About this trial
The calf muscles (plantarflexors) are the most important muscles for walking, running and daily activities. Weakness of these muscles through aging and disease significantly impact a person's ability to walk and complete daily activities. By assessing calf strength, it is possible to identify people at risk of falls, and a condition called sarcopenia (which means loss of muscle mass, strength and function). Unfortunately, most of the studies that have examined this have used specialist equipment unavailable to hospital staff. Our study aims to use commercially available equipment to explore the relationship between plantarflexor muscle strength and physical performance in adults living with or without sarcopenia, including those at risk of it. The study will determine if stronger/weaker calf muscles associated with sarcopenia influence the ability to walk and do things more easily. We will complete strength tests of the calf, thigh and hand, assess walking using a special camera system, use an ultrasound scan to look at the Achilles tendon, use a scan to look at how stiff your calf muscles are, assess your body composition, complete a physical performance test and some questionnaires. Each participant will complete the measures during one clinic visit
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Participant is able and willing to provide informed consent to participate in the study
Aged 18 years or over
Ambulatory status: able to walk independently with or without aids
Able to attend clinic
Disqualifiers
Participant is unwilling or unable to give informed consent.
Palliative/ end of life
Moderate to severe communication difficulties/ cognitive function
Immobile
Trial population
The study population is individuals over the age of 18 years, who may or may not have sarcopenia. Individuals will be determined as either sarcopenic or non-sarcopenic by completing the outcome measures (SARC-F questionnaire, Grip strength, BIA and SPPB) and using the cut-off values as recommended by the European Working Group on Sarcopenia in Older People 2 consensus.
Trial design
Cohort
Cross-sectional
Treatments tested in this trial
No intervention (observational study)
Other interventionNo intervention (observational study)
Treatment groups
Trial outcomes
Primary outcomes
Isometric plantarflexor strength testing
Isometric plantarflexor strength will be tested using the Fysiometer C-station
Secondary outcomes
Theia markerless motion capture system
Gait will be assessed using Theia 3D (Theia Markerless Inc., Kingston, ON, Canada). Theia 3D is a commercial markerless motion capture system which uses multiple cameras to capture video footage of physical performance, tracking 124 keypoints producing 3D models. Calibration it completed prior to recording. Data is processed in Theia 3D and analysed in Visual 3D software. Measures such as gait speed and pattern, forces, joint angles, stride length and cadence will be collected.
Ultrasound Tissue Characterization Imaging
Imaging of the Achilles Tendon to identify structural changes to the Achilles tendon.
Elastography
Imaging of the Plantarflexors and Achilles Tendon to understand muscle stiffness and tissue mechanical properties
Grip strength
A Jamar hand dynamometer will be used, measuring grip strength in kilograms
Sponsors and contacts
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University of Leicester
Lead sponsor
University Hospitals, Leicester
Collaborator
This trial is not recruiting at the moment. You can still explore other options: