Stability recovery performance in adults over a wide age range: A multicentre reliability analysis using different lean-and-release test protocols.

Journal article

Werth, J., Bohm, S, Klenk, J, König, M, Sczuka, K S, Schroll, A, Epro, G., Mandla-Liebsch, M, Rapp, K, Potthast, W, Arampatzis, A and Karamanidis, K. (2021). Stability recovery performance in adults over a wide age range: A multicentre reliability analysis using different lean-and-release test protocols. Journal of Biomechanics. 125, p. 110584. https://doi.org/10.1016/j.jbiomech.2021.110584
AuthorsWerth, J., Bohm, S, Klenk, J, König, M, Sczuka, K S, Schroll, A, Epro, G., Mandla-Liebsch, M, Rapp, K, Potthast, W, Arampatzis, A and Karamanidis, K.
AbstractThe ability to effectively increase the base of support is crucial to prevent from falling due to stability disturbances and has been commonly assessed using the forward-directed lean-and-release test. With this multicentre study we examined whether the assessment of stability recovery performance using two different forward lean-and-release test protocols is reliable in adults over a wide age range. Ninety-seven healthy adults (age from 21 to 80 years) were randomly assigned to one out of two lean angle protocols: gradual increase to maximal forward-lean angle (maximal lean angle; n = 43; seven participants were excluded due to marker artefacts) or predefined lean angle (single lean angle; n = 26; 21 participants needed to be excluded due to multiple stepping after release or marker artefacts). Both protocols were repeated after 0.5 h and 48 h to investigate intra- and inter-session reliability. Stability recovery performance was examined using the margin of stability at release (MoS ) and touchdown (MoS ) and increase in base of support (BoS ). Intraclass correlation coefficients (confidence intervals at 95%) for the maximal lean angle and for the single lean angle were respectively 0.93 (0.89-0.96) and 0.94 (0.89-0.97) in MoS , 0.85 (0.77-0.91) and 0.67 (0.48-0.82) in MoS and 0.88 (0.81-0.93) and 0.80 (0.66-0.90) in BoS , with equivalence being revealed for each parameter between all three measurements (p < 0.01). We concluded that the assessment of stability recovery performance parameters in adults over a wide age range with the means of the forward lean-and-release test is reliable, independent of the used lean angle protocol. [Abstract copyright: Copyright © 2021 Elsevier Ltd. All rights reserved.]
KeywordsFalls; Lean-and-release test; Reliability; Stability performance; Stability recovery stepping
Year2021
JournalJournal of Biomechanics
Journal citation125, p. 110584
PublisherElsevier
ISSN1873-2380
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jbiomech.2021.110584
Publication dates
Online24 Jun 2021
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Accepted18 Jun 2021
Deposited29 Jul 2021
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Epro, G, Koenig, M, McCrum, C, Baedorf, M, Schade, F and Karamanidis, K (2017). Muscle-tendon adaptation monitoring in elite athletes: Preliminary results from a longitudinal investigation. 35th Conference of the International Society of Biomechanics in Sport. Cologne, Germany 14 - 18 Jun 2017
Loading rate and contraction type effects on the human Achilles tendon force-elongation relationship
McCrum, C, Oberländer, KD, Epro, G, Krauss, P, Reeves, N and Karamanidis, K (2017). Loading rate and contraction type effects on the human Achilles tendon force-elongation relationship. 22nd Annual Congress of the European College of Sport Science. Essen, Germany 05 - 08 Jul 2017
Monitoring muscle-tendon adaptation in elite athletes: Preliminary data from a 1-year longitudinal investigation
Koenig, M, Epro, G, McCrum, C, Bädorf, M, Schade, F and Karamanidis, K (2017). Monitoring muscle-tendon adaptation in elite athletes: Preliminary data from a 1-year longitudinal investigation. 22nd annual Congress of the European College of Sport Science (ECSS). Essen 05 - 08 Jul 2017
Achilles tendon mechanosensitivity is preserved in old age: In vivo evidence from a 1.5 years long resistance training intervention
Epro, G, Mierau, A, Doerner, J, Luetkens, J, Scheef, L, Kukuk, G, Boecker, H, Maganaris, C, Brüggemann, G-P and Karamanidis, K (2017). Achilles tendon mechanosensitivity is preserved in old age: In vivo evidence from a 1.5 years long resistance training intervention. 22nd annual Congress of the European College of Sport Science. Essen, Germany 05 - 08 Jul 2017
Loading rate and contraction duration effects on in vivo human Achilles tendon mechanical properties.
