The effect of arm weight support on upper limb muscle synergies during reaching movements

Background Compensating for the effect of gravity by providing arm-weight support (WS) is a technique often utilized in the rehabilitation of patients with neurological conditions such as stroke to facilitate the performance of arm movements during therapy. Although it has been shown that, in healt...

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Main Authors: Coscia, Martina, Cheung, Vincent Chi-Kwan, Tropea, Peppino, Koenig, Alexander, Monaco, Vito, Bennis, Caoimhe, Micera, Silvestro, Bonato, Paolo
Other Authors: Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
Format: Article
Language:English
Published: BioMed Central Ltd 2014
Online Access:http://hdl.handle.net/1721.1/86236
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author Coscia, Martina
Cheung, Vincent Chi-Kwan
Tropea, Peppino
Koenig, Alexander
Monaco, Vito
Bennis, Caoimhe
Micera, Silvestro
Bonato, Paolo
author2 Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
author_facet Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
Coscia, Martina
Cheung, Vincent Chi-Kwan
Tropea, Peppino
Koenig, Alexander
Monaco, Vito
Bennis, Caoimhe
Micera, Silvestro
Bonato, Paolo
author_sort Coscia, Martina
collection MIT
description Background Compensating for the effect of gravity by providing arm-weight support (WS) is a technique often utilized in the rehabilitation of patients with neurological conditions such as stroke to facilitate the performance of arm movements during therapy. Although it has been shown that, in healthy subjects as well as in stroke survivors, the use of arm WS during the performance of reaching movements leads to a general reduction, as expected, in the level of activation of upper limb muscles, the effects of different levels of WS on the characteristics of the kinematics of motion and of the activity of upper limb muscles have not been thoroughly investigated before. Methods In this study, we systematically assessed the characteristics of the kinematics of motion and of the activity of 14 upper limb muscles in a group of 9 healthy subjects who performed 3-D arm reaching movements while provided with different levels of arm WS. We studied the hand trajectory and the trunk, shoulder, and elbow joint angular displacement trajectories for different levels of arm WS. Besides, we analyzed the amplitude of the surface electromyographic (EMG) data collected from upper limb muscles and investigated patterns of coordination via the analysis of muscle synergies. Results The characteristics of the kinematics of motion varied across WS conditions but did not show distinct trends with the level of arm WS. The level of activation of upper limb muscles generally decreased, as expected, with the increase in arm WS. The same eight muscle synergies were identified in all WS conditions. Their level of activation depended on the provided level of arm WS. Conclusions The analysis of muscle synergies allowed us to identify a modular organization underlying the generation of arm reaching movements that appears to be invariant to the level of arm WS. The results of this study provide a normative dataset for the assessment of the effects of the level of arm WS on muscle synergies in stroke survivors and other patients who could benefit from upper limb rehabilitation with arm WS.
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spelling mit-1721.1/862362022-09-29T15:49:50Z The effect of arm weight support on upper limb muscle synergies during reaching movements Coscia, Martina Cheung, Vincent Chi-Kwan Tropea, Peppino Koenig, Alexander Monaco, Vito Bennis, Caoimhe Micera, Silvestro Bonato, Paolo Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences McGovern Institute for Brain Research at MIT Cheung, Vincent Chi-Kwan Background Compensating for the effect of gravity by providing arm-weight support (WS) is a technique often utilized in the rehabilitation of patients with neurological conditions such as stroke to facilitate the performance of arm movements during therapy. Although it has been shown that, in healthy subjects as well as in stroke survivors, the use of arm WS during the performance of reaching movements leads to a general reduction, as expected, in the level of activation of upper limb muscles, the effects of different levels of WS on the characteristics of the kinematics of motion and of the activity of upper limb muscles have not been thoroughly investigated before. Methods In this study, we systematically assessed the characteristics of the kinematics of motion and of the activity of 14 upper limb muscles in a group of 9 healthy subjects who performed 3-D arm reaching movements while provided with different levels of arm WS. We studied the hand trajectory and the trunk, shoulder, and elbow joint angular displacement trajectories for different levels of arm WS. Besides, we analyzed the amplitude of the surface electromyographic (EMG) data collected from upper limb muscles and investigated patterns of coordination via the analysis of muscle synergies. Results The characteristics of the kinematics of motion varied across WS conditions but did not show distinct trends with the level of arm WS. The level of activation of upper limb muscles generally decreased, as expected, with the increase in arm WS. The same eight muscle synergies were identified in all WS conditions. Their level of activation depended on the provided level of arm WS. Conclusions The analysis of muscle synergies allowed us to identify a modular organization underlying the generation of arm reaching movements that appears to be invariant to the level of arm WS. The results of this study provide a normative dataset for the assessment of the effects of the level of arm WS on muscle synergies in stroke survivors and other patients who could benefit from upper limb rehabilitation with arm WS. National Institutes of Health (U.S.) (NIH grant # RC1-NS068103-01) Swiss National Science Foundation (grant PBEZ3_137336) National Institutes of Health (U.S.) (NIH grant # R24HD050821) 2014-04-24T19:37:18Z 2014-04-24T19:37:18Z 2014-03 2013-06 2014-04-22T03:42:03Z Article http://purl.org/eprint/type/JournalArticle 1743-0003 http://hdl.handle.net/1721.1/86236 Coscia, Martina, Vincent CK Cheung, Peppino Tropea, et al. "The effect of arm weight support on upper limb muscle synergies during reaching movements." Journal of NeuroEngineering and Rehabilitation (2014) 11:22, p.1-15. en http://dx.doi.org/10.1186/1743-0003-11-22 Journal of NeuroEngineering and Rehabilitation Creative Commons Attribution http://creativecommons.org/licenses/by/2.0 Martina Coscia et al.; licensee BioMed Central Ltd. application/pdf BioMed Central Ltd BioMed Central Ltd
spellingShingle Coscia, Martina
Cheung, Vincent Chi-Kwan
Tropea, Peppino
Koenig, Alexander
Monaco, Vito
Bennis, Caoimhe
Micera, Silvestro
Bonato, Paolo
The effect of arm weight support on upper limb muscle synergies during reaching movements
title The effect of arm weight support on upper limb muscle synergies during reaching movements
title_full The effect of arm weight support on upper limb muscle synergies during reaching movements
title_fullStr The effect of arm weight support on upper limb muscle synergies during reaching movements
title_full_unstemmed The effect of arm weight support on upper limb muscle synergies during reaching movements
title_short The effect of arm weight support on upper limb muscle synergies during reaching movements
title_sort effect of arm weight support on upper limb muscle synergies during reaching movements
url http://hdl.handle.net/1721.1/86236
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