Characterisation of lower limb loading during sports movements in active older adults using a 'super force plate' facility

Lead Research Organisation: University of Exeter
Department Name: Sport and Health Sciences

Abstract

There is already well documented evidence to show the benefits of staying active into older age on health, wellness and maintaining independence. This has led to a growing population of older adults engaging with sport and exercise, with 3.4 million over-55s taking part in sport on a weekly basis (up 28% since 2006). However, despite the documented benefits, little is known about the movement patterns and joint loading experienced by this population during sport-specific activity. This knowledge is required to create specific support to help people to stay active for longer.

This project will involve the customisation of a new state-of-the-art research facility (vsimulators.co.uk) to recreate sports settings for the collection of detailed information on the movement patterns of active older adults when performing sports tasks such as stopping, twisting, jumping and turning. This is the first such project of its kind. It will provide a unique facility and procedures to obtain new knowledge that can be applied to the development of a suite of specific support for the safe performance of sport and exercise for active older adults.

The main aim of this catalyst project will be to assess the feasibility of using the new research facility comprising 3.6-m square force-sensitive floor, cameras to monitor movement throughout the entire area and ability for virtual reality, to accurately reproduce complete sports movements for active older adults. This will be achieved by comparing data collected in the new facility with data collected for similar movements performed in sport settings. The project will provide new knowledge on the typical forces between the shoe sole and the floor surface and the loads experienced by the knee and ankle joints of this population during sports tasks, and will form the foundation for future applications of the facility through collaboration with industry and academic partners.

One target application already identified for this new facility and method will be the development of footwear specifically designed for older adults participating in sport and exercise, working in collaboration with project partner Cosyfeet (Somerset, UK). Studies of sports shoes and surfaces have previously focused on younger populations. It is anticipated that the desirable characteristics of footwear for older adults will differ from those for younger populations. The process of ageing influences our ability to perform dynamic sports movements, with older adults typically experiencing a restricted range of joint motion, moving more slowly and travelling shorter distances when performing sports tasks such as those observed in tennis, squash, badminton and netball. This places different demands on footwear, thus influencing the required characteristics for safe performance. The design priorities for footwear may also be influenced by characteristics of the ageing population, such as greater focus on comfort due to foot health challenges or chronic knee pain associated with osteoarthritic changes. Currently there are numerous options available when selecting footwear for sports, but knowledge of the desirable characteristics to help active older adults select footwear to wear for sports is not available. The development of a facility to provide new knowledge of the movement strategies of older adults performing sports tasks will help us to understand the amount of joint loading, the level of cushioning and the amount of shoe-surface grip suitable for this population.

In summary, the provision of a facility for the detailed investigation of sport-specific tasks for the active older population will transform the field of healthy ageing by ultimately allowing the provision of recommendations for safe and comfortable conditions to facilitate continued activity for this growing population, enhancing health and wellbeing and improving quality of life and longevity.

Publications

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Description This project focused on understanding the design requirements of footwear for active older females participating in court-based sports. Outcomes include knowledge regarding the footwear needs and requirements of active older adults participating in sports, new methods for the laboratory testing of footwear demands during sport, and datasets on the functional requirements of footwear for females during sport-specific tasks. These new data have been used to develop a new footwear model for active older females.

Focus groups with active older adults have provided insight into the footwear needs and requirements of this population. These results highlighted the characteristics of comfort and wide-fit as particularly important for this population. Results informed both the development of a prototype footwear model and the design of a survey to assess requirements more widely. More than 250 participants have completed the resulting survey, the results of which will be used to understand in more detail the needs of adults participating in multidirectional court-based sports.

The collection of laboratory data on the lower limb loading of older females (>55 years) compared with a younger group when performing sport-specific tasks highlighted differences in the function of the lower limb between these groups. This work also provided data on the mechanical demands placed on footwear when older females perform these multidirectional tasks. The resulting datasets inform requirements such as cushioning, grip and stability in footwear for older adults.

