Examination of the Impact of Strength and Velocity of the Knee and Ankle on Gait Speed in Community-Dwelling Older Adults
The muscle strength of the knee extension and plantarflexion plays a crucial role in determining gait speed. Recent studies have shown that no-load angular velocity of the lower limb joints is essential for determining gait speed. However, no reports have compared the extent to which lower limb func...
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MDPI AG
2022-10-01
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author | Atsuki Kanayama Mayuka Minami Saki Yamamoto Toshimitsu Ohmine Minami Fujiwara Takayuki Murakami Shuji Okuno Ryoga Ueba Akira Iwata |
author_facet | Atsuki Kanayama Mayuka Minami Saki Yamamoto Toshimitsu Ohmine Minami Fujiwara Takayuki Murakami Shuji Okuno Ryoga Ueba Akira Iwata |
author_sort | Atsuki Kanayama |
collection | DOAJ |
description | The muscle strength of the knee extension and plantarflexion plays a crucial role in determining gait speed. Recent studies have shown that no-load angular velocity of the lower limb joints is essential for determining gait speed. However, no reports have compared the extent to which lower limb functions, such as knee extension strength, knee extension velocity, plantarflexion strength, and plantarflexion velocity, impact gait speed in a single study. Therefore, this study aimed to examine the relative importance of maximum strength and no-load angular velocity on gait speed. Overall, 164 community-dwelling older adults (72.9 ± 5.0 years) participated in this study. We measured the gait speed and lower limb function (the strength and velocity of knee extension and plantarflexion). Strength was measured with a hand-held dynamometer, and velocity with a gyroscope. A multiple regression analysis was performed with gait speed as the dependent variable and age, sex, and lower-limb function as independent variables. Plantarflexion velocity (<i>β</i> = 0.25) and plantarflexion strength (<i>β</i> = 0.21) were noted to be significant predictors of gait speed. These findings indicate that no-load plantarflexion velocity is more important than the strength of plantarflexion and knee extensions as a determinant of gait speed, suggesting that improvement in plantarflexion velocity may increase gait speed. |
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language | English |
last_indexed | 2024-03-09T03:37:06Z |
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spelling | doaj.art-058ee5911ace4dc1951135f875977b292023-12-03T14:46:19ZengMDPI AGHealthcare2227-90322022-10-011010209310.3390/healthcare10102093Examination of the Impact of Strength and Velocity of the Knee and Ankle on Gait Speed in Community-Dwelling Older AdultsAtsuki Kanayama0Mayuka Minami1Saki Yamamoto2Toshimitsu Ohmine3Minami Fujiwara4Takayuki Murakami5Shuji Okuno6Ryoga Ueba7Akira Iwata8The Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, 3-7-30, Habikino 583-8555, JapanThe Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, 3-7-30, Habikino 583-8555, JapanThe Graduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30, Habikino 583-8555, JapanDivision of Physical Therapy, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, Kansai University of Welfare Sciences, 311-1, Kashiwara 582-0026, JapanThe Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, 3-7-30, Habikino 583-8555, JapanThe Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, 3-7-30, Habikino 583-8555, JapanThe Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, 3-7-30, Habikino 583-8555, JapanThe Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, 3-7-30, Habikino 583-8555, JapanThe Graduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30, Habikino 583-8555, JapanThe muscle strength of the knee extension and plantarflexion plays a crucial role in determining gait speed. Recent studies have shown that no-load angular velocity of the lower limb joints is essential for determining gait speed. However, no reports have compared the extent to which lower limb functions, such as knee extension strength, knee extension velocity, plantarflexion strength, and plantarflexion velocity, impact gait speed in a single study. Therefore, this study aimed to examine the relative importance of maximum strength and no-load angular velocity on gait speed. Overall, 164 community-dwelling older adults (72.9 ± 5.0 years) participated in this study. We measured the gait speed and lower limb function (the strength and velocity of knee extension and plantarflexion). Strength was measured with a hand-held dynamometer, and velocity with a gyroscope. A multiple regression analysis was performed with gait speed as the dependent variable and age, sex, and lower-limb function as independent variables. Plantarflexion velocity (<i>β</i> = 0.25) and plantarflexion strength (<i>β</i> = 0.21) were noted to be significant predictors of gait speed. These findings indicate that no-load plantarflexion velocity is more important than the strength of plantarflexion and knee extensions as a determinant of gait speed, suggesting that improvement in plantarflexion velocity may increase gait speed.https://www.mdpi.com/2227-9032/10/10/2093plantarflexionknee extensionangular velocitymuscle strengthmobility |
spellingShingle | Atsuki Kanayama Mayuka Minami Saki Yamamoto Toshimitsu Ohmine Minami Fujiwara Takayuki Murakami Shuji Okuno Ryoga Ueba Akira Iwata Examination of the Impact of Strength and Velocity of the Knee and Ankle on Gait Speed in Community-Dwelling Older Adults Healthcare plantarflexion knee extension angular velocity muscle strength mobility |
title | Examination of the Impact of Strength and Velocity of the Knee and Ankle on Gait Speed in Community-Dwelling Older Adults |
title_full | Examination of the Impact of Strength and Velocity of the Knee and Ankle on Gait Speed in Community-Dwelling Older Adults |
title_fullStr | Examination of the Impact of Strength and Velocity of the Knee and Ankle on Gait Speed in Community-Dwelling Older Adults |
title_full_unstemmed | Examination of the Impact of Strength and Velocity of the Knee and Ankle on Gait Speed in Community-Dwelling Older Adults |
title_short | Examination of the Impact of Strength and Velocity of the Knee and Ankle on Gait Speed in Community-Dwelling Older Adults |
title_sort | examination of the impact of strength and velocity of the knee and ankle on gait speed in community dwelling older adults |
topic | plantarflexion knee extension angular velocity muscle strength mobility |
url | https://www.mdpi.com/2227-9032/10/10/2093 |
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