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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. [ABSTRACT FROM AUTHOR]

The causes of age-related differences in lower-extremity joint moments and powers are unknown. The purpose of this study was to determine the effects of highly physically active older adults walking with (1) a step length similar to young adults and (2) an upright trunk posture, on hip and ankle joint kinetics. The authors hypothesized that, compared with their self-selected walking mechanics, older adults would exhibit decreased hip kinetics and increased ankle kinetics when prescribed a young adult step length, and would exhibit decreased hip extension moments when maintaining an upright trunk posture during walking. A total of 12 active older adults (67 [5] y) and 13 active young adults (21 [3] y) walked at 1.3 m/s. The older adults also walked at 1.3 m/s with step lengths prescribed from height-matched young adults and, in a separate condition, walked with an upright trunk. The older adults did not display larger ankle kinetics or smaller hip kinetics in either condition compared to walking with a selfselected step length. These findings indicate that step length and trunk position do not primarily contribute to age-related differences in kinetics in highly active older adults and should serve as a starting point for investigating alternative explanations. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

Since vision is used in studies of muscle force control, reduced muscle force control might be related to reduced visual ability. We investigated relationships between steadiness in eye movements and quadriceps muscle torque (a surrogate for force) during isometric contractions of constant and varying torques. Nineteen young adults with an average age of 20.7 years and 18 old adults with an average age of 71.6 years performed three vision tasks, three vision and torque tasks at 40% maximal voluntary contraction (MVC), and three vision and torque tasks at 54 nm. Age groups had identical torque steadiness (CV) in 40%-MVC and 54-nm conditions (p > .05). Old had similar vertical (p > .05) but decreased horizontal visual steadiness (SD) (p < .05) compared with young. Correlations between visual steadiness and muscle torque steadiness failed to show a significant relationship (p > .05). We were unable to identify a substantial relationship between muscle torque steadiness and eye movement, as a component of visual steadiness, and conclude that reduced visual steadiness does not contribute to reduced muscle torque steadiness. [ABSTRACT FROM AUTHOR]

Background: Individuals with unilateral lower limb loss are at increased risk for developing knee osteoarthritis in their contralateral limb. The mechanisms underlying this phenomenon are unknown, but large or unusual loads on the limb are thought to contribute to osteoarthritis development. Yet, to our knowledge, there have been no longitudinal assessments of knee joint kinetics to assist with identifying the origin or progression of such loads.Research Question: This study aimed to examine knee joint kinetics of individuals with lower limb loss as a function of time from independent ambulation.Methods: Eight male Service Members with unilateral lower limb loss (3 transfemoral/5 transtibial) completed gait analyses, walking at self-selected speed and cadence, at 0, 2, and 6 months following initial independent ambulation.Results: Although there was a significant time effect on stride length (p = 0.047), there were no pairwise differences (all p ≥ 0.152). Additionally, there was not a significant effect of time on the peak (p = 0.666), loading rate (p = 0.336), or impulse (p = 0.992) of knee adduction moment (KAM), peak knee flexion moment (KFM) (p = 0.128), or the peak (p = 0.485) or loading rate (p = 0.130) of vertical ground reaction force (VGRF).Significance: The results of the current study demonstrate that major features of knee joint loading do not change over the first 6 months of independently walking with a prosthesis. The magnitude of these loads are similar to loads observed in individuals with lower limb loss further from injury/initial ambulation, but the present results do not imply that no changes occur after 6 months. [ABSTRACT FROM AUTHOR]

The mechanisms responsible for increased metabolic cost of walking in older adults are poorly understood. We recently proposed a theoretical premise by which age-related reductions in Achilles tendon stiffness (k AT ) can disrupt the neuromechanics of calf muscle force production and contribute to faster rates of oxygen consumption during walking. The purpose of this study was to objectively evaluate this premise. We quantified k AT at a range of matched relative activations prescribed using electromyographic biofeedback and walking metabolic cost and ankle joint biomechanics in a group of 15 younger (age: 23 ± 4 yr) and 15 older (age: 72 ± 5 yr) adults. Older adults averaged 44% lower k AT than younger adults at matched triceps surae activations during isokinetic dorsiflexion tasks on a dynamometer ( P = 0.046). Older adults also walked with a 17% higher net metabolic power ( P = 0.017) but indistinguishable peak Achilles tendon forces than younger adults. Thus, data implicate altered tendon length-tension relations with age more than differences in the operating region of those length-tension relations between younger and older adults. In addition, we discovered empirical evidence that lesser k AT -likely due to the shorter muscle lengths and thus higher relative activations it imposes-was positively correlated with higher net metabolic power during walking ( r = -0.365, P = 0.048). These results pave the way for interventions focused on restoring ankle muscle-tendon unit structural stiffness to improve walking energetics in aging. NEW & NOTEWORTHY This study provides the first empirical evidence to our knowledge that age-related decreases in k AT exact a potentially significant metabolic penalty during walking. These results pave the way for interventions focused on restoring ankle muscle-tendon unit structural stiffness to improve walking energetics in aging.