Rectus Femoris Muscle Activity Research Articles

Exploring the use of wearable sensors for assessing risk factors during orthopedic surgeries: A protocol for data collection

During orthopedic surgeries, surgeons are generally exposed to prolonged periods of standing, awkward and sustained body postures, and forceful movements, which can increase the likelihood of developing work-related musculoskeletal disorders (WRMSD). Therefore, this study proposes a protocol to measure parameters related to physical risk factors contributing to lower limb WRMSD, during orthopedic surgery procedures. The protocol development was preceded by an initial phase of understanding and specifying the context of use, followed by pre-tests in laboratory environment. It integrates a motion capture system, using inertial measurement units (IMU) to collect posture data from hip, knee, and ankle, and electromyography system (EMG) to measure and record data from muscle activity of biceps femoris, rectus femoris, and gastrocnemius lateralis. Pre-tests provided insights for protocol optimization, estimating a 3-hour data collection session per surgery due to sensor battery limitations, streamlining the process by placing EMG sensors before IMU and refining thigh sensor placement strategies. The protocol presents an opportunity for a real-time and quantitative approach to monitor surgeon's exposure to risk factors contributing to lower limb WRMSD while performing surgical procedures. Two months after pre-tests, the protocol implementation began in a real work context. The study's final outcomes fall outside the paper's scope.

Immediate Effects of High-Intensity Blood Flow Restriction Training on Muscle Performance and Muscle Soreness

ABSTRACT Purpose: The aim was to investigate the immediate effects of high-intensity resistance training with blood flow restriction (HIRT-BFR) on rectus femoris (RF) muscle activity, reaction time, muscular performance, and delayed onset muscle soreness (DOMS) in healthy young adults. Methods: Twenty-four healthy young adults were randomized into the HIRT-BFR group or HIRT group. Both groups performed a single session of training with 80% of 1RM, 8 repetitions, 2 sets, and 3 minutes rest to RF muscle. The activity and reaction time of the dominant extremity RF muscle were evaluated by superficial electromyography (sEMG), muscular performance by single-leg squat test, and DOMS by the Visual Analog Scale. Results: Single-leg squat performance was significantly increased in HIRT-BFR (p = .001) and HIRT group (p = .04). Additionally, in HIRT group resting average (p = .03), resting maximal voluntary contraction % (p = .04), and relaxation minimum (p = .02) values of RF were significantly increased. DOMS level decreased significantly in HIRT-BFR (p < .001) and HIRT group (p = .019). The differences were similar in the groups for sEMG parameters, muscle performance, and DOMS level. Conclusion: We observed that HIRT-BFR and HIRT were similar in terms of muscle activation, reaction time, muscular performance of the RF, and DOMS level.Trial registration number: This study is registered at www.clinicaltrails.gov (NCT05274542).

Reliability of transcranial magnetic stimulation-evoked responses on knee extensor muscles during cycling.

Transcranial magnetic stimulation (TMS) measures the excitability and inhibition of corticomotor networks. Despite its task-specificity, few studies have used TMS during dynamic movements and the reliability of TMS paired pulses has not been assessed during cycling. This study aimed to evaluate the reliability of motor evoked potentials (MEP) and short- and long-interval intracortical inhibition (SICI and LICI) on vastus lateralis and rectus femoris muscle activity during a fatiguing single-leg cycling task. Nine healthy adults (2 female) performed two identical sessions of counterweighted single-leg cycling at 60% peak power output until failure. Five single pulses and ten paired pulses were delivered to the motor cortex, and two maximal femoral nerve stimulations (Mmax) were administered during two baseline cycling bouts (unfatigued) and every 5min throughout cycling (fatigued). When comparing both baseline bouts within the same session, MEP·Mmax-1 and LICI (both ICC: >0.9) were rated excellent while SICI was rated good (ICC: 0.7-0.9). At baseline, between sessions, in the vastus lateralis, Mmax (ICC: >0.9) and MEP·Mmax-1 (ICC: 0.7) demonstrated good reliability; LICI was moderate (ICC: 0.5), and SICI was poor (ICC: 0.3). Across the fatiguing task, Mmax demonstrated excellent reliability (ICC > 0.8), MEP·Mmax-1 ranged good to excellent (ICC: 0.7-0.9), LICI was moderate to excellent (ICC: 0.5-0.9), and SICI remained poorly reliable (ICC: 0.3-0.6). These results corroborate the cruciality of retaining mode-specific testing measurements and suggest that during cycling, Mmax, MEP·Mmax-1, and LICI measures are reliable whereas SICI, although less reliable across days, can be reliable within the same session.

