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Characterization of the human quadriceps muscle in active elders
J E Stevens1, S Binder-Macleod, L Snyder-Mackler
1Department of Physical Therapy, University of Delaware, Newark, DE 19716, USA. jensteve@udel.edu
Objective:
To compare muscle activation deficits and muscle physiology in older versus younger adults.
Design:
A maximal volitional isometric contraction of the quadriceps muscle with burst-superimposition was used to assess strength and activation. In addition, force-frequency testing during fresh, fatigue, and recovery conditions and electrically elicited fatigue testing were performed.
Setting:
Muscle performance laboratory.
Patients:
Healthy, active young (age range, 20-28 yr) and older (age range, 66-83 yr) subjects.
Main Outcome Measures:
Torque production, activation of the quadriceps, F50 values from the force-frequency relationships (frequency at which 50% of the maximum normalized force is produced), and the average amount of fatigue.
Results:
Older subjects were weaker (574.4 +/- 156 N) than younger subjects (900.9 +/- 295 N) and had significantly greater deficits in central activation in the quadriceps muscles (elderly = 95.5% activation; younger = 98.1% activation). The force-frequency curves for the elderly were to the left of the younger subjects for all 3 testing conditions. Aged muscles fatigued to the same extent as younger muscle (young = 49.8% +/- 2.6%, elderly = 51.1% +/- 2.8%).
Conclusions:
These results can be used to modify high-intensity strength training protocols designed to optimize sustainable strength gains in the elderly during rehabilitation.