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http://dx.doi.org/10.13066/kspm.2019.14.3.127

Effects of Fatigue in the Non-paretic Plantarflexor on the Activities of the Lower Leg Muscles during Walking in Chronic Stroke Patients  

Lee, Jae-Woong (Department of Physical Therapy, Keunsol Hospital)
Koo, Hyun-Mo (Department of Physical Therapy, College of Science, Kyungsung University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.14, no.3, 2019 , pp. 127-133 More about this Journal
Abstract
PURPOSE: The aim of this study was to obtain detailed and quantified data concerning the effects of plantarflexor fatigue induced to the non-paretic side on muscle activities of the bilateral lower extremities during walking in chronic stroke patients. METHODS: In this study, chronic stroke patients were evaluated for six months after the onset of stroke. To induce the non-paretic plantarflexor fatigue, 20 chronic stroke patients were asked to perform their given fatigue affecting assignments, which were presented in a forced contraction fatigue test method, until the range of motion of the plantarflexor was reduced to less than 50%. The muscle activities of the rectus femoris, tibialis anterior and gastrocnemius in the paretic and non-paretic lower extremities were measured using a wireless surface EMG before and after muscle fatigue induction. RESULTS: The findings showed that after plantarflexor fatigue was induced on the non-paretic side, a significant decrease in muscle activities of the rectus femoris on the paretic side was noted (p<.05). The muscle activities of the tibialis anterior and gastrocnemius were also observed to decrease, but, these results were not statistically significant (p>.05). In the non-paretic side, there was a significantly decrease in the muscle activities of the rectus femoris, tibialis anterior, and gastrocnemius (p<.05). CONCLUSION: These finding suggest that the muscle fatigue of the non-paretic plantarflexor affects not only the muscle activity of the ipsilateral lower extremity but also the muscles activity of the contralateral lower extremity. This highlights the necessity of performing exercise or training programs that do not cause muscle fatigue in clinical aspects.
Keywords
Chronic stroke; Muscle activation; Muscle fatigue;
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1 Hughes AM, Freeman CT, Burridge JH, et al. Shoulder and elbow muscle activity during fully supported trajectory tracking in people who have had a stroke. J Electromyogr Kinesiol. 2010;20(3):465-76.   DOI
2 Carroll TJ, Herbert RD, Munn J, et al. Contralateral effects of unilateral strength training: evidence and possible mechanisms. J Appl Physiol. 2006;101(5):1514-22.   DOI
3 Aranyi Z, Rosler KM. Effort-induced mirror movements. Experimental Brain Research. 2002;145(1):76-82.   DOI
4 Rattey J, Martin PG, Kay D, et al. Contralateral muscle fatigue in human quadriceps muscle: evidence for a centrally mediated fatigue response and cross-over effect. Pflugers Archive-European J Physiol. 2006;452(2):199-207.   DOI
5 Bodwell JA, Mahurin RK, Waddle S, et al. Age and features of movement influence motor overflow. J Am Geriatr Soc. 2003;51(12):1735-9.   DOI
6 Rees SS, Murphy AJ, Watsford ML, et al. Effects of proprioceptive neuromuscular facilitation stretching on stiffness and force-producing characteristics of the ankle in active women. J Strength Cond Res. 2007;21(2):572-7.   DOI
7 Todd G, Petersen NT, Taylor JL, et al. The effect of a contralateral contraction on maximal voluntary activation and central fatigue in elbow flexor muscles. Experimental Brain Research. 2003;150(3):308-13.   DOI
8 O'Sullivan SB, Schmitz TJ. Physical rehabilitation. 5th edition. F.A Davis. 2007:705-6.
9 Peurala SH, Airaksinen O, Jakala P, et al. Effects of intensive gait-oriented physiotherapy during early acute phase of stroke. J Rehabil R D. 2007;44(5):637-48.   DOI
10 Braun SM, Beurskens AJ, van Kroonenburgh SM, et al. Effects of mental practice embedded in daily therapy compared to therapy as usual in adult stroke patients in Dutch nursing homes: design of a randomised controlled trial. BMC Neurol. 2007;7(1):34.   DOI
11 Duncan PW, Horner RD, Reker DM, et al. Adherence to post acute rehabilitation guidelines is associated with functional recovery in stroke. Stroke. 2002;33(1):167-78.   DOI
