PMID: 11606020Oct 19, 2001Paper

The use of electromyogram biofeedback to reduce Trendelenburg gait

European Journal of Applied Physiology
J S Petrofsky

Abstract

Ten subjects suffering from incomplete spinal cord injuries, clinically diagnosed as walking with Trendelenburg gait, underwent a 2 month therapy program to strengthen their muscles and reduce their gait abnormalities. Therapy involved muscle strengthening and gait training for 2 h a day, 5 days a week in a clinic. Biofeedback was also accomplished for 30 min each training day on all subjects. In addition, five of the subjects wore a two-channel electromyogram (EMG) biofeedback training device at home to see if neuromuscular re-education outside of the clinical setting could speed their recovery. The difference for these five subjects was that they would have continuous biofeedback therapy every time they walked and not biofeedback limited to only 30 min a day. Since weakness of the gluteus medius muscles is the prime contributor to Trendelenburg gait, the device provided warning tones giving feedback of improper gait through bilateral assessment of the use of the gluteus medius muscles. If too little gluteus medius activity was seen on the affected side or the step was too short in duration, the microprocessor provided an audio cue to the subjects alerting them to correct the deficit. Subjects only undergoing clinical therapy ...Continue Reading

Citations

Jul 9, 2010·Applied Psychophysiology and Biofeedback·Sadi KayiranSacit Karamürsel
Jun 23, 2006·Journal of Neuroengineering and Rehabilitation·He HuangJiping He
Jan 25, 2007·Journal of Neuroengineering and Rehabilitation·Lars LünenburgerRobert Riener
Feb 1, 2012·Journal of Strength and Conditioning Research·Adam S LepleyBrian G Pietrosimone
Nov 8, 2012·Psychonomic Bulletin & Review·Roland SigristPeter Wolf
Apr 2, 2010·The Journal of Orthopaedic and Sports Physical Therapy·Harrison Philip CrowellIrene S Davis
Aug 19, 2006·The Journal of Orthopaedic and Sports Physical Therapy·Cameron W MacDonaldHugo L Hoeksma
Feb 18, 2004·Journal of Medical Engineering & Technology·J S Petrofsky, D Petrofsky
Dec 1, 2015·Physical Medicine and Rehabilitation Clinics of North America·Irene S Davis, Erin Futrell
Dec 3, 2009·Physical Medicine and Rehabilitation Clinics of North America·Wei WangDouglas J Weber
Oct 3, 2006·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Eran LangzamJoseph Mizrahi
Oct 5, 2005·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Robert RienerVolker Dietz
Apr 16, 2015·Journal of Athletic Training·Michael B PohlReed Ferber
Sep 10, 2019·Asian Journal of Neurosurgery·Mojtaba RezaeiVafa Rahimi-Movaghar
Jul 15, 2020·Journal of Foot and Ankle Research·Penelope J LateyJoshua Burns
Oct 7, 2020·Journal of Applied Biomechanics·Rena F HaleJerome Hausselle

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