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衰老对髋外展肌扭矩、功率、速度的影响以及与下肢身体功能的关联

The Influence of Aging on Hip Abductor Muscle Torque, Power, Velocity and the Association With Lower Limb Physical Function.

作者信息

Lanza Marcel Bahia, de Souza Carolina da Cruz, Gray Vicki L

机构信息

Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, Maryland.

出版信息

J Geriatr Phys Ther. 2025;48(2):E129-E137. doi: 10.1519/JPT.0000000000000431. Epub 2025 Apr 7.

Abstract

BACKGROUND AND PURPOSE

Muscle strength, power, and mass decline with aging, leading to functional loss highly correlated with balance and falls in older adults. Lower limb muscle function is critical for fall prevention in older adults, and hip abductor force and rapid force development have been shown to be important during stepping tasks. However, it remains unclear whether hip abductor muscle function changes with aging. Therefore, the primary aim of this study was to compare maximum torque, submaximal power, and submaximal velocity of hip abductor muscles, as well as hip abductor strength and power clinical assessments, between young and older adults. The secondary aim was to investigate whether there is a relationship between the clinical assessments and hip abduction maximum torque, submaximal power, and submaximal velocity in young and older adults.

METHODS

The volunteers young (n = 20, 26.5 ± 3.9) and older (n = 20, 71.9 ± 5.3) adults performed a hip abduction estimated 1-repetition maximum (e1RM) and submaximal tests (40%, 60%, and 70% of e1RM) and clinical assessments (stair climb power test and the 30-second chair stand test).

RESULTS

Older adults exhibited a statistically significant decline in hip abduction torque, power, and velocity, accompanied by lower scores in clinical assessments in comparison to young adults. However, young adults did not exhibit any significant associations between clinical assessments and hip abduction maximum torque, power, and velocity, whereas older adults demonstrated strong correlations (r ≥ 0.52, P ≤ .02).

DISCUSSION

Older adults have a significant reduction in their ability to produce hip abduction torque, power, and velocity, as well as poor performance in clinical assessments compared to young adults. The declines in hip abductor maximum torque, power, and velocity with aging may be related to functional performance, as shown by the significant correlations between these variables and clinical assessments in older adults.

CONCLUSION

Health care professionals should consider declines in the ability to generate muscle force rapidly, given its significance to lower limb function and overall physical capabilities.

摘要

背景与目的

肌肉力量、功率和质量会随着年龄增长而下降,导致功能丧失,这与老年人的平衡能力和跌倒高度相关。下肢肌肉功能对于预防老年人跌倒至关重要,并且已表明髋外展肌力量和快速力量发展在步行任务中很重要。然而,髋外展肌功能是否会随着年龄增长而变化仍不清楚。因此,本研究的主要目的是比较年轻人和老年人之间髋外展肌的最大扭矩、次最大功率和次最大速度,以及髋外展肌力量和功率的临床评估。次要目的是研究年轻人和老年人的临床评估与髋外展最大扭矩、次最大功率和次最大速度之间是否存在关系。

方法

年轻志愿者(n = 20,26.5 ± 3.9)和老年志愿者(n = 20,71.9 ± 5.3)进行了髋外展估计1次重复最大值(e1RM)和次最大测试(e1RM的40%、60%和70%)以及临床评估(爬楼梯功率测试和30秒坐立试验)。

结果

与年轻人相比,老年人的髋外展扭矩、功率和速度在统计学上有显著下降,临床评估得分也较低。然而,年轻人的临床评估与髋外展最大扭矩、功率和速度之间没有任何显著关联,而老年人则表现出很强的相关性(r≥0.52,P≤.02)。

讨论

与年轻人相比,老年人产生髋外展扭矩、功率和速度的能力显著下降,临床评估表现也较差。随着年龄增长,髋外展肌最大扭矩、功率和速度的下降可能与功能表现有关,老年人中这些变量与临床评估之间的显著相关性表明了这一点。

结论

鉴于快速产生肌肉力量的能力对下肢功能和整体身体能力的重要性,医疗保健专业人员应考虑到这种能力的下降。

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