|
Comparison of selected lower extremity muscles activity and the ellipse area of center of pressure during unplanned gait termination in female patients with multiple sclerosis and healthy individuals
|
Sara Moghadasi1    , Mehrdad Anbarian * 2, Seyed Hossein Hosseinimehr3 , Mehrdokht Mazdeh4 |
1- M.A in Sport Biomechanics, Faculty of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran.
2- Professor, Sport Biomechanics Department, Faculty of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran. , anbarian@basu.ac.ir
3- Assistant Professor, Physical Education Department, Faculty of Humanities and Social Sciences, University of Kurdistan, Kurdistan, Iran.
4- Professor, Neurology Department, Faculty of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran. |
|
|
Abstract: (7908 Views) |
Background and Objective: Multiple sclerosis (MS) is one of the most common diseases of the central nervous system. MS is more common among women. Gait pattern dysfunction is a relevant symptom in these patients. This study was conducted to compare the electromyography activity of selected lower extremity muscles and the ellipse area of center of pressure during unplanned gait termination in female patients with multiple sclerosis and healthy individuals.
Methods: This case-control study was performed on 10 female patients with MS (classified based on the EDSS scale) and 10 healthy subjects matched for height, age and weight. Electromyography activity of rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL), biceps femoris (BF), semitendinosus (SM), gastrocnemius medius (GM) and tibialis anterior (TA) and center of pressure (CoP) recorded using foot pressure system during unplanned gait termination. Subjects were instructed to stop, as soon as possible, in response to an auditory cue delivered when the heel strike phase accidentally.
Results: Vastus Lateralis muscle activity was significantly higher in able-bodied group than patients (P<0.05), whereas in the patient group gastrocnemius medius muscle activity increased significantly (P<0.05). Also, the ellipse area of center of pressure significantly reduced in MS group in compered to able-bodied group (P<0.05).
Conclusion: Increased gastrocnemius medius muscle activity in MS patients may be due to their attempt to slow down the displacement of the center of mass to limit the tibia forward translation consequently, attempting to control balance as a strategy to limit the ellipse area of center of pressure to prevent fall. |
|
Keywords: Multiple Sclerosis [MeSH], Gait termination , Electromyography [MeSH], Lower Limb Muscles
Article ID: Vol23-12 |
|
|
Full-Text [PDF 702 kb]
(12712 Downloads)
|
|
Type of Study: Original Articles |
Subject:
Rehabilitation
|
|
|
|
|
|
|
| References |
1. Dutta R, Trapp BD. Pathogenesis of axonal and neuronal damage in multiple sclerosis. Neurology. 2007 May; 68(22 Suppl 3): S22-31. DOI: 10.1212/01.wnl.0000275229.13012.32 [ DOI] [ PubMed] 2. Cameron MH, Wagner JM. Gait abnormalities in multiple sclerosis: pathogenesis, evaluation, and advances in treatment. Curr Neurol Neurosci Rep. 2011 Oct; 11(5): 507-15. DOI: 10.1007/s11910-011-0214-y [ DOI] [ PubMed] 3. Coghe G, Corona F, Pilloni G, Porta M, Frau J, Lorefice L, et al. Is There Any Relationship between Upper and Lower Limb Impairments in People with Multiple Sclerosis? A Kinematic Quantitative Analysis. Mult Scler Int. 2019 Oct; 2019: 9149201. DOI: 10.1155/2019/9149201 [ DOI] [ PubMed] 4. Morris M, Cantwell C, Vowels L, Dodd K. Changes in gait and fatigue from morning to afternoon in people with multiple sclerosis. J Neurol Neurosurg Psychiatry. 2002 Mar; 72(3): 361-65. DOI: 10.1136/jnnp.72.3.361 [ DOI] [ PubMed] 5. Anbarian M, Karimi MT, Marvi Esfahani M, Marandi SM, Etemadifar M. [Effect of rehabilitation on gaitpatterns of patients with multiple sclerosis: review of the literature]. JRRS. 2015; 10(7) :875-95. DOI: 10.22122/jrrs.v10i7.1809 [Article in Persian] [ View at Publisher] [ DOI] 6. Sparrow WA, Tirosh O. Gait termination: a review of experimental methods and the effects of ageing and gait pathologies. Gait Posture. 