Using a Module-Based Analysis Framework for Investigating Muscle Coordination during Walking in Individuals Poststroke: A Literature Review and Synthesis

Factorization methods quantitatively group electromyographic signals from several muscles during dynamic tasks into multiple modules where each module consists of muscles that are coactive during the movement. Module-based analyses may provide an analytical framework for testing theories of poststro...

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Main Authors: Bryant A. Seamon, Richard R. Neptune, Steven A. Kautz
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2018/3795754
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author Bryant A. Seamon
Richard R. Neptune
Steven A. Kautz
author_facet Bryant A. Seamon
Richard R. Neptune
Steven A. Kautz
author_sort Bryant A. Seamon
collection DOAJ
description Factorization methods quantitatively group electromyographic signals from several muscles during dynamic tasks into multiple modules where each module consists of muscles that are coactive during the movement. Module-based analyses may provide an analytical framework for testing theories of poststroke motor control recovery based on one’s ability to move independently from mass flexion-extension muscle group coactivation. Such a framework may be useful for understanding the causality between underlying neural impairments, biomechanical function, and walking performance in individuals poststroke. Our aim is to synthesize current evidence regarding the relationships between modules, gait mechanics, and rehabilitation in individuals poststroke. We synthesized eleven studies that performed module-based analyses during walking tasks for individuals poststroke. Modules were primarily identified by nonnegative matrix factorization, and fewer modules correlated with poor walking performance on biomechanical and clinical measures. Fewer modules indicated reduced ability to control individual muscle timing during paretic leg stance. There was evidence that rehabilitation can lead to the use of more and/or better-timed modules. While future work will need to establish the ability of modules to identify impairment mechanisms, they appear to offer a promising analytical approach for evaluating motor control.
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spelling doaj-art-a3750505906a4a3fb97e935d68bccf9b2025-02-03T01:26:51ZengWileyApplied Bionics and Biomechanics1176-23221754-21032018-01-01201810.1155/2018/37957543795754Using a Module-Based Analysis Framework for Investigating Muscle Coordination during Walking in Individuals Poststroke: A Literature Review and SynthesisBryant A. Seamon0Richard R. Neptune1Steven A. Kautz2Ralph H. Johnson VA Medical Center, Charleston, SC, USADepartment of Mechanical Engineering, The University of Texas at Austin, Austin, TX, USARalph H. Johnson VA Medical Center, Charleston, SC, USAFactorization methods quantitatively group electromyographic signals from several muscles during dynamic tasks into multiple modules where each module consists of muscles that are coactive during the movement. Module-based analyses may provide an analytical framework for testing theories of poststroke motor control recovery based on one’s ability to move independently from mass flexion-extension muscle group coactivation. Such a framework may be useful for understanding the causality between underlying neural impairments, biomechanical function, and walking performance in individuals poststroke. Our aim is to synthesize current evidence regarding the relationships between modules, gait mechanics, and rehabilitation in individuals poststroke. We synthesized eleven studies that performed module-based analyses during walking tasks for individuals poststroke. Modules were primarily identified by nonnegative matrix factorization, and fewer modules correlated with poor walking performance on biomechanical and clinical measures. Fewer modules indicated reduced ability to control individual muscle timing during paretic leg stance. There was evidence that rehabilitation can lead to the use of more and/or better-timed modules. While future work will need to establish the ability of modules to identify impairment mechanisms, they appear to offer a promising analytical approach for evaluating motor control.http://dx.doi.org/10.1155/2018/3795754
spellingShingle Bryant A. Seamon
Richard R. Neptune
Steven A. Kautz
Using a Module-Based Analysis Framework for Investigating Muscle Coordination during Walking in Individuals Poststroke: A Literature Review and Synthesis
Applied Bionics and Biomechanics
title Using a Module-Based Analysis Framework for Investigating Muscle Coordination during Walking in Individuals Poststroke: A Literature Review and Synthesis
title_full Using a Module-Based Analysis Framework for Investigating Muscle Coordination during Walking in Individuals Poststroke: A Literature Review and Synthesis
title_fullStr Using a Module-Based Analysis Framework for Investigating Muscle Coordination during Walking in Individuals Poststroke: A Literature Review and Synthesis
title_full_unstemmed Using a Module-Based Analysis Framework for Investigating Muscle Coordination during Walking in Individuals Poststroke: A Literature Review and Synthesis
title_short Using a Module-Based Analysis Framework for Investigating Muscle Coordination during Walking in Individuals Poststroke: A Literature Review and Synthesis
title_sort using a module based analysis framework for investigating muscle coordination during walking in individuals poststroke a literature review and synthesis
url http://dx.doi.org/10.1155/2018/3795754
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