Influence of age and gender on knee and hip isometric strength of recreational physically active young and middle-aged subjects

Authors

DOI:

https://doi.org/10.1590/1809-2950/e22006823pt

Keywords:

Muscle Strength Dynamometer, Torque, Lower Extremity, Sex Distribution, Age Groups

Abstract

Muscle strength is an essential part of the
functional assessment of health professionals to select
and analyze the effects of clinical interventions. This study
aimed to determine the influence of gender and age on
isometric strength of hip and knee muscle groups. A total
of 127 subjects (50.4% men), aged from 20 to 49 years
(stratified into three groups: 20–29 years; 30–39 years;
and 40–49 years) participated in this study. A hand-held
dynamometer was used to measure isometric normalized
torque of the hip abductors, hip external rotators,
knee extensors, and knee flexors muscles. Regressions
and a two-way analysis of variance were used to identify
the influence of age and gender on torque of each muscle
group. Age and gender were included in the regression model for all groups. Generally, men aged 20–29 and 30–39 were
stronger than age-paired women. For participants aged 40–49,
torque was similar for men and women for all muscle groups.
There was no difference among age groups for women. Generally,
young men were stronger than older men. The association
between age and gender in hip and knee strength was proved
and liable of subgroup stratification after measurements with a
hand-held isometric dynamometer

Downloads

Download data is not yet available.

References

Khayambashi K, Ghoddosi N, Straub RK, Powers CM. Hip muscle

strength predicts noncontact anterior cruciate ligament

injury in male and female athletes: a prospective study. Am J

Sports Med. 2016;44(2):355-61. doi: 10.1177/0363546515616237.

Kollock RO, Andrews C, Johnston A, Elliott T, Wilson AE,

et al. A meta-analysis to determine if lower extremity muscle

strengthening should be included in military knee overuse

injury-prevention programs. J Athl Train. 2016;51(11):919-26.

doi: 10.4085/1062-6050-51.4.09.

van der Worp MP, ten Haaf DSM, van Cingel R, de Wijer A,

Nijhuis-van der Sanden MWG, et al. Injuries in runners;

a systematic review on risk factors and sex differences.

PLoS One. 2015;10(2):e0114937. doi: 10.1371/journal.pone.0114937

Lin CY, Casey E, Herman DC, Katz N, Tenforde AS. Sex differences

in common sports injuries. PM R. 2018;10(10):1073-82.

doi: 10.1016/j.pmrj.2018.03.008.

Adams D, Logerstedt D, Hunter-Giordano A, Axe MJ,

Snyder-Mackler L. Current concepts for anterior cruciate

ligament reconstruction: a criterion-based rehabilitation

progression. J Orthop Sports Phys Ther. 2012;42(7):601-14.

doi: 10.2519/jospt.2012.3871.

Bohannon RW. Reference values for extremity muscle

strength obtained by hand-held dynamometry from adults

aged 20 to 79 years. Arch Phys Med Rehabil. 1997;78(1):26-32.

doi: 10.1016/s0003-9993(97)90005-8.

Kolber MJ, Cleland JA. Strength testing using hand-held

dynamometry. Phys Ther Rev. 2005;10(2):99-112.

doi: 10.1179/108331905X55730.

Stark T, Walker B, Phillips JK, Fejer R, Beck R. Hand-held

dynamometry correlation with the gold standard isokinetic

dynamometry: a systematic review. PM R. 2011;3(5):472-9.

doi: 10.1016/j.pmrj.2010.10.025.

Ieiri A, Tushima E, Ishida K, Inoue M, Kanno T, et al. T. Reliability

of measurements of hip abduction strength obtained

with a hand-held dynamometer. Physiother Theory Pract.

;31(2):146-52. doi: 10.3109/09593985.2014.960539.

Katoh M. Reliability of isometric knee extension muscle strength

measurements made by a hand-held dynamometer and

a belt: a comparison of two types of device. J Phys Ther Sci.

;27(3):851-4. doi: 10.1589/jpts.27.851.

Bohannon RW. Literature reporting normative data for

muscle strength measured by hand-held dynamometry:

a systematic review. Isokinet Exerc Sci. 2011;19(3):143-7.

doi: 10.3233/IES-2011-0415.

Hanna CM, Fulcher ML, Elley CR, Moyes SA. Normative values

of hip strength in adult male association football players

assessed by handheld dynamometry. J Sci Med Sport.

;13(3):299-303. doi: 10.1016/j.jsams.2009.05.001.

Harbo T, Brincks J, Andersen H. Maximal isokinetic and

isometric muscle strength of major muscle groups related

to age, body mass, height, and sex in 178 healthy subjects. Eur J

Appl Physiol. 2012;112(1):267-75. doi: 10.1007/s00421-011-1975-3.

