School of Arts Sciences and Humanities, Universidade de São Paulo, São Paulo, SP, Brazil.
School of Arts Sciences and Humanities, Universidade de São Paulo, São Paulo, SP, Brazil; Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Clinics (Sao Paulo). 2022 Oct 31;77:100125. doi: 10.1016/j.clinsp.2022.100125. eCollection 2022.
In the elderly, weak lower limb muscles impair functional tasks' performance.
To evaluate the healthy elderly's ankle dorsiflexion and plantarflexion maximum torque and its variability in two sets of 5 RM isokinetics evaluation.
50 women (68.0 ± 4.6 years old) and 50 men (72.7 ± 8.5 years old) did two sets of ankle plantar flexor and dorsiflexor isokinetic tests at 30°/s. Peak torque, total work, and coefficient of variation were analyzed.
Men did the strongest plantarflexion torque (p < 0.05) and dorsiflexion torque (p < 0.05); their highest peak torque occurred at set 2 (p < 0.05), while the largest plantarflexion torque variability (p < 0.05), dorsiflexion torque variability (p < 0.05), and the largest plantarflexion torque variability occurred at set 1 (p < 0.05). Men did the highest plantarflexion and dorsiflexion total work (p < 0.05) at set 2 (p < 0.05).
Older men are stronger than older women. The torque variability, in men, was higher during the first set, suggesting an adaptation to the isokinetics evaluation. Clinicians and researchers should consider that different muscles might need different numbers of sets and trials to measure their maximal muscle strength.
在老年人中,下肢肌肉较弱会影响其完成日常功能任务的能力。
评估健康老年人在进行 5 次最大重复(5RM)等速测试时踝关节背屈和跖屈的最大扭矩及其变异性。
50 名女性(68.0±4.6 岁)和 50 名男性(72.7±8.5 岁)进行了两组踝关节跖屈和背屈等速测试,角速度为 30°/s。分析了峰值扭矩、总功和变异系数。
男性的跖屈扭矩和背屈扭矩均最强(p<0.05);其峰值扭矩出现在第二组(p<0.05),而跖屈扭矩和背屈扭矩的变异性最大(p<0.05),且跖屈扭矩的变异性最大出现在第一组(p<0.05)。男性在第二组的跖屈和背屈总功最高(p<0.05)(p<0.05)。
与女性相比,老年男性更强壮。男性在第一组测试中,扭矩变异性更高,这表明他们对等速评估有适应性。临床医生和研究人员应考虑到不同的肌肉可能需要不同的组数和试验次数来测量其最大肌肉力量。