EMG Comparison of Selected Ankle Rehabilitation Exercises

1999 ◽  
Vol 8 (3) ◽  
pp. 209-218 ◽  
Author(s):  
Mitchell L. Cordova ◽  
Lisa S. Jutte ◽  
J. Ty Hopkins

Many types of rehabilitation exercises are used to reestablish lower extremity neuromuscular function and strength following ankle injuries. It has not been established which exercise induces the greatest leg muscle activity, which might allow patients to recover more quickly from their injuries. The purpose of this investigation was to establish which exercises induce the most muscle activity in the medial gastrocnemius (MG), peroneus longus (PL), and tibialis anterior (TA), as measured by integrated electromyography (I-EMG). Participants (N= 24, age = 22 ± .59, mass = 63.5 ± 2.1 kg, ht = 165.7 ± 1.2 cm) conducted five repetitions of each of four exercise conditions for 30 s: one-legged stance (OLS), OLS on trampoline (OLST), T-Band kicks (TBK), and OLS perturbations (OLSP). It was found that the TBK exercise induces greater I-EMG in all three muscles, the OLST exercise stimulates more I-EMG activity in the MG and TA, and the OLSP exercise induces greater I-EMG activity in the TA.

1990 ◽  
Vol 64 (6) ◽  
pp. 1653-1667 ◽  
Author(s):  
P. C. Kuhta ◽  
J. L. Smith

1. Scratch responses evoked by a tactile stimulus applied to the outer ear canal were characterized in nine adult cats. Chronic electromyographic (EMG) electrodes were surgically implanted in selected flexor and extensor muscles of the hip, knee, and ankle joints to determine patterns of muscle activity during scratching. In some trials EMG records were synchronized with kinematic data obtained by digitizing high-speed cine film, and in one cat, medial gastrocnemius (MG) tendon forces were recorded along with EMG. For analysis the response was divided into three components: the approach, cyclic, and return periods. Usually scratch responses were initiated with the cat in a sitting position, but in some trials the animal initiated the response from a standing or lying posture. 2. During the approach period the hindlimb ipsilateral to the stimulated ear was lifted diagonally toward the head by a combination of hip and ankle flexion with knee extension. Hindlimb motions during the approach period were associated with sustained EMG activity in hip-flexor, knee-extensor (occasionally), and ankle-flexor muscles. Initial hindlimb motions were typically preceded by head movements toward the hindpaw, and at the end of the approach period, the head was tilted downward with the stimulated pinna lower than the contralateral ear. During the return period movements were basically the reverse of the approach period, with the hindpaw returning to the ground and the head moving away from the hindlimb. 3. During the cyclic period the number of cycles per response varied widely from 1 to 60 cycles with an average of 13 cycles, and cycle frequency ranged from 4 to 8 cycles/s, with a mean of 5.6 cycles/s. During each cycle the paw trajectory followed a fairly circular path, and the cycle was defined by three phases: precontact, contact, and postcontact. On average the contact phase occupied approximately 50% of the cycle and was characterized by extensor muscle activity and extension at the hip, knee, and ankle joints. The hindpaw contacted the pinna or neck at the base of the pinna throughout the contact phase, and paw contact typically resulted in a rostral motion of the head as the hindlimb extended. 4. The postcontact phase constituted approximately 24% of scratch cycle and was usually initiated by the onset of knee flexion. Ankle and then hip flexion followed knee flexion, and flexor muscles were active during the postcontact phase as the paw was withdrawn from the head. The precontact phase constituted approximately 26% of scratch cycle and was initiated by knee joint extension and knee-extensor activity.(ABSTRACT TRUNCATED AT 400 WORDS)


2001 ◽  
Vol 17 (4) ◽  
pp. 287-296 ◽  
Author(s):  
Alan Hreljac ◽  
Alan Arata ◽  
Reed Ferber ◽  
John A. Mercer ◽  
Brandi S. Row

Previous research has demonstrated that the preferred transition speed during human locomotion is the speed at which critical levels of ankle angular velocity and acceleration (in the dorsiflexor direction) are reached, leading to the hypothesis that gait transition occurs to alleviate muscular stress on the dorsiflexors. Furthermore, it has been shown that the metabolic cost of running at the preferred transition speed is greater than that of walking at that speed. This increase in energetic cost at gait transition has been hypothesized to occur due to a greater demand being placed on the larger muscles of the lower extremity when gait changes from a walk to a run. This hypothesis was tested by monitoring electromyographic (EMG) activity of the tibialis anterior, medial gastrocnemius, vastus lateralis, biceps femoris, and gluteus maximus while participants (6 M, 3 F) walked at speeds of 70, 80, 90, and 100% of their preferred transition speed, and ran at their preferred transition speed. The EMG activity of the tibialis anterior increased as walking speed increased, then decreased when gait changed to a run at the preferred transition speed. Concurrently, the EMG activity of all other muscles that were monitored increased with increasing walking speed, and at a greater rate when gait changed to a run at the preferred transition speed. The results of this study supported the hypothesis presented.


