Parkinsonism & Related Disorders
Volume 16, Issue 4 , Pages 261-264 , May 2010

Reduced muscle power is associated with slower walking velocity and falls in people with Parkinson's disease

  • N.E. Allen

      Affiliations

    • Neurological Rehabilitation Research Group, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
  • ,
  • C. Sherrington

      Affiliations

    • Musculoskeletal Division, The George Institute for International Health, The University of Sydney, Sydney, Australia
  • ,
  • C.G. Canning

      Affiliations

    • Neurological Rehabilitation Research Group, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
  • ,
  • V.S.C. Fung

      Affiliations

    • Movement Disorders Unit, Westmead Hospital and Sydney Medical School, The University of Sydney, Sydney, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 2 98456793; fax: +61 2 9635 6684.

Received 29 October 2009 ,Revised 7 December 2009 ,Accepted 29 December 2009.

References 

  1. Moreland JD, Richardson JA, Goldsmith CH, Clase CM, Chir B. Muscle weakness and falls in older adults: a systematic review and meta-analysis. J Am Geriatr Soc. 2004;52:1121–1129
  2. Brown M, Sinacore DR, Host HH. The relationship of strength to function in the older adult. J Gerontol A Biol Sci Med Sci. 1995;50A:55–59
  3. Bean JF, Leveille SG, Kiely DK, Bandinelli S, Guralnik JM, Ferrucci L. A comparison of leg power and leg strength within the InCHIANTI study: which influences mobility more?. J Gerontol A Biol Sci Med Sci. 2003;58A:728–733
  4. Bean J, Kiely DK, Herman S, Leveille SG, Mizer K, Frontera WR, et al. The relationship between leg power and physical performance in mobility-limited older people. J Am Geriatr Soc. 2002;50:461–467
  5. Skelton DA, Kennedy J, Rutherford OM. Explosive power and asymmetry in leg muscle function in frequent fallers and non-fallers aged over 65. Age Ageing. 2002;31:119–125
  6. Stolze H, Klebe S, Baecker C, Zechlin C, Friege L, Pohle S, et al. Prevalence of gait disorders in hospitalized neurological patients. Mov Disord. 2005;20:89–94
  7. Morris M, Iansek R, Summers J, Matyas T. Motor control considerations for the rehabilitation of gait in Parkinson's disease. In:  Glencross D,  Piek J editor. Motor control and sensorimotor integration. Amsterdam: Elsevier; 1995;p. 61–93
  8. Temlett JA, Thompson PD. Reasons for admission to hospital for Parkinson's disease. Intern Med J. 2006;36:524–526
  9. Pressley JC, Louis ED, Tang M-X, Cote L, Cohen PD, Glied S, et al. The impact of comorbid disease and injuries on resource use and expenditures in parkinsonism. Neurology. 2003;60:87–93
  10. Allen NE, Canning CG, Sherrington C, Fung VS. Bradykinesia, muscle weakness and reduced muscle power in Parkinson's disease. Mov Disord. 2009;24:1344–1351
  11. Inkster LM, Eng JJ, MacIntyre DL, Stoessl AJ. Leg muscle strength is reduced in Parkinson's disease and relates to the ability to rise from a chair. Mov Disord. 2003;18:157–162
  12. Koller W, Kase S. Muscle strength testing in Parkinson's disease. Eur Neurol. 1986;25:130–133
  13. Paasuke M, Ereline J, Gapeyeva H, Joost K, Mottus K, Taba P. Leg-extension strength and chair-rise performance in elderly women with Parkinson's disease. J Aging Phys Act. 2004;12:511–524
  14. Nallegowda M, Singh U, Handa G, Khanna M, Wadhwa S, Yadav SL, et al. Role of sensory input and muscle strength in maintenance of balance, gait, and posture in Parkinson's disease: a pilot study. Am J Phys Med Rehabil. 2004;83:898–908
  15. Canning CG, Ada L, Johnson J, McWhirter S. Walking capacity in mild to moderate Parkinson's disease. Arch Phys Med Rehabil. 2006;87:371–375
  16. Robinson K, Dennison A, Roalf D, Noorigian j, Cianci H, Bunting-Perry L, et al. Falling risk factors in Parkinson's disease. NeuroRehabilitation. 2005;20:169–182
  17. Latt MD, Lord SR, Morris JG, Fung VS. Clinical and physiological assessments for elucidating falls risk in Parkinson's disease. Mov Disord. 2009;24:1280–1289
  18. Folstein M, Folstein S, McHugh P. Mini mental state. A practical method for grading the cognitive state of patients for the clinician”. J Psychiatr Res. 1975;12:189–198
  19. Fahn S, Elton R. Unified Parkinson's disease rating scale. In:  Fahn S,  Marsden C,  Calne D,  Goldstein M editor. Recent developments in Parkinson's disease. Florham Park, NJ: Macmillan Health Care Information; 1987;p. 153–164293–304
  20. Ikezoe T, Asakawa Y, Hazaki K, Kuroki H, Morinaga T, Kawano I, et al. Muscle strength and muscle endurance required for independent walking in the elderly. J Phys Ther Sci. 1997;9:19–22
  21. Gibson . The prevention of falls in later life. A report of the Kellog International Work Group on the prevention of falls by elderly. Dan Med Bull. 1987;34:1–24
  22. Cuoco A, Callahan DM, Sayers S, Frontera WR, Bean J, Fielding RA. Impact of muscle power and force on gait speed in disabled older men and women. J Gerontol A Biol Sci Med Sci. 2004;59A:1200–1206
  23. Henwood TR, Taaffe DR. Improved physical performance in older adults undertaking a short-term programme of high-velocity resistance training. Gerontology. 2005;51:108–115
  24. Miszko TA, Cress ME, Slade JM, Covey CJ, Agrawal SK, Doerr CE. Effect of strength and power training on physical function in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2003;58A:171–175
  25. Orr R, de Vos NJ, Singh NA, Ross DA, Stavrinos TM, Fiatarone-Singh MA. Power training improves balance in healthy older adults. J Gerontol A Biol Sci Med Sci. 2006;61A:78–85
  26. Scandalis TA, Bosak A, Berliner JC, Helman LL, Wells MR. Resistance training and gait function in patients with Parkinson's disease. Am J Phys Med Rehabil. 2001;80:38–43
  27. Hirsch MA, Toole T, Maitland CG, Rider RA. The effects of balance training and high-intensity resistance training on persons with idiopathic Parkinson's disease. Arch Phys Med Rehabil. 2003;84:1109–1117
  28. Dibble LE, Hale TF, Marcus RL, Droge J, Gerber JP, LaStayo PC. High-intensity resistance training amplifies muscle hypertrophy and functional gains in persons with Parkinson's disease. Mov Disord. 2006;21:1444–1452
  29. Majsak MJ, Kaminski T, Gentile AM, Flanagan JR. The reaching movements of patients with Parkinson's disease under self-determined maximal speed and visually cued conditions. Brain. 1998;121:755–766
  30. Majsak MJ, Kaminski T, Gentile AM, Gordon AM. Effects of a moving target versus a temporal constraint on reach and grasp in patients with Parkinson's disease. Exp Neurol. 2008;210:479–488

 The review of this paper was entirely handled by an Associate Editor, Eng-King Tan.

PII: S1353-8020(10)00004-0

doi: 10.1016/j.parkreldis.2009.12.011

Parkinsonism & Related Disorders
Volume 16, Issue 4 , Pages 261-264 , May 2010