« 1回目:ロコモを知ろう | Main | 第3回「ロコモチェック」 »

2013.10.28

第二回「ロコモとは何か?」

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日南田 皆さんこんにちは、毎回運動器の障害であるロコモティブシンドローム
略して「ロコモ」についてお送りしています。今回のテーマは「ロコモとは何か?」です。
先生、まずロコモについてのお話の前に運動器とは何かを教えていただけますか?
寺畑  はい、わかりやすく説明します。運動器の働きはバランスよく体を支えて運動し、体を移動する役割を持つ働きの部分の総称ですね。
具体的にはこの左の太ももからすねの図にあるように
筋肉
関節
関節の中にある軟骨
そして骨ですね。
一方これらに動くように命令を出す背骨の部分の拡大図が右の図です。
赤い点線で囲った脳は命令を出す大元でこれ自体は運動器ではありませんが
それ以下の脊髄、脊髄を取り巻くように守っている脊椎と椎間板および末梢神経と呼ばれる神経が体に動きを伝える電気コードのような役割をもち、これもまた運動器の一部と言えますね。


日南田 それでは先生、これら運動器の障害がロコモということですが、ロコモの原因とは何ですか?
寺畑  はい、そうですね。運動器の障害というのは大きく分けて2つあります。
    まず、ひとつは     ① 運動器自体の病気
車に例えますと部品の故障、事故などがこれに当たりますね。

       そしてもう一つは ②加齢による運動器の機能低下
これも車に例えますと、全く無事故でも車検を何度も通してもやはり車には寿命といいますか老朽化で最後には廃車になるほど動きづらく状態と考えればわかりやすいと思います。

ロコモの原因 
①運動器自体の病気   変形性関節症、変形性脊椎症、骨折、 関節リウマチなど
②加齢による運動器の機能低下  閉じこもり 運動不足 筋力やバランス能力の低下

日南田 具体的に運動器自体の病気とはなんでしょうか?
寺畑  関節軟骨が傷む、変形性関節症、変形性脊椎症、骨粗しょう症にともなう骨折
そして関節リウマチなどがあります。
日南田  2番目の加齢による機能障害とは何ですか?
寺畑   家に閉じこもりなどで運動不足になりますね。
     そして運動不足になると 筋力やバランス能力が低下します。
     さらに転びやすくなる  という一連の状態ですね。
日南田  先生、日本にはロコモと考えられる人はどれくらいいるのでしょうか?
寺畑   はい、ロコモは国民病と言われています。
推定人数は 全体で 47000万人    男性 2100万人
                         女性 2600万人  と言われています。
                   ロコモ推定人数
              全体で 47000万人    男性 2100万人
                   女性 2600万人
日南田  え~~~~!そんなに多いのですか?
寺畑  はい、ですから超高齢社会の日本において2007年に日本整形外科学会が
   運動器の健康を保つためには医師の診断による医学的な評価と対策が重要であると、
   そして、このことを国民の皆様に意識して欲しいという活動を行っているんですね。
 
本日のまとめ
① ロコモの原因は運動器の病気と加齢による能力低下によるものがある。
② ロコモの推定人口は4700万人の国民病である
③ まずは正しいロコモの医学的な評価を受けることが大切

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