Quadriceps muscle activity during walking with a knee ankle foot orthosis is associated with improved gait ability in acute hemiplegic stroke patients with severe gait disturbance.

A knee-ankle-foot orthosis (KAFO) prevents knee buckling during walking and enables gait training for acute hemiplegic stroke patients with severe gait disturbances. Although the goal of gait training with a KAFO is to improve gait ability, that is, to acquire walking with an ankle-foot orthosis (AFO), it is not clear how gait training with a KAFO contributes to improving gait ability. Therefore, this study aimed to investigate the relationship between muscle activities during walking with a KAFO and the improvement of gait ability in hemiplegic stroke patients with severe gait disturbance. A prospective cohort study was conducted. Fifty acute hemiplegic stroke patients who could not walk with an AFO participated. Muscle activities of the paretic rectus femoris, biceps femoris, tibialis anterior, and soleus were assessed with surface electromyogram during walking with a KAFO. Electromyograms were assessed at the beginning of gait training and at the time the Ambulation Independence Measure score improved by 3 or higher, or discharge. Even in patients with complete hemiplegia, paretic rectus femoris, biceps femoris, and soleus showed periodic muscle activity during walking with a KAFO. Twenty-three patients improved to an Ambulation Independence Measure score of 3 or higher and were able to walk with an AFO (good recovery group). At the beginning of gait training, paretic rectus femoris muscle activity during the first double-limb support phase was significantly higher in the good recovery group than in the poor recovery group. The rectus femoris muscle activity significantly increased from before to after acute rehabilitation, which consisted mainly of gait training with a KAFO. For acute hemiplegic stroke patients with severe disturbance, the induction and enhancement of paretic quadriceps muscle activity during walking with a KAFO play an important role in acquiring walking with an AFO.

Comparison of trunk muscle activity while lifting objects of expected and unexpected weight with and without low back pain

BACKGROUND: Lifting heavy objects can induce postural stress and low back pain. OBJECTIVE: This study aimed to examine the effect of object weight expectations on trunk muscle activity and assess trunk muscle activity in people with chronic low back pain. METHODS: Twenty-two male college students (11 healthy and 11 participants with chronic low back pain) were recruited. The procedure was performed in three settings: lifting an expected 5-kg object, lifting an unexpected 10-kg object, and lifting an expected 10-kg object. Lifting was divided into five phases, and the muscle activity in each phase was compared between groups (chronic low back pain/control), object weight predictions, and phases. RESULTS: Compared to the control group, the chronic low back pain group had higher erector spinae muscle activity, regardless of weight or prediction, and significantly higher rectus femoris muscle activity in the early lifting phase of the expected 10-kg object (p= 0.043). Compared to when lifting the expected 10-kg object, erector spinae muscle activity was higher in the early lifting phase of the control group when lifting the unexpected 10-kg object (p= 0.016). CONCLUSIONS: Healthy individuals and individuals with chronic low back pain had different recruitment strategies for lifting objects heavier than predicted.

Lower limb muscle activation pattern in male soccer players with lumbar hyperlordosis

Objectivethe aim of the current study was to compare the lower limb muscle activation pattern in soccer players with and without lumbar hyperlordosis during single-leg squat performance. Methodsthirty male collegiate soccer players (15 with and 15 without lumbar hyperlordosis) performed the SLS task. Surface EMG was used to record the activation of eleven lower limb muscles. The activation of these muscles reduces to 100 points during the SLS cycle, where 50% demonstrates the maximum knee flexion, and 0% and 99% demonstrate the maximum knee extension. Resultssoccer players with lumbar hyperlordosis had higher muscle activation than those with normal lumbar lordosis in gluteus maximus, biceps femoris, and medial gastrocnemius. By contrast, they had lower gluteus medius, vastus medialis oblique, rectus femoris, soleus, and medial gastrocnemius (only in the final ascent phase of the SLS) muscle activity than the normal group during the SLS. Conclusionthis alteration may negatively affect targeted muscle performance during the SLS. Subsequent study is required to specify whether such an alteration in the lower limb muscle could be accompanied by injury in soccer players and change in their athletic performance.

Gender Differences in Neuromuscular Control during the Preparation Phase of Single-Leg Landing Task in Badminton.

