World Journal of Sport Sciences 5 (3): 205-215, 2011
ISSN 2078-4724
© IDOSI Publications, 2011
Corresponding Author: Heydar Sadeghi, Department of Kinesiology, Tarbiat Moallem University,
Theran, Mirdamad, Razan e Jonobi Shahid Keshvari Complex, Iran.
Tel: +21-22228001, Fax: +21-22269547.
205
Dynamic Stability and Propulsion During Gait of the Healthy Elderly and
Young Subjects Using Three Dimensional Kinetic Data
Heydar Sadeghi
Department of Kinesiology, Tarbiat Moallem University, Tehran, Iran
Abstract: Using 3D kinetic data, this study was undertaken to determine whether similar joint muscle power
activities or mechanical energies are developed for dynamic stability and propulsion during the gait of healthy
elderly and young individuals’ dynamic stability. Eighteen elderly (71±6.8 years) and 18 young (25±4.1 years)
able-bodied male subjects walked along a 10 m walkway at a freely-chosen speed. Data acquisition was
performed with a Motion Analysis system and with a three Optotrak position sensors while one AMTI force
platform recorded ground reaction forces. Spatio-temporal parameters as well as 22 peak joint muscle powers
and their corresponding mechanical energies were calculated for each gait cycle. T-tests for independent
samples was applied to determine statistical differences between the two groups (p<0.05). Though similar power
patterns were observed for both groups, significant differences were noted for the peak joint muscle powers
and their associated energies developed in most of the phases. In both groups, the greatest total work (positive
and negative) was done at the hip, followed by the ankle and the knee, while the smallest and greatest
differences between total energy in the elderly and young subjects were noted at the knee (58%) and ankle
(36%), respectively. The hip extensors compensated for the hip abductors to maintain balance in elderly gait.
For the younger subjects, propulsion from the hip extensors was initiated shortly after heel-strike, maintained
throughout midstance and completed at push-off by the ankle and the hip for pull-off. In elderly gait, propulsion
was limited to the ankle push-off and hip pull-off in the sagittal plane.
Key words: Biomechanics %Gait %Young %Elderly %Spatio-temporal parameters %Joint muscle power
INTRODUCTION tasks of propulsion and dynamic stability [11].
Changes in stereotypic movements such as walking between net joint powers (muscle activities) in all three
patterns have been reported as early as 60 years old [1-9]. different planes could reflect propulsion [18] and the
Hence, attempts have been made to better understand the consequence or outcome of higher hierarchy dynamic
mechanism of these changes in the geriatric population, stability [19] actions during walking. This study was
particularly for body support against gravity (dynamic undertaken to provide information about lower limb
stability) and forward propulsion (propulsion) [10-15]. To muscle dynamics during elderly gait with the focus on
our knowledge, while the lack of dynamic stability has understanding how lower limb muscle activities are
been recognized as a major potential cause of falls and associated with body support against gravity and
significant risk for injury [16], or destabilize lateral motion propulsion functions.
[17], less attention has been paid to providing insight into To explore this avenue, spatio-temporal parameters
propulsion or understanding how both dynamic stability were used as a conventional approach for characterizing
and propulsion are modified in the gait of the elderly the gait of elderly and young subjects. Joint muscle
population. moments [20] and joint muscle powers [18, 19] were used
The aim of locomotion is to support the body against as more convenience gait indicators to understand control
gravity while generating movements to propel the body and forward propulsion tasks [21]. The time integral of the
forward. It requires precise coordination between the power bursts (i.e. mechanical energy) was also calculated
Furthermore, it has been documented that interaction