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Association between physical function and the load pattern during stepping-up motion in community-dwelling elderly women
Affiliation:1. Department of Physical Education, Faculty of Arts and Social Sciences, University of Balamand, El-Koura, Lebanon;2. I3MTO, EA4708, Université d''Orléans, Orléans, France;3. Service de Rhumatologie, CHR Orléans, Orléans, France;4. Bellevue University Medical Center, Faculty of Medicine, Saint Joseph University, Mansourieh, Lebanon;5. UVHC, LAMIH-Département SHV, Université Lille Nord de France, Valenciennes, France;6. UMR 8201, CNRS, Valenciennes, France;1. Bone Metabolism Laboratory, Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil;2. Department of Preventive Medicine, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil;1. Department of Physiotherapy, Kainan Hospital, 396 Minamihonden, Maegasucho, Yatomi, #398-8502, Japan;2. Department of Cardiovascular Surgery, Kainan Hospital, 396 Minamihonden, Maegasucho, Yatomi, #398-8502, Japan;3. Department of Medical Technology, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-minami, Higashi-ku, Nagoya, #461-8673, Japan;4. Department of Cardiac Surgery, Nagoya University School of Medicine, 65 Tsurumaicho, Showa-ku, Nagoya, #466-8550, Japan;5. Department of Rehabilitation Science, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-minami, Higashi-ku, Nagoya, #461-8673, Japan
Abstract:ObjectiveStepping-up motion is challenging task for elderly people in daily life. The present study investigated the relationship between the load pattern during stepping-up motion at maximum speed and physical function in elderly women.MethodsThe subjects comprised 109 community-dwelling elderly women (age 72.5 ± 5.3 years). The load pattern (maximum load, rate of load production, and stepping-up time) during ascending a 30 cm step at maximum speed was measured, using a step up platform that measures the load at the lower and upper level. Physical function, including hip and knee extensor strength and performance on the vertical jump test, one-legged stance test, timed “Up & Go” (TUG) test, and stepping test were measured.ResultsPearson’s correlation analysis showed that stepping-up time was correlated with the maximum load at the lower level (r = −0.51), but not with the maximum load at the upper level. A multiple regression analysis showed that hip extensor strength and performance on the vertical jump, TUG, and stepping tests were significant determinants of the load pattern during stepping-up motion in the elderly women.ConclusionsOur study revealed that rapid stepping-up ability was more closely related to the maximum load during push-off at the lower level rather than that during weight loading on the upper level, and that the load pattern during stepping-up motion in elderly women was associated with various physical functions such as the hip extensor strength, leg muscle power, dynamic balance function, and agility.
Keywords:Stepping-up motion  Load pattern  Elderly people  Physical function
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