Lower limb muscle power relationships in bilateral able-bodied gait

Citation
H. Sadeghi et al., Lower limb muscle power relationships in bilateral able-bodied gait, AM J PHYS M, 80(11), 2001, pp. 821-830
Citations number
39
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
ISSN journal
08949115 → ACNP
Volume
80
Issue
11
Year of publication
2001
Pages
821 - 830
Database
ISI
SICI code
0894-9115(200111)80:11<821:LLMPRI>2.0.ZU;2-V
Abstract
Objectives: The purpose of this study was to test the hypothesis that limb propulsion is mainly associated with the interaction of a number of muscle power bursts developed throughout the stance phase and that the control act ions are mainly achieved by the contralateral limb through different power- burst interactions. We also hypothesized that the power activities of the p ropulsion limb would be related to those of the control limb. Design: Sixty gait trials of 20 subjects with dominant right hands and righ t legs were chosen for analysis. Each trial represents a performance of an able-bodied gait. Data were assessed using an eight-camera, high-speed, vid eo-based system synchronized to two force plates. The muscle powers and the ir related mechanical energies were calculated at each joint and in each pl ane of the lower limbs by use of an inverse dynamic technique. The Pearson correlation method was used to determine the relationships within each limb by use of the data identified by principal component analysis, whereas a c anonical correlation analysis was performed to illustrate the interaction b etween the limbs. Results: Gait propulsion was an activity initiated by the hip shortly after heel-strike and maintained throughout the stance phase. Control was the ma in task of the left limb as evidenced by the power absorption bursts at the hip and knee. The left limb power generations were generally secondary to control activities and were possibly involved in adjustments to correct the other limb's propulsion. Interlimb interaction further emphasized the func tional relationship between forward progression and control tasks developed by each limb and highlighted the importance of the frontal and transverse plane actions during gait. Conclusion: These results do not support the hypothesis that the ankle was a major contributor to forward progression.