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Fukushima T, Okita Y, Watanabe N, Yokota S, Nakano J, Kawai A. Evaluation of clinical factors associated with early postoperative physical function and lower extremity functional impairment in patients with soft tissue sarcoma. Disabil Rehabil 2024; 46:3426-3431. [PMID: 37622737 DOI: 10.1080/09638288.2023.2249413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 06/21/2023] [Accepted: 08/15/2023] [Indexed: 08/26/2023]
Abstract
PURPOSE This study aimed to investigate the relationship between various clinical factors and physical function in the early postoperative period in patients with soft tissue sarcomas (STSs) by subjective and objective evaluations. MATERIALS AND METHODS The 90 patients enrolled in this study were classified into five groups according to tumor location: retroperitoneal, gluteal, groin, thigh, and lower leg. The Musculoskeletal Tumor Society (MSTS) score was evaluated at discharge; the timed up-and-go test (TUGT) was performed preoperatively and at discharge. Group comparisons by tumor location were performed. To identify significant factors associated with physical dysfunction, multivariate analysis was performed using an MSTS score of <80% and a change in pre and postoperative TUGT score. RESULTS There were no significant differences between the tumor location and physical function. The change in pre- and postoperative TUGT scores was significantly associated with an MSTS score of <80%. Quadriceps and tibialis anterior muscle resections were significantly associated with the change in pre- and post-operative TUGT scores. CONCLUSIONS The quadriceps and tibialis anterior muscles may affect physical dysfunction after surgery for STSs. Early postoperative rehabilitation should include the identification of resected muscles and functional improvement of residual muscles, possibly with orthotic support for knee extension and ankle dorsiflexion.
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Affiliation(s)
- Takuya Fukushima
- Department of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan
- Faculty of Rehabilitation, Kansai Medical University, Osaka, Japan
| | - Yusuke Okita
- Department of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan
| | - Noriko Watanabe
- Department of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan
| | - Shota Yokota
- Department of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan
| | - Jiro Nakano
- Faculty of Rehabilitation, Kansai Medical University, Osaka, Japan
| | - Akira Kawai
- Department of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan
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da Costa Pereira JP, Queiroz Júnior JRAD, Medeiros LCD, Araújo Bezerra GK, Porto IVP, Cabral PC, Luz MCLD, Pinho CPS, Romero RA. Sarcopenia and dynapenia is correlated to worse quality of life perception in middle-aged and older adults with Parkinson's disease. Nutr Neurosci 2024; 27:310-318. [PMID: 36932322 DOI: 10.1080/1028415x.2023.2190246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
Abstract
BACKGROUND There are few studies that assess the relationship between nutritional status and quality of life in individuals with Parkinson's disease, despite the well-established negative impact of sarcopenia and dynapenia on functional capacity and quality of life. These conditions impair protein-muscular status and are prevalent in individuals with Parkinson's disease. This study aimed to examine the relationship between nutritional status, including body composition, functional capacity, and diagnosis of sarcopenia and dynapenia, and quality-of-life perception in individuals with Parkinson's disease. METHODS This is a cross-sectional study conducted in two Parkinson's disease centers in the northeast of Brazil. The researchers assessed muscle strength, muscle mass, and physical performance to diagnose dynapenia, sarcopenia and functional capacity. Quality of life was estimated using the Parkinson's disease Quality of Life Questionnaire. RESULTS We found positive correlations between quality of life and variables such as severity and duration of the disease, as well as positive screening for sarcopenia (p<0.001). Negative correlations were observed between quality of life and muscle strength and functional capacity. The study also found that individuals with sarcopenia and dynapenia had significantly worse quality-of-life scores compared to those who did not have these nutritional outcomes (p <0.05; p <0.001). CONCLUSIONS The presence of sarcopenia, dynapenia, low gait speed, disease duration, and severity had an impact on higher scores in the Parkinson's Disease Quality of Life Questionnaire, indicating a worsening perception of quality of life.
