Poor correlation between handgrip strength and isokinetic performance of knee flexor and extensor muscles in community‐dwelling elderly women

Felício, Diogo Carvalho; Pereira, Daniele Sirineu; Assumpção, Alexandra Miranda; Jesus-Moraleida, Fabianna Resende de; Queiroz, Bárbara Zille de; Silva, Juscélio Pereira da; Rosa, Naysa Maciel de Brito; Dias, João Marcos Domingues; Pereira, Leani Souza Máximo

doi:10.1111/ggi.12077

Cited by 57 publications

(52 citation statements)

References 32 publications

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“…Corroborando o presente estudo, Felicio et al (2014) 14 , afirmam não haver correlação entre as variáveis avalidas de FPM e força dos flexores e extensores de joelho. Bohannon et al (2012) 21 consideram a medida de FPM insuficiente para caracterizar a força global, já que não representa, muitas vezes, a dificuldade em realizar atividades que utilizam membros inferiores, como sentar e levantar 21 .…”

Section: Discussionunclassified

“…Bohannon et al (2012) 21 consideram a medida de FPM insuficiente para caracterizar a força global, já que não representa, muitas vezes, a dificuldade em realizar atividades que utilizam membros inferiores, como sentar e levantar 21 . Esses resultados sugerem que embora seja amplamente utilizada, a FPM não é uma medida adequada para predizer a FMI, devendo ser usada com cautela 14 .…”

Section: Discussionunclassified

“…Diante do exposto, embora a FPM seja utilizada para avaliação de força total do corpo, ainda há contradição na literatura acerca da capacidade preditiva da FMI a partir da FPM 13,14 . Sabe-se que a FMI é determinante na estabilidade corporal e na locomoção 15 , sendo indispensável durante o processo de envelhecimento para evitar quedas e alterações na marcha, as quais levam à incapacidade e institucionalização 16 …”

Section: Introductionunclassified

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Relação entre força de preensão manual e força de membro inferior em mulheres de meia idade: um estudo transversal

Vieira¹,

Souza²,

Câmara³

et al. 2015

Rev Bras Ativ Fís Saúde

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ResumoEmbora a força de preensão manual (FPM) seja utilizada para avaliação de força total do corpo, ainda há contradição na literatura acerca da capacidade preditiva da força de membro inferior (FMI) a partir da FPM. Sabe-se que a FMI é determinante na estabilidade corporal e na locomoção, sendo de extrema importância sua avaliação de forma precisa. Portanto, o objetivo desse estudo foi avaliar a correlação entre a FPM e FMI (flexores e extensores de joelho) em mulheres de meia idade. Trata-se de um estudo observacional analítico, transversal, com 395 mulheres (40 a 65 anos), avaliadas quanto à FPM e FMI (flexores e extensores de joelho). Foi utilizada correlação de Pearson, regressão linear e análise de Bland-Altman para análise dos dados, considerando significância de 5%. A média de idade das mulheres foi de 49,75(±5,8) anos. A média da FPM e FMI (flexão e extensão de joelho) foram, respectivamente: 25,8 (±5,4), 14,7 (±4,9) e 16,5 (±4,5) Kgf. Após análise de regressão linear e análise de Bland-Altman, o valor de R 2 ajustado mostrou baixa capacidade de predição da FMI a partir da FPM, com a força de extensão do joelho (R 2 = 0,21) apresentando valores mais elevados que a força de flexão (R 2 = 0,13). A FPM correlaciona-se de maneira fraca com a força de extensão e flexão de joelhos em mulheres de meia idade, evidenciando a necessidade de avaliação de diferentes segmentos corporais a fim de uma estimativa mais criteriosa nesta população. 's flexor and extensor strength were, respectively: 25.8 kgf (±5.4), 14.7 kgf (±4.9) and 16.5 kgf (±4.5). After linear regression and Bland-Altman analysis, the value of adjusted R² showed a low predictive capacity of the lower limb strength from the grip strength; and the knee extension strength (R²= 0.21) showed values higher than the flexor strength (R²= 0.13 PalavRas-chave

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Section: Discussionunclassified

Section: Introductionunclassified

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Relação entre força de preensão manual e força de membro inferior em mulheres de meia idade: um estudo transversal

Vieira¹,

Souza²,

Câmara³

et al. 2015

Rev Bras Ativ Fís Saúde

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“…Bethards and colleagues [13] studied test-retest reproducibility of the BLC dynamometer in adults and reported reliabilities of 0.97 or higher, depending on the body position during the test. Moreover, both hand grip strength (HGS) and knee extensor strength (KES) were shown to be related to overall muscle strength [6,[14][15][16][17] and have therefore often been used to indicate overall limb muscle strength [14,18,19]. Findings by Bohannon [2] suggest that even though HGS and KES can be used as an indicator for overall limb muscle strength in healthy adults, using these measures solely is not fully recommended in characterizing overall limb muscle strength.…”

Section: Introductionmentioning

confidence: 99%

Test-retest reproducibility and validity of the back-leg-chest strength measurements

Hoor

Musch

Meijer

et al. 2016

IES

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Abstract. BACKGROUND:A single measure to characterize overall muscle strength is advantageous because it saves time and costs of evaluation. For this reason, the back-leg-chest (BLC) strength might be an appropriate single measure in characterizing total body strength. OBJECTIVE: To assess the test-retest reproducibility and smallest real difference (SRD) of the BLC dynamometer in healthy adults and adolescents and to examine whether handgrip, knee-extensor and knee-flexor strength predict BLC strength in healthy adults. METHODS: Forty-five adults and 58 adolescents were recruited. In a first session back-leg-chest strength, handgrip strength, and additionally, in adults, isometric knee-extensor strength, and knee-flexor strength were measured. In a second session, 2-5 days later, BLC strength was measured again for test-retest reproducibility. RESULTS: Inter-session correlations of BLC strength were high (all r's and ICC's > 0.92). Bland-Altman-plots showed high agreement. The SRD and SRD% were between 14-26, and 19% and 26% respectively. Strength variables (handgrip, kneeextensor, and knee-flexor strength) explained 87% of the variance in BLC strength. A stepwise linear regression showed that dominant knee extensor and flexor strength were the most important significant predictors of BLC strength (r 2 = 0.86). CONCLUSIONS: This study demonstrated that the BLC dynamometer has reasonably high test-retest reproducibility and hence may serve in some pertinent situations to be an appropriate tool for clinical, basic and applied research.

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“…Hand grip strength has been shown to correlate with elbow flexion strength as well as knee and trunk extension strength (Tiainen et al 2004), and it has been recommended as the best technique for measuring muscle strength (Cruz-Jentoft et al 2010a). However, in a recent study of elderly women, the usefulness of grip strength as a proxy measure of muscle strength in lower extremities was questioned (Felicio et al 2014). The existing literature provides evidence that grip strength reflects a mixture of genetic predispositions, environmental factors, and diseases.…”

Section: Introductionmentioning

confidence: 99%

G×E Interaction Influences Trajectories of Hand Grip Strength

et al. 2015

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Age-related decline in grip strength predicts later life disability, frailty, lower well-being and cognitive change. While grip strength is heritable, genetic influence on change in grip strength has been relatively ignored, with non-shared environmental influence identified as the primary contributor in a single longitudinal study. The extent to which gene-environment interplay, particularly gene-environment interactions, contributes to grip trajectories has yet to be examined. We considered longitudinal grip strength measurements in seven twin studies of aging in the Interplay of Genes and Environment across Multiple Studies consortium. Growth curve parameters were estimated for same-sex pairs, aged 34–99 (N = 10,681). Fisher's test for mixture distribution of within-monozy-gotic twin-pair differences (N = 1724) was performed on growth curve parameters. We observed significant gene-environment interaction on grip strength trajectories. Finally, we compared the variability of within-pair differences of growth curve parameters by APOE haplotypes. Though not statistically significant, the results suggested that APOE ε2ε2/ε2ε3 haplotypes might buffer environmental influences on grip strength trajectories.

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Poor correlation between handgrip strength and isokinetic performance of knee flexor and extensor muscles in community‐dwelling elderly women

Abstract: The majority of analyses did not show any correlation between variables assessed by isokinetic dynamometer and handgrip dynamometer. Caution is required when generalizing handgrip strength as a predictor of global muscle strength in community-dwelling elderly women.

Cited by 57 publications

References 32 publications

Relação entre força de preensão manual e força de membro inferior em mulheres de meia idade: um estudo transversal

Relação entre força de preensão manual e força de membro inferior em mulheres de meia idade: um estudo transversal

Test-retest reproducibility and validity of the back-leg-chest strength measurements

G×E Interaction Influences Trajectories of Hand Grip Strength

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