scholarly journals Reduced Achilles Tendon Stiffness Disrupts Calf Muscle Neuromechanics in Elderly Gait

Gerontology ◽  
2021 ◽  
pp. 1-11
Author(s):  
Rebecca L. Krupenevich ◽  
Owen N. Beck ◽  
Gregory S. Sawicki ◽  
Jason R. Franz
Keyword(s):  
Older Adults ◽  
Achilles Tendon ◽  
Metabolic Cost ◽  
Calf Muscle ◽  
Metabolic Energy ◽  
Joint Work ◽  
Tendon Stiffness ◽  
Age Related ◽  
Ankle Muscle ◽  
Metabolic Energy Expenditure

Older adults walk slower and with a higher metabolic energy expenditure than younger adults. In this review, we explore the hypothesis that age-related declines in Achilles tendon stiffness increase the metabolic cost of walking due to less economical calf muscle contractions and increased proximal joint work. This viewpoint may motivate interventions to restore ankle muscle-tendon stiffness, improve walking mechanics, and reduce metabolic cost in older adults.

scholarly journals Muscle Metabolic Energy Costs While Modifying Propulsive Force Generation During Walking

2020 ◽  
Author(s):  
Richard E. Pimentel ◽  
Noah L. Pieper ◽  
William H. Clark ◽  
Jason R. Franz
Keyword(s):  
Young Adults ◽  
Metabolic Cost ◽  
Metabolic Energy ◽  
Energy Costs ◽  
Joint Power ◽  
Lower Limb Muscles ◽  
Age Related ◽  
Musculoskeletal Models ◽  
Metabolic Costs ◽  
Related Increase

AbstractWe pose that an age-related increase in the metabolic cost of walking arises in part from a redistribution of joint power where muscles spanning the hip compensate for insufficient ankle push-off and smaller peak propulsive forces (FP). Young adults elicit a similar redistribution when walking with smaller FP via biofeedback. We used targeted FP biofeedback and musculoskeletal models to estimate the metabolic costs of operating lower limb muscles in young adults walking across a range of FP. Our simulations support the theory of distal-to-proximal redistribution of joint power as a determinant of increased metabolic cost in older adults during walking.

scholarly journals Older adults learn less, but still reduce metabolic cost, during motor adaptation

2014 ◽  
Vol 111 (1) ◽  
pp. 135-144 ◽  
Author(s):  
Helen J. Huang ◽  
Alaa A. Ahmed
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Muscle Activity ◽  
Motor Adaptation ◽  
Metabolic Cost ◽  
Gas Analysis ◽  
The Novel ◽  
Age Related ◽  
Expired Gas Analysis ◽  
Expired Gas

The ability to learn new movements and dynamics is important for maintaining independence with advancing age. Age-related sensorimotor changes and increased muscle coactivation likely alter the trial-and-error-based process of adapting to new movement demands (motor adaptation). Here, we asked, to what extent is motor adaptation to novel dynamics maintained in older adults (≥65 yr)? We hypothesized that older adults would adapt to the novel dynamics less well than young adults. Because older adults often use muscle coactivation, we expected older adults to use greater muscle coactivation during motor adaptation than young adults. Nevertheless, we predicted that older adults would reduce muscle activity and metabolic cost with motor adaptation, similar to young adults. Seated older ( n = 11, 73.8 ± 5.6 yr) and young ( n = 15, 23.8 ± 4.7 yr) adults made targeted reaching movements while grasping a robotic arm. We measured their metabolic rate continuously via expired gas analysis. A force field was used to add novel dynamics. Older adults had greater movement deviations and compensated for just 65% of the novel dynamics compared with 84% in young adults. As expected, older adults used greater muscle coactivation than young adults. Last, older adults reduced muscle activity with motor adaptation and had consistent reductions in metabolic cost later during motor adaptation, similar to young adults. These results suggest that despite increased muscle coactivation, older adults can adapt to the novel dynamics, albeit less accurately. These results also suggest that reductions in metabolic cost may be a fundamental feature of motor adaptation.

