scholarly journals Analysis of agreement of assessment tools of range of motion in the elderly

Author(s):  
Deise Aparecida de Almeida Pires-Oliveira ◽  
Rosemari Queiroz Freitas ◽  
Abdallah Achour Júnior ◽  
Laís Campos de Oliveira ◽  
Raphael Gonçalves de Oliveira ◽  
...  

Background: Considering the growth of the elderly population and the typical declines in the aging process on physical capacities such as flexibility, it is necessary to understand how different assessment instruments are able to measure joint range of motion. Objective: To verify the agreement between the goniometer and fleximeter instruments in the evaluation of the range of motion of the hip, knee and ankle joints of elderly women. Methods: The study evaluated a total of 138 elderly women, mean age of 70 years (± 5.49). The goniometer and the fleximeter were used to verify the range of motion of the hip flexion, knee flexion and ankle dorsi- and plantar‐flexion. For the analysis were used the Intraclass Correlation Coefficient (ICC) and Bland-Altman plot, with confidence intervals of 95%. Results: The ICC values showed excellent agreement between the instruments, while the Bland-Altman plots presented a low risk of bias for all the regions evaluated (hip flexion: ICC= 0.99, bias= 1.19; knee flexion: ICC= 0.99, bias= -0.16; ankle dorsiflexion: ICC= 0.91, bias= -0.60; ankle plantar-flexion: ICC= 0.96; bias= -0.81). Conclusion: The results showed an excellent agreement between the data provided by the goniometer and fleximeter instruments on the evaluation of the range of motion of the hip flexion, knee flexion and ankle dorsi- and plantar-flexion, indicating that both provide similar results in the elderly.

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Daniel Kadlec ◽  
Matthew J. Jordan ◽  
Leanne Snyder ◽  
Jacqueline Alderson ◽  
Sophia Nimphius

Abstract Purpose To examine the test re-test reliability of isometric maximal voluntary contractions (MVC) of hip adduction (ADDISO), hip abduction (ABDISO), and multijoint leg extension (SQUATISO) in sub-elite female Australian footballers. Methods Data were collected from 24 sub-elite female Australian footballers (age 22.6 ± 4.5 years; height 169.4 ± 5.5 cm; body mass 66.6 ± 8.0 kg; 4.5 ± 4.4 years sport-specific training; 2.5 ± 2.0 years unstructured resistance training) from the same club on two non-consecutive days. Participants performed three isometric MVCs of ADDISO, ABDISO, and SQUATISO. The SQUATISO was performed at 140° knee flexion with a vertical trunk position and ADDISO and ABDISO measures were performed in a supine position at 60° of knee flexion and 60° hip flexion. Reliability was assessed using paired t tests and the intraclass correlation coefficient (ICC) with 95% confidence intervals (CI), typical error (TE), and coefficient of variation (CV%) with 95% CI. Results SQUATISO peak force (ICC .95; CV% 4.1), ABDISO for left, right, and sum (ICC .90–.92; CV% 5.0–5.7), and ADDISO for left, right, and sum (ICC .86–.91; CV% 6.2–6.9) were deemed acceptably reliable based on predetermined criteria (ICC ≥ .8 and CV% ≤ 10). Conclusion SQUATISO, ABDISO, and ADDISO tests demonstrated acceptable reliability for the assessment of peak force in sub-elite female Australian footballers, suggesting these assessments are suitable for muscle strength testing and monitoring adaptations to training.


2018 ◽  
Vol 2 (2) ◽  
pp. 89
Author(s):  
Sahmad Sahmad ◽  
Reni Yunus ◽  
Andi Sarmawan

Aging is a physiological process that will reduce all the functions of organs, one of which is on the musculoskeletal system which can lead to limited motion. This study aimed to determine the effect of Range Of Motion (ROM) of the passive joint flexibility in the elderly in PSTW Minaula Kendari. This research was conducted in PSTW Minaula Kendari. Number of samples 12 people. This study uses the design of one group pretest-posttest. Leverage data is done through observation and documentation. Data were analyzed using paired t-test at 95% confidence level with a = 0.05 using computerized tools (SPSS-20). The results showed that there is the effect of passive ROM tehadap right knee joint flexibility by providing flexion (p = 0.00), extension (p = 0.00), the left knee with the provision of flexion (p = 0.01), extension (p = 0.00), with the provision of the right ankle dorsi flexion (p = 0.00), plantar flexion (p = 0.00), the left ankle with the provision of dorsi flexion (p = 0.00), plantar flexion (p = 0.00), the right foot by giving inverse (p = 0.00), eversion (p = 0.00), the left foot by giving inverse (p = 0.00), eversion (p = 0.00). The conclusion of this study is to show that there is the effect of passive ROM to the flexibility of the joints in the elderly.  