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Affiliation(s)
- Jarson Pedro da Costa Pereira
- Hospital das Clínicas of Pernambuco, Recife, Brazil
- Department of Nutrition, Federal University of Pernambuco, Recife, Brazil
| | | | | | | | | | | | - Marcella Campos Lima da Luz
- Hospital das Clínicas of Pernambuco, Recife, Brazil
- Department of Nutrition, Federal University of Pernambuco, Recife, Brazil
| | - Cláudia Porto Sabino Pinho
- Hospital das Clínicas of Pernambuco, Recife, Brazil
- Department of Nutrition, Federal University of Pernambuco, Recife, Brazil
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Wei N, Wang X, Chen L, Lyu M. Effects of flexi-bar training on muscle strength and physical performance in older people with dynapenia: the protocol of a randomised controlled trial. BMJ Open 2021; 11:e048629. [PMID: 34426464 PMCID: PMC8383850 DOI: 10.1136/bmjopen-2021-048629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Dynapenia is a new term that is used to describe the age-related loss of muscle strength. Flexi-bar training is a safe and feasible device for older people with dynapenia. This study will investigate the effects of a 12-week flexi-bar training programme on muscle strength and physical function in older people with dynapenia. METHODS AND ANALYSIS A total of 114 participants (aged more than 65 years) with age-related muscle loss will participate in a 12-week flexi-bar training programme. The participants will be randomly divided into three groups, namely, flexi-bar, placebo and control, with equal number of participants in each group. The assessments will be conducted at preintervention, postintervention and 12 weeks after training completion. The primary outcome is timed-up-and-go test. The secondary outcomes are five-repetition sit-to-stand test, 10-metre walking test, handgrip strength, as well as the serum albumin and haemoglobin levels. ETHICS AND DISSEMINATION The procedures of this study were reviewed and approved by the Human Ethics Review Board of Wuhan Brain Hospital (General Hospital of the Yangtze River Shipping) on 29 September 2020 (#L20200013). The findings of this study will be published in peer-reviewed journals and presented at conferences. The trial was registered on 6 November 2020. TRIAL REGISTRATION NUMBER ISRCTN14316668.
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Affiliation(s)
- Ning Wei
- Department of Rehabilitation Sciences, Wuhan Polytechnic University, Wuhan, China
| | - Xinxin Wang
- Department of Rehabilitation Sciences, Wuhan Polytechnic University, Wuhan, China
| | - Ling Chen
- Department of Rehabilitation Sciences, Wuhan Polytechnic University, Wuhan, China
| | - Mengyu Lyu
- Department of Rehabilitation Sciences, Wuhan Polytechnic University, Wuhan, China
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Mansson L, Bäckman P, Öhberg F, Sandlund J, Selling J, Sandlund M. Evaluation of Concurrent Validity between a Smartphone Self-Test Prototype and Clinical Instruments for Balance and Leg Strength. SENSORS (BASEL, SWITZERLAND) 2021; 21:1765. [PMID: 33806379 PMCID: PMC7961526 DOI: 10.3390/s21051765] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 01/26/2021] [Accepted: 02/26/2021] [Indexed: 01/02/2023]
Abstract
The evolving use of sensors to objectively assess movements is a potentially valuable addition to clinical assessments. We have developed a new self-test application prototype, MyBalance, in the context of fall prevention aimed for use by older adults in order to independently assess balance and functional leg strength. The objective of this study was to investigate the new self-test application for concurrent validity between clinical instruments and variables collected with a smartphone. The prototype has two test procedures: static standing balance test in two positions, and leg strength test performed as a sit-to-stand test. Thirty-one older adults were assessed for balance and functional leg strength, in an outpatient physiotherapy setting, using seven different clinical assessments and three sensor-tests. The results show that clinical instruments and sensor measurements correlate to a higher degree for the smartphone leg strength test. For balance tests, only a few moderate correlations were seen in the Feet Together position and no significant correlations for the Semi Tandem Stance. This study served as a first step to develop a smartphone self-test application for older adults to assess functional balance at home. Further research is needed to test validity, reliability, and user-experience of this new self-test application.
