Loaded 5 Sit-to-Stand Test to Determine the Force–Velocity Relationship in Older Adults: A Validation Study

Abstract

Force–velocity profiling (F-v) evaluates muscle function through the identification of maximum force (F0), velocity (V0), power (Pmax) and optimal velocity (Vopt). The purpose of this study was to investigate the validity and feasibility of loaded 5 Sit-to-Stand (5STS) force-velocity profiling compared to the gold standard instruments (isokinetic Dynamometry, ISO) and asses the relationship between the 5STS-derived muscle function indexes with clinical markers of muscle mass and strength. Forty-six older adults (21 females: 63.8 ± 3.9 yrs) performed 5STS (four different weight conditions) and ISO tests (five different velocities). Paired t-tests, regression analyses, and Bland–Altman analysis were conducted. The results showed significant differences in F0, V0, and Vopt (p < 0.001) but no difference in Pmax (p = 0.259) between tests. Only F0 and Pmax were highly correlated between tests (r = 0.71, r = 0.84, respectively). Bland–Altman analysis showed a not significant bias and good precision (p = 0.260, 34 W) only for Pmax. Large to very large correlations (r = 0.53 to 0.81) were found between F0 and Pmax and clinical markers of muscle mass and strength. In conclusion, loaded 5STS profiling could be a feasible, valid, and cost- and time-efficient alternative to ISO for the characterization of clinically relevant markers of muscle function in healthy older adults.