2020 ◽  
Vol 10 (1) ◽  
pp. 33-40
Author(s):  
Hamed Zarei ◽  
◽  
Ali Asghar Norasteh ◽  
Masoomeh Koohboomi ◽  
◽  
...  

Purpose: The present study examined the relationship between muscle strength and range of motion in lower extremity with balance and risk of falling in the elderly. Methods: This was a cross-sectional study. The statistical population included healthy elderly (Mean±SD age: 65.64±4.95 y) in Rasht City, Iran. The study was conducted on 65 healthy elderly males who met the study inclusion criteria and were selected by convenience sampling method. In this study, to measure static and dynamic balance, Sharpened Romberg test and Get Up and Go test were conducted, respectively. Additionally, the falling risk was measured by the Berg Balance Scale. Moreover, the maximum isometric force of the muscle groups in the lower extremities was measured using a hand-held dynamometer, and the range of motion was measured by a goniometer. The obtained data were analyzed using descriptive and analytical statistics by SPSS. Results: The present study results demonstrated that the muscle strength of hip extension, hip abduction, hamstring, quadriceps, and ankle plantarflexion had a significant relationship with static balance; while being negatively related to dynamic balance (P≤0.05). Furthermore, we observed a significant and negative relationship between the muscle strength of ankle dorsiflexion and dynamic balance and risk of falling (P≤0.05). There was also a positive and significant relationship between the range of motion hip extension, knee flexion, plantar flexion, and ankle dorsiflexion and static balance, while indicating a negative and significant relationship between these variables and dynamic balance and risk of falling (P≤0.05). Conclusion: The muscle strength hip abduction, hip extensions, hamstring, quadriceps, plantar flexion, ankle dorsiflexion and range of motion hip extension, knee flexion, ankle plantar flexion, and dorsiflexion seem to affect balance maintenance and fall risk in the elderly.


Author(s):  
Wildja de Lima Gomes ◽  
Luciara Irene de Nadai Dias ◽  
Rachel Paes Guimarães ◽  
Cínthia Mara Stivali ◽  
Gisele da Rosa Faria ◽  
...  

Background: It is estimated that the prevalence of cerebrovascular accident (CVA) increases significantly as a result of the increase in the elderly population, leading to dependence and care. Interventions with physical exercises are essential for patients with chronic CVA and hemiparesis to contribute to functional motor recovery. The gait of the hemiparetic patients is very impaired, including decreased speed, unipodal support in the abbreviated paretic limb, increased step length, decreased hip flexion, increased knee flexion and plantar flexion and involves compensatory strategies to deal with deficits of the affected limb. Rehabilitation programs of patients with CVA should focus on the restoration of the individual’s independence and ability to move. Objective: To analyze the effects of the addition of a load on a lower limb not affected in the discharge of weight and motor function of paretic lower limb. Method: Experimental, randomized, double-blind study conducted at the Physiotherapy and Occupational Therapy Outpatient Clinic of the Hospital das Clínicas (HC) - UNICAMP. Participants were assessed by the Confidence and Balance Scale, Fugl-Meyer Assessment of Physical Performance (FMA), Modified Ashworth Scale (MAS), Postural Stroke Scale for post-stroke patients (PSS), Time up and go test (TUG), 10-Meter gait test, Stroke Scale Barthel and weight transfer in the affected lower limb. Participants were treated in 12 walking training sessions on the treadmill with 1 kg added to the ankle of the lower limb. Results: There were variations between the 3 times for gait time (p= 0.005), FMA (p= 0.002), Activities-specific Balance Confidence Scale (ABC scale) (p= 0.007) and EAPA (p= 0.042). Conclusion: Treadmill therapy and weight addition in the healthy limb revealed improvement in motor function, balance in orthostatism and walking speed.


