A Sarcher
Impact of muscle activation on ranges of motion during active elbow movement in children with spastic hemiplegic cerebral palsy
Sarcher, A; Raison, M; Ballaz, L; Lemay, M; Leboeuf, FY; Trudel, K; Mathieu, PA
Authors
M Raison
L Ballaz
M Lemay
FY Leboeuf
K Trudel
PA Mathieu
Abstract
Background
Children with spastic hemiplegic cerebral palsy are restricted in their daily activities due to limited active ranges of motion of their involved upper limb, specifically at the elbow. Their impaired muscles are frequently targeted by anti-spastic treatments that reduce muscle tone. But these treatments do not necessarily improve the limb function. There is a lack of comprehensive knowledge of the quantitative relations between muscle activation and joint active ranges of motion. Consequently, the objective of this study is to quantify the impact of muscle activation on the elbow active ranges of motion.
Methods
During voluntary elbow pronation/supination and extension/flexion movements, kinematic and electromyographic measurements were collected from the involved upper limb of 15 children with spastic hemiplegic cerebral palsy (mean age = 8.7 years, standard deviation = 2.2) and the dominant upper limb of 15 age-matched children who are typically developing. Representative indicators of the muscle activation, such as the muscle co-activation, were extracted from the electromyographic measurements.
Findings
Muscle co-activation in the involved upper limb accounted for 78% and 59% of the explained variance of the supination and extension limited active ranges of motion respectively. The agonist and antagonist muscle activations were both longer in the involved upper limb.
Interpretations
This study succeeded in quantifying the impact of longer antagonist muscle activation on decreased elbow active ranges of motion in children with spastic hemiplegic cerebral palsy. Longer agonist muscle activation suggests that strengthening agonist muscles could increase the extension and supination ranges of motion, which constitutes a perspective of future clinical studies.
Citation
Sarcher, A., Raison, M., Ballaz, L., Lemay, M., Leboeuf, F., Trudel, K., & Mathieu, P. (2014). Impact of muscle activation on ranges of motion during active elbow movement in children with spastic hemiplegic cerebral palsy. Clinical Biomechanics, 30(1), 86-94. https://doi.org/10.1016/j.clinbiomech.2014.10.009
Journal Article Type | Article |
---|---|
Acceptance Date | Oct 28, 2014 |
Online Publication Date | Nov 5, 2014 |
Publication Date | Nov 5, 2014 |
Deposit Date | Oct 5, 2018 |
Journal | Clinical Biomechanics |
Print ISSN | 0268-0033 |
Electronic ISSN | 1879-1271 |
Publisher | Elsevier |
Volume | 30 |
Issue | 1 |
Pages | 86-94 |
DOI | https://doi.org/10.1016/j.clinbiomech.2014.10.009 |
Keywords | Cerebral palsy,Co-activation,Electromyography,Extension/flexion,Functional evaluation,Kinematics,Pediatrics,Pronosupination,Rehabilitation,Upper limb |
Publisher URL | https://doi.org/10.1016/j.clinbiomech.2014.10.009 |
Related Public URLs | https://www.clinbiomech.com/ |
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