Functionally Relevant Thresholds of Quadriceps Femoris Strength

作者: L. L. Ploutz-Snyder , T. Manini , R. J. Ploutz-Snyder , D. A. Wolf

DOI: 10.1093/GERONA/57.4.B144

关键词:

摘要: The purpose of this study was to identify quadriceps femoris strength thresholds below which performance on ambulatory tasks is compromised. A second evaluate whether self-reported functioning matches evaluated the activities. Subjects (N = 100; age 73 +/- 0.9 years) participated in isometric knee extension tests, performed three functional (chair rise, gait speed, and stair ascent descent), answered standard survey questions assessing physical function. Significant relationships were observed between ratio leg peak torque body weight (STR/WT) for each activity (p <.0001). For activity, STR/WT 3.0 3.5 N m/kg observed, likelihood success reduced. Thresholds determined by calculating value that minimized classification error. Individuals with a < are at substantial risk impaired function chair descent. Sensitivity specificity as predictor ranged from 76% 81% 78% 94%, respectively, depending activity. This clinical significance, can individuals preclinical disability (beginning have difficulty tasks) opposed those whom an outright observed. may be useful targeting strengthening interventions developing specific intervention goals.

参考文章(30)
Linda S. Pescatello, Deborah Riebe, Ross Arena, Paul D. Thompson, ACSM's Guidelines for Exercise Testing and Prescription ,(2020)
E. Joan Bassey, Maria A. Fiatarone, Evelyn F. O'neill, Margaret Kelly, William J. Evans, Lewis A. Lipsitz, Leg extensor power and functional performance in very old men and women. Clinical Science. ,vol. 82, pp. 321- 327 ,(1992) , 10.1042/CS0820321
R. F. Schoeni, V. A. Freedman, R. B. Wallace, Persistent, Consistent, Widespread, and Robust? Another Look at Recent Trends in Old-Age Disability Journals of Gerontology Series B-psychological Sciences and Social Sciences. ,vol. 56, pp. 206- 218 ,(2001) , 10.1093/GERONB/56.4.S206
Michael A. Hughes, Barry S. Myers, Margaret L. Schenkman, The role of strength in rising from a chair in the functionally impaired elderly. Journal of Biomechanics. ,vol. 29, pp. 1509- 1513 ,(1996) , 10.1016/S0021-9290(96)80001-7
K. G. Manton, L. Corder, E. Stallard, Chronic disability trends in elderly United States populations: 1982-1994 Proceedings of the National Academy of Sciences. ,vol. 94, pp. 2593- 2598 ,(1997) , 10.1073/PNAS.94.6.2593
J A Langlois, P M Keyl, J M Guralnik, D J Foley, R A Marottoli, R B Wallace, Characteristics of Older Pedestrians Who Have Difficulty Crossing the Street American Journal of Public Health. ,vol. 87, pp. 393- 397 ,(1997) , 10.2105/AJPH.87.3.393
K. G. Manton, X. Gu, Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999 Proceedings of the National Academy of Sciences of the United States of America. ,vol. 98, pp. 6354- 6359 ,(2001) , 10.1073/PNAS.111152298
N. K. Fukagawa, L. Wolfson, J. Judge, R. Whipple, M. King, Strength is a major factor in balance, gait, and the occurrence of falls Journals of Gerontology Series A-biological Sciences and Medical Sciences. ,vol. 50, pp. 64- 67 ,(1995) , 10.1093/GERONA/50A.SPECIAL_ISSUE.64
ARCHIE YOUNG, Exercise Physiology in Geriatric Practice Acta Medica Scandinavica. ,vol. 220, pp. 227- 232 ,(2009) , 10.1111/J.0954-6820.1986.TB08955.X