scholarly journals Neuromusculoskeletal Simulation Reveals Abnormal Rectus Femoris-Gluteus Medius Coupling in Post-stroke Gait

2019 ◽  
Vol 10 ◽  
Author(s):  
Tunc Akbas ◽  
Richard R. Neptune ◽  
James Sulzer
Keyword(s):  
Rectus Femoris ◽  
Gluteus Medius ◽  
Post Stroke

scholarly journals Neuromusculoskeletal simulation reveals abnormal rectus femoris-gluteus medius reflex coupling in post-stroke gait

2018 ◽  
Author(s):  
Tunc Akbas ◽  
Richard R. Neptune ◽  
James Sulzer
Keyword(s):  
Knee Flexion ◽  
Latency Period ◽  
Rectus Femoris ◽  
Gluteus Medius ◽  
Coordination Pattern ◽  
Healthy Controls ◽  
Post Stroke ◽  
Reflex Latency ◽  
Stiff Knee ◽  
Muscle Activations

ABSTRACTPost-stroke gait is often accompanied by muscle impairments that result in adaptations such as hip circumduction to compensate for lack of knee flexion. Our previous work robotically enhanced knee flexion in individuals post-stroke with Stiff-Knee Gait (SKG), however, this resulted in greater circumduction, suggesting the existence of abnormal coordination in SKG. The purpose of this work is to investigate two possible mechanisms of the abnormal coordination: 1) an involuntary coupling between stretched quadriceps and abductors, and 2) a coupling between volitionally activated knee flexors and abductors. We used previously collected kinematic, kinetic and EMG measures from nine participants with chronic stroke and five healthy controls during walking with and without the applied knee flexion torque perturbations in the pre-swing phase of gait in the neuromusculoskeletal simulation. The measured muscle activity was supplemented by simulated muscle activations to estimate the muscle states of the quadriceps, hamstrings and hip abductors. We used linear mixed models to investigate two hypotheses: H1) association between quadriceps and abductor activation during an involuntary period (reflex latency) following the perturbation and H2) association between hamstrings and abductor activation after the perturbation was removed. We observed significantly higher rectus femoris (RF) activation in stroke participants compared to healthy controls within the reflex latency period following the perturbation based on both measured (H1, p < 0.001) and simulated (H1, p = 0.022) activity. Simulated RF and gluteus medius (GMed) activations were correlated only in those with SKG, which was significantly higher compared to healthy controls (H1, p = 0.030). There was no evidence of voluntary synergistic coupling between any combination of hamstrings and hip abductors (H2, p > 0.05) when the perturbation was removed. The RF-GMed coupling suggests an underlying abnormal reflex coordination pattern in post-stroke SKG. These results challenge earlier assumptions that hip circumduction in stroke is simply a kinematic adaptation due to reduced toe clearance. Instead, abnormal coordination may underlie circumduction, illustrating the deleterious role of abnormal coordination in post-stroke gait.

scholarly journals Kinematic and EMG Comparison Between Variations of Unilateral Squats Under Different Stabilities

2020 ◽  
Vol 4 (02) ◽  
pp. E59-E66
Author(s):  
Roland van den Tillaar ◽  
Stian Larsen
Keyword(s):  
Muscle Activity ◽  
Rectus Femoris ◽  
Gluteus Medius ◽  
Biceps Femoris ◽  
Peak Force ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Training Experience ◽  
Free Weight ◽  
Weight Condition

AbstractThe purpose of the study was to compare kinematics and muscle activity between two variations of unilateral squats under different stability conditions. Twelve male volunteers (age: 23±5 years, mass: 80±17 kg, height: 1.81±0.11 m, strength-training experience: 4.3±1.9 years) performed four repetitions with the same external load (≈4RM). Two variations (with the non-stance leg forwards vs. backwards) were performed in a Smith-machine and free-weight condition. The variables were barbell velocity, lifting time and surface electromyography activity of the lower extremity and trunk muscles during the descending and ascending phase. The main findings were 1) peak force was higher when performing the unilateral squats in the Smith machine; 2) peak ascending barbell velocity increased from repetition 3–4 with free weight; and 3) muscle activity from the rectus femoris, vastus lateral, biceps femoris, gluteus medius, and erector spinae increased with repetitions, whereas gluteus, and medial vastus and shank muscles were affected by the conditions. It was concluded that more peak force could be produced because of increased stability. However, peak barbell velocity increased from repetition to repetition in free-weight unilateral squats, which was probably because the participants grew more comfortable. Furthermore, increased instability causes more gluteus and vastus medial activation and foot variations mainly affected the calf muscles.

scholarly journals The Effect of Step Width on Muscle Contributions to Body Mass Center Acceleration During the First Stance of Sprinting

2021 ◽  
Vol 9 ◽  
Author(s):  
Ruoli Wang ◽  
Laura Martín de Azcárate ◽  
Paul Sandamas ◽  
Anton Arndt ◽  
Elena M. Gutierrez-Farewik
Keyword(s):  
Lower Limb ◽  
Sagittal Plane ◽  
Center Of Mass ◽  
Gluteus Maximus ◽  
Rectus Femoris ◽  
Gluteus Medius ◽  
Biceps Femoris ◽  
The Body ◽  
Step Width ◽  
Acceleration Analysis