2018 ◽  
Vol 108 (6) ◽  
pp. 449-457 ◽  
Author(s):  
Kit-lun Yick ◽  
Ka-lai Yeung ◽  
Del P. Wong ◽  
Yee-nee Lam ◽  
Sun-pui Ng

Background: The midsole is an essential assembly of footwear for retaining the shape of the shoe, delivering support to the foot, and serving as a cushioning and stability device for walking. To improve leg muscle balance and muscle co-contraction, we propose a new midsole design for high heels with different hardness levels at the forefoot region. Methods: Five healthy women participated in the study, with a mean ± SD age of 21.80 ± 4.09 years, and duration of high-heeled shoe wear of 5.20 ± 4.09 years. Two midsole conditions, control and multiple-hardness midsole (MHM), with heel heights of 2 (flat), 5, and 8 cm were used. The main outcome measures were to examine the acute effects of MHM by electromyography on muscle activity balance and co-contraction at varying heel heights during shuttle walk. Results: Use of the MHM significantly reduced the muscle activity ratio between the medial and lateral gastrocnemius muscles (P = .043) during push-off to heel strike with a heel height of 5 cm (−22.74%) and heel strike to midstance with a heel height of 8 cm (−22.26%). The increased co-contraction indices of the tibialis anterior–peroneus longus muscles (14.35% with an 8-cm heel height) and tibialis anterior–soleus muscles (15.18% with a 5-cm heel height) are significant (P = .043), with a large effect size (d = 0.8). Conclusions: These results deliver important implications in advancing the engineering of MHM design without changing the in-shoe volume to enhance leg muscle balance and co-contraction during walking.


2015 ◽  
Vol 95 (12) ◽  
pp. 1617-1627 ◽  
Author(s):  
Lin-Rong Liao ◽  
Gabriel Y.F. Ng ◽  
Alice Y.M. Jones ◽  
Raymond C.K. Chung ◽  
Marco Y.C. Pang

Background Whole-body vibration (WBV) has increasingly been used as an adjunct treatment in neurological rehabilitation. However, how muscle activation level changes during exposure to different WBV protocols in individuals after stroke remains understudied. Objective The purpose of this study was to examine the influence of WBV intensity on the magnitude of biceps femoris (BF) and tibialis anterior (TA) muscle activity and its interaction with exercise and with severity of motor impairment and spasticity among individuals with chronic stroke. Methods Each of the 36 individuals with chronic stroke (mean age=57.3 years, SD=10.7) performed 8 different static exercises under 3 WBV conditions: (1) no WBV, (2) low-intensity WBV (frequency=20 Hz, amplitude=0.60 mm, peak acceleration=0.96g), and (3) high-intensity WBV (30 Hz, 0.44 mm, 1.61g). The levels of bilateral TA and BF muscle activity were recorded using surface electromyography (EMG). Results The main effect of intensity was significant. Exposure to the low-intensity and high-intensity protocols led to a significantly greater increase in normalized BF and TA muscle electromyographic magnitude in both legs compared with no WBV. The intensity × exercise interaction also was significant, suggesting that the WBV-induced increase in EMG activity was exercise dependent. The EMG responses to WBV were similar between the paretic and nonparetic legs and were not associated with level of lower extremity motor impairment and spasticity. Limitations Leg muscle activity was measured during static exercises only. Conclusions Adding WBV during exercise significantly increased EMG activity in the TA and BF muscles. The EMG responses to WBV in the paretic and nonparetic legs were similar and were not related to degree of motor impairment and spasticity. The findings are useful for guiding the design of WBV training protocols for people with stroke.


Author(s):  
Paul T Donahue ◽  
Samuel J Wilson ◽  
Charles C Williams ◽  
Melinda Valliant ◽  
John C Garner

Background: The vertical jumping task is commonly used to assess lower-body power output in athletic populations, in addition to being commonly used to during investigations of hydration and anaerobic performance. Changes in neuromuscular function during a hypohydrated state have been proposed as a potential mechanism to decreases in anaerobic performance. Objectives: The primary purpose of this investigation was to examine the impact of hydration state on electromyography during the vertical jumping task. Methods: Twenty recreationally trained males were tested in three hydration conditions (hypohydrated, euhydrated, and control). Testing included maximal voluntary contractions of the vastus lateralis, vastus medialis, semitendinosus and medial gastrocnemius. Participants performed three maximal countermovement and squat jumps respectively for a total of six jumps in each condition. Both mean muscle activity and percentage of maximal voluntary contraction were calculated across the propulsive phase of each jump. Additionally, measures of RPE and the use of a mood rating scale were used as subjective measures. Results: No differences were seen in mean muscle activity and percentage of MVC in either of the jumping conditions (p > 0.05). Significant differences were seen with higher ratings of perceived exertion as well as lower levels of mood ratings after the hypohydrated condition (p = 0.02 and p = 0.048 respectively). Conclusions: Decrements seen in vertical jump performance during a hypohydrated state appear to be caused from changes other than neuromuscular function and muscle activity. Differences in subjective measures may provide insight into changes in motivational levels and potentially impacting performance.


