Influence of the strength of the ankle plantar flexors on dynamic balance in 55-65-year-old women

  1. Miguel Ángel Esparza Montero
  2. Cejudo, Antonio
Revue:
Atena Journal of Public Health

ISSN: 2695-5911

Année de publication: 2021

Volumen: 3

Type: Article

DIALNET GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Atena Journal of Public Health

Résumé

Objetivos: La pérdida de fuerza de los flexores plantares del tobillo relacionada con el envejecimiento puede limitar el rendimiento de equilibrio en las actividades funcionales de la vida diaria en adultos mayores. El déficit de fuerza de esta musculatura y un inadecuado equilibrio dinámico han sido correlacionados con un incremento del riesgo de caídas en los adultos mayores. Por tanto, el principal objetivo del presente estudio es analizar la asociación entre la fuerza de los flexores plantares y el equilibrio dinámico en mujeres mayores.Métodos: Un total de 79 mujeres con edades comprendidas entre 55 y 65 años participaron en el presente estudio. Los sujetos participaban en un programa sistemático de ejercicio físico en un centro de fitness privado de la Región de Murcia durante el curso 2019. Un estudio transversal correlacional fue diseñado para correlacionar el equilibrio dinámico valorado mediante los tests Y-balance Test (YB) y Timed Up and Go Test (TUG) con la fuerza de los flexores plantares del tobillo, medidamediante el test Calf-raise (CR). Una prueba de Wilcoxon se llevó a cabo para evaluar las diferencias entre los valores de los lados dominante y no dominante en el test de equilibrio Y-Balance test. Unanálisis de correlación de Spearman fue aplicadopara observar si la fuerza de los flexores plantares del tobillo se asociaba con los dos tests de equilibrio dinámico.Resultados: Una correlación “pequeña” significativa entre la fuerza de los flexores plantares del tobillo y el equilibrio dinámico Y-Balance postero-lateral (p = 0,023; r = 0,256) fue encontrada en los sujetos del presente estudio de investigación.Conclusiones: El principal hallazgo del presente estudio fue quelas mujeres de 55-65 años precisan entrenar la fuerza de los flexores plantares del tobillo para mejorar el equilibrio dinámico unipodal y minimizar el posible riesgo de caída.

