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Association between Hand Grip Strength and Gait Variability in Elderly: Pilot Study

노인의 악력과 보행 가변성 간의 연관성: 예비연구

  • Lee, Do-Youn (Department of Physical Therapy, Daegu University) ;
  • Lee, Yungon (School of Kinesiology, Yeungnam University) ;
  • Shin, Sunghoon (School of Kinesiology, Yeungnam University)
  • Received : 2022.04.06
  • Accepted : 2022.04.11
  • Published : 2022.04.30

Abstract

Purpose: The aim of this study was to establish an association between grip strength and gait variability in the elderly. Methods: The participants in this experiment (n = 20) were aged 65 or older. Power grip and lateral pinch forces were obtained in grip strength tests, and spatiotemporal gait parameters were collected from IMU sensors during 6 min actual walking to test the gait of participants. The collected gait parameters were converted to coefficient of variation (CV) values. To confirm the association between grip strength and gait variability, a partial correlation analysis was conducted in which height, weight, and gait speed were input as controlling variables. Results: Grip power showed a significant negative correlation with the stride length CV (r = -0.52), and the lateral pinch force showed a significant negative correlation with the stance CV (r = -0.65) and swing CV (r = -0.63). Conclusion: This study reveals that gait variability decreases as grip strength increases, although height, weight, and gait speed were controlled. Thus, grip strength testing, a simple aging evaluation method, can help identify unstable gait in older adults at risk of falling, and grip strength can be utilized as a non-invasive measurement method for frailty management and prevention.

Keywords

Acknowledgement

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education (2021R1A6A1A03040177).