Balance Decrements Are Associated With Age-Related Muscle Property Changes

2014 ◽  
Vol 30 (4) ◽  
pp. 555-562 ◽  
Author(s):  
Christopher J. Hasson ◽  
Richard E.A. van Emmerik ◽  
Graham E. Caldwell
Keyword(s):  
Mechanical Properties ◽  
Older Adults ◽  
Comprehensive Evaluation ◽  
Isometric Force ◽  
Dynamic Balance ◽  
Balance Performance ◽  
Age Related ◽  
Ankle Muscle ◽  
Property Changes ◽  
Maximal Isometric Force

In this study, a comprehensive evaluation of static and dynamic balance abilities was performed in young and older adults and regression analysis was used to test whether age-related variations in individual ankle muscle mechanical properties could explain differences in balance performance. The mechanical properties included estimates of the maximal isometric force capability, force-length, force-velocity, and series elastic properties of the dorsiflexors and individual plantarflexor muscles (gastrocnemius and soleus). As expected, the older adults performed more poorly on most balance tasks. Muscular maximal isometric force, optimal fiber length, tendon slack length, and velocity-dependent force capabilities accounted for up to 60% of the age-related variation in performance on the static and dynamic balance tests. In general, the plantarflexors had a stronger predictive role than the dorsiflexors. Plantarflexor stiffness was strongly related to general balance performance, particularly in quiet stance; but this effect did not depend on age. Together, these results suggest that age-related differences in balance performance are explained in part by alterations in muscular mechanical properties.

scholarly journals Human walking in the real world: Interactions between terrain type, gait parameters, and energy expenditure

2019 ◽  
Author(s):  
DB Kowalsky ◽  
JR Rebula ◽  
LV Ojeda ◽  
PG Adamczyk ◽  
AD Kuo
Keyword(s):  
Energy Expenditure ◽  
Real World ◽  
Metabolic Cost ◽  
Metabolic Energy ◽  
Least Squares Regression ◽  
The Real ◽  
Terrain Type ◽  
Gait Parameters ◽  
Surface Irregularities ◽  
Metabolic Energy Expenditure

AbstractHumans often traverse real-world environments with a variety of surface irregularities and inconsistencies, which can disrupt steady gait and require additional effort. Such effects have, however, scarcely been demonstrated quantitatively, because few laboratory biomechanical measures apply outdoors. Walking can nevertheless be quantified by other means. In particular, the foot’s trajectory in space can be reconstructed from foot-mounted inertial measurement units (IMUs), to yield measures of stride and associated variabilities. But it remains unknown whether such measures are related to metabolic energy expenditure. We therefore quantified the effect of five different outdoor terrains on foot motion (from IMUs) and net metabolic rate (from oxygen consumption) in healthy adults (N = 10; walking at 1.25 m/s). Energy expenditure increased significantly (P < 0.05) in the order Sidewalk, Dirt, Gravel, Grass, and Woodchips, with Woodchips about 27% costlier than Sidewalk. Terrain type also affected measures, particularly stride variability and virtual foot clearance (swing foot’s lowest height above consecutive footfalls). In combination, such measures can also roughly predict metabolic cost (adjusted R2 = 0.52, partial least squares regression), and even discriminate between terrain types (10% reclassification error). Body-worn sensors can characterize how uneven terrain affects gait, gait variability, and metabolic cost in the real world.

scholarly journals Older Adults Overcome Reduced Triceps Surae Structural Stiffness to Preserve Ankle Joint Quasi-Stiffness During Walking

2020 ◽  
Vol 36 (4) ◽  
pp. 209-216
Author(s):  
Rebecca L. Krupenevich ◽  
William H. Clark ◽  
Gregory S. Sawicki ◽  
Jason R. Franz
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Achilles Tendon ◽  
Ankle Joint ◽  
Muscle Activation ◽  
Muscle Stiffness ◽  
Triceps Surae ◽  
Triceps Surae Muscle ◽  
Age Related ◽  
Lower Ankle Joint

