scholarly journals Muscle power, contraction velocity and functional performance after stroke

2019 ◽  
Vol 9 (4) ◽  
pp. e01243 ◽  
Author(s):  
Joanna Kostka ◽  
Marta Niwald ◽  
Agnieszka Guligowska ◽  
Tomasz Kostka ◽  
Elżbieta Miller
Keyword(s):  
Muscle Power ◽  
Functional Performance ◽  
Contraction Velocity

Immediate Efficacy of Neuromuscular Exercise in Patients with Severe Osteoarthritis of the Hip or Knee: A Secondary Analysis from a Randomized Controlled Trial

2014 ◽  
Vol 41 (7) ◽  
pp. 1385-1394 ◽  
Author(s):  
Allan Villadsen ◽  
Søren Overgaard ◽  
Anders Holsgaard-Larsen ◽  
Robin Christensen ◽  
Ewa M. Roos
Keyword(s):  
Activities Of Daily Living ◽  
Effect Size ◽  
Daily Living ◽  
Exercise Intervention ◽  
Muscle Power ◽  
Functional Performance ◽  
Knee Oa ◽  
Randomized Controlled ◽  
Link Type ◽  
Outcome Score

Objective.Knowledge about the effects of exercise in severe and endstage osteoarthritis (OA) is limited. The aim was to evaluate the efficacy of a neuromuscular exercise program in patients with clinically severe hip or knee OA.Methods.This was a randomized controlled assessor-blinded trial. Patients received an educational package (care-as-usual) only, or care-as-usual plus an 8-week neuromuscular exercise intervention (NEMEX-TJR). NEMEX-TJR was supervised by a physiotherapist, twice weekly for 1 h. The primary outcome was Activities of Daily Living (ADL) subscale from the Hip disability and Osteoarthritis Outcome Score (HOOS) and the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. The secondary outcomes were the HOOS/KOOS subscales Pain, Symptoms, Sport and Recreation, and Joint-related Quality of Life. Exploratory outcomes were functional performance measures and lower limb muscle power.Results.Included were 165 patients, 56% female, average age 67 years (SD ± 8), and a body mass index of 30 (SD ± 5), who were scheduled for primary hip or knee replacement. The postintervention difference between mean changes in ADL was 7.2 points (95% CI 3.5 to 10.9, p = 0.0002) in favor of NEMEX-TJR compared with control. Second, there were statistically significant differences between groups in favor of NEMEX-TJR on all self-reported outcomes and most functional performance tests (walk, chair stands, and 1-leg knee bends). Stratified analyses according to joint revealed moderate effect size for ADL for hip patients (0.63, 95% CI 0.26 to 1.00). Corresponding effect size for knee patients was small (0.23 95% CI −0.14 to 0.60).Conclusion.Feasibility of neuromuscular exercise was confirmed in patients about to have total joint replacement. Self-reported activities of daily living and objective performance were improved and pain reduced immediately following 8 weeks of neuromuscular exercise. While the effects were moderate in hip OA, they were only small in knee OA.ClinicalTrials.govIdentifier:NCT01003756.

MUSCLE POWER OF THE ANKLE FLEXORS PREDICTS FUNCTIONAL PERFORMANCE IN COMMUNITY DWELLING OLDER WOMEN

2001 ◽  
Vol 33 (5) ◽  
pp. S344
Author(s):  
R A. Fielding ◽  
T Suzuki ◽  
J Bean
Keyword(s):  
Older Women ◽  
Muscle Power ◽  
Functional Performance ◽  
Community Dwelling

scholarly journals 146 TEST-RETEST RELIABILITY OF MAXIMAL LEG MUSCLE POWER AND FUNCTIONAL PERFORMANCE MEASURES IN PATIENTS WITH SEVERE OSTEOARTHRITIS (OA)

2010 ◽  
Vol 18 ◽  
pp. S72-S73
Author(s):  
A. Villadsen ◽  
E.M. Roos ◽  
S. Overgaard ◽  
A. Holsgaard-Larsen
Keyword(s):  
Performance Measures ◽  
Muscle Power ◽  
Functional Performance ◽  
Retest Reliability ◽  
Leg Muscle ◽  
Test Retest Reliability ◽  
Leg Muscle Power