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Affiliation(s)
- Linda Mansson
- Section of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden; (L.M.); (P.B.); (J.S.); (J.S.)
| | - Pernilla Bäckman
- Section of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden; (L.M.); (P.B.); (J.S.); (J.S.)
| | - Fredrik Öhberg
- Department of Radiation Science, Umeå University, 901 87 Umeå, Sweden;
| | - Jonas Sandlund
- Section of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden; (L.M.); (P.B.); (J.S.); (J.S.)
| | - Jonas Selling
- Section of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden; (L.M.); (P.B.); (J.S.); (J.S.)
| | - Marlene Sandlund
- Section of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden; (L.M.); (P.B.); (J.S.); (J.S.)
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Dietze-Hermosa M, Montalvo S, Gonzalez MP, Dorgo S. Physical fitness in older adults: Is there a relationship with the modified Functional Movement Screen™? J Bodyw Mov Ther 2020; 25:28-34. [PMID: 33714507 DOI: 10.1016/j.jbmt.2020.11.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 10/13/2020] [Accepted: 11/13/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION The modified Functional Movement Screen™ (mFMS) has been used to screen for mobility, stability, motor control, and balance in older adults, yet, its relationship to measures of physical fitness is not fully understood. The purpose of this study was to determine the association between mFMS scores and measures of physical fitness in older adults. A secondary aim was to determine physical fitness differences depending on mFMS Lower Body Motor Control Screen scores. METHODS One hundred and eight older adults completed this cross-sectional study. Measurements of physical fitness included: Handgrip Strength (HG), Back-Leg Strength Dynamometer (BLS), 8 foot Up and Go (8UG), Vertical Jump (VJ), Medicine Ball Throw (MBT), Chair Stand (CST), Arm Curl (AC), and 6-Minute Walk test (6 MW). The mFMS consisted of four screens: Shoulder Mobility Screen (SMS), Deep Squat (DS), Active Straight Leg Raise (ASLR), and a Lower Body Motor Control Screen (LB-MCS). Spearman's R correlations determined associations between physical fitness tests and mFMS scores (DS, SMS, ASLR). Independent t-tests or Mann Whitney U tests determined whether individuals who passed the LB-MCS displayed higher physical fitness scores. RESULTS The DS was significantly correlated with all fitness measures (p < 0.05). Higher DS scores were associated with better HG (r = 0.31), BLS (r = 0.49), VJ height (r = 0.54), MBT (r = 0.41), CST (r = 0.57), AC (r = 0.30), 6 MW (r = 0.50), and 8UG (r = -0.61) performance. Individuals who passed the LB-MCS displayed superior BLS, 8UG test, and 6 MW test performance (p < 0.05). DISCUSSION & CONCLUSION Higher DS scores are associated with higher physical fitness scores. Individuals who passed the LB-MCS displayed better physical fitness scores. Practitioners may desire to use the mFMS to measure physical fitness in older adults.
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Affiliation(s)
| | - Samuel Montalvo
- College of Health Sciences, The University of Texas at El Paso, El Paso, TX, USA
| | - Matthew P Gonzalez
- College of Health Sciences, The University of Texas at El Paso, El Paso, TX, USA
| | - Sandor Dorgo
- Department of Kinesiology, The University of Texas at El Paso, El Paso, TX, USA.
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Choi W, Joo Y, Lee S. Pilates exercise focused on ankle movements for improving gait ability in older women. J Women Aging 2019; 33:30-40. [PMID: 31122161 DOI: 10.1080/08952841.2019.1618129] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Pilates exercise is a structured physical activity that has been demonstrated to improve physical functions in older adults. The aim of this study was to determine whether Pilates exercise can improve gait, muscle strength, and mobility in community-dwelling older women. Twenty-two participants were recruited (mean 75.68 years old) to perform Pilates exercise for 30 minutes, twice a week for 10 weeks. After 10 weeks, significant improvements were observed in the spatial gait parameters, muscle strength, and range of motion of ankle (P < .05). Pilates exercise is beneficial exercise to improve gait, muscle strength, and mobility in community-dwelling older women.
