Exercise-induced muscle fatigue in the unaffected knee joint and its influence on postural control and lower limb kinematics in stroke patients

This study aimed to investigate the effects of exercise-induced muscle fatigue in the unaffected knee joint on postural control and kinematic changes in stroke patients. Forty participants（20 stroke patients, 20 age-matched healthy participants） were recruited. To induce fatigue, maximum voluntary i...

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Bibliographic Details
Published in:Neural regeneration research 2017-05, Vol.12 (5), p.765-769
Main Authors: Park, Sun Wook, Son, Sung Min, Lee, Na Kyung
Format: Article
Language:English
Subjects:
Ankle
Exercise
Fatigue
Gait
Health aspects
Kinematics
Knee
Knee injuries
Muscle fatigue
nerve regeneration
knee
muscle fatigue
stroke
postural control
gait kinemetics
neural regeneration
Patients
Physiological aspects
Posture
Risk factors
Software
Stroke
Stroke patients
Studies
Walking
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Summary:This study aimed to investigate the effects of exercise-induced muscle fatigue in the unaffected knee joint on postural control and kinematic changes in stroke patients. Forty participants（20 stroke patients, 20 age-matched healthy participants） were recruited. To induce fatigue, maximum voluntary isometric contractions were performed in the unaffected knee joint in a Leg Extension Rehab exercise machine using the pneumatic resistance. We measured static and dynamic balance and lower-limb kinematics during gait. Changes in postural control parameters anteroposterior sway speed and total center of pressure distance differed significantly between the stroke and control groups. In addition, changes in gait kinematic parameters knee and ankle angles of initial contact differed significantly between stroke（paretic and non-paretic） and control groups. Muscle fatigue in the unaffected knee and ankle impaired postural control and debilitates kinematic movement of ipsilateral and contralateral lower limbs, and may place the fatigued stroke patients at greater risk for falls.
ISSN:1673-5374
1876-7958
DOI:10.4103/1673-5374.206647