Background: Aging is a gradual, life-long process and highly variable, characterized by a progressive and cumulative generalized impairment of physiological functions which in turn reduces functional performance and disturbs ADL’s & may lead to significant impact on core & lower limb muscles, which are important in functioning. Thus, the study aimed at assessing correlation amongst the core & lower limb muscles and functional status. Methods and procedures: 84 participants between 70-79 yrs of age ()(Male:Female = 1) were assessed for core strength, Lower limb strength and functional mobility using pressure biofeedback, five times sit to stand and timed up and go test respectively and data was tabulated & analyzed further in SPSS. Results: Spearman's correlation was used in this study which showed significant positive correlation between core strength and lower limb strength with lower limb functional status. (r(Core)=0.813, r(5SST) =0.893; p(Core)=0.00, p(5SST) =0.00) Discussion: Optimal core stability helps maintain the center of gravity within the altered base of support and this could be a reason for individuals with good core strength having better functional mobility. Also force of muscle contraction is directly proportional to velocity of movement which is seen reduced in lower limb musculature because of aging in this population. Conclusion: The present study concluded that strong correlation of core strength and lower limb strength with functional mobility exists among middle old elderly population
Avneet Kaur, Mani Kalaivani, Akhil Dhanesh Goel, Anil Kumar Goswami, Baridalyne Nongkynrih, Sanjeev Kumar Gupta. Centre for Community Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. May, 2021.
Forhan M, Gill SV (2013) Obesity, functional mobility and quality of life. Best Pract Res Clin Endocrinol Metab 27, 129–137.
King LA, Horak FB (2009) Delaying mobility disability in people with Parkinson disease using a sensorimotor agility exercise program. Phys Ther 89, 384–393.
Leonardi M, Meucci P, Ajovalasit D, Albanesi F, Cerniauskaite M, Invernizzi V, Lembo R, Quintas R, Sattin D, Carella F, Romito L, Soliveri P, Bussone G, D'amico D, Maggi L, Mantegazza R, Raggi A (2009) ICF in neurology: Functioning and disability in patients with migraine, myasthenia gravis and Parkinson's disease. Disabil Rehabil 31, S88–S99.
Ota M, Ikezoe T, Kaneoka K, Ichihashi N. Age-related changes in the thickness of the deep and superficial abdominal muscles in women. Arch Gerontol Geriatr. 2012 Sep-Oct;55(2):e26-30. doi: 10.1016/j.archger.2012.03.007. Epub 2012 Apr 6. PMID: 22483589.
Morita M, Takamura N, Kusano Y, Abe Y, Moji K, Takemoto T, Aoyagi K. Relationship between falls and physical performance measures among community-dwelling elderly women in Japan. Aging Clin Exp Res. 2005;17:211–6.
Pienaar AW, Barnard JG. Development, validity and reliability of a new pressure air biofeedback device (PAB) for measuring isometric extension strength of the lumbar spine. J Med Eng Technol. 2017 Apr;41(3):216-222. doi: 10.1080/03091 902.2016.1253794. Epub 2016 Nov 14. PMID: 27838945.
Hofheinz M, Mibs M. The Prognostic Validity of the Timed Up and Go Test With a Dual Task for Predicting the Risk of Falls in the Elderly. Gerontol Geriatr Med. 2016 Mar 16;2:233372 1416637798. doi:10.1177/2333 7214 16637798. PMID: 28138492; PMCID: PMC5 119801.
Goldberg A, Chavis M, Watkins J, Wilson T. The five-times-sit-to-stand test: validity, reliability and detectable change in older females. Aging Clin Exp Res. 2012 Aug;24(4):339-44. doi: 10.1007/BF03325265. PMID: 23238309.
Frontera WR , Hughes VA, Fielding RA, et al. . Aging of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol. 2000;88:1321–1326), (Lexell J , Taylor CC, Sjostrom M. What is the cause of the ageing atrophy? Total number, size, and proportion of different fiber types studied in whole vastus lateralis muscle from 15- to 83-year-old men. J Neurol Sci. 1988;84:275–294.
Oung A , Stokes M, Crowe M. Size and strength of the quadriceps muscles of old and young women. Eur J Clin Invest. 1984;14:282–287.
Lexell J , Taylor CC, Sjostrom M. What is the cause of the ageing atrophy? Total number, size, and proportion of different fiber types studied in whole vastus lateralis muscle from 15- to 83-year-old men. J Neurol Sci. 1988;84:275–294.
Kent-Braun JA , Ng AV, Young K. Skeletal muscle contractile and noncontractile components in young and older women and men. J Appl Physiol. 2000;88:662–668.
Shahtahmassebi, B., Hebert, J.J., Hecimovich, M.D. et al. Associations between trunk muscle morphology, strength and function in older adults. Sci Rep 7, 10907 (2017).
Megumi Ota et al. research title : Age-related changes in the thickness of the deep and superficial abdominal muscles in women, 2012.
Barbosa AR, Santarém JM, Filho WJ, Marucci Mde F. Effects of resistance training on the sit?and?reach test in elderly women. J Strength Cond Res 2002;16:14?8.
Brittenham D, Brittenham G. Stronger Abs and Back. Champaign, IL: Human Kinetics; 1997.
Nishad AM, Nizar AK. Randomized controlled trial of core strength training in older adults: Effects on functional mobility. Sch Acad J Biosci 2015;3:19?25.
Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med 2006;36:189?98.
Seth Herman, Dan K. Kiely, Suzanne Leveille, Evelyn O'Neill, Sharon Cyberey, Jonathan F. Bean, Upper and Lower Limb Muscle Power Relationships in Mobility-Limited Older Adults, The Journals of Gerontology: Series A, Volume 60, Issue 4, April 2005, Pages 476–480.
Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin North Am. 2003 Apr;34(2):245-54. doi: 10.1016/s0030-5898(03) 00003-8. PMID: 12914264.
Schenkman M, Berger RA, Riley PO, Mann RW, Hodge WA. Whole body movement during rising to standing from sitting. Phys Ther. 1990; 70:638–651.
Callahan DM, Kent-Braun JA. Effect of old age on human skeletal muscle force-velocity and fatigue properties. properties. JApplPhysiol (1985). 2011;111(5):13451352.doi:10.1152/japp lphysiol.00367.2011.
Gray M, Glenn JM, Binns A. Predicting sarcopenia from functional measures among community-dwelling older adults. Age. 2016;38:22.
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