脚踝
医学
接头(建筑物)
物理医学与康复
物理疗法
解剖
工程类
建筑工程
作者
Nader Fallah,Owen N. Beck
摘要
Older adults walk using their hips relatively more and their ankles relatively less than young adults. This “distal-to-proximal redistribution” in leg joint mechanics is thought to drive the age-related increase in metabolic rate during walking. However, many morphological differences between hip and ankle joints make it difficult to predict how – or if – the distal-to-proximal redistribution affects metabolic rate during walking. To address this uncertainty, we compared the metabolic rate of participants while they repeatedly produced isolated hip and ankle moment cycles on a dynamometer following biofeedback. Overall, participants produced greater joint moments at their ankle vs. hip (p=0.004) and correspondingly activated their largest ankle extensor muscle more than their largest hip extensor muscle (p=0.046). Cycle average muscle activation across other hip and ankle extensors was nondifferent (all p=0.080–0.848). Despite producing greater joint moments using slightly more relative muscle activation at the ankle, participants expended more net metabolic power while producing moments at the hip (p=0.002). Therefore, producing joint extension moments at the hip requires more metabolic energy than that at the ankle. Our results support the notion that the distal-to-proximal redistribution of joint mechanics contribute to greater metabolic rate during walking in older vs. young adults.
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