<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">nnp</journal-id><journal-title-group><journal-title xml:lang="en">Neurology, Neuropsychiatry, Psychosomatics</journal-title><trans-title-group xml:lang="ru"><trans-title>Неврология, нейропсихиатрия, психосоматика</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2711</issn><issn pub-type="epub">2310-1342</issn><publisher><publisher-name>"IMA-Press", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/2074-2711-2024-5-87-90</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-2382</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>An Exploration of Locomotor Syndrome among Geriatric Population – A Narrative Review</article-title><trans-title-group xml:lang="ru"><trans-title>An Exploration of Locomotor Syndrome among Geriatric Population – A Narrative Review</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Shanmuganathan</surname><given-names>K.</given-names></name><name name-style="western" xml:lang="en"><surname>Shanmuganathan</surname><given-names>K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Kamalesh Shanmuganathan - Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><bio xml:lang="en"><p>Kamalesh Shanmuganathan - Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><email xlink:type="simple">kamaleshsn22@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Kalpana</surname><given-names>S.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalpana</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><bio xml:lang="en"><p>Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Sundar</surname><given-names>J. S.</given-names></name><name name-style="western" xml:lang="en"><surname>Sundar</surname><given-names>J. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><bio xml:lang="en"><p>Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Valarmathi</surname><given-names>S.</given-names></name><name name-style="western" xml:lang="en"><surname>Valarmathi</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><bio xml:lang="en"><p>Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Srinivas</surname><given-names>G.</given-names></name><name name-style="western" xml:lang="en"><surname>Srinivas</surname><given-names>G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><bio xml:lang="en"><p>Department of Epidemiology.</p><p>Guindy, Chennai, Tamilnadu, India 600032</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>The Tamilnadu Dr. M.G.R. Medical University</institution><country>Индия</country></aff><aff xml:lang="en"><institution>The Tamilnadu Dr. M.G.R. Medical University</institution><country>India</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>19</day><month>10</month><year>2024</year></pub-date><volume>16</volume><issue>5</issue><fpage>87</fpage><lpage>90</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Shanmuganathan K., Kalpana S., Sundar J.S., Valarmathi S., Srinivas G., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Shanmuganathan K., Kalpana S., Sundar J.S., Valarmathi S., Srinivas G.</copyright-holder><copyright-holder xml:lang="en">Shanmuganathan K., Kalpana S., Sundar J.S., Valarmathi S., Srinivas G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://nnp.ima-press.net/nnp/article/view/2382">https://nnp.ima-press.net/nnp/article/view/2382</self-uri><abstract><p>A locomotor disability in the geriatric population is a physical condition that impairs mobility and movement in older persons. It is frequently caused by age-related causes such as degenerative diseases, osteoarthritis, or neurological abnormalities. This impairment can have a substantial influence on older people's quality of life by limiting their ability to conduct daily activities independently, such as walking, standing, or climbing stairs. Addressing locomotor impairments in older persons is critical for preserving their mobility, independence, and overall well-being, ultimately improving their quality of life as they age.