Association between isokinetic strength measures and functional performance in community-dwelling older adults

Authors

DOI:

https://doi.org/10.1590/1809-2950/e22014323pt

Keywords:

Muscle Strength, Activities of Daily Living, Walking Speed, Sitting Position

Abstract

Previous studies have shown an association
between lower limb muscle strength and functional
performance, but a dose-response relationship between the
strength of each lower limb muscle group and performance
in daily life activities in older adults has not been well
established. Thus, this study aimed to investigate the
association between isokinetic muscle strength of all eight
major lower limb muscle groups and functional performance
in community-dwelling older adults. The muscle strength of
the plantar flexors and dorsiflexors of the ankle, flexors and
extensors of the knee, and flexors, extensors, adductors, and
abductors of the hip were evaluated using a Biodex System
4 Pro® isokinetic dynamometer. Functional performance was
evaluated in 109 participants using the five-times sit-tostand test (STS) and 4-meter usual walking speed (UWS).
The multiple linear regression analyses showed that the hip
abductors strength predicted 31.3% of the variability for
UWS (p=0.011), and the knee extensors strength (p=0.015)
predicted 31.6% of the variability for the STS. We conclude
that hip abductors and knee extensors could be the key
muscle groups involved in sit to stand and walking speed
performance in older adult

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References

McCarthy EK, Horvat MA, Holtsberg PA, Wisenbaker JM.

Repeated chair stands as a measure of lower limb strength

in sexagenarian women. J Gerontol A Biol Sci Med Sci.

;59(1):1207-12. doi: 10.1093/gerona/59.11.1207.

Middleton A, Fritz SL, Lusardi M. Walking speed: the functional

vital sign. J Aging Phys Act. 2015;23(2):314-22. doi: 10.1123/

japa.2013-0236.

Goldberg A, Chavis M, Watkins J, Wilson T. The five-times-sitto-stand test: validity, reliability and detectable change in older

females. Aging Clin Exp Res. 2012;24(4):339-44. doi: 10.1007/

BF03325265.

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, et al.

Sarcopenia: revised European consensus on definition and

diagnosis. Age Ageing. 2019;48(1):16-31. doi: 10.1093/ageing/

afy169.

Menz HB, Morris ME, Lord SR. Foot and ankle characteristics

associated with impaired balance and functional ability in older

people. J Gerontol A Biol Sci Med Sci. 2005;60(12):1546-52.

doi: 10.1093/gerona/60.12.1546.

Jung H, Yamasaki M. Association of lower extremity range

of motion and muscle strength with physical performance

of community-dwelling older women. J Physiol Anthropol.

;35(1):30. doi: 10.1186/s40101-016-0120-8.

Evans W. Functional and metabolic consequences of sarcopenia.

J Nutr. 1997;127(5 Suppl):998S-1003S. doi: 10.1093/jn/127.5.998S.

Callisaya ML, Blizzard L, Schmidt MD, McGinley JL, Lord SR, et al.

A population-based study of sensorimotor factors affecting gait

in older people. Age Ageing. 2009;38(3):290-5. doi: 10.1093/

ageing/afp017.

Barbat-Artigas S, Rolland Y, Cesari M, Abellan van Kan G, Vellas

B, et al. Clinical relevance of different muscle strength indexes

and functional impairment in women aged 75 years and older.

J Gerontol A Biol Sci Med Sci. 2013;68(7):811-9. doi: 10.1093/

gerona/gls254.

Inoue W, Ikezoe T, Tsuboyama T, Sato I, Malinowska KB, et al.

Are there different factors affecting walking speed and gait

cycle variability between men and women in communitydwelling older adults? Aging Clin Exp Res. 2017;29(2):215-21.

doi: 10.1007/s40520-016-0568-8.

Lord SR, Murray SM, Chapman K, Munro B, Tiedemann A. Sit-tostand performance depends on sensation, speed, balance, and

psychological status in addition to strength in older people. J

Gerontol A Biol Sci Med Sci. 2002;57(8):M539-43. doi: 10.1093/

gerona/57.8.M539.

Suzuki T, Bean JF, Fielding RA. Muscle power of the ankle

flexors predicts functional performance in communitydwelling older women. J Am Geriatr Soc. 2001;49(9):1161-7.

doi: 10.1046/j.1532-5415.2001.49232.x.

Spink MJ, Fotoohabadi MR, Wee E, Hill KD, Lord SR, et al. Foot

and ankle strength, range of motion, posture, and deformity

are associated with balance and functional ability in older

adults. Arch Phys Med Rehabil. 2011;92(1):68-75. doi: 10.1016/j.

apmr.2010.09.024.

Bohannon RW. Comfortable and maximum walking speed of

adults aged 20-79 years: reference values and determinants.

Age Ageing. 1997;26(1):15-9. doi: 10.1093/ageing/26.1.15.

Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH.

Suggestions for utilization of the mini-mental state examination

in Brazil. Arq Neuropsiquiatr. 2003;61(3B):777-81. doi: 10.1590/

s0004-282x2003000500014.

Lipschitz DA. Screening for nutritional status in the elderly. Prim

Care. 1994;21(1):55-67. doi: 10.1016/S0095-4543(21)00452-8.

Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO,

et al. Physical activity and public health in older adults:

recommendation from the American College of Sports Medicine

and the American Heart Association. Med Sci Sports Exerc.

;39(8):1435-45. doi: 10.1249/mss.0b013e3180616aa2.

Drouin JM, Valovich-mcLeod TC, Shultz SJ, Gansneder BM,

Perrin DH. Reliability and validity of the Biodex system 3

pro isokinetic dynamometer velocity, torque and position

measurements. Eur J Appl Physiol. 2004;91(1):22-9. doi: 10.1007/

s00421-003-0933-0.

Camargos MB, Palmeira AS, Fachin-Martins E. Cross-cultural

adaptation to Brazilian Portuguese of the Waterloo Footedness

Questionnaire-Revised: WFQ-R-Brazil. Arq Neuropsiquiatr.

;75(10):727-35. doi: 10.1590/0004-282X20170139.

Goldberg A, Schepens S. Measurement error and minimum

detectable change in 4-meter gait speed in older adults. Aging

Clin Exp Res. 2011;23(5-6):406-12. doi: 10.1007/BF03325236.

Field A. Descobrindo a estatística usando o SPSS. 2nd ed.

Porto Alegre: Artmed; 2009.

Cohen J. Statistical power analysis for the behavioral sciences.

nd ed. Hillsdale: Lawrence Earlbaum Associates; 1988.

Perry J. Análise de marcha: marcha normal. Barueri: Manole;

Anderson FC, Pandy MG. Individual muscle contributions to

support in normal walking. Gait Posture. 2003;17(2):159-69.

doi: 10.1016/S0966-6362(02)00073-5.

Neumann DA. Kinesiology of the hip: a focus on muscular

actions. J Orthop Sports Phys Ther. 2010;40(2):82-94.

doi: 10.2519/jospt.2010.3025.

Visek AJ, Olson EA, DiPietro L. Factors predicting adherence

to 9 months of supervised exercise in healthy older women.

J Phys Act Health. 2011;8(1):104-10. doi: 10.1123/jpah.8.1.104.

Published

2023-12-05

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Section

Original Research

How to Cite

Association between isokinetic strength measures and functional performance in community-dwelling older adults. (2023). Fisioterapia E Pesquisa, 30(2), e22014323pt. https://doi.org/10.1590/1809-2950/e22014323pt