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膝关节伸肌和踝关节跖屈肌力量对老年女性单腿站立平衡的影响

The Influence of Knee Extensor and Ankle Plantar Flexor Strength on Single-Leg Standing Balance in Older Women.

作者信息

Tapanya Weerasak, Maharan Sinthuporn, Amput Patchareeya, Sangkarit Noppharath, Suwannakul Boonsita

机构信息

Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand.

Unit of Excellence of Human Performance and Rehabilitations, University of Phayao, Phayao 56000, Thailand.

出版信息

J Funct Morphol Kinesiol. 2023 May 18;8(2):67. doi: 10.3390/jfmk8020067.

Abstract

Impaired balance is a significant risk factor for falls among older adults. The precise impact of lower-extremity muscles, including the proportion of muscle strength, on the performance of single-leg standing balance tests in older individuals is very interesting. The aim of this study is to examine the correlation between the knee extensor (KE), ankle plantar flexor (AP) muscle strength, and performance in single-leg standing balance tests in older females. Additionally, it aims to evaluate the combined proportion of KE and AP muscle strength in maintaining balance during single-leg standing. A total of 90 older females (mean age 67.83 ± 8.00 years) were recruited. All participants underwent maximum voluntary isometric contraction (MVIC) testing of the KE and AP muscles, as well as single-leg standing balance tests with eyes open (SSEO) and eyes closed (SSEC). To examine the influence of KE and AP muscle strength on balance performance, multiple regression analysis was conducted. Low correlations were found between SSEO and MVIC of KE and AP muscles, but moderate correlations were found with percentage of MVIC to body weight ratio (%MVIC/BW). The best model for SSEO included 0.99 times of the %MVIC/BW of AP and 0.66 times that of KE muscles as independent predictor variables (r = 0.682). In conclusion, AP muscle strength was found to have a greater impact on single-leg standing balance compared with KE muscle strength.

摘要

平衡能力受损是老年人跌倒的一个重要风险因素。下肢肌肉,包括肌肉力量的比例,对老年人单腿站立平衡测试表现的精确影响非常有趣。本研究的目的是探讨老年女性膝关节伸肌(KE)、踝关节跖屈肌(AP)肌力与单腿站立平衡测试表现之间的相关性。此外,旨在评估KE和AP肌肉力量在单腿站立时维持平衡的综合比例。共招募了90名老年女性(平均年龄67.83±8.00岁)。所有参与者均接受了KE和AP肌肉的最大自主等长收缩(MVIC)测试,以及睁眼单腿站立平衡测试(SSEO)和闭眼单腿站立平衡测试(SSEC)。为了研究KE和AP肌肉力量对平衡表现的影响,进行了多元回归分析。发现SSEO与KE和AP肌肉的MVIC之间相关性较低,但与MVIC与体重比(%MVIC/BW)的百分比之间存在中度相关性。SSEO的最佳模型包括AP的%MVIC/BW的0.99倍和KE肌肉的0.66倍作为独立预测变量(r = 0.682)。总之,与KE肌肉力量相比,发现AP肌肉力量对单腿站立平衡的影响更大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/807b/10204372/651eea30309f/jfmk-08-00067-g001.jpg

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