Implications of Physiology-Sensitive Gait Exercise on the Lower Limb Electromyographic Activity of Hemiplegic Post-Stroke Patients: A Feasibility Study in Low Resource Settings

IEEE Journal of Translational Engineering in Health and Medicine
Dhaval SolankiUttama Lahiri

Abstract

Background: Stroke is one of the leading causes of disability with ~80% of post-stroke survivors suffering from gait-related deficits. Conventional gait rehabilitation settings are labor-intensive and need rigorous involvement of clinicians (who use their expertise to decide the dosage of exercise intensity based on patient's capability). This demands a technology-assisted individualized exercise platform that can offer varying dosage of exercise intensity based on one's capability. Here, we have used an individualized physiology-sensitive treadmill-assisted gait exercise platform. We wanted to investigate the implications of this platform on one's lower limb muscle strength and muscle fatigue by analyzing surface Electromyogram (sEMG)-related indices and standard gait-related clinical measures. We designed a feasibility study involving post-stroke patients (n=9; 44.4(±15)years; post-stroke period=3.1(±3)years) and gave them multiple exposures to this exercise platform. We investigated the Gastrocnemius Lateralis and Tibialis Anterior muscle activation prior to and post multiple exposures to our exercise platform while they walked overground. The feasibility study ended with collecting feedback on the patients' perception on th...Continue Reading

Citations

Aug 29, 2021·Sensors·Iqram Hussain, Se-Jin Park

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