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ABSTRACT INTRODUCTION
M
Harris, C, Wattles, AP, DeBeliso, M, Sevene-Adams, PG, uch of the literature addressing physical
Berning, JM, and Adams, KJ. The seated medicine ball throw as a attributes central to the functional ability of
test of upper body power in older adults. J Strength Cond Res older adults has been concerned with muscular
25(8): 2344–2348, 2011—Practitioners training the older adult strength levels (3,4). However, muscular
power, in both the upper body and lower body, may be
may benefit from a low-cost, easy-to-administer field test of upper
more important for some functional tasks facing older adults
body power. This study evaluated validity and reliability of the
such as lifting a load, correcting balance after a trip, opening
seated medicine ball throw (SMBT) in older adults. Subjects (n =
a door, and rising from a chair. Maintenance of muscular
33; age 72.4 6 5.2 years) completed 6 trials of an SMBT in each power may also be critical for sustaining independence later
of 2 testing days and 2 ball masses (1.5 and 3.0 kg). Subjects in life. Unfortunately, sarcopenia accompanies aging and
also completed 6 trials of an explosive push-up (EPU) on a force along with the loss in muscle size and strength (7,9,10) is
plate over 2 testing days. Validity was assessed via a Pearson a corresponding decline in muscle power in both the upper
Product–Moment correlation (PPM) between SMBT and EPU and lower extremities (5). This is troublesome because
maximal vertical force. Reliability of the SMBT was determined muscular power production is a predictor of all-cause
using PPMs (r), Intraclass correlation (ICC, R) and Bland–Altman mortality and may be a better indicator than strength of
plots (BAPs). For validity, the association between the SMBT and functional ability and independence (8,9,16).
the EPU revealed a PPM of r = 0.641 and r = 0.614 for the Despite the importance of muscular power, its assessment
1.5- and 3.0-kg medicine balls, respectively. Test–retest reliability is sometimes limited as measurement equipment can be
expensive, and complex and few field tests exist for the
of the 1.5- and 3.0-kg SMBT was r = 0.967 and r = 0.958,
assessment of power in the older adult population (6,12,17).
respectively. The ICC values of the 1.5- and 3.0-kg SMBT were
Recently, however, a safe, low-cost field test of lower body
R = 0.994 and 0.989, respectively. The BAPs revealed 94% of
power was validated (18). This timed test requires subjects to
the differences between day 1 and 2 scores were within the 95% climb up a ramp a vertical distance of 33 cm and a horizontal
confidence interval of the mean difference. Test–retest reliability distance of 3.79 m. This test was practical in nature because it
for the EPU was r = 0.944, R = 0.969. The BAPs showed 94% of involved lower body movements and muscle groups that are
the differences between day 1 and 2 scores were within the 95% similar to those used in normal daily activities.
confidence interval of the mean difference, for both medicine ball Although lower body strength and power often receive the
throws. In conclusion, for the older adult, the SMBT appears to be most attention relative to their relationship with functional
highly reliable test of upper body power. Its validity relative to the independence, the importance of upper body strength and
maximal force exerted during the EPU is modest. The SMBT is an power cannot be ignored, because many activities of daily living
inexpensive, safe, and repeatable measure of upper body power such as carrying groceries, taking out the trash, and lifting
for the older adult.
children are related to upper body strength and power (1,2).
A strong association between upper body power and lower
KEY WORDS aging, functional ability, reliability body power has been reported (14). However, a low-cost,
easy-to-administer field test of upper body power in the older
adult is needed because it has direct value for achieving an
Address correspondence to Dr. Chad Harris, harrisc@wnmu.edu. accurate, specific assessment of upper body function (1,2,6).
25(8)/2344–2348 Therefore, the purpose of this study was to evaluate the
Journal of Strength and Conditioning Research validity and reliability of the seated medicine ball throw
Ó 2011 National Strength and Conditioning Association (SMBT) as a measure of upper body power in older adults.
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Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.
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Medicine Ball Throw in Older Adults
Statistical Analyses
Validity of the SMBT was
Figure 4. Bland–Altman plot for 3.0-kg medicine ball throw. assessed via a the PPM co-
efficient between medicine ball
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Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.
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Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.
Medicine Ball Throw in Older Adults
of contraction, and to be able to throw a medicine ball from many older adults, subjects in this study displayed a wide
a seated position, the physical traits needed to be successful range of upper body strength. Because both medicine ball
include both muscular strength and power in the shoulder weights displayed similar validity and reliability, the practi-
flexors and elbow extensors. The movements in the medicine tioner can meet the needs of a diverse, older adult client base.
ball throw and the muscle groups employed are similar to This will enable the practitioner to better individualize their
those incorporated in activities of daily living such as rising strength and conditioning program to optimize outcomes for
from a chair, lifting loads, and pushing open doors. Thus, the the older adult.
content validity of the test appears to be reasonable.
The concurrent validity of the SMBT as measured against the REERENCES
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power was validated in older adults (18). The benefits of that test
included its safety and the ease of both administration and 6. Davis, KL, Kang, M, Boswell, BB, DuBose, KD, Altman, SR, and
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In summary, the SMBT’s use for repeated measures of upper
body power in the older adult appears warranted. We would 11. Gillespie, J and Keenum, S. A validity and reliability analysis of the seated
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recommend that additional testing be performed to address the
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frail populations and additional tests of active seniors. function: Influence of power, strength, and body composition.
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PRACTICAL APPLICATIONS 13. Henwood, TR, Rick, S, and Taaffe, DR. Strength versus muscle
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field test measures to assess baseline status and to monitor Upper and lower limb muscle power relationships in mobility
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16. Metter, EJ, Talbot, LA, Schrager, M, and Conwit, RA. Arm cranking
older adult. First, the test appears to be safe. In approximately muscle power and arm isometric strength are independent predictors
400 medicine ball throws, with a variety of subjects, no injuries of all-cause mortality in men. J Appl Physiol 96: 814–821, 2004.
or complaints of discomfort occurred. On the contrary, 17. Sayers, SP. High-speed power training: A novel approach to
subjects commented that they enjoyed the test. Second, the resistance training in older men and women. A brief review and pilot
study. J Strength Cond Res 21: 518–526, 2007.
SMBT is inexpensive and easy to perform. In contrast, many
18. Signoreli, JF, Sandler, D, Kempner, L, Stanziano, D, Ma, F, and Roos,
power tests use equipment that is cost prohibitive and BA. The ramp power test: A power assessment during a functional
requires extensive training of the practitioner. Finally, like task for older individuals. J Geron Med Sci 62A: 1266–1273, 2007.
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Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.