Abnormal muscle activation patterns are associated with chronic gait deficits following traumatic brain injury.
Identifieur interne : 000396 ( Main/Corpus ); précédent : 000395; suivant : 000397Abnormal muscle activation patterns are associated with chronic gait deficits following traumatic brain injury.
Auteurs : Samuel A. Acu A ; Mitchell E. Tyler ; Yuri P. Danilov ; Darryl G. ThelenSource :
- Gait & posture [ 1879-2219 ] ; 2018.
English descriptors
- KwdEn :
- Adult (MeSH), Brain Injuries, Traumatic (physiopathology), Case-Control Studies (MeSH), Cross-Sectional Studies (MeSH), Electromyography (MeSH), Exercise Test (MeSH), Female (MeSH), Gait (physiology), Humans (MeSH), Lower Extremity (physiopathology), Male (MeSH), Middle Aged (MeSH), Muscle, Skeletal (physiopathology), Time Factors (MeSH).
- MESH :
- physiology : Gait.
- physiopathology : Brain Injuries, Traumatic, Lower Extremity, Muscle, Skeletal.
- Adult, Case-Control Studies, Cross-Sectional Studies, Electromyography, Exercise Test, Female, Humans, Male, Middle Aged, Time Factors.
Abstract
BACKGROUND
Gait and balance disorders are common among individuals who have experienced a mild to moderate traumatic brain injury (TBI). However, little is known about how the neuromuscular control of gait is altered following a TBI.
RESEARCH QUESTION
Investigate the relationship between lower limb muscle activation patterns and chronic gait deficits in individuals who previously experienced a mild to moderate TBI.
METHODS
Lower extremity electromyographic (EMG) signals were collected bilaterally during treadmill and overground walking in 44 ambulatory individuals with a TBI >1 year prior and 20 unimpaired controls. Activation patterns of TBI muscles were cross-correlated with normative data from control subjects to assess temporal phasing of muscle recruitment. Clinical assessments of gait and balance were performed using dynamic posturography, the dynamic gait index, six-minute walk test, and preferred walking speed.
RESULTS
TBI subjects exhibited abnormal activation patterns in the tibialis anterior, medial gastrocnemius, and rectus femoris muscles during both overground and treadmill walking. Activation patterns of the vastus lateralis and soleus muscles did not differ from normal. There was considerable heterogeneity in performance on clinical balance and gait assessments. Abnormal muscle activation patterns were significantly correlated with variations in the dynamic gait index among the TBI subjects.
SIGNIFICANCE
Individuals who have experienced a prior TBI do exhibit characteristic changes in the temporal coordination of select lower extremity muscles, which may contribute to impairments during challenging walking tasks.
DOI: 10.1016/j.gaitpost.2018.04.012
PubMed: 29684885
PubMed Central: PMC5998824
Links to Exploration step
pubmed:29684885Le document en format XML
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<term>Case-Control Studies (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Electromyography (MeSH)</term>
<term>Exercise Test (MeSH)</term>
<term>Female (MeSH)</term>
<term>Gait (physiology)</term>
<term>Humans (MeSH)</term>
<term>Lower Extremity (physiopathology)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Time Factors (MeSH)</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain Injuries, Traumatic</term>
<term>Lower Extremity</term>
<term>Muscle, Skeletal</term>
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<term>Case-Control Studies</term>
<term>Cross-Sectional Studies</term>
<term>Electromyography</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Gait and balance disorders are common among individuals who have experienced a mild to moderate traumatic brain injury (TBI). However, little is known about how the neuromuscular control of gait is altered following a TBI.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESEARCH QUESTION</b>
</p>
<p>Investigate the relationship between lower limb muscle activation patterns and chronic gait deficits in individuals who previously experienced a mild to moderate TBI.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Lower extremity electromyographic (EMG) signals were collected bilaterally during treadmill and overground walking in 44 ambulatory individuals with a TBI >1 year prior and 20 unimpaired controls. Activation patterns of TBI muscles were cross-correlated with normative data from control subjects to assess temporal phasing of muscle recruitment. Clinical assessments of gait and balance were performed using dynamic posturography, the dynamic gait index, six-minute walk test, and preferred walking speed.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>TBI subjects exhibited abnormal activation patterns in the tibialis anterior, medial gastrocnemius, and rectus femoris muscles during both overground and treadmill walking. Activation patterns of the vastus lateralis and soleus muscles did not differ from normal. There was considerable heterogeneity in performance on clinical balance and gait assessments. Abnormal muscle activation patterns were significantly correlated with variations in the dynamic gait index among the TBI subjects.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SIGNIFICANCE</b>
</p>
<p>Individuals who have experienced a prior TBI do exhibit characteristic changes in the temporal coordination of select lower extremity muscles, which may contribute to impairments during challenging walking tasks.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="BACKGROUND">Gait and balance disorders are common among individuals who have experienced a mild to moderate traumatic brain injury (TBI). However, little is known about how the neuromuscular control of gait is altered following a TBI.</AbstractText>
<AbstractText Label="RESEARCH QUESTION">Investigate the relationship between lower limb muscle activation patterns and chronic gait deficits in individuals who previously experienced a mild to moderate TBI.</AbstractText>
<AbstractText Label="METHODS">Lower extremity electromyographic (EMG) signals were collected bilaterally during treadmill and overground walking in 44 ambulatory individuals with a TBI >1 year prior and 20 unimpaired controls. Activation patterns of TBI muscles were cross-correlated with normative data from control subjects to assess temporal phasing of muscle recruitment. Clinical assessments of gait and balance were performed using dynamic posturography, the dynamic gait index, six-minute walk test, and preferred walking speed.</AbstractText>
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<AbstractText Label="SIGNIFICANCE">Individuals who have experienced a prior TBI do exhibit characteristic changes in the temporal coordination of select lower extremity muscles, which may contribute to impairments during challenging walking tasks.</AbstractText>
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