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Impaired Lower Limb Muscle Synergies Post-Stroke

机译:中风后肢体肌肉协同效应受损

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摘要

Given the impaired motor output of the lower limb post-stroke, we argue that cortical damage alters the modular control structure underlying muscle activation patterns during both static and dynamic tasks. Muscle synergies were extracted from EMG collected during isometric hip torque production performed by chronic stroke and control subjects. The stroke group presented a reduction in muscle synergies, consistently displaying only two of the four characteristic synergies identified in the control group. These findings do not support a generalized co-contraction of muscles underlying motor impairments. Our data also indicated that the activation coefficients of the muscle synergies retained by the stroke group were altered. Finally, muscle synergies extracted from the isometric torque production tasks were able to account for a large portion of the variance in the gait EMG at similar limb postures in both subject groups. We therefore propose that muscle activation patterns during the swing phase of gait are constrained by the set of muscle synergies identified under the isometric conditions.
机译:鉴于中风后下肢的电动机输出受损,我们认为皮质损伤在静态和动态任务期间改变了肌肉激活模式下面的模块化控制结构。从慢性中风和对照受试者进行的等距臀部扭矩产生期间从EMG提取肌肉协同作用。中风组提出了肌肉协同作用的降低,始终如一地显示对照组中鉴定的四种特征协同作用中的两个。这些发现不支持潜在的电机损伤的肌肉的广义共收缩。我们的数据还表明,通过中风组保留的肌肉协同效应的激活系数被改变。最后,从等距扭矩产生任务中提取的肌肉协同效应能够考虑在两个受试者组中的类似肢体姿势的步态EMG中的大部分方差。因此,我们提出了在步态的摆动阶段期间的肌肉激活模式受到在等距条件下鉴定的一组肌肉协同作用的约束。

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