Table 1 Geriatric Locomotive Function Scale (GLFS) -25
Please answer on your status over the last one month | ||
|---|---|---|
Question items | Domain | Response options |
1. Did you have any pain (including numbness) in your neck or upper limbs (shoulder, arm, or hand)? | pain | 0: no pain 1: mild pain 2: moderate pain 3: considerable pain 4: severe pain |
2. Did you have any pain in your back, lower back or buttocks? | pain | |
3. Did you have any pain (including numbness) in your lower limbs (hip, thigh, knee, calf, shin, ankle, or foot)? | pain | |
4. To what extent has it been painful to move your body in daily life? | pain | |
5. To what extent has it been difficult to get up from a bed or lie down? | mobility | 0: not difficult 1: mildly difficult 2: moderately difficult 3: considerably difficult 4: extremely difficult |
6. To what extent has it been difficult to stand up from a chair? | mobility | |
7. To what extent has it been difficult to walk inside the house? | mobility | |
8. To what extent has it been difficult to put on and take off shirts? | self-care | |
9. To what extent has it been difficult to put on and take off trousers and pants? | self-care | |
10. To what extent has it been difficult to use the toilet? | self-care | |
11. To what extent has it been difficult to wash your body in the bath? | self-care | |
12. To what extent has it been difficult to go up and down stairs? | mobility | |
13. To what extent has it been difficult to walk briskly? | mobility | |
14. To what extent has it been difficult to keep yourself neat? | self-care | |
15. How far can you keep walking without rest? (please select the closest answer) | mobility | 0: more than 2-3 km 1: approximately 1 km 2: approximately 300 m 3: approximately 100 m 4: approximately 10 m |
16. To what extent has it been difficult to go out to visit neighbors? | Interpersonal interactions | 0: not difficult 1: mildly difficult 2: moderately difficult 3: considerably difficult 4: extremely difficult |
17. To what extent has it been difficult to carry objects weighing approximately 2 kg (2 standard milk bottles or 2 PET bottles each containing 1 l)? | mobility | |
18. To what extent has it been difficult to go out using public transportation? | mobility | |
19. To what extent have simple tasks and housework (preparing meals, cleaning up, etc.) been difficult? | Domestic life | |
20. To what extent have load-bearing tasks and housework (cleaning the yard, carrying heavy bedding, etc.) been difficult? | Domestic life | |
21. To what extent has it been difficult to perform sports activity (jogging, swimming, gate ball, dancing, etc.)? | Community, social life | |
22. Have you been restricted from meeting your friends? | Interpersonal interactions | 0: not restricted 1: slightly restricted 2: restricted about half the time 3: considerably restricted 4: gave up all activities |
23. Have you been restricted from joining social activities (meeting friends, playing sport, engaging in activities and hobbies, etc.)? | Community, social life | |
24. Have you ever felt anxious about falls in your house? | anxiety | 0: have not felt anxious 1: have occasionally felt anxious 2: have sometimes felt anxious 3: have often felt anxious 4: have constantly felt anxious |
25. Have you ever felt anxious about being unable to walk in the future? | anxiety | |