Is knee extension strength a better predictor of functional performance than handgrip strength among older adults in three different settings?

Martien, Sofie; Delecluse, Christophe; Boen, Filip; Seghers, Jan; Pelssers, Johan; Hoecke, Ann-Sophie Van; Roie, Evelien Van

doi:10.1016/j.archger.2014.11.010

Cited by 74 publications

(61 citation statements)

References 41 publications

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“…Hand grip strength is an important component of the diagnostic algorithm of sarcopenia and a well-known predictor of lower extremity functional capacity in the geriatric population (3,23,24). Consistent with previous findings, HGS was associated with lower extremity performance tests in our study.…”

Section: Discussionsupporting

confidence: 82%

Neuromusculoskeletal Causes of Severe Disability in a Tertiary Hospital in Turkey

Sarikaya¹

2018

tjgeri

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Introduction:Muscle loss is associated with increased frailty in the geriatric population. In this study, we aimed to explore the association of ultrasonographic measurements of extremity muscle thickness with functional capacity, balance and falls.Materials and Method: Fifty patients aged >65 years were enrolled. Upper arm and thigh muscle thicknesses were measured using ultrasound, and hand grip strength was measured using a handheld dynamometer. The functional capacity of lower extremity was assessed on the basis of walking speed and a chair stand test. The timed up and go test and four square step test were used to evaluate dynamic balance. The fear of falling was assessed using Tinetti's Scale.Results: The mean age of patients was 71.8±5.7 years. Measurements of the thigh muscle thickness of patients were negatively correlated with walking speed, timed up and go test, four square step test and the fear of falling (p<0.01) and positively with chair stand test (p<0.05) and hand grip strength (p<0.001). Hand grip strength was positively correlated with chair stand test and negatively with walking speed, timed up and go test, four square step test and Tinetti's scores (p<0.01). Measurements of upper arm muscle thickness were positively correlated with hand grip strength (p<0.01).Conclusion: Ultrasonographic assessment of lower extremity muscle thickness seems to improve the predictability of decline in functional capacity and loss of balance, possibly contributing to prevention of falls in the elderly.Keywords: Muscular atrophy; Sarcopenia; Ultrasonography Giriş: Yaşlı popülasyonda kas kayıplarının kırılganlığı artırdığı bilinmektedir. Bu çalışmada ultrasonografi ile ölçülen ekstremite kas kalınlıklarının fonksiyonel kapasite, denge ve düşmeler ile ilişkilerini incelemeyi amaçladık.Gereç ve yöntem: Çalışmaya 65 yaş üstü 50 olgu dahil edildi. Ultrasonografi ile üst kol ve uyluk kas kalınlıkları, el dinamometresi ile el kavrama kuvveti ölçüldü. Alt ekstremite fonksiyonel kapasitesi 10 metre yürüme hızı ve otur kalk testi ile değerlendirildi. Dinamik dengenin değerlendirilmesinde zamanlı kalk yürü testi ve dört kare adım testi kullanıldı. Düşme korkusu Tinetti ölçeği ile değerlendirildi.Bulgular: Elli olgunun yaş ortalaması 71.8±5.7 yıl olarak saptandı. Hastaların uyluk kas kalınlıkları; yürüme hızı, zamanlı kalk yürü testi, dört kare adım testi ve düşme korkusu ile negatif (p değerleri<0.01), otur kalk testi (p<0.05) ve el kavrama kuvveti (p<0.001) ile pozitif yönde ilişkili idi. El kavrama kuvveti de otur kalk testi ile pozitif, yürüme hızı, zamanlı kalk yürü testi, dört kare adım testi ve Tinetti skorları ile negatif yönde ilişkili bulundu (p<0.01). Üst kol kas kalınlıkları ise sadece el kavrama kuvveti ile pozitif yönde ilişkili idi (p<0.01).Sonuç: Yaşlılarda ultrasonografi ile alt ekstremite kas kalınlıklarının değerlendirilmesi, fonksiyonel kapasite ve denge kayıplarının öngörülebilirliğini artırarak; düşmelerin önlenmesine katkı yapabilir gibi görünmektedir.