</p><p>A comprehensive literature search was conducted, which were sourced from PubMed, google scholar, Japanese government websites, springer link, semantic scholar generated significant studies using the keywords like locomotor disability, older population, mobility, quality of life, aging. We included articles which were published from 2005–2024.</p><p>Locomotive Syndrome (LS) affects a significant portion of the elderly population, with prevalence ranging from 8.4% to 50.3%, increasing with age and higher in women. It shows the correlations with osteoporosis and sarcopenia, suggesting potential shared risk factors or pathways. By this the older people tend to have lower quality of life, particularly concerning spinal alignment and trunk deformity. Exercise interventions, including locomotive training, aerobic exercise, and muscle training, are suggested for LS prevention. Vitamin D supplementation may benefit bone health and fall prevention in older individuals.</p><p>Locomotor syndrome is a substantial concern, especially in ageing populations, with considerable implications for quality of life. Its prevalence, which is frequently associated with osteoporosis and sarcopenia, highlights the necessity of preventive measures including exercise and vitamin D supplementation. Recognising the impact of LS on mobility and well-being is critical for establishing focused interventions to prevent and manage its progression, thereby improving the overall health and independence of geriatric population.</p></abstract><trans-abstract xml:lang="ru"><p>A locomotor disability in the geriatric population is a physical condition that impairs mobility and movement in older persons. It is frequently caused by age-related causes such as degenerative diseases, osteoarthritis, or neurological abnormalities. This impairment can have a substantial influence on older people's quality of life by limiting their ability to conduct daily activities independently, such as walking, standing, or climbing stairs. Addressing locomotor impairments in older persons is critical for preserving their mobility, independence, and overall well-being, ultimately improving their quality of life as they age.</p><p>A comprehensive literature search was conducted, which were sourced from PubMed, google scholar, Japanese government websites, springer link, semantic scholar generated significant studies using the keywords like locomotor disability, older population, mobility, quality of life, aging. We included articles which were published from 2005–2024.</p><p>Locomotive Syndrome (LS) affects a significant portion of the elderly population, with prevalence ranging from 8.4% to 50.3%, increasing with age and higher in women. It shows the correlations with osteoporosis and sarcopenia, suggesting potential shared risk factors or pathways. By this the older people tend to have lower quality of life, particularly concerning spinal alignment and trunk deformity. Exercise interventions, including locomotive training, aerobic exercise, and muscle training, are suggested for LS prevention. Vitamin D supplementation may benefit bone health and fall prevention in older individuals.</p><p>Locomotor syndrome is a substantial concern, especially in ageing populations, with considerable implications for quality of life. Its prevalence, which is frequently associated with osteoporosis and sarcopenia, highlights the necessity of preventive measures including exercise and vitamin D supplementation. Recognising the impact of LS on mobility and well-being is critical for establishing focused interventions to prevent and manage its progression, thereby improving the overall health and independence of geriatric population.