Strength, Static Balance, Physical Activity, and Age Predict Maximal Gait Speed in Healthy Older Adults From a Rural Community: A Cross-Sectional Study

Aranda-García, Silvia; Busquets, Albert; Planas, Antoni; Prat-Subirana, Joan Antoni; Angulo-Barroso, Rosa

doi:10.1123/japa.2014-0081

Cited by 8 publications

(12 citation statements)

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“…Age‐related changes in gait patterns include slower gait speed, shorter stride length, wider step width, lower step rate and longer double support time . These changes are affected by physical functional factors, such as decreased muscle strength and poor balance, but also by psychological factors . One of the psychological factors related to decreasing gait performance is fear of falling (FOF).…”

Section: Introductionmentioning

confidence: 99%

Fear of falling and gait parameters in older adults with and without fall history

Makino

Makizako

Doi

et al. 2017

Geriatrics Gerontology Int

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Section: Introductionmentioning

confidence: 99%

Fear of falling and gait parameters in older adults with and without fall history

Makino

Makizako

Doi

et al. 2017

Geriatrics Gerontology Int

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“…Similarly, another study reported that isometric knee extensor strength explained 36% of the variance of comfortable gait speed among a sample of 839 older adults [18]. Balance has also been shown to influence gait speed through assessment of various components of standing balance [14][15][16][17].…”

Section: Introductionmentioning

confidence: 93%

“…Current literature recognizes a number of influencing variables on gait speed including balance [14][15][16][17], lower extremity muscle strength [14,15,18,19], cognition [20][21][22], and demographic characteristics (e.g. age) [17].…”

Section: Introductionmentioning

confidence: 99%

“…As a result, there is an overall reduction in muscle strength, leading to potential functional mobility limitations and a higher risk for falls and hospitalizations [25]. Multiple studies have identified both composite lower extremity muscle strength and individual muscle strength as predictive variables for comfortable and fast gait speeds [14,18,[26][27][28]. Aranda-Garcia (2015) found that isometric knee extensor strength was the best predictor of fast gait speed in community dwelling older adults, explaining 47.5% of the variance in both global characteristics and physical abilities models.…”

Section: Introductionmentioning

confidence: 99%

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What Makes Us Walk: Predictors and the Interplay of Physical and Cognitive Factors on Gait Speed in Community Dwelling Older Adults

Trapuzzano¹,

Chizmar²,

Wilda³

et al. 2020

Geriatrics

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This study investigated the predictors of gait speed in community dwelling older adults while examining interplay between physical performance and cognition on comfortable and fast gait speed. Sixty-six community-dwelling older adults (mean age 80.8 71% female) completed the following: 30-Second Chair Stand (30-SCS), Functional Reach (FR), Flanker Task, Digit Symbol Substitution Test (DSST), and gait speed (comfortable and fast). Hierarchical linear regression examined the relationship of comfortable and fast gait speeds with physical performance (30-SCS, FR) and cognitive domains (DSST, CDT, Flanker effect). Unique predictors of comfortable gait speed included 30-SCS (B=1.86, p<0.001), FR (B=3.37, p=0.005), and Flanker effect (B=-0.02, p=0.05). Unique predictors of fast gait speed included 30-SCS (B=2.61, p<0.001), FR (B=3.58, p=0.04), and DSST (B=0.95, p=0.01). Both comfortable and fast gait speed were primarily predicted by strength and balance while cognitive factors, including executive function and processing speed, also contribute to predicting gait speed. Lower extremity strength and balance are independently predictive of both comfortable and fast gait speed. Executive function and cognitive inhibition, as assessed by the Flanker effect, predicted comfortable gait speed, while processing speed, as assessed by the DSST,

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“…Aging causes a decline in the level of physical function 1) . This decline often leads to difficulties in locomotion, e.g walking, getting out of a chair, and stair climbing [2][3][4] . It may originate from disease, life style, psychosocial and socio-demographic factors, genetic predisposition or a combination of the above 5) .…”

Section: Introductionmentioning

confidence: 99%

Walking exercise combined with neuromuscular electrical stimulation of antagonist resistance improved muscle strength and physical function for elderly people: A pilot study

Hashida

Matsuse

Terada

et al. 2016

JPFSM

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Both aerobic exercise and resistance exercise are recommended to enhance health in elderly people. A hybrid training system (HTS), that provides resistance to the motion of a volitionally contracting agonist muscle by electrically stimulating its antagonist, was developed as a resistance exercise technique combining the benefits of electrical stimulation and volitional contractions. We then applied this concept to develop a novel training method using electrically stimulated eccentric contractions during aerobic walking exercise (HTSW). This study was designed to evaluate the effect of the new method on muscle strength and physical function by comparing it to unenhanced walking exercise. 16 subjects (2 male, 14 female; age average, 67.2 ± 2.6) were randomly divided into an HTSW group and a control group (CTR). They trained using either HTSW or unenhanced walking exercise (CTR) for 30 minutes three times a week for 12 weeks. Isokinetic knee extension/flexion torque, muscle volume (MV), a one-leg standing test, a functional reach test, 10-meter maximum gait speed, timed up & go test (TUG), and a 6-minute walking test were measured before and after the training period. We compared the differences between pre-training and post-training using the Wilcoxon signed rank test in each group. In the HTSW group, isokinetic knee extension (12%)/flexion torque (18%), MV (8%), 10-meter maximum gait speed (9%), TUG (26%), and 6-minute walking test (12%) significantly improved after the training period. In the CTR group, isokinetic knee flexion torque (15%), 10-meter maximum gait speed (9%), TUG (22%), and 6-minute walking test (16%) had significantly improved after the training period. HTSW may provide the benefits of both aerobic and resistance exercise.

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Strength, Static Balance, Physical Activity, and Age Predict Maximal Gait Speed in Healthy Older Adults From a Rural Community: A Cross-Sectional Study

Abstract: Regardless of the model, KStrength60° was the best predictor of MGS in rural female older adults. Future research should examine the generalization of these findings to rural male older adults.

Cited by 8 publications

References 0 publications

Fear of falling and gait parameters in older adults with and without fall history

Fear of falling and gait parameters in older adults with and without fall history

What Makes Us Walk: Predictors and the Interplay of Physical and Cognitive Factors on Gait Speed in Community Dwelling Older Adults

Walking exercise combined with neuromuscular electrical stimulation of antagonist resistance improved muscle strength and physical function for elderly people: A pilot study

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