Influence of Gravity Compensation on Muscle Activation Patterns During Different Temporal Phases of Arm Movements of Stroke Patients

2009 ◽  
Vol 23 (5) ◽  
pp. 478-485 ◽  
Author(s):  
G.B. Prange ◽  
M.J.A. Jannink ◽  
A.H.A. Stienen ◽  
H. van der Kooij ◽  
M.J. IJzerman ◽  
...  
Keyword(s):  
Motor Control ◽  
Muscle Activation ◽  
Arm Movement ◽  
Quantitative Information ◽  
Gravity Compensation ◽  
Stroke Patients ◽  
Activation Patterns ◽  
Muscle Activation Patterns ◽  
Arm Support ◽  
Control Objective

Background. Arm support to help compensate for the effects of gravity may improve functional use of the shoulder and elbow during therapy after stroke, but gravity compensation may alter motor control. Objective. To obtain quantitative information on how gravity compensation influences muscle activation patterns during functional, 3-dimensional reaching movements. Methods. Eight patients with mild hemiparesis performed 2 sets of repeated reach and retrieval movements, with and without unloading the arm, using a device that acted at the elbow and forearm to compensate for gravity. Electromyographic (EMG) patterns of 6 upper extremity muscles were compared during elbow and shoulder joint excursions with and without gravity compensation. Results. Movement performance was similar with and without gravity compensation. Smooth rectified EMG (SRE) values were decreased from 25% to 50% during movements with gravity compensation in 5 out of 6 muscles. The variation of SRE values across movement phases did not differ across conditions. Conclusions. Gravity compensation did not affect general patterns of muscle activation in this sample of stroke patients, probably since they had adequate function to complete the task without arm support. Gravity compensation did facilitate active arm movement excursions without impairing motor control. Gravity compensation may be a valuable modality in conventional or robot-aided therapy to increase the intensity of training for mildly impaired patients.

Development of an Apparatus for Bilateral Rhythmical Training of Arm Movement Via Linear and Elliptical Trajectories of Various Directions

2014 ◽  
Vol 8 (3) ◽  
Author(s):  
Zlatko Matjačić ◽  
Matjaž Zadravec ◽  
Jakob Oblak
Keyword(s):  
Muscle Activation ◽  
Arm Movement ◽  
Emg Activity ◽  
Activation Patterns ◽  
Muscle Activation Patterns ◽  
Arm Cycling ◽  
Arm Reaching ◽  
Direction Of Movement ◽  
Muscle Groups ◽  
Neurologically Intact

Clinical rehabilitation of individuals with various neurological disorders requires a significant number of movement repetitions in order to improve coordination and restoration of appropriate muscle activation patterns. Arm reaching movement is frequently practiced via motorized arm cycling ergometers where the trajectory of movement is circular thus providing means for practicing a single and rather nonfunctional set of muscle activation patterns, which is a significant limitation. We have developed a novel mechanism that in the combination with an existing arm ergometer device enables nine different movement modalities/trajectories ranging from purely circular trajectory to four elliptical and four linear trajectories where the direction of movement may be varied. The main objective of this study was to test a hypothesis stating that different movement modalities facilitate differences in muscle activation patterns as a result of varying shape and direction of movement. Muscle activation patterns in all movement modalities were assessed in a group of neurologically intact individuals in the form of recording the electromyographic (EMG) activity of four selected muscle groups of the shoulder and the elbow. Statistical analysis of the root mean square (RMS) values of resulting EMG signals have shown that muscle activation patterns corresponding to each of the nine movement modalities significantly differ in order to accommodate to variation of the trajectories shape and direction. Further, we assessed muscle activation patterns following the same protocol in a selected clinical case of hemiparesis. These results have shown the ability of the selected case subject to produce different muscle activation patterns as a response to different movement modalities which show some resemblance to those assessed in the group of neurologically intact individuals. The results of the study indicate that the developed device may significantly extend the scope of strength and coordination training in stroke rehabilitation which is in current clinical rehabilitation practice done through arm cycling.

scholarly journals Sex-specific tuning of modular muscle activation patterns for locomotion in young and older adults

2021 ◽  
Author(s):  
Alessandro Santuz ◽  
Lars Janshen ◽  
Leon Bruell ◽  
Victor Munoz-Martel ◽  
Juri Taborri ◽  
...  
Keyword(s):  
Older Adults ◽  
Motor Control ◽  
Muscle Activation ◽  
Human Locomotion ◽  
Older Age ◽  
Modular Organization ◽  
Muscle Synergies ◽  
Activation Patterns ◽  
Motor Primitives ◽  
Muscle Activation Patterns

