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Sex differences in Achilles tendon behaviour during walking.

C M Waugh1, K Squier1, A Scott1

  • 1Dept. Physical Therapy, Faculty of Medicine, University of British Columbia, Canada; Centre for Aging SMART, Vancouver Coastal Health Research Institute, BC, Canada.

Journal of Biomechanics
|June 6, 2025
PubMed
Summary
This summary is machine-generated.

Men and women exhibit distinct Achilles tendon (AT) behaviors during walking. Men show greater AT stiffness, while women experience higher AT strain, indicating sex-specific biomechanical differences.

Keywords:
HysteresisMechanical propertiesStiffnessStrain

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Area of Science:

  • Biomechanics
  • Human Locomotion
  • Tendon Physiology

Background:

  • The Achilles tendon (AT) is vital for locomotion.
  • Potential sex-based differences in AT properties may influence biomechanical behavior.
  • Understanding these differences is key to comprehending tendon function.

Purpose of the Study:

  • To investigate sex-based differences in Achilles tendon strain and mechanical properties during walking.
  • To compare AT morphological and mechanical parameters between men and women.
  • To analyze dynamic AT behavior during the gait cycle.

Main Methods:

  • 17 men and 15 women walked on an instrumented treadmill.
  • 3D motion capture and ultrasound imaging recorded gait kinematics and AT displacement.
  • MANOVA and 1D statistical parametric mapping analyzed sex differences in AT properties and time-series data.

Main Results:

  • Men displayed significantly larger AT dimensions and greater stiffness compared to women.
  • Women exhibited higher peak AT displacement and strain during the push-off phase.
  • Men showed increased AT loading rates in the late stance phase of walking.

Conclusions:

  • Significant sex-based differences exist in Achilles tendon biomechanics during walking.
  • These findings highlight sex-specific adaptations in tendon behavior during locomotion.
  • Further research under varied loading conditions and age groups is warranted to fully elucidate sex differences in tendon mechanics.