Hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study

Simone C Gafner,1,2 Caroline H Bastiaenen,2,3 Serge Ferrari,4 Gabriel Gold,5 Philippe Terrier,6,7 Roger Hilfiker,8 Lara Allet1,91Department of Physiotherapy, HES-SO University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland; 2Department of Epidemiology, Research Program Func...

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Autores principales:	Gafner SC, Bastiaenen CH, Ferrari S, Gold G, Terrier P, Hilfiker R, Allet L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	hip muscle strength accidental falls older adults hand grip strength measurement study Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/758924c7c3744dcb93f2e69000effc63
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spelling	oai:doaj.org-article:758924c7c3744dcb93f2e69000effc632021-12-02T01:21:13ZHip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study1178-1998https://doaj.org/article/758924c7c3744dcb93f2e69000effc632017-12-01T00:00:00Zhttps://www.dovepress.com/hip-muscle-and-hand-grip-strength-to-differentiate-between-older-falle-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Simone C Gafner,1,2 Caroline H Bastiaenen,2,3 Serge Ferrari,4 Gabriel Gold,5 Philippe Terrier,6,7 Roger Hilfiker,8 Lara Allet1,91Department of Physiotherapy, HES-SO University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland; 2Department of Epidemiology, Research Program Functioning and Rehabilitation, CAPHRI, Maastricht University, Maastricht, the Netherlands; 3Department of Health, School of Health Professions, Zurich University of Applied Sciences, Winterthur, 4Department of Internal Medicine Specialties, 5Department of Internal Medicine, Rehabilitation and Geriatrics, University Hospitals and University of Geneva, Geneva, 6Department of Research, Clinique romande de réadaptation SUVACare, 7Department of Research, Institute for Research in Rehabilitation, Sion, 8Department of Physiotherapy, School of Health Sciences, HES-SO Valais-Wallis, University of Applied Sciences and Arts of Western Switzerland, Valais, 9Department of Community Medicine, University Hospitals and University of Geneva, Geneva, Switzerland Background: Hip muscle weakness in older people seems to be an influencing factor of falls. Currently, it is unclear which muscles out of the hip muscle group play an important role in older people. A validating process in the measurement regarding muscle strength related to falls is necessary before answering that question.Objective: Firstly, we aimed to investigate which hip muscle group strength shows an acceptable level of distinction between older adult fallers and non-fallers compared to a predefined external criterion regarding falling. Secondly, we aimed to compare the same outcomes and questions for hand-grip strength in relation to the same external criterion.Design: This study was a cross-sectional validity study.Methods: The maximum voluntary isometric strength (MVIS) and the rate of force generation of hip abductors (ABD), adductors, internal and external rotators, extensors, and flexors were measured with a dynamometer fixed to a custom-made frame as well as hand-grip strength with a Martin Vigorimeter in 60 older people aged over 65 years (38 females and 22 males).Results: The area under the curve (AUC) and the results of the mean decrease in Gini index assessed by random forest approach show that of all the assessed parameters, hip ABD MVIS showed the highest discriminative value regarding the chosen external criterion in older people (AUC ABD MVIS 0.825, 95% confidence interval: 0.712–0.938).Conclusion: Results indicate that ABD MVIS is a useful measure to distinguish between older adult fallers and non-fallers regarding the chosen external criterion.Keywords: hip muscle strength, accidental falls, older adults, hand-grip strength, measurement studyGafner SCBastiaenen CHFerrari SGold GTerrier PHilfiker RAllet LDove Medical Pressarticlehip muscle strengthaccidental fallsolder adultshand grip strengthmeasurement studyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	hip muscle strength accidental falls older adults hand grip strength measurement study Geriatrics RC952-954.6
spellingShingle	hip muscle strength accidental falls older adults hand grip strength measurement study Geriatrics RC952-954.6 Gafner SC Bastiaenen CH Ferrari S Gold G Terrier P Hilfiker R Allet L Hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study
description	Simone C Gafner,1,2 Caroline H Bastiaenen,2,3 Serge Ferrari,4 Gabriel Gold,5 Philippe Terrier,6,7 Roger Hilfiker,8 Lara Allet1,91Department of Physiotherapy, HES-SO University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland; 2Department of Epidemiology, Research Program Functioning and Rehabilitation, CAPHRI, Maastricht University, Maastricht, the Netherlands; 3Department of Health, School of Health Professions, Zurich University of Applied Sciences, Winterthur, 4Department of Internal Medicine Specialties, 5Department of Internal Medicine, Rehabilitation and Geriatrics, University Hospitals and University of Geneva, Geneva, 6Department of Research, Clinique romande de réadaptation SUVACare, 7Department of Research, Institute for Research in Rehabilitation, Sion, 8Department of Physiotherapy, School of Health Sciences, HES-SO Valais-Wallis, University of Applied Sciences and Arts of Western Switzerland, Valais, 9Department of Community Medicine, University Hospitals and University of Geneva, Geneva, Switzerland Background: Hip muscle weakness in older people seems to be an influencing factor of falls. Currently, it is unclear which muscles out of the hip muscle group play an important role in older people. A validating process in the measurement regarding muscle strength related to falls is necessary before answering that question.Objective: Firstly, we aimed to investigate which hip muscle group strength shows an acceptable level of distinction between older adult fallers and non-fallers compared to a predefined external criterion regarding falling. Secondly, we aimed to compare the same outcomes and questions for hand-grip strength in relation to the same external criterion.Design: This study was a cross-sectional validity study.Methods: The maximum voluntary isometric strength (MVIS) and the rate of force generation of hip abductors (ABD), adductors, internal and external rotators, extensors, and flexors were measured with a dynamometer fixed to a custom-made frame as well as hand-grip strength with a Martin Vigorimeter in 60 older people aged over 65 years (38 females and 22 males).Results: The area under the curve (AUC) and the results of the mean decrease in Gini index assessed by random forest approach show that of all the assessed parameters, hip ABD MVIS showed the highest discriminative value regarding the chosen external criterion in older people (AUC ABD MVIS 0.825, 95% confidence interval: 0.712–0.938).Conclusion: Results indicate that ABD MVIS is a useful measure to distinguish between older adult fallers and non-fallers regarding the chosen external criterion.Keywords: hip muscle strength, accidental falls, older adults, hand-grip strength, measurement study
format	article
author	Gafner SC Bastiaenen CH Ferrari S Gold G Terrier P Hilfiker R Allet L
author_facet	Gafner SC Bastiaenen CH Ferrari S Gold G Terrier P Hilfiker R Allet L
author_sort	Gafner SC
title	Hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study
title_short	Hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study
title_full	Hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study
title_fullStr	Hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study
title_full_unstemmed	Hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study
title_sort	hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/758924c7c3744dcb93f2e69000effc63
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Hip muscle and hand-grip strength to differentiate between older fallers and non-fallers: a cross-sectional validity study

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