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Reduced Achilles tendon stiffness disrupts calf muscle neuromechanics in elderly gait (Review article)

Rebecca L. Krupenevich, Owen N. Beck, Gregory S. Sawicki, Jason R. Franz

Abstract. Older adults walk slower and with higher metabolic energy expenditure than young adults. We hypothesize that age-related declines in Achilles tendon stiffness increase the metabolic cost of walking due to less economical calf muscle contractions and increased proximal joint work. This viewpoint may motivate interventions to restore ankle muscle-tendon stiffness, improve walking mechanics, and reduce metabolic cost in older adults.

Summary: Age-related declines in Achilles tendon stiffness increase the metabolic cost of walking due to less economical calf muscle contractions and increased proximal joint work.

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