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>geriatric population</kwd><kwd>locomotive syndrome</kwd><kwd>aging</kwd><kwd>mobility</kwd><kwd>quality of life</kwd><kwd>exercise</kwd><kwd>intervention</kwd></kwd-group><kwd-group xml:lang="en"><kwd>geriatric population</kwd><kwd>locomotive syndrome</kwd><kwd>aging</kwd><kwd>mobility</kwd><kwd>quality of life</kwd><kwd>exercise</kwd><kwd>intervention</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование не имело спонсорской поддержки</funding-statement><funding-statement xml:lang="en">The investigation has not been sponsored</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Yurube T, Ito M, Takeoka T, et al. Possible Improvement of the Sagittal Spinopelvic Alignment and Balance through “Locomotion Training” Exercises in Patients with “Locomotive Syndrome": A Literature Review. Adv Orthop. 2019 Apr 8;2019:6496901. doi: 10.1155/2019/6496901</mixed-citation><mixed-citation xml:lang="en">Yurube T, Ito M, Takeoka T, et al. Possible Improvement of the Sagittal Spinopelvic Alignment and Balance through “Locomotion Training” Exercises in Patients with “Locomotive Syndrome": A Literature Review. Adv Orthop. 2019 Apr 8;2019:6496901. doi: 10.1155/2019/6496901</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Yoshimura N, Muraki S, Oka H, et al. Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab. 2009;27(5):620-8. doi: 10.1007/s00774-009-0080-8. Epub 2009 Jul 1.</mixed-citation><mixed-citation xml:lang="en">Yoshimura N, Muraki S, Oka H, et al. Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab. 2009;27(5):620-8. doi: 10.1007/s00774-009-0080-8. Epub 2009 Jul 1.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Kadono Y, Yasunaga H, Horiguchi H, et al. Statistics for orthopedic surgery 2006–2007: data from the Japanese Diagnosis Procedure Combination database. J Orthop Sci. 2010 Mar;15(2):162-70. doi: 10.1007/s00776-0091448-2. Epub 2010 Apr 1.</mixed-citation><mixed-citation xml:lang="en">Kadono Y, Yasunaga H, Horiguchi H, et al. Statistics for orthopedic surgery 2006–2007: data from the Japanese Diagnosis Procedure Combination database. J Orthop Sci. 2010 Mar;15(2):162-70. doi: 10.1007/s00776-0091448-2. Epub 2010 Apr 1.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Cabinet Office Home Page [Internet]. [cited 2024 May 1]. Annual Report on the Aging Society: 2016 (Summary). Available at: https://www8.cao.go.jp/kourei/english/annualreport/2016/2016pdf_e.html</mixed-citation><mixed-citation xml:lang="en">Cabinet Office Home Page [Internet]. [cited 2024 May 1]. Annual Report on the Aging Society: 2016 (Summary). Available at: https://www8.cao.go.jp/kourei/english/annualreport/2016/2016pdf_e.html</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Kagoshima Prefecture/The specified page was not found. Available at: https://www.pref.kagoshima.jp/ae05/kenkofukushi/koreisya/keikaku/documents/45011_20150423153452-1.pdf (accessed 01.05.2024).</mixed-citation><mixed-citation xml:lang="en">Kagoshima Prefecture/The specified page was not found. Available at: https://www.pref.kagoshima.jp/ae05/kenkofukushi/koreisya/keikaku/documents/45011_20150423153452-1.pdf (accessed 01.05.2024).</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Nakamura K, Ogata T. Locomotive Syndrome: Definition and Management. Clin Rev Bone Miner Metab. 2016;14(2):56-67. doi: 10.1007/s12018-016-9208-2. Epub 2016 May 25.</mixed-citation><mixed-citation xml:lang="en">Nakamura K, Ogata T. Locomotive Syndrome: Definition and Management. Clin Rev Bone Miner Metab. 2016;14(2):56-67. doi: 10.1007/s12018-016-9208-2. Epub 2016 May 25.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Hirano K, Imagama S, Hasegawa Y, et al. Impact of low back pain, knee pain, and timed up-and-go test on quality of life in communityliving people. J Orthop Sci. 2014 Jan;19(1):16471. doi: 10.1007/s00776-013-0476-0. Epub 2013 Oct 17.</mixed-citation><mixed-citation xml:lang="en">Hirano K, Imagama S, Hasegawa Y, et al. Impact of low back pain, knee pain, and timed up-and-go test on quality of life in communityliving people. J Orthop Sci. 2014 Jan;19(1):16471. doi: 10.1007/s00776-013-0476-0. Epub 2013 Oct 17.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Sasaki E, Ishibashi Y, Tsuda E, et al. Evaluation of locomotive disability using loco-check: a cross-sectional study in the Japanese general population. J Orthop Sci. 2013 Jan;18(1):121-9. doi: 10.1007/s00776012-0329-2. Epub 2012 Nov 1.