Gait Asymmetry Assessment using Muscle Activity Signal: A Review of Current Methods

Gait asymmetry is a type of gait characteristics when there is difference in gait parameters statistically, measured bilaterally between left and right limbs. Gait asymmetry assessment is used to observe changes or deviation in gait due to pathological condition, effect of rehabilitation program or to give insight on effect of gait on stability and fall-risk. The assessments of gait asymmetry could be measured by using spatiotemporal, kinetics, kinematics parameters or by analysis of muscle activity signals obtained from surface electromyography (EMG). However, EMG-based assessment for gait asymmetry is not well explored compared to assessment using other gait parameters. This review aims to compare research designs, methods and procedure of previous studies that utilized EMG for gait asymmetry analysis. Therefore, any research in the future that involved gait asymmetry measurement could take note on and produce more reliable findings.

[1]  Michael W. Whittle Methods of Gait Analysis , 1991 .

[2]  P. Quesada,et al.  Symmetry of ground reaction forces and muscle activity in asymptomatic subjects during walking, sit-to-stand, and stand-to-sit tasks. , 2011, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[3]  K. Manal,et al.  Knee Contact Force Asymmetries in Patients Who Failed Return-to-Sport Readiness Criteria 6 Months After Anterior Cruciate Ligament Reconstruction , 2014, The American journal of sports medicine.

[4]  Diego Torricelli,et al.  Combining muscle synergies and biomechanical analysis to assess gait in stroke patients. , 2017, Journal of biomechanics.

[5]  Lucas H V van der Woude,et al.  Differences in muscle activity and temporal step parameters between Lokomat guided walking and treadmill walking in post-stroke hemiparetic patients and healthy walkers , 2017, Journal of NeuroEngineering and Rehabilitation.

[6]  E. Isakov,et al.  Transtibial amputee gait: Timedistance parameters and EMG activity , 2000, Prosthetics and orthotics international.

[7]  Ke Li,et al.  Post-stroke asymmetry of muscle contractions for knee flexion and extension during walking , 2016, 2016 9th International Congress on Image and Signal Processing, BioMedical Engineering and Informatics (CISP-BMEI).

[8]  J. Ives,et al.  Sampling rate effects on surface EMG timing and amplitude measures. , 2003, Clinical biomechanics.

[9]  Joong-Hwi Kim,et al.  Comparison of Both Legs EMG Symmetry during Over-Ground Walking and Stair Walking in Stroke Patients , 2015 .

[10]  Ilse Jonkers,et al.  Muscle contributions to center of mass acceleration adapt to asymmetric walking in healthy subjects. , 2013, Gait & posture.

[11]  Nicholas P. Fey,et al.  The influence of energy storage and return foot stiffness on walking mechanics and muscle activity in below-knee amputees. , 2011, Clinical biomechanics.

[12]  J. Duysens,et al.  Altered phase-transitions in tibialis anterior and medial gastrocnemius during walking after limbsaving surgery , 2005, Clinical Neurophysiology.

[13]  Slavka Viteckova,et al.  Gait symmetry measures: A review of current and prospective methods , 2018, Biomed. Signal Process. Control..

[14]  W. Selbie,et al.  Inter-session agreement and reliability of the Global Gait Asymmetry index in healthy adults. , 2017, Gait & posture.

[15]  F. Prince,et al.  Symmetry and limb dominance in able-bodied gait: a review. , 2000, Gait & posture.

[16]  M. Thaut,et al.  Components of EMG symmetry and variability in parkinsonian and healthy elderly gait. , 1996, Electroencephalography and clinical neurophysiology.

[17]  P H Veltink,et al.  Surface electromyography analysis for variable gait. , 2003, Gait & posture.

[18]  F. Zajac,et al.  Muscle contributions to support during gait in an individual with post-stroke hemiparesis. , 2006, Journal of biomechanics.

[19]  Rong-Ju Cherng,et al.  Electromyographic analysis of locomotion for healthy and hemiparetic subjects--study of performance variability and rail effect on treadmill. , 2003, Gait & posture.

[20]  Begonya Garcia-Zapirain,et al.  Gait Analysis Methods: An Overview of Wearable and Non-Wearable Systems, Highlighting Clinical Applications , 2014, Sensors.

[21]  Sangmin Lee,et al.  A gait imbalance evaluation system using multi-sensors , 2016, 2016 IEEE Conference on Computational Intelligence in Bioinformatics and Computational Biology (CIBCB).

[22]  Armel Crétual,et al.  KeR-EGI, a new index of gait quantification based on electromyography. , 2013, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[23]  Ping Wang,et al.  Qualitative evaluations of gait rehabilitation via EMG muscle activation pattern: Repetition, symmetry, and smoothness , 2009, 2009 IEEE International Conference on Robotics and Biomimetics (ROBIO).

[24]  Felix Stief,et al.  Unilateral hip osteoarthritis: Its effects on preoperative lower limb muscle activation and intramuscular coordination patterns. , 2016, Gait & posture.