2005 Dec; 22(4): 362-71. DOI: 10.1016/j.gaitpost.2004.11.005 [ DOI] [ PubMed] 7. Hedman LD, Morris DM, Graham CL, Brown CJ, Ford MP, Ingram DA, et al. Locomotor requirements for bipedal locomotion: a Delphi survey. Phys Ther. 2014 Jan; 94(1): 52-67. DOI: 10.2522/ptj.20120514 [ DOI] [ PubMed] 8. Braun BL. Knowledge and perception of fall-related risk factors and fall-reduction techniques among community-dwelling elderly individuals. Phys Ther. 1998 Dec; 78(12): 1262-76. DOI: 10.1093/ptj/78.12.1262 [ DOI] [ PubMed] 9. Bishop MD, Brunt D, Pathare N, Patel B. The interaction between leading and trailing limbs during stopping in humans. Neurosci Lett. 2002 Apr; 323(1): 1-4. DOI: 10.1016/s0304-3940(01)02525-3 [ DOI] [ PubMed] 10. Roeing KL, Wajda DA, Motl RW, Sosnoff JJ. Gait termination in individuals with multiple sclerosis. Gait Posture. 2015 Sep; 42(3): 335-39. DOI: 10.1016/j.gaitpost.2015.06.192 [ DOI] [ PubMed] 11. Bishop M, Brunt D, Marjama-Lyons J. Do people with Parkinson's disease change strategy during unplanned gait termination? Neurosci Lett. 2006 Apr; 397(3): 240-44. DOI: 10.1016/j.neulet.2005.12.031 [ DOI] [ PubMed] 12. Kelleher KJ, Spence W, Solomonidis S, Apatsidis D. The characterisation of gait patterns of people with multiple sclerosis. Disabil Rehabil. 2010; 32(15): 1242-50. DOI: 10.3109/09638280903464497 [ DOI] [ PubMed] 13. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000 Oct; 10(5): 361-74. DOI: 10.1016/s1050-6411(00)00027-4 [ DOI] [ PubMed] 14. Heiden TL, Lloyd DG, Ackland TR. Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clin Biomech (Bristol, Avon). 2009 Dec; 24(10): 833-41. DOI: 10.1016/j.clinbiomech.2009.08.005 [ DOI] [ PubMed] 15. Hubley-Kozey C, Deluzio K, Dunbar M. Muscle co-activation patterns during walking in those with severe knee osteoarthritis. Clin Biomech (Bristol, Avon). 2008 Jan; 23(1): 71-80. DOI: 10.1016/j.clinbiomech.2007.08.019 [ DOI] [ PubMed] 16. Hase K, Stein RB. Analysis of rapid stopping during human walking. J Neurophysiol. 1998 Jul; 80(1): 255-61. DOI: 10.1152/jn.1998.80.1.255 [ DOI] [ PubMed] 17. Bishop MD, Brunt D, Kukulka C, Tillman MD, Pathare N. Braking impulse and muscle activation during unplanned gait termination in human subjects with parkinsonism. Neurosci Lett. 2003 Sep; 348(2): 89-92. DOI: 10.1016/s0304-3940(03)00738-9 [ DOI] [ PubMed] 18. Winter DA. Biomechanics and motor control of human gait: normal, elderly and pathological. 4th ed. Waterloo, Ont: University of Waterloo Press. 2009; pp: 195-98. 19. Liu MQ, Anderson FC, Pandy MG, Delp SL. Muscles that support the body also modulate forward progression during walking. J Biomech. 2006; 39(14): 2623-30. DOI: 10.1016/j.jbiomech.2005.08.017 [ DOI] [ PubMed] 20. Martin CL, Phillips BA, Kilpatrick TJ, Butzkueven H, Tubridy N, McDonald E, et al. Gait and balance impairment in early multiple sclerosis in the absence of clinical disability. Mult Scler. 2006 Oct; 12(5): 620-28. DOI: 10.1177/1352458506070658 [ DOI] [ PubMed] 21. Kontar EP, Brown JC, McArthur GK. Nonuniform target ionization and fiting thick target electron injection spectra to RHESSI data. Solar Physics. 2002; 210(1): 419-29. DOI: 10.1023/A:1022494318540 [ View at Publisher] [ DOI] 22. Masani K, Popovic MR, Nakazawa K, Kouzaki M, Nozaki D. Importance of body sway velocity information in controlling ankle extensor activities during quiet stance. J Neurophysiol. 2003 Dec; 90(6): 3774-82. DOI: 10.1152/jn.00730.2002 [ DOI] [ PubMed] |
|
| Send email to the article author |
|
|
|
Moghadasi S, Anbarian M, Hosseinimehr S H, Mazdeh M. Comparison of selected lower extremity muscles activity and the ellipse area of center of pressure during unplanned gait termination in female patients with multiple sclerosis and healthy individuals. J Gorgan Univ Med Sci 2021; 23 (1) :96-102 URL: http://goums.ac.ir/journal/article-1-3796-en.html
|
