Biomechanics

Background/Objectives: In soccer, scanning before receiving the ball helps players better perceive and interpret their surroundings, enabling faster and more effective passes. Despite its importance, no standardized tests currently incorporate scanning actions into assessments of passing abilities. In this study, we test the reliability and validity of a battery of passing tests that assess a player’s ability to control and pass the ball while also scanning for the appropriate target. Methods: We designed three passing tests that reflect different scanning demands that are routinely placed upon players during matches. Using players from the first and reserve teams of two professional clubs in Ghana (Club A, first-team n = 11, reserve-team n = 10; Club B, first-team n = 16, reserve-team n = 17), we: (i) tested the repeatability of each passing test (intraclass correlations), (ii) assessed whether the tests could distinguish between first and reserve team players (linear mixed-effects model), and (iii) examined whether players who were better in the passing tests had higher performances in 3v1 Rondo possession games (linear models). Results: All passing tests were significantly repeatable (ICCs = 0.77–0.85). Performance was highest in the 120-degree test (30.11 ± 7.22 passes/min), where scanning was not required, and was lowest in the 360-degree test (25.55 ± 5.94 passes/min), where players needed to constantly scan behind them. When players were scanning through an arc of 180 degrees, their average performance was 27.41 ± 6.14 passes/min. Overall passing performance significantly distinguished first from reserve team players (β = −1.47, t (51) = −4.32, p < 0.001)) and was positively associated with 3v1 Rondo possession performance (R² = 0.51, p < 0.001). Conclusions: Our results show that these passing tests are reliable, distinguish players across competitive levels, and correlate with performance in possession games. These tests offer a simple, ecologically valid way to assess scanning and passing abilities for elite players. Full article

Background/Objectives: Sprinting is a fundamental locomotor skill and a key indicator of lower limb strength and anaerobic power in early childhood. The aim of the study was to examine possible differences in the step kinematic parameters and their contribution to sprint speed between children with different patterns of speed development. Methods: 65 prepubescent male and female track athletes (33 males and 32 females; 6.9 ± 0.8 years old) were examined in a maximal 15 m short sprint running test, where photocells measured time for each 5 m segment. At the last 5 m segment, step length, frequency, and velocity were evaluated via a video analysis method. The symmetry angle was calculated for the examined step kinematic parameters. Results: Based on the speed at the final 5 m segment of the test, two groups were identified, the maximum sprint phase (MAX) and the acceleration phase (ACC) group. Speed was significantly (p < 0.05) higher in ACC in the final 5 m segment, while there was a significant (p < 0.05) interrelationship between step length and frequency in ACC but not in MAX. No other differences were observed. Conclusions: The difference observed in the interrelationship between speed and step kinematic parameters between ACC and MAX highlights the importance of identifying the speed development pattern to apply individualized training stimuli for the optimization of training that can lead to better conditioning and wellbeing of children involved in sports with requirements for short-sprint actions. Full article

Current rehabilitation protocols for transitioning patients to late-stage recovery, evaluating return-to-play (RTP) clearance, and assessing tendon characteristics exhibit significant heterogeneity. Clinicians frequently interpret and apply research findings based on individual philosophies, resulting in varied RTP criteria and performance expectations. Despite medical clearance, patients recovering from Achilles tendon (AT) injuries often exhibit persistent impairments in muscle volume, tendon structure, and force-generating capacity. Inconsistencies in assessment frameworks, compounded by a lack of quantitative data and the utilization of specific metrics to quantify certain strength characteristics (endurance, maximal, explosive, etc.) and standardized protocols, hinder optimal functional recovery of the plantar flexors during the final stages of rehabilitation and RTP. With this in mind, the aim of this integrative review was to provide an overview of AT rehabilitation, with particular critique around mid-stage strengthening and the use of the heel-raise assessment in milestoning rehabilitation progress. From this critique, new perspectives in mid-stage strengthening are suggested and future research directions identified. Full article

