Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 9 , Pages 1127-1135 , September 2007

Relationships Between Muscle Activity and Anteroposterior Ground Reaction Forces in Hemiparetic Walking

  • Lindsey J. Turns, MS

      Affiliations

    • Department of Mechanical Engineering, University of Texas, Austin, TX
  • ,
  • Richard R. Neptune, PhD

      Affiliations

    • Department of Mechanical Engineering, University of Texas, Austin, TX
    • Corresponding Author InformationReprint requests to Richard R. Neptune, PhD, Dept of Mechanical Engineering, University of Texas, University Station C2200, Austin, TX 78712
  • ,
  • Steven A. Kautz, PhD

      Affiliations

    • Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL
    • Department of Physical Therapy, University of Florida, Gainesville, FL
    • Brooks Center for Rehabilitation Studies, University of Florida, Gainesville, FL.

  • Image Result

    Bins associated with the AP ground reaction forces of the paretic leg are illustrated (solid line). The gray shaded regions represent double-support phases. Abbreviations: NHS, nonparetic heel-strike;

    Bins associated with the AP ground reaction forces of the paretic leg are illustrated (solid line). The gray shaded regions represent double-support phases. Abbreviations: NHS, nonparetic heel-strike; NTO, nonparetic toe-off; PHS, paretic heel-strike; PTO, paretic toe-off.

  • Image Result
    AP ground reaction force, impulse, and bin electromyographic data for a representative subject classified as mildly hemiparetic with a self-selected walking speed of 1.26m/s. Net bin impulses are simi

    AP ground reaction force, impulse, and bin electromyographic data for a representative subject classified as mildly hemiparetic with a self-selected walking speed of 1.26m/s. Net bin impulses are similar, as is the duration of stance spent on each leg. Vertical lines in the ground reaction force plot indicate bin boundaries. Note that bins 1 through 4 correspond to the stance phase only. The units for the AP impulse (AP Imp) and bin electromyography are percentage of body weight (BW) × seconds and percentage of total integrated electromyography, respectively. Abbreviations: BF, biceps femoris; GM, gluteus medius; MG, medial gastrocnemius; RF, rectus femoris; SM, semimembranosus; SO, soleus; TA, tibialis anterior; VL, vastus lateralis.

  • Image Result
    AP ground reaction force, bin impulse, and bin electromyographic data for a representative subject classified as moderately hemiparetic with a self-selected walking speed of .73m/s. Net bin impulses a

    AP ground reaction force, bin impulse, and bin electromyographic data for a representative subject classified as moderately hemiparetic with a self-selected walking speed of .73m/s. Net bin impulses are asymmetrical, however this subject generated some paretic propulsion in bin 4. Vertical lines in the ground reaction force plot indicate bin boundaries. Note that bins 1 through 4 correspond to the stance phase only. The units for the AP impulse (AP Imp) and bin electromyography are percentage of body weight × seconds and percentage of total integrated electromyography, respectively. Abbreviations: see fig 2 legend.

  • Image Result
    AP ground reaction force, bin impulse, and bin electromyographic data for a subject classified as severely hemiparetic with a self-selected walking speed of .44m/s. Net bin impulses are asymmetrical,

    AP ground reaction force, bin impulse, and bin electromyographic data for a subject classified as severely hemiparetic with a self-selected walking speed of .44m/s. Net bin impulses are asymmetrical, with the paretic leg primarily generating braking and the nonparetic leg primarily generating propulsion. Vertical lines in the ground reaction force plot indicate bin boundaries. Note that bins 1 through 4 correspond to the stance phase only. The units for the AP impulse (AP Imp) and bin electromyography are percentage of body weight × seconds and percentage of total integrated electromyography, respectively. Abbreviations: see fig 2 legend.

 Supported in part by VA Merit Review (grant no. B2748R), National Institutes of Health (grant no. R01 HD046820), and the VA Rehabilitation Research and Development Service.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)00423-6

doi: 10.1016/j.apmr.2007.05.027

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 9 , Pages 1127-1135 , September 2007