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  4. Loss of maximal explosive power of lower limbs after 2 weeks of disuse and incomplete recovery after retraining in older adults

Loss of maximal explosive power of lower limbs after 2 weeks of disuse and incomplete recovery after retraining in older adults

J Physiol, 2018 · DOI: 10.1113/JP274772 · Published: December 20, 2017

AgingPhysiologyRehabilitation

Simple Explanation

This study investigates how muscle power in the legs changes in older and younger adults after a period of inactivity (bed rest) followed by physical training. The study found that inactivity decreased leg muscle power in both groups, but older adults didn't fully recover their muscle power even after physical training. This suggests that older adults may need more specialized rehabilitation to regain muscle power after periods of disuse compared to younger adults.

Study Duration
4 weeks (2 weeks disuse, 2 weeks retraining)
Participants
16 older adults (55–65 years) and 7 young individuals (18–30 years)
Evidence Level
Level 2: Experimental study with control group

Key Findings

  • 1
    Disuse significantly decreased maximal explosive power (MEP) in older adults but not significantly in young adults.
  • 2
    Retraining increased MEP in both groups, but older adults did not fully recover to pre-disuse levels.
  • 3
    Ankle co-contraction increased after bed rest in older adults only and remained elevated after retraining.

Research Summary

The study examined the impact of disuse and retraining on lower limb muscle power in young and older adults. Disuse led to a significant decrease in MEP in older adults, while retraining was insufficient to restore pre-disuse values in this group. The study highlights the need for suitable rehabilitation protocols to counteract disuse-induced loss of muscle power in older individuals.

Practical Implications

Rehabilitation Strategies

Specialized rehabilitation protocols are needed for older adults to counteract disuse-induced muscle power loss.

Targeted Exercises

Rehabilitation programs should include power-oriented exercises to improve muscle power recovery in older adults.

Neural Adaptations

Rehabilitation strategies should address neural adaptations contributing to muscle power deficits in older adults.

Study Limitations

  • 1
    Small sample size.
  • 2
    Uneven sample size between groups.
  • 3
    Only male subjects were enrolled.

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