The Influence of Ambulatory Aid on Lower-Extremity Muscle Activation During Gait

2018 ◽  
Vol 27 (3) ◽  
pp. 230-236 ◽  
Author(s):  
Michael Sanders ◽  
Anton E. Bowden ◽  
Spencer Baker ◽  
Ryan Jensen ◽  
McKenzie Nichols ◽  
...  
Keyword(s):  
Muscle Atrophy ◽  
Repeated Measures ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Biceps Femoris ◽  
Ankle Injuries ◽  
The Novel ◽  
Foot And Ankle ◽  
Leg Muscles ◽  
Lower Extremity Muscle

Context: Foot and ankle injuries are common and often require a nonweight-bearing period of immobilization for the involved leg. This nonweight-bearing period usually results in muscle atrophy for the involved leg. There is a dearth of objective data describing muscle activation for different ambulatory aids that are used during the aforementioned nonweight-bearing period. Objective: To compare activation amplitudes for 4 leg muscles during (1) able-bodied gait and (2) ambulation involving 3 different ambulatory aids that can be used during the acute phase of foot and ankle injury care. Design: Within-subject, repeated measures. Setting: University biomechanics laboratory. Participants: Sixteen able-bodied individuals (7 females and 9 males). Intervention: Each participant performed able-bodied gait and ambulation using 3 different ambulatory aids (traditional axillary crutches, knee scooter, and a novel lower-leg prosthesis). Main Outcome Measure: Muscle activation amplitude quantified via mean surface electromyography amplitude throughout the stance phase of ambulation. Results: Numerous statistical differences (P < .05) existed for muscle activation amplitude between the 4 observed muscles, 3 ambulatory aids, and able-bodied gait. For the involved leg, comparing the 3 ambulatory aids: (1) knee scooter ambulation resulted in the greatest vastus lateralis activation, (2) ambulation using the novel prosthesis and traditional crutches resulted in greater biceps femoris activation than knee scooter ambulation, and (3) ambulation using the novel prosthesis resulted in the greatest gastrocnemius activation (P < .05). Generally speaking, muscle activation amplitudes were most similar to able-bodied gait when subjects were ambulating using the knee scooter or novel prosthesis. Conclusions: Type of ambulatory aid influences muscle activation amplitude. Traditional axillary crutches appear to be less likely to mitigate muscle atrophy during the nonweighting, immobilization period that often follows foot or ankle injuries. Researchers and clinicians should consider these results when recommending ambulatory aids for foot or ankle injuries.

Lower-Extremity Muscle Activation during the Star Excursion Balance Tests

2001 ◽  
Vol 10 (2) ◽  
pp. 93-104 ◽  
Author(s):  
Jennifer Erin Earl ◽  
Jay Hertel
Keyword(s):  
Lower Extremity ◽  
Repeated Measures ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Biceps Femoris ◽  
Emg Activity ◽  
Muscle Activation Patterns ◽  
Lower Extremity Muscle ◽  
Balance Tests ◽  
Integrated Emg

Objective:To identify integrated EMG (I-EMG) activity of 6 lower-extremity muscles during the 8 Star Excursion Balance Tests (SEBTs).Design and Setting:Repeated measures, laboratory setting.Subjects:10 healthy young adults.Interventions:The SEBTs require the subject to balance on the stance leg and maximally reach with the contralateral foot along each of 8 lines extending from a common axis at 45° intervals.Measures:I-EMG activity of the vastus medialis obliquus (VMO), vastus lateralis (VL), medial hamstring (MH), biceps femoris (BF), anterior tibialis (AT), and gas-trocnemius.Results:Significant differences were found in all muscles (P < .05) except the gastrocnemius (P = .08). VMO and VL activity tended to be greatest with anteriorly directed excursions, whereas the MH and BF activity were greatest with posteriorly directed excursions. AT activity was lowest with the lateral excursion.Conclusions:Performance of the different SEBTs results in different lower-extremity muscle-activation patterns.

