Foot and ankle biomechanics during walking in older adults : a systematic review and meta-analysis of observational studies

Pol, F, Baharlouei, H, Taheri, A, Menz, HB and Forghany, S 2021, 'Foot and ankle biomechanics during walking in older adults : a systematic review and meta-analysis of observational studies' , Gait & Posture, 89 , pp. 14-24.

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Abstract

The foot and ankle complex undergoes significant structural and functional changes with advancing age. The objective of this systematic review and meta-analysis was to synthesize and critique the research literature pertaining to foot and ankle biomechanics while walking in young and older adults. Electronic databases (Web of Science, PubMed, Scopus and Embase) were searched from inception to April 2019 for cross-sectional studies which compared kinematics, kinetics and plantar pressure differences between young and older adults. Screening and data extraction were performed by two independent assessors, with disagreements resolved by consensus. A total of 39 articles underwent full-text screening, and 19 articles met the inclusion criteria and were included. Meta-analysis showed that older adults had less ankle joint plantar flexion (5 studies; weighted mean difference [WMD]: -5.15; 95 %CI: -6.47 to -3.83; P < 0.001) and less ankle joint power generation (6 studies; standardized mean difference [SMD]: -0.62; 95 %CI: -0.82 to -0.41; P < 0.001) during propulsion compared to young adults. These differences persisted in subgroup analyses comparing different walking speeds. Plantar pressure findings were highly variable due to differences in data collection protocols and meta-analysis was not possible. Older adults have unique foot and ankle kinematics and kinetics during walking characterized by reduced ankle joint plantarflexion and power generation during propulsion. [Abstract copyright: Copyright © 2021 Elsevier B.V. All rights reserved.]

Item Type: Article
Additional Information: ** From PubMed via Jisc Publications Router **Journal IDs: eissn 1879-2219 **Article IDs: pubmed: 34217001; pii: S0966-6362(21)00234-4 **History: accepted 23-06-2021; revised 09-05-2021; submitted 22-03-2020
Schools: Schools > School of Health and Society
Journal or Publication Title: Gait & Posture
Publisher: Elsevier
ISSN: 0966-6362
Related URLs:
Funders: Musculoskeletal Research Center, Isfahan University of Medical Sciences
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 27 Sep 2021 12:30
Last Modified: 27 Sep 2021 12:30
URI: http://usir.salford.ac.uk/id/eprint/61244

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