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Affiliation(s)
- Wonjae Choi
- Institute of SMART Rehabilitation, Sahmyook University , Seoul, Korea
| | - Younglan Joo
- Department of Physical Therapy, The Graduate School of Sahmyook University , Seoul, Korea
| | - Seungwon Lee
- Institute of SMART Rehabilitation, Sahmyook University , Seoul, Korea.,Department of Physical Therapy, Sahmyook University , Seoul, Korea
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Nomura T, Kawae T, Kataoka H, Ikeda Y. Aging, physical activity, and diabetic complications related to loss of muscle strength in patients with type 2 diabetes. Phys Ther Res 2018; 21:33-38. [PMID: 30697507 DOI: 10.1298/ptr.r0002] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Accepted: 08/27/2018] [Indexed: 12/25/2022]
Abstract
Patients with type 2 diabetes may have motor dysfunctions such as loss of muscle strength. Compared with non-diabetic subjects, patients with diabetes show decreased lower extremity muscle strength. The aim of this review was to describe the influence of factors associated with loss of muscle strength in patients with type 2 diabetes. Aging promotes an accelerated loss of muscle strength in patients with diabetes. Physical inactivity may cause a decline in muscle strength in patients with diabetes. Gradual loss of muscle strength is related to the presence and severity of diabetic neuropathy. Diabetic nephropathy may be a factor contributing to loss of muscle strength, because decrease in skeletal muscle mass is a hallmark of end-stage renal disease. Resistance exercise is an essential component of diabetes treatment regimens and also plays a role in the prevention and management of sarcopenia. Intensive physical therapy intervention should be provided to patients with diabetes having decreased muscle strength.
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Affiliation(s)
- Takuo Nomura
- Department of Rehabilitation Sciences, Kansai University of Welfare Sciences
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Migliaccio GM, Dello Iacono A, Ardigò LP, Samozino P, Iuliano E, Grgantov Z, Padulo J. Leg Press vs. Smith Machine: Quadriceps Activation and Overall Perceived Effort Profiles. Front Physiol 2018; 9:1481. [PMID: 30405437 PMCID: PMC6206431 DOI: 10.3389/fphys.2018.01481] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Accepted: 10/01/2018] [Indexed: 11/22/2022] Open
Abstract
First aim was describing Smith machine squat and leg press exercise as nominal load, knee extensors activity, and rating of perceived exertion. Second aim was developing predictive equations to provide same muscular activation and same perceived exertion nominal loads during the two exercises. To do that, vastus lateralis and vastus medialis activation, as their summed surface electromyography signal integrals, and overall perceived exertions were measured at different nominal loads during Smith machine squat and leg press exercise in adult male athletes experienced in weight training. Correlation and multistep stepwise analyses were performed. Then, two different results-driven predictive equations to provide same electromyography signals and same perceived exertion nominal loads were developed. The same electromyography signal equation results were less accurate (i.e., less predictive) due to high inter-individual differences, whereas the same perceived exertion equation results were more accurate, because perceived exertion is more related to the Smith machine squat and leg press exercise overall level of exertion than to the two single muscles that were investigated. In conclusion, these two equations represented an initial attempt to provide athletes and coaches with a new tool to mutually convert equivalent nominal loads during Smith machine squat and leg press exercise over a training period.