Studies on the biomechanical mechanisms of an anterior cruciate ligament (ACL) injury have been extensively studied, but studies on the neuromuscular control-related risk factors for an ACL injury in specific maneuvers have not been reported for badminton players. Controlled laboratory study. Sixteen badminton players (8 male, 8 female) performed a single-leg badminton ball landing task, and lower limb muscle activity, kinematic data, and ground reaction force were measured during this procedure using marker-based movement analysis, force plates, and electromyography (EMG). Gender differences in the lower limb kinematic data, mean values of normalized lower limb muscle activation (MVC%), and co-contraction values during the landing preparation phase (100 ms before initial contact) were analyzed using MANOVA. In the badminton landing task, the knee valgus angle was greater in females than in males (6.27 ± 2.75 vs. 1.72 ± 3.20) in the pre-landing preparation position. Compared to male badminton players, females exhibited greater gluteus maximus (44.92 ± 18.00 vs. 20.34 ± 11.64), rectus femoris (41.56 ± 9.84 vs. 26.14 ± 10.46), and medial gastrocnemius (37.39 ± 17.31 vs. 19.11 ± 11.17) lateral gastrocnemius (36.86 ± 17.82 vs. 13.59 ± 2.71) muscle activity (MVC%). Female badminton players exhibit neuromuscular control strategies that may be inadequate for ACL protection and may be a potential risk factor for a high incidence of ACL injury In the future, when devising injury prevention plans for female badminton players, optimizing neuromuscular control during the pre-landing phase can be targeted.

Reducing the muscle activity of walking using a portable hip exoskeleton based on human-in-the-loop optimization.

Introduction: Human-in-the-loop optimization has made great progress to improve the performance of wearable robotic devices and become an effective customized assistance strategy. However, a lengthy period (several hours) of continuous walking for iterative optimization for each individual makes it less practical, especially for disabled people, who may not endure this process. Methods: In this paper, we provide a muscle-activity-based human-in-the-loop optimization strategy that can reduce the time spent on collecting biosignals during each iteration from around 120 s to 25 s. Both Bayesian and Covariance Matrix Adaptive Evolution Strategy (CMA-ES) optimization algorithms were adopted on a portable hip exoskeleton to generate optimal assist torque patterns, optimizing rectus femoris muscle activity. Four volunteers were recruited for exoskeleton-assisted walking trials. Results and Discussion: As a result, using human-in-the-loop optimization led to muscle activity reduction of 33.56% and 41.81% at most when compared to walking without and with the hip exoskeleton, respectively. Furthermore, the results of human-in-the-loop optimization indicate that three out of four participants achieved superior outcomes compared to the predefined assistance patterns. Interestingly, during the optimization stage, the order of the two typical optimizers, i.e., Bayesian and CMA-ES, did not affect the optimization results. The results of the experiment have confirmed that the assistance pattern generated by muscle-activity-based human-in-the-loop strategy is superior to predefined assistance patterns, and this strategy can be achieved more rapidly than the one based on metabolic cost.

Effects of a Rehabilitation Exercise Program Using Electro Muscle Stimulation following Anterior Cruciate Ligament Reconstruction on the Circumference, Activity, and Function of the Quadriceps Muscle

The current study compared the effects of exercise program and a rehabilitation exercise program (REP) with electro muscle stimulation (EMS) on participants who had anterior cruciate ligament (ACL) reconstruction. The control group (CONG, n = 12) and the electro muscle stimulation group (EMSG, n = 12) were equally assigned among the 24 patients who underwent ACL reconstruction. For 12 weeks, CONG executed the REP, and EMSG executed of added EMS into the REP. Every participant in the rehabilitative exercise program completed two 60 min sessions each week for a total of 12 weeks. Both a pre- and post-evaluation were completed before and after the workout session. IKDC (International Knee Documentation Committee) score, Lysholm score, thigh circumference, muscular activity, and isokinetic muscle function were the variables examined. The EMSG exposed a significant increase (p &lt; 0.05) in Lysholm score, muscle circumference, muscle activity of vastus medialis (VM), rectus femoris (RM), and vastus lateralis (VL), and isokinetic function (peak torque, total work). However, CONG only showed a significant increase in IKDC score (p &lt; 0.05). This study proved that the REP employing EMS following ACL reconstruction enhanced muscular activation during muscle contraction when compared to REP, and it showed that using EMS in rehabilitation exercise is an effective rehabilitation strategy.

