Effects of increasing walking speed on ankle muscle co-contraction based on spasticity severity in chronic stroke patients

authors:

avatar Roghayeh Mohammadi ORCID , * , avatar Solmaz Mohammadzadeh

Koomesh: Vol.18, issue 1; 138-146
published online: September 28, 2016
article type: issue_documents_importer
received: January 01, 2016
accepted: July 05, 2016

how to cite: Mohammadi R, Mohammadzadeh S. Effects of increasing walking speed on ankle muscle co-contraction based on spasticity severity in chronic stroke patients. koomesh. 2016;18(1):e151155. 

Abstract

Introduction: Plantar flexor muscles produce propulsive force in the second half of stance phase deficient motor output from these muscles would lead to inadequate propulsion at push off phase of gait following stroke. The aim of the present study was to examine the effects of walking on a treadmill at varying speeds on ankle muscle activation in stroke survivors and to compare the effect of increasing speed on plantar flexor muscle activity in subject groups in relation to spasticity severity. Materials and Methods: Nineteen stroke survivors (13M/6F) walked on a standard treadmill at three different speeds (self-selected, self-selected+20%, self-selected+40%). The electromyographic activity of Medial Gastrocnemius (MG), and Tibialis anterior (TA) muscles recorded at push off phase of the gait. Results: In the high spasticity subgroup (Tardieu scale ≥2), paretic MG activity increased as walking speed increased (p

References

  • 1.

    Andrews AW, Bohannon RW. Distribution of muscle strength impairments following stroke. Clin Rehabil 2000; 14: 79-87.

  • 2.

    Flansbjer UB, Holmback AM, Downham D, Patten C, Lexell J. Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med 2005; 37: 75-82.

  • 3.

    Wall JC, Ashburn A. Assessment of gait disability in hemiplegics. Hemiplegic gait. Scand J Rehabil Med 1979; 11: 95-103.

  • 4.

    Keenan MA, Perry J, Jordan C. Factors affecting balance and ambulation following stroke. Clin Orthop Relat Res 1984: 165-171.

  • 5.

    von Schroeder HP, Coutts RD, Lyden PD, Billings E Jr., Nickel VL. Gait parameters following stroke: a practical assessment. J Rehabil Res Dev 1995; 32: 25-31.

  • 6.

    Lamontagne A. A closer look at electromyographic correlates of locomotor performance after stroke. Clin Neurophysiol 2006; 117: 1-3.

  • 7.

    Franz JR, Kram R. The effects of grade and speed on leg muscle activations during walking. Gait Posture 2012; 35: 143-147.

  • 8.

    Lamontagne A, Malouin F, Richards CL, Dumas F. Mechanisms of disturbed motor control in ankle weakness during gait after stroke. Gait Posture 2002; 15: 244-255.

  • 9.

    Lamontagne A, Richards CL, Malouin F. Coactivation during gait as an adaptive behavior after stroke. J Electromyogr Kinesiol 2000; 10: 407-415.

  • 10.

    den Otter AR, Geurts AC, Mulder T, Duysens J. Speed related changes in muscle activity from normal to very slow walking speeds. Gait Posture 2004; 19: 270-278.

  • 11.

    Prosser LA, Lee SC, VanSant AF, Barbe MF, Lauer RT. Trunk and hip muscle activation patterns are different during walking in young children with and without cerebral palsy. Phys Ther 2010; 90: 986-997.

  • 12.

    Vereijken B, Emmerik REaV, Whiting HT, KM. N. Free(z)ing degrees of freedom in skill acquisition. J Motor Behav 1992; 24: 133-142.

  • 13.

    Nakazawa K, Kawashima N, Akai M, Yano H. On the reflex coactivation of ankle flexor and extensor muscles induced by a sudden drop of support surface during walking in humans. J Appl Physiol 2004; 96: 604-611.

  • 14.

    Busse ME, Wiles CM, RW. VD. Muscle co-activation in neurological conditions. Phys Ther Rev 2005; 10: 247-253.

  • 15.

    Detrembleur C, Dierick F, Stoquart G, Chantraine F, Lejeune T. Energy cost, mechanical work, and efficiency of hemiparetic walking. Gait Posture 2003; 18: 47-55.

  • 16.