Altering muscle activity in the lower extremities by bipedal landing with different drop tasks and shoes

2021 ◽  
pp. 1-11
Author(s):  
Yang Yang ◽  
Changxiao Yu ◽  
Chenhao Yang ◽  
Liqin Deng ◽  
Weijie Fu
Keyword(s):  
Lower Extremity ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Movement Control ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
The Body ◽  
Basketball Players ◽  
Lower Extremity Muscle ◽  
Body Tissues

BACKGROUND: The ability of the lower-extremity muscle activation directly affects the performance and in turn interacts with the loading conditions of the muscle itself. However, systematic information concerning the characteristics of lower-extremity muscle during landings is lacking. In particular, the landing height and shoes are also important factors based on the actual situation, which could further contribute to understanding the neuromuscular activity and how biochemical response of the body tissues to double-leg drop landings. OBJECTIVE: The study was to investigate the effects of landing tasks on the activation of lower-extremity muscles and explore the relationship among movement control, landing heights, shoe cushioning, and muscle activities. METHODS: Twelve male basketball players were recruited to perform drop jump (DJ) and passive landing (PL) from three heights (30, 45, and 60 cm) while wearing highly-cushioned basketball shoes (HC) and less-cushioned control shoes (LC). EMG electrodes were used to record the activities of the target muscles (rectus femoris, vastus lateralis, biceps femoris, tibialis anterior, and lateral gastrocnemius) during the landing tasks. RESULTS: Pre- and post-activation activity of the lower-extremity muscles significantly decreased during PL compared with those during DJ (p< 0.05). No significant shoe effects on the characteristics of muscle activation and coactivation during DJ movements were observed. However, the participants wearing LC showed significantly higher muscle post-activation (p< 0.05) at the three drop heights during PL compared with those wearing HC. Coactivation of the ankle muscles was higher in LC than in HC during 30-cm PL (p< 0.05). CONCLUSIONS: The activation patterns of lower-extremity muscles can be significantly influenced by landing types. Highly-cushioned basketball shoes would help reduce the risk of injuries by appropriately tuning the muscles during the PL.

scholarly journals Differences of Thigh Muscle Activation During Various Squat Exercise on Stable and Unstable Surfaces

2021 ◽  
Vol 30 (3) ◽  
pp. 387-395
Author(s):  
Soojin Kim ◽  
Joo-Hyun Lee ◽  
Jihye Heo ◽  
Eunwook Chang
Keyword(s):  
Muscle Activity ◽  
Repeated Measures ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
Quadriceps Muscle ◽  
Thigh Muscle ◽  
Unstable Surface ◽  
Co Activation

PURPOSE: The purpose of this study was to compare thigh muscle activities and muscle co-activation when performing squats, wall squats, and Spanish squats on stable and unstable ground.METHODS: Twenty-two healthy male subjects (age: 22.50±2.70 years, height: 178.72±6.04 cm, mass: 76.50±6.80 kg, body mass index: 24.00±2.10 kg/m2, and Godin activity questionnaire: 56.30±24.10) voluntarily participated in the study. All of the participants performed three different squat exercises on the floor and the BOSU ball with an electromyograph attached to each participant’s quadriceps (rectus femoris, RF; vastus lateralis, VL; and vastus medialis, VM) and hamstrings (biceps femoris, BF; semitendinosus, ST; and semimembranosus, SM). Repeated measures of analysis of variance were utilized to compare muscle activity during the three squats exercises by floor type.RESULTS: RF (p<.001, η2=.689), VL (p<.001, η2=.622), and VM (p=.002, η2=.375) showed significant differences between exercises. Spanish squats yielded greater BF activity than did wall squats (p=.018, η2=.269). ST yielded greater muscle activity with the BOSU ball than on the floor (p=.018, η2=.269). Finally, there was a significant ground exercise interaction effect on the co-activation, showing greater muscle co-activation with Spanish squats on the BOSU ball compared to squats, squats on the BOSU ball, and wall squat on the BOSU ball.CONCLUSIONS: The findings of this study indicate that Spanish squats could be an effective exercise option for the facilitation of RF, VL, VM, and BF muscle activation. In particular, performing Spanish squats on an unstable surface could be useful for patients who need to improve their quadriceps muscle activation.

scholarly journals Muscle Activation During Side-Step Cutting Maneuvers in Male and Female Soccer Athletes

2008 ◽  
Vol 43 (2) ◽  
pp. 133-143 ◽  
Author(s):  
Ashley M. Hanson ◽  
Darin A. Padua ◽  
J. Troy Blackburn ◽  
William E. Prentice ◽  
Christopher J. Hirth
Keyword(s):  
Sex Differences ◽  
Repeated Measures ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Gluteus Medius ◽  
Acl Injury ◽  
Division I ◽  
Electromyographic Activity ◽  
Male And Female ◽  
Lower Extremity Muscle

