Effect of age on ankle biomechanics and tibial compression during stair descent
Stress fracture is a concern among older adults, as age-related decrements in ankle neuromuscular function may impair their ability to attenuate tibial compressive forces experienced during daily locomotor tasks, such as stair descent. Yet, it is unknown if older adults exhibit greater tibial compre...
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| Veröffentlicht in: | Gait & posture 2024-07, Vol.112, p.140-146 |
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| creator | Walker, Elijah M. Hunt, Nicholas L. Holcomb, Amy E. Fitzpatrick, Clare K. Brown, Tyler N. |
| description | Stress fracture is a concern among older adults, as age-related decrements in ankle neuromuscular function may impair their ability to attenuate tibial compressive forces experienced during daily locomotor tasks, such as stair descent. Yet, it is unknown if older adults exhibit greater tibial compression than their younger counterparts when descending stairs.
Do older adults exhibit differences in ankle biomechanics that alter their tibial compression during stair descent compared to young adults, and is there a relation between tibial compression and specific changes in ankle biomechanics?
Thirteen young (18–25 years) and 13 older (> 65 years) adults had ankle joint biomechanics and tibial compression quantified during a stair descent. Discrete ankle biomechanics (peak joint angle and moment, and joint stiffness) and tibial compression (maximum and impulse) measures were submitted to an independent t-test, while ankle joint angle and moment, and tibial compression waveforms were submitted to an independent statistical parametric mapping t-test to determine group differences. Pearson correlation coefficients (r) determined the relation between discrete ankle biomechanics and tibial compression measures for all participants, and each group.
Older adults exhibited smaller maximum tibial compression (p = 0.004) from decreases in peak ankle joint angle and moment between 17 % and 34 % (p = 0.035), and 20–31 % of stance (p |
| doi_str_mv | 10.1016/j.gaitpost.2024.05.015 |
| format | Article |
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Do older adults exhibit differences in ankle biomechanics that alter their tibial compression during stair descent compared to young adults, and is there a relation between tibial compression and specific changes in ankle biomechanics?
Thirteen young (18–25 years) and 13 older (> 65 years) adults had ankle joint biomechanics and tibial compression quantified during a stair descent. Discrete ankle biomechanics (peak joint angle and moment, and joint stiffness) and tibial compression (maximum and impulse) measures were submitted to an independent t-test, while ankle joint angle and moment, and tibial compression waveforms were submitted to an independent statistical parametric mapping t-test to determine group differences. Pearson correlation coefficients (r) determined the relation between discrete ankle biomechanics and tibial compression measures for all participants, and each group.
Older adults exhibited smaller maximum tibial compression (p = 0.004) from decreases in peak ankle joint angle and moment between 17 % and 34 % (p = 0.035), and 20–31 % of stance (p < 0.001) than young adults. Ankle biomechanics exhibited a negligible to weak correlation with tibial compression for all participants, with peak ankle joint moment and maximum tibial compression (r = -0.48 ± 0.32) relation the strongest. Older adults typically exhibited a stronger relation between ankle biomechanics and tibial compression (e.g., r = -0.48 ± 0.47 vs r = -0.27 ± 0.52 between peak ankle joint moment and maximum tibial compression).
Older adults altered ankle biomechanics and decreased maximum tibial compression to safely execute the stair descent. Yet, specific alterations in ankle biomechanics could not be identified as a predictor of changes in tibial compression.
•Older adults altered their ankle to safely execute the stair descent.•Older adults’ maximum tibial compression was ∼ 15 % smaller than young adults.•No specific ankle biomechanical measure exhibited a strong relation to tibial compression.</description><identifier>ISSN: 0966-6362</identifier><identifier>ISSN: 1879-2219</identifier><identifier>EISSN: 1879-2219</identifier><identifier>DOI: 10.1016/j.gaitpost.2024.05.015</identifier><identifier>PMID: 38781789</identifier><language>eng</language><publisher>England: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aging ; Aging - physiology ; Ankle Joint - physiology ; Ankle Joint - physiopathology ; Ankle neuromuscular function ; Biomechanical Phenomena ; Female ; Humans ; Joint stiffness ; Male ; Stair Climbing - physiology ; Tibia - physiology ; Tibial stress fracture ; Young Adult</subject><ispartof>Gait & posture, 2024-07, Vol.112, p.140-146</ispartof><rights>2024 Elsevier B.V.</rights><rights>Copyright © 2024 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c315t-31070b737f95cefaecfacbe5f4f41f7fc472ec454b7349cdc3198751ba8096e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.gaitpost.2024.05.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38781789$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walker, Elijah M.</creatorcontrib><creatorcontrib>Hunt, Nicholas L.</creatorcontrib><creatorcontrib>Holcomb, Amy E.</creatorcontrib><creatorcontrib>Fitzpatrick, Clare K.</creatorcontrib><creatorcontrib>Brown, Tyler N.</creatorcontrib><title>Effect of age on ankle biomechanics and tibial compression during stair descent</title><title>Gait & posture</title><addtitle>Gait Posture</addtitle><description>Stress fracture is a concern among older adults, as age-related decrements in ankle neuromuscular function may impair their ability to attenuate tibial compressive forces experienced during daily locomotor tasks, such as stair descent. Yet, it is unknown if older adults exhibit greater tibial compression than their younger counterparts when descending stairs.
