Controlling the ground reaction force angle characterises better recovery
following a single forward falling slip in young and older adults
H. Debelle, C. Maganaris, T. O’Brien
Liverpool John Moores University, Research Institute for Sport and Exercise Sciences, Liverpool, United Kingdom
1. Introduction
Evidence now shows that forward falling slips (FFS) can be important
causes of falls [1,2]. Therefore, studies to understand the characteristics
and requirements of successful recovery are needed to devise compre-
hensive fall prevention interventions, especially for older adults (OA).
2. Research question
How do young adults (YA) and OA recover their balance following a
FFS? What strategies characterise the most successful recoveries?
3. Methods
Thirteen YA (24.8 ± 3.3y, 175.4 ± 5.8 cm, 71.0 ± 7.0 kg) and
thirteen OA (60.8 ± 5.5y, 162.4 ± 8.0 cm, 66.4 ± 12.3 kg) walked on a
split-belt instrumented treadmill at 1.2 m⋅s
1
. We simulated a FFS by
increasing the posterior velocity of the slipped foot in the second half of
stance [3]. We measured dynamic balance (margin of stability at heel
strike: MoS
HS
), hip, knee and ankle moments, sagittal ground reaction
force angle (GRF
θ
, vertical = 0
◦
) during the slip (Slip) and ffteen re-
covery steps (Rec1–Rec15).
Statistical parametric mapping tested each outcome measure for
differences between Age, Step and Age*Step, with relevant post-hoc
tests.
When a signifcant effect of step was detected, binomial correlations
tested whether the specifc adaptation was associated with better re-
covery, defned by the absolute change in MoS
HS
from Normal (average
of 5 gait cycles collected before Slip) to the following step.
Fig. 1. XXX.
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Gait & Posture
journal homepage: www.elsevier.com/locate/gaitpost
https://doi.org/10.1016/j.gaitpost.2020.07.063
0966-6362/© 2020 Published by Elsevier Ltd.
Gait & Posture 81 (2020) 77–78