ArticleFrontiers in neurology2017
Alterations of Muscle Activation Pattern in Stroke Survivors during Obstacle Crossing.
Article in Frontiers in neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysis.Frontiers in physiology · 2023Pooled it
- Investigating the correlation between neural and muscular activities during bilateral arm training in stroke survivors: A cross-sectional study.Neural regeneration research · 2026Article
- Relationship of lower-limb muscle properties with motor control, walking and balance in stroke survivors.Scientific reports · 2025Article
- Effect of LokomatMedical sciences (Basel, Switzerland) · 2025Article
- The effect of fear of movement on gait characteristics in patients with knee osteoarthritis.BMC musculoskeletal disorders · 2025Article
- Stochastic galvanic vestibular stimulation improves kinetic performance in adolescent idiopathic scoliosis during obstacle negotiation.Experimental brain research · 2025Article
- Proportional myoelectric control of a virtual bionic arm in participants with hemiparesis, muscle spasticity, and impaired range of motion.Journal of neuroengineering and rehabilitation · 2024Article
- The ankle dorsiflexion kinetics demand to increase swing phase foot-ground clearance: implications for assistive device design and energy demands.Journal of neuroengineering and rehabilitation · 2024Article
- The effects of Tai Chi on standing balance control in older adults may be attributed to the improvement of sensory reweighting and complexity rather than reduced sway velocity or amplitude.Frontiers in aging neuroscience · 2024Article
- Delayed Muscle Activity in Stroke Survivors with Upper-Limb Hemiparesis.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2023Article
- Effect of power training on rate of torque development and spatiotemporal gait parameters post stroke.Clinical biomechanics (Bristol, Avon) · 2023Article
- Functional connectivity of proximal and distal lower limb muscles and impact on gait variability in stroke.Gait & posture · 2023Article
- Ischemic stroke-induced polyaxonal innervation at the neuromuscular junction is attenuated by robot-assisted mechanical therapy.Experimental neurology · 2021Article
- Short-Step Adjustment and Proximal Compensatory Strategies Adopted by Stroke Survivors With Knee Extensor Spasticity for Obstacle Crossing.Frontiers in bioengineering and biotechnology · 2020Article
- Identify the Alteration of Balance Control and Risk of Falling in Stroke Survivors During Obstacle Crossing Based on Kinematic Analysis.Frontiers in neurology · 2019Article
- Alterations of Elastic Property of Spastic Muscle With Its Joint Resistance Evaluated From Shear Wave Elastography and Biomechanical Model.Frontiers in neurology · 2019Article
- Stroke-Related Changes in the Complexity of Muscle Activation during Obstacle Crossing Using Fuzzy Approximate Entropy Analysis.Frontiers in neurology · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study investigates changes in the neuromuscular activation pattern of the lower limb muscles in stroke survivors when crossing obstacles of three different heights.
methodsEight stroke survivors and eight age-, height-, and gender-matched healthy controls were recruited and instructed to cross over obstacles with heights of 10, 20, and 30% leg length. Surface electromyography (EMG) signals were recorded from the rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), and medial gastrocnemius (MG) of both limbs. Muscle activation signals were normalized to maximum voluntary contraction. Differences between groups and heights were compared using the root mean square of EMG, the cocontraction index of agonist and antagonist muscles, and power spectral analysis based on the mean power frequency (MPF). The correlations between the calculated variables and clinical scales such as Berg Balance Scale and Fugl-Meyer assessment (FMA) were also examined.
resultsDuring the leading limb swing phase, the activation levels of all four muscles were greater in the stroke group than the healthy controls (
conclusionGreater activation levels of the lower limb muscles resulted in higher muscular demands for stroke survivors, which might lead to greater difficulty in maintaining balance. The increased cocontraction during obstacle crossing might be compensation for the affected stability and enable safe crossing for stroke survivors. The reduced MPF in the affected limb of the stroke group might be due to impairments in motor units or other complex neuromuscular alterations.
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