Jaric S. Role of body size in the relation between muscle

strength and movement performance. Exerc Sport Sci Rev.

;31(1):8-12. doi: 10.1097/00003677-200301000-00003.

Bittencourt NFN, Santos TRT, Gonçalves GGP, Coelho AP,

Gomes BGBM, et al. Reference values of hip abductor torque

among youth athletes: influence of age, sex and sports.

Phys Ther Sport. 2016;21:1-6. doi: 10.1016/j.ptsp.2015.12.005.

Kim SG, Lee YS. The intra- and inter-rater reliabilities of lower

extremity muscle strength assessment of healthy adults using a

hand held dynamometer. J Phys Ther Sci. 2015;27(6):1799-801.

doi: 10.1589/jpts.27.1799.

Stratford PW, Balsor BE. A comparison of make and break tests

using a hand-held dynamometer and the Kin-Com. J Orthop

Sports Phys Ther. 1994;19(1):28-32. doi: 10.2519/jospt.1994.19.1.28.

National Isometric Muscle Strength (NIMS) Database

Consortium. Muscular weakness assessment: use of

normal isometric strength data. Arch Phys Med Rehabil.

;77(12):1251-5. doi: 10.1016/s0003-9993(96)90188-4.

Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in

females with and without patellofemoral pain. J Orthop Sports

Phys Ther. 2003;33(11):671-6. doi: 10.2519/jospt.2003.33.11.671.

Delp SL, Hess WE, Hungerford DS, Jones LC. Variation of rotation

moment arms with hip flexion. J Biomech. 1999;32(5):493-501.

doi: 10.1016/S0021-9290(99)00032-9.

Neumann DA. Kinesiology of the hip: a focus on muscular

actions. J Orthop Sports Phys Ther. 2010;40(2):82-94.

doi: 10.2519/jospt.2010.3025.

Cohen J. Statistical power analysis for the behavioral

sciences. 2nd ed. New York: Academic Press; 1988.

doi: 10.1016/C2013-0-10517-X.

Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM.

Core stability measures as risk factors for lower extremity

injury in athletes. Med Sci Sports Exerc. 2004;36(6):926-34.

doi: 10.1249/01.mss.0000128145.75199.c3.

Selfe J, Janssen J, Callaghan M, Witvrouw E, Sutton C, et al.

Are there three main subgroups within the patellofemoral pain

population? A detailed characterisation study of 127 patients

to help develop targeted intervention (TIPPs). Br J Sports Med.

;50(14):873-80. doi: 10.1136/bjsports-2015-094792.

Hohmann E, Bryant A, Tetsworth K. Strength does not influence

knee function in the ACL-deficient knee but is a correlate of knee

function in the and ACL-reconstructed knee. Arch Orthop Trauma

Surg. 2016;136(4):477-83. doi: 10.1007/s00402-015-2392-6.

Kuenze CM, Foot N, Saliba SA, Hart JM. Drop-landing

performance and knee-extension strength after anterior cruciate

ligament reconstruction. J Athl Train. 2015;50(6):596-602.

doi: 10.4085/1062-6050-50.2.11.

Timmins RG, Bourne MN, Shield AJ, Williams MD,

Lorenzen C, et al. Biceps femoris architecture and strength

in athletes with a previous anterior cruciate ligament

reconstruction. Med Sci Sports Exerc. 2016;48(3):337-45.

doi: 10.1249/MSS.0000000000000783.

Cahalan TD, Johnson ME, Liu S, Chao EY. Quantitative

measurements of hip strength in different age groups.

Clin Orthop Relat Res. 1989;(246):136-45.

Neder JA, Nery LE, Shinzato GT, Andrade MS, Peres C, et al.

Reference values for concentric knee isokinetic strength

and power in nonathletic men and women from 20 to

years old. J Orthop Sports Phys Ther. 1999;29(2):116-26.

doi: 10.2519/jospt.1999.29.2.116.

Phillips BA, Lo SK, Mastaglia FL. Muscle force measured using

“break” testing with a hand-held myometer in normal subjects

aged 20 to 69 years. Arch Phys Med Rehabil. 2000;81(5):653-61.

doi: 10.1016/S0003-9993(00)90050-9.

Thorborg K, Petersen J, Magnusson SP, Hölmich P. Clinical

assessment of hip strength using a hand-held dynamometer

is reliable. Scand J Med Sci Sports. 2010;20(3):493-501.

doi: 10.1111/j.1600-0838.2009.00958.x

Published

2023-12-05

Issue

Section

Original Research

How to Cite

Influence of age and gender on knee and hip isometric strength of recreational physically active young and middle-aged subjects. (2023). Fisioterapia E Pesquisa, 30(2), e22006823pt. https://doi.org/10.1590/1809-2950/e22006823pt