Age-related differences in the maintenance of frontal plane dynamic stability while stepping to targets

作者: Christopher P. Hurt , Mark D. Grabiner

DOI: 10.1016/J.JBIOMECH.2015.01.003

关键词: Younger adultsCoronal planePhysical medicine and rehabilitationYoung adultGaitPhysical therapyAge relatedPostural BalanceBiomechanicsMedicineForward locomotion

摘要: Older adults may be vulnerable to frontal plane dynamic instability, which is of clinical significance. The purpose the current investigation was examine age-related differences in stability by quantifying margin and hip abductor moment generation subjects performing a single crossover step sidestep targets that created three different widths during forward locomotion. Nineteen young (9 males, age: 22.9±3.1 years, height: 174.3±10.2 cm, mass: 71.7±13.0 kg) 18 older 72.8±5.2 174.9±8.6 78.0±16.3 participated. For each walking trial, performed laterally-directed target on force plate. Subjects were instructed “perform lateral keep forward”. peak stepping limb 42% larger compared younger (p<0.001). also more stable than at all executed with slower forward-directed lateral-directed velocity despite similar widths. Age-related abduction moments reflect greater muscular effort reduce likelihood becoming unstable. results this investigation, progressively steps, provide evidence not laterally unstable adults. However, study could compensatory strategy ensure while task.

参考文章(23)
At L. Hof, Renske M. van Bockel, Tanneke Schoppen, Klaas Postema, Control of lateral balance in walking: Experimental findings in normal subjects and above-knee amputees Gait & Posture. ,vol. 25, pp. 250- 258 ,(2007) , 10.1016/J.GAITPOST.2006.04.013
Marcus G. Pandy, Yi-Chung Lin, Hyung Joo Kim, Muscle coordination of mediolateral balance in normal walking. Journal of Biomechanics. ,vol. 43, pp. 2055- 2064 ,(2010) , 10.1016/J.JBIOMECH.2010.04.010
Noah J. Rosenblatt, Mark D. Grabiner, Measures of frontal plane stability during treadmill and overground walking Gait & Posture. ,vol. 31, pp. 380- 384 ,(2010) , 10.1016/J.GAITPOST.2010.01.002
S.R. Cummings, W. Browner, S.R. Cummings, D.M. Black, M.C. Nevitt, W. Browner, H.K. Genant, J. Cauley, K. Ensrud, J. Scott, T.M. Vogt, Bone density at various sites for prediction of hip fractures The Lancet. ,vol. 341, pp. 72- 75 ,(1993) , 10.1016/0140-6736(93)92555-8
Christopher P. Hurt, Noah Rosenblatt, Jeremy R. Crenshaw, Mark D. Grabiner, Variation in trunk kinematics influences variation in step width during treadmill walking by older and younger adults Gait & Posture. ,vol. 31, pp. 461- 464 ,(2010) , 10.1016/J.GAITPOST.2010.02.001
A.L. Hof, M.G.J. Gazendam, W.E. Sinke, The condition for dynamic stability Journal of Biomechanics. ,vol. 38, pp. 1- 8 ,(2005) , 10.1016/J.JBIOMECH.2004.03.025
Matthew A. Schrager, Valerie E. Kelly, Robert Price, Luigi Ferrucci, Anne Shumway-Cook, The Effects of Age on Medio-lateral Stability during Normal and Narrow Base Walking Gait & Posture. ,vol. 28, pp. 466- 471 ,(2008) , 10.1016/J.GAITPOST.2008.02.009
Lorin J. Elias, M.P. Bryden, M.B. Bulman-Fleming, Footedness is a better predictor than is handedness of emotional lateralization Neuropsychologia. ,vol. 36, pp. 37- 43 ,(1998) , 10.1016/S0028-3932(97)00107-3
Courtney D. Hall, Jody L. Jensen, Age-related differences in lower extremity power after support surface perturbations. Journal of the American Geriatrics Society. ,vol. 50, pp. 1782- 1788 ,(2002) , 10.1046/J.1532-5415.2002.50505.X