References

  1. Avlund K, Schroll M, Davidsen M et al. Maximal isometric muscle strength and functional ability in daily activities among 75-year-old men and women. Scandinavian Journal of Medicine & Science in Sports. 1994;4(1):32-40.
  2. Back CY, Joo JY, Kim YK. Association between muscular strengths and gait characteristics of elderly people aged 65 to 74 and 75 and above. Journal of the Korea Academia-Industrial. 2020;21(2):415-422.
  3. Bohannon RW. Are hand-grip and knee extension strength reflective of a common construct?. Perceptual and Motor Skills. 2012;114(2): 514-518. https://doi.org/10.2466/03.26.PMS.114.2.514-518
  4. Callisaya ML, Blizzard L, McGinley JL et al. Sensorimotor factors affecting gait variability in older people--a population-based study. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2010;65(4):386-92.
  5. Chan OYA, van Houwelingen AH, Gussekloo J et al. Comparison of quadriceps strength and handgrip strength in their association with health outcomes in older adults in primary care. Age. 2014;36(5):1-13. https://doi.org/10.1007/s11357-013-9536-9
  6. Cvecka J, Tirpakova V, Sedliak M et al. Physical activity n elderly. European Journal of Translational Myology. 2015;25(4):249. https://doi.org/10.4081/ejtm.2015.5280
  7. Dudzinska-Griszek J, Szuster K, Szewieczek J. Grip strength as a frailty diagnostic component in geriatric inpatients. Clinical Interventions in Aging. 2017.
  8. Eckstrom E, Neukam S, Kalin L et al. Physical activity and healthy aging. Clinics in Geriatric Medicine. 2020;36(4):671-683. https://doi.org/10.1016/j.cger.2020.06.009
  9. Fahy GM, West M, Coles LS et al. The future of aging: Pathways to human life extension. Springer Science & Business Media. 2010.
  10. Fragala MS, Alley DE, Shardell MD et al. Comparison of handgrip and leg extension strength in predicting slow gait speed in older adults. Journal of the American Geriatrics Society. 2016;64(1):144-150. https://doi.org/10.1111/jgs.13871
  11. Guadagnin EC, Priario LA, Carpes FP et al. Correlation between lower limb isometric strength and muscle structure with normal and challenged gait performance in older adults. Gait & Posture. 2019;73:101-107. https://doi.org/10.1016/j.gaitpost.2019.07.131
  12. Hausdorff JM. Gait variability: methods, modeling and meaning. Journal of Neuroengineering and Rehabilitation. 2005;2(1):1-9. https://doi.org/10.1186/1743-0003-2-19
  13. Hausdorff JM, Rios DA, Edelberg HK.Gait variability and fall risk in community-living older adults: a 1-year prospective study. Archives of Physical Medicine and Rehabilitation. 2001;82(8):1050-1056. https://doi.org/10.1053/apmr.2001.24893
  14. Herman S, Kiely DK, Leveille S et al. Upper and lower limb muscle power relationships in mobility-limited older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 2005;60(4):476-480. https://doi.org/10.1093/gerona/60.4.476
  15. Jang IY, Lee HY, Lee E. Geriatrics fact sheet in Korea 2018 from national statistics. Annals of Geriatric Medicine and Research. 2019;23(2):50. https://doi.org/10.4235/agmr.19.0013
  16. Kallman DA, Plato CC, Tobin JD. The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. Journal of Gerontology. 1990;45:M82-88.
  17. Kim KH. The Impact of ADL Disability through Social Networks on Depression in Old Age, Korean Journal of Gerontological Social Welfare. 2018;73(2):49-77. https://doi.org/10.21194/kjgsw.73.2.201806.49
  18. Kojima G. Frailty as a predictor of future falls among community-dwelling older people: a systematic review and meta-analysis. Journal of the American Medical Directors Association. 2015;16(12): 1027-1033. https://doi.org/10.1016/j.jamda.2015.06.018
  19. Lamoureux EL, Sparrow WA, Murphy A et al. The relationship between lower body strength and obstructed gait in community -dwelling older adults. Journal of the American Geriatrics Society. 2002;50(3):468-473. https://doi.org/10.1046/j.1532-5415.2002.50112.x
  20. Lee Y, Shin S. The Effect of Body Composition on Gait Variability Varies with Age: Interaction by Hierarchical Moderated Regression Analysis. International Journal of Environmental Research and Public Health. 2022;19(3):1171-1180. https://doi.org/10.3390/ijerph19031171
  21. Maki BE. Gait changes in older adults: predictors of falls or indicators of fear?. Journal of the American Geriatrics Society. 1997;45(3):313-320. https://doi.org/10.1111/j.1532-5415.1997.tb00946.x
  22. Malanga G & DeLisa JA. Gait analysis in the science of rehabilitation. Diane Publishing. 1998;2(1).
  23. Mathiowetz V, Weber K, Volland G et al. Reliability and validity of grip and pinch strength evaluations. The Journal of Hand Surgery. 1984;9(2): 222-226. https://doi.org/10.1016/s0363-5023(84)80146-x
  24. Martinikorena I, Martinez-Ramirez A, Gomez M et al. Gait variability related to muscle quality and muscle power output in frail nonagenarian older adults. Journal of the American Medical Directors Association. 2016;17(2):162-167. https://doi.org/10.1016/j.jamda.2015.09.015
  25. Martinoli C, Perez MM, Padua L et al. Muscle variants of the upper and lower limb (with anatomical correlation). In Seminars in Musculoskeletal Radiology. 2010;14(2);106-121 Epub. https://doi.org/10.1055/s-0030-1253155
  26. McPhee JS, French DP, Jackson et al. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology. 2016;17(3):567-580. https://doi.org/10.1007/s10522-016-9641-0
  27. Montero-Odasso M, Muir SW, Hall M et al. Gait variability is associated with frailty in community -dwelling older adults. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2011;66(5):568-76. https://doi.org/10.1093/gerona/glr007
  28. Puh U. Age-related and sex-related differences in hand and pinch grip strength in adults. International Journal of Rehabilitation Research. 2010;33(1):4-11. https://doi.org/10.1097/MRR.0b013e328325a8ba
  29. Rantanen T. Muscle strength, disability and mortality. Scandinavian Journal of Medicine & Science in Sports. 2003;13(1):3-8. https://doi.org/10.1034/j.1600-0838.2003.00298.x
  30. Rhodes D, Jeffery J, Carling C. The association between grip strength and isometric mid-thigh pull performance in elite footballers. Science & Sports. 2022. Epub.
  31. Richards LG, Olson B, Palmiter-Thomas P. How forearm position affects grip strength. The American Journal of Occupational Therapy. 1996;50(2), 133-138. https://doi.org/10.5014/ajot.50.2.133
  32. Rowe JW, Kahn RL. Successful aging and disease prevention. Advances in Renal Replacement Therapy. 2000;7(1):70-77. https://doi.org/10.1016/s1073-4449(00)70008-2
  33. Scarborough DM, Krebs DE, Harris BA. Quadriceps muscle strength and dynamic stability in elderly persons. Gait & Posture. 1999;10(1):10-20. https://doi.org/10.1016/S0966-6362(99)00018-1
  34. Shin S. Analysis of the effect of obesity on gait performance and variability in old adults. The Korean Journal of Physical Education. 2014;53(3):759-767.
  35. Shin S, Valentine RJ, Evans EM et al. Lower extremity muscle quality and gait variability in older adults. Age and Ageing. 2012;41(5):595-599. https://doi.org/10.1093/ageing/afs032
  36. Singh MAF. Exercise and aging. Clinics in Geriatric Medicine. 2004;20(2): 201-221. https://doi.org/10.1016/j.cger.2004.03.003
  37. Socie MJ, Sosnoff JJ. Gait variability and multiple sclerosis. Multiple Sclerosis International. 2013. Epub.
  38. Sosnoff JJ, Newell KM. Are age-related increases in force variability due to decrements in strength? Experimental Brain Research. 2006;174(1):86-94. https://doi.org/10.1007/s00221-006-0422-x
  39. Wisniowska-Szurlej A, Cwirlej-Sozanska A, Woloszyn N et al. Association between handgrip strength, mobility, leg strength, flexibility, and postural balance in older adults under long-term care facilities. BioMed Research International. 2019. Epub.
  40. Won CW. Frailty: its scope and implications for geriatricians. Annals of Geriatric Medicine and Research. 2019;23(3):95. https://doi.org/10.4235/agmr.19.0032