Methodologies to assess muscle co-contraction during gait in people with neurological impairment – A systematic literature review |
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| Institution: | 1. Department of Health Sciences (Secção Autónoma de Ciências da Saúde – SACS), University of Aveiro, Aveiro, Portugal;2. School of Health Sciences, University of Aveiro, Portugal;3. Faculty of Health Sciences, University of Southampton, United Kingdom;4. University of Aveiro, Department of Electronics, Telecommunications and Informatics, Portugal;1. Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, 2-1 Seiryo-cho, Aoba-ku, Sendai, 980-8575, Japan;2. Research Institute of Electrical Communication, Tohoku University, 2-2-1, Katahira, Aoba-ku, Sendai, 980-8577, Japan;3. Graduate School of Biomedical Engineering, Tohoku University, 2-1, Seiryo-machi, Sendai, 980-8575, Japan;1. Department of Information Engineering, Università Politecnica delle Marche, Ancona, Italy;2. Department of Electronics and Telecommunications, Politecnico di Torino, Torino, Italy;3. Rehabilitation Unit, S. Croce Hospital, A.S.L. TO5, Moncalieri (TO), Torino, Italy;1. Department of Physiotherapy, St. Poelten University of Applied Sciences, St. Poelten, Austria;2. Institute for Sciences and Services in Health, St. Poelten University of Applied Sciences, St. Poelten, Austria;3. Department of Biomechanics, Kinesiology and Applied Computer Science, University of Vienna, Vienna, Austria;1. Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan;2. Japan Society for the Promotion of Science, Tokyo, Japan;3. Department of Rehabilitation Sciences, Kansai University of Welfare Sciences, Osaka, Japan;4. Aijinkai Rehabilitation Hospital, Osaka, Japan;5. Fujita Health University Hospital, Aichi, Japan |
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| Abstract: | PurposeTo review the methodologies used to assess muscle co-contraction (MCo) with surface electromyography (sEMG) during gait in people with neurological impairment.MethodsThe Scopus (1995–2013), Web of Science (1970–2013), PubMed (1948-2013) and B-on (1999–2013) databases were searched. Articles were included when sEMG was used to assess MCo during gait in people with impairment due to central nervous system disorders (CNS).ResultsNineteen articles met the inclusion criteria and most studied people with cerebral palsy and stroke. No consensus was identified for gait assessment protocols (surfaces, speed, distance), sEMG acquisition (electrodes position), analysis of sEMG data (filters, normalisation techniques) and quantification of MCo (agonist-antagonist linear envelopes overlapping or agonist-antagonist overlapping periods of muscles activity, onset delimited).ConclusionGiven the wide range of methodologies employed, it is not possible to recommend the most appropriate for assessing MCo. Researchers should adopt recognized standards in future work. This is needed before consensus about the role that MCo plays in gait impairment in neurological diseases and its potential as a target for gait rehabilitation can be determined. |
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| Keywords: | Co-contraction Co-activation Gait Walking Neurological diseases |
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