Importance of muscle strength to maintain mobility, but not to maintain postural balance in older women: Cross-sectional study

Gonçalves de Toledo Evangelista, Roberta Alexandra; Lopes Evangelista, Alexandre; de Cássia Ernandes, Rita; Brech, Guilherme Carlos; Nonato da Silva, Reinaldo; dos Santos Lino, Matheus Henrique; Sales Bocalini, Danilo; De Graaf, Myriam; Mochizuki, Luis; Soares-Junior, Jose Maria; Baracat, Edmund Chada; D'Andréa Greve, Júlia Maria; Garcez-Leme, Luiz Eugênio; Castilho Alonso, Angelica;

Zusammenfassung

Background Acknowledging the relationship between postural control and muscle strength in lower limbs is important to find persons with high fall risk and to design fall prevention exercise programs. Objective To investigate the connection between knee muscle strength, semi-static postural balance, and functional mobility in irregularly active older women. Methods One hundred and ten older women aged 60 to 85 years underwent a semi-static postural balance test in a force and functional mobility measured by Timed Up & Go (TUG) with and without Cognitive Tasks (CT). Muscle strength of the knee was assessed by isokinetic dynamometry at 60°/s. Results A negative correlation between the functional mobility (TUG with and without CT) and the muscular strength of the knee was observed. Regarding semi-static balance, there was a low negative correlation with peak torque corrected for body weight of the extensors with the following variables with eyes open: Mean Velocity Dominant limb (D) (r = -0.19; p = 0.03); and anteroposterior range Non-Dominant limb (ND) (r = -0.19; p = 0.04); with eyes closed: mediolateral range ND limb (r = -0.21; p = 0.02) and Mean Velocity ND limb (r = -0.18; p = 0.05). Conclusions This study found that better functional mobility was associated with greater muscle strength in the knee in elderly women. There were weak negative correlations between knee extensor strength and some measures of semi-static postural balance, suggesting that different motor control actions are required to maintain semi-static balance and mobility. In the case of semi-static balance, a lower level of muscle response is required than in functional mobility.