How to benefit from augmented feedback? The influence of motivational and informational content of augmented feedback and the influence of task complexity

ABSTRACT Augmented feedback (aF) positively influences motor performance by enhancing motivation and/or by providing information about task execution. It was speculated that aF-induced performance increments that rely on motivation should also occur when providing incorrect aF, while performance increments that rely on guidance towards “successful executions” (i.e. improved performances) should only occur when aF is correct. We further hypothesised that the informational content of aF is more important in more complex motor tasks. Thus, 32 participants received two forms of aF (correct, incorrect) during maximal voluntary contractions (MVC’s; maximise force without time constraints; less complex) and maximal explosive contractions (MEC’s; maximise force in the shortest possible way; more complex) of the knee extensors. Peak torque (MVC), peak rate of torque development (MEC) and EMG signals of rectus femoris (RF) and vastus lateralis were recorded. Correct and incorrect aF significantly enhanced MVC performance, indicating that performance improvements resulted mainly from the motivational property of aF. The observed trend towards increased RF muscle activity supports this conclusion. In contrast, while correct aF positively impacted MEC performance, incorrect aF had a negative influence. This indicates that the informational property of aF guided participants towards movement executions resulting in improved (correct aF) or decreased (incorrect aF) performances. The observed simultaneous decrease in muscle activity suggests that participants changed motor strategy, supporting the guiding role of aF. Our results demonstrate that the motivational aspect of aF dominates in maximal tasks with lower complexity (MVC), while the informational aspect is used during more complex maximal tasks (MEC).

The combined influence of body weight support and running direction on self-selected movement patterns

We investigated metabolic costs, muscle activity, and perceptual responses during forward and backward running at matched speeds at different body weight support (BWS) conditions. Participants ran forward and backward on a lower body positive pressure treadmill at 0%BWS, 20%BWS, and 50%BWS conditions. We measured oxygen uptake, carbon dioxide production, heart rate, muscle activity, and stride frequency. Additionally, we calculated metabolic cost of transport. Furthermore, we used rating of perceived exertion and feeling scale to investigate perceptual responses. Feeling scale during running was higher with increasing BWS (0–50%BWS), regardless of running direction (p < 0.05). Oxygen uptake, heart rate, and metabolic cost of transport were influenced by the interaction of running direction and BWS (p < 0.01). For example, metabolic cost of transport during backward running was greater than when running forward only when running at 0%BWS (i.e., 4.4 ± 1.1 and 5.8 ± 1.4 J/kg/m for forward and backward running, respectively: p < 0.001). However, rectus femoris muscle activity, stride frequency, and rating of perceived exertion during backward running were averages of 113.5%, 11.3%, and 2.8 rankings greater than when running forward, respectively, regardless of BWS (p < 0.001). We interpret our observations to indicate that environment (in the context of effective body weight) is a critical factor that determines self-selected movement patterns during forward and backward running.

Lower-Limb Muscle Activity During Aquatic Treadmill Running in Individuals With Anterior Cruciate Ligament Reconstruction

While anterior cruciate ligament (ACL) tears are commonly managed with ACL reconstruction (ACL-R), 35% of ACL-R individuals fail to return to the preinjury elite sport level. Persistent neuromuscular deficits in the hamstrings and quadriceps have been observed. It has been proposed that aquatic therapy can be used to optimize neuromuscular control after ACL-R. (1)To compare muscle activity in ACL-R individuals during aquatic treadmill (ATM) running at different water depths and (2)to compare muscle activity during ATM running between ACL-R and healthy individuals. A total of 38 participants, including 18 ACL-R individuals (mean postoperative time [SD] = 25.8 [25.0] mo) and 20 healthy individuals were recruited. Muscle activity of biceps femoris (BF), rectus femoris (RF), tibialis anterior, and medial gastrocnemius during land treadmill and ATM running at mid-shin, mid-thigh, and waist levels were recorded using surface electromyography (sEMG). The sEMG signals of the selected muscles were normalized and expressed in % Maximal Voluntary Contraction (%MVC). Muscle activity of the ACL-R, ACL-contralateral, and healthy control limbs at different water depths was compared. Among the 3 groups, the ACL-R group demonstrated the most prominent percentage increase of 101.97% (P = .001) at mid-shin level, 139.66% (P = .001) at mid-thigh level, and 141.97% (P < .001) at waist level, respectively, in %MVC when compared to land. In the ACL-R group, muscle activity of BF in the stance phase (BFSt) was significantly higher than the control group on land at all water depths. Muscle activity of RF in the swing phase (RFSw) in the ACL-R group significantly increased in all water depths immersion when compared to land, respectively. This study showed an increasing trend in muscle activity of BFSt and RFSw in ACL-R individuals during ATM running at increased water depths. ATM running could be implemented as neuromuscular training in rehabilitation after ACL-R.

