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Comparison of stair walking mechanics between adult males and females
Bulletin of Faculty of Physical Therapy volume 21, pages 88–93 (2016)
Abstract
Background
Stair negotiation is a daily functional activity that poses greater mechanical burden as compared with level walking. Few studies have investigated the biomechanical demands of stair walking tasks. However, sex-based biomechanical differences of such tasks, in terms of joint movement and muscle activity, have not been previously reported.
Purpose
The aim of this study was to investigate sex-based differences in lower extremity joint kinematics and muscular electromyography (EMG) in healthy adults during stair ascent and descent.
Materials and methods
A total of 20 participants (10 males and 10 females), with mean±SD age of 21.7±2.7 years, ascended and descended a two-sided staircase. Sagittal movements of the hip, knee, and ankle joints were measured using a Qualisys motion analysis system. Peak amplitude of surface EMG activity for gluteus medius, rectus femoris (RF), vastus lateralis, and soleus muscles was collected using a Biopack EMG system. Each participant performed three repetitions, and an average was calculated for analysis.
Results
Female participants demonstrated significantly higher hip and knee angles (P=0.01) during stair ascent and higher hip angles and ankle dorsiflexion (P=0.01) during stair descent than male participants. Female participants also exerted higher normalized muscular activity than male participants for RF, vastus lateralis, and soleus muscles during ascent. However, only RF muscle had significantly higher readings for female participants during stair descent.
Conclusion
Female participants perform stair negotiation using greater angular excursion and muscle activation than male participants. This could impose greater mechanical burden on lower extremity structures and, consequently, increase energy consumption. Therefore, sex-based differences should be considered when planning a stair-negotiation rehabilitation program.
References
Decker MJ, Torry MR, Wyland DJ, Sterett WI, Steadman JR. Gender differences in lower extremity kinematics, kinetics and energy absorption during landing. Clin Biomech (Bristol, Avon) 2003; 18:662–669.
Ferber R, Davis IM, Williams DS III. Gender differences in lower extremity mechanics during running. Clin Biomech (Bristol, Avon) 2003; 18: 350–357.
Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 2002; 36:95–101.
Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clin Biomech 2001; 16:438–445.
Pollard CD, Davis IM, Hamill J. Influence of gender on hip and knee mechanics during a randomly cued cutting maneuver. Clin Biomech 2004; 19:1022–1031.
Medina JM, Valovich McLeod TC, Howell SK, Kingma JJ. Timing of neuromuscular activation of the quadriceps and hamstrings prior to landing in high school male athletes, female athletes, and female non-athletes. J Electromyogr Kinesiol 2008; 18:591–597.
Agel J, Arendt EA, Bershadsky B. Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. Am J Sports Med 2005; 33:524–530.
Protopapadaki A, Drechsler WI, Cramp MC, Coutts FJ, Scott OM. Hip, knee, ankle kinematics and kinetics during stair ascent and descent in healthy young individuals. Clin Biomech 2007; 22:203–210.
Lin YC, Fok LA, Schache AG, Pandy MG. Muscle coordination of support, progression and balance during stair ambulation. J Biomech 2015; 48:340–347.
Costigan PA, Deluzio KJ, Wyss UP. Knee and hip kinetics during normal stair climbing. Gait Posture 2002; 16:31–37.
Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at different inclinations. Gait Posture 2002; 15:32–44.
Mian OS, Thom JM, Narici MV, Baltzopoulos V. Kinematics of stair descent in young and older adults and the impact of exercise training. Gait Posture 2007; 25:9–17.
Samuel D, Rowe P, Nicol A. The functional demand (FD) placed on the knee and hip of older adults during everyday activities. Arch Gerontol Geriatr 2013; 57:192–197.
Madehkhaksar F, Egges A. Effect of dual task type on gait and dynamic stability during stair negotiation at different inclinations. Gait Posture 2016; 43:114–119.
Qu X, Hu X. Lower-extremity kinematics and postural stability during stair negotiation: effects of two cognitive tasks. Clin Biomech 2014; 29:40–46.