2012 ◽  
Vol 28 (2) ◽  
pp. 215-221 ◽  
Author(s):  
Bradley J. Monteleone ◽  
Janet L. Ronsky ◽  
Willem H. Meeuwisse ◽  
Ronald F. Zernicke

Ankle function is frequently measured using static or dynamic tasks in normal and injured patients. The purpose of this study was to develop a novel task to quantify ankle dynamics and muscle activity in normal subjects. Twelve subjects with no prior ankle injuries participated. Video motion analysis cameras, force platforms, and an EMG system were used to collect data during a lateral hop movement task that consisted of multiple lateral-medial hops over an obstacle. Mean (SD) inversion ankle position at contact was 4.4° (4.0) in the medial direction and –3.5° (4.4) in the lateral direction; mean (SD) tibialis anterior normalized muscle activity was 0.11 (0.08) in the medial direction and 0.16 (0.13) in the lateral direction. The lateral hop movement was shown to be an effective task for quantifying ankle kinematics, forces, moments, and muscle activities in normal subjects. Future applications will use the lateral hop movement to assess subjects with previous ankle injuries in laboratory and clinical settings.


2020 ◽  
pp. 1-8
Author(s):  
Javad Sarvestan ◽  
Alan R. Needle ◽  
Peyman Aghaie Ataabadi ◽  
Zuzana Kovačíková ◽  
Zdeneˇk Svoboda ◽  
...  

Context: Chronic ankle instability is documented to be followed by a recurrence of giving away episodes due to impairments in mechanical support. The application of ankle Kinesiotaping (KT) as a therapeutic intervention has been increasingly raised among athletes and physiotherapists. Objectives: This study aimed to investigate the impacts of ankle KT on the lower-limb kinematics, kinetics, dynamic balance, and muscle activity of college athletes with chronic ankle instability. Design: A crossover study design. Participants: Twenty-eight college athletes with chronic ankle sprain (11 females and 17 males, 23.46 [2.65] y, 175.36 [11.49] cm, 70.12 [14.11] kg) participated in this study. Setting: The participants executed 3 single-leg drop landings under nontaped and ankle Kinesio-taped conditions. Ankle, knee, and hip kinematics, kinetics, and dynamic balance status and the lateral gastrocnemius, medial gastrocnemius, tibialis anterior, and peroneus longus muscle activity were recorded and analyzed. Results: The application of ankle KT decreased ankle joint range of motion (P = .039) and angular velocities (P = .044) in the sagittal plane, ground reaction force rate of loading (P = .019), and mediolateral time to stability (P = .035). The lateral gastrocnemius (0.002) and peroneus longus (0.046) activity amplitudes also experienced a significant decrease after initial ground contact when the participants’ ankles were taped, while the application of ankle KT resulted in an increase in the peroneus longus (0.014) activity amplitudes before initial ground contact. Conclusions: Ankle lateral supports provided by KT potentially decreases mechanical stresses applied to the lower limbs, aids in dynamic balance, and lowers calf muscle energy consumption; therefore, it could be offered as a suitable supportive means for acute usage in athletes with chronic ankle instability.


Author(s):  
Kenzo C. Kishimoto ◽  
Martin E. Heroux ◽  
Simon C. Gandevia ◽  
Jane E. Butler ◽  
Joanna Diong

Maximal muscle activity recorded with surface electromyography (EMG) is an important neurophysiological measure. It is frequently used to normalize EMG activity recorded during passive or active movement. However, the true maximal muscle activity cannot be determined in people with impaired capacity to voluntarily activate their muscles. Here we determined whether maximal muscle activity can be estimated from muscle activity produced during submaximal voluntary activation. Twenty-five able-bodied adults (18 males, mean age 29 years, range 19-64 years) participated in the study. Participants were seated with the knee flexed 90° and the ankle in 5° of dorsiflexion from neutral. Participants performed isometric voluntary ankle plantarflexion contractions at target torques, in random order: 1, 5, 10, 15, 25, 50, 75, 90, 95, 100% of maximal voluntary torque. Ankle torque, muscle activity in soleus, medial and lateral gastrocnemius muscles, and voluntary muscle activation determined using twitch interpolation were recorded. There was a strong loge-linear relationship between measures of muscle activation and muscle activity in all three muscles tested. Linear mixed models were fitted to muscle activation and loge-transformed EMG data. Each 1% increase in muscle activation increased muscle activity by a mean of 0.027 ln(mV) [95% CI 0.025 to 0.029 ln(mV)] in soleus, 0.025 ln(mV) [0.022 to 0.028 ln(mV)] in medial gastrocnemius, and 0.028 ln(mV) [0.026 to 0.030 ln(mV)] in lateral gastrocnemius. The relationship between voluntary muscle activation and muscle activity can be described with simple mathematical functions. In future, it should be possible to normalize recorded muscle activity using these types of functions.


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