Changes in Predicted Muscle Coordination with Subject-Specific Muscle Parameters for Individuals after Stroke

Muscle weakness is commonly seen in individuals after stroke, characterized by lower forces during a maximal volitional contraction. Accurate quantification of muscle weakness is paramount when evaluating individual performance and response to after stroke rehabilitation. The objective of this stud...

Full description

Saved in:
Bibliographic Details
Main Authors: Brian A. Knarr, Darcy S. Reisman, Stuart A. Binder-Macleod, Jill S. Higginson
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.1155/2014/321747
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565849252167680
author Brian A. Knarr
Darcy S. Reisman
Stuart A. Binder-Macleod
Jill S. Higginson
author_facet Brian A. Knarr
Darcy S. Reisman
Stuart A. Binder-Macleod
Jill S. Higginson
author_sort Brian A. Knarr
collection DOAJ
description Muscle weakness is commonly seen in individuals after stroke, characterized by lower forces during a maximal volitional contraction. Accurate quantification of muscle weakness is paramount when evaluating individual performance and response to after stroke rehabilitation. The objective of this study was to examine the effect of subject-specific muscle force and activation deficits on predicted muscle coordination when using musculoskeletal models for individuals after stroke. Maximum force generating ability and central activation ratio of the paretic plantar flexors, dorsiflexors, and quadriceps muscle groups were obtained using burst superimposition for four individuals after stroke with a range of walking speeds. Two models were created per subject: one with generic and one with subject-specific activation and maximum isometric force parameters. The inclusion of subject-specific muscle data resulted in changes in the model-predicted muscle forces and activations which agree with previously reported compensation patterns and match more closely the timing of electromyography for the plantar flexor and hamstring muscles. This was the first study to create musculoskeletal simulations of individuals after stroke with subject-specific muscle force and activation data. The results of this study suggest that subject-specific muscle force and activation data enhance the ability of musculoskeletal simulations to accurately predict muscle coordination in individuals after stroke.
format Article
id doaj-art-3c95ed22ed0c419f9b7bddc94eae7e0b
institution Kabale University
issn 2090-8105
2042-0056
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Stroke Research and Treatment
spelling doaj-art-3c95ed22ed0c419f9b7bddc94eae7e0b2025-02-03T01:06:19ZengWileyStroke Research and Treatment2090-81052042-00562014-01-01201410.1155/2014/321747321747Changes in Predicted Muscle Coordination with Subject-Specific Muscle Parameters for Individuals after StrokeBrian A. Knarr0Darcy S. Reisman1Stuart A. Binder-Macleod2Jill S. Higginson3Delaware Rehabilitation Institute, STAR Health Sciences Complex, University of Delaware, 540 S. College Avenue, Newark, DE 19716, USADepartment of Physical Therapy, STAR Health Sciences Complex, University of Delaware, 540 S. College Avenue, Newark, DE 19716, USADepartment of Physical Therapy, STAR Health Sciences Complex, University of Delaware, 540 S. College Avenue, Newark, DE 19716, USADepartment of Mechanical Engineering, STAR Health Sciences Complex, University of Delaware, 540 S. College Avenue, Newark, DE 19716, USAMuscle weakness is commonly seen in individuals after stroke, characterized by lower forces during a maximal volitional contraction. Accurate quantification of muscle weakness is paramount when evaluating individual performance and response to after stroke rehabilitation. The objective of this study was to examine the effect of subject-specific muscle force and activation deficits on predicted muscle coordination when using musculoskeletal models for individuals after stroke. Maximum force generating ability and central activation ratio of the paretic plantar flexors, dorsiflexors, and quadriceps muscle groups were obtained using burst superimposition for four individuals after stroke with a range of walking speeds. Two models were created per subject: one with generic and one with subject-specific activation and maximum isometric force parameters. The inclusion of subject-specific muscle data resulted in changes in the model-predicted muscle forces and activations which agree with previously reported compensation patterns and match more closely the timing of electromyography for the plantar flexor and hamstring muscles. This was the first study to create musculoskeletal simulations of individuals after stroke with subject-specific muscle force and activation data. The results of this study suggest that subject-specific muscle force and activation data enhance the ability of musculoskeletal simulations to accurately predict muscle coordination in individuals after stroke.http://dx.doi.org/10.1155/2014/321747
spellingShingle Brian A. Knarr
Darcy S. Reisman
Stuart A. Binder-Macleod
Jill S. Higginson
Changes in Predicted Muscle Coordination with Subject-Specific Muscle Parameters for Individuals after Stroke
Stroke Research and Treatment
title Changes in Predicted Muscle Coordination with Subject-Specific Muscle Parameters for Individuals after Stroke
title_full Changes in Predicted Muscle Coordination with Subject-Specific Muscle Parameters for Individuals after Stroke
title_fullStr Changes in Predicted Muscle Coordination with Subject-Specific Muscle Parameters for Individuals after Stroke
title_full_unstemmed Changes in Predicted Muscle Coordination with Subject-Specific Muscle Parameters for Individuals after Stroke
title_short Changes in Predicted Muscle Coordination with Subject-Specific Muscle Parameters for Individuals after Stroke
title_sort changes in predicted muscle coordination with subject specific muscle parameters for individuals after stroke
url http://dx.doi.org/10.1155/2014/321747
work_keys_str_mv AT brianaknarr changesinpredictedmusclecoordinationwithsubjectspecificmuscleparametersforindividualsafterstroke
AT darcysreisman changesinpredictedmusclecoordinationwithsubjectspecificmuscleparametersforindividualsafterstroke
AT stuartabindermacleod changesinpredictedmusclecoordinationwithsubjectspecificmuscleparametersforindividualsafterstroke
AT jillshigginson changesinpredictedmusclecoordinationwithsubjectspecificmuscleparametersforindividualsafterstroke