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Updated: Dec 29, 2025

Sit-to-stand-and-walk from 120% Knee Height: A Novel Approach to Assess Dynamic Postural Control Independent of Lead-limb
Published on: August 30, 2016
Physiological changes during prolonged standing and walking considering age, gender and standing work experience
Rudolf Wall1, Gabriela Garcia2,3, Thomas Läubli1,2
1Institute of Occupational and Social Medicine and Health Services Research, University Hospital, Tuebingen, Germany.
Walking effectively prevents lower leg swelling and muscle fatigue associated with prolonged occupational standing. Intermittent walking breaks are recommended to mitigate health risks from static standing postures.
Area of Science:
- Occupational health
- Ergonomics
- Physiology
Background:
- Prolonged occupational standing is linked to musculoskeletal and venous disorders.
- Understanding the physiological differences between standing and walking is crucial for workplace health interventions.
Purpose of the Study:
- To compare lower leg edema and muscle fatigue development during prolonged standing versus walking.
- To investigate the influence of age, gender, and standing work habituation on these outcomes.
Main Methods:
- Sixty participants underwent 4.5-hour standing or walking protocols with seated breaks.
- Lower leg swelling (LLS) was measured using water plethysmography/bioelectrical impedance (WP/BI).
- Muscle fatigue and gastrocnemius activity were assessed via muscle twitch force (MTF) and surface electromyography (SEMG).
Main Results:
- Standing induced LLS and muscle fatigue, whereas walking did not.
- Continuous low-level medial gastrocnemius activity was not observed during standing.
- Age, gender, and standing habituation did not significantly influence the results.
Conclusions:
- Walking is an effective preventive measure against detrimental effects of quasi-static occupational standing.
- Intermittent walking can mitigate health risks associated with prolonged standing.
- Fatigue may originate from muscles other than the medial gastrocnemius during prolonged standing.
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