Quantifying muscle fatigue during walking in people with multiple sclerosis

dc.contributor.authorEken, Maaike M.en_ZA
dc.contributor.authorRichards, Rosieen_ZA
dc.contributor.authorBeckerman, Heleenen_ZA
dc.contributor.authorvan der Krogt, Marjoleinen_ZA
dc.contributor.authorGerrits, Karinen_ZA
dc.contributor.authorRietberg, Marcen_ZA
dc.contributor.authorde Groot, Vincenten_ZA
dc.contributor.authorHeine, Martinen_ZA
dc.date.accessioned2022-06-07T14:54:28Z
dc.date.available2022-06-07T14:54:28Z
dc.date.issued2020-02
dc.descriptionCITATION: Eken, M. M. et al. 2020. Quantifying muscle fatigue during walking in people with multiple sclerosis. Clinical Biomechanics, 72: 94-101. doi:10.1016/j.clinbiomech.2019.11.020
dc.descriptionThe original publication is available at https://www.sciencedirect.com/journal/clinical-biomechanics
dc.description.abstractBackground: This study aimed to examine muscle fatigue in lower leg muscles in of people with multiple sclerosis and healthy controls, and whether muscle fatigue coincided with potential changes in gait. Methods: In this case-control study, people with multiple sclerosis (n = 8; 3male; mean age (SD) = 49.7 (9.6) yr) and age-matched healthy controls (n = 10; 4male; mean age (SD) = 47.4 (8.7) yr) walked on a treadmill for 12-min at self-paced speed. Muscle fatigue was indirectly quantified by a decrease in median frequency and increase in root mean square of surface electromyographic recordings of lower leg muscles. Walking speed, ankle push-off power and net ankle work were calculated from marker positions and force plate data using inverse dynamic calculations. Results: People with multiple sclerosis showed larger decreases in median frequency of soleus (most affected leg: p = 0.003; least affected leg: p = 0.009) and larger increases in root mean square of soleus (most and least affected leg: p = 0.037), gastrocnemius medialis (most affected leg: p = 0.003; least affected leg: p = 0.005) and lateralis (most and least affected leg: p < 0.001) compared to controls. Walking speed (p = 0.001), ankle push-off power (most affected leg: p = 0.018; least affected leg: p = 0.001) and net work around the ankle (most affected leg: p = 0.046; least affected leg: p = 0.001) were lower in people with multiple sclerosis compared to controls, but increased in both groups. Interpretation: The results yield preliminary evidence that soleus muscles of people with multiple sclerosis fatigue during prolonged walking. Changes in electromyography of gastrocnemius muscles could however be related to muscle fatigue, changes in gait or a combination.en_ZA
dc.description.urihttps://www.sciencedirect.com/science/article/pii/S0268003319301445?via%3Dihub
dc.description.versionPublishers version
dc.format.extent8 pages : illustrations
dc.identifier.citationEken, M. M. et al. 2020. Quantifying muscle fatigue during walking in people with multiple sclerosis. Clinical Biomechanics, 72: 94-101. doi:10.1016/j.clinbiomech.2019.11.020
dc.identifier.issn0268-0033 (print)
dc.identifier.otherdoi:10.1016/j.clinbiomech.2019.11.020
dc.identifier.urihttp://hdl.handle.net/10019.1/125340
dc.language.isoen_ZAen_ZA
dc.publisherElsevier
dc.rights.holderElsevier
dc.subjectMultiple sclerosis -- Patientsen_ZA
dc.subjectFatigueen_ZA
dc.subjectNervous system -- Diseasesen_ZA
dc.titleQuantifying muscle fatigue during walking in people with multiple sclerosisen_ZA
dc.typeArticleen_ZA
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