Instability During Stepping and Distance Between the Center of Mass and the Minimal Moment Axis: Effect of Age and Speed

The goal of this study was to analyze instability during stepping at different speeds in young and older adults. To this aim, the anteroposterior and the mediolateral distances between the body center of mass (COM) and the minimum moment axis (MMA) were computed. A total of 15 young adults (25 y.o. [19–29]) and 15 older adults (68.7 y.o. [63–77]) volunteered for this study. For the computation of the distances, a complete biomechanical protocol combining two force platforms and a 3D motion capture analysis system was setup. The subjects were equipped with 47 reflective markers and were modeled as a frictionless multibody system with 19 segments, 18 joints and 42 degrees of freedom. They were asked to perform a series of stepping tasks at fast and spontaneous speeds. The stepping was divided into five phases, with successive swing and double-stance phases. Greater instability was observed during the swing phases. The distances reveal a significant higher instability at fast speed for both groups (p < 0.001) for all the phases compared with spontaneous speeds. The anteroposterior distance was significantly greater for older adults, highlighting greater instability compared to young adults, while no differences were observed for the mediolateral distance all along the five phases, suggesting higher risks of backward and forward falls during stepping.