Cited by 137Balance, Gait, and Falls PreventionLower Extremity Biomechanics and PathologiesNutrition and Health in Aging

The biomechanical mechanism of how strength and power training improves walking speed in old adults remains unknown

Beijersbergen, C.M.I., Granacher, U., Vandervoort, A.A., DeVita, P., Hortobágyi, T.·2013·Ageing Research Reviews

Abstract

Maintaining and increasing walking speed in old age is clinically important because this activity of daily living predicts functional and clinical state. We reviewed evidence for the biomechanical mechanisms of how strength and power training increase gait speed in old adults. A systematic search yielded only four studies that reported changes in selected gait biomechanical variables after an intervention. A secondary analysis of 20 studies revealed an association of r(2)=0.21 between the 22% and 12% increase, respectively, in quadriceps strength and gait velocity in 815 individuals age 72. In 6 studies, there was a correlation of r(2)=0.16 between the 19% and 9% gains in plantarflexion strength and gait speed in 240 old volunteers age 75. In 8 studies, there was zero association between the 35% and 13% gains in leg mechanical power and gait speed in 150 old adults age 73. To increase the efficacy of intervention studies designed to improve gait speed and other critical mobility functions in old adults, there is a need for a paradigm shift from conventional (clinical) outcome assessments to more sophisticated biomechanical analyses that examine joint kinematics, kinetics, energetics, muscle-tendon function, and musculoskeletal modeling before and after interventions.

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Crossref · 10.1016/j.arr.2013.03.001

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Authors
Beijersbergen, C. M. I., Granacher, U., Vandervoort, A. A., DeVita, P., & Hortobágyi, T.
Affiliations
  • University Medical Center Groningen (NL)
  • University of Potsdam (DE)
  • Western University (CA)
  • East Carolina University (US)
Corresponding author
Hortobágyi, T.
Venue
Ageing Research Reviews
Publisher
Elsevier BV
Published
2013-03
Volume
12
Issue
2
Pages
618-627
ISSN
1568-1637 (ISSN-L)
OpenAlex
W2059366099
Cited by
136
References
81
Citations by year
2026: 7 · 2025: 7 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 13 · 2020: 10 · 2019: 15 · 2018: 14 · 2017: 12 · 2016: 17 · 2015: 10 · 2014: 5 · 2013: 1 · 2012: 1
FWCI
1.57
Type
journal article
Language
en
Open access
closed
Locations
  • Ageing Research Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
  • publish.UP (University of Potsdam) (submittedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
Keywords
walking speed, resistance training, power training, older adults, gait biomechanics, quadriceps strength, plantar flexion strength, mobility (physical function), joint kinematics, musculoskeletal modeling
MeSH terms
Activities of Daily Living, Aged, Aging, Biomechanical Phenomena, Gait, Humans, Models, Biological, Musculoskeletal Physiological Phenomena, Range of Motion, Articular, Walking, Outcome Assessment, Health Care, Muscle Stretching Exercises, Muscle Strength

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