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Updated: Feb 23, 2026

Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
Associations between trunk muscle morphology, strength and function in older adults
Behnaz Shahtahmassebi1, Jeffrey J Hebert1,2, Mark D Hecimovich1,3
1School of Psychology and Exercise Science, Murdoch University, Perth, 6150, Australia.
Stronger trunk muscles and larger rectus abdominis size are linked to better functional ability in older adults. This highlights the importance of trunk muscle training for improving mobility and balance in seniors.
Area of Science:
- Gerontology
- Exercise Physiology
- Kinesiology
Background:
- Skeletal muscle is crucial for daily activities, with limb muscles well-studied.
- Trunk musculature's role in functional ability, particularly in older adults, is less understood.
- Aging is associated with declines in muscle mass and strength, impacting mobility.
Purpose of the Study:
- To investigate the relationship between trunk muscle size and strength and functional ability in older adults.
- To identify specific trunk muscles associated with key functional performance measures.
- To provide evidence for targeted exercise interventions in geriatric populations.
Main Methods:
- Cross-sectional study involving 64 community-dwelling older adults (≥60 years).
- Functional ability assessed using tests like the six-minute walk, chair stand, timed up and go, and Berg balance scale.
- Trunk muscle size (rectus abdominis, lumbar multifidus) and composite strength were measured.
- Univariate and multivariate analyses were conducted, controlling for age and BMI.
Main Results:
- Significant univariate correlations were found between trunk muscle size/strength and various functional tests.
- Rectus abdominis size correlated with six-minute walk, chair stand, and sitting and rising tests.
- Trunk composite strength correlated with six-minute walk, chair stand, Berg balance, and sitting and rising tests.
- Multivariate analysis indicated that higher composite trunk strength (β=0.34) and rectus abdominis size (β=0.33) were significantly associated with better sitting and rising test performance, even after controlling for age and BMI.
Conclusions:
- Trunk muscle strength and size, particularly of the rectus abdominis, are associated with functional ability in older adults.
- These findings suggest that trunk muscle training may be beneficial for enhancing mobility and balance in this population.
- Further research is warranted to explore the efficacy of incorporating trunk-focused exercises into geriatric rehabilitation programs.
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