2021 ◽  
Vol 11 (9) ◽  
pp. 4308
Author(s):  
Haruki Toda ◽  
Tsubasa Maruyama ◽  
Yuichi Kurita ◽  
Mitsunori Tada

Leg swing during walking is controlled by hip and knee flexion motions. This study examined the effect of swing assist using a pneumatic artificial muscle (PAM) driver system on hip and knee motions and gait performance in the elderly. The participants consisted of 10 healthy elderly individuals. Two PAMs were attached to each participant’s left hip joint, and a pressure sensor was inserted under the right heel as the trigger. PAM contraction parameters could be controlled through a smartphone, i.e., the delay from trigger to contraction and the contraction duration. These parameters were randomly changed to 0, 100, or 200 ms for the delay and 100, 200, or 300 ms for the contraction. Four combination patterns of delay and contraction duration were observed as the parameter settings for maximizing the hip flexion angle. During walking with the PAM assistance, the hip and knee flexion angles in the swing phase and hip angular excursion of the elderly were significantly increased without altering the gait performance. The findings show that our PAM driver system can realize effective swing assist through changing temporal parameter settings for the PAM contraction in the elderly.


Author(s):  
Matheus Barbalho ◽  
Paulo Gentil ◽  
Rodolfo Raiol ◽  
Fabrício Boscolo Del Vecchio ◽  
Rodrigo Ramirez-Campillo ◽  
...  

Background: The maximal one-repetition test (1-RM) is widely used in scientific research; however, there are conflict results regarding its reproducibility in elderly population. The present study aimed to analyze the reproducibility the test both before and after a 12 week training period by using the bench press and leg press 45° 1-RM tests in the elderly taking into consideration the training experience and strength level of the women. Methods: Elderly women (n = 376; age, 68.5 ± 14.1 years; height, 162.7 ± 5.5 cm; body mass, 71.2 ± 16.0 kg) who underwent ≥3 months of resistance training performed an initial week of familiarization and a second week of testing and retest, with a 48–72 hour interval. Results: The results showed maximal and relative load strength of 39.3 kg and 0.59 kg/body mass for lower limbs and 20.9 kg and 0.31 kg/body mass for upper limbs. The Kappa indices were 0.93 and 0.95, and the intraclass correlation coefficients were 0.99 and 0.99 for the lower and upper limbs, respectively. Conclusion: Therefore, the present study confirms that the 1-RM test has high reliability and reproducibility in the elderly, for both upper and lower limbs.


Sports ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 171 ◽  
Author(s):  
Matheus Barbalho ◽  
Paulo Gentil ◽  
Rodolfo Raiol ◽  
Fabrício Del Vecchio ◽  
Rodrigo Ramirez-Campillo ◽  
...  

Background: The maximal one-repetition test (1-RM) is widely used in scientific research; however, there are conflicting results regarding its reproducibility in elderly populations. The present study aimed to analyze the reproducibility of the test both before and after a 12-week training period by using the bench press and leg press 45° 1-RM tests in the elderly, taking into consideration the training experience and strength level of the women. Methods: Elderly women (n = 376; age, 68.5 ± 14.1 years; height, 162.7 ± 5.5 cm; body mass, 71.2 ± 16.0 kg) who underwent ≥3 months of resistance training performed an initial week of familiarization and a second week of testing and retest, with a 48–72 h interval. Results: The results showed that Kappa indices ranged from 0.93 to 0.95, and the intraclass correlation coefficients were 0.99 for both the lower and upper limbs. In addition, minimal detectable changes were found that ranged between 1 and 3%, which means that changes lower than 1 kg could be detected. Conclusion: The present study confirms that the 1-RM test has high reliability and reproducibility in the elderly, for both upper and lower limbs.


2015 ◽  
Vol 10 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Paul Comfort ◽  
Paul. A. Jones ◽  
John J. McMahon ◽  
Robert Newton

