Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Effects of Hoehn-Yahr Scale on the Activation of Lower-Extremity Muscles during Walking with Parkinson's Patients

파킨슨 환자들의 질병등급척도가 보행 시 하지의 근육활동에 미치는 영향

  • Kim, Chang-Hwan (Department of Physical & Rehabilitation Medicine, School of Medicine, InHa University) ;
  • Kim, Mi-Young (Department of Physical & Rehabilitation Medicine, School of Medicine, InHa University) ;
  • Moon, Je-Heon (Korea Institute of Sport Science, Korea Sports Promotion Foundation) ;
  • Lim, Bee-Oh (Physical Education LAB, Department of Physical Education, Chung Ang University)
  • 김창환 (인하대학교 의학전문 대학원 재활의학교실) ;
  • 김미영 (인하대학교 의학전문 대학원 재활의학교실) ;
  • 문제헌 (국민체육진흥공단 한국스포츠개발원) ;
  • 임비오 (중앙대학교 사범대학 체육교육과)
  • Received : 2014.08.02
  • Accepted : 2014.09.22
  • Published : 2014.09.30
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Abstract

The purpose of this study was to investigate the effects of Hoehn-Yahr scale on the activation of lower-extremity muscles during walking. Electromyography (EMG) analysis was carried out on 36 patients with Parkinson's disease in the off phase of the medication cycle. We recorded EMG signals of the tibialis anterior (TA), medial gastrocnemius (MG), lateral gastrocnemius (LG), soleus (SOL), rectus femoris (RF), vastus lateralis (VL), semitendinosus (ST) and biceps femoris (BF) using Noraxon 16 channels EMG system during walking at preferred speed. Rectified EMG signals were normalized to reference voluntary contractions (RVC) over a gait cycle at the preferred speed, allowing for an assessment of how the activity was distributed over the gait cycle. Compared to the H & Y Scale 1, H & Y Scale 3 exhibited greater activation of the vastus lateralis during mid-stance and greater activation of the medial gastrocnemius during terminal swing. Compared to the H & Y Scale 1, H & Y Scale 2 and 3 exhibited less activation of the tibialis anterior during initial swing. We conclude that the more Hoen & Yahr Scale increase, the more abnormal lower-extremity muscles activation.

Keywords

References

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