Masaya Anan1, Hiroka Hattori2, Kenji Tanimoto3, Yoshio Wakimoto4, Takuya Ibara5, Nobuhiro Kito6, Koichi Shinkoda7. 1. Physical Therapy Course, Faculty of Welfare and Health Science, Oita University. 2. Kurashikiheisei Hospital. 3. Graduate School of Biomedical & Health Sciences, Hiroshima University. 4. Graduate School of Health Sciences, Kobe University. 5. Kawashima Orthopaedic Hospital. 6. Hiroshima International University. 7. Department of Biomechanics, Institute of Biomedical and Health Sciences, Hiroshima University.
Abstract
OBJECTIVE: Sit-to-stand motion (STS) is a dynamic motion utilized in fundamental activities of daily living and requires extensive joint movement in the lower extremities and the trunk and coordination of multiple body segments. The present study aimed to investigate whether aging affects the motor coordination of joint movements required to stabilize the horizontal and vertical movement of center of mass using the uncontrolled manifold (UCM) analysis. METHOD: We recruited 39 older adults with no musculoskeletal and/or neuromuscular conditions that affected STS, along with 21 healthy younger adults. All subjects performed five STS trials from a chair with the seat height adjusted to the length of their lower leg at a self-selected motion speed. Kinematic data were collected using a three-dimensional motion analysis system. We performed the UCM analysis to assess the effects of joint angle variance (elemental variable) to stabilize the horizontal and vertical movement of COM (performance variable) and calculated the joint angle variance that does not affect COM (VUCM), the variance that affects COM (VORT), and the synergy index (ΔV). RESULTS: ΔV values in the horizontal direction were higher in the older adults than in the younger adults, but ΔV values in the vertical direction were lower in the older adults than in the younger adults. CONCLUSION: Older adults require increasing levels of stabilization of horizontal movement of COM after buttocks-off in the STS maneuver. As a result, variance in the joint angle of the lower extremities indicated no kinematic synergy for stabilizing the vertical movement of COM.
OBJECTIVE: Sit-to-stand motion (STS) is a dynamic motion utilized in fundamental activities of daily living and requires extensive joint movement in the lower extremities and the trunk and coordination of multiple body segments. The present study aimed to investigate whether aging affects the motor coordination of joint movements required to stabilize the horizontal and vertical movement of center of mass using the uncontrolled manifold (UCM) analysis. METHOD: We recruited 39 older adults with no musculoskeletal and/or neuromuscular conditions that affected STS, along with 21 healthy younger adults. All subjects performed five STS trials from a chair with the seat height adjusted to the length of their lower leg at a self-selected motion speed. Kinematic data were collected using a three-dimensional motion analysis system. We performed the UCM analysis to assess the effects of joint angle variance (elemental variable) to stabilize the horizontal and vertical movement of COM (performance variable) and calculated the joint angle variance that does not affect COM (VUCM), the variance that affects COM (VORT), and the synergy index (ΔV). RESULTS: ΔV values in the horizontal direction were higher in the older adults than in the younger adults, but ΔV values in the vertical direction were lower in the older adults than in the younger adults. CONCLUSION: Older adults require increasing levels of stabilization of horizontal movement of COM after buttocks-off in the STS maneuver. As a result, variance in the joint angle of the lower extremities indicated no kinematic synergy for stabilizing the vertical movement of COM.