Influence of Backpack Carriage and Walking Speed on Muscle Synergies in Healthy Children

Four to five muscle synergies account for children’s locomotion and appear to be consistent across alterations in speed and slopes. Backpack carriage induces alterations in gait kinematics in healthy children, raising questions regarding the clinical consequences related to orthopedic and neurologic...

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Main Authors: Giorgia Marino, Alessandro Scano, Giulia Beltrame, Cristina Brambilla, Alessandro Marazzi, Francesco Aparo, Lorenzo Molinari Tosatti, Roberto Gatti, Nicola Portinaro
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Bioengineering
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Online Access:https://www.mdpi.com/2306-5354/11/2/173
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author Giorgia Marino
Alessandro Scano
Giulia Beltrame
Cristina Brambilla
Alessandro Marazzi
Francesco Aparo
Lorenzo Molinari Tosatti
Roberto Gatti
Nicola Portinaro
author_facet Giorgia Marino
Alessandro Scano
Giulia Beltrame
Cristina Brambilla
Alessandro Marazzi
Francesco Aparo
Lorenzo Molinari Tosatti
Roberto Gatti
Nicola Portinaro
author_sort Giorgia Marino
collection DOAJ
description Four to five muscle synergies account for children’s locomotion and appear to be consistent across alterations in speed and slopes. Backpack carriage induces alterations in gait kinematics in healthy children, raising questions regarding the clinical consequences related to orthopedic and neurological diseases and ergonomics. However, to support clinical decisions and characterize backpack carriage, muscle synergies can help with understanding the alterations induced in this condition at the motor control level. In this study, we investigated how children adjust the recruitment of motor patterns during locomotion, when greater muscular demands are required (backpack carriage). Twenty healthy male children underwent an instrumental gait analysis and muscle synergies extraction during three walking conditions: self-selected, fast and load conditions. In the fast condition, a reduction in the number of synergies (three to four) was needed for reconstructing the EMG signal with the same accuracy as in the other conditions (three to five). Synergies were grouped in only four clusters in the fast condition, while five clusters were needed for the self-selected condition. The right number of clusters was not clearly identified in the load condition. Speed and backpack carriage altered nearly every spatial–temporal parameter of gait, whereas kinematic alterations reflected mainly hip and pelvis adaptations. Although the synergistic patterns were consistent across conditions, indicating a similar motor pattern in different conditions, the fast condition required fewer synergies for reconstructing the EMG signal with the same level of accuracy.
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spelling doaj.art-1f1640229a884598aea6782c2e3ba1af2024-02-23T15:08:00ZengMDPI AGBioengineering2306-53542024-02-0111217310.3390/bioengineering11020173Influence of Backpack Carriage and Walking Speed on Muscle Synergies in Healthy ChildrenGiorgia Marino0Alessandro Scano1Giulia Beltrame2Cristina Brambilla3Alessandro Marazzi4Francesco Aparo5Lorenzo Molinari Tosatti6Roberto Gatti7Nicola Portinaro8Physiotherapy Unit, IRCCS Humanitas Research Hospital, via Manzoni 56, Rozzano, 20098 Milan, ItalyInstitute of Intelligent Industrial Systems and Technologies for Advanced Manufacturing (STIIMA), Italian Council of National Research (CNR), 00187 Milan, ItalyResidency Program in Orthopedics and Traumatology, Universitá degli Studi di Milano, 20126 Milan, ItalyInstitute of Intelligent Industrial Systems and Technologies for Advanced Manufacturing (STIIMA), Italian Council of National Research (CNR), 00187 Milan, ItalyDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini 4, Pieve Emanuele, 20072 Milan, ItalyDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini 4, Pieve Emanuele, 20072 Milan, ItalyInstitute of Intelligent Industrial Systems and Technologies for Advanced Manufacturing (STIIMA), Italian Council of National Research (CNR), 00187 Milan, ItalyPhysiotherapy Unit, IRCCS Humanitas Research Hospital, via Manzoni 56, Rozzano, 20098 Milan, ItalyResidency Program in Orthopedics and Traumatology, Universitá degli Studi di Milano, 20126 Milan, ItalyFour to five muscle synergies account for children’s locomotion and appear to be consistent across alterations in speed and slopes. Backpack carriage induces alterations in gait kinematics in healthy children, raising questions regarding the clinical consequences related to orthopedic and neurological diseases and ergonomics. However, to support clinical decisions and characterize backpack carriage, muscle synergies can help with understanding the alterations induced in this condition at the motor control level. In this study, we investigated how children adjust the recruitment of motor patterns during locomotion, when greater muscular demands are required (backpack carriage). Twenty healthy male children underwent an instrumental gait analysis and muscle synergies extraction during three walking conditions: self-selected, fast and load conditions. In the fast condition, a reduction in the number of synergies (three to four) was needed for reconstructing the EMG signal with the same accuracy as in the other conditions (three to five). Synergies were grouped in only four clusters in the fast condition, while five clusters were needed for the self-selected condition. The right number of clusters was not clearly identified in the load condition. Speed and backpack carriage altered nearly every spatial–temporal parameter of gait, whereas kinematic alterations reflected mainly hip and pelvis adaptations. Although the synergistic patterns were consistent across conditions, indicating a similar motor pattern in different conditions, the fast condition required fewer synergies for reconstructing the EMG signal with the same level of accuracy.https://www.mdpi.com/2306-5354/11/2/173muscle synergieslocomotionbackpack carriagegait analysischildren
spellingShingle Giorgia Marino
Alessandro Scano
Giulia Beltrame
Cristina Brambilla
Alessandro Marazzi
Francesco Aparo
Lorenzo Molinari Tosatti
Roberto Gatti
Nicola Portinaro
Influence of Backpack Carriage and Walking Speed on Muscle Synergies in Healthy Children
Bioengineering
muscle synergies
locomotion
backpack carriage
gait analysis
children
title Influence of Backpack Carriage and Walking Speed on Muscle Synergies in Healthy Children
title_full Influence of Backpack Carriage and Walking Speed on Muscle Synergies in Healthy Children
title_fullStr Influence of Backpack Carriage and Walking Speed on Muscle Synergies in Healthy Children
title_full_unstemmed Influence of Backpack Carriage and Walking Speed on Muscle Synergies in Healthy Children
title_short Influence of Backpack Carriage and Walking Speed on Muscle Synergies in Healthy Children
title_sort influence of backpack carriage and walking speed on muscle synergies in healthy children
topic muscle synergies
locomotion
backpack carriage
gait analysis
children
url https://www.mdpi.com/2306-5354/11/2/173
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