Locomotor training with body weight support in SCI: EMG improvement is more optimally expressed at a low testing speed
Study design: Case series. Objectives: To determine the optimal testing speed at which the recovery of the EMG (electromyographic) activity should be assessed during and after body weight supported (BWS) locomotor training. Setting: Tertiary hospital, Sint Maartenskliniek, Nijmegen, The Netherlands....
Gespeichert in:
| Veröffentlicht in: | Spinal cord 2014-12, Vol.52 (12), p.887-893 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 893 |
|---|---|
| container_issue | 12 |
| container_start_page | 887 |
| container_title | Spinal cord |
| container_volume | 52 |
| creator | Meyns, P Van de Crommert, H W A A Rijken, H van Kuppevelt, D H J M Duysens, J |
| description | Study design:
Case series.
Objectives:
To determine the optimal testing speed at which the recovery of the EMG (electromyographic) activity should be assessed during and after body weight supported (BWS) locomotor training.
Setting:
Tertiary hospital, Sint Maartenskliniek, Nijmegen, The Netherlands.
Methods:
Four participants with incomplete chronic SCI were included for BWS locomotor training; one AIS-C and three AIS-D (according to the ASIA (American Spinal Injury Association) Impairment Scale or AIS). All were at least 5 years after injury. The SCI participants were trained three times a week for a period of 6 weeks. They improved their locomotor function in terms of higher walking speed, less BWS and less assistance needed. To investigate which treadmill speed for EMG assessment reflects the functional improvement most adequately, all participants were assessed weekly using the same two speeds (0.5 and 1.5 km h
−1
, referred to as low and high speed, respectively) for 6 weeks. The change in root mean square EMG (RMS EMG) was assessed in four leg muscles; biceps femoris, rectus femoris, gastrocnemius medialis and tibialis anterior.
Results:
The changes in RMS EMG occurred at similar phases of the step cycle for both walking conditions, but these changes were larger when the treadmill was set at a low speed (0.5 km h
−1
).
Conclusion:
Improvement in gait is feasible with BWS treadmill training even long after injury. The EMG changes after treadmill training are more optimally expressed using a low rather than a high testing treadmill speed. |
| doi_str_mv | 10.1038/sc.2014.172 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1664206416</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1664206416</sourcerecordid><originalsourceid>FETCH-LOGICAL-c424t-73f791c6ff0f9d62d4c420703fc6c9a1668068aa5b73ceb42a3d6eb328b4d0823</originalsourceid><addsrcrecordid>eNqNkctLxDAQh4Movk_eJeBF0K55bZp6k8UXrHhQzyVNp2ulbWqSuu5_b5ZVEfHgKcPk48tkfggdUDKihKszb0aMUDGiKVtD21SkMhlLJtZjzSVLBM_4Ftrx_oUQktFMbaItNuaUKpFuo7epNba1wTocnK67upvheR2ecWHLBZ5DPXsO2A99b13AdYcfJrfn-PLuGtdt7-wbtNDFvsetdYBtH-pWN80Cw3vvwHsosQ5Y48bOcQAflnbfA5R7aKPSjYf9z3MXPV1dPk5ukun99e3kYpoYwURIUl6lGTWyqkiVlZKVIvZJSnhlpMk0lVIRqbQeFyk3UAimeSmh4EwVoiSK8V10vPLGYV-HOEHe1t5A0-gO7ODzaIhCKaj8B8oFU5ykKqJHv9AXO7gufmRJxUy4yESkTlaUcdZ7B1Xeu7get8gpyZfJ5d7ky-TymFykDz-dQ9FC-c1-RRWB0xXg41U3A_fj0T98H1OCobs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1630383494</pqid></control><display><type>article</type><title>Locomotor training with body weight support in SCI: EMG improvement is more optimally expressed at a low testing speed</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Meyns, P ; Van de Crommert, H W A A ; Rijken, H ; van Kuppevelt, D H J M ; Duysens, J</creator><creatorcontrib>Meyns, P ; Van de Crommert, H W A A ; Rijken, H ; van Kuppevelt, D H J M ; Duysens, J</creatorcontrib><description>Study design:
Case series.
Objectives:
To determine the optimal testing speed at which the recovery of the EMG (electromyographic) activity should be assessed during and after body weight supported (BWS) locomotor training.
Setting:
Tertiary hospital, Sint Maartenskliniek, Nijmegen, The Netherlands.
Methods:
Four participants with incomplete chronic SCI were included for BWS locomotor training; one AIS-C and three AIS-D (according to the ASIA (American Spinal Injury Association) Impairment Scale or AIS). All were at least 5 years after injury. The SCI participants were trained three times a week for a period of 6 weeks. They improved their locomotor function in terms of higher walking speed, less BWS and less assistance needed. To investigate which treadmill speed for EMG assessment reflects the functional improvement most adequately, all participants were assessed weekly using the same two speeds (0.5 and 1.5 km h
−1
, referred to as low and high speed, respectively) for 6 weeks. The change in root mean square EMG (RMS EMG) was assessed in four leg muscles; biceps femoris, rectus femoris, gastrocnemius medialis and tibialis anterior.
