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

2017 ◽  
Vol 73 (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.

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

2015 ◽  
pp. 1-4
Author(s):  
F. BUCKINX ◽  
J.L. CROISIER ◽  
J.Y. REGINSTER ◽  
J. PETERMANS ◽  
E. GOFFART ◽  
...  
Keyword(s):  
Nursing Home ◽  
Muscle Strength ◽  
Motor Skills ◽  
Lower Limb ◽  
Nursing Home Residents ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Muscle Groups ◽  
The Relationship ◽  
Isometric Muscle

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.

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

2011 ◽  
Vol 17 (3) ◽  
pp. 150-156 ◽  
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

scholarly journals Falls, muscle strength, and functional abilities in community-dwelling elderly women

2017 ◽  
Vol 30 (2) ◽  
pp. 357-366
Author(s):  
Viviane Santos Borges ◽  
Nayara Santos Silva ◽  
Ariana Cristina Malta ◽  
Nathália Cristina Xavier ◽  
Lorene Elka Santana Bernardes
Keyword(s):  
Muscle Strength ◽  
Lower Limb ◽  
Elderly Women ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Knee Extensors ◽  
Functional Abilities ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Plantar Flexors

Abstract Introduction: Falls are among the most common and serious problems facing elderly women. Falling is associated with increased mortality, morbidity, reduced functioning, loss of independence and hospitalization. Objective: The aim of this study was to investigate the association among fear of falling, muscle strength, and functional abilities in community-dwelling elderly women. Methods: Forty-nine elderly women (70.57 ± 5.59 years) participated in this study. Records of falls, self-efficacy associated with falls (FES-I Brazil), functional abilities (the Timed Up and Down Stairs test [TUDS] and the Timed Up and Go test [TUG]), lower limb muscle strength (knee extensors and ankle plantar flexors), and hand grip strength were investigated as variables of interest. Descriptive statistics, the one-way ANOVA, and linear regression tests were used to analyze the association between fear of falling and falls with other variables (α = 0.05). Results: Elderly women who presented records of falls within the last year had lesser strength of knee extensors and plantar flexors (p ≤. 05). Those who had low self-efficacy associated with falls presented lower strength of knee extensors (p ≤. 01). Variables associated with functional abilities (r = 0.70) and lower limb strength (r = 0.53) showed a positive correlation (p ≤. 01). Conclusion: The concern with the fear of falling and falls may be negative effects caused by lower limb muscle weakness.

scholarly journals Reduced Lower-Limb Muscle Strength and Volume in Patients With Type 2 Diabetes in Relation to Neuropathy, Intramuscular Fat, and Vitamin D Levels

Diabetes Care ◽  
2016 ◽  
Vol 39 (3) ◽  
pp. 441-447 ◽  
Author(s):  
Monirah M. Almurdhi ◽  
Neil D. Reeves ◽  
Frank L. Bowling ◽  
Andrew J.M. Boulton ◽  
Maria Jeziorska ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Vitamin D ◽  
Muscle Strength ◽  
Lower Limb ◽  
Intramuscular Fat ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Vitamin D Levels

scholarly journals Mediating effects of lower extremity function on the relationship between night sleep duration and cardiovascular disease risk: a cross-sectional study in elderly Chinese without cardiovascular diseases

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046015
Author(s):  
Hui Zhang ◽  
Xiaoyu Chen ◽  
Peipei Han ◽  
Weibo Ma ◽  
Yuanyuan Zhang ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Sleep Duration ◽  
Physical Performance ◽  
Indirect Effect ◽  
Night Sleep ◽  
Lower Extremity Function ◽  
Cvd Risk ◽  
Extremity Function ◽  
Elderly Chinese ◽  
The Relationship

ObjectiveThe purpose of this study is to investigate the mediating effect of physical performance on the relationship between night sleep duration and risk of cardiovascular disease (CVD) in elderly Chinese without CVD.Methods782 participants without CVD over 65 years (average: 70.82±3.86 years, 448 women) were included in this study. CVD risk was calculated by the Framingham Risk Score and participants were divided into four groups of night sleep duration (in hours): <7 hours, ≥7–8 hours, >8–9 hours and >9 hours. Upper extremity function was measured by grip strength and lower extremity function was measured by the Short Physical Performance Battery (SPPB), consisting of balance, 4 m walk and chair stands tests.ResultsAfter adjusting for covariates, long night sleep duration (>9 hours) and CVD risk were significantly positively associated compared with moderate night sleep duration (≥7–8 hours) (β=1.152; 95% CI 0.05 to 2.25). SPPB total score (indirect effect ab=−0.122; 95% CI −0.291 to –0.0008) rather than grip strength partially mediated the relationship between long night sleep duration and CVD risk, in which chair stands played a major mediating role (indirect effect ab=−0.171; 95% CI −0.040 to –0.0006), while balance (indirect effect ab=−0.016; 95% CI −0.100 to 0.063) and 4 m walk (indirect effect ab=0.048; 95% CI −0.066 to 0.201) did not.ConclusionsLower extremity function, especially lower limb muscle strength, partially mediates a positive association between long night sleep duration and CVD risk in the elderly without CVD. Suitable interventions for physical performance and sleep may minimise the risk of subsequent CVD.

scholarly journals Work Ability and Employment in Rheumatoid Arthritis: A Cross-Sectional Study on the Role of Muscle Strength and Lower Extremity Function

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Carolin Berner ◽  
Sandra Haider ◽  
Igor Grabovac ◽  
Thomas Lamprecht ◽  
Karl Heinrich Fenzl ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Lower Extremity ◽  
Work Ability ◽  
Employment Status ◽  
Knee Extensor ◽  
Lower Extremity Function ◽  
Cross Sectional ◽  
Hand Grip ◽  
Extremity Function ◽  
Knee Extensor Strength

Objective. The aim of the present study was to assess the association between muscle strength, lower extremity function, employment status, and work ability in RA patients. Methods. One hundred seropositive RA outpatients of working age were included in this cross-sectional study. Employment status was assessed by interview and work ability by the Work Ability Index-Single Item Scale (WAS). Muscle strength was determined using dynamometer measurement of isometric hand grip and knee extensor strength. Lower extremity function was measured using the short physical performance battery (SPPB). Regression models estimate the association between unemployment, work ability and muscle strength, and lower extremity function, controlling for sociodemographic and disease-related factors. Results. Forty-one percent of the RA patients were not gainfully employed, and their median work ability had a good WAS value (7.00 [4.00-7.00]). Patients with better knee extensor strength (OR=1.07, 95% CI [1.02-1.12) and better physical performance (OR=1.71, 95% CI [1.18-2.49]) had a significantly better chance of gainful employment. The odds for hand grip strength remained significant when adjusted for sociodemographic (OR=1.5, 95% CI [1.00-1.09]), but not for disease-specific variables. Better hand grip strength (β=0.25, p=0.039) and better knee extensor strength (β=0.45, p=0.001) as well as better lower extremity function (SPPB) (β=0.51, p<0.001) remained significantly associated with work ability following adjustment for sociodemographic and disease-specific variables. Conclusions. The association of employment status and work ability with parameters of physical fitness suggests that improvement in muscle strength and lower extremity function may positively influence work ability and employment in individuals with RA.

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