Motor strategy patterns study of diabetic neuropathic individuals while walking. A wavelet approach
| Autor: | Adriana Naomi Hamamoto, Isabel C. N. Sacco, Aline A. Gomes, Jorge Futoshi Yamamoto, Heinar A. Weiderpass, V. von Tscharner, Andrea N. Onodera, Clarice Gameiro da Fonseca Pachi |
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| Rok vydání: | 2013 |
| Předmět: |
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medicine.medical_specialty Biomedical Engineering Biophysics Wavelet Analysis Electromyography Walking Body Mass Index Quadriceps Muscle Physical medicine and rehabilitation Gait (human) Diabetic Neuropathies Surveys and Questionnaires medicine Diabetes Mellitus Humans Orthopedics and Sports Medicine Muscle Skeletal Gait medicine.diagnostic_test business.industry Foot Rehabilitation Repeated measures design Signal Processing Computer-Assisted Motor strategy Middle Aged musculoskeletal system medicine.disease ELETROMIOGRAFIA medicine.anatomical_structure Peripheral neuropathy Lower Extremity Wavelet approach Female Analysis of variance Ankle business Ankle Joint |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1873-2380 |
| Popis: | The aim of this study was to investigate muscle׳s energy patterns and spectral properties of diabetic neuropathic individuals during gait cycle using wavelet approach. Twenty-one diabetic patients diagnosed with peripheral neuropathy, and 21 non-diabetic individuals were assessed during the whole gait cycle. Activation patterns of vastus lateralis, medial gastrocnemius and tibialis anterior were studied by means of bipolar surface EMG. The signal׳s energy and frequency were compared between groups using t-test. The energy was compared in each frequency band (7-542 Hz) using ANOVAs for repeated measures for each group and each muscle. The diabetic individuals displayed lower energies in lower frequency bands for all muscles and higher energies in higher frequency bands for the extensors׳ muscles. They also showed lower total energy of gastrocnemius and a higher total energy of vastus, considering the whole gait cycle. The overall results suggest a change in the neuromuscular strategy of the main extensor muscles of the lower limb of diabetic patients to compensate the ankle extensor deficit to propel the body forward and accomplish the walking task. |
| Databáze: | OpenAIRE |
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