Ankle joint quasi-stiffness is an aggregate measure of the interaction between triceps surae muscle stiffness and Achilles tendon stiffness. This interaction may be altered due to age-related changes in the structural properties and functional behavior of the Achilles tendon and triceps surae muscles. The authors hypothesized that, due to a more compliant of Achilles’ tendon, older adults would exhibit lower ankle joint quasi-stiffness than young adults during walking and during isolated contractions at matched triceps surae muscle activations. The authors also hypothesized that, independent of age, triceps surae muscle stiffness and ankle joint quasi-stiffness would increase with triceps surae muscle activation. The authors used conventional gait analysis in one experiment and, in another, electromyographic biofeedback and in vivo ultrasound imaging applied during isolated contractions. The authors found no difference in ankle joint quasi-stiffness between young and older adults during walking. Conversely, this study found that (1) young and older adults modulated ankle joint quasi-stiffness via activation-dependent changes in triceps surae muscle length–tension behavior and (2) at matched activation, older adults exhibited lower ankle joint quasi-stiffness than young adults. Despite age-related reductions during isolated contractions, ankle joint quasi-stiffness was maintained in older adults during walking, which may be governed via activation-mediated increases in muscle stiffness.

Influence of Badminton Practice on Age-Related Changes in Patellar and Achilles Tendons

2020 ◽  
pp. 1-9
Author(s):  
Alfredo Bravo-Sánchez ◽  
Pablo Abián ◽  
Filipa Sousa ◽  
Fernando Jimenez ◽  
Javier Abián-Vicén
Keyword(s):  
Mechanical Properties ◽  
Achilles Tendon ◽  
Age Groups ◽  
Control Group ◽  
Physically Active ◽  
Tendon Stiffness ◽  
Sport Practice ◽  
Age Related ◽  
Age Related Changes

Regular sport practice could prevent age-related changes in tendinous tissues. The purpose of the study was to investigate the effect of regular badminton practice on patellar and Achilles tendon mechanical properties in senior competitive badminton players (>35 years old) and to compare the results with physically active people matched by age. One hundred ninety-two badminton players and 193 physically active people were divided by age into four groups, between 35 and 44 (U45), between 45 and 54 (U55), between 55 and 64 (U65), and over 65 (O65) years old. A LogiqS8 transducer in elastography mode and a MyotonPRO myotonometer were used to assess patellar and Achilles mechanical properties. Achilles tendon stiffness was higher in the control group than the badminton players for the U45, U55, and O65 age groups (p < .01). Also, the elastography index was higher in the control group than the badminton players for the U45, U55, U65, and O65 age groups (p < .05). In conclusion, regular badminton practice could prevent the decline in mechanical properties of the patellar and Achilles tendons.

scholarly journals Altered Achilles tendon function during walking in people with diabetic neuropathy: implications for metabolic energy saving

2018 ◽  
Vol 124 (5) ◽  
pp. 1333-1340 ◽  
Author(s):  
M. Petrovic ◽  
C. N. Maganaris ◽  
K. Deschamps ◽  
S. M. Verschueren ◽  
F. L. Bowling ◽  
...  
Keyword(s):  
Peripheral Neuropathy ◽  
Achilles Tendon ◽  
Energy Saving ◽  
Diabetic Peripheral Neuropathy ◽  
Energy Savings ◽  
Metabolic Cost ◽  
Metabolic Energy ◽  
Diabetic Patients ◽  
Length Changes ◽  
Diabetes Patients

The Achilles tendon (AT) has the capacity to store and release elastic energy during walking, contributing to metabolic energy savings. In diabetes patients, it is hypothesized that a stiffer Achilles tendon may reduce the capacity for energy saving through this mechanism, thereby contributing to an increased metabolic cost of walking (CoW). The aim of this study was to investigate the effects of diabetes and diabetic peripheral neuropathy (DPN) on the Achilles tendon and plantarflexor muscle-tendon unit behavior during walking. Twenty-three nondiabetic controls (Ctrl); 20 diabetic patients without peripheral neuropathy (DM), and 13 patients with moderate/severe DPN underwent gait analysis using a motion analysis system, force plates, and ultrasound measurements of the gastrocnemius muscle, using a muscle model to determine Achilles tendon and muscle-tendon length changes. During walking, the DM and particularly the DPN group displayed significantly less Achilles tendon elongation (Ctrl: 1.81; DM: 1.66; and DPN: 1.54 cm), higher tendon stiffness (Ctrl: 210; DM: 231; and DPN: 240 N/mm), and higher tendon hysteresis (Ctrl: 18; DM: 21; and DPN: 24%) compared with controls. The muscle fascicles of the gastrocnemius underwent very small length changes in all groups during walking (~0.43 cm), with the smallest length changes in the DPN group. Achilles tendon forces were significantly lower in the diabetes groups compared with controls (Ctrl: 2666; DM: 2609; and DPN: 2150 N). The results strongly point toward the reduced energy saving capacity of the Achilles tendon during walking in diabetes patients as an important factor contributing to the increased metabolic CoW in these patients. NEW & NOTEWORTHY From measurements taken during walking we observed that the Achilles tendon in people with diabetes and particularly people with diabetic peripheral neuropathy was stiffer, was less elongated, and was subject to lower forces compared with controls without diabetes. These altered properties of the Achilles tendon in people with diabetes reduce the tendon’s energy saving capacity and contribute toward the higher metabolic energy cost of walking in these patients.