Results:
The changes in RMS EMG occurred at similar phases of the step cycle for both walking conditions, but these changes were larger when the treadmill was set at a low speed (0.5 km h
−1
).
Conclusion:
Improvement in gait is feasible with BWS treadmill training even long after injury. The EMG changes after treadmill training are more optimally expressed using a low rather than a high testing treadmill speed.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.2014.172</identifier><identifier>PMID: 25311847</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/375/1824 ; 9/10 ; Adult ; Anatomy ; Biomedical and Life Sciences ; Biomedicine ; Body Weight ; Electromyography ; Exercise Therapy ; Gait Disorders, Neurologic - physiopathology ; Gait Disorders, Neurologic - rehabilitation ; Human Physiology ; Humans ; Leg - physiopathology ; Locomotion ; Male ; Middle Aged ; Muscle, Skeletal - physiopathology ; Neurochemistry ; Neuropsychology ; Neurosciences ; original-article ; Physical Therapy Modalities ; Spinal Cord Injuries - physiopathology ; Spinal Cord Injuries - rehabilitation ; Walking</subject><ispartof>Spinal cord, 2014-12, Vol.52 (12), p.887-893</ispartof><rights>International Spinal Cord Society 2014</rights><rights>Copyright Nature Publishing Group Dec 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-73f791c6ff0f9d62d4c420703fc6c9a1668068aa5b73ceb42a3d6eb328b4d0823</citedby><cites>FETCH-LOGICAL-c424t-73f791c6ff0f9d62d4c420703fc6c9a1668068aa5b73ceb42a3d6eb328b4d0823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25311847$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meyns, P</creatorcontrib><creatorcontrib>Van de Crommert, H W A A</creatorcontrib><creatorcontrib>Rijken, H</creatorcontrib><creatorcontrib>van Kuppevelt, D H J M</creatorcontrib><creatorcontrib>Duysens, J</creatorcontrib><title>Locomotor training with body weight support in SCI: EMG improvement is more optimally expressed at a low testing speed</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
Case series.
Objectives:
To determine the optimal testing speed at which the recovery of the EMG (electromyographic) activity should be assessed during and after body weight supported (BWS) locomotor training.
Setting:
Tertiary hospital, Sint Maartenskliniek, Nijmegen, The Netherlands.
Methods:
Four participants with incomplete chronic SCI were included for BWS locomotor training; one AIS-C and three AIS-D (according to the ASIA (American Spinal Injury Association) Impairment Scale or AIS). All were at least 5 years after injury. The SCI participants were trained three times a week for a period of 6 weeks. They improved their locomotor function in terms of higher walking speed, less BWS and less assistance needed. To investigate which treadmill speed for EMG assessment reflects the functional improvement most adequately, all participants were assessed weekly using the same two speeds (0.5 and 1.5 km h
−1
, referred to as low and high speed, respectively) for 6 weeks. The change in root mean square EMG (RMS EMG) was assessed in four leg muscles; biceps femoris, rectus femoris, gastrocnemius medialis and tibialis anterior.
Results:
The changes in RMS EMG occurred at similar phases of the step cycle for both walking conditions, but these changes were larger when the treadmill was set at a low speed (0.5 km h
−1
).
Conclusion:
Improvement in gait is feasible with BWS treadmill training even long after injury. The EMG changes after treadmill training are more optimally expressed using a low rather than a high testing treadmill speed.</description><subject>692/699/375/1824</subject><subject>9/10</subject><subject>Adult</subject><subject>Anatomy</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Body Weight</subject><subject>Electromyography</subject><subject>Exercise Therapy</subject><subject>Gait Disorders, Neurologic - physiopathology</subject><subject>Gait Disorders, Neurologic - rehabilitation</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Leg - physiopathology</subject><subject>Locomotion</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Physical Therapy Modalities</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Walking</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkctLxDAQh4Movk_eJeBF0K55bZp6k8UXrHhQzyVNp2ulbWqSuu5_b5ZVEfHgKcPk48tkfggdUDKihKszb0aMUDGiKVtD21SkMhlLJtZjzSVLBM_4Ftrx_oUQktFMbaItNuaUKpFuo7epNba1wTocnK67upvheR2ecWHLBZ5DPXsO2A99b13AdYcfJrfn-PLuGtdt7-wbtNDFvsetdYBtH-pWN80Cw3vvwHsosQ5Y48bOcQAflnbfA5R7aKPSjYf9z3MXPV1dPk5ukun99e3kYpoYwURIUl6lGTWyqkiVlZKVIvZJSnhlpMk0lVIRqbQeFyk3UAimeSmh4EwVoiSK8V10vPLGYV-HOEHe1t5A0-gO7ODzaIhCKaj8B8oFU5ykKqJHv9AXO7gufmRJxUy4yESkTlaUcdZ7B1Xeu7get8gpyZfJ5d7ky-TymFykDz-dQ9FC-c1-RRWB0xXg41U3A_fj0T98H1OCobs</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Meyns, P</creator><creator>Van de Crommert, H W A A</creator><creator>Rijken, H</creator><creator>van Kuppevelt, D H J M</creator><creator>Duysens, J</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</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>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</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>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141201</creationdate><title>Locomotor