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Updated: Mar 19, 2026

Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
Early reduction in toe flexor strength is associated with physical activity in elderly men
Masataka Suwa1, Takayuki Imoto2, Akira Kida2
1Health Support Center WELPO, Toyota Motor Corporation, Japan; Faculty of Life Design, Tohoku Institute of Technology, Japan.
Elderly men show greater age-related decline in toe flexor strength compared to hand grip and knee extensor strength. Reduced toe flexor strength in older adults is linked to lower physical activity levels.
Area of Science:
- Gerontology
- Musculoskeletal Health
- Biomedical Engineering
Background:
- Muscle strength declines with age, impacting mobility and independence in elderly populations.
- Toe flexor strength is a critical component of balance and gait, yet it is often overlooked in strength assessments.
Purpose of the Study:
- To compare toe flexor, hand grip, and knee extensor strength between young and elderly men.
- To investigate the relationship between toe flexor strength and physical activity levels in elderly men.
Main Methods:
- Strength measurements included toe flexor, hand grip, and knee extensor.
- Physical activity and inactivity were assessed via questionnaire in young (n=155) and elderly (n=60) men.
Main Results:
- Elderly men exhibited significantly lower strength across all measured parameters compared to young men.
- Toe flexor strength showed a greater relative reduction in the elderly group compared to hand grip and knee extensor strength.
- Toe flexor strength in elderly men correlated positively with time spent standing/walking.
Conclusions:
- Age-related decline in toe flexor strength is more pronounced than in hand grip or knee extensor strength.
- Early identification of reduced toe flexor strength may indicate a risk for decreased physical activity in elderly men.
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