Co-contraction around the knee and the ankle joints during post-stroke gait.

BACKGROUND

Impairments resulting from hemiparetic stroke lead to persistent difficulties with walking. Abnormal co-contraction patterns of lower limb muscles might be a compensatory mechanism to deal with its resulting gait impairments.

AIM

The aim of this study was to assess muscle co-contraction obtained from muscle moments in chronic hemiparetic patients presenting a stiff-knee gait (SKG) during walking.

DESIGN

Cross-sectional study.

SETTING

Clinical movement analysis laboratory in a health center and a community hospital.

POPULATION

Twelve hemiparetic patients 6 months' post-stroke (mean±SD age 49.3±12.5) walking with a SKG and twelve healthy adults (mean±SD age 23.5±7.7).

METHODS

Hemiparetic patients walked at their natural gait speed while healthy adults walked at their natural and slow gait speed. Spatiotemporal, kinetic and kinematic gait parameters were determined for both lower limbs. Co-Contraction Index at the knee and the ankle was calculated from muscle moments estimated using an EMG-driven model during the first (DS1) and second (DS2) double support and the single support (SS) phases and the swing phase (SW).

RESULTS

The results revealed that chronic stroke patients have reduced ankle co-contraction and increased knee co-contraction during DS1 phase, increased ankle co-contraction during DS2 phase and increased knee co-contraction during SW phase on the paretic side. On the non-paretic side, muscle co-contraction was higher at the knee during SS phase.

CONCLUSIONS

Increased co-contraction during walking in both the paretic and the non-paretic side, in patients with hemiparesis exhibiting a SKG, might be an adaptive strategy to increase walking stability, as it may be related to spasticity, but also could result in a high metabolic cost.

CLINICAL REHABILITATION IMPACT

The information obtained in this study may be used to support rehabilitation programs focusing on the selectivity of movement control such as strength or power training.