RELATIONSHIP BETWEEN ISOMETRIC STRENGTH OF SIX LOWER LIMB MUSCLE GROUPS AND MOTOR SKILLS AMONG NURSING HOME RESIDENTS

This research aimed to assess the correlation between isometric muscle strength of the lower limb and motor skills. This is a cross sectional study performed among volunteer nursing home residents included in the SENIOR (Sample of Elderly Nursing home Individuals: an Observational Research) cohort. The present analysis focused on isometric muscle strength of 6 lower limb muscle groups (i.e. knee extensors, knee flexors, hip abductors, hip extensors, ankle flexors and ankle extensors), assessed using a validated hand-held dynamometer (i.e. the MicroFET2 device), and motor skills evaluated using the Tinetti test, the Timed Up and Go test, the Short Physical Performance Battery test (SPPB) and the walking speed. The relationship between all these parameters was tested by means of a multiple correlation, adjusted on age, sex and body mass index. 450 nursing home residents (69.8% of women) with a mean age of 83.1±9.4 years were included in this study. Our results showed a significant inverse correlation between lower limb muscle strength and the time required to perform the TUG test or gait speed, except for ankle flexors and ankle extensors. The relationship between the Tinetti test or the SPPB score, and lower limb muscle strength was significant, except for ankle flexors and ankle extensors. In conclusion, a positive association between lower limb muscle strength of the four main muscle groups and motor skills of the elderly nursing residents was found in this research. Therefore, special attention should be given to these muscle groups during rehabilitation programs.

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The relationship between lower limb muscle strength and lower extremity function in HIV disease

South African Journal of Physiotherapy ◽

10.4102/sajp.v73i1.360 ◽

2017 ◽

Vol 73 (1) ◽

Cited By ~ 1

Author(s):

Peter C. Mhariwa ◽

Hellen Myezwa ◽

Mary L. Galantino ◽

Douglas Maleka

Keyword(s):

Muscle Strength ◽

Lower Extremity ◽

Lower Limb ◽

Lower Limb Muscle ◽

Limb Muscle ◽

Plantar Flexors ◽

Lower Extremity Function ◽

Extremity Function ◽

The Relationship ◽

Hiv Negative

Background: Human immunodeficiency virus (HIV) negatively impacts muscle strength and function. This study aimed to establish the relationship between lower limb muscle strength and lower extremity function in HIV disease.Method: A cross-sectional study was undertaken with a sample of 113 HIV-positive participants. Lower limb muscle strength and self-reported function were established using dynamometry and the Lower Extremity Functional Scale (LEFS), respectively. Muscle strength and functional status were established in a subset of 30 HIV-negative participants to determine normative values.Results: Muscle strength for participants with HIV ranged from an ankle dorsiflexion mean of 9.33 kg/m2 to 15.79 kg/m2 in hip extensors. In the HIV-negative group, ankle dorsiflexors recorded 11.17 kg/m2, whereas hip extensors were the strongest, generating 17.68 kg/m2. In the HIV-positive group, linear regression showed a positive relationship between lower limb muscle strength and lower extremity function (r = 0.71, p = 0.00). Fifty per cent of the changes in lower extremity function were attributable to lower limb muscle strength. A simple linear regression model showed that lower limb ankle plantar flexors contributed the most to lower extremity function in this cohort, contrary to the literature which states that hip and trunk muscles are the most active in lower limb functional activities.Conclusion: Lower extremity strength impacts perceived function in individuals stabilised on antiretroviral therapy for HIV disease. These findings demonstrate that ankle plantar flexors produce more force over hip flexors. Careful attention should be paid to the implications for strength training in this population.

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Reliability and validity of hand-held dynamometry for assessing lower limb muscle strength

Isokinetics and Exercise Science ◽

10.3233/ies-210168 ◽

2021 ◽

pp. 1-10

Author(s):

Tjaša Lipovšek ◽

Alan Kacin ◽

Urška Puh

Keyword(s):