McCrum, C, Oberländer, KD, Epro, G, Krauss, P, James, DC, Reeves, N and Karamanidis, K (2017). Loading rate and contraction duration effects on in vivo human Achilles tendon mechanical properties. Clinical Physiology and Functional Imaging. 38 (3), pp. 517-523. https://doi.org/10.1111/cpf.12472
Locomotor stability and adaptation during perturbed walking across the adult female lifespan.
McCrum, C, Epro, G, Meijer, K, Zijlstra, W, Brüggemann, G-P and Karamanidis, K (2016). Locomotor stability and adaptation during perturbed walking across the adult female lifespan. Journal of Biomechanics. 49 (7), pp. 1244-1247. https://doi.org/10.1016/j.jbiomech.2016.02.051
Use of a Lucas-Kanade-Based Template Tracking Algorithm to Examine In Vivo Tendon Excursion during Voluntary Contraction Using Ultrasonography.
Karamanidis, K, Travlou, A, Krauss, P and Jaekel, U (2016). Use of a Lucas-Kanade-Based Template Tracking Algorithm to Examine In Vivo Tendon Excursion during Voluntary Contraction Using Ultrasonography. Ultrasound in Medicine and Biology. 42 (7), pp. 1689-1700. https://doi.org/10.1016/j.ultrasmedbio.2016.02.019
Visual and proprioceptive contributions to postural control of upright stance in unilateral vestibulopathy.
Eysel-Gosepath, K, McCrum, C, Epro, G, Brüggemann, G-P and Karamanidis, K (2016). Visual and proprioceptive contributions to postural control of upright stance in unilateral vestibulopathy. Somatosensory and Motor Research. 33 (2), pp. 72-78. https://doi.org/10.1080/08990220.2016.1178635
Matching participants for triceps surae mechanical properties eliminates age-related differences in drop jump performance
Koenig, M, Hemmers, S, McCrum, C, Epro, G, Ackermans, TMA, Hartmann, U and Karamanidis, K (2016). Matching participants for triceps surae mechanical properties eliminates age-related differences in drop jump performance. 11th Joint Conference on Motor Control & Learning, Biomechanics & Training of the German Society of Sports Sciences. Darmstadt, Germany 28 - 30 Sep 2016
Aging and the effects of a half marathon on Achilles tendon force-elongation relationship.
Ackermans, TMA, Epro, G, McCrum, C, Oberländer, KD, Suhr, F, Drost, MR, Meijer, K and Karamanidis, K (2016). Aging and the effects of a half marathon on Achilles tendon force-elongation relationship. European Journal of Applied Physiology. 116 (11-12), pp. 2281-2292. https://doi.org/10.1007/s00421-016-3482-z
Age-related differences in drop jump performance are eliminated when triceps surae mechanical properties are matched
Koenig, M, Hemmers, S, McCrum, C, Epro, G, Ackermans, TMA, Hartmann, U and Karamanidis, K (2016). Age-related differences in drop jump performance are eliminated when triceps surae mechanical properties are matched. Dutch Society for Movement Sciences (VvBN) PhD Day 2016. Maastricht 09 - 09 Nov 2016
Effect of exercise-induced enhancement of the leg-extensor muscle-tendon unit capacities on ambulatory mechanics and knee osteoarthritis markers in the elderly.
Karamanidis, K, Oberländer, KD, Niehoff, A, Epro, G and Brüggemann, G-P (2014). Effect of exercise-induced enhancement of the leg-extensor muscle-tendon unit capacities on ambulatory mechanics and knee osteoarthritis markers in the elderly. PLoS ONE. 9 (6). https://doi.org/10.1371/journal.pone.0099330