Effects of triceps surae muscle strength and tendon stiffness on the reactive dynamic stability and adaptability of older female adults during perturbed walking

This study aimed to examine whether the triceps surae (TS) muscle-tendon unit (MTU) mechanical properties affect gait stability and its reactive adaptation potential to repeated perturbation exposure in older adults. Thirty-four older adults each experienced eight separate unexpected perturbations during treadmill walking, while a motion capture system was used to determine the margin of stability (MoS) and base of support (BoS). Ankle plantar flexor muscle strength and Achilles tendon (AT) stiffness were analyzed using ultrasonography and dynamometry. A median split and separation boundaries classified the subjects into two groups with GroupStrong (n = 10) showing higher ankle plantar flexor muscle strength (2.26 +/- 0.17 vs. 1.47 +/- 0.20 N center dot m/kg, means +/- SD: P <0.001) and AT stiffness (544 +/- 75 vs. 429 +/- 86 N/mm; P = 0.004) than GroupWeak in = 12). The first perturbation caused a negative Delta MoS (MoS in relation to unperturbed baseline walking) at touchdown of perturbed step (Pert(R)), indicating an unstable position. GroupStrong required four recovery steps to return to Delta MoS zero level, whereas GroupWeak was unable to return to baseline within the analyzed steps. However, after repeated perturbations, both groups increased Delta MoS at touchdown of Pert(R) with a similar magnitude. Significant correlations between Delta BoS and Delta MoS at touchdown of the first recovery step and TS MTU capacities (0.41 <r <0.57: 0.006 <P