Références bibliographiques

  • Moreno GonzálezA. Incidencia de la actividadfísica en el adulto mayor. Rev Int MedCiencAct Fís. 2005;5(20):222-236.2.
  • Izquierdo I, Del Río O, Rodríguez A. Tiempo dedicado a la práctica del deporte. La desigualdad de las mujeres en el uso del tiempo. Madrid: Ministerio Asuntos Sociales. Instituto de la mujer. Serie Debate 20. 1988;101-111
  • Sarmiento Ramos ML. Envejecimiento y actividad físico-deportiva (AFD). Int J Educ Dev. 2016;1(2):135-142.https://doi.org/10.17060/ijodaep.2016.n2.v1.5794.
  • SchlüsselMM, Dos Anjos LA, de VasconcellosMTL, Kac G.Reference values of handgrip dynamometry of healthy adults: A population-based study. Clin Nutr. 2008;27(4):601-607.https://doi.org/10.1016/j.clnu.2008.04.0045.
  • Brach JS, VanSwearingen JM. Physical impairment and disability: relationship to performance of activities of daily living in community-dwelling older men. Phys Ther. 2002;82(8):752–761.https://doi.org/10.1093/ptj/82.8.7526.
  • Visser M, Goodpaster BH, Kritchevsky SB, et al. Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well-functioning older persons. J Gerontol A Biol Sci Med Sci. 2005;60(3):324–333.https://doi.org/10.1093/gerona/60.3.3247.
  • Rantanen T, Era P, Heikkinen E. Maximal isometric strength and mobility among 75-year-old men and women. Age Ageing. 1994;23(2):123-127.https://doi.org/10.1093/ageing/23.2.132
  • Jung H, Yamasaki M. Association of lower extremity range of motion and muscle strength with physical performance of community-dwelling older women. J Physiol Anthropol. 2016;35(30). https://doi.org/10.1186/s40101-016-0120-89.
  • Timonen L, Rantanen T, Timonen TE, Sulkava R. Effects of a group‐based exercise program on the mood state of frail older women after discharge from hospital. Int J Geriatr Psychiatry.2002;17(12):1106-1111.https://doi.org/10.1002/gps.75710.
  • Zhang L, Guo L, Wu H, Gong, X, Lv J, Yang Y. Role of physical performance measures for identifying functional disability among Chinese older adults: Data from the China Health and Retirement Longitudinal Study.Plos One. 2019;14(4):e0215693. https://doi.org/10.1371/journal.pone.021569311.
  • Ding L, Yang F. Muscle weakness is related to slip-initiated falls among community-dwelling older adults. JBiomech. 2016;49(2):238–243. https://doi.org/10.1016/j.jbiomech.2015.12.00912.
  • Silva-Fhon JR, Partezani-Rodrigues R, Miyamura K, Fuentes-Neira W. Causas y factores asociados a las caídas del adulto mayor. Enfermería universitaria. 2019;16(1):31-40.https://doi.org/10.22201/eneo.23958421e.2019.1.57613.
  • Vikberg S, Sörlén N, Brandén L, Johansson J, Nordström A, Hult A, Y Nordström P. Effects of ResistanceTraining on Functional Strength and Muscle Mass in 70-Year-Old Individuals with Pre-sarcopenia: A Randomized Controlled Trial. J Am Med Dir Assoc. 2018;20(1):28-34. https://doi.org/10.1016/j.jamda.2018.09.01114.
  • Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Biol Sci Med Sci. 2005;60(12):1546-1552.https://doi.org/10.1093/gerona/60.12.154615.
  • Mickle KJ, Caputi P, Potter JM, Steele JR. Efficacy of a progressive resistance exercise program to increase toe flexor strength in older people. Clin Biomech.2016;40:14-19.https://doi.org/10.1016/j.clinbiomech.2016.10.00516.
  • Lee SM, Cynn HS, Yoon TL, Lee JH. Effects of different heel-raise-lower exercise interventions on the strength of plantarflexion, balance, and gait parameters in stroke survivors. Physiother Theory Pract. 2017;33(9):706–715. https://doi.org/10.1080/09593985.2017.134602417.
  • André H, Carnide F, Borja E, Ramalho F, Santos-Rocha R, Veloso A. Calf-raise senior: a new test for assessment of plantar flexor muscle strength in older adults: protocol, validity, and reliability. Clin Interv Aging. 2016;11:1661–1674. https://doi.org/10.2147/CIA.S11530418.
  • Jan M-H, Chai H-M, Lin Y-F, et al. Effects of age and sex on the results of an ankle plantar-flexor manual muscle test. Phys Ther. 2005;85(10):1078–1084.https://doi.org/10.1093/ptj/85.10.107819.
  • Jung H, Yamasaki M. Association of lower extremity range of motion and muscle strength with physical performance of community-dwelling older women. J Physiol Anthropol. 2016;35(30). https://doi.org/10.1186/s40101-016-0120-820.
  • Rantanen T, Avlund k, Suominen H, Schroll M, Frändin K, Pertti E. Muscle strength as a predictor of onset of ADL dependence in people aged 75 years. Aging Clin Exp Res. 2002;14(3):10-15.21.
  • Hébert-Losier K, Newsham-West RJ, Schneiders AG, Sullivan SJ. Raising the standards of the calf-raise test: A systematic review. J Sci Med Sport.2009;12(6):594–602. https://doi.org/10.1016/j.jsams.2008.12.62822.
  • Hashish R, Samarawickrame SD, Wang MY, Salem GJ. The association between unilateral heel-rise performance with static and dynamic balance in community dwelling older adults. Geriatr Nurs. 2015;36(1):30–34. https://doi.org/10.1016/j.gerinurse.2014.09.00323.
  • Lee DK, Kang MH, Lee TS. Relationships among the Y balance test, Berg Balance Scale, and lower limb strength in middle-aged andolder females. Braz J Phys Ther. 2015;19(3):227-234. http://dx.doi.org/10.1590/bjpt-rbf.2014.0096
  • Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–148.https://doi.org/10.1111/j.1532-5415.1991.tb01616.x25.
  • Lan TY, Melzer D, Tom BD, Guralnik JM. Performance tests and disability: developing an objective index of mobility-related limitation in older populations. J Gerontol A Biol Sci Med Sci. 2002;57(5):M294–301.https://doi.org/10.1093/gerona/57.5.M29426.
  • Thrane G, Joakimsen RM, Thornquist E. The association between timed up and go test and history of falls: the tromso study. BMC Geriatr. 2007;7(1):1.https://doi.org/10.1186/1471-2318-7-127.
  • Chtara M, Rouissi M, Bragazzi NL, Owen AL, Haddad M, Chamari K. Dynamic balance ability in young elite soccer players: implication of isometric strength. J Sports Med Phys Fitness. 2018;58(4):414-420. https://doi.org/10.23736/S0022-4707.16.06724-428.
  • Muehlbauer T, Gollhofer A, Granacher U. Associations Between Measures of Balance and Lower-Extremity Muscle Strength/Power in Healthy Individuals Across the Lifespan: A Systematic Review and Meta-Analysis. Sports Med.2015;45(12):1671–1692. https://doi.org/10.1007/s40279-015-0390-z29.
  • Wang SS, Whitney SL, Burdett RG, Janosky JE. Lower extremity muscular flexibility in long distance runners. J Orthop Sports Phys Ther. 1993;17(2):102-107. https://doi.org/10.2519/jospt.1993.17.2.10230.
  • Varela S, Ayán C, Cancela JM. Batteries assessing health related fitness in the elderly: a brief review. Eur Rev Aging Phys. Act. 2008;5(2):97–105. https://doi.org/10.1007/s11556-008-0037-231.
  • Atkinson G, Nevill AM. Statistical methods for assessing measurement error (reliability) in variables relevant to sport medicine. Sports Med.1998;4:217-238. https://doi.org/10.2165/00007256-199826040-0000232.
  • Hopkins WG. A Scale of Magnitudes for Effect Statistics. Sports Med.2019;41(5):377-400.33.
  • Gribble P, Hertel J. Considerations for normalizing measures of the Star Excursion Balance Test. Meas Phys Educ Exerc Sci.2003;7:89-100.https://doi.org/10.1207/S15327841MPEE0702_334.
  • Shumway-CookA, BrauerS, WoollacottM. Predicting the Probability for Falls in Community-Dwelling Older Adults Using the Timed Up & Go Test. Phys Ther.2000;80(9):896–903.https://doi.org/10.1093/ptj/80.9.89635.
  • Pohl MB, Kendall KD, Patel C, et al. Experimentally reduced hip-abductor muscle strength and frontal-plane biomechanics during walking. J Athl Train.2015;50(4):385–391.https://doi.org/10.4085/1062-6050-49.5.0736.
  • Tazawa M, Kurosaki M, Inoue T, et al. Superior migration of the femoral head in patients with severe hip osteoarthritis influences the gait patterns of the coronal plane. HIP Int. 2019;29(4):446-451. https://doi.org/10.1177/112070001982725037.
  • Foucher KC, Hurwitz DE, Wimmer MA. Preoperative gait adaptations persist one year after surgery in clinically well-functioning total hip replacement patients. J Biomech.2007;40(15):3432–3437.https://doi.org/10.1016/j.jbiomech.2007.05.02038.
  • Justine M, Ruzali D, Hazidin E, Said A, Bukry SA,Manaf H. Range of motion, muscle length, and balance performance in older adults with normal, pronated, and supinated feet. J Phys Ther Sci.2016;28(3):916–922.https://doi.org/10.1589/jpts.28.91639.
  • Mecagni C, Pulliam-SmithJ, Roberts K, O’Sullivan SB. Balance and Ankle Range of Motion in Community-Dwelling Women Aged 64 to 87 Years: A Correlational Study. Phys Ther. 2016;80(10):1004-1011.https://doi.org/10.1093/ptj/80.10.100440.
  • Thrane G, Joakimsen RM, Thornquist E. The association between timed up and go test and history of falls: The Tromsø study. BMC Geriatr.2007;7(1). https://doi.org/10.1186/1471-2318-7-1
  • Chalapud-Narváez LM, Escobar-Almario A. Actividad física para mejorar fuerza y equilibrio en el adulto mayor. Universidad y salud. 2017;19(1):94-101.https://doi.org/10.22267/rus.171901.7342.
  • Landi F, Calvani R, Tosato M, et al. Age-Related Variations of Muscle Mass, Strength, and Physical Performance in Community-Dwellers: Results From the Milan EXPO Survey. J Am Med Dir Assoc. 2017;18(1):88.e17–88.e24. https://doi.org/10.1016/j.jamda.2016.10.00743.
  • Harris-Love MO, Benson K, Leasure E, Adams B, McIntosh V. The Influence of Upper and Lower Extremity Strength on Performance-Based Sarcopenia Assessment Tests. J Funct MorpholKinesiol.2018;3(4):53. https://doi.org/10.3390/jfmk304005344.
  • Vaquero-Cristóbal R, González-Moro IM, Cárceles FA, Simón ER. Valoración de la fuerza, la flexibilidad, el equilibrio, la resistencia y la agilidad en función del índice de masa corporal en mujeres mayores activas. Rev Esp Geriatr Gerontol.2013;48(4):171-176.https://doi.org/10.1016/j.regg.2012.11.00345.
  • Lee SM, Cynn HS, Yoon TL, Lee JH. Effects of different heel-raise-lower exercise interventions on the strength of plantarflexion, balance, and gait parameters in stroke survivors. Physiother Theory Pract. 2017;33(9):706–715. https://doi.org/10.1080/09593985.2017.134602446.
  • Guillén-Rogel, P, San Emeterio C, Marín PJ. Associations between ankledorsiflexion range of motion and foot and ankle strength in young adults. J Phys Ther Sci.2017;29(8):1363–1367. https://doi.org/10.1589/jpts.29.1363
La source de données: Dialnet