Agreement and Reliability of Functional Performance and Muscle Power in Patients with Advanced Osteoarthritis of the Hip or Knee

2012 ◽  
Vol 91 (5) ◽  
pp. 401-410 ◽  
Author(s):  
Allan Villadsen ◽  
Ewa M. Roos ◽  
Søren Overgaard ◽  
Anders Holsgaard-Larsen
Keyword(s):  
Muscle Power ◽  
Functional Performance ◽  
Osteoarthritis Of The Hip

scholarly journals Benefits of Strength Training for Elderly Women // Dobrobiti treninga snage za žene treće životne dobi

2018 ◽  
Vol 14 (2) ◽  
Author(s):  
Marko DM Stojanović ◽  
Patrik Drid ◽  
Dejan Madić ◽  
Sergej M Ostojić
Keyword(s):  
Muscle Strength ◽  
Strength Training ◽  
Muscle Power ◽  
Elderly Women ◽  
Functional Performance ◽  
Signs And Symptoms ◽  
Related Phenomenon ◽  
Age Related ◽  
Muscle Attenuation ◽  
Force Time

The aging process is associated with loss of skeletal muscle mass and increase in intramuscular fat, the latter also defined as muscle attenuation. Muscle weakness, termed sarcopenia and dynapenia, is a normal age-related phenomenon, occurring at a rate of 1% to 5% annually from the age of 30. This rate means that given typical patterns of physical activity, a 70-year-old woman could have 50% to 70% less strength than she had at age 30.  Contrary to long held beliefs, the muscles of elderly women (i.e. aged 65 years and older) continue to be adaptable, even into the extremes of old age, particularly if their muscles are significantly overloaded during training. Therefore, effective strengthening practices must be employed to maintain the highest level of function and achieve optimal aging in elderly women. Done regularly (2-3 times a week), strength training preserve bone density, independence and vitality with age. In addition, strength training also has the ability to reduce the risk of osteoporosis and the signs and symptoms of numerous chronic diseases such as heart disease, arthritis and type 2 diabetes, while also improving sleep and reducing depression. Finally, though muscle strength has been recognized as an important predictor for reduced functional performance, emerging evidence suggests that muscle power (the product of force time velocity or the rate of performing work) is highly effective to elicit substantial improvements in maximal mechanical muscle function (rapid force generation, muscle power and muscle strength) and in functional performance in old and very old women.

scholarly journals Força muscular periférica e respiratória na doença pulmonar obstrutiva crônica

2018 ◽  
Vol 20 (2) ◽  
pp. 125-133
Author(s):  
Rudolfo Hummel Gurgel Vieira ◽  
Ivan Daniel Bezerra Nogueira ◽  
Natércia Ferreira Queiroz ◽  
Tamara Martins Cunha ◽  
Zênia Trindade de Souto Araújo ◽  
...  
Keyword(s):  
Muscle Power ◽  
Functional Performance ◽  
Handgrip Strength ◽  
Respiratory Muscles ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Significance Level ◽  
Neuromuscular Performance ◽  
Peripheral Muscle ◽  
Significant Difference

Chronic obstructive pulmonary disease (COPD) is a pulmonary pathology associated with numerous systemic manifestations, among them musculoskeletal dysfunction. The aim of the study was to evaluate and compare respiratory and peripheral muscle strength in patients with COPD and healthy individuals. This is a cross-sectional, analytical and observational study, in which 18 individuals were evaluated, nine of them with COPD and nine healthy. Femoral quadriceps neuromuscular performance (assessed by means of isokinetic dynamometry), handgrip strength (manual dynamometer) and maximum respiratory pressure (manovacuometry) were evaluated. Data were expressed by mean and standard deviation, analyzed in the SPSS 20.0 statistical package. Significance level of 5% and confidence interval of 95% for all measures were considered. Individuals with COPD had lower quadriceps femoral neuromuscular performance and lower respiratory pressures than healthy subjects; however, there was a statistically significant difference only for muscle power and MIP (p <0.05). Handgrip strength was higher in individuals with COPD (p <0.05). individuals with COPD have neuromuscular changes in peripheral and respiratory muscles that may possibly cause reduced functional performance.

scholarly journals Reliability Of Muscle Power And Functional Performance In Healthy, Older Women

