Knee strength and lower- and higher-intensity functional performance in older adults

Purpose: This study characterizes the linear relations among knee strength, work capacity, and lower- and higher-intensity measures of functional perf ormance in ambulatory, high-functioning older adults, Methods: Sixty-two se niors (average age = 73.4 +/- 7.3 yr) participated in the study. Isokinetic measures included the peak flexion/extension torque produced during five c ontinuous repetitions and the total flexion/extension work performed during 20 repetitions (60 degrees.s(-1)). Functional measures included lower-inte nsity tests (timed 8-foot and 50-foot walking tests at the participants' "n ormal" pace, and a standing reach task) and higher-intensity tests (a timed 50-foot "brisk" walk, timed chair stands, and a timed stair climb). Result s: Isokinetic strength and work capacity measures explained between 41% and 54% of the variance in the higher-intensity functional models and only bet ween 31% and 33% of the variance in the lower-intensity models. The strengt h of the associations, approximated by the beta coefficients of the strengt h and work terms, was also greater for the higher-intensity functional task s. Conclusions: Further research is warranted to determine whether exercise s that increase knee strength and work capacity, improve brisk walking, sta ir climbing, and chair standing capabilities in older adults.