","volume":"63","author":"Muranaga","year":"2003","journal-title":"J. Showa Med. Assoc."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Ishihara, Y., Ozaki, H., Nakagata, T., Yoshihara, T., Natsume, T., Kitada, T., Ishibashi, M., Deng, P., Yamada, Y., and Kobayashi, H. (2022). Association between Daily Physical Activity and Locomotive Syndrome in Community-Dwelling Japanese Older Adults: A Cross-Sectional Study. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19138164"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1007\/s00776-015-0741-5","article-title":"Association between New Indices in the Locomotive Syndrome Risk Test and Decline in Mobility: Third Survey of the ROAD Study","volume":"20","author":"Yoshimura","year":"2015","journal-title":"J. Orthop. Sci."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1519\/JPT.0000000000000280","article-title":"Sections of the Brief-Balance Evaluation Systems Test Relevant for Discriminating Fast Versus Slow Walking Speeds in Community-Dwelling Older Women","volume":"45","author":"Shinohara","year":"2020","journal-title":"J. Geriatr. Phys. Ther."},{"key":"ref_26","unstructured":"(2024, May 15). Brief Balance Evaluation Systems Test. Available online: https:\/\/www.sralab.org\/rehabilitation-measures\/brief-balance-evaluation-systems-test."},{"key":"ref_27","unstructured":"Eakkabut, P. (2021). Reliability Testing of the Mini-BESTest Assessment in Elderly Community-Dwelling Individuals with Early-Stage Cognitive Decline. [Master\u2019s Thesis, Srinakharinwirot University]."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.2522\/ptj.20120056","article-title":"Is the BESTest at Its Best? A Suggested Brief Version Based on Interrater Reliability, Validity, Internal Consistency, and Theoretical Construct","volume":"92","author":"Padgett","year":"2012","journal-title":"Phys. Ther."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1589\/jpts.32.166","article-title":"The Influence of Trunk Muscle Strength on Walking Velocity in Elderly People with Sarcopenia","volume":"32","author":"Kato","year":"2020","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s11556-017-0174-6","article-title":"Evaluation of Hip Abductor and Adductor Strength in the Elderly: A Reliability Study","volume":"24","author":"Gafner","year":"2017","journal-title":"Eur. Rev. Aging Phys. Act."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Tokida, R., Ikegami, S., Takahashi, J., Ido, Y., Sato, A., Sakai, N., Horiuchi, H., and Kato, H. (2020). Association between Musculoskeletal Function Deterioration and Locomotive Syndrome in the General Elderly Population: A Japanese Cohort Survey Randomly Sampled from a Basic Resident Registry. BMC Musculoskelet. Disord., 21.","DOI":"10.1186\/s12891-020-03469-x"},{"key":"ref_32","first-page":"63","article-title":"Development of Balance Performance and Fear of Falling in Elderly Women in Ongkharak and Bang Luk Suea Subdistricts, Nakhon Nayok Province, through Community Academic Services","volume":"37","author":"Lapanantasin","year":"2015","journal-title":"J. Phys. Ther."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.apmr.2014.06.021","article-title":"Using the Systems Framework for Postural Control to Analyze the Components of Balance Evaluated in Standardized Balance Measures: A Scoping Review","volume":"96","author":"Sibley","year":"2015","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/j.jos.2019.01.011","article-title":"Increasing Postural Sway in Balance Test Is Related to Locomotive Syndrome Risk: A Cross-Sectional Study","volume":"24","author":"Tanaka","year":"2019","journal-title":"J. Orthop. Sci."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1515\/sjpain-2022-0078","article-title":"Anticipatory Postural Adjustments Mediate the Changes in Fear-Related Behaviors in Individuals with Chronic Low Back Pain","volume":"23","author":"Nishi","year":"2022","journal-title":"Scand. J. Pain"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Mileti, I., Taborri, J., Rossi, S., Del Prete, Z., Paoloni, M., Suppa, A., and Palermo, E. (2019). Reactive Postural Responses to Continuous Yaw Perturbations in Healthy Humans: The Effect of Aging. Sensors, 20.","DOI":"10.3390\/s20010063"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1002\/lio2.252","article-title":"Balance and Gait in the Elderly: A Contemporary Review","volume":"4","author":"Osoba","year":"2019","journal-title":"Laryngoscope Investig. Otolaryngol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jshs.2021.07.005","article-title":"Relationship of Proprioception, Cutaneous Sensitivity, and Muscle Strength with the Balance Control among Older Adults","volume":"10","author":"Song","year":"2021","journal-title":"J. Sport Health Sci."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/10\/1349\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:11:47Z","timestamp":1760112707000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/10\/1349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,11]]},"references-count":38,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["ijerph21101349"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21101349","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2024,10,11]]}}}