Lower-extremity muscle strength using hand-held dynamometer in Thai dwelling community elderly people

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Sukwida Manonangsan Chatphorn Rueangthong Haruthai Rompocapong Warid Yanmongkonsin


he objectives were to compare muscle strength between dominant and non-dominant


legs and to determine a relationship between leg muscle strength and time to complete five times sit-to-stand (FTSTS) in healthy Thai community dwelling elderly people (n= 50) with mean aged of 67.90 ± 5.79 yr (60-81 yr). Leg muscles strength were measured by Hand-held dynamometer (HHD). The results showed no significant difference in muscle strength between dominant and non-dominant legs. The mean values for muscle strength (kilogram, kg) of hip flexors 12.81 ± 2.35, hip extensors 11.19 ± 2.59, hip abductors 12.03 ± 2.55, knee extensors 10.54 ± 1.73, knee flexors 10.79 ± 2.43, ankle dorsi-flexors 12.19 ± 2.04, and ankle plantar-flexors 11.80 ± 2.02 were reported. The average time of FTSTS was 11.13 ± 2.61 sec. Time to complete FTSTS was statistically significant correlated with leg muscle strength of hip flexors (r = -.299, p = 0.031), hip extensors (r = -.417, p = 0.002), and knee flexors (r = -.367, p = 0.007). This finding showed that hip flexors, hip extensors, and knee flexors muscle strength could affect the ability to get up from a chair. The stronger leg muscles, the less time to get up from a chair. In conclusion, strong leg muscles might improve sit-to-stand performance in Thai elderly people.


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Manonangsan S, Rueangthong C, Rompocapong H, Yanmongkonsin W. Lower-extremity muscle strength using hand-held dynamometer in Thai dwelling community elderly people. Thai Journal of Physical Therapy [Internet]. 16Apr.2015 [cited 24Mar.2018];37(1):1-1. Available from: https://www.tci-thaijo.org/index.php/tjpt/article/view/114449
Research Articles


1.Hughes VA, Frontera WR, Wood M, et al. Longitudinal Muscle Strength Changes in Older Adults Influence of Muscle Mass, Physical Activity, and Health. J Gerontol A Biol Sci Med Sci 2001; 56: B209-B217.doi: 10.1093/gerona/56.5.B209

2. Schenkman M, Berger RA, Riley PO, Mann RW, Hodge WA. Whole-body movements during rising to standing from sitting. Phys Ther 1990; 70: 638-48.

3. Yamada T, Demura S. The relationship of force output characteristics during a sit-to stand movement with lower limb muscle mass and knee joint extension in the elderly. Arch Gerontol Geriatr 2010; 50: e46-50.

4. Naomi K, Fukagawa NK, Brown M, Sinacore DR, Host HH. The Relationship of Strength to Function in the Older Adult. J Gerontol A Biol Sci Med Sci 1995; 50: 55-59.doi:10.1093/gerona/50A.Special_Issue.55

5. Corrigan D, Bohannon RW. Relationship between knee extension force and stand-up performance in community dwelling elderly women. Arch Phys Med Rehabil 2001; 82: 1666-72.

6. Lord SR, Murray SM, Chapman K, Munro B, Tiedemann A. Sit-to stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol A Biol Sci Med Sci 2002; 57: 539-43.

7. Bohannon RW. Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills 1995; 80: 163–6.

8. Rubenstein LZ. CLINICAL RISK ASSESSMENT, INTERVENTIONS AND SERVICE Falls in older people: epidemiology, risk factors and strategies for prevention. Age and Ageing 2006; 35-S2: ii37–ii41 doi:10.1093/ageing/afl084ii37

9. Aksu S, Yakut Y. Test-retest reliability of hand-held dynamometer and manual muscle strength measurements in amyotrophic lateral sclerosis, Fizyoterapi Rehabilitasyon 2003; 14:66-71.

10. Arnold CM, Warkentin KD, Chilibeck PD, Magnus CRA. The Reliability and Validity of Handheld Dynamometry for the Measurement of Lower-Extremity Muscle Strength in Older Adults. J Strength Cond Res 2010; 24: 815-24.

11. Martin HJ, Yule V, Syddall HE, Dennison EM, Cooper C, Aihie Sayer A. Is Hand-Held Dynamometry Useful for the Measurement of Quadriceps Strength in Older People? A Comparison with the Gold Standard Biodex Dynamometry. Gerontology 2006; 52: 154–9. (DOI:10.1159/000091824)

12. Bohannon RW. Test-retest reliability of hand-held dynamometry during a single session of strength assessment. Phys Ther 1986; 66: 206-9.

13. Jacobs C, Uhl TL, Seeley M, Sterling W, Goodrich L. Strength and Fatigability of the Dominant and Nondominant Hip Abductors. J Athl Train 2005; 40: 203–6.

14. Hoffman M, Schrader J, Applegate T, Koceja D. Unilateral Postural Control of the Functionally Dominant and Nondominant Extremities of Healthy Subjects. J Athl Train 1998; 33: 319-22.

15. Bernardi M, Solomonow M, Nguyen G, Smith A, Baratta R. Motor unit recruitment strategy changes with skill acquisition. Eur J Appl Physiol Occup Physiol. 1996; 74: 52-9.

16. Carroll TJ, Riek S, Carson RG. Neural adaptations to resistance training: implications for movement control. Sports Med. 2001; 31: 829-40.

17. Andrews AW, Thomas MW, Bohannon RW. Normative values for isometric muscle force measurements obtained with hand-held dynamometers. Phys Ther 1996; 76: 248-59.

18. McCurdy K, Langford G. Comparison of Unilateral Squat Strength between the Dominant and Non-Dominant Leg in Men and Women. J Sports Sci Med. Jun 2005; 4: 153–9.

19. Brunt D, Greenberg B, Wankadia S, Trimble MA, Shechtman O. The effect of foot placement on sit to stand in healthy young subjects and patients with hemiplegia. Arch Phys Med Rehabil. Jul 2002; 83: 924-9.

20.สถาบันเวชศาสตร์ผู้สูงอายุ กรมการแพทย์ กระทรวงสาธารณสุข แบบทดสอบสภาพสมองเสื่อมเบื้องต้นฉบับภาษาไทย MIMSE-THAI 2002.

21. Yoshioka S, Nagano A, Hay DC, Fukashiro S. Peak hip and knee joint moments during a sit-to-stand movement are invariant to the change of seat height within the range of low to normal seat height. Bio Medical Engineering 2014, 13:27 doi:10.1186/1475-925X-13-27

22. Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd ed. New Jersey: Prentice-Hall, 2009.

23. Dickin DC, Too D. Effects of movement velocity and maximal concentric and eccentric contractions on the bilateral deficit. Res Q Exerc Sport 2006; 77: 296-303.