Sit To. Stand. x 100 = publicaties. Cursus Klinische Video/Foto-Analyse Avond 6: Sit To Stand. Driedimensionale Arthrokinematische Mobilisatie

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Klinische Video/Foto-Analyse Avond 6: Sit To Stand Chris

Sit To Five Times Sit To Stand (FTSTS): Zo snel mogelijk!

to stand task: A n observational study of free-living

Dall*,, Andrew Kerr Applied Ergonomics 41 (2010) 58 61 On

significantly more sit to stand movements per day than

1 Driedimensionale Arthrokinematische Mobilisatie Cursus Klinische Video/Foto-Analyse Avond 6: Sit To Stand Chris Riezebos Aad Lagerberg SI T to STAND Wie is de laatste? Sit To Five Times Sit To Stand (FTSTS): Zo snel mogelijk! Start x 100 = publicaties Stand Fre quency of the sit to stand task: A n observational study of free-living adults P h ilippa M. Dall*,, Andrew Kerr Applied Ergonomics 41 (2010) On average, participants performed 60 (±2) sit to stand movements each day. Participants in indoor sedentary occupations performed significantly more sit to stand movements per day than participants in outdoor active occupations (66 vs. 54; n = 102; p = 0.003). Participants (n = 33) performed significantly more sit to stand movements on working days than on non-working days (65 vs. 55; p = 0.018). 1

2 = 19.1 sec Norm (lit): sec 2

3 Flexie strategie Momentum strategie OPSTAAN en ZWAARTEPUNT z WAARTEPUNT? STEUNVLAK 3

4 Sarcopenie I proposed that the name for this phenomenon should be derived from the Greek and that it be called either sarcomalacia or sarcopenia. Sarcopenia seems to have taken hold. I remind you that sarx in Greek is flesh and penia is loss. (I. Rosenberg in 1988) Dynamic stability What is sarcopenia? Is it an age-related loss of muscle mass and function, or a disease, or a process of normative aging? Sarcopenia: Origins and Clinical Relevance, Irwin H. Rosenberg, J. Nutr. 127: 990S 991S, Sarcopenia is a term utilized to define the loss of muscle mass and strength that occurs with aging. Sarcopenia, John e. Morley, Richard N. Baumgartner, Ronenn Roubenoff, Jean Mayer, K. Sreekumaran J Lab Clin Med 2001;137: Nair Sarcopenia, a term, proposed by Rosenberg in 1989 specifically refers to the loss of muscle mass associated with ageing. Sarcopenia: characteristics, mechanisms and functional significance, Marco V. Narici and Nicola Maffulli British Medical Bulletin 2010; 95: Sarcopenia: Origins and Clinical Relevance, Irwin H. Rosenberg, J. Nutr. 127: 990S 991S, 1997 Sarcopenie M. Soleus Jong Oud M. Gastrocnemius Sl ow twitch soleus muscle is not protected from sarcopenia in senescent rats E.E. Carter, M.M. Thomas, Tanya Murynka,, Sharon L. Rowan, Kathryn J. Wright, Elaine H u ba,, Russell T. Hepple., Experimental Gerontology 45 (2010) Sarcopenie * Atrofie (tot ca. 50% op hoge leeftijd) * Vermindering aantal spiervezels: ca. 50% van jr. (Drey, 2011) * Atrofie/verlies verlies: vooral witte vezels (type II) (tot ca. 80 jr.). Vanaf 80 jr. ook rode spiervels (type I) * Witte motorunit spiervezels gereinnerveerd door rode (collaterale innervatie): grotere MU s maar langzamer: minder resolutie van de kracht. * Vezelgrootte-heterogeniteit (zoals bij paresen) * Daling spierkracht (50% bij 90 jaar) * Daling spiervermogen is groter dan daling spierkracht (meer verlies type II dan type I) * Daling spiervermogen nadeliger invloed dan daling spierkracht * Atrofie in de benen groter dan in de armen v F = spierkracht = contractiesnelheid Vermogen P: P = F v Witte motorunits (type II): - Groot Kracht-gradatie (resolutie): gering - Snel Vermogen: groot Rode motorunits (type I): - Klein Kracht-gradatie (resolutie): hoog - Langzaam Vermogen: klein *Heup-flexie *LWK-flexie *Enkel dors.flexie *TWK-extensie *Spierkracht knie- *Spierkracht heup- *Contractiesnelheidknie- *Contractiesnelheidheup- *Balans Determinanten STS Articulopenie Sarcopenie 4

5 Onvoldoende *Heup-flexie *LWK-flexie *Enkel dors.flexie *TWK-extensie * Momentum schommelen * Momentum schommelen * Flexie Strategie * Steun op bovenbenen Interactive Physics *Spierkracht knie- *Spierkracht heup- *Contr. snelh. knie- *Contr. snelh. heup- * Flexie * Gebruik armleuning * Flexie * Gebruik armleuning *Balans * Flexie BALLISTISCH VERLOOP 5

6 Mis-timing : 0.1 sec 6

7 OPSTAAN Z Z 10 o Heup + LWK flexie 25 o Heup + LWK flexie Kinematics of Rising From a Chair: Image-Based Analysis of the Sagittal Hip-Spine Movement Pattern in Elderly People Who Are Healthy Mohammad R. Fotoohabadi, Elizabeth A. Tully, Mary P. Galea Physical Therapy, Volume 90, No.4 (2010) - = extensie TWK-flexie LWK-flexie Tijdens STS gebruikte bewegingsuitslagen in % van Max. Heupflexie: 90% Lumbaalflexie: 23% Thor. extensie: 86% Heup-flexie TWK-extensie Sagittal spine and lower limb movement during sit-to-stand in healthy young subjects. Elizabeth A. Tully*, Mohammad Reza Fotoohabadi, Mary P. Galea Gait & Posture 22 (2005)

" J GerontolA BiolSciMed Sci55(4): M221-31. Buatois S, Miljkovic D, Manckoundia P, Gueguen R, Miget P, Vancon G et al.

8 Guralnik, J. M., L. Ferrucci, et al. (2000). Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery." J GerontolA BiolSciMed Sci55(4): M Buatois S, Miljkovic D, Manckoundia P, Gueguen R, Miget P, Vancon G et al. Five times sit to stand test is a predictor of recurrent falls in healthy community living subjects aged 65 and older. J Am Geriatr Soc 2008; 56(8): less than 13.6 seconds 15 seconds 14 sec Clinical Measurement of Sit-to-Stand Performance in People With Balance Disorders: Validity of Data for the Five-Times-Sit-to-Stand Test Susan L Whitney, Diane M Wrisley, Gregory F Marchetti, Michael A Gee, Mark S Redfern and Joseph M Furman PHYS THER. 2005; 85: Richard w. Bohannon (2006) Reference values for the five-repetition sit-to-stand test: a descriptive meta-analysis of data from elders. Perceptual and motor skills: volume 103, issue, pp Controles Oud: 13.4 sec 11.4 sec (60 to 69 years) 12.6 sec. (70 to 79 years) 14.8 sec. (80 to 89 years) Falls incommunity Dwelling Community Older Adults: Examination and Evaluation Mary Fran Delaune, Cathy Ciolek. PT magazine November 2007, pp Norm-tijden DANK VOOR UW AAN- DACHT. 8

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