Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 5 , Pages 604-609 , May 2007

Is Stair Climb Power a Clinically Relevant Measure of Leg Power Impairments in At-Risk Older Adults?

  • Jonathan F. Bean, MD, MS

      Affiliations

    • Department of PM&R, Harvard Medical School, Boston, MA
    • Spaulding Rehabilitation Hospital, Boston, MA
    • Corresponding Author InformationReprint requests to Jonathan F. Bean, MD, MS, Spaulding Cambridge Outpatient Center, 1575 Cambridge St, Box 9, Cambridge, MA 02138
  • ,
  • Dan K. Kiely, MPH

      Affiliations

    • Hebrew Senior Life, Boston, MA
  • ,
  • Sharon LaRose, BS

      Affiliations

    • Spaulding Rehabilitation Hospital, Boston, MA
  • ,
  • Joda Alian, BA

      Affiliations

    • Spaulding Rehabilitation Hospital, Boston, MA
  • ,
  • Walter R. Frontera, MD, PhD

      Affiliations

    • University of Puerto Rico School of Medicine, San Juan, Puerto Rico.

References 

  1. Evans WJ. Exercise strategies should be designed to increase muscle power. J Gerontol A Biol Sci Med Sci. 2000;55:M309–M310
  2. Bean J, Kiely DK, Herman S, et al. The relationship between leg power and physical performance in mobility-limited elders. J Am Geriatr Soc. 2002;50:461–467
  3. Bean JF, Leveille SG, Kiely DK, Bandinelli S, Guralnik JM, Ferrucci L. A comparison of leg power and leg strength within the InCHIANTI Study: which influences mobility more?. J Gerontol A Biol Sci Med Sci. 2003;58:728–733
  4. Liao Y, McGee DL, Cao G, Cooper RS. Recent changes in the health status of the older U.S. population: findings from the 1984 and 1994 supplement on aging. J Am Geriatr Soc. 2001;49:443–449
  5. Studenski S, Perera S, Wallace D, et al. Physical performance measures in the clinical setting. J Am Geriatr Soc. 2003;51:314–322
  6. Guralnik JM, Ferrucci L, Pieper CF, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the Short Physical Performance Battery. J Gerontol A Biol Sci Med Sci. 2000;55:M221–M231
  7. Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower extremity function over age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995;332:556–561
  8. Cavazzini C, Conti M, Bandinelli S, et al. Screening for poor performance of lower extremity in primary care: the Camucia Project. Aging Clin Exp Res. 2004;16:331–336
  9. Hakkinen K, Kraemer WJ, Newton RU, Alen M. Changes in electromyographic activity, muscle fibre and force production characteristics during heavy resistance/power strength training in middle-aged and older men and women. Acta Physiol Scand. 2001;171:51–62
  10. Miszko TA, Cress ME, Slade JM, Covey CJ, Agrawal SK, Doerr CE. Effect of strength and power training on physical function in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2003;58:171–175
  11. Fielding RA, LeBrasseur NK, Cuoco A, Bean J, Mizer K, Fiatarone-Singh MA. High velocity power training increases skeletal muscle strength and power in community-dwelling older women. J Am Geriatr Soc. 2002;50:655–662
  12. Bean J, Herman S, Kiely DK, et al. Weighted stair climbing in mobility limited elders: a pilot study. J Am Geriatr Soc. 2002;50:663–670
  13. Bean JF, Herman S, Kiely DK, et al. Increased Velocity Exercise Specific to Task (InVEST) training: a pilot study exploring effects on leg power, balance, and mobility in community-dwelling older women. J Am Geriatr Soc. 2004;52:799–804
  14. Bassey EJ, Short AH. A new method for measuring power output in a single leg extension: feasibility, reliability, and validity. Eur J Appl Physiol. 1990;60:385–390
  15. Whipple RH, Wolfson LI, Amerman PM. The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr. 1987;35:13–20
  16. Lindemann U, Claus H, Stuber M, et al. Measuring power during the sit-to-stand transfer. Eur J Appl Physiol. 2003;89:466–470
  17. Capodaglio EM, Saibene F. A test to assess the mechanical power sustainable during everyday activities in older people. Age Ageing. 2003;32:31–36
  18. Rittweger J, Schiessl H, Felsenberg D, Runge M. Reproducibility of the jumping mechanography as a test of mechanical power output in physically competent adult and elderly subjects. J Am Geriatr Soc. 2004;52:128–131
  19. Shaw JM, Snow CM. Weighted vest exercise improves indices of fall risk in older women. J Gerontol A Biol Sci Med Sci. 1998;53:M53–M58
  20. Fiatarone MA, O’Neill EF, Ryan ND, et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. New Engl J Med. 1994;330:1769–1775
  21. Nagi S. Some conceptual issues in disability and rehabilitation. In:  Sussman M editors. Sociology and rehabilitation. Washington (DC): American Sociological Society; 1965;p. 100
  22. Jette AM. Disablement outcomes in geriatric rehabilitation. Med Care. 1997;35:JS28–JS37
  23. Folstein MF, Folstein SF, McHugh PR. “Mini-mental state.” (A practical method for grading the cognitive state of patients for the clinician). Psychiatr Res. 1975;12:189–198
  24. Herman S, Kiely DK, Leveille S, Neill E, Cyberey S, Bean JF. Upper and lower limb muscle power relationships in mobility-limited older adults. J Gerontol A Biol Sci Med Sci. 2005;60:476–480
  25. Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49:M85–M94
  26. Ferrucci L, Guralnik JM, Buchner D, et al. Departures from linearity in the relationship between measures of muscular strength and physical performance of the lower extremities: the Women’s Health and Aging Study. J Gerontol A Biol Sci Med Sci. 1997;52:M275–M285
  27. Morley JE. Mobility performance: a high-tech test for geriatricians. J Gerontol A Biol Sci Med Sci. 2003;58:712–714
  28. McGibbon CA, Krebs DE. Effects of age and functional limitation on leg joint power and work during stance phase of gait. J Rehabil Res Dev. 1999;36:173–182
  29. Cuoco A, Callahan DM, Sayers S, Frontera WR, Bean J, Fielding RA. Impact of muscle power and force on gait speed in disabled older men and women. J Gerontol A Biol Sci Med Sci. 2004;59:1200–1206
  30. Bean JF, Kiely DK, Leveille SG, et al. The 6-minute walk test in mobility limited elders: what is being measured?. J Gerontol A Biol Sci Med Sci. 2002;57:M751–M756
  31. Cavanagh P, Mulfinger LM, Owens DA. How do the elderly negotiate stairs?. Muscle Nerve Suppl. 1997;5:S52–S55
  32. Andriacchi TP, Andersson GB, Fermier RW, Stern D, Galante JO. A study of lower-limb mechanics during stair-climbing. J Bone Joint Surg Am. 1980;62:749–757

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)00101-3

doi: 10.1016/j.apmr.2007.02.004

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 5 , Pages 604-609 , May 2007