Abstract Context: Female soccer athletes are at greater risk of anterior cruciate ligament (ACL) injury than males. Sex differences in muscle activation may contribute to the increased incidence of ACL injuries in female soccer athletes. Objective: To examine sex differences in lower extremity muscle activation between male and female soccer athletes at the National Collegiate Athletic Association Division I level during 2 side-step cutting maneuvers. Design: Cross-sectional with 1 between-subjects factor (sex) and 2 within-subjects factors (cutting task and phase of contact). Setting: Sports medicine research laboratory. Patients or Other Participants: Twenty males (age = 19.4 ± 1.4 years, height = 176.5 ± 5.5 cm, mass = 74.6 ± 6.0 kg) and 20 females (age = 19.8 ± 1.1 years, height = 165.7 ± 4.3 cm, mass = 62.2 ± 7.2 kg). Intervention(s): In a single testing session, participants performed the running-approach side-step cut and the box-jump side-step cut tasks. Main Outcome Measure(s): Surface electromyographic activity of the rectus femoris, vastus lateralis, medial hamstrings, lateral hamstrings, gluteus medius, and gluteus maximus was recorded for each subject. Separate mixed-model, repeated-measures analysis of variance tests were used to compare the dependent variables across sex during the preparatory and loading contact phases of each cutting task. Results: Females displayed greater vastus lateralis activity and quadriceps to hamstrings coactivation ratios during the preparatory and loading phases, as well as greater gluteus medius activation during the preparatory phase only. No significant differences were noted between the sexes for muscle activation in the other muscles analyzed during each task. Conclusions: The quadriceps-dominant muscle activation pattern observed in recreationally active females is also present in female soccer athletes at the Division I level when compared with similarly trained male soccer athletes. The relationship between increased quadriceps activation and greater incidence of noncontact ACL injury in female soccer athletes versus males requires further study.

scholarly journals Electromyography, Stiffness and Kinematics of Resisted Sprint Training in the Specialized SKILLRUN® Treadmill Using Different Load Conditions in Rugby Players

Sensors ◽  
2021 ◽  
Vol 21 (22) ◽  
pp. 7482
Author(s):  
Antonio Martínez-Serrano ◽  
Elena Marín-Cascales ◽  
Konstantinos Spyrou ◽  
Tomás T. Freitas ◽  
Pedro E. Alcaraz
Keyword(s):  
Lower Limb ◽  
Repeated Measures ◽  
Muscle Activation ◽  
Vastus Lateralis ◽  
Biceps Femoris ◽  
Rugby Union ◽  
Sprint Training ◽  
Muscle Activation Patterns ◽  
Lower Limb Muscles ◽  
Load Conditions

This study’s aim was to analyze muscle activation and kinematics of sled-pushing and resisted-parachute sprinting with three load conditions on an instrumentalized SKILLRUN® treadmill. Nine male amateur rugby union players (21.3 ± 4.3 years, 75.8 ± 10.2 kg, 176.6 ± 8.8 cm) performed a sled-push session consisting of three 15-m repetitions at 20%, 55% and 90% body mas and another resisted-parachute session using three different parachute sizes (XS, XL and 3XL). Sprinting kinematics and muscle activity of three lower-limb muscles (biceps femoris (BF), vastus lateralis (VL) and gastrocnemius medialis (GM)) were measured. A repeated-measures analysis of variance (RM-ANOVA) showed that higher loads during the sled-push increased (VL) (p ≤ 0.001) and (GM) (p ≤ 0.001) but not (BF) (p = 0.278) activity. Furthermore, it caused significant changes in sprinting kinematics, stiffness and joint angles. Resisted-parachute sprinting did not change kinematics or muscle activation, despite producing a significant overload (i.e., speed loss). In conclusion, increased sled-push loading caused disruptions in sprinting technique and altered lower-limb muscle activation patterns as opposed to the resisted-parachute. These findings might help practitioners determine the more adequate resisted sprint exercise and load according to the training objective (e.g., power production or speed performance).

scholarly journals Role of Occupational Footwear and Prolonged Walking on Lower Extremity Muscle Activation during Maximal Exertions and Postural Stability Tasks

Biomechanics ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 202-213
Author(s):  
Harish Chander ◽  
Sachini N. K. Kodithuwakku Arachchige ◽  
Alana J. Turner ◽  
Reuben F. Burch V ◽  
Adam C. Knight ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Muscle Activity ◽  
Repeated Measures ◽  
Postural Stability ◽  
Muscle Activation ◽  
Medial Gastrocnemius ◽  
Lower Extremity Muscle ◽  
Prolonged Duration ◽  
The Mean ◽  
The Impact

