Impact of Lower-Limb Muscle Fatigue on Dynamic Postural Control During Stair Descent: A Study Using Stair-Embedded...

This study used stair-embedded force plates to investigate the effects of lower-limb muscle fatigue on dynamic postural control during stair descent in young adults. Twenty-five healthy male adults (age = 19.2 ± 1.5 years) were tested for stair descent gait in pre-fatigue and post-fatigue conditions. To induce fatigue, participants performed a sit-to-stand task. The kinematic and kinetic data were collected synchronously, and gait parameters were analyzed. Data were analyzed using one-dimensional statistical parametric mapping (SPM1d) and paired t-tests in SPSS. After fatigue, the right knee flexion angle increased significantly across all phases (0-14%, p < 0.001; 14-19%, p = 0.032; 42-50%, p = 0.023; 60-65%, p = 0.022; 80-100%, p = 0.012). Additionally, the step width widened notably (p < 0.001), while the proportion of the swing phase decreased (p = 0.030). During the event of right-foot release, the left knee flexion (p = 0.005) and ankle dorsiflexion (p = 0.001) angle increased significantly, along with a larger left ankle plantarflexion moment (p = 0.032). After fatigue, the margin of stability in the anterior-posterior direction (MoS-AP) (p = 0.002, p = 0.014) and required coefficient of friction (RCOF) (p = 0.031, p = 0.021) significantly increased at the left-foot release and right-foot release moments. This study demonstrates that lower-limb muscle fatigue increases dynamic instability during stair descent. Participants adopted compensatory strategies, including widening step width, reducing single-support duration, and enhancing ankle plantarflexion to offset knee strength deficits. These adaptations likely reflect central nervous system mechanisms prioritizing stability, highlighting the ankle's compensatory role as a potential target for joint-specific interventions in fall prevention and rehabilitation. Future studies should investigate diverse populations, varying fatigue levels, and comprehensive neuromuscular indicators.