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Section: Discussionsupporting

confidence: 82%

Neuromusculoskeletal Causes of Severe Disability in a Tertiary Hospital in Turkey

Sarikaya¹

2018

tjgeri

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“…Hierbei gilt die isokinetische Dynamometrie, d. h. die Messung über einen dynamischen Bewegungsablauf mittels unterschiedlicher Winkelgeschwindigkeiten (▶ Abb. 1), als Goldstandard [37].…”

Section: Knee Extension Peak Torqueunclassified

Einsatz und Nutzen funktioneller Parameter als Endpunkte in klinischen Ernährungsstudien

Haß

Schwejda-Güttes

Kuhn

et al. 2018

Aktuel Ernahrungsmed

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Zusammenfassung Hintergrund Eine ausreichende Muskelkraft und -funktion stellt eine Grundvoraussetzung für die Teilhabe am alltäglichen Leben und der damit verbundenen Autonomie des Patienten dar. Der diagnostische und prognostische Einsatz funktioneller Parameter zur Einschätzung von Muskelkraft und -funktion gewinnt zunehmend an Bedeutung. Hinsichtlich des Nutzens dieser Parameter als Endpunkte in klinischen Ernährungsstudien besteht allerdings noch Klärungsbedarf. Material und Methoden Es wurde eine umfangreiche Literaturrecherche zur Extraktion und Evaluierung etablierter funktioneller Parameter in der medizinischen Literaturdatenbank Pubmed ausgeführt. Die folgenden, häufig in Ernährungsstudien angewendeten, 8 Parameter wurden detailliert aufgearbeitet und miteinander verglichen: Handgreifkraft, knee extension peak torque, Six-Minute-Walk Test (6MWT), Timed-Up-and-Go (TUG), Short Physical Performance Battery (SPPB), Physical Performance Test (PPT), Akzelerometrie und Barthel-Index. Ergebnisse und Schlussfolgerung Die Anwendung der funktionellen Parameter hat sich insbesondere in geriatrischen Ernährungsstudien bewährt. Hier zeigten sich neben der Handgreifkraft, dem SPPB und TUG auch das knee extension peak torque, der 6MWT sowie der Barthel-Index als geeignete funktionelle Endpunkte. Lediglich der PPT zeigte keine nennenswerten Vorteile gegenüber den in dieser Arbeit evaluierten funktionellen Parametern. Außerhalb der geriatrischen Population könnte die Akzelerometrie in der Onkologie als funktioneller Endpunkt in klinischen Ernährungsstudien herangezogen werden. Innerhalb der Intensivmedizin stellt die Nutzung funktioneller Parameter hinsichtlich der erforderlichen willkürlichen Muskelkraft derzeit noch eine Herausforderung dar.

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“…Functionally, dorsiflexion strength is important in gait mechanics, as it is a vital component that assists with foot clearance during the swing phase of the gait cycle. If an individual is unable to perform the necessary dorsiflexion secondary to a pathology, the risk of unsuccessful toe clearance and falls increases [23,24]. The falls could inevitably lead to increased health problems, decreased independence, and decreased quality of life [12,17].…”

Section: Significant Clinical Impairment Measures: Handheld Dynamometmentioning

confidence: 99%

“…Grip strength is imperative to daily activities and research has shown a strong correlation to grip strength and quality of life [11]. Grip strength is said to have a strong correlation with functional performance 24 and is a predictor of functional decline, nursing home placement, and even mortality [25]. As one example, it has been shown that female ALF residents that fall generally have weaker handgrip strength as compared to their female ALF non-faller counterparts [26].…”

Section: Significant Clinical Impairment Measures: Handheld Dynamometmentioning

confidence: 99%

Impairment and activity limitation changes in assisted living facility residents over the course of one year- A pilot study

Larsen¹,

Luedeker²,

Morgan³

et al. 2017

Geriatr Med Care

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Background and purpose: When the elderly begin planning for a safe future, they may choose to move to an assisted living facility. Assisted living facilities (ALF) are a popular choice for senior living, but whether residents maintain their independence and movement ability over time in assisted living facilities has not been studied. The purpose of this study is to examine the changes in impairments and activity limitations in residents of ALF over the course of one year.

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Is knee extension strength a better predictor of functional performance than handgrip strength among older adults in three different settings?

Cited by 74 publications

References 41 publications

Neuromusculoskeletal Causes of Severe Disability in a Tertiary Hospital in Turkey

Neuromusculoskeletal Causes of Severe Disability in a Tertiary Hospital in Turkey

Einsatz und Nutzen funktioneller Parameter als Endpunkte in klinischen Ernährungsstudien

Impairment and activity limitation changes in assisted living facility residents over the course of one year- A pilot study

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