The isometric midthigh pull (IMTP) has been used to monitor changes in force, maximum rate of force development (mRFD), and impulse, with performance in this task being associated with performance in athletic tasks. Numerous postures have been adopted in the literature, which may affect the kinetic variables during the task; therefore, the aim of this investigation was to determine whether different knee-joint angles (120°, 130°, 140°, and 150°) and hip-joint angles (125° and 145°), including the subjects preferred posture, affect force, mRFD, and impulse during the IMTP. Intraclass correlation coefficients demonstrated high within-session reliability (r ≥ .870, P < .001) for all kinetic variables determined in all postures, excluding impulse measures during the 130° knee-flexion, 125° hip-flexion posture, which showed a low to moderate reliability (r = .666–.739, P < .001), while between-sessions testing demonstrated high reliability (r > .819, P < .001) for all kinetic variables. There were no significant differences in peak force (P > .05, Cohen d = 0.037, power = .408), mRFD (P > .05, Cohen d = 0.037, power = .409), or impulse at 100 ms (P > .05, Cohen d = 0.056, power = .609), 200 ms (P > .05, Cohen d = 0.057, power = .624), or 300 ms (P > .05, Cohen d = 0.061, power = .656) across postures. Smallest detectable differences demonstrated that changes in performance of >1.3% in peak isometric force, >10.3% in mRFD, >5.3% in impulse at 100 ms, >4.4% in impulse at 200 ms, and >7.1% in impulse at 300 ms should be considered meaningful, irrespective of posture.


2020 ◽  
Author(s):  
Daniel Kadlec ◽  
Matthew J. Jordan ◽  
Leanne Snyder ◽  
Jacqueline Alderson ◽  
Sophia Nimphius

Abstract Purpose: To examine the test re-test reliability of isometric maximal voluntary contractions (MVC) of hip adduction (ADDISO), hip abduction (ABDISO), and multijoint leg extension (SQUATISO) in sub-elite female Australian footballers. Methods: Data were collected from 24 sub-elite female Australian footballers (age: 22.6±4.5 y; height: 169.4±5.5 cm; body mass: 66.6±8.0 kg; 4.5±4.4 y sport-specific training; 2.5±2.0 y unstructured resistance training) from the same club on two non-consecutive days. Participants performed 3 isometric MVCs of ADDISO, ABDISO and SQUATISO. The SQUATISO was performed at 140° knee flexion with a vertical trunk position and ADDISO and ABDISO measures were performed in a supine position at 60° of knee flexion and 60° hip flexion. Reliability was assessed using paired T-tests and the intraclass correlation coefficient (ICC) with 95% confidence intervals (CI), typical error (TE) and coefficient of variation (CV%) with 95% CI. Results: SQUATISO peak force (ICC: .95; CV%: 4.1), ABDISO for left, right and sum (ICC: .90 – .92; CV%: 5.0 – 5.7), and ADDISO for left, right and sum (ICC: .86 - .91; CV%: 6.2 – 6.9) were deemed acceptably reliable based on predetermined criteria (ICC ≥ .8 and CV% ≤ 10). Conclusion: SQUATISO, ABDISO and ADDISO tests demonstrated acceptable reliability for the assessment of peak force in sub-elite female Australian footballers, suggesting these assessments are suitable for muscle strength testing and monitoring adaptations to training.


2020 ◽  
Author(s):  
Daniel Kadlec ◽  
Matthew J. Jordan ◽  
Leanne Snyder ◽  
Jacqueline Alderson ◽  
Sophia Nimphius

Abstract Purpose To examine the test re-test reliability of isometric maximal voluntary contractions (MVC) of hip adduction (ADDISO), hip abduction (ABDISO), and multijoint leg extension (SQUATISO) in recreationally trained female Australian footballers. Methods Data were collected from 24 female Australian footballers (age: 22.6 ± 4.5 y; height: 169.4 ± 5.5 cm; body mass: 66.6 ± 8.0 kg; 4.5 ± 4.4 sport-specific training; 2.5 ± 2.0 resistance training years) from the same club on two non-consecutive days. Participants performed 3 isometric MVCs of ADDISO, ABDISO and SQUATISO. The SQUATISO was performed at 140° knee flexion with a vertical trunk position and ADDISO and ABDISO measures were performed in a supine position at 60° of knee flexion and 60° hip flexion. Reliability was assessed using paired T-tests and the intraclass correlation coefficient (ICC) with 95% confidence intervals (CI), typical error (TE) and coefficient of variation (CV%) with 95% CI. Results SQUATISO peak force (ICC: .95; CV%: 4.1), ABDISO for left, right and sum (ICC: .90 – .92; CV%: 5.0–5.7), and ADDISO for left right and sum (ICC: .86 − .91; CV%: 6.2–6.9) were deemed acceptably reliable based on predetermined criteria (ICC ≥ .8 and CV% ≤ 10). Conclusion SQUATISO, ABDISO and ADDISO tests demonstrated acceptable reliability for the assessment of peak force in recreational female Australian footballers, suggesting these assessments are suitable for muscle strength testing and monitoring adaptations to training.


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