Vallabhajosula S, Tan CW, Mukherjee M, Davidson AJ, Stergiou N. Biomechanical analyses of stair-climbing while dual-tasking. J Biomech 2015; 48:921–929.
Koyama Y, Tateuchi H, Nishimura R, Ji X, Umegaki H, Kobayashi M, Ichihashi N. Relationships between performance and kinematic/kinetic variables of stair descent in patients with medial knee osteoarthritis: an evaluation of dynamic stability using an extrapolated center of mass. Clin Biomech 2015; 30:1066–1070.
Standifird TW, Saxton AM, Coe DP, Cates HE, Reinbolt JA, Zhang S. Influence of total knee arthroplasty on gait mechanics of the replaced and non-replaced limb during stair negotiation. J Arthroplasty 2016; 31: 278–283.
Queen RM, Attarian DE, Bolognesi MP, Butler RJ. Bilateral symmetry in lower extremity mechanics during stair ascent and descent following a total hip arthroplasty: a one-year longitudinal study. Clin Biomech 2015; 30: 53–58.
Sung PS, Lee DC. Gender differences in onset timing and activation of the muscles of the dominant knee during stair climbing. Knee 2009; 16: 375–380.
Baldon Rde M, Lobato DF, Furlan L, Serrao FV. Gender differences in lower limb kinematics during stair descent. J Appl Biomech 2013; 29:413–420.
Hsue B-J, Su F-C. Effects of age and gender on dynamic stability during stair descent. Arch Phys Med Rehabil 2014; 95:1860–1869.
Hamel KA, Okita N, Bus SA, Cavanagh PR. A comparison of foot/ground interaction during stair negotiation and level walking in young and older women. Ergonomics 2005; 48:1047–1056.
Nadeau S, McFadyen BJ, Malouin F. Frontal and sagittal plane analyses of the stair climbing task in healthy adults aged over 40 years: what are the challenges compared to level walking? Clin Biomech (Bristol, Avon) 2003; 18:950–959.
Delagi E, Perotto A. Anatomic guide for the electromyographer. 2nd ed. 1980, Springfield, Illinois: Charles C Thomas, Publisher, LTD. 183–268.
Livingston LA, Tevenson JM, Olney SJ. Stairclimbing kinematics on stairs of differing dimensions. Arch Phys Med Rehabil 1991; 72:398–402.
Russell KA, Palmieri RM, Zinder SM, Ingersoll CD. Sex differences in valgus knee angle during a single-leg drop jump. J Athl Train 2006; 41: 166–171.
Cowan SM, Crossley KM. Does gender influence neuromotor control of the knee and hip? J Electromyogr Kinesiol 2009; 19:276–282.
Kerrigan DC, Todd MK, Della Croce U. Gender differences in joint biomechanics during walking: normative study in young adults. Am J Phys Med Rehabil 1998; 77:2–7.
Zeller BL, McCrory JL, Kibler WB, Uhl TL. Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med 2003; 31:449–456.
Chumanov ES, Wall-Scheffler C, Heiderscheit BC. Gender differences in walking and running on level and inclined surfaces. Clin Biomech 2008; 23:1260–1268.
Youdas JW, Garrett TR, Harmsen S, Suman VJ, Carey JR. Lumbar lordosis and pelvic inclination of asymptomatic adults. Phys Ther 1996; 76: 1066–1081.
Cho SH, Park JM, Kwon OY. Gender differences in three dimensional gait analysis data from 98 healthy Korean adults. Clin Biomech (Bristol, Avon) 2004; 19:145–152.
Snow RE, Williams KR. High heeled shoes: their effect on center of mass position, posture, three-dimensional kinematics, rearfoot motion, and ground reaction forces. Arch Phys Med Rehabil 1994; 75:568–576.
Hamill J, Knutzen K. Biomechanical basis of human movement. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2009.
Karkousha R. Sex differences of knee joint repositioning accuracy in healthy adolescents. Bull Fac Phys Ther 2016; 21:56–60.
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Farrag, A. Comparison of stair walking mechanics between adult males and females. Bull Fac Phys Ther 21, 88–93 (2016). https://doi.org/10.4103/1110-6611.196781
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DOI: https://doi.org/10.4103/1110-6611.196781