Strength training improves fall-related gait kinematics in the elderly: A randomized controlled trial

Clinical Biomechanics

Volumn 24, Issue 10, 2009, Pages 819-825

  Persch, Leslie N ^a   Ugrinowitsch, Carlos ^b   Pereira, Gleber ^c   Rodacki, André L F ^a  

^a FEDERAL UNIVERSITY OF PARANÁ   (Brazil)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

^c POSITIVO UNIVERSITY   (Brazil)

Author keywords

Aging; Gait speed; One repetition maximal

Indexed keywords

AGE-RELATED CHANGES; AGING; ANGULAR VARIABLES; EXPERIMENTAL GROUPS; GAIT KINEMATICS; GAIT PARAMETERS; GAIT PATTERN; GAIT SPEED; ISOMETRIC CONTRACTIONS; LOWER LIMB; MAXIMAL REPETITIONS; MUSCLE STRENGTH; ONE REPETITION MAXIMAL; PREVENTIVE STRATEGIES; RANDOMIZED CONTROLLED TRIAL; REFERENCE VALUES; STRIDE LENGTH; TRAINING PROGRAM; Z-SCORE ANALYSIS;

FLIGHT DYNAMICS; MUSCLE; PROGRAM INTERPRETERS;

KINEMATICS;

ABDUCTION; ADDUCTION; ADULT; ARTICLE; CONTROLLED STUDY; FALL RISK; FALLING; FEMALE; GAIT; HUMAN; KINEMATICS; LEG EXERCISE; MUSCLE ISOMETRIC CONTRACTION; PRIORITY JOURNAL; REFERENCE VALUE; STRENGTH; TRAINING;

ACCIDENTAL FALLS; AGED; BIOMECHANICS; BODY MASS INDEX; EXERCISE THERAPY; FEMALE; GAIT; HUMANS; MIDDLE AGED; MUSCLE STRENGTH; POSTURAL BALANCE; RESISTANCE TRAINING; TREATMENT OUTCOME;

EID: 70349847828     PISSN: 02680033     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clinbiomech.2009.07.012     Document Type: Article

References (39)