Working with industry partner, Cosyfeet, the leading provider of comfortable footwear for older adults, these data were used to inform the development of a prototype footwear model for active older females participating in court sports. These footwear were tested and modified to ensure appropriate cushioning, grip and stability are provided. Overall, this work has provided new datasets that have been used to inform the design of a new footwear model tailored to the requirements of active older females performing multidirectional tasks such as turns and jumps. The resulting shoe launched in March 2022.
Exploitation Route Datasets will be publicly available.
Results will be published in peer-reviewed journals.
Sectors Healthcare,Leisure Activities, including Sports, Recreation and Tourism

 
Description The partnership with Cosyfeet has resulted in the release of new footwear models to support women to stay active as they age (https://www.cosyfeet.com/sport-active ), (https://www.exeter.ac.uk/news/research/title_904097_en.html ). As well as the academic publications, results from the Catalyst project have been presented at two conferences - Footwear Biomechanics Symposium 2021 and International Society of Biomechanics in Sports 2022. The success of the footwear models developed with industry partner, Cosyfeet, has also supported a subsequent focus on a similar footwear product for men, which is currently part of a new partnership with Cosyfeet. Through this project, the researchers have developed new skills in the use of interviews and focus groups, and have benefited greatly from the support of VOICE (University of Newcastle), provided as part of the Catalyst project. VOICE supported the identification of study participants and the running of focus groups. As a new partnership and resource, the expertise of VOICE has added new skills to the project, where the original focus was solely on biomechanics. The team at VOICE has also become part of a new, related Healthy Ageing partnership, as outlined below. A survey informed by the focus group and interview work has been completed by more than 250 participants. For the survey design, analysis and interpretation, a new collaboration was initiated with Dr Anita Williams, University of Salford, to provide expertise in collection and analysis of survey data. A resulting research paper is being submitted to the Journal of Aging and Physical Activity. The results have allowed us to understand in more detail the needs of adults participating in multidirectional court-based sports. Of particular relevance to our ongoing work is the knowledge that it is common for older adults to select footwear that are not designed specifically for the population or needs of their sport, potentially having a negative effect on injury risk. The work performed as part of this Catalyst project has formed the foundation for partnerships with wider industry partners, for example Ida Sports (https://www.idasports.com/en-gb/pages/our-story ) and Kymira (www.kymira.com ). Through these industry partnerships and with VOICE, funding has successfully been obtained as part of the Innovate UK Healthy Ageing Challenge - Designed for Ageing. The resulting project MISFIT (Maximising Inclusiveness in Sport through Female-centric Technologies) has consolidated this research focus and led to invitations to events such as UKRI Healthy Ageing Conference 2022 (as panel speakers: https://www.healthyageinguk.org/2022/contenttabs/?ctid=4659 ) and public engagement events such as Futures2022 (https://futuresnight.co.uk/). The collaborative team has also been successful in a bid to contribute a workshop at the British Science Festival 2023 (https://britishsciencefestival.org/ ). Alongside the evidence from research performed as part of this Catalyst project, the above events have helped to enhance awareness of the requirement for a focus on providing specific interventions to support women to stay active in sport and exercise as they age. We have also been successful in gaining internal funding to support a student internship this summer (2023) to support field-based data collection with female sport participants, as part of the MISFIT project.
First Year Of Impact 2022
Sector Leisure Activities, including Sports, Recreation and Tourism
Impact Types Societal,Economic

 
Description Healthy Ageing Challenge - Designed for Ageing
Amount £1,125,705 (GBP)
Funding ID 10025932 
Organisation Innovate UK 
Sector Public
Country United Kingdom
Start 05/2022 
End 03/2024
 
Description Footwear needs and requirements of active older adults participating in court sports 
Organisation Newcastle University
Department Institute for Ageing and Health
Country United Kingdom 
Sector Academic/University 
PI Contribution Running of focus groups where participants have been recruited through VOICE, Institute for Ageing and Health
Collaborator Contribution Facilitation of focus groups by the recruitment of participants.
Impact Paper accepted for publication: "I'm more comfortable with a wide fit shoe": The footwear needs and preferences of older adults in racket sports. Reeves, J., Williams, A. Dixon S. Accepted September 2021. Journal of the American Podiatric Society.
Start Year 2021
 
Title Footwear for active older females participating in court sports 
Description This non-medical product (footwear) was launched in March 2022, targeted at active older females with a requirement for wider-fit footwear. This may be due to general ageing, swollen feet or conditions such as bunions. The first quarter of sales =1643 pairs. 
Type Products with applications outside of medicine
Current Stage Of Development Small-scale adoption
Year Development Stage Completed 2022
Development Status Under active development/distribution
Impact Provision of an alternative footwear model tailored to the specific needs of the older population, providing improved quality of life (to be assessed). 
URL http://www.cosyfeet.com