Electromyographic responses during time get up and go test in water (wTUG)

The aim of this study was to use sEMG to measure the neuromuscular activity during the TUG task in water, and compare this with the responses for the same task on land. Ten healthy subjects [5 males and 5 females [mean ± SD]: age, 22.0 ± 3.1 yr; body mass, 63.9 ± 17.2 kg. A telemetry EMG system was used on the following muscles on the right side of the body: the quadriceps – rectus femoris [RF], long head of the biceps femoris [BF], tibialis anterior [TA], gastrocnemius medialis [GM], soleus [SOL], rectus abdominis [RA] and erector spinae [ES]. Each subject performed the TUG test three times with five minutes recover between trials in water and on dry land. The % MVC was significantly different (p < 0.05) for majority of the muscles tested during the TUG water compared to dry land. % MVC of RF [p = 0.003, t = 4.07]; BF [p = 0.000, t = 6.8]; TA [p = 0.005, t = 5.9]; and SOL [p = 0.048, t = 1.98]; RA [p = 0.007, t = 3.45]; and ES [p = 0.004, t = 3.78]. The muscle activation of the trunk and the lower limb [VM RF, BF, TA, GM and SOL] were lower in water compared to dry land, when performing a TUG test.

[1]  J. Keating,et al.  Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes , 2011, BMC musculoskeletal disorders.

[2]  R. Fitzpatrick,et al.  Age-related differences in walking stability. , 2003, Age and ageing.

[3]  R. Harrison,et al.  Percentage Weight-Bearing During Partial Immersion in the Hydrotherapy Pool , 1987 .

[4]  Roberto Merletti,et al.  Technology and instrumentation for detection and conditioning of the surface electromyographic signal: state of the art. , 2009, Clinical biomechanics.

[5]  Analysis of rising from a chair after total knee arthroplasty. , 1998, Bulletin (Hospital for Joint Diseases (New York, N.Y.)).

[6]  Roberto Merletti,et al.  Atlas of Muscle Innervation Zones , 2012, Springer Milan.

[7]  F. Horak,et al.  Analyzing 180° turns using an inertial system reveals early signs of progression of parkinson's disease , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[8]  Marcel Hubert,et al.  Loading forces in shallow water running in two levels of immersion. , 2010, Journal of rehabilitation medicine.

[9]  M. Tartaruga,et al.  Cardiorespiratory, neuromuscular and kinematic responses to stationary running performed in water and on dry land , 2011, European Journal of Applied Physiology.

[10]  O. Beauchet,et al.  Stride-to-stride variability while backward counting among healthy young adults , 2005, Journal of NeuroEngineering and Rehabilitation.

[11]  P J Holliday,et al.  Clinical and laboratory measures of postural balance in an elderly population. , 1992, Archives of physical medicine and rehabilitation.

[12]  Luis-Millán González,et al.  Concentric and impact forces of single-leg jumps in an aquatic environment versus on land. , 2009, Medicine and science in sports and exercise.

[13]  C. Lamoth,et al.  Gait stability and variability measures show effects of impaired cognition and dual tasking in frail people , 2011, Journal of NeuroEngineering and Rehabilitation.

[14]  J. Duysens,et al.  Significance of load receptor input during locomotion: a review. , 2000, Gait & posture.

[15]  B S Myers,et al.  The role of strength in rising from a chair in the functionally impaired elderly. , 1996, Journal of biomechanics.

[16]  Sandra G Brauer,et al.  A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial. , 2009, Archives of physical medicine and rehabilitation.

[17]  Marcos Duarte,et al.  Biomechanical characteristics of adults walking in shallow water and on land. , 2006, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[18]  William J. Hennessey,et al.  Anatomical Guide for the Electromyographer: The Limbs and Trunk , 1995 .

[19]  Jeffrey M. Hausdorff,et al.  An instrumented timed up and go: the added value of an accelerometer for identifying fall risk in idiopathic fallers , 2011, Physiological measurement.

[20]  Mounir Zok,et al.  Sequencing sit-to-stand and upright posture for mobility limitation assessment: determination of the timing of the task phases from force platform data. , 2005, Gait & posture.

[21]  Josep Valls-Solé,et al.  Patterned electromyographic activity in the sit-to-stand movement , 1999, Clinical Neurophysiology.

[22]  F. Horak,et al.  iTUG, a Sensitive and Reliable Measure of Mobility , 2010, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[23]  Cuesta-Vargas Ai Aquatic Physiotherapy: A Much Used and Little Studied Treatment Modality , 2012 .

[24]  Bruce E Becker,et al.  Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications , 2009, PM & R : the journal of injury, function, and rehabilitation.

[25]  R Iansek,et al.  Provision of external cues and movement sequencing in Parkinson's disease. , 1998, Motor control.

[26]  F. Horak,et al.  Assessing mobility at home in people with early Parkinson's disease using an instrumented Timed Up and Go test. , 2011, Parkinsonism & related disorders.

[27]  Stephanie Santana Pinto,et al.  Electromyographic signal and force comparisons during maximal voluntary isometric contraction in water and on dry land , 2010, European Journal of Applied Physiology.

[28]  K. Fujishima,et al.  Muscle activation, cardiorespiratory response, and rating of perceived exertion in older subjects while walking in water and on dry land. , 2008, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[29]  Thomas Schmitz-Rode,et al.  Surface electromyography and muscle force: limits in sEMG-force relationship and new approaches for applications. , 2009, Clinical biomechanics.

[30]  D. Dolny,et al.  Comparison and reproducibility of sEMG during manual muscle testing on land and in water. , 2011, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[31]  Kari L. Keskinen,et al.  Human isometric force production and electromyogram activity of knee extensor muscles in water and on dry land , 1999, European Journal of Applied Physiology and Occupational Physiology.

[32]  S. Gandevia,et al.  Balancing Acts: Respiratory Sensations, Motor Control And Human Posture , 2002, Clinical and experimental pharmacology & physiology.

[33]  V. Dietz,et al.  Human postural reflexes and gravity — An under water simulation , 1989, Neuroscience Letters.

[34]  J. Edmonds,et al.  Physical activity for osteoarthritis management: a randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. , 2007, Arthritis and rheumatism.

[35]  R. Buschbacher Anatomical Guide for the Electromyographer: The Limbs and Trunk , 2007 .

[36]  C. Kays,et al.  Effects of water temperature on pulmonary volumes in immersed human subjects. , 1989, Respiration physiology.

[37]  Yukihide Iwamoto,et al.  Electromyographic analysis of walking in water in healthy humans. , 2004, Journal of physiological anthropology and applied human science.

[38]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[39]  M. Tinetti,et al.  Risk factors for falls among elderly persons living in the community. , 1988, The New England journal of medicine.

[40]  Jane Hall,et al.  The Physiology of Immersion , 1990 .

[41]  A. Thevenon,et al.  An electromyographic study of human gait both in water and on dry ground. , 2007, Journal of physiological anthropology.

[42]  C. Weston,et al.  Haemodynamic changes in man during immersion in water at different temperatures. , 1987, Clinical science.

[43]  Eadric Bressel,et al.  Trunk muscle activity during exercises performed on land and in water. , 2011, Medicine and science in sports and exercise.

[44]  Adriano de Oliveira Andrade,et al.  On the relationship between features extracted from EMG and force for constant and dynamic protocols , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.