Altered joint kinematics and increased electromyographic muscle activity during walking in patients with intermittent claudication

Journal of Vascular Surgery
Lindy N M GommansJoep A W Teijink

Abstract

Patients with intermittent claudication (IC) tend to walk at a slower pace, have less lower leg muscle strength, and consume approximately 40% more oxygen during walking compared with healthy individuals. An unfavorable locomotion pattern has been suggested to explain this metabolic inefficiency. However, knowledge on gait patterns in IC is limited. Muscle activity patterns during walking measured using surface electromyography (EMG) have not been investigated in this patient population. In this cross-sectional study, gait pattern of patients newly diagnosed with IC and age-matched controls were evaluated using kinematic parameters and medial gastrocnemius (MG) and tibialis anterior (TA) muscles activity patterns. The protocol included pain-free and painful (only IC patients) treadmill walking sessions. A total of 22 IC patients and 22 healthy control subjects were included. Patients walked 1.4 km/h slower (3.2 km/h vs 4.6 km/h; P < .001) than control subjects, coinciding with a 10% slower cadence (110 steps/min vs 122 steps/min; P < .001). The kinematic analysis resulted in a patient's ankle plantar flexion reduction of 45% during the propulsion phase, and ankle dorsal flexion reduction of 41% at initial contact. No additional...Continue Reading

References

Apr 1, 1991·Medicine and Science in Sports and Exercise·A W GardnerL K Smith
Oct 6, 2000·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·H J HermensG Rau
May 19, 2001·Vascular Medicine·A W GardnerG V Smith
Jul 11, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·A W Gardner, P S Montgomery
Apr 22, 2003·American Journal of Physical Medicine & Rehabilitation·Ross BogeyOlfat Mohammed
Apr 29, 2003·Exercise and Sport Sciences Reviews·Chris A McGibbon
Jul 29, 2003·Journal of Applied Physiology·Davide MalatestaCorinne Caillaud
Oct 16, 2003·Journal of Vascular Surgery·Iraklis I PipinosHani N Sabbah
Dec 1, 1983·Journal of Motor Behavior·D A Winter
May 12, 2005·Journal of Vascular Surgery·Christopher D AskewMark A Febbraio
May 5, 2006·The New England Journal of Medicine·Alan T Hirsch
Aug 15, 2006·Gait & Posture·Patrick O RileyD Casey Kerrigan
Sep 11, 2007·Journal of Vascular Surgery·Melissa M Scott-PandorfIraklis I Pipinos
Dec 1, 2007·Journal of Applied Physiology·Song Joo Lee, Joseph Hidler
Nov 26, 2008·Journal of Vascular Surgery·Rolando CelisJason M Johanning
Sep 1, 2009·Clinical Biomechanics·Leslie N PerschAndré L F Rodacki
Oct 20, 2009·Journal of Vascular Surgery·Panagiotis KoutakisJason M Johanning
Aug 4, 2010·Gait & Posture·Katherine A MockfordPatrick A Coughlin
Sep 6, 2011·Journal of Vascular Surgery·Andrew W GardnerSteve M Blevins
Jun 5, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M GaspariniR Pisot
Jul 28, 2013·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Francesco Di NardoSandro Fioretti
Aug 6, 2013·Gait & Posture·Saeed ForghanyAnmin Liu
Sep 21, 2013·Sensors·Rubana H ChowdhuryT G Chang
Jan 21, 2014·The Journal of Arthroplasty·Valentina AgostiniMarco Knaflitz
Feb 25, 2014·Computers in Biology and Medicine·Daniel SpulákPetr Novotný
Apr 17, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G J LauretJ A W Teijink
Mar 21, 2015·The Journal of Surgical Research·Panagiotis KoutakisIraklis I Pipinos

❮ Previous
Next ❯

Citations

Apr 21, 2018·Toxins·Omar F AhmadKatharine Alter
Dec 27, 2017·The Cochrane Database of Systematic Reviews·Risha LaneGillian C Leng
Jul 3, 2019·BioMed Research International·Bogdan PietraszewskiAndrzej Szuba
Mar 16, 2021·Clinical Biomechanics·Eftychia EvangelopoulouChris Nester
Mar 7, 2021·Clinical Physiology and Functional Imaging·Céline GuilleronPierre Abraham

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.