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Affiliation(s)
| | - Antonio Dello Iacono
- Wingate Institute, The Academic College at Wingate, Netanya, Israel.,Institute of Clinical Exercise and Health Science, School of Health and Life Sciences, University of the West of Scotland, Hamilton, United Kingdom
| | - Luca Paolo Ardigò
- Department of Neurosciences, School of Exercise and Sport Science, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Pierre Samozino
- Laboratoire Interuniversitaire de Biologie de la Motricité, EA 7424, Université Savoie Mont Blanc, Chambéry, France
| | - Enzo Iuliano
- Faculty of Psychology, eCampus University, Novedrate, Italy
| | - Zoran Grgantov
- Faculty of Psychology, eCampus University, Novedrate, Italy
| | - Johnny Padulo
- Faculty of Psychology, eCampus University, Novedrate, Italy.,Faculty of Kinesiology, University of Split, Split, Croatia
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Efficacy of Elastic Resistance Training Program for the Institutionalized Elderly. TOPICS IN GERIATRIC REHABILITATION 2018. [DOI: 10.1097/tgr.0000000000000179] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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10
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Motalebi SA, Cheong LS, Iranagh JA, Mohammadi F. Effect of low-cost resistance training on lower-limb strength and balance in institutionalized seniors. Exp Aging Res 2018; 44:48-61. [DOI: 10.1080/0361073x.2017.1398810] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Loke Seng Cheong
- Institute of Gerontology, Universiti Putra Malaysia (UPM), Serdang, Selangor, Malaysia
| | | | - Fatemeh Mohammadi
- Nursing and Midwifery Faculty, Qazvin University of Medical Sciences, Qazvin, Iran
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Oliveira LC, Oliveira RG, Pires-Oliveira DADA. Pilates increases the isokinetic muscular strength of the knee extensors and flexors in elderly women. J Bodyw Mov Ther 2017; 21:815-822. [DOI: 10.1016/j.jbmt.2017.01.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Revised: 01/03/2017] [Accepted: 01/04/2017] [Indexed: 01/17/2023]
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Gafner S, Bastiaenen CHG, Terrier P, Punt I, Ferrari S, Gold G, de Bie R, Allet L. Evaluation of hip abductor and adductor strength in the elderly: a reliability study. Eur Rev Aging Phys Act 2017; 14:5. [PMID: 28450961 PMCID: PMC5404282 DOI: 10.1186/s11556-017-0174-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Accepted: 04/08/2017] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND In elderly individuals an increased muscle strength contributes to the diminution of the falls risk and associated adverse events. An increasing interest in lateral control exists due to the fatal consequences of postero-lateral falls. Therefore a proper assessment of frontal plane hip muscle strength in elderly is important but remains challenging. Therefore we aimed to investigate the feasibility and repeatability of a hip abductor and adductor maximum voluntary isometric strength (MVIS) and rate of force generation (RFG) test in elderly. This represents an initial step in the development process of a new and clinically relevant test that could lead to more specific treatment protocols for this population. METHODS In this measurement focused study hip abduction (ABD) and adduction (ADD) MVIS and RFG were tested twice within one to three hours with a dynamometer fixed to a custom made frame in a geriatric population including fallers and non-fallers. Intraclass correlation coefficient (ICCagreement), standard error of measurement (SEM), and smallest detectable difference (SDD) were determined. RESULTS All recruited persons (N = 76; mean age (SD) 80.46 (7.05) years old) completed the tests. The average time needed to complete the strength tests was 10.58 min. (1.56) per muscle group. The reliability of the hip ABD and ADD was high with ICC'sagreement ranging from 0.83 to 0.97. The SDD varied between 18.1 and 81.8% depending on the muscle group and type of strength that was evaluated. CONCLUSION Hip abductor and adductor strength measures in older person are feasible and reliable. However, the significance of moderate changes in these measurements may be limited by the large SDD and SEM. Therefore, physical therapist should be careful when using this measure for assessing the progress of an individual person in a daily clinical use.