Muscle Strength ◽

Lower Limb ◽

Reliability And Validity ◽

Knee Extensors ◽

Lower Limb Muscle ◽

Limb Muscle ◽

Rater Reliability ◽

Extensor Muscles ◽

Good For ◽

Muscle Groups

BACKGROUND: Hand-held dynamometry (HHD) is used to assess muscle strength in various patient populations, but many variations in protocols exist. OBJECTIVE: First, to systematically develop a protocol of HHD for all lower limb muscle groups and evaluate intra-rater reliability; second, to validate HHD with fixed dynamometry for the knee flexor and extensor muscles. METHODS: Thirty healthy young adults (women: men – 15:15) participated in two testing sessions. HHD of 12 lower limb muscle groups was performed in both sessions, while fixed dynamometry of knee muscle groups was performed only in the second session. RESULTS: The intra-rater reliability of HHD was good for five muscle groups and excellent for seven muscle groups (ICC3, k= 0.80–0.96). The criterion validity of HHD ranged from very good to excellent for the knee flexors (r= 0.77–0.89) and from good to very good for the knee extensors (r= 0.65–0.78). However, peak moment values for the knee extensor muscles were underestimated by 32% (p< 0.001). CONCLUSIONS: The proposed HHD protocol provides reliable and valid measurements of lower limb muscle isometric strength in healthy adults, which may also be used to test patients with mild muscle strength deficits. However, possible underestimation of absolute strength must be considered when interpreting the results of knee extensors or other large muscles.

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The Relationship of Lower Limb Muscle Strength and Knee Joint Hyperextension during the Stance Phase of Gait in Hemiparetic Stroke Patients

Physiotherapy Research International ◽

10.1002/pri.528 ◽

2011 ◽

Vol 17 (3) ◽

pp. 150-156 ◽

Cited By ~ 26

Author(s):

Allison Cooper ◽

Ghalib Abdulllah Alghamdi ◽

Mohammed Abdulrahman Alghamdi ◽

Abdulrahman Altowaijri ◽

Susan Richardson

Keyword(s):

Muscle Strength ◽

Knee Joint ◽

Lower Limb ◽

Stance Phase ◽

Lower Limb Muscle ◽

Limb Muscle ◽

Stroke Patients ◽

Hemiparetic Stroke ◽

Relationship Of ◽

The Relationship

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Is maximal muscle strength and fatigability of three lower limb muscle groups associated with walking capacity and fatigability in multiple sclerosis? An exploratory study

Multiple Sclerosis and Related Disorders ◽

10.1016/j.msard.2021.102841 ◽

2021 ◽

Vol 50 ◽

pp. 102841

Author(s):

Fanny Van Geel ◽

Lars G Hvid ◽

Pieter Van Noten ◽

Bert O. Eijnde ◽

Ulrik Dalgas ◽

...

Keyword(s):

Multiple Sclerosis ◽

Muscle Strength ◽

Lower Limb ◽

Exploratory Study ◽

Lower Limb Muscle ◽

Limb Muscle ◽

Walking Capacity ◽

Muscle Groups ◽

Maximal Muscle Strength

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Muscle strength evaluation of limb dominance in prepubescent swimmers boys and girls

Baltic Journal of Health and Physical Activity ◽

10.29359/bjhpa.13.3.03 ◽

2021 ◽

Vol 13 (3) ◽

pp. 23-30

Author(s):

AYKUT OZCADIRCI ◽

FERHAT OZTURK ◽

SUKRU ALPAN CINEMRE ◽

GIZEM IREM KINIKLI

Keyword(s):

Muscle Strength ◽

Lower Limb ◽

Knee Flexion ◽

T Test ◽

Strength Ratio ◽

Lower Limb Muscle ◽

Limb Muscle ◽

Flexion Extension ◽

Dominant Side ◽

Isometric Muscle

Background: The aim of this study was to compare the lower limb muscle strength in terms of gender and limb dominancy in prepubescent swimmers. Material and Methods: Seventy-four prepubescent swimmers (mean age: 11.01±1.58 years; 42 boys; 32 girls) who were training for at least 8 hours a week and without current lower limb pain participated in the study. Isometric muscle strength of lower limb was measured by hand-held dynamometry. Independent samples-t test was used to determine the difference between genders, while paired samples-t test was used for dominant-nondominant side comparison. The significance level was accepted as p<0.05. Results: Knee flexion (p<0.001), extension (p<0.001) and ankle dorsiflexion (p=0.003) muscle strength were stronger on the dominant side than on the non-dominant side. Knee flexion/extension strength ratio was similar (p=0.957); while ankle plantar flexion/dorsiflexion strength ratio was significantly different (p=0.011). Boys swimmers had stronger isometric muscle strength in the dominant side together with knee flexion (p=0.018) and knee flexion extension strength ratio (p=0.007) than girls swimmers. Conclusion: Boys swimmers had higher dominant side knee flexion muscle strength compared to female peers. Gender and lower limb dominancy might be important for lower limb muscle strength to show varieties in prepubescent swimmers before planning a training program.

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