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Contribution of hip abductor–adductor muscles on static and dynamic balance of community-dwelling older adults

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Abstract

Background

The previous studies have investigated causes of and risk factors for falls and impairment of functional capability in older adults. However, the biomechanical factors involved in functional performance and postural control, and the contribution of hip muscles, are still unknown.

Aims

The aim of the present study was to verify the association between the muscle function of hip abductors and adductors and static and dynamic balance, in a narrow base of support, in community-dwelling older adults.

Methods

Eighty-one older adults, including both women and men, were evaluated. Tandem gait and single-leg stance were used to assess static and dynamic balance, and an isokinetic dynamometer was used to analyze muscle function (peak torque and rate of torque development according to body weight). Data were analyzed by a multivariate linear regression test without adjustment and with adjustment using two models: adjustment I (sex) and adjustment II (age).

Results

There was a statistically significant association between peak torque of abductor in single-leg stance and tandem gait speed. The PT of hip adductors contributed to static balance performance, in a narrow base of support from the unadjusted data and from the adjusted data by sex.

Conclusion

The findings of the present study are relevant, because if deficits in balance and functionality in older adults can be linked to a decline in maximum muscle strength of hip abductors, this parameter can be treated to maintain independence in older adults for as long as possible.

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Funding

This study was funded by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP, 2013/23344-7).

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Authors and Affiliations

  1. Physiotherapy Course, Department of Health Sciences, and Rehabilitation and Functional Performance Program, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto, SP, 14049-900, Brazil

    Jaqueline Mello Porto, Renato Campos Freire Júnior, Larissa Bocarde, Júlia Adorno Fernandes, Natália Camargo Rodrigues & Daniela Cristina Carvalho de Abreu

  2. Health Science Center, Universidade Sagrado Coração, USC, Bauru, SP, Brazil

    Nise Ribeiro Marques

Authors
  1. Jaqueline Mello Porto
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  2. Renato Campos Freire Júnior
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  3. Larissa Bocarde
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  4. Júlia Adorno Fernandes
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  5. Nise Ribeiro Marques
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  6. Natália Camargo Rodrigues
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  7. Daniela Cristina Carvalho de Abreu
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Corresponding author

Correspondence to Jaqueline Mello Porto.

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Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Statement of human and animal rights

The study was approved by the Ethics Committee for Research Involving Human Beings of the Clinics Hospital of the Ribeirao Preto Medical School, University of Sao Paulo, Brazil, under Number: 14078/2013.

Informed consent

All participants signed an informed consent form approved by the local ethics committee.

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Porto, J.M., Freire Júnior, R.C., Bocarde, L. et al. Contribution of hip abductor–adductor muscles on static and dynamic balance of community-dwelling older adults. Aging Clin Exp Res 31, 621–627 (2019). https://doi.org/10.1007/s40520-018-1025-7

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  • DOI: https://doi.org/10.1007/s40520-018-1025-7

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