Objectives: The aim of this study was to evaluate the impact of four working heights on lumbar biomechanics during wall construction tasks, focusing on work-related musculoskeletal disorders (WMSDs). Methods: Fifteen young male participants performed simulated mortar-spreading and bricklaying tasks while actual body movements were recorded using Inertial Measurement Unit (IMU) sensors. Muscle activities of the lumbar erector spinae (ES), quadratus lumborum (QL), multifidus (MF), gluteus maximus (GM), and iliopsoas (IL) were estimated using a 3D musculoskeletal (MSK) model and measured via surface electromyography (sEMG). The analysis of variance (ANOVA) test was conducted to identify the significant differences in muscle activities across four working heights (i.e., foot, knee, waist, and shoulder). Results: Findings showed that working at foot-level height resulted in the highest muscle activity (7.6% to 40.6% increase), particularly in the ES and QL muscles, indicating an increased risk of WMSDs. The activities of the ES, MF, and GM muscles were statistically significant across both tasks and all working heights (p < 0.01). Conclusions: Both MSK and sEMG analyses indicated significantly lower muscle activities at knee and waist heights, suggesting these as the best working positions (47 cm to 107 cm) for minimizing the risk of WMSDs. Conversely, working at foot and shoulder heights was identified as a significant risk factor for WMSDs. Additionally, the similar trends observed between MSK simulations and sEMG data suggest that MSK modeling can effectively substitute for sEMG in future studies. These findings provide valuable insights into ergonomic work positioning to reduce WMSD risks among wall construction workers. Full article

Background: The knee joint performs a vital function in human movement, supporting significant loads and ensuring stability during daily activities. Methods: The objective of this study was to develop and validate a subject-specific framework to model knee flexion–extension by integrating 3D gait data with individualized musculoskeletal (MS) and finite element (FE) models. In this proof of concept, gait data were collected from a 52-year-old woman using Xsens inertial sensors. The MS model was based on the same subject to define realistic loading, while the 3D knee FE model, built from another individual’s MRI, included all major anatomical structures, as subject-specific morphing was not possible due to unavailable scans. Results: The FE simulation showed principal stresses from –28.67 to +44.95 MPa, with compressive stresses between 2 and 8 MPa predominating in the tibial plateaus, consistent with normal gait. In the ACL, peak stress of 1.45 MPa occurred near the femoral insertion, decreasing non-uniformly with a compressive dip around –3.0 MPa. Displacement reached 0.99 mm in the distal tibia and decreased proximally. ACL displacement ranged from 0.45 to 0.80 mm, following a non-linear pattern likely due to ligament geometry and local constraints. Conclusions: These results support the model’s ability to replicate realistic, patient-specific joint mechanics. Full article

Background/Objectives: Vertical jump is considered a reliable and valid method of assessing the level of muscular power and coordination across one’s lifespan. The main aim of the present study was to establish sex- and age-normative data for vertical jump outcomes in pre-school children. Methods: We recruited 411 boys and girls aged 3−6 years from four major cities in Croatia and Slovenia. Vertical jump was assessed with two tests: countermovement jump (CMJ) without and with arm swing using a reliable and valid Optojump measuring platform. Data were presented for the 5th, 15th, 25th, 50th (median), 75th, 90th, and 95th percentile. Results: No significant differences were observed in multiple vertical jump outcomes between boys and girls. The mean values for CMJ without and with arm swing between boys and girls were as follows: contact time (1.4 vs. 1.4 s/1.8 vs. 1.7 s), flight time (0.32 vs. 0.31 s/0.33 vs. 0.32), height (12.3 vs. 12.2 cm/13.0 vs. 12.5 cm), power (9.4 vs. 9.5 W/kg/9.3 vs. 9.1 W/kg), pace (0.7 vs. 0.7 steps/s/0.6 vs. 0.6 steps/s), reactive strength index (RSI; 0.10 vs. 0.09 m/s/0.08 vs. 0.08 m/s), and verticality (2.5 vs. 2.3/1.9 vs. 1.9). A gradual increase in all measures according to ‘age’ was observed (p for trend < 0.05). No significant ‘sex*age’ interaction was observed (p > 0.05). Conclusions: This is one of the first studies to provide sex- and age-normative data for complete vertical jump outcomes in pre-school children. These data will serve as an avenue for monitoring and tracking motor development in this sensitive period. Full article