</mixed-citation><mixed-citation xml:lang="en">Sasaki E, Ishibashi Y, Tsuda E, et al. Evaluation of locomotive disability using loco-check: a cross-sectional study in the Japanese general population. J Orthop Sci. 2013 Jan;18(1):121-9. doi: 10.1007/s00776012-0329-2. Epub 2012 Nov 1.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Kimura A, Seichi A, Konno S, et al. Prevalence of locomotive syndrome in Japan: a nationwide, cross-sectional Internet survey. J Orthop Sci. 2014 Sep;19(5):792-7. doi: 10.1007/s00776-014-0606-3. Epub 2014 Jul 23.</mixed-citation><mixed-citation xml:lang="en">Kimura A, Seichi A, Konno S, et al. Prevalence of locomotive syndrome in Japan: a nationwide, cross-sectional Internet survey. J Orthop Sci. 2014 Sep;19(5):792-7. doi: 10.1007/s00776-014-0606-3. Epub 2014 Jul 23.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Iizuka Y, Iizuka H, Mieda T, et al. Population-based study of the association of osteoporosis and chronic musculoskeletal pain and locomotive syndrome: the Katashina study. J Orthop Sci. 2015 Nov;20(6):1085-9. doi: 10.1007/s00776-015-0774-9. Epub 2015 Sep 7.</mixed-citation><mixed-citation xml:lang="en">Iizuka Y, Iizuka H, Mieda T, et al. Population-based study of the association of osteoporosis and chronic musculoskeletal pain and locomotive syndrome: the Katashina study. J Orthop Sci. 2015 Nov;20(6):1085-9. doi: 10.1007/s00776-015-0774-9. Epub 2015 Sep 7.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Muramoto A, Imagama S, Ito Z, et al. Physical performance tests are useful for evaluating and monitoring the severity of locomotive syndrome. J Orthop Sci. 2012 Nov;17(6):782-8. doi: 10.1007/s00776-0120283-z. Epub 2012 Sep 8.</mixed-citation><mixed-citation xml:lang="en">Muramoto A, Imagama S, Ito Z, et al. Physical performance tests are useful for evaluating and monitoring the severity of locomotive syndrome. J Orthop Sci. 2012 Nov;17(6):782-8. doi: 10.1007/s00776-0120283-z. Epub 2012 Sep 8.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Matsumoto H, Nakaso N, Matsuura A, et al. Relationship between Severity of Locomotive Syndrome and the Incidence of Falling, Prevalence of Low Bone Mass, and Sarcopenia. In 2016. Available at: https://www.semanticscholar.org/paper/Relationship-between-Severity-of-Locomotive-andthe-MatsumotoNakaso/cc67d02cf0d45edc63dfc5f66552f33f9a63a886 (accessed 01.05.2024).</mixed-citation><mixed-citation xml:lang="en">Matsumoto H, Nakaso N, Matsuura A, et al. Relationship between Severity of Locomotive Syndrome and the Incidence of Falling, Prevalence of Low Bone Mass, and Sarcopenia. In 2016. Available at: https://www.semanticscholar.org/paper/Relationship-between-Severity-of-Locomotive-andthe-MatsumotoNakaso/cc67d02cf0d45edc63dfc5f66552f33f9a63a886 (accessed 01.05.2024).</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Pisani P, Renna MD, Conversano F, et al. Screening and early diagnosis of osteoporosis through X-ray and ultrasound based techniques. World J Radiol. 2013 Nov 28;5(11):398-410. doi: 10.4329/wjr.v5.i11.398</mixed-citation><mixed-citation xml:lang="en">Pisani P, Renna MD, Conversano F, et al. Screening and early diagnosis of osteoporosis through X-ray and ultrasound based techniques. World J Radiol. 2013 Nov 28;5(11):398-410. doi: 10.4329/wjr.v5.i11.398</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Momoki C, Habu D, Ogura J, etal. Relationships between sarcopenia and household status and locomotive syndrome in a community-dwelling elderly women in Japan. Geriatr Gerontol Int. 2017 Jan;17(1):54-60. doi: 10.1111/ggi.12674. Epub 2016 Jan 21.</mixed-citation><mixed-citation xml:lang="en">Momoki C, Habu D, Ogura J, etal. Relationships between sarcopenia and household status and locomotive syndrome in a community-dwelling elderly women in Japan. Geriatr Gerontol Int. 2017 Jan;17(1):54-60. doi: 10.1111/ggi.12674. Epub 2016 Jan 21.