PMID- 3794141 OWN - NLM STAT- MEDLINE DCOM- 19870206 LR - 20220410 IS - 0002-8614 (Print) IS - 0002-8614 (Linking) VI - 35 IP - 1 DP - 1987 Jan TI - The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. PG - 13-20 AB - The strength of the knees and ankles of a group of nursing home residents with a history of falls was compared to age-matched controls. Peak torque (PT) and power (POW) were recorded at two limb velocities (60 degrees/s and 120 degrees/s) on a Cybex II Isokinetic dynamometer for four muscle groups: knee extensors, knee flexors, ankle plantar flexors and ankle dorsiflexors. The PT and POW of fallers were significantly decreased for all four muscle groups in comparison to controls, with the ankles showing the greatest decrements. Although POW in fallers was significantly lower at the higher velocity in both joints, the decrease was most prominent in the ankles. Dorsiflexion POW production in fallers was the most affected of all the motions (7.5 times less than the control value). At the higher, more functional limb velocities, ankle weakness particularly involving the dorsiflexors appears to be an important factor underlying poor balance. FAU - Whipple, R H AU - Whipple RH FAU - Wolfson, L I AU - Wolfson LI FAU - Amerman, P M AU - Amerman PM LA - eng GR - P01 AGO3949-04/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Am Geriatr Soc JT - Journal of the American Geriatrics Society JID - 7503062 SB - IM MH - *Accidental Falls MH - *Accidents MH - Aged MH - Aged, 80 and over MH - Ankle/*physiopathology MH - Biomechanical Phenomena MH - Female MH - Humans MH - Knee/*physiopathology MH - Locomotion MH - Male MH - Movement Disorders/physiopathology MH - *Muscle Contraction MH - Muscles/physiopathology MH - *Nursing Homes MH - Postural Balance MH - Posture EDAT- 1987/01/01 00:00 MHDA- 1987/01/01 00:01 CRDT- 1987/01/01 00:00 PHST- 1987/01/01 00:00 [pubmed] PHST- 1987/01/01 00:01 [medline] PHST- 1987/01/01 00:00 [entrez] AID - 10.1111/j.1532-5415.1987.tb01313.x [doi] PST - ppublish SO - J Am Geriatr Soc. 1987 Jan;35(1):13-20. doi: 10.1111/j.1532-5415.1987.tb01313.x.