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Ankle muscle co-contractions during quiet standing are associated with decreased postural steadiness in the elderly.

Identifieur interne : 000542 ( Main/Curation ); précédent : 000541; suivant : 000543

Ankle muscle co-contractions during quiet standing are associated with decreased postural steadiness in the elderly.

Auteurs : Albert H. Vette [Canada] ; Dimitry G. Sayenko [États-Unis] ; Michael Jones [Canada] ; Masaki O. Abe [Japon] ; Kimitaka Nakazawa [Japon] ; Kei Masani [Canada]

Source :

RBID : pubmed:28411442

Descripteurs français

English descriptors

Abstract

It has been reported that the elderly use co-contraction of the tibialis anterior (TA) and plantarflexor muscles for longer duration during quiet standing than the young. However, the particular role of ankle muscle co-contractions in the elderly during quiet standing remains unclear. Therefore, the objective of this study was to investigate the association between ankle muscle co-contractions and postural steadiness during standing in the elderly. Twenty-seven young (27.2±4.5yrs) and twenty-three elderly (66.2±5.0yrs) subjects were asked to stand quietly on a force plate for five trials. The center of pressure (COP) trajectory and its velocity (COPv) as well as the center of mass (COM) trajectory and its velocity (COMv) and acceleration (ACC) were calculated using the force plate outputs. Electromyograms were obtained from the right TA, soleus (SOL), and medial gastrocnemius (MG) muscles. Periods of TA activity (TAon) and inactivity (TAoff) were determined using an EMG threshold based on TA resting level. Our results indicate that, in the elderly, the COPv, COMv, and ACC variability were significantly larger during TAon periods compared to TAoff periods. However, in the young, no significant association between respective variability and TA activity was found. We conclude that ankle muscle co-contractions in the elderly are not associated with an increase, but a decrease in postural steadiness. Future studies are needed to clarify the causal relationship between (1) ankle muscle co-contractions and (2) joint stiffness and multi-segmental actions during standing as well as their changes with aging.

DOI: 10.1016/j.gaitpost.2017.03.032
PubMed: 28411442

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Le document en format XML

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<term>Aged (MeSH)</term>
<term>Ankle (physiology)</term>
<term>Electromyography (MeSH)</term>
<term>Female (MeSH)</term>
<term>Healthy Volunteers (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Motor Activity (physiology)</term>
<term>Muscle Contraction (physiology)</term>
<term>Muscle, Skeletal (physiology)</term>
<term>Postural Balance (physiology)</term>
<term>Posture (physiology)</term>
<term>Pressure (MeSH)</term>
<term>Rest (physiology)</term>
<term>Time Factors (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Activité motrice (physiologie)</term>
<term>Cheville (physiologie)</term>
<term>Contraction musculaire (physiologie)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Muscles squelettiques (physiologie)</term>
<term>Mâle (MeSH)</term>
<term>Posture (physiologie)</term>
<term>Pression (MeSH)</term>
<term>Repos (physiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Volontaires sains (MeSH)</term>
<term>Électromyographie (MeSH)</term>
<term>Équilibre postural (physiologie)</term>
</keywords>
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<term>Activité motrice</term>
<term>Cheville</term>
<term>Contraction musculaire</term>
<term>Muscles squelettiques</term>
<term>Posture</term>
<term>Repos</term>
<term>Équilibre postural</term>
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<term>Ankle</term>
<term>Motor Activity</term>
<term>Muscle Contraction</term>
<term>Muscle, Skeletal</term>
<term>Postural Balance</term>
<term>Posture</term>
<term>Rest</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Electromyography</term>
<term>Female</term>
<term>Healthy Volunteers</term>
<term>Humans</term>
<term>Male</term>
<term>Pressure</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pression</term>
<term>Sujet âgé</term>
<term>Volontaires sains</term>
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<div type="abstract" xml:lang="en">It has been reported that the elderly use co-contraction of the tibialis anterior (TA) and plantarflexor muscles for longer duration during quiet standing than the young. However, the particular role of ankle muscle co-contractions in the elderly during quiet standing remains unclear. Therefore, the objective of this study was to investigate the association between ankle muscle co-contractions and postural steadiness during standing in the elderly. Twenty-seven young (27.2±4.5yrs) and twenty-three elderly (66.2±5.0yrs) subjects were asked to stand quietly on a force plate for five trials. The center of pressure (COP) trajectory and its velocity (COPv) as well as the center of mass (COM) trajectory and its velocity (COMv) and acceleration (ACC) were calculated using the force plate outputs. Electromyograms were obtained from the right TA, soleus (SOL), and medial gastrocnemius (MG) muscles. Periods of TA activity (TAon) and inactivity (TAoff) were determined using an EMG threshold based on TA resting level. Our results indicate that, in the elderly, the COPv, COMv, and ACC variability were significantly larger during TAon periods compared to TAoff periods. However, in the young, no significant association between respective variability and TA activity was found. We conclude that ankle muscle co-contractions in the elderly are not associated with an increase, but a decrease in postural steadiness. Future studies are needed to clarify the causal relationship between (1) ankle muscle co-contractions and (2) joint stiffness and multi-segmental actions during standing as well as their changes with aging.</div>
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<AbstractText>It has been reported that the elderly use co-contraction of the tibialis anterior (TA) and plantarflexor muscles for longer duration during quiet standing than the young. However, the particular role of ankle muscle co-contractions in the elderly during quiet standing remains unclear. Therefore, the objective of this study was to investigate the association between ankle muscle co-contractions and postural steadiness during standing in the elderly. Twenty-seven young (27.2±4.5yrs) and twenty-three elderly (66.2±5.0yrs) subjects were asked to stand quietly on a force plate for five trials. The center of pressure (COP) trajectory and its velocity (COPv) as well as the center of mass (COM) trajectory and its velocity (COMv) and acceleration (ACC) were calculated using the force plate outputs. Electromyograms were obtained from the right TA, soleus (SOL), and medial gastrocnemius (MG) muscles. Periods of TA activity (TAon) and inactivity (TAoff) were determined using an EMG threshold based on TA resting level. Our results indicate that, in the elderly, the COPv, COMv, and ACC variability were significantly larger during TAon periods compared to TAoff periods. However, in the young, no significant association between respective variability and TA activity was found. We conclude that ankle muscle co-contractions in the elderly are not associated with an increase, but a decrease in postural steadiness. Future studies are needed to clarify the causal relationship between (1) ankle muscle co-contractions and (2) joint stiffness and multi-segmental actions during standing as well as their changes with aging.</AbstractText>
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<Keyword MajorTopicYN="Y">Posturography</Keyword>
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