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Effect Of Wearable Tubing Assistive Walking Device on Anterior Tibial Muscle Activity at Swing Phase in Post-Stroke Patients
February 17, 2023
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Background: One-third of post-stroke patients experience gait disturbance which is commonly associated with drop foot at three months after acute stroke. One of the orthoses that are proposed to improve gait in stroke patient is Wearable Tubing Assistive Walking Devices (WTAWD). It is hypothesized that WTAWD reduce the anterior tibial muscle activity which may become hyperactive during the swing phase in post-stroke patient with drop foot as an attempt to perform foot clearance.
Aim: This study aims to investigate the effect of WTAWD on anterior tibial muscle activity during the swing phase in post-stroke patients.
Material and Methods: Eleven patients, aged 30-60 years, with post-stroke hemiparesis in the subacute and chronic phase who fulfill the inclusion criteria are chosen as research subjects. The subjects were asked to wear WTAWD on the leg with weakness. Surface Electromyography (sEMG) examination of anterior tibial muscle was performed when the patient walked with and without wearing the WTAWD.
Results: All 11 subjects completed the sessions and study protocol, with no losses throughout the study. None of the subjects reported any adverse effects during or after the intervention. A significant reduction of sEMG value on anterior tibial muscle activity was found when the patient wore WTAWD (p=0.001).
Conclusion: There is an effect of WTAWD on decreasing anterior tibial muscle activity during the swing phase in post-stroke patients. Further research is needed to measure the kinematic and temporospatial values to increase knowledge about the effect of additional WTAWD to improve gait in stroke patients.
Septyaningrum, T. R., Subagyo, S., Andriana, R. M., & Pawana, I. P. A. (2023). Effect Of Wearable Tubing Assistive Walking Device on Anterior Tibial Muscle Activity at Swing Phase in Post-Stroke Patients. Surabaya Physical Medicine and Rehabilitation Journal, 5(1), 12–16. https://doi.org/10.20473/spmrj.v5i1.25121
Rao, N., Wening, J., Hasso, D., Gnanapragasam, G., Perera, P., Srigiriraju,
P. and Aruin, A.S., 2014. The effects of two different ankle-foot orthoses on gait of patients with acute hemiparetic cerebrovascular accident. Rehabilitation research and practice, 2014.
Fujita, K., Hori, H. and Kobayashi, Y., 2018. Contribution of muscle activity at different gait phases for improving walking performance in chronic stroke patients with hemiparesis. Journal of physical therapy science, 30(11), pp.1381-1385.
Usherwood, J. R., Channon, A. J., Myatt, J. P., Rankin, J. W. and Hubel, T. Y. 2012. The human foot and heel-sole-toe walking strategy: a mechanism enabling an inverted pendular gait with low isometric muscle force? J. R. Soc. Interface 9, 2396-2402. doi:10.1098/rsif.2012.0179.
McGowan, C. P., Neptune, R. R., Clark, D.
J. and Kautz, S. A. 2010. Modular control of human walking: Adaptations to altered mechanical demands. J. Biomech. 43, 412- 419. doi:10.1016/ j. jbiomech.2009.10.009.
Hof, A. L., Elzinga, H., Grimmius, W. and Halbertsma, J. P. K. 2002. Speed dependence of averaged EMG profiles in walking. Gait Posture 16, 78-86. doi:10. 1016/S0966- 6362(01)00206-5.
Maharaj, J. N., Cresswell, A. G. and Lichtwark,
G. A. 2016. The mechanical function of the tibialis posterior muscle and its tendon during locomotion. J. Biomech. 49, 3238-3243. doi:10.1016/ j.
biomech.2016.08.006
Nikamp, C., Buurke, J., Schaake, L., Van der Palen, J., Rietman, J. and Hermens, H., 2019. Effect of long-term use of ankle-foot orthoses on tibialis anterior muscle electromyography in patients with sub-acute stroke: A randomized controlled trial. Journal of rehabilitation medicine, 51(1), pp.11-17.
Lee, S.M., Cynn, H.S., Yi, C.H., Yoon, T.L. and Lee, J.H., 2017. Wearable tubing assistive walking device immediately enhances gait parameters in subjects with stroke: A randomized controlled study. NeuroRehabilitation, 40(1), pp.99-107.
Lairamore, C., Garrison, M.K., Bandy, W. and Zabel, R., 2011. Comparison of tibialis anterior muscle electromyography, ankle angle, and velocity when individuals post stroke walk with different orthoses. Prosthetics and orthotics international, 35(4), pp.402-410.
Nikamp, C., Buurke, J., Schaake, L., Van der Palen, J., Rietman, J. and Hermens, H., 2019. Effect of long-term use of ankle-foot orthoses on tibialis anterior muscle electromyography in patients with sub-acute stroke: A randomized controlled trial. Journal of rehabilitation medicine, 51(1), pp.11-17
Geboers, J.F., Drost, M.R., Spaans, F., Kuipers, H. and Seelen, H.A., 2002. Immediate and long-term effects of ankle- foot orthosis on muscle activity during walking: a randomized study of patients with unilateral foot drop. Archives of physical medicine and rehabilitation, 83(2), pp.240- 245.
Daher, N., Lee, S., & Yang, Y. J. 2013. Effects of elastic band orthosis (aider) on balance and gait in chronic stroke patients. Physical Therapy Rehabilitation Science, 2(2), 81-86.
Copyright (c) 2023 tri rahayu septyaningrum, Subagyo Subagyo, Meisy Andriana, I Putu Alit Pawana
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