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Testing procedures
All study participants completed manual muscle and Tinetti mobility testing , isokinetic strength testing of the quadriceps and hamstring muscle groups , exercise stress testing and gait and balance testing bath at the beginning and gait and balance testing bath at the beginning and end of the 12-wk study period. These measurements were made by blinded examiners at baseline and 7 to 10 days after completion of either the exercise or control protocols. Positioning of the subjects for manual muscle testing of the various lower extremity muscle groups and the zero to five muscle strength grading system were based on the positions and grades established by
Kendall and MCreary.27 Modifications in muscle testing were made as necessary following the procedures recommended by Daniels and Worthingham.28 Leg length discrepancies and significant joint motion limitations were recorded at this time. Clinical gait and balance were measured with a modified version of Tinetti’s instrument.29
This mobility test involves a series of simple tasks including sitting, standing up from and sitting down in a cair, standing and tandem standing both with eyes open and closed , turning in a circle, turning head from side to side , standing on one leg , reaching and bending to pick up an object, withstanding a nudge on the sternum while standing and walking short distances with or without the aid of an assistive device. Observations of gait were made for gait intiation, step length and height, step symmetry, step continuity and gait path. Each task was scored on a zero to one or zero to two scale .
Isokinetic muscle strength testing was performed at 60°per second to obtain concentric isokinetic strength measurements for knee flexion and extension, measurements for knee flexion and extension, utilizing the Cybex II isokinetic dynamometer (Lumex, Inc. Bayshore, NY) and single-channel chart recorder. Adjustments for age were determined by estimating a 1% decline in strength per year after age 40.30
Measurements of endurance were recorded by tabulating the number of repetitions completed at 180°per second before strength declined to <50% of peak torque.
Testing procedures
All study participants completed manual muscle and Tinetti mobility testing , isokinetic strength testing of the quadriceps and hamstring muscle groups , exercise stress testing and gait and balance testing bath at the beginning and gait and balance testing bath at the beginning and end of the 12-wk study period. These measurements were made by blinded examiners at baseline and 7 to 10 days after completion of either the exercise or control protocols. Positioning of the subjects for manual muscle testing of the various lower extremity muscle groups and the zero to five muscle strength grading system were based on the positions and grades established by
Kendall and MCreary.27 Modifications in muscle testing were made as necessary following the procedures recommended by Daniels and Worthingham.28 Leg length discrepancies and significant joint motion limitations were recorded at this time. Clinical gait and balance were measured with a modified version of Tinetti’s instrument.29
This mobility test involves a series of simple tasks including sitting, standing up from and sitting down in a cair, standing and tandem standing both with eyes open and closed , turning in a circle, turning head from side to side , standing on one leg , reaching and bending to pick up an object, withstanding a nudge on the sternum while standing and walking short distances with or without the aid of an assistive device. Observations of gait were made for gait intiation, step length and height, step symmetry, step continuity and gait path. Each task was scored on a zero to one or zero to two scale .
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