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Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy

Background: The purpose of this study was to investigate the differences in the muscle activity and co-activation index (CoA) of the rectus femoris (RF), biceps femoris (BF), gastrocnemius medialis (GM,) and tibialis anterior (TA) during walking on land and in water in healthy adolescents compared w...

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Autores principales: Phothirook, Pariyaporn, Amatachaya, Sugalya, Peungsuwan, Punnee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914649/
https://www.ncbi.nlm.nih.gov/pubmed/36767224
http://dx.doi.org/10.3390/ijerph20031854
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author Phothirook, Pariyaporn
Amatachaya, Sugalya
Peungsuwan, Punnee
author_facet Phothirook, Pariyaporn
Amatachaya, Sugalya
Peungsuwan, Punnee
author_sort Phothirook, Pariyaporn
collection PubMed
description Background: The purpose of this study was to investigate the differences in the muscle activity and co-activation index (CoA) of the rectus femoris (RF), biceps femoris (BF), gastrocnemius medialis (GM,) and tibialis anterior (TA) during walking on land and in water in healthy adolescents compared with those with spastic diplegia cerebral palsy (CP) adolescents. Methods: Four healthy individuals (median; age: 14 years, height: 1.57 cm, BMI: 16.58 kg/m(2)) and nine CP individuals (median; age: 15 years, height: 1.42 cm, BMI: 17.82 kg/m(2)) participated in this study and performed three walking trials under both conditions. An electromyography (EMG) collection was recorded with a wireless system Cometa miniwave infinity waterproof device, and the signals were collected using customized software named EMG and Motion Tools, Inc. software version 7 (Cometa slr, Milan, Italy) and was synchronized with an underwater VDO camera. Results: A significant decrease in the muscle activity of all muscles and CoA of RF/BF muscles, but an increase in TA/GM was observed within the CP group while walking in water during the stance phase. Between groups, there was a lower CoA of RF/BF and a greater CoA of TA/GM during the stance phase while walking in water and on land in the CP group. A non-significant difference was observed within the healthy group. Conclusion: Walking in water can decrease muscle activity in lower limbs and co-activation of thigh muscles in people with spastic CP, whereas CoA muscles around ankle joints increased to stabilize foot weight acceptance.
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spelling pubmed-99146492023-02-11 Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy Phothirook, Pariyaporn Amatachaya, Sugalya Peungsuwan, Punnee Int J Environ Res Public Health Article Background: The purpose of this study was to investigate the differences in the muscle activity and co-activation index (CoA) of the rectus femoris (RF), biceps femoris (BF), gastrocnemius medialis (GM,) and tibialis anterior (TA) during walking on land and in water in healthy adolescents compared with those with spastic diplegia cerebral palsy (CP) adolescents. Methods: Four healthy individuals (median; age: 14 years, height: 1.57 cm, BMI: 16.58 kg/m(2)) and nine CP individuals (median; age: 15 years, height: 1.42 cm, BMI: 17.82 kg/m(2)) participated in this study and performed three walking trials under both conditions. An electromyography (EMG) collection was recorded with a wireless system Cometa miniwave infinity waterproof device, and the signals were collected using customized software named EMG and Motion Tools, Inc. software version 7 (Cometa slr, Milan, Italy) and was synchronized with an underwater VDO camera. Results: A significant decrease in the muscle activity of all muscles and CoA of RF/BF muscles, but an increase in TA/GM was observed within the CP group while walking in water during the stance phase. Between groups, there was a lower CoA of RF/BF and a greater CoA of TA/GM during the stance phase while walking in water and on land in the CP group. A non-significant difference was observed within the healthy group. Conclusion: Walking in water can decrease muscle activity in lower limbs and co-activation of thigh muscles in people with spastic CP, whereas CoA muscles around ankle joints increased to stabilize foot weight acceptance. MDPI 2023-01-19 /pmc/articles/PMC9914649/ /pubmed/36767224 http://dx.doi.org/10.3390/ijerph20031854 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Phothirook, Pariyaporn
Amatachaya, Sugalya
Peungsuwan, Punnee
Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy
title Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy
title_full Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy
title_fullStr Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy
title_full_unstemmed Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy
title_short Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy
title_sort muscle activity and co-activation of gait cycle during walking in water and on land in people with spastic cerebral palsy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914649/
https://www.ncbi.nlm.nih.gov/pubmed/36767224
http://dx.doi.org/10.3390/ijerph20031854
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