There is increasing evidence that including sex as a biological variable is of crucial importance to promote rigorous, repeatable and reproducible science. In spite of this, the body of literature that accounts for the sex of participants in human locomotion studies is small and often produces controversial results. Here, we investigated the modular organization of muscle activation patterns for human locomotion using the concept of muscle synergies with a double purpose: i) uncover possible sex-specific characteristics of motor control and ii) assess whether these are maintained in older age. We recorded electromyographic activities from 13 ipsilateral muscles of the lower limb in young and older adults of both sexes walking (young and old) and running (young) on a treadmill. The data set obtained from the 215 participants was elaborated through non-negative matrix factorization to extract the time-independent (i.e., motor modules) and time-dependent (i.e., motor primitives) coefficients of muscle synergies. We found sparse sex-specific modulations of motor control. Motor modules showed a different contribution of hip extensors, knee extensors and foot dorsiflexors in various synergies. Motor primitives were wider (i.e., lasted longer) in males in the propulsion synergy for walking (but only in young and not in older adults) and in the weight acceptance synergy for running. Moreover, the complexity of motor primitives was similar in younger adults of both sexes, but lower in older females as compared to older males. In essence, our results revealed the existence of small but defined sex-specific differences in the way humans control locomotion and that these strategies are not entirely maintained in older age.

The effect of walking aids on muscle activation patterns during walking in stroke patients

2005 ◽  
Vol 22 (2) ◽  
pp. 164-170 ◽  
Author(s):  
J.H. Buurke ◽  
H.J. Hermens ◽  
C.V. Erren-Wolters ◽  
A.V. Nene
Keyword(s):  
Muscle Activation ◽  
Stroke Patients ◽  
Activation Patterns ◽  
Muscle Activation Patterns ◽  
Walking Aids

scholarly journals Validity and reliability of an electromyography-based upper limb assessment quantifying selective voluntary motor control in children with upper motor neuron lesions

2021 ◽  
Vol 104 (2) ◽  
pp. 003685042110080
Author(s):  
Jeffrey W Keller ◽  
Annina Fahr ◽  
Julia Balzer ◽  
Jan Lieber ◽  
Hubertus JA van Hedel
Keyword(s):  
Motor Control ◽  
Motor Neuron ◽  
Concurrent Validity ◽  
Muscle Activation ◽  
Intraclass Correlation ◽  
Similarity Index ◽  
Validity And Reliability ◽  
Activation Patterns ◽  
Voluntary Motor ◽  
Muscle Activation Patterns

Current clinical assessments evaluating selective voluntary motor control are measured on an ordinal scale. We combined the Selective Control of the Upper Extremity Scale (SCUES) with surface electromyography to develop a more objective and interval-scaled assessment of selective voluntary motor control. The resulting Similarity Index (SI) quantifies the similarity of muscle activation patterns. We aimed to evaluate the validity and reliability of this new assessment named SISCUES (Similarity Index of the SCUES) in children with upper motor neuron lesions. Thirty-three patients (12.2 years [8.8;14.9]) affected by upper motor neuron lesions with mild to moderate impairments and 31 typically developing children (11.6 years [8.5;13.9]) participated. We calculated reference muscle activation patterns for the SISCUES using data of 33 neurologically healthy adults (median [1st; 3rd quantile]: 32.5 [27.9; 38.3]). We calculated Spearman correlations (ρ) between the SISCUES and the SCUES and the Manual Ability Classification System (MACS) to establish concurrent validity. Discriminative validity was tested by comparing scores of patients and healthy peers with a robust ANCOVA. Intraclass correlation coefficients2,1 and minimal detectable changes indicated relative and absolute reliability. The SISCUES correlates strongly with SCUES (ρ = 0.76, p < 0.001) and moderately with the MACS (ρ = −0.58, p < 0.001). The average SISCUES can discriminate between patients and peers. The intraclass correlation coefficient2,1 was 0.90 and the minimal detectable change was 0.07 (8% of patients’ median score). Concurrent validity, discriminative validity, and reliability of the SISCUES were established. Further studies are needed to evaluate whether it is responsive enough to detect changes from therapeutic interventions.

scholarly journals Costs of position, velocity, and force requirements in optimal control induce triphasic muscle activation during reaching movement

