Effect of walking speed on the intersegmental coordination of lower-limb segments in elderly adults.

BACKGROUND

Ageing brings profound changes in walking gait. For example, older adults reduce the modification of pelvic and trunk kinematics with walking speed. However, the modification of the coordination between lower-limb segments with age has never been investigated across various controlled speeds.

RESEARCH QUESTION

Is the effect of speed on the intersegmental coordination different between elderly and young adults?

METHODS

Nineteen senior and eight young adults walked on a treadmill at speeds ranging from 0.56 to 1.94 m s. The motion of the lower-limb segments in the sagittal plane was recorded by cinematography. When the angles of the thigh, shank and foot during a stride are plotted one versus the other, they describe loops constraint on a plane. The coordination between lower-limb segments was thus evaluated by performing a principal component analysis between the thigh, shank and foot elevation angles. The effect of speed and age on the intersegmental coordination was examined using a two-level linear mixed model ANOVA.

RESULTS

In both age groups the orientation of the plane changes with speed, due to a more in-phase shank and foot motion. However, the effect of speed on the covariation plane is lessened with age.

SIGNIFICANCE

Our results demonstrate that there is an age-related specific adjustment of the intersegmental coordination to speed. In particular, older adults restrict their repertoire of angular segment motion. These differences in coordination are mainly related to different foot-shank coordination.