Exploratory Study of Functional Movement in Rope Climbing

PURPOSE This study aimed to explore the functional movement in rope climbing.METHODS The rope climbing experiment included 16 healthy young male participants, and the methods of hand, cross-leg, and foot-hooking climbing were employed. The muscle activity and joint range of motion were measured and analyzed using EMG (Electromyography) and IMU (Inertial Measurement Unit) sensors. One-way analysis of variance was conducted (α&lt;.05).RESULTS The activity of the forearm and biceps muscle was lower in cross-leg and foot-hooking climbing compared to hand climbing (p&lt;.01), and the rectus femoris muscle activity in cross-leg climbing was smaller than that in hand climbing (p&lt;.05). Furthermore, the adductor muscle activity in cross-leg climbing was higher than that of other types (p&lt;.01). The range of motion for the elbow and shoulder flexion was smaller in hand climbing than in other types (p&lt;.05); furthermore, the range of motion in the pelvis, thigh, and knee joint was the smallest in cross-leg climbing (p&lt;.05).CONCLUSIONS Because the pulling muscles such as the forearm, biceps, pectoralis major, and latissimus dorsi play an important role in the entire climbing motion, it is necessary to train the upper-body pulling-muscle group along with strengthening the core and lower body muscles.

Influence of speed on running strategies during forward and backward running with body weight support.

Running with body weight support (BWS) and backward running have been included in exercise programs. However, it is not known how running characteristics of forward and backward running with BWS are influenced by the deviation in the running speed from the preferred speed (PS). The purpose of this study was to investigate how metabolic cost, muscle activity, and perceptual responses of forward and backward running with BWS are influenced by the deviation in running speed from the PS. Eleven participants ran forward and backward at 0%BWS, 20%BWS, and 50%BWS conditions. The running speed conditions were set to their mode-specific PS, PS+10%, and PS-10%. We measured metabolic cost, muscle activity, stride frequency, rating of perceived exertion, and feeling scale. Metabolic cost, muscle activity (rectus femoris and gastrocnemius), and rating of perceived of exertion during running increased with increasing speed, regardless BWS and running direction (P<0.05). For example, a 10% increase in running speed from the PS produced averages of 7.1% and 7.7% increases in oxygen uptake and rectus femoris muscle activity, respectively. However, stride frequency during forward and backward running with BWS did not increase with increasing speed when running speed was manipulated around the PS (i.e., 10% increments: P>0.05), with the exception of forward running at 50%BWS. A 10% increase in running speed from the PS may be useful for individuals who are required to increase their metabolic cost, muscle activity, and perceptual responses during running, regardless of BWS and running direction.

몸통 안정화 기법을 동반한 런지동작이 하지 근활성도에 미치는 영향

This study is an experimental study that uses the Abdominal Draw-In Maneuver (ADIM) and Abdominal Bracing Maneuver (ABM) to determine the effects of leg muscle-building exercises. The experiment was conducted on 40 normal people in their 20s who had no special problems or pain in the musculoskeletal and nervous systems. Muscle activities of lower extremity, including rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), and gastrocnemius, were measured during lunge exercise with ADIM and ABM. The study found that the muscle activity of TA was significantly higher during lunge exercise with ADIM compared to the baseline, with an average of 377.025 ㎶, and an average of 262.022 ㎶, respectively. However, the muscle activities of RF, BF, and gastrocnemius was not significant in the application of general lunge, ADIM, and ABM. The results of this study suggest that lunge exercise with the ADIM can be used to improve TA. Further studeis require the involvement of patients with weakened leg muscles in order to warrant the results of this study.

Reducing Squat Physical Effort Using Personalized Assistance From an Ankle Exoskeleton.

Exoskeletons can assist humans during squatting and the assistance has the potential to reduce the physical demands. Although several squat assistance methods are available, the effect of personalized assistance on physical effort has not been examined. We hypothesize that personalized assistance will reduce the physical effort of squatting. We developed a human-in-the-loop Bayesian optimization scheme to minimize the metabolic cost of squatting using a unilateral ankle exoskeleton. The optimization identified subject-specific assistance parameters for ascending and descending during squatting and took 15.8 min on average to converge. The subject-specific optimized condition reduced metabolic cost by 19.9% and rectus femoris muscle activity by 28.7% compared to the condition without the exoskeleton with a higher probability of improvement compared to a generic condition. In an additional study with two participants, the personalized condition presented higher metabolic cost reduction than the generic condition. These reductions illustrate the importance of personalized ankle assistance using an exoskeleton for squatting, a physically intensive activity, and suggest that such a method can be applied to minimize the physical effort of squatting. Future work can investigate the effect of personalized squat assistance on fatigue and the potential risk of injury.