1. American Geriatrics S, and British Geriatrics S. American Academy of Orthopaedic Surgeons Panel on Falls P Guideline for the prevention of falls in older persons. J. Am. Geriat. Soc. 49 (2001) 664-672
2. Barak Y., Wagenaar R.C., and Holt K.G. Gait characteristics of elderly people with a history of falls: a dynamic approach. Phys. Ther. 86 11 (2006) 1501-1510
3. Brandell B.R. Functional roles of the calf and vastus muscles in locomotion. Am. J. Phys. Med. 56 2 (1977) 59-74
4. Callisaya M.L., Blizzard L., Schmidt M.D., McGinley J.L., and Srikanth V.K. Sex modifies the relationship between age and gait: a population-based study of older adults. J. Gerontol. A Biol. Sci. Med. Sci. 63 2 (2008) 165-170
5. Cao Z.B., Maeda A., Shima N., Kurata H., and Nishizono H. The effect of a 12-week combined exercise intervention program on physical performance and gait kinematics in community-dwelling elderly women. J. Physiol. Anthropol. 26 3 (2007) 325-332
6. Chen I.H., Kuo K.N., and Andriacchi T.P. The influence of walking speed on mechanical joint power during gait. Gait Posture 6 (1997) 171-176
7. Craig C.L., Marshall A.L., Sjostrom M., Bauman A.E., Booth M.L., Ainsworth B.E., et al. International physical activity questionnaire: 12-country reliability and validity. Med. Sci. Sport. Exer. 35 8 (2003) 1381-1395
8. De Boer D., Maganaris C.N., Seynnes O.R., Rennie M.J., and Narici M.V. Time course of muscular, neural and tendinous adaptations to 23-day unilateral lower-limb suspension in young men. J. Physiol. 25 2 (2007) 12-21
9. Frontera W.R., and Bigard Xavier. The benefits of strength training in the elderly. Sci. Sport. 17 3 (2002) 109-116
10. Hylton B.M., Stephen R.L., and Richard C.F. Age-related differences in walking stability. Age Ageing 32 2 (2003) 137-142
11. Kadaba M.P., Ramakrishnan H.K., and Wootten M.E. Measurement of lower extremity kinematics during level walking. J. Orthopaed. Res. 8 3 (1990) 383-392
12. Kerrigan D.C., Todd M.K., and Della C.U. Gender differences in joint biomechanics during walking: normative study in young adults. Am. J. Phys. Med. Rehab. 77 1 (1998) 2-7
13. Kerrigan D.C., Lee L.W., Collins J.J., Riley P.O., and Lipsitz L.A. Reduced hip extension during walking: healthy elderly and fallers versus young adults. Arch. Phys. Med. Rehab. 82 1 (2001) 26-30
14. Kerrigan D.C., Xenopoulos-Oddsson A., Sullivan M.J., Lelas J.J., and Riley P.O. Effect of a hip flexor-stretching program on gait in the elderly. Arch. Phys. Med. Rehab. 84 1 (2003) 1-6
15. Kraemer W.J., Adams K., Cafarelli E., Dudley G.A., Dooly C., Feigenbaum M.S., et al. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med. Sci. Sport. Exer. 34 2 (2002) 364-380
16. Kryger A.I., and Andersen J.L. Resistance training in the oldest old: consequences for muscle strength, fiber types, fiber size, and MHC isoforms. Scand. J. Med. Sci. Sport. 17 4 (2007) 422-430
17. Kwon I.S., Oldaker S., Schrager M., Talbot L.A., Fozard J.L., and Metter E.J. Relationship between muscle strength and the time taken to complete a standardized walk-turn-walk test. J. Gerontol. A Biol. Sci. Med. Sci. 56 9 (2001) B398-404
18. Lamoureux E.L., Sparrow W.A., Murphy A., and Newton R.U. The relationship between lower body strength and obstructed gait in community-dwelling older adults. J. Am. Geriat. Soc. 50 3 (2002) 468-473
19. Lopopolo R.B., Greco M., Sullivan D., Craik R.L., and Mangione K.K. Effect of therapeutic exercise on gait speed in community-dwelling elderly people: a meta-analysis. Phys. Ther. 86 4 (2006) 520-540
20. Lord S.R., Menz H.B., and Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Phys. Ther. 83 3 (2003) 237-252
21. Mercer J.A., Bates B.T., Dufek J.S., and Hreljac A. Characteristics of shock attenuation during fatigued running. J. Sport. Sci. 21 11 (2003) 911-999
22. Mian O.S., Baltzopoulos V., Minetti A.E., and Narici M.V. The impact of physical training on locomotor function in older people. Sport. Med. 37 8 (2007) 683-701
23. Mills P.M., Barrett R.S., and Morrison S. Toe clearance variability during walking in young and elderly men. Gait Posture 28 1 (2008) 101-107
24. Montero-Odasso M., Schapira M., Soriano E.R., Varela M., Kaplan R., Camera L.A., et al. Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. J. Gerontol. A Biol. Sci. Med. Sci. 60 10 (2005) 1304-1309
25. Ochala J., Lambertz D., Van Hoecke J., and Pousson M. Effect of strength training on musculotendinous stiffness in elderly individuals. Eur. J. Appl. Physiol. 94 1-2 (2005) 126-133
26. Ostchega Y., Dillon C.F., Lindle R., Carroll M., and Hurley B.F. Isokinetic leg muscle strength in older Americans and its relationship to a standardized walk test: data from the national health and nutrition examination survey 1999-2000. J. Am. Geriat. Soc. 52 6 (2004) 977-982
27. PARmed-X, 2006 (cited 2006 14 September). URL: .
28. Pijnappels M., Bobbert M.F., and van Dieen J.H. Push-off reactions in recovery after tripping discriminate young subjects, older non-fallers and older fallers. Gait Posture 21 4 (2005) 388-394
29. Pijnappels M., van der Burg P.J., Reeves N.D., and van Dieen J.H. Identification of elderly fallers by muscle strength measures. Eur. J. Appl. Physiol. 102 5 (2008) 585-592
30. Prince F., Corriveau H., Hebert R., and Winter D.A. Gait in the elderly. Gait Posture 5 2 (1997) 128-135
31. Rodacki A.L., Souza R.M., Ugrinowitsch C., Cristopoliski F., and Fowler N.E. Transient effects of stretching exercises on gait parameters of elderly women. Manual Ther. 21 (2008)
32. Rose J., and Gable J.G. Human Walking (2006), Williams & Wilkins, Baltimore
33. Rubenstein L.Z., Josephson K.R., Trueblood P.R., Loy S., Harker J.O., Pietruszka F.M., et al. Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. J. Gerontol. A Biol. Sci. Med. Sci. 55 6 (2000) M317-M321
34. Scarborough DMK D.E., and Harris B.A. Quadriceps muscle strength and dynamic stability in elderly persons. Gait Posture 10 (1999) 10-20
35. Slivka D., Raue U., Hollon C., Minchev K., and Trappe S. Single muscle fiber adaptations to resistance training in old (>80 yr) men: evidence for limited skeletal muscle plasticity. Am. J. Physiol. Regul. Integr. Comp. Physiol. 295 1 (2008) R273-R280
36. Whipple R.H., Wolfson L.I., and Amerman P.M. The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J. Am. Geriat. Soc. 35 1 (1987) 13-20
37. Winter D.A. The Biomechanics and Motor Control of Human Gait: Normal, Elderly and Pathological (1991), University of Waterloo Press, Waterloo
38. Wolfson L., Whipple R., Derby C.A., Amerman P., and Nashner L. Gender differences in the balance of healthy elderly as demonstrated by dynamic posturography. J. Gerontol. 49 4 (1994) M160-M167
39. Yarasheski K.E., Zachwieja J.J., and Bier D.M. Acute effects of resistance exercise on muscle protein synthesis rate in young and elderly men and women. Am. J. Physiol. 265 2 pt 1 (1993) E210-E214