Effect of age and speed on the step-to-step transition phase during walking

Gait is a powerful measurement tool to evaluate the functional decline throughout ageing. Falls in elderly adults happen mainly during the redirection of the center of mass of the body (CoM) in the transition between steps. In young adults, this step-to-step transition begins before the double contact phase (DC) with a simultaneous forward and upward acceleration of the CoM. We hypothesize that, compared to young adults, elderly adults would exhibit unbalanced contribution of the back leg and the front leg during the transition. We calculated the mean vertical push-off done by the back leg (F_BACK) and the mean impact force on the front leg (F_FRONT) during the transition. Eight young (mean ± SD; age: 24 ± 2 y) and 19 elderly (age: 74 ± 6 y) healthy adults walked on a force-measuring treadmill at five selected speeds ranging from 0.56 to 1.67 m·s^-1. Results show that, at mid and high speeds, elderly adults exhibit a smaller F_BACK compared to young adults, possibly linked to the decreased plantar flexion of the back foot. As a consequence, F_FRONT is significantly increased and the transition begins lately in the step, at the beginning of DC. Also, elderly adults show an inability to accelerate the CoM upward and forward simultaneously. Our findings show a different adaptation of the step-to-step transition with speed in elderly adults and identify two potential indicators of gait impairment with age: the F_FRONT/F_BACK contribution and the synchronization between the upward and forward acceleration of the CoM during the transition.