Summary
In a representative survey of 1000 elderly men and women aged over 65 years living in their own homes, assessments have been made of flexibility measured as range of shoulder abduction in addition to health status, psychological well-being and reported customary activity. The results for shoulder abduction were approximately normally distributed and the mean values (±1 standard deviation) were as follows: — in men aged 65–74 years, 129 (±14)° and aged over 74 years, 121 (±19)°; in women aged 65–74 years, 124 (±19)° and aged over 74 years, 114 (±22)°. These mean values are about 30° less than those accepted for younger subjects. Nearly half the distribution falls below the accepted threshold level of 120° for adequate function. There were significant effects of sex and age (P<0.001); women had poorer flexibility and the reduction with age amounted to 10° per decade. Multiple regression analysis showed that the effect of age was accounted for in part by health, strength and customary use. The effects of use were most marked in those with some disability. This suggests that maintained or increased use could offset some of the age-related loss of the range of shoulder movement.
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References
Abrams M (1978) Beyond three-score years and ten — a first report on a survey of the elderly. Age Concern Res Publ
Acheson RM, Ginsburg GN (1973) New Haven Survey of Joint Diseases XVI. Impairment disability and arthritis. Br J Prev Soc Med 27:168–176
Allander E, Bjornsson OJ, Olafsson O, Sigfusson N, Thorsteinsson J (1974) Normal range of joint movements in shoulder, hip, wrist and thumb with special reference to side; a comparison between two populations. Int J Epidemiol 3:253–261
Badley EM, Wagstaff S, Wood PHN (1984) Measures of functional ability (disability) in arthritis in relation to impairment of range of joint movement. Ann Rheum Dis 43:563–569
Bassey EJ (1986) Demi-span as a measure of skeletal size. Annals of Hum Biol 13:499–502
Bassey EJ, Dudley BR, Harries UJ (1986a) A new portable strain-gauged hand-grip dynamometer. J Physiol 373:6 P
Bassey EJ, Harries UJ, Short AH (1986b) Calibration of an isometric hand-grip dynamometer using a platform weighing machine. J Physiol 373:7 P
Bedford A, Foulds GA, Sheffield BF (1976) A new personal disturbance scale. Br J Soc Psychol 15:387–394
Bergstrom G, Bjelle A, Sorensen LB, Sundh V, Svanborg A (1985a) Prevalence of symptoms and signs of joint impairment at age 79. Scand J Rehabil Med 17:173–182
Bergstrom G, Aniansson A, Bjelle A, Grimby G, Lundgren-Lindquist B, Svanborg A (1985b) Functional consequences of joint impairment at age 79. Scand J Rehabil Med 17:183–190
Bird HA (1979) Joint laxity. Reports of Rheumatic Diseases No 68. Arthritis and Rheumatism Council
Booth FW, Gould EW (1975) Effects of training and disuse on connective tissue. Exerc Sports Sci Rev 3:83–112
Chapman EA, De Vries HA, Swezey R (1972) Joint stiffness: effects of exercise on young and old men. J Gerontol 27:218–221
Chirikos TN, Nestel G (1985) Longitudinal analysis of functional disabilities in older men. J Gerontol 40:426–433
Dallosso H, Morgan K, Ebrahim S, Smith CW, Bassey J, Fentem PH, Arie THD (1986) Health and contact with medical services among the elderly in greater Nottingham. East Midland Geographer 65:37–44
Dallosso HM, Morgan K, Bassey EJ, Ebrahim SBJ, Fentem PH, Arie THD (1988) Levels of customary physical activity among the old and the very old living at home. J Epidemiol Community Health 42:121–127
Dick WC, Buchanan WW (1971) Osteoarthritis. Reps Rheum Dis No 45. Arth Rheum Council
Freedman L, Munro RR (1966) Abduction of the arm in the scapular plane; scapular-gleno-humeral movements. J Bone Joint Surg 48A:1503–1510
Frekany GA, Leslie DK (1975) Effects of an exercise programme on selected flexibility measurements of senior citizens. Gerontologist 15:182–183
Garrow JS (1979) Weight penalties. Br Med J ii:1171–1172
German NW, Blair S (1983) Variability of shoulder flexion in age, activity and sex. Am Correct Ther J 37:156
Harries UH (1987) Measurement of isometric and isokinetic strength in the elderly. PhD Thesis, University of Nottingham
Harris ML (1968) Flexibility: a Review of the literature. Phys Ther 49:591–601
Heck CV, Hendryson IE, Rowe CR (1965) Joint Motion — method of measuring and recording. American Academy of Orthopedic Surgeons. Churchill Livingstone, Edinburgh, London, New York
Kellgren JH (1961) Osteoarthritis in patients and populations. Br Med J 2:1–6
La Bella FS, Paul G (1965) Structure of collagen from human tendon as influenced by age and sex. J Gerontol 20:54–59
Lawrence JS (1977) Rheumatism in populations. Heinemann, London
Mayerson NH, Milano RA (1984) Goniometric measurement reliability in physical medicine. Arch Physiol Med Rehabil 65:92–94
Morgan K, Dallosso HM, Ebrahim S (1985) A brief self-report scale for assessing personal engagement in the elderly; reliability and validity. In: Butler A (ed) Ageing; recent advances and creative responses. Croomhelm, London, pp 298–305
Morgan K, Dallosso HM, Arie THD, Byne RG, Waite RJ (1987) Mental health and psychological well-being among the old and very old living at home. Br J Psychiatry 150:801–807
Neugarten BL, Havighurst RJ, Tobin SS (1961) The measurement of life satisfaction. J Gerontol 16:134–143
Scalfia CT, Games PA (1987) Problems with step-wise regression in research on aging and recommended alternatives. J Gerontol 42:579–583
Solgaard S, Carlsen A, Kramhoft M, Petersen VS (1986) Reproducability of goniometry of the wrist. Scand J Rehabil Med 18:5–7
SPSS Inc. (1986) SPSS X (Computer System), User's Guide, 2nd Ed. McGraw-Hill, New York
Staff PH (1982) The effects of physical activity on joints, cartilage, tendons and ligaments. Scand J Soc Med [Suppl] 29:59–63
Suominen H, Heikkinen E (1975) Enzyme in muscle and connective tissue of m. vastus lateralis in habitually trained and sedentary 33–77 year old men. Eur J Appl Physiol 34:249–254
Suominen H, Heikkinen E, Parkatti T (1977) Effect of eight weeks' physical training on muscle and connective tissue of the M. Vastus Lateralis in 69-year-old men and women. J Gerontol 32:33–37
Tipton CM, Matthes RD, Maynard JA, Carey RA (1975) The influence of physical activity on ligaments and tendons. Med Sci Sports 7:165–175
Wright V, Johns RJ (1960) Observations on the Measurement of Joint Stiffness. Arthr Rheum 3:328–40
Wright V, Johns RJ (1961) Quantitative and qualitative analysis of joint stiffness in normal subjects and in patients with connective tissue diseases. Ann Rheum Dis 20:36–45
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Bassey, E.J., Morgan, K., Dallosso, H.M. et al. Flexibility of the shoulder joint measured as range of abduction in a large representative sample of men and women over 65 years of age. Europ. J. Appl. Physiol. 58, 353–360 (1989). https://doi.org/10.1007/BF00643509
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DOI: https://doi.org/10.1007/BF00643509