Accuracy of the step test to evaluate lower limb muscle strength in community-dwelling older women

to investigate the accuracy of the step test (ST) to evaluate total lower limb muscle strength (LLMS) in older women. observational cross-sectional study. 119 community-dwelling older women were submitted to the ST and LLMS evaluation (isometric peak torque of eight muscle groups of the dominant low...

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Published in:Journal of bodywork and movement therapies Vol. 25; pp. 133 - 139
Main Authors: Porto, Jaqueline Mello, Freire Júnior, Renato Campos, Cangussu-Oliveira, Luciana Mendes, Leitner, Erika, Freitas, Lara Gonçalves, Medeiros de Oliveira, Bruna Garcia, Tofani, Patrícia Silva, Abreu, Daniela Cristina Carvalho de
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Published: United States Elsevier Ltd 01-01-2021
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Abstract to investigate the accuracy of the step test (ST) to evaluate total lower limb muscle strength (LLMS) in older women. observational cross-sectional study. 119 community-dwelling older women were submitted to the ST and LLMS evaluation (isometric peak torque of eight muscle groups of the dominant lower limb). The capacity of the ST to discriminate older women with reduced LLMS was measured using ROC curve, followed by the posttest probability (PoTP) calculation. a ST score of 0.24 cm per cm of participant's height presents a sensitivity of 63.3%, specificity of 77%; enhances the PoTP from 48% to 72% for positive test and decreases the PoTP from 48% to 31% for negative test. the ST may complement the clinical screening of reduced LLMS in older women, given that it is a simple and quick low-cost test and allows the evaluation of each lower limb separately.
AbstractList to investigate the accuracy of the step test (ST) to evaluate total lower limb muscle strength (LLMS) in older women. observational cross-sectional study. 119 community-dwelling older women were submitted to the ST and LLMS evaluation (isometric peak torque of eight muscle groups of the dominant lower limb). The capacity of the ST to discriminate older women with reduced LLMS was measured using ROC curve, followed by the posttest probability (PoTP) calculation. a ST score of 0.24 cm per cm of participant's height presents a sensitivity of 63.3%, specificity of 77%; enhances the PoTP from 48% to 72% for positive test and decreases the PoTP from 48% to 31% for negative test. the ST may complement the clinical screening of reduced LLMS in older women, given that it is a simple and quick low-cost test and allows the evaluation of each lower limb separately.
OBJECTIVEto investigate the accuracy of the step test (ST) to evaluate total lower limb muscle strength (LLMS) in older women. DESIGNobservational cross-sectional study. METHODS119 community-dwelling older women were submitted to the ST and LLMS evaluation (isometric peak torque of eight muscle groups of the dominant lower limb). The capacity of the ST to discriminate older women with reduced LLMS was measured using ROC curve, followed by the posttest probability (PoTP) calculation. RESULTSa ST score of 0.24 cm per cm of participant's height presents a sensitivity of 63.3%, specificity of 77%; enhances the PoTP from 48% to 72% for positive test and decreases the PoTP from 48% to 31% for negative test. CONCLUSIONthe ST may complement the clinical screening of reduced LLMS in older women, given that it is a simple and quick low-cost test and allows the evaluation of each lower limb separately.
Author Abreu, Daniela Cristina Carvalho de
Freire Júnior, Renato Campos
Cangussu-Oliveira, Luciana Mendes
Freitas, Lara Gonçalves
Porto, Jaqueline Mello
Medeiros de Oliveira, Bruna Garcia
Leitner, Erika
Tofani, Patrícia Silva
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  givenname: Jaqueline Mello
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  surname: Porto
  fullname: Porto, Jaqueline Mello
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  organization: Physiotherapy Course, Department of Health Sciences, Rehabilitation and Functional Performance Program, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto, SP, 14049-900, Brazil
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  givenname: Renato Campos
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  organization: Faculty of Physical Education and Physiotherapy, Federal University of Amazonas (UFAM), General Rodrigo Octávio Avenue, 6200, Manaus, AM, 69080-900, Brazil
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  givenname: Luciana Mendes
  surname: Cangussu-Oliveira
  fullname: Cangussu-Oliveira, Luciana Mendes
  email: lucianacangussu@gmail.com
  organization: Physiotherapy Course, Department of Health Sciences, Rehabilitation and Functional Performance Program, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto, SP, 14049-900, Brazil
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  givenname: Erika
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  email: leitner-erika@hotmail.com
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  givenname: Lara Gonçalves
  surname: Freitas
  fullname: Freitas, Lara Gonçalves
  email: laragoncalvesfreitas@gmail.com
  organization: Physiotherapy Course, Department of Health Sciences, Rehabilitation and Functional Performance Program, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto, SP, 14049-900, Brazil
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  givenname: Bruna Garcia
  surname: Medeiros de Oliveira
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  email: brunagarcia@usp.br
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  givenname: Patrícia Silva
  surname: Tofani
  fullname: Tofani, Patrícia Silva
  email: psilvatofani@gmail.com
  organization: Physiotherapy Course, Department of Physiotherapy, University Federal of Sergipe, Governador Marcelo Deda Avenue, 13, Lagarto, SE, 49400-000, Brazil
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  givenname: Daniela Cristina Carvalho de
  orcidid: 0000-0003-4681-2613
  surname: Abreu
  fullname: Abreu, Daniela Cristina Carvalho de
  email: dabreu@fmrp.usp.br
  organization: Physiotherapy Course, Department of Health Sciences, Rehabilitation and Functional Performance Program, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto, SP, 14049-900, Brazil
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Keywords Aging
Posttest probability
Muscle weakness
Peak torque
Rehabilitation
Language English
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Snippet to investigate the accuracy of the step test (ST) to evaluate total lower limb muscle strength (LLMS) in older women. observational cross-sectional study. 119...
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SubjectTerms Aging
Muscle weakness
Peak torque
Posttest probability
Rehabilitation
Title Accuracy of the step test to evaluate lower limb muscle strength in community-dwelling older women
URI https://dx.doi.org/10.1016/j.jbmt.2020.10.009
https://www.ncbi.nlm.nih.gov/pubmed/33714484
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