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Affiliation(s)
- Simone Gafner
- Department of Physiotherapy, HES-SO//University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland
- Department of Epidemiology, Research program Functioning and Rehabilitation CAPHRI, Maastricht University, Maastricht, The Netherlands
| | - Caroline H. G. Bastiaenen
- Department of Epidemiology, Research program Functioning and Rehabilitation CAPHRI, Maastricht University, Maastricht, The Netherlands
| | - Philippe Terrier
- Clinique romande de réadaptation SUVACare, Sion, Switzerland
- Institute for Research in Rehabilitation, Sion, Switzerland
| | - Ilona Punt
- Department of Physiotherapy, HES-SO//University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland
- Department of Epidemiology, Maastricht University, Maastricht, The Netherlands
| | - Serge Ferrari
- Department of Internal Medicine Specialties, University Hospitals and University of Geneva, Geneva, Switzerland
| | - Gabriel Gold
- Department of Rehabilitation and Geriatric University Hospitals and University of Geneva, Geneva, Switzerland
| | - Rob de Bie
- Department of Epidemiology, Maastricht University, Maastricht, The Netherlands
| | - Lara Allet
- Department of Physiotherapy, HES-SO//University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland
- Department of Community Medicine, University Hospitals and University of Geneva, Geneva, Switzerland
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Benichou O, Lord SR. Rationale for Strengthening Muscle to Prevent Falls and Fractures: A Review of the Evidence. Calcif Tissue Int 2016; 98:531-45. [PMID: 26847435 DOI: 10.1007/s00223-016-0107-9] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Accepted: 01/04/2016] [Indexed: 12/11/2022]
Abstract
Falls represent a major public health problem in older people, predominantly due to the resulting injuries which lead to progressive disability, immobilization and resulting comorbidities, dependency, institutionalization, and death. Reduced muscle strength and power have been consistently identified as risk factors for falls and related injuries, and it is likely these associations result from the central role played by reduced muscle strength and power in poor balance recovery. In addition, muscle strength and power are involved with protective responses that reduce the risk of an injury if a fall occurs. Progressive resistance training (PRT) is the standard way to increase muscle strength and power, and this training forms one of the main components of fall prevention exercise interventions. However, PRT has rarely been implemented in routine practice due to multiple challenges inherent to frail older people. The ongoing development of drugs expected to increase muscle power offers a new opportunity to reduce the risk of falls and fall-related injuries. The intent here is not to replace exercise training with drugs but rather to offer a pharmacologic alternative when exercise is not possible or contraindicated. The target population would be those most likely to benefit from this mechanism of action, i.e., weak older people without major causes for falls independent of muscle weakness. Provided such a tailored strategy was followed, a muscle anabolic may address this major unmet need.
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Affiliation(s)
- Olivier Benichou
- Eli Lilly and Company, 24, Boulevard Vital-Bouhot, 92200, Neuilly, France.
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Mobility and Balance and Their Correlation with Physiological Factors in Elderly with Different Foot Postures. BIOMED RESEARCH INTERNATIONAL 2015; 2015:385269. [PMID: 26583104 PMCID: PMC4637050 DOI: 10.1155/2015/385269] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Revised: 06/15/2015] [Accepted: 07/01/2015] [Indexed: 11/30/2022]
Abstract
This study determines (1) the correlation between mobility and balance performances with physiological factors and (2) the relationship between foot postures with anthropometric characteristics and lower limb characteristics among elderly with neutral, pronated, and supinated foot. A cross-sectional observational study was conducted in community-dwelling elderly (age: 69.86 ± 5.62 years). Participants were grouped into neutral (n = 16), pronated (n = 14), and supinated (n = 14) foot based on the foot posture index classification. Anthropometric data (height, weight, and BMI), lower limb strength (5-STS) and endurance (30 s chair rise test), mobility (TUG), and balance (FSST) were determined. Data were analyzed using Spearman's correlation coefficient. Body weight was negatively and moderately correlated (rs = −0.552, P < 0.05) with mobility in supinated foot; moderate-to-high positive linear rank correlation was found between lower limb strength and mobility (rs = 0.551 to 0.804, P < 0.05) for pronated and neutral foot. Lower limb endurance was negatively and linearly correlated with mobility in pronated (rs = −0.699) and neutral (rs = −0.573) foot. No correlation was observed in balance performance with physiological factors in any of the foot postures. We can conclude that muscle function may be the most important feature to make movement possible in older persons regardless of the type of foot postures.