12 Duncan PW, Zorowitz R, Bates B, et al. Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke. 2005;36(9):e100-43.
13 Perry J. Gait analysis: normal and pathological function. Slack Inc. 1992;224-43.
14 Stolze H, Klebe S, Zechlin C, et al. Falls in frequent neurological diseases. J of Neurol. 2004;251(1):79-84.   DOI
15 Mauritz KH. Gait training in hemiplegia. Eur J Neurol. 2002;9(s1):23-9.   DOI
16 Patten C, Lexell J, Brown HE. Weakness and strength training in persons with poststroke hemiplegia: rationale, method, and efficacy. J Rehabil R D. 2004;41(3):293-312.   DOI
17 Kirker KR, Luo Y, Nielson JH, et al. Glycosaminoglycan hydrogel films as bio-interactive dressings for wound healing. Biomaterials. 2002;23(17):3661-71.   DOI
18 Bohannon RW. Muscle strength and muscle training after stroke. J of Rehabil Med. 2007;39(1):14-20.   DOI
19 Hachisuka K, Umezu Y, Ogata H. Disuse muscle atrophy of lower limbs in hemiplegic patients. Arch Phys Med Rehabil. 1997;78(1):13-8.   DOI
20 Kluger BM, Krupp LB, Enoka RM. Fatigue and fatigability in neurologic illnesses: proposal for a unified taxonomy. Neurology. 2013;80(4):409-16.   DOI
21 Sommerfeld DK, Eek EUB, Svensson AK, et al. Spasticity after stroke: its occurrence and association with motor impairments and activity limitations. Stroke. 2004;35(1):134-9.   DOI
22 McKevitt C, Fudge N, Redfern J, et al. Self-reported long-term needs after stroke. Stroke. 2011;42(5):1398-403.   DOI
23 Horstman AM, Gerrits KH, Beltman MJ, et al. Instrinsic properties of the knee extensor muscles after subacute stroke. Arch Phys Med Rehabil. 2010;91(1):123-8.   DOI
24 Docherty CL, Arnold BL, Zinder SM, et al. Relationship between two proprioceptive measures and stiffness at the ankle. J Electromyogr Kinesiol. 2004;14(3):317-24.   DOI
25 Cheng AJ, Rice CL. Factors contributing to the fatiguerelated reduction in active dorsiflexion joint range of motion. Appl Physiol Nutr Metab. 2012;38(5):490-7.   DOI
26 Doix ACM, Lefevre F, Colson SS. Time course of the cross-over effect of fatigue on the contralateral muscle after unilateral exercise. PLOS ONE. 2013;8(5):e64910.   DOI
27 Shinohara M, Keenan KG, Enoka RM. Contralateral activity in a homologous hand muscle during voluntary contractions is greater in old adults. J Appl Physiol. 2003;94(3):966-74.   DOI
28 Gefen A, Megido-Ravid M, Itzchak Y, et al. Analysis of muscular fatigue and foot stability during high-heeled gait. Gait & Posture. 2002;15(1):56-63.   DOI
29 Espinosa N, Brodsky JW, Maceira E. Metatarsalgia. J Am Acad Orthop Surg, 2010;18(8):474-85.   DOI
30 Hermens HJ, Freriks B, Disselhorst-Klug C, et al. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000;10(5):361-74.   DOI
31 Hollis LL. Anatomy of exercise encyclopedia. Bloomsbury Publishing Plc. 2014;26-9.
32 Hassanlouei H, Arendt-Nielsen L, Kersting UG, et al. Effect of exercise-induced fatigue on postural control of the knee. J Electromyogr Kinesiol. 2012;22(3):342-7.   DOI
33 Criswell E. Cram's introduction to surface electromyography. Jones & Bartlett Publishers. 2010;49-50.
34 Gentili R, Papaxanthis C, Pozzo T. Improvement and generalization of arm motor performance through motor imagery practice. Neuroscience. 2006;137(3):761-72.   DOI
35 Enoka RM, Stuart DG. Neurobiology of muscle fatigue. J Appl Physiol. 1992;72(5):1631-48.   DOI