Merging and Fractionation of Muscle Synergy Indicate the Recovery Process in Patients with Hemiplegia: The First Study of Patients after Subacute Stroke

Loss of motor coordination is one of the main problems for patients after stroke. Muscle synergy is widely accepted as an indicator of motor coordination. Recently, the characteristics of muscle synergy were quantitatively evaluated using nonnegative matrix factorization (NNMF) with surface electrom...

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Main Authors: Yu Hashiguchi, Koji Ohata, Ryosuke Kitatani, Natsuki Yamakami, Kaoru Sakuma, Sayuri Osako, Yumi Aga, Aki Watanabe, Shigehito Yamada
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2016/5282957
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author Yu Hashiguchi
Koji Ohata
Ryosuke Kitatani
Natsuki Yamakami
Kaoru Sakuma
Sayuri Osako
Yumi Aga
Aki Watanabe
Shigehito Yamada
author_facet Yu Hashiguchi
Koji Ohata
Ryosuke Kitatani
Natsuki Yamakami
Kaoru Sakuma
Sayuri Osako
Yumi Aga
Aki Watanabe
Shigehito Yamada
author_sort Yu Hashiguchi
collection DOAJ
description Loss of motor coordination is one of the main problems for patients after stroke. Muscle synergy is widely accepted as an indicator of motor coordination. Recently, the characteristics of muscle synergy were quantitatively evaluated using nonnegative matrix factorization (NNMF) with surface electromyography. Previous studies have identified that the number and structure of synergies were associated with motor function in patients after stroke. However, most of these studies had a cross-sectional design, and the changes in muscle synergy during recovery process are not clear. In present study, two consecutive measurements were conducted for subacute patients after stroke and the change of number and structure of muscle synergies during gait were determined using NNMF. Results showed that functional change did not rely on number of synergies in patients after subacute stroke. However, the extent of merging of the synergies was negatively associated with an increase in muscle strength and the range of angle at ankle joint. Our results suggest that the neural changes represented by NNMF were related to the longitudinal change of function and gait pattern and that the merging of synergy is an important marker in patients after subacute stroke.
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spelling doaj-art-e63819100ef84ca6914b99b3c5ebe32c2025-08-20T02:21:02ZengWileyNeural Plasticity2090-59041687-54432016-01-01201610.1155/2016/52829575282957Merging and Fractionation of Muscle Synergy Indicate the Recovery Process in Patients with Hemiplegia: The First Study of Patients after Subacute StrokeYu Hashiguchi0Koji Ohata1Ryosuke Kitatani2Natsuki Yamakami3Kaoru Sakuma4Sayuri Osako5Yumi Aga6Aki Watanabe7Shigehito Yamada8Department of Physical Therapy, Faculty of Health Science, Gumma Paz College, Gunma, JapanDepartment of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, JapanKansai Rehabilitation Hospital, Osaka, JapanFujita Health University Hospital, Aichi, JapanDepartment of Rehabilitation Sciences, Kansai University of Welfare Science, Osaka, JapanKuretake Special Support School, Kyoto, JapanAijinkai Rehabilitation Hospital, Osaka, JapanOita Tobu Hospital, Oita, JapanDepartment of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, JapanLoss of motor coordination is one of the main problems for patients after stroke. Muscle synergy is widely accepted as an indicator of motor coordination. Recently, the characteristics of muscle synergy were quantitatively evaluated using nonnegative matrix factorization (NNMF) with surface electromyography. Previous studies have identified that the number and structure of synergies were associated with motor function in patients after stroke. However, most of these studies had a cross-sectional design, and the changes in muscle synergy during recovery process are not clear. In present study, two consecutive measurements were conducted for subacute patients after stroke and the change of number and structure of muscle synergies during gait were determined using NNMF. Results showed that functional change did not rely on number of synergies in patients after subacute stroke. However, the extent of merging of the synergies was negatively associated with an increase in muscle strength and the range of angle at ankle joint. Our results suggest that the neural changes represented by NNMF were related to the longitudinal change of function and gait pattern and that the merging of synergy is an important marker in patients after subacute stroke.http://dx.doi.org/10.1155/2016/5282957
spellingShingle Yu Hashiguchi
Koji Ohata
Ryosuke Kitatani
Natsuki Yamakami
Kaoru Sakuma
Sayuri Osako
Yumi Aga
Aki Watanabe
Shigehito Yamada
Merging and Fractionation of Muscle Synergy Indicate the Recovery Process in Patients with Hemiplegia: The First Study of Patients after Subacute Stroke
Neural Plasticity
title Merging and Fractionation of Muscle Synergy Indicate the Recovery Process in Patients with Hemiplegia: The First Study of Patients after Subacute Stroke
title_full Merging and Fractionation of Muscle Synergy Indicate the Recovery Process in Patients with Hemiplegia: The First Study of Patients after Subacute Stroke
title_fullStr Merging and Fractionation of Muscle Synergy Indicate the Recovery Process in Patients with Hemiplegia: The First Study of Patients after Subacute Stroke
title_full_unstemmed Merging and Fractionation of Muscle Synergy Indicate the Recovery Process in Patients with Hemiplegia: The First Study of Patients after Subacute Stroke
title_short Merging and Fractionation of Muscle Synergy Indicate the Recovery Process in Patients with Hemiplegia: The First Study of Patients after Subacute Stroke
title_sort merging and fractionation of muscle synergy indicate the recovery process in patients with hemiplegia the first study of patients after subacute stroke
url http://dx.doi.org/10.1155/2016/5282957
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