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yuki Ueyama
Keyword(s):  
Optimal Control ◽  
Nervous System ◽  
Muscle Activation ◽  
Arm Movement ◽  
The Body ◽  
Activation Patterns ◽  
Reaching Movement ◽  
Muscle Activation Patterns ◽  
Antagonist Muscles ◽  
Neural Input

AbstractThe nervous system activates a pair of agonist and antagonist muscles to determine the muscle activation pattern for a desired movement. Although there is a problem with redundancy, it is solved immediately, and movements are generated with characteristic muscle activation patterns in which antagonistic muscle pairs show alternate bursts with a triphasic shape. To investigate the requirements for deriving this pattern, this study simulated arm movement numerically by adopting a musculoskeletal arm model and an optimal control. The simulation reproduced the triphasic electromyogram (EMG) pattern observed in a reaching movement using a cost function that considered three terms: end-point position, velocity, and force required; the function minimised neural input. The first, second, and third bursts of muscle activity were generated by the cost terms of position, velocity, and force, respectively. Thus, we concluded that the costs of position, velocity, and force requirements in optimal control can induce triphasic EMG patterns. Therefore, we suggest that the nervous system may control the body by using an optimal control mechanism that adopts the costs of position, velocity, and force required; these costs serve to initiate, decelerate, and stabilise movement, respectively.

scholarly journals Motor Control Changes after Innovative Aquatic Proprioceptive Training in Athletes with Anterior Cruciate Ligament Reconstruction: Voluntary Response Index Analysis

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Elie Hajouj ◽  
Mohammad Reza Hadian ◽  
Seyed Mohsen Mir ◽  
Saeed Talebian ◽  
Salah Ghazi
Keyword(s):  
Motor Control ◽  
Muscle Activation ◽  
Cruciate Ligament ◽  
Activation Patterns ◽  
Response Index ◽  
Muscle Activation Patterns ◽  
Voluntary Response ◽  
Proprioceptive Training ◽  
Anterior Cruciate ◽  
Functional Task

Objectives: The main aim of this study was to determine and compare the effects of innovative aquatic proprioceptive training plus conventional rehabilitation with conventional rehabilitation alone on voluntary response index (VRI) components in athletes with anterior cruciate ligament reconstruction (ACLR). Methods: Forty male athletes with ACLR (18 - 35 years of age) voluntarily participated in this study. They were randomly allocated into two groups. The conventional therapy group (n = 20) underwent conventional rehabilitation for ten weeks, three sessions a week. The aquatic proprioceptive training plus conventional rehabilitation (n = 20) group received the same conventional rehabilitation plus 30 sessions of innovative hydrotherapy exercises. Voluntary response index analysis was carried out to determine changes in motor control and muscle activation patterns based on electromyographic (EMG) outcome measures. Results: There was a significant difference in the magnitude (MAG) and similarity index (SI) between the two groups at all phases of the functional task (sit-stand-sit) (P < 0.05). Also, both groups showed a significant change in MAG and SI at all phases of the functional task (sit-stand-sit) after the intervention (P < 0.05). Effect size in both groups for MAG and SI at all phases of the functional task (sit-stand-sit) ranged from 2.5 to 4.61 and from 0.29 to 1.7, respectively. Conclusions: The incorporation of innovative aquatic proprioceptive training into conventional accelerated rehabilitation protocol can improve motor control by influencing muscle activation patterns.

Estimation of Corrective Changes in Muscle Activation Patterns for Stroke Patients During FES Intervention

2007 ◽  
Author(s):  
Qi Shao ◽  
Daniel N. Bassett ◽  
Kurt Manal ◽  
Thomas S. Buchanan
Keyword(s):  
Electrical Stimulation ◽  
Muscle Activation ◽  
Control Strategies ◽  
Biomechanical Model ◽  
Stroke Patients ◽  
Activation Patterns ◽  
Know How ◽  
Muscle Activation Patterns ◽  
Person Following ◽  
Human Movements

Functional electrical stimulation (FES) has been used in the rehabilitation of stroke patients. It is important to know how to stimulate the muscles when using FES. Many control methods have been used to derive the required electrical stimulation patterns. However, these models were not developed based on biomechanical model of human neuromuscular system, thus can not account for sophisticated neurological control strategies during human movements. Based on our developed electromyography (EMG) driven model, we have created a biomechanical model to estimate the corrective increases in muscle activation patterns needed for a person following stroke to walk with an improved normal gait.

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