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http://dx.doi.org/10.5103/KJSB.2014.24.3.287

Effects of Hoehn-Yahr Scale on the Activation of Lower-Extremity Muscles during Walking with Parkinson's Patients  

Kim, Chang-Hwan (Department of Physical & Rehabilitation Medicine, School of Medicine, InHa University)
Kim, Mi-Young (Department of Physical & Rehabilitation Medicine, School of Medicine, InHa University)
Moon, Je-Heon (Korea Institute of Sport Science, Korea Sports Promotion Foundation)
Lim, Bee-Oh (Physical Education LAB, Department of Physical Education, Chung Ang University)
Publication Information
Korean Journal of Applied Biomechanics / v.24, no.3, 2014 , pp. 287-293 More about this Journal
Abstract
The purpose of this study was to investigate the effects of Hoehn-Yahr scale on the activation of lower-extremity muscles during walking. Electromyography (EMG) analysis was carried out on 36 patients with Parkinson's disease in the off phase of the medication cycle. We recorded EMG signals of the tibialis anterior (TA), medial gastrocnemius (MG), lateral gastrocnemius (LG), soleus (SOL), rectus femoris (RF), vastus lateralis (VL), semitendinosus (ST) and biceps femoris (BF) using Noraxon 16 channels EMG system during walking at preferred speed. Rectified EMG signals were normalized to reference voluntary contractions (RVC) over a gait cycle at the preferred speed, allowing for an assessment of how the activity was distributed over the gait cycle. Compared to the H & Y Scale 1, H & Y Scale 3 exhibited greater activation of the vastus lateralis during mid-stance and greater activation of the medial gastrocnemius during terminal swing. Compared to the H & Y Scale 1, H & Y Scale 2 and 3 exhibited less activation of the tibialis anterior during initial swing. We conclude that the more Hoen & Yahr Scale increase, the more abnormal lower-extremity muscles activation.
Keywords
Parkinson's Disease; Stop Task; Lower Extremity Muscle Activity; Electromyography;
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Times Cited By KSCI : 6  (Citation Analysis)
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