Force Myography計測を利用した繰り返しを伴う屈伸動作時における下肢部の筋活動評価

Evaluations of muscle activities are important in the studies of motion analysis as human performance surveys. Force-myography (FMG), which has proposed as a similar objective to electromyography (EMG), has been applied in motion analysis focusing on the muscular activities. In this study, the usefulness of FMG for physical load measurements in repeated self-weight training was investigated in comparison with EMG. The muscle activities of the right rectus femoris were measured by each method when the subjects performed several patterns of squat motions. It was found that the intensity of muscle activity increased with increasing the load. In addition, when using the pressure sensing FMG devices, the effect of pumping up due to overuse of muscles was also found during the squat motion. By using FMG measurements, there is a possibility to evaluate conveniently the muscle activity during bodyweight training.

Effects of the ankle angle on the electromyographic activity of the trunk and lower extremities during isometric squat exercises

Background: Life in modern society has become convenient, but the lack of exercise due to a sedentary lifestyle has led to muscle weakness. The quadriceps femoris is essential for walking, standing, and using stairs in daily life. Muscle weakness can lead directly to impaired function. Squatting is the most representative exercise for effective muscle development and increasing the knee extensor strength. This study examined the effects of ankle angle during wall squats on the muscle activity of the vastus medialis oblique (VMO), vastus lateralis (VL), rectus femoris (RF), biceps femoris (BF), rectus abdominis (RA), and erector spinae (ES) to determine which ankle angle can better strengthen the vastus medialis oblique as a method of rehabilitation training after a knee joint injury. Methods: All subjects (n = 20) performed the following three types of wall squats randomly: (1) GWS (General Wall Squat), (2) WSD 10° (Wall Squat with dorsiflexion 10°), and (3) WSP 10° (Wall Squat with plantarflexion 10°). Each subject completed all three kinds of wall squatting exercises three different times, and the muscle activity data of the VMO, VL, RF, BL, RA, and ES were recorded. Results: Compared to GWS exercise, the VMO and RF muscle activity increased significantly under WSP 10° exercise (p &lt; 0.05), whereas the VL, BF, RA, and ES activity did not increase significantly (p &gt; 0.05). No significant change between WSD 10° and WSP 10° was observed (p &gt; 0.05). Conclusions: WSP 10° can help increase the quadriceps muscle activity. Wall squat exercise with different ankle angles can be used for quadriceps muscle strengthening training for normal people and for recovery training for patellofemoral pain syndrome (PFPS) patients in the rehabilitation stage.

108배와 버피테스트 동작 시 근활성도 단순 비교

Previous studies of 108 bows and Burpee test exercises have reported effective exercise for improving physical fitness and strength. However, scientific and quantitative studies of muscles that are activated during both movements are inadequate. Therefore, in this study, 22 adults were classified into the 108 bows population(A) and the burpee test population(B). The purpose is to compare the difference with the change in muscle activity of each movement, compare accurate data, and present an effective practice method.BR The results of this study are as follows. First, the comparison results of the muscle activity of Rectus Abdominis showed high muscle activity in all the buffy tests on the left and right, and a statistically significant difference between the two populations was observed in the comparison of the muscle activity of the right side Bokujikugun (p.05). Second, the comparison results of the muscle activity of Rectus Femoris The muscle activity of both buffy tests appeared high, and there was a statistically significant difference between the two populations on both the right side (p.001) and the left side (p.01).

Gait changes following robot-assisted gait training in children with cerebral palsy.

This study investigated changes of gait pattern induced by a 4-week robot-assisted gait training (RAGT) in twelve ambulatory spastic diparesis children with cerebral palsy (CP) aged 10.4+/-3.2 years old by using computerized gait analysis (CGA). Pre-post intervention CGA data of children with CP was contrasted to the normative data of typically developing children by using cross-correlation and statistically evaluated by a Wilcoxon test. Significant pre-post intervention changes (p<0.01) include: decreased muscle activity of biceps femoris, rectus femoris, and tibialis anterior; a decrease in range of internal hip joint rotation, higher cadence, step length, and increased stride time. This study suggests that RAGT can be used in muscle reeducation and improved hip joint motion range in ambulatory children with CP.