A musculoskeletal modelling approach to explain sit-to-stand difficulties in older people due to changes in muscle recruitment and movement strategies
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Accepted version
Accepted version
Author(s)
Smith, Samuel HL
Reilly, Peter
Bull, Anthony MJ
Type
Journal Article
Abstract
By 2050 the proportion of over 65s is predicted to be 20% of the population. The consequences of an age-related reduction in muscle mass have not been fully investigated and, therefore, the aim of the present study was to quantify the muscle and joint contact forces using musculoskeletal modelling, during a sit-to-stand activity, to better explain difficulties in performing everyday activities for older people. A sit-to-stand activity with and without the use of arm rests was observed in ninety-five male participants, placed into groups of young (aged 18-35 years), middle-aged (aged 40-60 years) or older adults (aged 65 years and over). Older participants demonstrated significantly lower knee extensor and joint forces than the young when not using arm rests, compensating through elevated hip extensor and ankle plantarflexor muscle activity. The older group were also found to have higher shoulder joint contact forces whilst using arm rests. This tendency to reorganise muscle recruitment to include neighbouring groups or other parts of the body could make everyday activities more susceptible to age-related functional decline. Reductions in leg strength, via age- or atrophy- related means, creates increased reliance on the upper body and may result in further lower limb atrophy through disuse. The eventual decline of upper body function reduces strength reserves, leading to increased vulnerability, dependence on others and risk of institutionalisation.
Date Issued
2020-01-02
Date Acceptance
2019-10-21
Citation
Journal of Biomechanics, 2020, 98
ISSN
0021-9290
Publisher
Elsevier BV
Journal / Book Title
Journal of Biomechanics
Volume
98
Copyright Statement
© 2019 Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor
Engineering and Physical Sciences Research Council
Identifier
https://www.sciencedirect.com/science/article/pii/S0021929019306992?via%3Dihub
Grant Number
EP/M507878/1
Subjects
Ageing population
Glenohumeral
Joint power
Patellofemoral
Quadriceps
Biomedical Engineering
0903 Biomedical Engineering
1106 Human Movement and Sports Sciences
0913 Mechanical Engineering
Publication Status
Published
Article Number
109451
Date Publish Online
2019-10-23