Background/Objectives: The simulation of human movement offers transformative potential for the design of medical devices, particularly in understanding the cause–effect dynamics in individuals with neurological or musculoskeletal impairments. This study presents a simulation-driven framework to determine the optimal ankle–foot orthosis (AFO) stiffness for mitigating the risk of ankle sprains due to excessive subtalar inversion during high-impact activities, such as landing from a free fall. Methods: We employed biomechanical simulations to assess the influence of translational stiffness on subtalar inversion control, given that inversion angles exceeding 25 degrees are strongly correlated with injury risk. Simulations were conducted using a musculoskeletal model with and without a passive AFO; the stiffness varied in three anatomical directions. A Design of Experiments (DoE) approach was utilized to capture nonlinear interactions among stiffness parameters. Results: The results indicated that increased translational stiffness significantly reduced inversion angles to safer levels, though direction–dependent effects were noted. Based on these insights, we developed a 4D visualization tool that integrates simulation data with an interactive color–coded interface to depict ”safe design” zones for various AFO stiffness configurations. This tool supports clinicians in selecting stiffness values that optimize both safety and functional performance. Conclusions: The proposed framework enhances clinical decision-making and engineering processes by enabling more accurate and individualized AFO designs. Full article

Background: This study was performed to validate the addition of capacitive-based pressure sensors to an existing smart sock developed by the research team. This study focused on evaluating the accuracy of soft robotic sensor (SRS) pressure data and its relationship with laboratory-grade Kistler force plates in collecting ground force reaction data. Methods: Nineteen participants performed walking trials while wearing the smart sock with and without shoes. Data was collected simultaneously with the sock and the force plates for each gait phase including foot-flat, heel-off, and midstance. The correlation between the smart sock and force plates was analyzed using Pearson’s correlation coefficient and R-squared values. Results: Overall, the strength of the relationship between the smart sock’s SRS data and the vertical ground reaction force (GRF) data from the force plates showed a strong correlation, with a Pearson’s correlation coefficient of 0.85 ± 0.1; 86% of the trials had a value higher than 0.75. The linear regression models also showed a strong correlation, with an R-squared value of 0.88 ± 0.12, which improved to 0.90 ± 0.07 when including a stretch-SRS for measuring ankle flexion. Conclusions: With these strong correlation results, there is potential for capacitive pressure sensors to be integrated into the proposed device and utilized in telehealth and sports performance applications. Full article

It is well established that combining exercise with medication may benefit functionality in individuals with PD (Parkinson’s disease). However, the long-term evolution of gait biomechanics under this combination remains poorly understood. Objectives: This study aims to analyze the evolution of spatiotemporal gait parameters, kinetics, and kinematics throughout a long-term exercise program conducted in water and on dry land. Methods: We have compared the trajectories of biomechanical variables across the treatment phases using statistical parametric mapping (SPM). A cohort of fourteen individuals with PD (mean age: 65.6 ± 12.1 years) participated in 24 sessions of aquatic exercises over three months, followed by a three-month retention phase, and then 24 additional sessions of land-based exercises. Three-dimensional gait data and spatiotemporal parameters were collected before and after each phase. Two-way ANOVA with repeated measures was used to compare spatiotemporal parameters. Results: The walking speed increased while the duration of the double support phase decreased. Additionally, the knee extensor moment consistently increased in the entire interval from midstance to midswing (20% to 70% of the stride period), approaching normal gait patterns. Regarding kinematics, significant increases were observed in both hip and knee flexion angles. Furthermore, the abnormal ankle dorsiflexion observed at the foot strike disappeared. Conclusions: These findings collectively suggest positive adaptations in gait biomechanics during the observation period. Full article

Background/Objectives: Australian terrestrial mammals that fall within the critical weight range (35 g–5.5 kg) have experienced large population declines due to a combination of habitat loss and modification, and the introduction of non-native cats, dogs, and foxes. Because running speed typically increases with body size, predators are usually faster but less agile than their prey due to the biomechanical trade-offs between speed and agility. Quantifying the maximum locomotor capacities of Australian mammals in the critical weight range, and the magnitude of the trade-off between speed and agility, can aid in estimating species’ vulnerability to predation. Methods: To do this, we quantified the trade-off between speed and agility in both males and females (n = 36) of a critical weight range species, the northern brown bandicoot (Isoodon macrourus), and determined if there was an influence of morphology on locomotor performance. Results: When turning, individuals who had higher turn approach speeds, and higher within-turn speeds, had greater turning radii and lower angular velocities, meaning a decrease in overall maneuverability. Females were more agile and exhibited greater turning speeds at similar turning radii than males. For both sexes, individuals with longer relative hind digits had relatively faster sprint speeds, while those with longer forearms had relatively smaller turning radii and higher agility. Conclusions: Due to the constrained limb morphology of the bandicoot species, these findings could translate across this group to provide a better understanding of their escape performance and risk of predation. Full article

