The Influence of Aging on Hip Abductor Muscle Torque, Power, Velocity and the Association With Lower Limb Physical Function.

IF 1.5 4区 医学 Q4 GERIATRICS & GERONTOLOGY Journal of Geriatric Physical Therapy Pub Date : 2024-11-29 DOI:10.1519/JPT.0000000000000431
Marcel Bahia Lanza, Carolina da Cruz de Souza, Vicki L Gray
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Abstract

Background and purpose: Muscle strength, power, and mass decline with aging, leading to functional loss highly correlated with balance and falls in older adults. Lower limb muscle function is critical for fall prevention in older adults, and hip abductor force and rapid force development have been shown to be important during stepping tasks. However, it remains unclear whether hip abductor muscle function changes with aging. Therefore, the primary aim of this study was to compare maximum torque, submaximal power, and submaximal velocity of hip abductor muscles, as well as hip abductor strength and power clinical assessments, between young and older adults. The secondary aim was to investigate whether there is a relationship between the clinical assessments and hip abduction maximum torque, submaximal power, and submaximal velocity in young and older adults.

Methods: The volunteers young (n = 20, 26.5 ± 3.9) and older (n = 20, 71.9 ± 5.3) adults performed a hip abduction estimated 1-repetition maximum (e1RM) and submaximal tests (40%, 60%, and 70% of e1RM) and clinical assessments (stair climb power test and the 30-second chair stand test).

Results: Older adults exhibited a statistically significant decline in hip abduction torque, power, and velocity, accompanied by lower scores in clinical assessments in comparison to young adults. However, young adults did not exhibit any significant associations between clinical assessments and hip abduction maximum torque, power, and velocity, whereas older adults demonstrated strong correlations (r ≥ 0.52, P ≤ .02).

Discussion: Older adults have a significant reduction in their ability to produce hip abduction torque, power, and velocity, as well as poor performance in clinical assessments compared to young adults. The declines in hip abductor maximum torque, power, and velocity with aging may be related to functional performance, as shown by the significant correlations between these variables and clinical assessments in older adults.

Conclusion: Health care professionals should consider declines in the ability to generate muscle force rapidly, given its significance to lower limb function and overall physical capabilities.

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衰老对髋关节外展肌扭矩、力量、速度的影响及其与下肢生理功能的关系。
背景和目的:肌肉力量、力量和质量随着年龄的增长而下降,导致功能丧失与老年人的平衡和跌倒高度相关。下肢肌肉功能对老年人预防跌倒至关重要,髋关节外展力和快速力量发展已被证明在步进任务中很重要。然而,髋关节外展肌功能是否随年龄变化仍不清楚。因此,本研究的主要目的是比较年轻人和老年人髋关节外展肌的最大扭矩、次最大力量和次最大速度,以及髋关节外展肌的力量和力量的临床评估。第二个目的是调查临床评估与年轻人和老年人髋外展最大扭矩、次最大力量和次最大速度之间是否存在关系。方法:青年志愿者(n = 20, 26.5±3.9)和老年志愿者(n = 20, 71.9±5.3)进行髋关节外展估计1次重复最大值(e1RM)和次最大值测试(e1RM的40%,60%和70%)和临床评估(爬楼梯能力测试和30秒站立椅测试)。结果:与年轻人相比,老年人在髋关节外展扭矩、力量和速度方面表现出统计学上显著的下降,同时在临床评估中得分较低。然而,年轻人在临床评估和髋关节外展最大扭矩、力量和速度之间没有表现出任何显著的关联,而老年人则表现出很强的相关性(r≥0.52,P≤0.02)。讨论:与年轻人相比,老年人产生髋关节外展扭矩、力量和速度的能力显著降低,在临床评估中的表现也较差。随着年龄的增长,髋关节外展肌最大扭矩、力量和速度的下降可能与功能表现有关,这些变量与老年人临床评估之间存在显著相关性。结论:鉴于其对下肢功能和整体身体能力的重要性,医疗保健专业人员应考虑迅速产生肌肉力量的能力下降。
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来源期刊
Journal of Geriatric Physical Therapy
Journal of Geriatric Physical Therapy GERIATRICS & GERONTOLOGY-REHABILITATION
CiteScore
3.70
自引率
4.20%
发文量
58
审稿时长
>12 weeks
期刊介绍: ​Journal of Geriatric Physical Therapy is the leading source of clinically applicable evidence for achieving optimal health, wellness, mobility, and physical function across the continuum of health status for the aging adult. The mission of the Academy of Geriatric Physical Therapy is building a community that advances the profession of physical therapy to optimize the experience of aging.
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