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Gold standard assessments of strength and functional ability

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  • Gold standard assessments of strength and functional ability

    Hi

    I am currently replying to the comments of some reviewers on a grant
    application and am searching for some information on what is considered
    the gold standard for the assessment of muscular strength and functional
    ability in older adults. In regards to functional ability, I mean the
    ability to stand, walk, get out of a chair, climb stairs etc for older
    adults. Are there in fact any gold standards for these aspects of
    function?

    In the grant application we wrote, we were looking at using isoinertial
    (1RM or 3RM) strength tests e.g. squat, lat pulldown and bench press as
    they give an indication of strength in different movement patterns and
    require various muscle groups as agonists. However, i get the impression
    that the reviewer thinks we should use isokinetic tests. I am aware of
    the issues with isokientic testing especially when used with an
    isoinertial training program, but is there a definitive paper that
    addresses these shortcomings of isokinetic tests? Also, any issues with
    using a 3RM vs a 1RM? How valid is such an approach?

    In regards to assessing functional ability in older adults, there are
    lots of tests that we could use. Are there any more "gold standard"
    approaches to assessing functional ability than tests such as the timed
    up and go, sit to stand, walking speed, 15 sec step test etc? Is the
    gold standard always such a field-based test? I have looked at using
    questionnaires and wil be using some that assess various domains of
    quality of life, but one reviewer also thinks that approach has issues.

    I look forward to your replies.

    Thanks

    Justin


    Justin Keogh PhD
    Senior Lecturer
    Division of Sport and Recreation
    Institute of Sport and Recreation Research New Zealand
    AUT University
    Private Bag 92006
    Auckland 1142
    New Zealand
    Room AH221I

    Phone: 64-9-921-9999 ext 7617
    Mobile: 027 344 1642
    Fax: 64-9-921-9960
    email: justin.keogh@aut.ac.nz
    http://www.aut.ac.nz/schools/sport_and_recreation/our_staff/
    http://www.isrrnz.ac.nz/
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