Department of Civil and Mechanical Engineering, University of Missouri-Kansas City, MO 64110, USA.
J Geriatr Phys Ther. 2012 Jan-Mar;35(1):8-14. doi: 10.1519/JPT.0b013e318221f53b.
Older adults often experience age-related declines in strength, which contribute to fall risk. Such age-related levels of fall risk may be compounded by further declines in strength caused by acute muscle fatigue. Both age- and fatigue-related strength reductions likely impact the ability to quickly develop joint torques needed to arrest falls. Therefore, the purpose of this study was to investigate the combined effects of age and localized muscle fatigue on lower extremity joint torque development.
Young (mean age, 26 (2.5) years) and older (mean age, 71 (2.8) years) healthy male adults performed an isometric ankle plantar flexion force control task before and after an ankle plantar flexor fatiguing exercise. Force control performance was quantified using onset time, settling time, and rate of torque development.
Age-related increases and decreases were observed for onset time and rate of torque development, respectively. A fatigue-related decrease in rate of torque development was observed in young, but not older adults.
The results suggest performance declines that may relate to older adults' reduced ability to prevent falls. A fatigue-related performance decline was observed among young adults, but not older, suggesting the presence of age-related factors such as motor unit remodeling and alterations in perceived exertion.
Older adults demonstrated an overall reduction in the ability to quickly produce ankle torque, which may have implications for balance recovery and fall risk among older adults.
老年人通常会经历与年龄相关的力量下降,这会增加跌倒的风险。这种与年龄相关的跌倒风险可能会因急性肌肉疲劳导致的力量进一步下降而加剧。年龄和疲劳相关的力量下降都可能会影响快速产生所需关节扭矩以防止跌倒的能力。因此,本研究旨在探讨年龄和局部肌肉疲劳对下肢关节扭矩发展的综合影响。
年轻(平均年龄 26(2.5)岁)和老年(平均年龄 71(2.8)岁)健康男性成年人在进行踝关节跖屈等长力控制任务之前和之后进行了一次踝关节跖屈肌疲劳运动。通过起始时间、稳定时间和扭矩发展率来量化力控制性能。
观察到与年龄相关的起始时间增加和扭矩发展率降低。在年轻成年人中观察到与疲劳相关的扭矩发展率下降,但在老年成年人中未观察到。
结果表明可能与老年人跌倒预防能力降低有关的运动表现下降。在年轻成年人中观察到与疲劳相关的运动表现下降,但在老年成年人中未观察到,这表明存在与年龄相关的因素,如运动单位重塑和感知用力的改变。
老年人表现出快速产生踝关节扭矩的能力总体下降,这可能对老年人的平衡恢复和跌倒风险产生影响。