PTOtherJournal of physical therapy science2021

The effects of ageing on functional capacity and stretch-shortening cycle muscle power.

Cecilia Elam, Per Aagaard, Frode Slinde and 4 others

PMID 33814713

WHAT IT FOUND

In the oldest-old adults (76-81 years), lower-limb jump power was closely tied to walking speed, unlike in younger older adults.

Key findings

01The oldest-old group (76-81 years) showed poorer performance on most measured tests, including jump power, jump height, leg strength, grip strength, heel-rise endurance, balance, Timed Up and Go, and walking speed.

02In the oldest-old group, lower-limb jump power accounted for 41-54% of the differences in walking speed, compared with 16-19% in the younger groups.

03Jump height tracked leg power closely, with power accounting for 66-69% of the differences in maximal vertical jump height.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study measured participants once, so it cannot show how any individual person changed as they aged. Participants had to be able to perform a maximal vertical jump and were excluded for neurological, cardiopulmonary, cognitive, severe musculoskeletal, or lower-limb joint replacement problems, so the findings may not apply to frailer patients. The heel-rise test was very demanding for oldest participants and may have failed because of balance or pacing problems rather than muscle endurance. The single-leg balance test stopped at 30 seconds and many younger participants reached that ceiling, so it may not have distinguished well between younger older adults. No intervention was tested, so the study cannot show that power training improves function.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that power training will improve walking, balance, or independence in oldest-old adults. The study measured people once and did not give any intervention.

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