One-minute seated push-up test: an alternative physical strength and endurance test in community-dwelling older individuals
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Abstract
The available strength and endurance measures commonly involve lower limb functions, whilst the impairments in older people mainly occur in the lower limbs. Therefore, the existing measures may limit clinical application in these individuals. Based on the effects of global physiological changes throughout the body, the researchers hypothesized that the upper limb function can be used as an alternative clinical measure to reflect functional strength and endurance of older people. This cross-sectional study assessed the correlation between the outcome of 1-minute seated push-up test (1minSPUT) and standard measures to reflect functional strength and endurance, including the five times sit-to-stand test (FTSST) and the two-minute step test (2MST), among 67 community-dwelling older adults. Participants with an average age of 75 years were interviewed and assessed for their demographics and the ability to perform the 1minSPUT, FTSST, and 2MST. The findings indicated significant correlation between the 1minSPUT and the FTSST (rs= -0.492 to -0.537, p-value < 0.05), and the 2MST (rs = 0.388 to 0.441, p-value < 0.05) for total and separately for male and female participants. The findings suggest the use of 1minSPUT, a practical measure that can be done in a limited area, as an alternative measure to reflect functional strength and endurance in older individuals.
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References
Suominen H. Ageing and maximal physical performance. Eur Rev Aging Phys Act 2011; 8(1): 37-42.
Izquierdo M, Häkkinen K, Antón A, Garrues M, Ibañez J, Ruesta M, et al. Maximal strength and power, endurance performance, and serum hormones in middle-aged and elderly men. Med Sci Sports Exerc 2001; 33(9): 1577-87.
Worapanwisit T, Prabpai S, Rosenberg E. Correlates of falls among community-dwelling elderly in Thailand. J Aging Res 2018; 2018: 8546085.
Rawlinson G, Connell L. Out-patient physiotherapy service delivery post COVID-19: opportunity for a re-set and a new normal? Physiotherapy 2021; 111: 1-3.
Bohannon RW. Measurement of sit-to-stand among older adults. Top Geriatr Rehabi 2012; 28(1): 11-6.
Rikli RE, Jones CJ. Functional fitness normative scores for community-residing older adults, ages 60-94. J Aging Phys Act 1999; 7(2): 162-81.
Rikli RE, Jones CJ. Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Act 1999; 7(2): 129-61.
Bautmans I, Lambert M, Mets T. The six-minute walk test in community dwelling elderly: influence of health status. BMC Geriatr 2004; 4: 6.
Janssen I, Heymsfield SB, Wang ZM, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. J Appl Physiol (1985) 2000; 89(1): 81-8.
Frontera WR, Hughes VA, Fielding RA, Fiatarone MA, Evans WJ, Roubenoff R. Aging of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol (1985) 2000; 88(4): 1321-6.
Dell’Isola A, Turkiewicz A, Jönsson T, Rolfson O, Dahlberg L, Englund M. The role of pain and walking difficulties in shaping willingness to undergo joint surgery for osteoarthritis: Data from the Swedish BOA register. Osteoarthr Cartil 2021; 3(2): 100157.
Amarya S, Singh K, Sabharwal M. Changes during aging and their association with malnutrition. J Clin Gerontol Geriatr 2015; 6(3): 78-84.
Colon-Emeric CS, Whitson HE, Pavon J, Hoenig H. Functional decline in older adults. Am Fam Physician 2013; 88(6): 388-94.
Jackson, Fromme, Plitt, Mercer. Reliability and validity of a 1 minute push-up test for young adults. Res Q Exerc Sport 1994; 65(sup1): A57.
Short FX, Winnick JP. Test items and standards related to muscle strength and endurance on the brockport physical fitness test. Adapt Phys Activ Q 2005; 22 (4): 371-400.
Yoshimura Y, ISE M. Analysis of the push-up movement base on action potentials of upper extremity muscles and ground reaction force between the palms and a force plate. Kawasaki J Med Welf 2005; 11(1): 7.
Hunter SK. The relevance of sex differences in performance fatigability. Med Sci Sports Exerc 2016; 48(11): 2247-56.
Skrzek A, Ignasiak Z, Kozieł S, Sławińska T, Rożek K. Differences in muscle strength depend on age, gender and muscle functions. Isokinet Exerc Sci 2012; 20: 229-35.
Mohamad AB, Nurakmal B. Sample size guideline for correlation analysis. World J Soc Sci Res 2016; 3(1): 37-46.
Wiyanad A, Amatachaya P, Sooknuan T, Somboonporn C, Thaweewannakij T, Saengsuwan J, et al. The use of simple muscle strength tests to reflect body compositions among individuals with spinal cord injury. Spinal Cord 2021. doi: 10.1038/s41393-021-00650-4. Epub ahead of print.
Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther 2005; 85(10): 1034-45.
Thaweewannakij T, Wilaichit S, Chuchot R, Yuenyong Y, Saengsuwan J, Siritaratiwat W, et al. Reference values of physical performance in Thai elderly people who are functioning well and dwelling in the community. Phys Ther 2013; 93(10): 1312-20.
Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavioral sciences: Houghton Mifflin College Division; 2003.
Taylor R. Interpretation of the correlation coefficient: a basic review. J Diagn Med Sonogr 1990; 6(1): 35-9.
Contreras B, Schoenfeld B, Mike J, Tiryaki-Sonmez G, Cronin J, Vaino E. The biomechanics of the push-up: implications for resistance training programs. Strength Cond J 2012; 34(5): 41-6.
Siriyakul C, Kosura N. Possibility of using a seated push up test to determine skeletal muscle mass in older adults. [term paper of Bachelor of Science (Physical Therapy)]. Khon Kaen: faculty of associated medical sciences, Khon Kaen University. 2019.
Volianitis S, Yoshiga CC, Nissen P, Secher NH. Effect of fitness on arm vascular and metabolic responses to upper body exercise. Am J Physiol Heart Circ Physiol 2004; 286(5): H1736-41.
Volianitis S, Secher NH. Arm blood flow and metabolism during arm and combined arm and leg exercise in humans. J Physiol 2002; 544(3): 977-84.
Theisen D. Cardiovascular determinants of exercise capacity in the Paralympic athlete with spinal cord injury. Exp Physiol 2012 97(3): 319-24.
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(8): M539-43.
Haas F, Sweeney G, Pierre A, Plusch T, Whiteson J. Validation of a 2 minute step test for assessing functional improvement. Open J Ther Rehabil 2017; 5: 71-81.
Courtright SH, McCormick BW, Postlethwaite BE, Reeves CJ, Mount MK. A meta-analysis of sex differences in physical ability: revised estimates and strategies for reducing differences in selection contexts. J Appl Psychol 2013; 98(4): 623-641.