Title
Neuro-mechanics of muscle coordination during recumbent pedaling in post-acute stroke patients
Abstract
Motor impairment after stroke has been hypothesized to be related, among others, to impairments in the modular control of movement. In this study we analyzed muscle coordination and pedal forces during a recumbent pedaling exercise from a sample of post-acute stroke patients (n=5) and a population of age-matched healthy individuals (n=4). Healthy subjects and the less impaired patients showed a shared modular organization of pedaling based on 4 similar muscle synergies. The most impaired patient, characterized by a Motricity Index of 52/100, showed a reduced complexity (only 2 muscle synergies for the affected side). Differences between healthy subjects and post-stroke patients in the execution of the task were identified in terms of unbalance in mechanical work production, which well corresponded to the level of impairment. This pedaling unbalance could be traced back to different activation strategies of the 4 identified modules. Investigation on a more representative sample will provide a full characterization of the neuro-mechanics of pedaling after stroke, helping our understandings of the disruption of motor coordination at central level after stroke and of the most effective solutions for functional recovery.
Year
DOI
Venue
2015
10.1109/EMBC.2015.7318346
2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)
Keywords
Field
DocType
Aged,Electromyography,Exercise Test,Humans,Middle Aged,Models, Theoretical,Movement Disorders,Muscle, Skeletal,Musculoskeletal Physiological Phenomena,Recovery of Function,Signal Processing, Computer-Assisted,Stroke,Walking
Motor impairment,Population,Movement disorders,Computer science,Physical therapy,Work (physics),Electromyography,Stroke,Motor coordination,Functional recovery
Conference
Volume
ISSN
Citations 
2015
1094-687X
0
PageRank 
References 
Authors
0.34
1
9