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Lee YS, Chang LY, Chung WH, Lin TC, Shiang TY. Does functional fitness decline in accordance with our expectation? - a pilot study in healthy female. BMC Sports Sci Med Rehabil 2015; 7:17. [PMID: 26167287 PMCID: PMC4498516 DOI: 10.1186/s13102-015-0012-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2014] [Accepted: 07/06/2015] [Indexed: 11/10/2022]
Abstract
BACKGROUND Aging may cause various functional abilities gradually deteriorate. With changes in social forms, the trend of functional fitness decline will change accordingly. Therefore, this study endeavored to identify the trends in functional fitness decline by comparing the differences in the functional fitness of females in various age groups. METHODS Thirty six healthy females were divided into 3 age groups: young healthy females (20 to 30 y); middle-age (45 to 55 y); and older (65 to 75 y). Functional fitness test battery included flexibility, muscle strength/endurance, aerobic endurance, balance and agility. RESULTS The performance in the elderly group was significantly worse (P < .05) in all the tests, whereas the muscle strength and endurance, as well as aerobic endurance for the middle-age group showed significantly lower than young groups (P < .05). CONCLUSIONS The reduction in lower extremity muscle strength occurs in the middle-age group. We recommend that middle-age women be conscious of the reduction in their lower extremity muscle strength and conduct advanced preparations for future aging.
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Affiliation(s)
- Yin-Shin Lee
- Department of Physical Education, National Taiwan Normal University, Taipei, TW Taiwan
| | - Li-Ying Chang
- Department of Athletic Performance, National Taiwan Normal University, Taipei, TW Taiwan
| | - Wei-Hsuan Chung
- Department of Athletic Performance, National Taiwan Normal University, Taipei, TW Taiwan
| | - Tsung-Ching Lin
- Department of Physical Medicine and Rehabilitation, Far Eastern Memorial Hospital, Taipei, TW Taiwan
| | - Tzyy-Yuang Shiang
- Department of Athletic Performance, National Taiwan Normal University, Taipei, TW Taiwan
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16
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Motalebi SA, Loke SC. Efficacy of Progressive Resistance Tube Training in Community Dwelling Older Adults: A Pilot Study. INT J GERONTOL 2014. [DOI: 10.1016/j.ijge.2013.12.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Korkmaz N, Tutoğlu A, Korkmaz I, Boyacı A. The Relationships among Vitamin D Level, Balance, Muscle Strength, and Quality of Life in Postmenopausal Patients with Osteoporosis. J Phys Ther Sci 2014; 26:1521-6. [PMID: 25364102 PMCID: PMC4210387 DOI: 10.1589/jpts.26.1521] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Accepted: 03/31/2014] [Indexed: 12/05/2022] Open
Abstract
[Purpose] The aim of this study was to examine the relationships among vitamin D levels,
balance, falls, muscular strength, and quality of life in patients with postmenopausal
osteoporosis. [Subjects and Methods] Forty-six patients diagnosed with postmenopausal
osteoporosis and forty-six healthy controls were included in the study. Bone mineral
density was determined by DEXA, and functional balance was evaluated the Timed Up and Go
(TUG) test, Chair Raising (CRT) test, Berg Balance Scale (BBS). The muscular strengths
were evaluated manually. The lumbosacral region range of motion (ROM) was measured by
goniometry. The QUALEFFO-41 questionnaire was used for evaluating the quality of life.
[Results] No statistically significant differences in muscular strength, balance, and fall
values were found between the two groups. Statistically significant differences were noted
between the QUALEFFO C, E, F and G scores and the QUALEFFO total scores of the
QUALEFFO-41. Dividing the patient group into two groups revealed that patients with
25(OH)D levels < 15 ng/ml had significantly higher TUG and CRT test scores compared
with patients with levels ≥ 15 ng/ml. Also, binary logistic regression analysis revealed
that QUALEFFO total scores were found to be the independent factors for osteoporosis.
[Conclusion] In this study, we found that vitamin D is necessary to maintain back extensor
muscle strength, lumbar ROM, and balance. Our results show that bone mineral density,
vitamin D level, balance, lumbar ROM, and the specified muscular strengths are factors
that affect the quality of life.