training with body weight support in SCI: EMG improvement is more optimally expressed at a low testing speed</title><author>Meyns, P ; Van de Crommert, H W A A ; Rijken, H ; van Kuppevelt, D H J M ; Duysens, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-73f791c6ff0f9d62d4c420703fc6c9a1668068aa5b73ceb42a3d6eb328b4d0823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>692/699/375/1824</topic><topic>9/10</topic><topic>Adult</topic><topic>Anatomy</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Body Weight</topic><topic>Electromyography</topic><topic>Exercise Therapy</topic><topic>Gait Disorders, Neurologic - physiopathology</topic><topic>Gait Disorders, Neurologic - rehabilitation</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Leg - physiopathology</topic><topic>Locomotion</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Physical Therapy Modalities</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meyns, P</creatorcontrib><creatorcontrib>Van de Crommert, H W A A</creatorcontrib><creatorcontrib>Rijken, H</creatorcontrib><creatorcontrib>van Kuppevelt, D H J M</creatorcontrib><creatorcontrib>Duysens, J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</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>Technology Research Database</collection><collection>ProQuest SciTech 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>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</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>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meyns, P</au><au>Van de Crommert, H W A A</au><au>Rijken, H</au><au>van Kuppevelt, D H J M</au><au>Duysens, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Locomotor training with body weight support in SCI: EMG improvement is more optimally expressed at a low testing speed</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>52</volume><issue>12</issue><spage>887</spage><epage>893</epage><pages>887-893</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
Case series.
Objectives:
To determine the optimal testing speed at which the recovery of the EMG (electromyographic) activity should be assessed during and after body weight supported (BWS) locomotor training.
Setting:
Tertiary hospital, Sint Maartenskliniek, Nijmegen, The Netherlands.
Methods:
Four participants with incomplete chronic SCI were included for BWS locomotor training; one AIS-C and three AIS-D (according to the ASIA (American Spinal Injury Association) Impairment Scale or AIS). All were at least 5 years after injury. The SCI participants were trained three times a week for a period of 6 weeks. They improved their locomotor function in terms of higher walking speed, less BWS and less assistance needed. To investigate which treadmill speed for EMG assessment reflects the functional improvement most adequately, all participants were assessed weekly using the same two speeds (0.5 and 1.5 km h
−1
, referred to as low and high speed, respectively) for 6 weeks. The change in root mean square EMG (RMS EMG) was assessed in four leg muscles; biceps femoris, rectus femoris, gastrocnemius medialis and tibialis anterior.
Results:
The changes in RMS EMG occurred at similar phases of the step cycle for both walking conditions, but these changes were larger when the treadmill was set at a low speed (0.5 km h
−1
).
Conclusion:
Improvement in gait is feasible with BWS treadmill training even long after injury. The EMG changes after treadmill training are more optimally expressed using a low rather than a high testing treadmill speed.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>25311847</pmid><doi>10.1038/sc.2014.172</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1362-4393 |
| ispartof | Spinal cord, 2014-12, Vol.52 (12), p.887-893 |
| issn | 1362-4393 1476-5624 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1664206416 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | 692/699/375/1824 9/10 Adult Anatomy Biomedical and Life Sciences Biomedicine Body Weight Electromyography Exercise Therapy Gait Disorders, Neurologic - physiopathology Gait Disorders, Neurologic - rehabilitation Human Physiology Humans Leg - physiopathology Locomotion Male Middle Aged Muscle, Skeletal - physiopathology Neurochemistry Neuropsychology Neurosciences original-article Physical Therapy Modalities Spinal Cord Injuries - physiopathology Spinal Cord Injuries - rehabilitation Walking |
| title | Locomotor training with body weight support in SCI: EMG improvement is more optimally expressed at a low testing speed |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-04T01%3A58%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Locomotor%20training%20with%20body%20weight%20support%20in%20SCI:%20EMG%20improvement%20is%20more%20optimally%20expressed%20at%20a%20low%20testing%20speed&rft.jtitle=Spinal%20cord&rft.au=Meyns,%20P&rft.date=2014-12-01&rft.volume=52&rft.issue=12&rft.spage=887&rft.epage=893&rft.pages=887-893&rft.issn=1362-4393&rft.eissn=1476-5624&rft.coden=SPCOFM&rft_id=info:doi/10.1038/sc.2014.172&rft_dat=%3Cproquest_cross%3E1664206416%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1630383494&rft_id=info:pmid/25311847&rfr_iscdi=true |