Effects of Elbow Crutch Locomotion on Gluteus Medius Activation During Stair Ascending
Crutches can help with the locomotion of people with walking disorders or functional limitations. However, little is known about hip muscle activation during stair ascending using different crutch locomotion patterns in people without disorders and limitations. Thus, we determined the acute effects...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Bioengineering and Biotechnology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fbioe.2022.890004/full |
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| author | Carlos De la Fuente Carlos De la Fuente Carlos De la Fuente Alejandro Neira Gustavo Torres Rony Silvestre Matias Roby Matias Roby Roberto Yañez Roberto Yañez Sofia Herrera Virgina Martabit Isabel McKay Felipe P. Carpes |
| author_facet | Carlos De la Fuente Carlos De la Fuente Carlos De la Fuente Alejandro Neira Gustavo Torres Rony Silvestre Matias Roby Matias Roby Roberto Yañez Roberto Yañez Sofia Herrera Virgina Martabit Isabel McKay Felipe P. Carpes |
| author_sort | Carlos De la Fuente |
| collection | DOAJ |
| description | Crutches can help with the locomotion of people with walking disorders or functional limitations. However, little is known about hip muscle activation during stair ascending using different crutch locomotion patterns in people without disorders and limitations. Thus, we determined the acute effects of elbow crutch locomotion on gluteus medius (GM) activity during stair ascending. This comparative analytic cross-sectional study enrolled ten healthy men (22.0 ± 0.47 years). Participants climbed up the stairs with elbow crutches using one or two crutches, with ipsilateral or contralateral use, and after loading or unloading a limb. EMG signals were recorded from anterior, middle, and posterior portions of the GM and compared between the crutch conditions. The Kruskal–Wallis test and Dunn’s multiple comparison test were performed (α = 5%). The activation of the GM increased with the ipsilateral use of crutches, with two crutches and three points, and when all the load depended only on one limb. GM activation decreased with contralateral use and in the unload limb. In conclusion, ascending stairs with elbow crutches alters the GM activation. The more critical factors were choosing the crutches’ lateral use, the number of crutches, and if the limb is loaded or unloaded while ascending the stairs. Our findings can be helpful to increase or decrease the GM activation for those who use or will use crutches. |
| first_indexed | 2024-04-12T17:55:12Z |
| format | Article |
| id | doaj.art-fd988329405b49adbcc22066aacb0c88 |
| institution | Directory Open Access Journal |
| issn | 2296-4185 |
| language | English |
| last_indexed | 2024-04-12T17:55:12Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Bioengineering and Biotechnology |
| spelling | doaj.art-fd988329405b49adbcc22066aacb0c882022-12-22T03:22:23ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852022-05-011010.3389/fbioe.2022.890004890004Effects of Elbow Crutch Locomotion on Gluteus Medius Activation During Stair AscendingCarlos De la Fuente0Carlos De la Fuente1Carlos De la Fuente2Alejandro Neira3Gustavo Torres4Rony Silvestre5Matias Roby6Matias Roby7Roberto Yañez8Roberto Yañez9Sofia Herrera10Virgina Martabit11Isabel McKay12Felipe P. Carpes13Departamento de Cs. de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileLaboratory of Neuromechanics, Universidade Federal do Pampa, Uruguaiana, BrazilServicio de Biomecánica, Centro de Innovación, Clínica MEDS, Santiago, ChileEscuela Kinesiología, Facultad de Ciencias, Universidad Mayor, Santiago, ChileDepartamento de Cs. de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileServicio de Biomecánica, Centro de Innovación, Clínica MEDS, Santiago, ChileServicio de Biomecánica, Centro de Innovación, Clínica MEDS, Santiago, ChileTraumatología, Clínica MEDS, Santiago, ChileServicio de Biomecánica, Centro de Innovación, Clínica MEDS, Santiago, ChileTraumatología, Clínica MEDS, Santiago, ChileDepartamento de Cs. de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileDepartamento de Cs. de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileDepartamento de Cs. de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileLaboratory of Neuromechanics, Universidade Federal do Pampa, Uruguaiana, BrazilCrutches can help with the locomotion of people with walking disorders or functional limitations. However, little is known about hip muscle activation during stair ascending using different crutch locomotion patterns in people without disorders and limitations. Thus, we determined the acute effects of elbow crutch locomotion on gluteus medius (GM) activity during stair ascending. This comparative analytic cross-sectional study enrolled ten healthy men (22.0 ± 0.47 years). Participants climbed up the stairs with elbow crutches using one or two crutches, with ipsilateral or contralateral use, and after loading or unloading a limb. EMG signals were recorded from anterior, middle, and posterior portions of the GM and compared between the crutch conditions. The Kruskal–Wallis test and Dunn’s multiple comparison test were performed (α = 5%). The activation of the GM increased with the ipsilateral use of crutches, with two crutches and three points, and when all the load depended only on one limb. GM activation decreased with contralateral use and in the unload limb. In conclusion, ascending stairs with elbow crutches alters the GM activation. The more critical factors were choosing the crutches’ lateral use, the number of crutches, and if the limb is loaded or unloaded while ascending the stairs. Our findings can be helpful to increase or decrease the GM activation for those who use or will use crutches.https://www.frontiersin.org/articles/10.3389/fbioe.2022.890004/fullGluteus MediusEMGassistive devicestairslocomotion |
| spellingShingle | Carlos De la Fuente Carlos De la Fuente Carlos De la Fuente Alejandro Neira Gustavo Torres Rony Silvestre Matias Roby Matias Roby Roberto Yañez Roberto Yañez Sofia Herrera Virgina Martabit Isabel McKay Felipe P. Carpes Effects of Elbow Crutch Locomotion on Gluteus Medius Activation During Stair Ascending Frontiers in Bioengineering and Biotechnology Gluteus Medius EMG assistive device stairs locomotion |
| title | Effects of Elbow Crutch Locomotion on Gluteus Medius Activation During Stair Ascending |
| title_full | Effects of Elbow Crutch Locomotion on Gluteus Medius Activation During Stair Ascending |
| title_fullStr | Effects of Elbow Crutch Locomotion on Gluteus Medius Activation During Stair Ascending |
| title_full_unstemmed | Effects of Elbow Crutch Locomotion on Gluteus Medius Activation During Stair Ascending |
| title_short | Effects of Elbow Crutch Locomotion on Gluteus Medius Activation During Stair Ascending |
| title_sort | effects of elbow crutch locomotion on gluteus medius activation during stair ascending |
| topic | Gluteus Medius EMG assistive device stairs locomotion |
| url | https://www.frontiersin.org/articles/10.3389/fbioe.2022.890004/full |
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