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Effect of biomechanical footwear on upper and lower leg muscle activity in comparison with knee brace and normal walking
Institution:1. Department of Physical Medicine and Rehabilitation, Central Finland Central Hospital, Jyväskylä, Finland;2. Department of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands;3. Aspetar Sports Groin Pain Centre, Aspetar Orthopaedic and Sports Hospital, Doha, Qatar;4. Sport Medicine and Exercise Clinic Haarlem (SBK), Haarlem, the Netherlands;5. Faculty of Sport and Health Sciences, University of Jyväskylä, Finland;1. Department of Rehabilitation Medicine, St. Vincent''s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;2. Department of Rehabilitation Medicine, Seoul St. Mary''s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;1. Faculty of Physical Education and Sport Sciences, Bu Ali Sina University, Hamedan, Iran;2. Hamedan University of Medical Sciences, Hamedan, Iran;3. Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical Sciences, Tehran, Iran;1. Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, Gunma, Japan;2. Department of Special Care Dentistry, Osaka Dental University Hospital, Osaka, Japan;3. Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Osaka, Japan;1. Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, UK;2. Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia;3. LUNEX International University of Health, Exercise and Sports, 50, Avenue du Parc des Sports, 4671, Differdange, Luxembourg;1. Faculty of Sport Sciences, Waseda University, Tokyo, Japan;2. Waseda Institute for Sport Sciences, Waseda University, Tokyo, Japan;3. Faculty of Health & Medical Care, Saitama Medical University, Saitama, Japan;1. Département de Kinésiologie, Faculté de Médecine, Université Laval, Quebec City, QC, Canada;2. Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale (CIUSSS-CN), Quebec City, QC, Canada;3. Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST), Montreal, QC, Canada;4. Division de Chirurgie Orthopédique, CHU de Québec Université Laval, Quebec City, QC, Canada;5. Département de Chirurgie, Faculté de Médecine, Université Laval, Quebec City, QC, Canada
Abstract:AimTo evaluate the activity of knee stabilizing muscles while using custom-made biomechanical footwear (BF) and to compare it when walking barefoot and with a knee brace (Unloader®).MethodsSeventeen healthy working-aged (mean age: 29 years; standard deviation: 8 years) individuals participated. The knee brace was worn on the right knee and BF in both legs. Surface electromyography (sEMG) data was recorded bilaterally from vastus medialis (VM), semitendinosus (ST), tibialis anterior (TA) and lateral gastrocnemius (LG) muscles during walking, and repeated-measures ANOVA with a post-hoc t-test was used to determine differences between the different walking modalities (barefoot, brace and BF).ResultsAveraged sEMG was significantly higher when walking with BF than barefoot or knee brace in the ST muscles, in the right LG, and left TA muscle. It was significantly lower when walking with the brace compared to barefoot in the right ST and LG muscles, and left TA muscle. Analysis of the ensemble-averaged sEMG profiles showed earlier activation of TA muscles when walking with BF compared to other walking modalities.ConclusionBF produced greater activation in evaluated lower leg muscles compared to barefoot walking. Thus BF may have an exercise effect in rehabilitation and further studies about its effectiveness are warranted.
Keywords:Biomechanical device  Footwear  Knee brace  Surface electromyography  Knee osteoarthritis  Exercise therapy  Gait analysis
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