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Affiliation(s)
- Nurdan Korkmaz
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Harran University, Turkey
| | - Ahmet Tutoğlu
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Harran University, Turkey
| | - Izzet Korkmaz
- Mehmet Akif Inan Education and Research Hospital, Turkey
| | - Ahmet Boyacı
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Harran University, Turkey
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Nankaku M, Akiyama H, Kakinoki R, Nishikawa T, Tanaka Y, Matsuda S. Factors associated with ambulatory status 6 months after total hip arthroplasty. Physiotherapy 2014; 100:263-7. [DOI: 10.1016/j.physio.2013.06.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2012] [Accepted: 06/17/2013] [Indexed: 10/26/2022]
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Wüest S, Borghese NA, Pirovano M, Mainetti R, van de Langenberg R, de Bruin ED. Usability and Effects of an Exergame-Based Balance Training Program. Games Health J 2014; 3:106-114. [PMID: 24804155 DOI: 10.1089/g4h.2013.0093] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Background: Post-stroke recovery benefits from structured, intense, challenging, and repetitive therapy. Exergames have emerged as promising to achieve sustained therapy practice and patient motivation. This study assessed the usability and effects of exergames on balance and gait. Subjects and Methods: Sixteen elderly participants were provided with the study intervention based on five newly developed exergames. The participants were required to attend 36 training sessions; lasting for 20 minutes each. Adherence, attrition and acceptance were assessed together with (1) Berg Balance Scale, (2) 7-m Timed Up and Go, (3) Short Physical Performance Battery, (4) force platform stance tests, and (5) gait analysis. Results: Thirteen participants completed the study (18.8 percent attrition), without missing a single training session (100 percent adherence). Participants showed high acceptance of the intervention. Only minor adaptations in the program were needed based on the users' feedback. No changes in center of pressure area during quiet stance on both stable and unstable surfaces and no changes of walking parameters were detected. Scores for the Berg Balance Scale (P=0.007; r=0.51), the 7-m Timed Up and Go (P=0.002; r=0.56), and the Short Physical Performance Battery (P=0.013; r=0.48) increased significantly with moderate to large effect sizes. Conclusion: Participants evaluated the usability of the virtual reality training intervention positively. Results indicate that the intervention improves gait- and balance-related physical performance measures in untrained elderly. The present results warrant a clinical explorative study investigating the usability and effectiveness of the exergame-based program in stroke patients.
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Affiliation(s)
- Seline Wüest
- Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport , ETH Zurich, Zurich, Switzerland
| | | | - Michele Pirovano
- Department of Computer Science, University of Milan , Milan, Italy
| | - Renato Mainetti
- Department of Computer Science, University of Milan , Milan, Italy
| | - Rolf van de Langenberg
- Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport , ETH Zurich, Zurich, Switzerland
| | - Eling D de Bruin
- Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport , ETH Zurich, Zurich, Switzerland . ; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University , Maastricht, The Netherlands . ; Centre for Evidence Based Physiotherapy, Maastricht University , Maastricht, The Netherlands
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Clark BC, Manini TM. What is dynapenia? Nutrition 2012; 28:495-503. [PMID: 22469110 DOI: 10.1016/j.nut.2011.12.002] [Citation(s) in RCA: 261] [Impact Index Per Article: 21.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2011] [Accepted: 12/06/2011] [Indexed: 12/25/2022]
Abstract
Dynapenia (pronounced dahy-nuh-pē-nē-a, Greek translation for poverty of strength, power, or force) is the age-associated loss of muscle strength that is not caused by neurologic or muscular diseases. Dynapenia predisposes older adults to an increased risk for functional limitations and mortality. For the past several decades, the literature has largely focused on muscle size as the primary cause of dynapenia; however, recent findings have clearly demonstrated that muscle size plays a relatively minor role. Conversely, subclinical deficits in the structure and function of the nervous system and/or impairments in the intrinsic force-generating properties of skeletal muscle are potential antecedents to dynapenia. This review highlights in the contributors to dynapenia and the etiology and risk factors that predispose individuals to dynapenia. In addition, we address the role of nutrition in the muscular and neurologic systems for the preservation of muscle strength throughout the life span.
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Affiliation(s)
- Brian C Clark
- Ohio Musculoskeletal and Neurological Institute (OMNI) and Department of Biomedical Sciences, Ohio University, Athens, Ohio, USA.
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