Background/Objectives: This study focuses on the motion planning and control of an active ankle–foot orthosis (AFO) that leverages biomechanical insights to mitigate footdrop, a deficit that prevents safe toe clearance during walking. Methods: To adapt the motion of the device to the user’s walking speed, a geometric model was used, together with real-time measurement of the user’s gait cycle. A geometric speed-adaptive model also scales a trapezoidal ankle-velocity profile in real time using the detected gait cycle. The algorithm was tested at three different walking speeds, with a prototype of the AFO worn by a test subject. Results: At walking speeds of 0.44 and 0.61 m/s, reduced tibialis anterior (TA) muscle activity was confirmed by electromyography (EMG) signal measurement during the stance phase of assisted gait. When the AFO was in assistance mode after toe-off (initial and mid-swing phase), it provided an average of 48% of the estimated required power to make up for the deliberate inactivity of the TA muscle. Conclusions: Kinematic analysis of the motion capture data showed that sufficient foot clearance was achieved at all three speeds of the test. No adverse effects or discomfort were reported during the experiment. Future studies should examine the device in populations with footdrop and include a comprehensive evaluation of safety. Full article

Background/Objectives: Plyometric training is a method of increasing soccer performance which leverages the muscle stretch-shortening cycle. This study aimed to evaluate the safety and effectiveness of plyometric training in prepubertal soccer players. Methods: Twenty-three young athletes (age 9.4 ± 0.3 years) from an elite club, training three times per week, were enrolled. During one of the weekly training sessions, twelve players formed the experimental group (PLYO), incorporating a 45 min plyometric training component into their routine, while the control group (CON), consisting of eleven players continued with their usual training program. At baseline and after 12 weeks, anthropometric parameters, flexibility, lower limb strength, and agility were assessed. Results: At baseline, no differences were observed between the two groups in anthropometric or physical performance parameters. No injuries occurred during the study. After 12 weeks, both groups showed significant growth and performance improvements. However, the PLYO showed a significantly greater increase in lower limb strength (Δ + 10.7%) compared to the CON (Δ + 6.0%). Conversely, although not statistically significant, agility improvements were greater in the CON (Δ + 12.4%) than in the PLYO (Δ + 8.6%). Conclusions: Plyometric training appears to be a safe and effective method for enhancing lower limb strength in prepubertal athletes. However, this strength gain did not directly translate into greater agility, which may benefit more from sport-specific training during this developmental stage. Full article

Background/Objectives: The objective of this study was to compare muscular strength and neuromuscular activation characteristics between male gymnasts and physical education (PE) students during isometric shoulder extension and flexion tasks. Methods: Thirteen competitive male gymnasts (age: 19.59 ± 1.90 years; body mass: 66.54 ± 6.10 kg; height: 169.38 ± 6.28 cm; mean ± SD) and thirteen male physical education (PE) students (age: 20.96 ± 2.30 years; body mass: 74.00 ± 8.69 kg; height: 174.96 ± 4.93 cm) voluntarily participated in the study. Peak torque (PT), rate of torque development (RTD), RTD normalized to body mass (RTD/BM), and muscle activation assessed via surface electromyography (EMG), normalized to maximal EMG activity (EMG/EMGmax), were evaluated during bilateral isometric shoulder extension and flexion at a joint angle of 45°. Measurements were analyzed across the following time intervals: −50 to 0 ms (pre-tension), 0–30 ms, 0–50 ms, 0–100 ms, and 0–200 ms relative to contraction onset. Custom MATLAB R2024b scripts were used for data processing and visualization. One-way and two-way multivariate analyses of variance (MANOVAs) were conducted to test for group differences. Results: Gymnasts exhibit higher values of PT, PT/BM, RTD, and RTD/BM particularly within the early contraction phases (i.e., 0–50 ms and 0–100 ms) compared to PE students (p < 0.05 to <0.001; η² = 0.04–0.66). Additionally, EMG activity normalized to maximal activation (EMG/EMGmax) was significantly greater in gymnasts during both early and mid-to-late contraction phases (0–100 ms and 0–200 ms), (p < 0.05 to <0.001; η² = 0.04–0.48). Conclusions: These findings highlight gymnasts’ superior explosive neuromuscular capacity. Metrics like RTD, RTD/BM, and EMG offer valuable insights into rapid force production and neural activation, supporting performance monitoring, training optimization, and injury prevention across both athletic and general populations. Full article

