Ankle muscle strength discriminates fallers from non-fallers

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Etat: Public
Version: de l'auteur⸱e
Licence: CC BY 4.0
ID Serval
serval:BIB_F9CD4070C108
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Ankle muscle strength discriminates fallers from non-fallers
Périodique
Front Aging Neurosci
Auteur⸱e⸱s
Cattagni T., Scaglioni G., Laroche D., Van Hoecke J., Gremeaux V., Martin A.
ISSN
1663-4365 (Print)
ISSN-L
1663-4365
Statut éditorial
Publié
Date de publication
2014
Volume
6
Pages
336
Langue
anglais
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.
Résumé
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.
Mots-clé
aging, ankle joint, elderly fallers, muscle strength, postural stability
Pubmed
Création de la notice
26/11/2019 11:35
Dernière modification de la notice
06/05/2020 5:26
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