BackgroundAt the beginning of a sprint, the acceleration of the body center of mass (COM) is driven mostly forward and vertically in order to move from an initial crouched position to a more forward-leaning position. Individual muscle contributions to COM accelerations have not been previously studied in a sprint with induced acceleration analysis, nor have muscle contributions to the mediolateral COM accelerations received much attention. This study aimed to analyze major lower-limb muscle contributions to the body COM in the three global planes during the first step of a sprint start. We also investigated the influence of step width on muscle contributions in both naturally wide sprint starts (natural trials) and in sprint starts in which the step width was restricted (narrow trials).MethodMotion data from four competitive sprinters (2 male and 2 female) were collected in their natural sprint style and in trials with a restricted step width. An induced acceleration analysis was performed to study the contribution from eight major lower limb muscles (soleus, gastrocnemius, rectus femoris, vasti, gluteus maximus, gluteus medius, biceps femoris, and adductors) to acceleration of the body COM.ResultsIn natural trials, soleus was the main contributor to forward (propulsion) and vertical (support) COM acceleration and the three vasti (vastus intermedius, lateralis and medialis) were the main contributors to medial COM acceleration. In the narrow trials, soleus was still the major contributor to COM propulsion, though its contribution was considerably decreased. Likewise, the three vasti were still the main contributors to support and to medial COM acceleration, though their contribution was lower than in the natural trials. Overall, most muscle contributions to COM acceleration in the sagittal plane were reduced. At the joint level, muscles contributed overall more to COM support than to propulsion in the first step of sprinting. In the narrow trials, reduced COM propulsion and particularly support were observed compared to the natural trials.ConclusionThe natural wide steps provide a preferable body configuration to propel and support the COM in the sprint starts. No advantage in muscular contributions to support or propel the COM was found in narrower step widths.

scholarly journals Effect of Dropping Height on the Forces of Lower Extremity Joints and Muscles during Landing: A Musculoskeletal Modeling

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Wenxin Niu ◽  
Lejun Wang ◽  
Chenghua Jiang ◽  
Ming Zhang
Keyword(s):  
Computational Simulation ◽  
Reaction Force ◽  
Gluteus Maximus ◽  
Lower Extremities ◽  
Rectus Femoris ◽  
Gluteus Medius ◽  
Biceps Femoris ◽  
Lower Limbs ◽  
Muscle Forces ◽  
Element Analysis

The objective of this study was to investigate the effect of dropping height on the forces of joints and muscles in lower extremities during landing. A total of 10 adult subjects were required to landing from three different heights (32 cm, 52 cm, and 72 cm), and the ground reaction force and kinematics of lower extremities were measured. Then, the experimental data were input into the AnyBody Modeling System, in which software the musculoskeletal system of each subject was modeled. The reverse dynamic analysis was done to calculate the joint and muscle forces for each landing trial, and the effect of dropping-landing on the results was evaluated. The computational simulation showed that, with increasing of dropping height, the vertical forces of all the hip, knee, and ankle joints, and the forces of rectus femoris, gluteus maximus, gluteus medius, vastii, biceps femoris and adductor magnus were all significantly increased. The increased dropping height also resulted in earlier activation of the iliopsoas, rectus femoris, gluteus medius, gluteus minimus, and soleus, but latter activation of the tibialis anterior. The quantitative joint and muscle forces can be used as loading conditions in finite element analysis to calculate stress and strain and energy absorption processes in various tissues of the lower limbs.

scholarly journals Electromyographic evaluation of the lower limbs of patients with Down syndrome in hippotherapy

2017 ◽  
Vol 39 (1) ◽  
pp. 17 ◽  
Author(s):  
Mariane Fernandes Ribeiro ◽  
Ana Paula Espindula ◽  
Alex Abadio Ferreira ◽  
Luciane Aparecida Pascucci Sande de Souza ◽  
Vicente De Paula Antunes Teixeira
Keyword(s):  
Down Syndrome ◽  
Muscle Activation ◽  
Motor Behavior ◽  
Vastus Lateralis ◽  
Rectus Femoris ◽  
Gluteus Medius ◽  
Biceps Femoris ◽  
Functional Results ◽  
Lower Limbs ◽  
Tensor Fasciae Latae

Hippotherapy is a therapeutic method that uses the horse’s movement to achieve functional results in practitioners with Down syndrome (DS), who present motor and neurophysiological changes that affect the musculoskeletal system. Evaluating the motor behavior related to the control and the improvement of muscle activation in practitioners with Down syndrome subjected to hippotherapy. 10 practitioners were divided into two groups: Down Group (DG) – practitioners with DS, and Healthy Group (HG) – practitioners with no physical impairment. The muscles gluteus medius, tensor fasciae latae, rectus femoris, vastus medialis, vastus lateralis, biceps femoris, tibialis anterior and gastrocnemius were evaluated by electromyography using gross RMS values, which correspond to muscle activation; the evaluations were performed on the 1st and 10th hippotherapy sessions (frequency: once a week), and after 2 months interval without treatment, they were performed on the 1st and 10th hippotherapy sessions (frequency: twice a week). It was noted that activation of the studied muscles increased with the passing of sessions, regardless the weekly frequency of attendance; however, the period without treatment resulted in reduction of this effect. Practitioners with DS presented satisfactory changes in muscle activation pattern, in learning and in motor behavior during hippotherapy sessions. 

Effectiveness of botulinum toxin in rectus femoris in patients post-stroke with stiff-knee gait

2013 ◽  
Vol 37 ◽  
pp. S1-S2
Author(s):  
M. Bacchini ◽  
C. Rovacchi ◽  
F. Chiampo ◽  
M. Rossi
Keyword(s):  
Botulinum Toxin ◽  
Rectus Femoris ◽  
Post Stroke ◽  
Stiff Knee
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