Background/Objectives: Body stability plays a decisive role in archery, particularly during the aiming phase. A systematic review was conducted, in accordance with PRISMA guidelines, to critically examine the existing evidence on the association between body stability parameters and shooting performance. Methods: A comprehensive search of the MEDLINE Complete, CINAHL Complete, SportDiscus, and Cochrane Reviews databases was performed. Studies published until 12 July 2024 were considered. Results: Sixteen articles were selected, and we analyzed the following biomechanical parameters related to body stability: center of pressure displacement, velocity, and ellipse area; bow sway; and sway of markers placed on the head, sternum, and pelvis. The findings consistently showed that reduced center of pressure displacement and velocity, along with smaller center of pressure ellipse area, were associated with superior shooting outcomes. Although studies are scarce, data suggest that lower bow sway is associated with better shooting performance. The scarcity of research on the sway of markers placed in anatomical points does not allow for conclusions about their effectiveness as performance predictors. Despite its relevance, no studies have assessed the center of gravity data. Therefore, further research is needed to address this important point. Conclusions: Although studies have examined several parameters, the literature remains inconclusive regarding which of these parameters best predicts shooting quality. Full article

Background/Objectives: Artificial tendons offer an alternative to biological tendon grafts and may restore normative biomechanical functions in humans and animals suffering segmental or complete tendon loss. The aim of this study was to quantify movement biomechanics during hopping gait and muscle properties of New Zealand White rabbits with a polyester silicone-coated (PET-SI) artificial tendon. Methods: In five rabbits, the biological Achilles tendon of the left hindlimb was surgically replaced with a PET-SI artificial tendon; five operated control rabbits underwent complete surgical excision of the biological Achilles tendon in the left hindlimb with no replacement (TE). Results: Across both groups at 2 and 8 weeks post-surgery compared to baseline, the maximum ankle angle during stance and swing phases of stride was significantly lower (i.e., more dorsiflexed) (p < 0.001), the peak vertical force was significantly higher (p < 0.001), and the average ground contact area was significantly lower (p < 0.001). At 8 weeks post-surgery, the muscle cross-sectional area of the lateral gastrocnemius was significantly higher in the PET-SI group than in the TE group (p = 0.006). Muscle mass and length were lower in the operated limb compared to the non-operated limb across the two groups (TE and PET-SI), with no significant differences between groups. Conclusions: The artificial Achilles tendon did not appear to provide superior biomechanical support during hopping compared to the TE group. However, the artificial tendon preserved muscle structural properties that correspond to the muscle’s capacity to generate force. Future studies should optimize the tendon–tissue interface. Full article

Background: Arthrodesis of the first metatarsophalangeal joint (MTP1) is a common intervention for hallux rigidus (HR). The procedure eliminates MTP1 motion but results in significant pain relief and high satisfaction rates, although MTP1 is eliminated. Less evidence is available regarding the effects on gait and the presence of compensatory mechanisms. The aim of this study is to investigate the effects of MTP1 arthrodesis on gait and patient-reported outcome measures (PROMs) compared with preoperative functioning and healthy individuals. Methods: In this prospective study, 10 patients (10 feet) with HR who underwent MTP1 arthrodesis were evaluated before and after surgery and compared with 15 healthy controls (30 feet). Gait analysis was performed with a motion capturing system using the multi-segment Oxford foot model. Spatiotemporal parameters and kinematics were quantitatively analyzed. PROMs were evaluated using validated questionnaires including the American Orthopedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal (AOFAS-HMI) scale, the Numeric Pain Rating Scale (NPRS), and the Manchester–Oxford Foot Questionnaire (MOXFQ). Results: MTP1 joint motion was reduced in HR and further reduced after MTP1 arthrodesis compared with healthy controls. Furthermore, intersegmental ROM analysis revealed increased forefoot frontal plane motion (pronation and supination) in HR compared with healthy controls. This was also observed after MTP1 arthrodesis, while additionally increased frontal plane motion in the hindfoot (inversion and eversion) was observed compared with HR and healthy controls. PROM evaluation revealed improved AOFAS-HMI (from 55.7 to 79.1 points, p = 0.002) and NPRS (from 5.7 to 1.5 points, p = 0.004) scores after surgery. Additionally, improvements in the MOXFQ score (from 51.0 to 20.0 points, p = 0.002) were observed. Conclusions: Due to the loss of sagittal hallux motion, foot and ankle kinematics are changed in HR patients and after MTP1 arthrodesis compared with healthy controls. Loss of MTP1 motion results in increased frontal plane motion of the forefoot in HR, and increased frontal plane motion of the fore- and hindfoot after MTP1 arthrodesis. Additionally, substantial improvements in PROMs were recorded after surgery. Full article

