For efficient prevention of falls among older adults, individuals at a high risk of falling need to be identified. In this
study, we searched for muscle strength measures that best identified those individuals who would fall after a gait perturbation
and those who recovered their balance. Seventeen healthy older adults performed a range of muscle strength tests. We measured
maximum and rate of development of ankle plantar flexion moment, knee extension moment and whole leg push-off force, as well
as maximum jump height and hand grip strength. Subsequently, their capacity to regain balance after tripping over an obstacle
was determined experimentally. Seven of the participants were classified as fallers based on the tripping outcome. Maximum
isometric push-off force in a leg press apparatus was the best measure to identify the fallers, as cross-validation of a discriminant
model with this variable resulted in the best classification (86% sensitivity and 90% specificity). Jump height and hand grip
strength were strongly correlated to leg press force (
r = 0.82 and 0.59, respectively) and can also be used to identify fallers, although with slightly lower specificity. These
results indicate that whole leg extension strength is associated with the ability to prevent a fall after a gait perturbation
and might be used to identify the elderly at risk of falling.
Keywords Ageing - Fall risk - Classification - Physical capacity - Perturbation