Increased Variability in Lower Limb Muscle Activation Is Observed with Increasing Walking Speed in Fall-Risk Older Adults
2024

Muscle Activation and Variability in Older Adults Walking at Different Speeds

Sample size: 301 publication 10 minutes Evidence: high

Author Information

Author(s): Park Yongnam, Bae Youngsook, Chou Li-Wei, Kang Jiunn-Horng, Piravej Krisna, Chua Karen Sui Geok

Primary Institution: Gachon University

Hypothesis

Fall-risk older adults would exhibit decreased muscle activation and greater variability in lower limb muscle activity as walking speed increases compared to non-fall-risk older adults.

Conclusion

In older adults at risk for falls, muscle activation variability increased with changes in walking speed, suggesting that reducing this variability may help prevent falls.

Supporting Evidence

  • Fall-risk older adults had significantly lower GCM activity and higher CVs of RF, BF, TA, and GCM at preferred speed.
  • With changes in gait speed, fall-risk older adults had significantly increased CVs of RF, BF, and GCM.
  • Variability in muscle activation is closely related to fall risk in older adults.

Takeaway

Older people who are at risk of falling have more inconsistent muscle movements when they walk faster, which can make them more likely to fall.

Methodology

This cross-sectional study measured muscle activation and variability in 301 older adults walking at different speeds using electromyography.

Potential Biases

Potential psychological factors, such as fear of walking on a treadmill, may have affected muscle activation.

Limitations

The study only included older adults who could walk on a treadmill, which may not reflect real-life walking conditions.

Participant Demographics

Participants were community-dwelling older adults aged 70-90 years, with 135 men and 166 women.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/life14121551

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