Effects of orthoses on muscle activity and synergy during gait

An orthosis is often used in rehabilitation to improve kinetic and kinematic parameters during gait. However, whether changes in neural control depend on wearing an orthosis during gait is unclear. We measured the muscle activity and synergy of the lower limb muscles without orthosis and with two ty...

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Main Authors: Yu Hashiguchi, Ryosuke Goto, Toru Naka
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910715/?tool=EBI
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author Yu Hashiguchi
Ryosuke Goto
Toru Naka
author_facet Yu Hashiguchi
Ryosuke Goto
Toru Naka
author_sort Yu Hashiguchi
collection DOAJ
description An orthosis is often used in rehabilitation to improve kinetic and kinematic parameters during gait. However, whether changes in neural control depend on wearing an orthosis during gait is unclear. We measured the muscle activity and synergy of the lower limb muscles without orthosis and with two types of orthoses: ankle–foot orthosis (AFO) and knee–ankle–foot orthosis (KAFO). Muscle activity during gait was measured in 15 healthy adults, and muscle synergies were extracted using non-negative matrix factorization. The results revealed that some muscle activities were significantly different among the three conditions. Post-hoc analysis indicated differences between each condition. Knee extensor muscle activity related to the loading response was significantly increased by wearing the AFO. In the KAFO condition, hip abductor muscle activity related to weight bearing was significantly decreased, and ankle dorsiflexor muscle activity was increased to secure clearance during the swing phase. However, the number of muscle synergies and complexity of muscle synergy did not significantly change among these conditions. However, along with changes in muscle activity, the activation pattern and weightings of muscle synergies tended to change with the use of orthoses. Each muscle activity was changed by wearing the orthosis; however, the immediate mechanical constraint did not change the framework of muscle synergy.
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spelling doaj.art-2e5b968e6d114c36914f1b8afe978e3e2023-02-12T05:31:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01182Effects of orthoses on muscle activity and synergy during gaitYu HashiguchiRyosuke GotoToru NakaAn orthosis is often used in rehabilitation to improve kinetic and kinematic parameters during gait. However, whether changes in neural control depend on wearing an orthosis during gait is unclear. We measured the muscle activity and synergy of the lower limb muscles without orthosis and with two types of orthoses: ankle–foot orthosis (AFO) and knee–ankle–foot orthosis (KAFO). Muscle activity during gait was measured in 15 healthy adults, and muscle synergies were extracted using non-negative matrix factorization. The results revealed that some muscle activities were significantly different among the three conditions. Post-hoc analysis indicated differences between each condition. Knee extensor muscle activity related to the loading response was significantly increased by wearing the AFO. In the KAFO condition, hip abductor muscle activity related to weight bearing was significantly decreased, and ankle dorsiflexor muscle activity was increased to secure clearance during the swing phase. However, the number of muscle synergies and complexity of muscle synergy did not significantly change among these conditions. However, along with changes in muscle activity, the activation pattern and weightings of muscle synergies tended to change with the use of orthoses. Each muscle activity was changed by wearing the orthosis; however, the immediate mechanical constraint did not change the framework of muscle synergy.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910715/?tool=EBI
spellingShingle Yu Hashiguchi
Ryosuke Goto
Toru Naka
Effects of orthoses on muscle activity and synergy during gait
PLoS ONE
title Effects of orthoses on muscle activity and synergy during gait
title_full Effects of orthoses on muscle activity and synergy during gait
title_fullStr Effects of orthoses on muscle activity and synergy during gait
title_full_unstemmed Effects of orthoses on muscle activity and synergy during gait
title_short Effects of orthoses on muscle activity and synergy during gait
title_sort effects of orthoses on muscle activity and synergy during gait
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910715/?tool=EBI
work_keys_str_mv AT yuhashiguchi effectsoforthosesonmuscleactivityandsynergyduringgait
AT ryosukegoto effectsoforthosesonmuscleactivityandsynergyduringgait
AT torunaka effectsoforthosesonmuscleactivityandsynergyduringgait