Do older adults exhibit differences in ankle biomechanics that alter their tibial compression during stair descent compared to young adults, and is there a relation between tibial compression and specific changes in ankle biomechanics?
Thirteen young (18–25 years) and 13 older (> 65 years) adults had ankle joint biomechanics and tibial compression quantified during a stair descent. Discrete ankle biomechanics (peak joint angle and moment, and joint stiffness) and tibial compression (maximum and impulse) measures were submitted to an independent t-test, while ankle joint angle and moment, and tibial compression waveforms were submitted to an independent statistical parametric mapping t-test to determine group differences. Pearson correlation coefficients (r) determined the relation between discrete ankle biomechanics and tibial compression measures for all participants, and each group.
Older adults exhibited smaller maximum tibial compression (p = 0.004) from decreases in peak ankle joint angle and moment between 17 % and 34 % (p = 0.035), and 20–31 % of stance (p < 0.001) than young adults. Ankle biomechanics exhibited a negligible to weak correlation with tibial compression for all participants, with peak ankle joint moment and maximum tibial compression (r = -0.48 ± 0.32) relation the strongest. Older adults typically exhibited a stronger relation between ankle biomechanics and tibial compression (e.g., r = -0.48 ± 0.47 vs r = -0.27 ± 0.52 between peak ankle joint moment and maximum tibial compression).
Older adults altered ankle biomechanics and decreased maximum tibial compression to safely execute the stair descent. Yet, specific alterations in ankle biomechanics could not be identified as a predictor of changes in tibial compression.
•Older adults altered their ankle to safely execute the stair descent.•Older adults’ maximum tibial compression was ∼ 15 % smaller than young adults.•No specific ankle biomechanical measure exhibited a strong relation to tibial compression.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aging</subject><subject>Aging - physiology</subject><subject>Ankle Joint - physiology</subject><subject>Ankle Joint - physiopathology</subject><subject>Ankle neuromuscular function</subject><subject>Biomechanical Phenomena</subject><subject>Female</subject><subject>Humans</subject><subject>Joint stiffness</subject><subject>Male</subject><subject>Stair Climbing - physiology</subject><subject>Tibia - physiology</subject><subject>Tibial stress fracture</subject><subject>Young Adult</subject><issn>0966-6362</issn><issn>1879-2219</issn><issn>1879-2219</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EoqXwC5WXbBLs2ImTHagqD6lSN7C2HGdcXJI42AkSf4-rUrasRhqdO4-D0JKSlBJa3O3TnbLj4MKYZiTjKclTQvMzNKelqJIso9U5mpOqKJKCFdkMXYWwJ4RwVmaXaMZKUVJRVnO0XRsDesTOYLUD7Hqs-o8WcG1dB_pd9VaH2GrwaGurWqxdN3gIwUaymbztdziMynrcQNDQj9fowqg2wM1vXaC3x_Xr6jnZbJ9eVg-bRDOajwmjRJBaMGGqXINRoI3SNeSGG06NMJqLDDTPeWR4pZuYqkqR01qV8SlgbIFuj3MH7z4nCKPsbDygbVUPbgqSkYKwMg4oIlocUe1dCB6MHLztlP-WlMiDTLmXJ5nyIFOSXEaZMbj83THVHTR_sZO9CNwfAYifflnwMmgLvYbG-ihVNs7-t-MH-MOKLg</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Walker, Elijah M.</creator><creator>Hunt, Nicholas L.</creator><creator>Holcomb, Amy E.</creator><creator>Fitzpatrick, Clare K.</creator><creator>Brown, Tyler N.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202407</creationdate><title>Effect of age on ankle biomechanics and tibial compression during stair descent</title><author>Walker, Elijah M. ; Hunt, Nicholas L. ; Holcomb, Amy E. ; Fitzpatrick, Clare K. ; Brown, Tyler N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-31070b737f95cefaecfacbe5f4f41f7fc472ec454b7349cdc3198751ba8096e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aging</topic><topic>Aging - physiology</topic><topic>Ankle Joint - physiology</topic><topic>Ankle Joint - physiopathology</topic><topic>Ankle neuromuscular function</topic><topic>Biomechanical Phenomena</topic><topic>Female</topic><topic>Humans</topic><topic>Joint stiffness</topic><topic>Male</topic><topic>Stair Climbing - physiology</topic><topic>Tibia - physiology</topic><topic>Tibial stress fracture</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walker, Elijah M.