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Iizuka Y, Iizuka H, Mieda T, et al. Association between “loco-check” and EuroQol, a comprehensive instrument for assessing health-related quality of life: a study of the Japanese general population. J Orthop Sci. 2014 Sep;19(5):786-91. doi: 10.1007/s00776-014-0602-7. Epub 2014 Jul 15.</mixed-citation><mixed-citation xml:lang="en">Iizuka Y, Iizuka H, Mieda T, et al. Association between “loco-check” and EuroQol, a comprehensive instrument for assessing health-related quality of life: a study of the Japanese general population. J Orthop Sci. 2014 Sep;19(5):786-91. doi: 10.1007/s00776-014-0602-7. Epub 2014 Jul 15.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Takahashi T, Ishida K, Hirose D, et al. Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people. Osteoporos Int. 2005 Mar;16(3):273-9. doi: 10.1007/s00198-004-1669-3. Epub 2004 Jul 2.</mixed-citation><mixed-citation xml:lang="en">Takahashi T, Ishida K, Hirose D, et al. Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people. Osteoporos Int. 2005 Mar;16(3):273-9. doi: 10.1007/s00198-004-1669-3. Epub 2004 Jul 2.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Locomotive Syndrome. Available at: https://locomo-joa.jp/assets/files/index_english.pdf (accessed 05.05.2024).</mixed-citation><mixed-citation xml:lang="en">Locomotive Syndrome. Available at: https://locomo-joa.jp/assets/files/index_english.pdf (accessed 05.05.2024).</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Sakamoto K, Endo N, Harada A, et al. Why not use your own body weight to prevent falls? A randomized, controlled trial of balance therapy to prevent falls and fractures for elderly people who can stand on one leg for ≤15 s. J Orthop Sci. 2013 Jan;18(1):110-20. doi: 10.1007/s00776-012-0328-3. Epub 2012 Nov 9. Erratum in: J Orthop Sci. 2014 Mar;19(2):373-4. doi: 10.1007/s00776-014-0531-5</mixed-citation><mixed-citation xml:lang="en">Sakamoto K, Endo N, Harada A, et al. Why not use your own body weight to prevent falls? A randomized, controlled trial of balance therapy to prevent falls and fractures for elderly people who can stand on one leg for ≤15 s. J Orthop Sci. 2013 Jan;18(1):110-20. doi: 10.1007/s00776-012-0328-3. Epub 2012 Nov 9. Erratum in: J Orthop Sci. 2014 Mar;19(2):373-4. doi: 10.1007/s00776-014-0531-5</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Hosoi T, Fujita H, Arai T, Ishibashi H. The Functional Characteristics of People who Continued Locomotion Training. Rigakuryoho Kagaku. 2012;27(4):407-10.</mixed-citation><mixed-citation xml:lang="en">Hosoi T, Fujita H, Arai T, Ishibashi H. The Functional Characteristics of People who Continued Locomotion Training. Rigakuryoho Kagaku. 2012;27(4):407-10.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Maruya: Exercise interventions for improving motor... Available at: https://scholar.google.com/scholar_lookup?title =Exercise interventions for improving motor function in community-dwelling middleaged and elderly: effects due to differences in body mass index&amp;author=K. Maruya&amp;publication_year=2015&amp;pages=99-107 (accessed 05.05.2024).</mixed-citation><mixed-citation xml:lang="en">Maruya: Exercise interventions for improving motor... Available at: https://scholar.google.com/scholar_lookup?title =Exercise interventions for improving motor function in community-dwelling middleaged and elderly: effects due to differences in body mass index&amp;author=K. Maruya&amp;publication_year=2015&amp;pages=99-107 (accessed 05.05.2024).</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Uusi-Rasi K, Patil R, Karinkanta S, et al. Exercise and vitamin D in fall prevention among older women: a randomized clinical trial. JAMA Intern Med. 2015 May;175(5):703-11. doi: 10.1001/jamainternmed.2015.0225</mixed-citation><mixed-citation xml:lang="en">Uusi-Rasi K, Patil R, Karinkanta S, et al. Exercise and vitamin D in fall prevention among older women: a randomized clinical trial. JAMA Intern Med. 2015 May;175(5):703-11. doi: 10.1001/jamainternmed.2015.0225</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
