Ankle muscle strength discriminates fallers from non-fallers

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State: Public
Version: author
License: CC BY 4.0
Serval ID
serval:BIB_F9CD4070C108
Type
Article: article from journal or magazin.
Collection
Publications
Title
Ankle muscle strength discriminates fallers from non-fallers
Journal
Front Aging Neurosci
Author(s)
Cattagni T., Scaglioni G., Laroche D., Van Hoecke J., Gremeaux V., Martin A.
ISSN
1663-4365 (Print)
ISSN-L
1663-4365
Publication state
Published
Issued date
2014
Volume
6
Pages
336
Language
english
Notes
Cattagni, Thomas
Scaglioni, Gil
Laroche, Davy
Van Hoecke, Jacques
Gremeaux, Vincent
Martin, Alain
eng
Switzerland
Front Aging Neurosci. 2014 Dec 19;6:336. doi: 10.3389/fnagi.2014.00336. eCollection 2014.
Abstract
It is well known that center of pressure (CoP) displacement correlates negatively with the maximal isometric torque (MIT) of ankle muscles. This relationship has never been investigated in elderly fallers (EF). The purpose of this study was thus to analyze the relationship between the MIT of ankle muscles and CoP displacement in upright stance in a sample aged between 18 and 90 years old that included EF. The aim was to identify a threshold of torque below which balance is compromised. The MIT of Plantar flexors (PFs) and dorsal flexors (DFs) and CoP were measured in 90 volunteers: 21 healthy young adults (YA) (age: 24.1 +/- 5.0), 12 healthy middle-aged adults (MAA) (age: 50.2 +/- 4.5), 27 healthy elderly non-fallers (ENF) (age: 75.5 +/- 7.0) and 30 EF (age: 78.8 +/- 6.7). The MIT of PF and DF were summed to obtain the overall maximal ankle muscle strength. Body weight and height were used to normalize MIT (nMIT) and CoP (nCoP), respectively. nCoP correlated negatively with nMIT. 90% of EF generated an nMIT <3.1 N.m.kg(-1), whereas 85% of non-fallers generated an nMIT >3.1 N.m.kg(-1). The relationship between nMIT and nCoP implies that ankle muscle weakness contributes to increased postural instability and the risk of falling. We observed that below the threshold of 3.1 N.m.kg(-1), postural stability was dramatically diminished and balance was compromised. Our results suggest that measuring ankle torque could be used in routine clinical practice to identify potential fallers.
Keywords
aging, ankle joint, elderly fallers, muscle strength, postural stability
Pubmed
Create date
26/11/2019 12:35
Last modification date
06/05/2020 6:26
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