Co-activation of upper limb muscles during reaching in post-stroke subjects: An analysis of the contralesional and ipsilesional limbs

The purpose of this study was to analyze the change in antagonist co-activation ratio of upper-limb muscle pairs, during the reaching movement, of both ipsilesional and contralesional limbs of post-stroke subjects. Nine healthy and nine post-stroke subjects were instructed to reach and grasp a targe...

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Bibliographic Details
Main Author: Silva, Cláudia (author)
Other Authors: Silva, Augusta (author), Pinheiro De Sousa, Andreia Sofia (author), Pinheiro, Ana Rita (author), Bourlinova, Catarina (author), Silva, Ana (author), Salazar, António (author), Borges, Carla (author), Crasto, Carlos (author), Correia, Miguel Velhote (author), Vilas-Boas, João Paulo (author), Santos, Rubim (author)
Format: article
Language:eng
Published: 2019
Subjects:
Online Access:http://hdl.handle.net/10400.22/14156
Country:Portugal
Oai:oai:recipp.ipp.pt:10400.22/14156
Description
Summary:The purpose of this study was to analyze the change in antagonist co-activation ratio of upper-limb muscle pairs, during the reaching movement, of both ipsilesional and contralesional limbs of post-stroke subjects. Nine healthy and nine post-stroke subjects were instructed to reach and grasp a target, placed in the sagittal and scapular planes of movement. Surface EMG was recorded from postural control and movement related muscles. Reaching movement was divided in two sub-phases, according to proximal postural control versus movement control demands, during which antagonist co-activation ratios were calculated for the muscle pairs LD/PM, PD/AD, TRIlat/BB and TRIlat/BR. Post-stroke's ipsilesional limb presented lower co-activation in muscles with an important role in postural control (LD/PM), comparing to the healthy subjects during the first sub-phase, when the movement was performed in the sagittal plane (p<0.05). Conversely, the post-stroke's contralesional limb showed in general an increased co-activation ratio in muscles related to movement control, comparing to the healthy subjects. Our findings demonstrate that, in post-stroke subjects, the reaching movement performed with the ipsilesional upper limb seems to show co-activation impairments in muscle pairs associated to postural control, whereas the contralesional upper limb seems to have signs of impairment of muscle pairs related to movement.