</creatorcontrib><creatorcontrib>Hunt, Nicholas L.</creatorcontrib><creatorcontrib>Holcomb, Amy E.</creatorcontrib><creatorcontrib>Fitzpatrick, Clare K.</creatorcontrib><creatorcontrib>Brown, Tyler N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gait & posture</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walker, Elijah M.</au><au>Hunt, Nicholas L.</au><au>Holcomb, Amy E.</au><au>Fitzpatrick, Clare K.</au><au>Brown, Tyler N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of age on ankle biomechanics and tibial compression during stair descent</atitle><jtitle>Gait & posture</jtitle><addtitle>Gait Posture</addtitle><date>2024-07</date><risdate>2024</risdate><volume>112</volume><spage>140</spage><epage>146</epage><pages>140-146</pages><issn>0966-6362</issn><issn>1879-2219</issn><eissn>1879-2219</eissn><abstract>Stress fracture is a concern among older adults, as age-related decrements in ankle neuromuscular function may impair their ability to attenuate tibial compressive forces experienced during daily locomotor tasks, such as stair descent. Yet, it is unknown if older adults exhibit greater tibial compression than their younger counterparts when descending stairs.
Do older adults exhibit differences in ankle biomechanics that alter their tibial compression during stair descent compared to young adults, and is there a relation between tibial compression and specific changes in ankle biomechanics?
Thirteen young (18–25 years) and 13 older (> 65 years) adults had ankle joint biomechanics and tibial compression quantified during a stair descent. Discrete ankle biomechanics (peak joint angle and moment, and joint stiffness) and tibial compression (maximum and impulse) measures were submitted to an independent t-test, while ankle joint angle and moment, and tibial compression waveforms were submitted to an independent statistical parametric mapping t-test to determine group differences. Pearson correlation coefficients (r) determined the relation between discrete ankle biomechanics and tibial compression measures for all participants, and each group.
Older adults exhibited smaller maximum tibial compression (p = 0.004) from decreases in peak ankle joint angle and moment between 17 % and 34 % (p = 0.035), and 20–31 % of stance (p < 0.001) than young adults. Ankle biomechanics exhibited a negligible to weak correlation with tibial compression for all participants, with peak ankle joint moment and maximum tibial compression (r = -0.48 ± 0.32) relation the strongest. Older adults typically exhibited a stronger relation between ankle biomechanics and tibial compression (e.g., r = -0.48 ± 0.47 vs r = -0.27 ± 0.52 between peak ankle joint moment and maximum tibial compression).
Older adults altered ankle biomechanics and decreased maximum tibial compression to safely execute the stair descent. Yet, specific alterations in ankle biomechanics could not be identified as a predictor of changes in tibial compression.
•Older adults altered their ankle to safely execute the stair descent.•Older adults’ maximum tibial compression was ∼ 15 % smaller than young adults.•No specific ankle biomechanical measure exhibited a strong relation to tibial compression.</abstract><cop>England</cop><pub>Elsevier B.V</pub><pmid>38781789</pmid><doi>10.1016/j.gaitpost.2024.05.015</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Age Factors Aged Aging Aging - physiology Ankle Joint - physiology Ankle Joint - physiopathology Ankle neuromuscular function Biomechanical Phenomena Female Humans Joint stiffness Male Stair Climbing - physiology Tibia - physiology Tibial stress fracture Young Adult |
| title | Effect of age on ankle biomechanics and tibial compression during stair descent |
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