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Upper extremity muscle volumes and functional strength after resistance training in older adults |
Daly M, Vidt ME, Eggebeen JD, Simpson WG, Miller ME, Marsh AP, Saul KR |
Journal of Aging and Physical Activity 2013 Apr;21(2):186-207 |
clinical trial |
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
Aging leads to a decline in strength and an associated loss of independence. The authors examined changes in muscle volume, maximum isometric joint moment, functional strength, and 1-repetition maximum (1RM) after resistance training (RT) in the upper extremity of older adults. They evaluated isometric joint moment and muscle volume as predictors of functional strength. Sixteen healthy older adults (average age 75 +/- 4.3 yr) were randomized to a 6-wk upper extremity RT program or control group. The RT group increased 1RM significantly (p < 0.01 for all exercises). Compared with controls, randomization to RT led to greater functional pulling strength (p = 0.003), isometric shoulder-adduction moment (p = 0.041), elbow-flexor volume (p = 0.017), and shoulder-adductor volume (p = 0.009). Shoulder-muscle volumes and isometric moments were good predictors of functional strength. The authors conclude that shoulder strength is an important factor for performing functional reaching and pulling tasks and a key target for upper extremity RT interventions.
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