scholarly journals Enthalpy efficiency of the soleus muscle explains improvements in running economy

2020 ◽  
Author(s):  
Sebastian Bohm ◽  
Falk Mersmann ◽  
Alessandro Santuz ◽  
Adamantios Arampatzis
Keyword(s):  
Achilles Tendon ◽  
Soleus Muscle ◽  
Intervention Group ◽  
Running Economy ◽  
Metabolic Energy ◽  
Energetic Cost ◽  
Plantar Flexor ◽  
Tendon Stiffness ◽  
Flexor Strength ◽  
Human Running

AbstractDuring human running, the soleus, as the main plantar flexor muscle, generates the majority of the mechanical work through active shortening. The fraction of chemical energy that is converted into muscular work (i.e. the enthalpy efficiency) depends on the muscle shortening velocity. Here, we investigated the soleus muscle fascicle behavior during running with respect to the enthalpy efficiency as a mechanism that could explain previously reported improvements in running economy after exercise-induced increases of plantar flexor strength and Achilles tendon stiffness. Healthy amateur runners were randomly assigned to a control (n=10) or intervention group (n=13), which performed a specific 14-week muscle-tendon training. Significant increases in plantar flexor maximum strength (10%) and Achilles tendon stiffness (31%) yet reduced metabolic cost of running (4%) was found only in the intervention group (p<0.05). Following training, the soleus fascicle velocity profile throughout stance was altered, with the fascicles operating at a higher enthalpy efficiency during the phase of muscle-tendon unit lengthening (15%) and in average over stance (7%, p<0.05). These findings show that the improvements in energetic cost following increases in plantar flexor strength and Achilles tendon stiffness can be attributed to increased enthalpy efficiency of the operating soleus. This provides the first experimental evidence that the soleus enthalpy efficiency is a determinant of human running economy. Furthermore, the current results imply that the soleus energy production in the first part of the stance phase were the muscle-tendon unit is lengthening is crucial for the overall metabolic energy cost of running.

scholarly journals Metabolic cost calculations of gait using musculoskeletal energy models, a comparison study

2019 ◽  
Author(s):  
Anne D. Koelewijn ◽  
Dieter Heinrich ◽  
Antonie J. van den Bogert
Keyword(s):  
Experimental Data ◽  
Gas Exchange ◽  
Energy Expenditure ◽  
Repeated Measures ◽  
Metabolic Cost ◽  
Pulmonary Gas Exchange ◽  
Metabolic Energy ◽  
Energy Models ◽  
Cost Calculations ◽  
Metabolic Energy Expenditure

AbstractThis paper compares predictions of metabolic energy expenditure in gait using seven metabolic energy expenditure models to assess their correlation with experimental data. Ground reaction forces, marker data, and pulmonary gas exchange data were recorded for six walking trials at combinations of two speeds, 0.8 m/s and 1.3 m/s, and three inclines, −8% (downhill), level, and 8% (uphill). The metabolic cost, calculated with the metabolic energy models was compared to the metabolic cost from the pulmonary gas exchange rates. A repeated measures correlation showed that all models correlated well with experimental data, with correlations of at least 0.9. The model by Bhargava et al. [7] and the model by Lichtwark and Wilson [21] had the highest correlation, 0.96. The model by Margaria [23] predicted the increase in metabolic cost following a change in dynamics best in absolute terms.

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