Normative reference values for strength and flexibility of 1, 000 children and adults. (3rd January 2017)

• Record Type: Journal Article
• Authors: McKay, Marnee J.; Baldwin, Jennifer N.; Ferreira, Paulo; Simic, Milena; Vanicek, Natalie; Burns, Joshua
• Other Names: author non-byline.; Baldwin Jennifer author non-byline.; McKay Marnee author non-byline.; Ferreira Paulo author non-byline.; Nightingale Elizabeth author non-byline.; Pourkazemi Fereshteh author non-byline.; Sman Amy author non-byline.; Hiller Claire author non-byline.; Mousavi Seyed author non-byline.; Nicholson Leslie author non-byline.; Rose Kristy author non-byline.; Chard Angus author non-byline.; Mackey Martin author non-byline.; Moloney Niamh author non-byline.; Raymond Jacqueline author non-byline.; Burns Joshua author non-byline.; Yan Alycia Fong author non-byline.; Hübscher Markus author non-byline.; Simic Milena author non-byline.; Refshauge Kathryn author non-byline.; Vanicek Natalie author non-byline.; Wegener Caleb author non-byline.; Lee Fiona author non-byline.; North Kathryn author non-byline.; Quinlan Kate author non-byline.
• Is Part Of: Neurology. Volume 88:Number 1(2017)
• Page Start: 36
• Page End: 43
• Publication Date: 2017-01-03
• Subjects: Neurology -- Periodicals; Neurology -- Periodicals; Neurologie -- Périodiques; 616.8
• DOI: 10.1212/WNL.0000000000003466
• Languages: English
• ISSNs: 0028-3878

Abstract

Abstract : Objective: To establish reference values for isometric strength of 12 muscle groups and flexibility of 13 joint movements in 1, 000 children and adults and investigate the influence of demographic and anthropometric factors. Methods: A standardized reliable protocol of hand-held and fixed dynamometry for isometric strength of ankle, knee, hip, elbow, and shoulder musculature as well as goniometry for flexibility of the ankle, knee, hip, elbow, shoulder, and cervical spine was performed in an observational study investigating 1, 000 healthy male and female participants aged 3–101 years. Correlation and multiple regression analyses were performed to identify factors independently associated with strength and flexibility of children, adolescents, adults, and older adults. Results: Normative reference values of 25 strength and flexibility measures were generated. Strong linear correlations between age and strength were identified in the first 2 decades of life. Muscle strength significantly decreased with age in older adults. Regression modeling identified increasing height as the most significant predictor of strength in children, higher body mass in adolescents, and male sex in adults and older adults. Joint flexibility gradually decreased with age, with little sex difference. Waist circumference was a significant predictor of variability in joint flexibility in adolescents, adults, and older adults. Conclusions: Reference values and associated age- and sex-stratified z scores generated from this study can be used to determine the presence and extent of impairments associated with neuromuscular and other neurologic disorders, monitor disease progression over time in natural history studies, and evaluate the effect of new treatments in clinical trials.