Evidence map›Paper›PMID 38493525›Full record

ArticleArchives of gerontology and geriatrics2024

Investigating balance-related gait patterns and their relationship with maximum torques generated by the hamstrings and quadriceps in older adults - Results from the Baltimore longitudinal study of aging.

Seung-Uk Ko, Gerald J Jerome, Eleanor M Simonsick, Luigi Ferrucci

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Article in Archives of gerontology and geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Seung-Uk KoDepartment of Mechanical Design Engineering, Chonnam National University, Yeosu, South Korea. Electronic address: seunguk.ko@gmail.com.
Gerald J JeromeDepartment of Kinesiology, Towson University, Towson, MD, USA.
Eleanor M SimonsickTranslational Gerontology Branch, National Institute on Aging (NIA/NIH), Baltimore, MD, USA.
Luigi FerrucciTranslational Gerontology Branch, National Institute on Aging (NIA/NIH), Baltimore, MD, USA.

Funding

The Baltimore Longitudinal Study Of AgingZIAAG000015 · NIA · NATIONAL INSTITUTE ON AGING · PI SIMONSICK, ELEANOR MARIE · 2009 to 2025
$116.9M
Intramural NIH HHS ZIA AG000015
6 · The paper itself

Abstract

backgroundBalance-related gait patterns in older adults can be objectively discerned through the examination of gait parameters, maximum leg torques, and their interconnections.

objectiveTo investigate the correlation between leg muscle strength and balance during gait concerning functional performance in healthy older adults.

methodsParticipants included 117 adults aged 60-95 years were recruited from the Baltimore Longitudinal Study of Aging (BLSA). They underwent evaluations of gait, balance, and maximum isometric leg torque (for both hamstrings and quadriceps). Analyses examined the association between leg torque and functional performance among those with higher and lower balances.

resultsIndividuals with lower balance (n = 43) were older, more prone to experiencing a fear of falling, and exhibited lower functional performance (gait speeds and Generalized Gait Stability Scores (GGSS), ps < 0.001) compared to their counterparts with higher balance (n = 74). At a usual walking pace, the GGSS showed a positive association with concentric Quadriceps Maximum Torque (QMT) in participants with lower balance (p = 0.013). Conversely, it displayed a positive association with eccentric QMT in those with higher balance (p = 0.014). At a fast walking pace, only individuals with higher balance demonstrated a positive muscle torque association with both gait speed and GGSS, encompassing concentric and eccentric actions in both the quadriceps and hamstrings (ps < 0.050).

conclusionEvaluating muscle strength capacity in both concentric and eccentric phases during dynamic high-effort events, along with investigating their associations with gait performance, can be beneficial for identifying subtle gait deficits. This comprehensive approach may assist in the early detection of gait deterioration among healthy older adults, given the intricate muscle activations involved in lower body functional performance.

Indexed as

GaitHamstring MusclesMuscle StrengthPostural BalanceQuadriceps MuscleTorqueAgedAged, 80 and overAgingBaltimoreFemaleHumansLongitudinal StudiesMaleMiddle AgedEfficiency in gaitGeneralized gait stability score (GGSS)Hamstrings maximum torque (HMT)Lower balanceQuadriceps maximum torque (QMT)

Identifiers

PMID38493525
PMCPMC11153004

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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.