Lower limb muscle fatigue after uphill walking in children with unilateral spastic cerebral palsy
Fatigue during walking is a common complaint in cerebral palsy (CP). The primary purpose of this study is to investigate muscle fatigue from surface electromyography (sEMG) measurements after a treadmill-based fatigue protocol with increasing incline and speed in children with CP with drop foot. The...
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| creator | Moll, I Essers, J M N Marcellis, R G J Senden, R H J Janssen-Potten, Y J M Vermeulen, R J Meijer, K |
| description | Fatigue during walking is a common complaint in cerebral palsy (CP). The primary purpose of this study is to investigate muscle fatigue from surface electromyography (sEMG) measurements after a treadmill-based fatigue protocol with increasing incline and speed in children with CP with drop foot. The secondary purpose is to investigate whether changes in sagittal kinematics of hip, knee and ankle occur after fatigue. Eighteen subjects with unilateral spastic CP performed the protocol while wearing their ankle-foot orthosis and scored their fatigue on the OMNI scale of perceived exertion. The median frequency (MF) and root mean square (RMS) were used as sEMG measures for fatigue and linear mixed effects model were applied. The MF was significantly decreased in fatigued condition, especially in the affected leg and in the tibialis anterior and peroneus longus muscle. The RMS did not change significantly in fatigued condition, while the OMNI fatigue score indicated patients felt really fatigued. No changes in sagittal kinematics of hip, knee and ankle were found using statistical non-parametric mapping. In conclusion, the current fatigue protocol seems promising in inducing fatigue in a population with CP with drop foot and it could be used to expand knowledge on muscle fatigue during walking in CP. |
| doi_str_mv | 10.1371/journal.pone.0278657 |
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The primary purpose of this study is to investigate muscle fatigue from surface electromyography (sEMG) measurements after a treadmill-based fatigue protocol with increasing incline and speed in children with CP with drop foot. The secondary purpose is to investigate whether changes in sagittal kinematics of hip, knee and ankle occur after fatigue. Eighteen subjects with unilateral spastic CP performed the protocol while wearing their ankle-foot orthosis and scored their fatigue on the OMNI scale of perceived exertion. The median frequency (MF) and root mean square (RMS) were used as sEMG measures for fatigue and linear mixed effects model were applied. The MF was significantly decreased in fatigued condition, especially in the affected leg and in the tibialis anterior and peroneus longus muscle. The RMS did not change significantly in fatigued condition, while the OMNI fatigue score indicated patients felt really fatigued. No changes in sagittal kinematics of hip, knee and ankle were found using statistical non-parametric mapping. In conclusion, the current fatigue protocol seems promising in inducing fatigue in a population with CP with drop foot and it could be used to expand knowledge on muscle fatigue during walking in CP.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0278657</identifier><identifier>PMID: 36473000</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Ankle ; Biology and Life Sciences ; Cerebral palsy ; Cerebral Palsy - complications ; Child ; Demographic aspects ; Electromyography ; Extremities, Lower ; Fatigue ; Feet ; Gait ; Guillain-Barre syndrome ; Hip ; Humans ; Kinematics ; Knee ; Leg ; Lower Extremity ; Medicine and Health Sciences ; Metabolism ; Muscle Fatigue ; Muscles ; Muscular fatigue ; Paralysis ; Physical Sciences ; Physiological aspects ; Skeletal muscle ; Spasticity ; Treadmills ; Velocity ; Walking</subject><ispartof>PloS one, 2022-12, Vol.17 (12), p.e0278657-e0278657</ispartof><rights>Copyright: © 2022 Moll et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Moll et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Moll et al 2022 Moll et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-645bd45743117ca542d5a8642d0a202a4fcca128b114500f882dc64de95280583</citedby><cites>FETCH-LOGICAL-c692t-645bd45743117ca542d5a8642d0a202a4fcca128b114500f882dc64de95280583</cites><orcidid>0000-0002-3908-4104 ; 0000-0001-8236-8754 ; 0000-0003-4819-4863 ; 0000-0002-9463-5749</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9725134/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9725134/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36473000$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moll, I</creatorcontrib><creatorcontrib>Essers, J M N</creatorcontrib><creatorcontrib>Marcellis, R G J</creatorcontrib><creatorcontrib>Senden, R H J</creatorcontrib><creatorcontrib>Janssen-Potten, Y J M</creatorcontrib><creatorcontrib>Vermeulen, R J</creatorcontrib><creatorcontrib>Meijer, K</creatorcontrib><title>Lower limb muscle fatigue after uphill walking in children with unilateral spastic cerebral palsy</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Fatigue during walking is a common complaint in cerebral palsy (CP). The primary purpose of this study is to investigate muscle fatigue from surface electromyography (sEMG) measurements after a treadmill-based fatigue protocol with increasing incline and speed in children with CP with drop foot. The secondary purpose is to investigate whether changes in sagittal kinematics of hip, knee and ankle occur after fatigue. Eighteen subjects with unilateral spastic CP performed the protocol while wearing their ankle-foot orthosis and scored their fatigue on the OMNI scale of perceived exertion. The median frequency (MF) and root mean square (RMS) were used as sEMG measures for fatigue and linear mixed effects model were applied. The MF was significantly decreased in fatigued condition, especially in the affected leg and in the tibialis anterior and peroneus longus muscle. The RMS did not change significantly in fatigued condition, while the OMNI fatigue score indicated patients felt really fatigued. No changes in sagittal kinematics of hip, knee and ankle were found using statistical non-parametric mapping. In conclusion, the current fatigue protocol seems promising in inducing fatigue in a population with CP with drop foot and it could be used to expand knowledge on muscle fatigue during walking in CP.</description><subject>Ankle</subject><subject>Biology and Life Sciences</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - complications</subject><subject>Child</subject><subject>Demographic aspects</subject><subject>Electromyography</subject><subject>Extremities, Lower</subject><subject>Fatigue</subject><subject>Feet</subject><subject>Gait</subject><subject>Guillain-Barre syndrome</subject><subject>Hip</subject><subject>Humans</subject><subject>Kinematics</subject><subject>Knee</subject><subject>Leg</subject><subject>Lower Extremity</subject><subject>Medicine and Health Sciences</subject><subject>Metabolism</subject><subject>Muscle Fatigue</subject><subject>Muscles</subject><subject>Muscular fatigue</subject><subject>Paralysis</subject><subject>Physical Sciences</subject><subject>Physiological aspects</subject><subject>Skeletal muscle</subject><subject>Spasticity</subject><subject>Treadmills</subject><subject>Velocity</subject><subject>Walking</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk0tv1DAQxyMEoqXwDRBEQkJw2MXvJBekquKx0kqVeF2tWdvJujhxaics_fZ42bTaoB6QD2ONf_Mfz9iTZc8xWmJa4HdXfgwduGXvO7NEpCgFLx5kp7iiZCEIog-P9ifZkxivEOK0FOJxdkIFKyhC6DSDtd-ZkDvbbvJ2jMqZvIbBNqPJoR7SydhvrXP5DtxP2zW57XKVHDqYLt_ZYZuPnXWQQHB57CEOVuXKBLPZO3pw8eZp9qhO1jyb7Fn2_eOHbxefF-vLT6uL8_VCiYoMC8H4RjNeMIpxoYAzojmUIhkEBBFgtVKASbnBmHGE6rIkWgmmTcVJiXhJz7KXB93e-Sin7kRJClYQRqmgiVgdCO3hSvbBthBupAcr_zp8aCSEVIAzEhNdaSNKAkQxw01Zpyw6tRNppgkxSev9lG3ctEYr0w2p4pno_KSzW9n4X7IqCMeUJYE3k0Dw16OJg2xtVMY56Iwfp3sXvBRVQl_9g95f3UQ1kAqwXe1TXrUXlecFqVBFBd5Ty3uotLRprUpfqbbJPwt4OwtIzGB-Dw2MMcrV1y__z17-mLOvj9itATdso3fjYH0X5yA7gCr4GIOp75qMkdxPwm035H4S5DQJKezF8QPdBd1-ffoHETEC0Q</recordid><startdate>20221206</startdate><enddate>20221206</enddate><creator>Moll, I</creator><creator>Essers, J M N</creator><creator>Marcellis, R G J</creator><creator>Senden, R H J</creator><creator>Janssen-Potten, Y J M</creator><creator>Vermeulen, R J</creator><creator>Meijer, K</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3908-4104</orcidid><orcidid>https://orcid.org/0000-0001-8236-8754</orcidid><orcidid>https://orcid.org/0000-0003-4819-4863</orcidid><orcidid>https://orcid.org/0000-0002-9463-5749</orcidid></search><sort><creationdate>20221206</creationdate><title>Lower limb muscle fatigue after uphill walking in children