Background: Occupational footwear and a prolonged duration of walking have been previously reported to play a role in maintaining postural stability. The purpose of this paper was to analyze the impact of three types of occupational footwear: the steel-toed work boot (ST), the tactical work boot (TB), and the low-top work shoe (LT) on previously unreported lower extremity muscle activity during postural stability tasks. Methods: Electromyography (EMG) muscle activity was measured from four lower extremity muscles (vastus medialis (VM), medial hamstrings (MH), tibialis anterior (TA), and medial gastrocnemius (MG) during maximal voluntary isometric contractions (MVIC) and during a sensory organization test (SOT) every 30 min over a 4 h simulated workload while wearing ST, TB, and LT footwear. The mean MVIC and the mean and percentage MVIC during each SOT condition from each muscle was analyzed individually using a repeated measures ANOVA at an alpha level of 0.05. Results: Significant differences (p < 0.05) were found for maximal exertions, but this was limited to only the time main effect. No significant differences existed for EMG measures during the SOT. Conclusion: The findings suggest that occupational footwear type does not influence lower extremity muscle activity during both MVIC and SOT. Significantly lower muscle activity during maximal exertions over the course of the 4 h workload was evident, which can be attributed to localized muscular fatigue, but this was not sufficient to impact muscle activity during postural stability tasks.

scholarly journals Central excitability does not limit postfatigue voluntary activation of quadriceps femoris

2006 ◽  
Vol 100 (6) ◽  
pp. 1757-1764 ◽  
Author(s):  
J. M. Kalmar ◽  
E. Cafarelli
Keyword(s):  
Evoked Potentials ◽  
Repeated Measures ◽  
Muscle Activation ◽  
Motor Evoked Potentials ◽  
Vastus Lateralis ◽  
Central Fatigue ◽  
Knee Extension ◽  
Voluntary Activation ◽  
Fatigue Protocol ◽  
Central Excitability

After fatigue, motor evoked potentials (MEP) elicited by transcranial magnetic stimulation and cervicomedullary evoked potentials elicited by stimulation of the corticospinal tract are depressed. These reductions in corticomotor excitability and corticospinal transmission are accompanied by voluntary activation failure, but this may not reflect a causal relationship. Our purpose was to determine whether a decline in central excitability contributes to central fatigue. We hypothesized that, if central excitability limits voluntary activation, then a caffeine-induced increase in central excitability should offset voluntary activation failure. In this repeated-measures study, eight men each attended two sessions. Baseline measures of knee extension torque, maximal voluntary activation, peripheral transmission, contractile properties, and central excitability were made before administration of caffeine (6 mg/kg) or placebo. The amplitude of vastus lateralis MEPs elicited during minimal muscle activation provided a measure of central excitability. After a 1-h rest, baseline measures were repeated before, during, and after a fatigue protocol that ended when maximal voluntary torque declined by 35% (Tlim). Increased prefatigue MEP amplitude ( P = 0.055) and cortically evoked twitch ( P < 0.05) in the caffeine trial indicate that the drug increased central excitability. In the caffeine trial, increased MEP amplitude was correlated with time to task failure ( r = 0.74, P < 0.05). Caffeine potentiated the MEP early in the fatigue protocol ( P < 0.05) and offset the 40% decline in placebo MEP ( P < 0.05) at Tlim. However, this was not associated with enhanced maximal voluntary activation during fatigue or recovery, demonstrating that voluntary activation is not limited by central excitability.

Muscle Activation in the Main Muscle Groups of the Lower Limbs in High-Level Dancesport Athletes

2018 ◽  
Vol 33 (4) ◽  
pp. 231-237
Author(s):  
Encarnación Liébana ◽  
Cristina Monleón ◽  
Raquel Morales ◽  
Carlos Pablos ◽  
Consuelo Moratal ◽  
...  
Keyword(s):  
Tibialis Anterior ◽  
Muscle Activation ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
Lower Limbs ◽  
Gastrocnemius Medialis ◽  
Leg Muscles ◽  
Relative Activation ◽  
Muscle Groups ◽  
High Level

