Elderly subjects seem to rely more on foot sensitivity for control of body sway than young adults. In the elderly, a clinical intervention to improve foot sensitivity may help in upright posture maintenance.
Although the link between sagittal plane motion and exercise intensity has been highlighted, no study assessed if different workloads lead to changes in three-dimensional cycling kinematics. This study compared three-dimensional joint and segment kinematics between competitive and recreational road cyclists across different workloads. Twenty-four road male cyclists (12 competitive and 12 recreational) underwent an incremental workload test to determine aerobic peak power output. In a following session, cyclists performed four trials at sub-maximal workloads (65, 75, 85 and 95% of their aerobic peak power output) at 90 rpm of pedalling cadence. Mean hip adduction, thigh rotation, shank rotation, pelvis inclination (latero-lateral and anterior-posterior), spine inclination and rotation were computed at the power section of the crank cycle (12 o'clock to 6 o'clock crank positions) using three-dimensional kinematics. Greater lateral spine inclination (p < .01, 5-16%, effect sizes = 0.09-0.25) and larger spine rotation (p < .01, 16-29%, effect sizes = 0.31-0.70) were observed for recreational cyclists than competitive cyclists across workload trials. No differences in segment and joint angles were observed from changes in workload with significant individual effects on spine inclination (p < .01). No workload effects were found in segment angles but differences, although small, existed when comparing competitive road to recreational cyclists. When conducting assessment of joint and segment motions, workload between 65 and 95% of individual cyclists' peak power output could be used.
Purpose. Many falls in older people occur after tripping or slipping, mainly due to unsuccessful vertical clearances or horizontal distances. A first fall may be explained by several factors related to aging and can be a trigger to subsequent falls. It is unclear if a history of fall changes the kinematics of obstacle crossing, increasing the risk of trips. Here, we determined whether older women reporting a fall history showed different spatial-temporal kinematic parameters during obstacle crossing than non-fallers. In addition, we investigated the presence of asymmetries between the preferred and non-preferred lower limb during obstacle crossing in fallers and non-fallers. Methods. This cross-sectional study recruited older women with a history of fall (n = 10) and without falls (n = 10). They had their kinematic parameters evaluated when walking at self-selected speed along an 8-m walkway, crossing an obstacle positioned in the middle of the walkway, with both preferred and non-preferred limb as the lead limb. The groups were compared, and effects of lower limb preference were also determined in both groups. Results. No main effects of group were observed regarding the kinematic variables. An effect of leg preference was found for post-obstacle horizontal distance, which was greater for the preferred limb in both groups. Conclusions. In conclusion, the kinematics of gait with obstacle crossing does not differentiate between older women with or without a history of recent fall.
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