Evidence map›Paper›PMID 33149561›Full record

ArticleClinical interventions in aging2020

Isometric Strength Measures are Superior to the Timed Up and Go Test for Fall Prediction in Older Adults: Results from a Prospective Cohort Study.

Pedro L Valenzuela, Nicola A Maffiuletti, Hugo Saner, Narayan Schütz, Beatrice Rudin, Tobias Nef, Prabitha Urwyler

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Pedro L ValenzuelaDepartment of Systems Biology, University of Alcalá, Madrid, Spain.
Nicola A MaffiulettiHuman Performance Lab, Schulthess Clinic, Zurich, Switzerland.
Hugo SanerInstitute for Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Narayan SchützGerontechnology & Rehabilitation Group, University of Bern, Bern, Switzerland.
Beatrice RudinHöhere Fachschule Pflege, Berufsbildungszentrum Olten, Olten, Switzerland.
Tobias NefARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland.ORCID 0000-0002-8069-9450
Prabitha UrwylerGerontechnology & Rehabilitation Group, University of Bern, Bern, Switzerland.ORCID 0000-0002-7641-8898
University of Bern · CHSchulthess-Klinik · CHUniversidad de Alcalá · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIsometric strength measures and timed up and go (TUG) tests are both recognized as valuable tools for fall prediction in older adults. However, results from direct comparison of these two tests are lacking. We aimed to assess the potential of isometric strength measures and the different modalities of the TUG test to detect individuals at risk of falling.

methodsThis is a prospective cohort study including 24 community-dwelling older adults (≥65 years, 19 females, 88±7 years). Participants performed three variations of the TUG test (standard, counting and holding a full cup) and three isometric strength tests (handgrip, knee extension and hip flexion) at several time points (at baseline and every ~6 weeks) during a one-year follow-up. The association between these tests and the incidence of falls during the follow-up was assessed.

resultsTwelve participants out of 24 participants experienced falls during the follow-up. Fallers showed a significantly lower handgrip strength (-5.7 kg, 95% confidence interval: -10.4 to -1.1, p=0.019) and knee extension strength (-4.9 kg, -9.6 to -0.2, p=0.042) at follow-up, while no significant differences were found for any TUG variation.

conclusionsHandgrip and knee extension strength measures - particularly when assessed regularly over time - have the potential to serve as a simple and easy tool for detecting individuals at risk of falling as compared to functional mobility measures (ie, TUG test).

Indexed as

Accidental FallsAgedAged, 80 and overFemaleGeriatric AssessmentHand StrengthHumansIndependent LivingIsometric ContractionMalePostural BalanceProspective StudiesTime and Motion Studieselderlyfunctional assessmentgeriatricsmuscle strengthphysical performancesarcopenia

Identifiers

PMID33149561
PMCPMC7602904
OpenAlexW3097095838

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.