Dancers are subjected to high-intensity workouts when they practice dancesport, and according to the literature, they are prone to injury, primarily of the lower limbs. The purpose of this study was to determine whether differences exist in relative activation amplitudes for dancers involved in dancesport due to muscle, gender, and type of dance. Measurements were carried out using surface electromyography equipment during the choreography of a performance in the following leg muscles: rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius medialis. Eight couples of active dancesport athletes (aged 20.50±2.75 yrs) were analyzed. Significant gender differences were found in rumba in the tibialis anterior (p≤0.05) and gastrocnemius medialis (p≤0.05). Based on the different activations, it is possible to establish possible mechanisms of injury, as well as tools for preventing injuries and improving sports performance.

scholarly journals Modeling of Muscle Activation from Electromyography Recordings in Patients with Cerebral Palsy

2018 ◽  
Vol 8 (12) ◽  
pp. 2345
Author(s):  
Susmita Roy ◽  
Ana Alves-Pinto ◽  
Renée Lampe
Keyword(s):  
Cerebral Palsy ◽  
Reference Values ◽  
Muscle Activation ◽  
Muscle Force ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
Force Modeling ◽  
Lower Extremity Muscle ◽  
Musculus Gastrocnemius ◽  
Parameter Dependent

The present study estimated muscle activation from electromyographic (EMG) recordings in patients with cerebral palsy (CP) during cycling on an ergometer. This could be used as an input to the modeling of muscle force following the neuromusculoskeletal modeling technique which can help to understand the alterations in neuromotor processes underlying disabilities in CP. EMG signals of lower extremity muscle activity from 14 adult patients with CP and 10 adult healthy participants were used here to derive muscle activation. With a self developed EMG system, signals from the following muscles were recorded: Musculus tibialis anterior, Musculus gastrocnemius, Musculus rectus femoris, and Musculus biceps femoris. Collected EMG signals were mathematically transformed into muscle activation following a parameter dependent and a nonlinear transformation. Muscle activation values from patients with CP were compared to equivalent reference values obtained from healthy controls. Muscle activation calculated at specific foot positions deviated clearly from reference values. The deviation was larger for patients with higher degree of spasticity. Observations underline the need of muscle force modeling during cycling for individualized cycling training for rehabilitation strategy.

scholarly journals Comparative Kinematic and Electromyographic Assessment of Clinician- and Device-Assisted Sit-to-Stand Transfers in Patients With Stroke

2013 ◽  
Vol 93 (10) ◽  
pp. 1331-1341 ◽  
Author(s):  
Judith M. Burnfield ◽  
Bernadette McCrory ◽  
Yu Shu ◽  
Thad W. Buster ◽  
Adam P. Taylor ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Muscle Activation ◽  
Joint Movement ◽  
Trunk Flexion ◽  
Cross Sectional ◽  
Ankle Motion ◽  
Repeated Measures Design ◽  
Sit To Stand ◽  
Lower Extremity Muscle ◽  
Combat Injuries

Background Workplace injuries from patient handling are prevalent. With the adoption of no-lift policies, sit-to-stand transfer devices have emerged as one tool to combat injuries. However, the therapeutic value associated with sit-to-stand transfers with the use of an assistive apparatus cannot be determined due to a lack of evidence-based data. Objective The aim of this study was to compare clinician-assisted, device-assisted, and the combination of clinician- and device-assisted sit-to-stand transfers in individuals who recently had a stroke. Design This cross-sectional, controlled laboratory study used a repeated-measures design. Methods The duration, joint kinematics, and muscle activity of 4 sit-to-stand transfer conditions were compared for 10 patients with stroke. Each patient performed 4 randomized sit-to-stand transfer conditions: clinician-assisted, device-assisted with no patient effort, device-assisted with the patient’s best effort, and device- and clinician-assisted. Results Device-assisted transfers took nearly twice as long as clinician-assisted transfers. Hip and knee joint movement patterns were similar across all conditions. Forward trunk flexion was lacking and ankle motion was restrained during device-assisted transfers. Encouragement and guidance from the clinician during device-assisted transfers led to increased lower extremity muscle activation levels. Limitations One lifting device and one clinician were evaluated. Clinician effort could not be controlled. Conclusions Lack of forward trunk flexion and restrained ankle movement during device-assisted transfers may dissuade clinicians from selecting this device for use as a dedicated rehabilitation tool. However, with clinician encouragement, muscle activation increased, which suggests that it is possible to safely practice transfers while challenging key leg muscles essential for standing. Future sit-to-stand devices should promote safety for the patient and clinician and encourage a movement pattern that more closely mimics normal sit-to-stand biomechanics.

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