Centre for Sport, Exercise and Life Sciences, School of Life Sciences, Coventry University, Warwickshire, United Kingdom.
Centre for Sport, Exercise and Life Sciences, School of Life Sciences, Coventry University, Warwickshire, United Kingdom.
Exp Gerontol. 2021 Jul 15;150:111385. doi: 10.1016/j.exger.2021.111385. Epub 2021 Apr 28.
The purpose of this study was to assess the association between muscle thickness and echo intensity of the knee extensors and ankle plantarflexors with postural sway, mobility and physical function in older adults. Twenty-one older men and women (age; 69.9 ± 4.3 years) were assessed for postural sway (centre of pressure movement), mobility (i.e. Timed-Up and-Go-test [TUG]), physical function (i.e. 5 times sit-to-stand [STS]), and ultrasound derived measures of muscle thickness and echo intensity of the vastus lateralis (VL) and gastrocnemius medialis (GM). Significant inverse correlations were observed between VL and GM thickness with TUG (r = -0.432 to -0.492) and STS (r = -0.473 to -0.596). Significant positive correlations were observed between VL and GM echo intensity with TUG (r = 0.459 to 0.518) and STS (r = 0.481 to 0.635). Significant positive correlations were also detected between GM echo intensity and anteroposterior sway (r = 0.451 to 0.534). Two key findings emerged from the present experiment. First, this study provides novel evidence that ankle plantarflexor echo intensity, but not thickness, was associated with anteroposterior postural sway among older adults. Second, we provide new evidence that muscle thickness and echo intensity of the knee extensors and uniquely, the ankle plantarflexors, presented with similar magnitude associations with TUG and STS performance in older adults.
本研究旨在评估膝关节伸肌和踝关节跖屈肌的肌肉厚度和回声强度与老年人姿势摆动、移动能力和身体功能之间的关系。 21 名老年男性和女性(年龄;69.9 ± 4.3 岁)接受了姿势摆动(压力中心移动)、移动能力(即计时起坐测试 [TUG])、身体功能(即 5 次坐站测试 [STS])和超声测量的股外侧肌(VL)和比目鱼肌(GM)的肌肉厚度和回声强度评估。 VL 和 GM 厚度与 TUG(r = -0.432 至-0.492)和 STS(r = -0.473 至-0.596)呈显著负相关。 VL 和 GM 回声强度与 TUG(r = 0.459 至 0.518)和 STS(r = 0.481 至 0.635)呈显著正相关。 GM 回声强度与前后摆动(r = 0.451 至 0.534)也存在显著正相关。本实验有两个主要发现。首先,本研究提供了新的证据,表明踝关节跖屈肌的回声强度而不是厚度与老年人的前后姿势摆动有关。其次,我们提供了新的证据,表明膝关节伸肌和独特的踝关节跖屈肌的肌肉厚度和回声强度与老年人的 TUG 和 STS 表现呈相似的关联。