Age-related changes in the control of whole-body angular momentum during stepping.

Abstract

Appropriate control of whole-body angular momentum (H) is crucial to maintain dynamic balance and thus avoid falling during daily activities. Poor H control ability during locomotion has been found in people with an increased risk of falling, such as post-stroke patients and amputees. In contrast, little is known about the control of H during locomotion in the elderly. The aim of this study was to investigate whether and how aging influences three-dimensional H control during initiation of stepping. Twenty-two healthy old and 22 healthy young individuals were instructed to perform a series of initiation of stepping with their dominant leg and at their self-selected preferred pace. Two force plates and a motion capture system were used to record H, the net external moment about the body's center of mass and components of this net external moment (moment arms and ground reaction forces) during the double support and step execution phases of stepping. In the double support phase, older participants exhibited smaller peak-to-peak ranges of H in the sagittal and transversal planes compared to their younger counterparts. These results were explained by decreased net external moments in both planes in the older participants. Conversely, during the step execution phase, older adults had higher peak-to-peak ranges of H in the frontal and sagittal planes compared to the younger adults. These higher ranges of H were associated with a longer duration of the step execution phase. Furthermore, in the sagittal plane, a higher external moment also contributed to increasing peak-to-peak ranges of H in older adults. The current study revealed that older and younger adults exhibit different control strategies of H during initiation of stepping. The age-related changes, which may emphasize a higher difficulty to control H in the older adults, could impose a higher challenge for balance control and a potentially higher risk of falling during the step execution phase in this population.