    Lance JW. The control of muscle tone, reflexes, and movement: Robert Wartenberg Lecture. Neurology 1980; 30: 1303-1313.

  • 17.

    Kim H, Her J, Ko J, Park D, Woo J, You Y, Choi Y. Reliability, concurrent validity, and responsiveness of the fugl-mayer assesment (FMA) for hemiplegic patients. J phys Ther Sci 2012; 24: 893-899.

  • 18.

    Singh P, Joshua AM, Ganeshan S, Suresh S. Intra-rater reliability of the modified Tardieu scale to quantify spasticity in elbow flexors and ankle plantar flexors in adult stroke subjects. Ann Indian Acad Neurol 2011; 14: 23-26.

  • 19.

    Fosang AL, Galea MP, McCoy AT, Reddihough DS, Story I. Measures of muscle and joint performance in the lower limb of children with cerebral palsy. Dev Med Child Neurol 2003; 45: 664-670.

  • 20.

    Hermens HJ, Freriks B, Merletti R. SENIAM8. European recommendations for surface electromyography. enschede: Roessingh Research and Development; 1999.

  • 21.

    Detrembleur C1, Willems P, Plaghki L. Does walking speed influence the time pattern of muscle activation in normal children? Dev Med Child Neurol 1997; 39: 803-807.

  • 22.

    Phadke CP. Immediate effects of a single inclined treadmill walking session on level ground walking in individuals after stroke. Am J Phys Med Rehabil 2012; 91: 337-345.

  • 23.

    Peterson DS, Martin PE. Effects of age and walking speed on coactivation and cost of walking in healthy adults. Gait posture 2009; 31: 355-359.

  • 24.

    Hortobagyi T, Solnik S, Gruber A, Rider P, Steinweg K, Helseth J, DeVita P. Interaction between age and gait velocity in the amplitude and timing of antagonist muscle coactivation. Gait Posture 2009; 29: 558-564.

  • 25.

    Franz JR, Kram R. How does age affect leg muscle activity/coactivity during uphill and downhill walking? Gait posture 2013; 37: 378-384.

  • 26.

    Rosa MC, Marques A, Demain S, Metcalf CD. Lower limb co-contraction during walking in subjects with stroke: A systematic review. J Electromyogr Kinesiol 2014; 24: 1-10.

  • 27.

    Lamontagne A, Fung J. Faster is better implications for speed-intensive gait training after stroke. Stroke 2004; 35: 2543-2548.

  • 28.

    Hsu AL, Tang PF, Jan MH. Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke. Arch Phys Med Rehabil 2003; 84: 1185-1193.

  • 29.

    Hesse S, Jahnke MT, Luecke D, Mauritz KH. Short-term electrical stimulation enhances the effectiveness of Botulinum toxin in the treatment of lower limb spasticity in hemiparetic patients. Neurosci Lett 1995; 201: 37-40.

  • 30.

    Reiter F, Danni M, Lagalla G, Ceravolo G, Provinciali L. Low-dose botulinum toxin with ankle taping for the treatment of spastic equinovarus foot after stroke. Arch Phys Med Rehabil 1998; 79: 532-535.

  • 31.

    Hesse S, Krajnik J, Luecke D, Jahnke MT, Gregoric M, Mauritz KH. Ankle muscle activity before and after botulinum toxin therapy for lower limb extensor spasticity in chronic hemiparetic patients. Stroke 1996; 27: 455-460.

  • 32.

    Koopman B, van Asseldonk EH, van der Kooij H. Speed-dependent reference joint trajectory generation for robotic gait support. J Biomech 2014; 47: 1447-1458.

  • 33.

    Levin MF, Hui-Chan CW. Relief of hemiparetic spasticity by TENS is associated with improvement in reflex and voluntary motor functions. Electroencephalogr Clin Neurophysiol 1992; 85: 131-142.

  • 34.

    Nadeau S, Arsenault AB, Gravel D, Bourbonnais D. Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke. Am J Phys Med Rehabil 1999; 78: 123-130.

  • 35.

    Paulis WD, Horemans HL, Brouwer BS, Stam HJ. Excellent test-retest and inter-rater reliability for Tardieu Scale measurements with inertial sensors in elbow flexors of stroke patients. Gait Posture 2011; 33: 185-189##.