1. Relation between functional mobility and dynapenia in institutionalized frail elderly
- Author
-
Késsia Cristina Maia, Noé Gomes Borges Júnior, Antonio Vinicius Soares, and Elessandra Marcelino
- Subjects
Male ,Sarcopenia ,medicine.medical_specialty ,Cross-sectional study ,Frail Elderly ,Elbow ,lcsh:Medicine ,Timed Up and Go test ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Saúde do idoso institucionalizado ,medicine ,Homes for the Aged ,Humans ,030212 general & internal medicine ,Mobility Limitation ,Aged ,Aged, 80 and over ,030505 public health ,Mini–Mental State Examination ,medicine.diagnostic_test ,business.industry ,Muscle strength ,Força muscular ,lcsh:R ,Health of institutionalized elderly ,General Medicine ,medicine.disease ,musculoskeletal system ,Frail elderly ,Geriatric assessment ,Avaliação geriátrica ,Cross-Sectional Studies ,medicine.anatomical_structure ,Idoso fragilizado ,Female ,Original Article ,Geriatric Depression Scale ,Ankle ,0305 other medical science ,business - Abstract
Objective To investigate the relation between functional mobility and dynapenia in institutionalized frail elderly. Methods A descriptive, correlational study involving 26 institutionalized elderly men and women, mean age 82.3±6 years. The instruments employed were the Mini Mental State Examination, the Geriatric Depression Scale, the International Physical Activity Questionnaire, the Timed Up and Go test, a handgrip dynamometer and a portable dynamometer for large muscle groups (shoulder, elbow and hip flexors, knee extensors and ankle dorsiflexors). Results Significant negative correlation between functional mobility levels assessed by the Timed Up and Go test and dynapenia was observed in all muscle groups evaluated, particularly in knee extensors (r -0.65). Conclusion A significant negative correlation between muscle strength, particularly knee extensor strength, and functional mobility was found in institutionalized elderly. Data presented indicate that the higher the muscle strength, the shorter the execution time, and this could demonstrate better performance in this functional mobility test. RESUMO Objetivo Investigar a relação entre mobilidade funcional e dinapenia em idosos frágeis institucionalizados. Métodos Estudo descritivo, correlacional conduzido com 26 idosos institucionalizados de ambos os sexos com média de idade de 82,3±6 anos. Os instrumentos utilizados foram o Mini-Exame do Estado Mental, Escala de Depressão Geriátrica, Questionário Internacional de Atividade Física, teste Timed Up and Go, dinamômetro de preensão manual e dinamômetro portátil para avaliar grandes grupos musculares (flexores do ombro, flexores do cotovelo, flexores do quadril, extensores do joelho e dorsiflexores do tornozelo). Resultados Foi observada correlação negativa significativa do nível de mobilidade funcional avaliado pelo teste Timed Up and Go com a dinapenia em relação a todos os grupos musculares avaliados, sobretudo os extensores do joelho (r -0,65). Conclusão Foi encontrada significativa correlação negativa da força muscular, sobretudo dos extensores do joelho, com a mobilidade funcional em idosos institucionalizados. Quanto maior a força muscular, menor foi o tempo de execução, o que pode significar um melhor desempenho no teste de mobilidade funcional.