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April 26, 2026Gait & Posture0 citationsOpen Access

Ageing alters ankle mechanics and muscle co-contraction patterns across the gait cycle

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CLCody LindsayTwitter (United States)CRCeridwen R. RadcliffeUniversity of CanberraMIMaarten A. Immink

Key Points

  • The aim is to investigate age-related changes in ankle mechanics and muscle activation patterns during walking.
  • Secondary analysis of 107 healthy adults aged 26–86 years
  • Three-dimensional motion capture, force platforms, and surface electromyography data were collected during walking
  • Time-normalised gait cycle data were analyzed using one-dimensional Statistical Parametric Mapping simple linear regressions.
  • Ageing increased tibialis anterior-gastrocnemius co-contraction during early and mid-stance, but reduced it in terminal stance.
  • Older adults showed greater dorsiflexion in late stance and reduced plantarflexion moments, alongside lower braking and propulsive ground reaction forces.
  • Increased gastrocnemius electromyography signals in early stance were noted, despite declining plantarflexion moments, indicating compensatory strategies.

Abstract

The ankle plays a central role in stability and propulsion during walking. Ageing alters muscle–tendon properties and neural coordination, disrupting the relationship between neuromuscular control and mechanical output. What are the age-related changes in tibialis anterior and gastrocnemius normalised electromyography signals, sagittal-plane ankle angle and moment, and braking–propulsive ground reaction force across the walking gait cycle? A secondary analysis was conducted on 107 healthy able-bodied adults aged 26–86 years who walked overground at self-selected speed while three-dimensional motion capture, force platforms and surface electromyography recorded movement data. Time-normalised gait cycle data were analysed using one-dimensional Statistical Parametric Mapping simple linear regressions to examine continuous age-related effects. Increasing age was associated with increased tibialis anterior–gastrocnemius co-contraction during early and mid-stance and reduced co-contraction in terminal stance. Older adults exhibited greater dorsiflexion in late stance and pre-swing, reduced plantarflexion moments in mid-stance, and lower braking and propulsive ground reaction forces. With increasing age, normalised gastrocnemius electromyography signal within the gait cycle increased in early stance even as plantarflexion moments declined, reflecting a stabilising motor-control strategy that compensates for reduced proprioceptive acuity. Ageing induces phase-specific ankle motor-control adaptations that maintain stability but reduce mechanical efficiency and propulsion. These changes likely contribute to slower gait, greater fatigue and elevated fall risk. Interventions should target neuromuscular timing, phase-specific coordination, proprioception and muscle–tendon function to restore propulsion without compromising stability. • Ageing alters ankle mechanics and phase-specific patterns of normalised electromyography signals across the gait cycle. • Ankle agonist-antagonist muscle co-contraction rises with age, aiding joint stability. • Late-stance plantarflexion and propulsion decline due to muscle-tendon changes.

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Cite This Study

Lindsay et al. (2026) studied this question.

synapsesocial.com/papers/69edab814a46254e215b36cdhttps://doi.org/10.1016/j.gaitpost.2026.110202
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