with unilateral spastic cerebral palsy</title><author>Moll, I ; Essers, J M N ; Marcellis, R G J ; Senden, R H J ; Janssen-Potten, Y J M ; Vermeulen, R J ; Meijer, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-645bd45743117ca542d5a8642d0a202a4fcca128b114500f882dc64de95280583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Ankle</topic><topic>Biology and Life Sciences</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - complications</topic><topic>Child</topic><topic>Demographic aspects</topic><topic>Electromyography</topic><topic>Extremities, Lower</topic><topic>Fatigue</topic><topic>Feet</topic><topic>Gait</topic><topic>Guillain-Barre syndrome</topic><topic>Hip</topic><topic>Humans</topic><topic>Kinematics</topic><topic>Knee</topic><topic>Leg</topic><topic>Lower Extremity</topic><topic>Medicine and Health Sciences</topic><topic>Metabolism</topic><topic>Muscle Fatigue</topic><topic>Muscles</topic><topic>Muscular fatigue</topic><topic>Paralysis</topic><topic>Physical Sciences</topic><topic>Physiological aspects</topic><topic>Skeletal muscle</topic><topic>Spasticity</topic><topic>Treadmills</topic><topic>Velocity</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moll, I</creatorcontrib><creatorcontrib>Essers, J M N</creatorcontrib><creatorcontrib>Marcellis, R G J</creatorcontrib><creatorcontrib>Senden, R H J</creatorcontrib><creatorcontrib>Janssen-Potten, Y J M</creatorcontrib><creatorcontrib>Vermeulen, R J</creatorcontrib><creatorcontrib>Meijer, K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moll, I</au><au>Essers, J M N</au><au>Marcellis, R G J</au><au>Senden, R H J</au><au>Janssen-Potten, Y J M</au><au>Vermeulen, R J</au><au>Meijer, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lower limb muscle fatigue after uphill walking in children with unilateral spastic cerebral palsy</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-12-06</date><risdate>2022</risdate><volume>17</volume><issue>12</issue><spage>e0278657</spage><epage>e0278657</epage><pages>e0278657-e0278657</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Fatigue during walking is a common complaint in cerebral palsy (CP). The primary purpose of this study is to investigate muscle fatigue from surface electromyography (sEMG) measurements after a treadmill-based fatigue protocol with increasing incline and speed in children with CP with drop foot. The secondary purpose is to investigate whether changes in sagittal kinematics of hip, knee and ankle occur after fatigue. Eighteen subjects with unilateral spastic CP performed the protocol while wearing their ankle-foot orthosis and scored their fatigue on the OMNI scale of perceived exertion. The median frequency (MF) and root mean square (RMS) were used as sEMG measures for fatigue and linear mixed effects model were applied. The MF was significantly decreased in fatigued condition, especially in the affected leg and in the tibialis anterior and peroneus longus muscle. The RMS did not change significantly in fatigued condition, while the OMNI fatigue score indicated patients felt really fatigued. No changes in sagittal kinematics of hip, knee and ankle were found using statistical non-parametric mapping. In conclusion, the current fatigue protocol seems promising in inducing fatigue in a population with CP with drop foot and it could be used to expand knowledge on muscle fatigue during walking in CP.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36473000</pmid><doi>10.1371/journal.pone.0278657</doi><tpages>e0278657</tpages><orcidid>https://orcid.org/0000-0002-3908-4104</orcidid><orcidid>https://orcid.org/0000-0001-8236-8754</orcidid><orcidid>https://orcid.org/0000-0003-4819-4863</orcidid><orcidid>https://orcid.org/0000-0002-9463-5749</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Ankle Biology and Life Sciences Cerebral palsy Cerebral Palsy - complications Child Demographic aspects Electromyography Extremities, Lower Fatigue Feet Gait Guillain-Barre syndrome Hip Humans Kinematics Knee Leg Lower Extremity Medicine and Health Sciences Metabolism Muscle Fatigue Muscles Muscular fatigue Paralysis Physical Sciences Physiological aspects Skeletal muscle Spasticity Treadmills Velocity Walking |
| title | Lower limb muscle fatigue after uphill walking in children with unilateral spastic cerebral palsy |
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