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  4. Neural and muscular factors both contribute to plantar-flexor muscle weakness in older fallers
 
research article

Neural and muscular factors both contribute to plantar-flexor muscle weakness in older fallers

Cattagni, Thomas
•
Harnie, Jonathan
•
Jubeau, Marc
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October 2, 2018
Experimental Gerontology

Plantar-flexor muscles are key muscles in the control of postural sway. Older fallers present lower maximal plantar-flexor performance than older non-fallers; however, the mechanisms underlying this motor impairment remain to be elucidated. This study aimed to determine whether muscular and neural factors are both involved in the lower maximal plantar-flexor performance of older fallers. The maximal voluntary contraction (MVC) torque, resting twitch torque, voluntary activation level (VAL), and electromyographic (EMG) activities for the soleus, gastrocnemius medialis, gastrocnemius lateralis and tibialis anterior during plantar-flexor MVCs were recorded in 23 older non-fallers (age: 83.3 +/- 3.9 years) and 25 older fallers (age: 84.0 +/- 4.1 years). The maximal plantar-flexor Hoffmann reflex normalized to the maximal motor potential (Hmax/Mmax) was measured to assess the efficacy of spinal transmission from the Ia-afferent fibers to the alpha-motoneurons. Older fallers presented lower plantar-flexor MVC torque, resting twitch torque, VAL and EMG activity (P < 0.05). No significant differences between older fallers and non-fallers were found for the H-max/M-max ratio and dorsi-flexor coactivation. The current findings showed for the first time that both neural and muscular factors associated with the plantar-flexors contributed to the specific alteration of maximal motor performance in older fallers. The lack of a difference in the H-max/M-max ratio indicated that the efficacy of spinal transmission from the Ia-afferent fibers to the a-motoneurons was not involved in the lower voluntary muscle activation of older fallers. This suggests that supraspinal centers are likely to be involved in the lower voluntary muscle activation observed in older fallers.

  • Details
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Type
research article
DOI
10.1016/j.exger.2018.09.011
Web of Science ID

WOS:000445909300017

Author(s)
Cattagni, Thomas
Harnie, Jonathan
Jubeau, Marc
Hucteau, Elyse
Couturier, Catherine
Mignardot, Jean-Baptiste  
Deschamps, Thibault
Berrut, Gilles
Cornu, Christophe
Date Issued

2018-10-02

Publisher

PERGAMON-ELSEVIER SCIENCE LTD

Published in
Experimental Gerontology
Volume

112

Start page

127

End page

134

Subjects

Geriatrics & Gerontology

•

falls

•

aging

•

plantar-flexor muscles

•

muscle strength

•

voluntary activation

•

hoffmann reflex

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ankle joint

•

contractile properties

•

neuromuscular system

•

physical-activity

•

explosive power

•

elderly fallers

•

risk-factors

•

motor units

•

h-reflex

•

strength

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPCOURTINE  
Available on Infoscience
December 13, 2018
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/152405
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