2020 ◽  
Vol 52 (7S) ◽  
pp. 1103-1103
Author(s):  
Konstantina Katsoulis ◽  
Samantha Jeske ◽  
Rachel Goodman ◽  
Cristiane Cruz ◽  
Catherine E. Amara
Keyword(s):  
Older Women ◽  
Muscle Power ◽  
Functional Performance

scholarly journals Reconstruction of a long defect of the median nerve with a free nerve conduit flap

2020 ◽  
Vol 47 (2) ◽  
pp. 187-193 ◽  
Author(s):  
Andrea Campodonico ◽  
Pier Paolo Pangrazi ◽  
Francesco De Francesco ◽  
Michele Riccio
Keyword(s):  
Peripheral Nerve ◽  
Median Nerve ◽  
Upper Limb ◽  
Muscle Power ◽  
Functional Performance ◽  
Nerve Repair ◽  
Traumatic Injury ◽  
Rehabilitation Program ◽  
Tissue Loss ◽  
Soft Tissue Loss

Upper limb nerve damage is a common condition, and evidence suggests that functional recovery may be limited following peripheral nerve repair in cases of delayed reconstruction or reconstruction of long nerve defects. A 26-year-old man presented with traumatic injury from a wide, blunt wound of the right forearm caused by broken glass, with soft tissue loss, complete transection of the radial and ulnar arteries, and a large median nerve gap. The patient underwent debridement and subsequent surgery with a microsurgical free radial fasciocutaneous flap to provide a direct blood supply to the hand; the cephalic vein within the flap was employed as a venous vascularized chamber to wrap the sural nerve graft and to repair the wide gap (14 cm) in the median nerve. During the postoperative period, the patient followed an intensive rehabilitation program and was monitored for functional performance over 5 years of follow-up. Our assessment demonstrated skin tropism and sufficient muscle power to act against strong resistance (M5) in the muscles previously affected by paralysis, as well as a good localization of stimuli in the median nerve region and an imperfect recovery of two-point discrimination (S3+). We propose a novel and efficient procedure to repair >10-cm peripheral nerve gap injuries related to upper limb trauma.

scholarly journals Reliability of Lower Extremity Muscle Power and Functional Performance in Healthy, Older Women

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Konstantina Katsoulis ◽  
Sunita Mathur ◽  
Catherine E. Amara
Keyword(s):  
Lower Extremity ◽  
Older Women ◽  
Muscle Power ◽  
Functional Performance ◽  
Plantar Flexion ◽  
Knee Extension ◽  
Lower Body ◽  
Lower Extremity Muscle ◽  
Very High

Evaluation of the long-term reliability of muscle power and functional performance tests in older, healthy adults is warranted since determining whether performance is consistent over longer durations is more relevant for intervention studies. Objective. To assess the long-term test–retest reliability of measures of muscle power and lower body functional performance in healthy, nonexercising, older women. Methods. Data were derived from a nonexercising control group (n = 18; age = 73.3 (3.4) years; height = 159.6 (7.7) cm; body mass = 69.5 (12.7) kg; BMI = 27.3 (4.8)) of a randomized controlled trial of muscle power training in older women. Participants underwent lower extremity muscle power (Biodex) and functional testing (Short Physical Performance Battery, gait speed, 30-second chair stands, stair climbing, and 400-meter walk) at week 0 (baseline), 9, and 15. Results. For the upper leg, intraclass correlation coefficients (ICCs) were very high for knee extension power (0.90–0.97) and high to very high for knee flexion power (0.83–0.96). For lower-leg power, ICCs were high to very high for plantar flexion and dorsiflexion (0.83–0.96). ICCs for functional performance were moderate to very high (0.64–0.93). Coefficient of variation of the typical error (CVTE) was <10.5% for knee extension/flexion power, 9.9–20.0% for plantar flexion/dorsiflexion power, and 1.9–14.9% for functional performance. Knee extension power and stair climb power demonstrated the highest reliability for muscle power and function, respectively. Mean values did not change over time, with the exception of the chair stands ( p < 0.05 ); however, these changes were not considered clinically meaningful. Conclusions. The current study provides evidence supporting the long-term reliability of performance assessments of muscle power and lower body functional capacity over a period of up to 15 weeks in healthy, older women.

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