Background/Objectives: This study evaluated the reliability and validity of three methods to measure jump height during countermovement jumps performed with (CMJ_AS) and without (CMJ_NAS) arm swing: (1) an impulse–momentum method with force platforms (FP_imp), (2) a flight time method with force platforms (FP_time), and (3) an inertial measurement unit (PUSH Band 2.0; PUSH2). Methods: Eighteen physically active men performed CMJ_AS and CMJ_NAS on force platforms while wearing PUSH2 over two days. Besides jump height, we computed intraclass correlation coefficients (ICC) and the absolute and relative increases in jump height due to arm swing, compared to CMJ_NAS. Results: The reliability of intra-session, inter-session, and concurrent measures were good to excellent (intra-session ICC_2,1 = 0.957–0.979, inter-session ICC_2,1 = 0.806–0.990, concurrent ICC_3,1 = 0.940–0.973) for CMJ_AS and CMJ_NAS heights, in all three methods. The three methods showed high to very high reliability for both the absolute and relative indices of arm swing contribution (ICC_2,1 = 0.649–0.812). FP_time significantly overestimated CMJ_NAS height relative to FP_imp (p < 0.01). The absolute index of arm swing contribution was similar in FP_imp and FP_time (p = 0.38) but higher in PUSH2 (p < 0.01), indicating that arm swing amplified overestimation. Conclusions: All three methods demonstrated high reliability for jump height measurements, but FP_time and PUSH2 misestimated jump height depending on jump modalities. Caution is advised when assessing the absolute and relative contribution of arm swing, because errors in CMJ_NAS and CMJ_AS height measurements can affect these values and their interpretation. Full article

Flexed and tensed arm (FTA) circumference is a fundamental anthropometric measurement for determining the mesomorphic component in somatotype. This study examined the impact of contralateral limb opposition (+OP) on arm circumference measurement and biceps brachii muscle activation. Fifty physically active men and women, mean (22.7 ± 2.9 years), participated in this study. FTA circumference measurements were taken with FTA + OP and without opposition FTA, following ISAK protocols. Additionally, biceps brachii muscle activation was assessed using surface electromyography (sEMG). Significant differences were identified in the flexed and tensed arm circumference (>1%) and in the mesomorphic component between the FTA and FTA + OP conditions (p < 0.001). In addition, contralateral limb opposition resulted in a significant average increase of 39.02% in biceps brachii muscle activation, with variations between 24.57% to 47.46% across the time intervals analyzed (p < 0.05). A moderate correlation was observed between the percentage difference in sEMG and arm circumference during the middle second of contraction (r = 0.418). However, during the first (r = 0.393), third (r = 0.376), and mean (r = 0.385) contraction periods, the correlation was considered weak. Contralateral limb opposition caused greater biceps brachii muscle activation, resulting in an increase in flexed and tensed arm circumference in physically active young adults. Full article

Background/Objectives: Walking coordination is crucial for maintaining independence and quality of life, but it is significantly affected by aging and cognitive decline. This study investigates how age and cognitive status relate to lower limb coordination during gait, using a network-based analysis of joint kinematics. Methods: Fifty-six healthy participants (31–82 years old) underwent gait analysis with a stereophotogrammetric system and cognitive assessment through standardized neuropsychological tests. Kinematic data were processed to build “kinectomes”, representing the inter-joint coordination across the gait cycle. Results: The results showed that the mean lower limb coordination on the sagittal plane negatively correlated with age and positively with cognitive performance. Detailed analysis revealed that age-related declines in coordination were primarily driven by reduced synchronization at the knees, while cognitive status was associated with overall coordination rather than joint-specific changes. Conclusion: These findings emphasize the knees’ critical role in preserving gait coordination with aging and underline the involvement of cognitive aspects in global coordination mechanisms. In summary, our network-based approach provides a refined perspective on gait dynamics, highlighting the relationship between coordination and both age and cognition. Full article