Peak torque and rate of torque development in elderly with and without fall history

• Published in: Clinical biomechanics (Bristol) 2010-06, Vol.25 (5), p.450-454
• Main Authors: Bento, Paulo Cesar Barauce, Pereira, Gleber, Ugrinowitsch, Carlos, Rodacki, André Luiz Felix
• Format: Article
• Language: English
• Subjects: Accidental Falls; Aged; Analysis of Variance; Fallers; Female; Humans; Leg - physiology; Muscle Contraction - physiology; Muscle Strength - physiology; Muscle, Skeletal - physiology; Physical Medicine and Rehabilitation; Rate of torque development; Risk of falls; Surveys and Questionnaires; Torque
• ISSN: 0268-0033; 1879-1271
• DOI: 10.1016/j.clinbiomech.2010.02.002

Abstract Background Falls are one of the greatest concerns among the elderly. A number of studies have described peak torque as one of the best fall-related predictor. No studies have comprehensively focused on the rate of torque development of the lower limb muscles among elderly fallers. Then, the aim of this study was to determine the relationship between muscle peak torque and rate of torque development of the lower limb joints in elderly with and without fall history. It was also aimed to determine whether these parameters of muscle performance (i.e., peak torque and rate of torque development) are related to the number of falls. Methods Thirty-one women volunteered to participate in the study and were assigned in one of the groups according to the number of falls over the 12 months that preceded the present. Then, participants with no fall history (GI; n = 13; 67.6[7.5] years-old), one fall (GII; n = 8; 66.0[4.9] years-old) and two or more falls (GIII; n = 10; 67.8[8.8] years-old) performed a number of lower limb maximal isometric voluntary contractions from which peak torque and rate of torque development were quantified. Findings Primary outcomes indicated no peak torque differences between experimental groups in any lower limb joint. The rate of torque development of the knee flexor muscles observed in the non-fallers (GI) was greater than that observed in the fallers ( P < 0.05) and had a significant relationship with the number of falls ( P < 0.05). Interpretation The greater knee flexor muscles’ rate of torque development found in the non-fallers in comparison to the fallers indicated that the ability of the elderly to rapidly reorganise the arrangement of the lower limb may play a significant role in allowing the elderly to recover balance after a trip. Thus, training stimulus aimed to improve the rate of torque development may be more beneficial to prevent falls among the elderly than other training stimulus, which are not specifically designed to improve the ability to rapidly produce large amounts of torque.