Age-induced changes in the lower limb muscle activities during uphill walking at steep grades

Highlights

• The gastrocnemius medialis and soleus facilitate push-off during late-stance phase.

• GAS and SOL peak activities for push-off are more strictly limited in elderly people.

• They compensate with the GMAX, RF and BF at low uphill grades.

• At steep grades, the BF activity lasts long into the mid-stance phase in elderly people.

• Hence, while young people push their body uphill, elderly people pull it uphill.

Abstract

Background

Uphill walking is particularly challenging for elderly persons. However, there is a lack of age-differentiated studies investigating the underlying differences in muscle activation when walking on sloped surfaces. These studies are needed, e.g., for planning of evacuations of large modern cruise ships with long walking distances on often inclined surfaces.

Methods

An age-differentiated, gender-balanced study with 26 young (20–30 years) and 26 elderly people (60–77 years) was therefore conducted, investigating uphill walking at 7° and at 14° contrasted to level walking on a treadmill. EMG signals of musculus gluteus maximus (GMAX), m. biceps femoris (BF), m. rectus femoris (RF), m. vastus medialis (VM), m. gastrocnemius medialis (GAS) and m. soleus (SOL) were analysed with regard to mean and maximum muscle activities and timing during the gait cycle.

Results

The results showed that walking uphill at 14° was highly strainful for elderly people. In line with previous research, young people mostly “pushed” themselves uphill with the GAS and SOL. In contrast, elderly people not only used the known compensatory ability of hip muscles to propel the trailing leg, but also showed a high level of BF activation prolonged until the mid-stance phase at the steepest uphill gradient of 14°.

Significance

The strikingly long activation of the BF until the mid-stance phase in elderly people at steep gradients is an unexpected, new finding. It suggests that, instead of pushing, elderly people “pull” themselves uphill. In cases of evacuations, the lower physical fitness levels of elderly passengers and their increased need for assistance on inclined surfaces have to be planned for in advance. Considering the findings in (home) training programmes might help elderly people to strengthen lower limb muscles and to enhance the efficiency of muscle activation patterns enabling them to manage steep inclinations more easily.