有跌倒史老年人坐立运动过程中的肌肉协同分析

doi:10.13418/j.issn.1001-165x.2024.2.14

Abstract

Abstract: Objective To explore the change of muscle recruitment mechanisms during sit-to-stand (STS) movements in elderly individuals with a history of falls. Methods A total of 17 healthy young adults, 17 healthy elderly adults, and 9 elderly individuals with a history of falls were recruited. Surface electromyography (sEMG) signals and the trajectory of the center of pressure (COP) from 16 muscles of the right lower limb were collected. Falls Efficacy Scale-International (FES-I) was used to assess fall risk, and muscle synergies were extracted by non-negative matrix factorization (NNMF). Results There was no significant difference in the number of muscle synergies among the three groups. In the elderly individuals with a history of falls, early activation of the hamstring and ankle plantar flexors at the beginning of sit-to-stand movement was transformed into additional muscle activity at the later stage of movement, in contrast to the healthy group. Furthermore, COP offsets and FES-I scores were significantly increased, indicating a lack of movement stability. Conclusions Abnormal activation of hamstrings and ankle dorsiflexion in elderly individuals with a history of falls during STS movements may affect lower limb stability and changes in muscle recruitment strategies.

Key words: Falls, , , Sit-to-stand exercise, , , Muscle synergy, , , Surface electromyography

CLC Number:

R318.01

Liu Ruiping, Qian Lei, Liu Yanyan, Wan Xinzhu, Chen Chunyan, Wang Yining, Yu Wanqi, Ouyang Jun. Muscle synergy analysis during the sit-to-stand movement in elderly individuals with a history of falling[J]. Chinese Journal of Clinical Anatomy, 2024, 42(2): 196-200.

References

[1] Macaluso A, De Vito G. Muscle strength, power and adaptations to resistance training in older people[J]. Eur J Appl Physiol, 2004, 91(4):450-472. DOI: 10.1007/s00421-003-0991-3.
[2] Kato T, Yamamoto S, Miyoshi T, et al. Anti-phase action between the angular accelerations of trunk and leg is reduced in the elderly[J]. Gait Posture, 2014, 40(1):107-112. DOI: 10.1016/j.gaitpost.2014.03.006.
[3] Doheny EP, Fan CW, Foran T, et al. An instrumented sit-to-stand test used to examine differences between older fallers and non-fallers[J]. Annu Int Conf IEEE Eng Med Biol Soc, 2011, 2011:3063-3066. DOI: 10.1109/IEMBS.2011.6090837.
[4] Duncan RP, Leddy AL, Earhart GM. Five times sit-to-stand test performance in Parkinson's disease[J]. Arch Phys Med Rehabil, 2011, 92(9):1431-1436. DOI: 10.1016/j.apmr.2011.04.008.
[5] Cigolle CT, Ha J, Min LC, et al. The epidemiologic data on falls, 1998-2010: more older Americans report falling[J]. JAMA Intern Med, 2015, 175(3):443-445. DOI: 10.1001/jamainternmed.2014.7533.
[6] Allen JL, Neptune RR. Three-dimensional modular control of human walking[J]. J Biomech, 2012, 45(12):2157-2163. DOI: 10.1016/j.jbiomech.2012.05.037.
[7] Artoni F, Monaco V, Micera S. Selecting the best number of synergies in gait: preliminary results on young and elderly people[J]. IEEE Int Conf Rehabil Robot, 2013,2013:6650416. DOI: 10.1109/ICORR. 2013.6650416.
[8] Allen JL, Franz JR. The motor repertoire of older adult fallers may constrain their response to balance perturbations[J]. J Neurophysiol, 2018, 120(5):2368-2378. DOI:10.1152/jn.00302.2018.
[9] Yardley L, Beyer N, Hauer K, et al. Development and initial validation of the Falls Efficacy Scale-International (FES-I) [J]. Age Ageing, 2005, 34(6):614-619. DOI: 10.1093/ageing/afi196.
[10]The prevention of falls in later life. a report of the Kellogg International Work Group on the Prevention of Falls by the Elderly[J]. Dan Med Bull,1987, 34 Suppl 4:1-24. PMID: 3595217.
[11] Stephen Wilson JL, Deluzio KJ, Dunbar MJ, et al. The association between knee joint biomechanics and neuromuscular control and moderate knee osteoarthritis radiographic and pain severity[J]. Osteoarthritis Cartilage, 2011, 19(2):186-193. DOI: 10.1016/j.joca.2010.10.020.
[12] Obesity: preventing and managing the global epidemic. Report of a WHO consultation[J]. World Health Organ Tech Rep Ser, 2000, 894:1-253.
[13] Clark DJ, Ting LH, Zajac FE, et al. Merging of healthy motor modules predicts reduced locomotor performance and muscle coordination complexity post-stroke[J]. J Neurophysiol, 2010, 103(2):844-857. DOI: 10.1152/jn.00825.2009.
[14] Hug F. Can muscle coordination be precisely studied by surface electromyography [J] ? J Electromyogr Kinesiol, 2011, 21(1):1-12. DOI: 10.1016/j.jelekin.2010.08.009.
[15] Norman-Gerum V, McPhee J. Comprehensive description of sit-to-stand motions using force and angle data[J]. J Biomech, 2020, 112:110046.DOI: 10.1016/j.jbiomech.2020.110046.
[16] Hanawa H, Kubota K, Kokubun T, et al. Muscle synergies underlying sit-to-stand tasks in elderly people and their relationship with kinetic characteristics[J]. J Electromyogr Kinesiol, 2017, 37:15-20. DOI: 10.1016/j.jelekin.2017.08.004.
[17] Yang N, An Q, Yamakawa H, et al. Clarification of muscle synergy structure during standing-up motion of healthy young, elderly and post-stroke patients[J]. IEEE Int Conf Rehabil Robot, 2017, 2017:19-24. DOI:10.1109/ICORR.2017.8009215.
[18] Hazra A, Gogtay N. Biostatistics series module 6: correlation and linear regression[J]. Indian J Dermatol, 2016, 61(6):593-601. DOI:10.4103/0019-5154.193662.
[19] Humphreys RK, Puth MT, Neuhäuser M, et al. Underestimation of Pearson's product-moment correlation statistic[J]. Oecologia, 2019, 189(1):1-7. DOI: 10.1007/s00442-018-4233-0.
[20] Yang N, An Q, Kogami H, et al. Temporal features of muscle synergies in sit-to-stand motion reflect the motor impairment of post-stroke patients[J]. IEEE Trans Neural Syst Rehabil Eng, 2019, 27(10):2118-2127. DOI: 10.1109/TNSRE.2019.2939193.
[21] Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention[J]. Age Ageing, 2006, 35 Suppl 2: ii37-ii41. DOI: 10.1093/ageing/afl084.
[22] Kirane YM, Michelson JD, Sharkey NA. Evidence of isometric function of the flexor hallucis longus muscle in normal gait[J]. J Biomech,2008,41(9):1919-1928. DOI: 10.1016/j.jbiomech. 2008. 03.040.

Muscle synergy analysis during the sit-to-stand movement in elderly individuals with a history of falling

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