Case Study of Patients with Parkinson’s Disease – Electromyographic Analysis of Walking in Various Environment: on Dry Land and in Water

Czech version

Authors: K. Kotalíková; D. Pánek; D. Pavlů
Authors‘ workplace: Katedra fyzioterapie UK FTVS, Praha vedoucí katedry doc. PaedDr. D. Pavlů, CSc.
Published in: Rehabil. fyz. Lék., 22, 2015, No. 2, pp. 89-94.
Category: Case Report

Overview

This case study compares electromyographic activity of specific muscles during walking on dry land and in water. Subject male, aged 67 was diagnosed with Parkinson’s disease at the age of 56 years. A surface EMG was used to measure muscle activity in the m. tibialis anterior, m. gastrocnemius, m. rectus femoris, m. biceps femoris and mm. erectors spinae at the TH/L level. The resultant EMG signal was rectified and then the normalized muscle activity level was evaluated for walking on dry land and in water.

Results showed identical normalized activity of monitored muscles in the water environment, which indicates a permanent effect of the pathological central program accompanying Parkinson’s disease, where the coordination pattern typical for the water environment fails to occur..

Keywords:
walking/gait, Parkinson’s disease, water environment, surface EMG, WaS EMG

Sources

1. American Parkinson Disease Association. Dostupné z: http://www.apdaparkinson.org/.

2. BARELA, A. M. F., STOLF, S. F., DUARTE, M.: Biomechanical characteristics of adults walking in shallow water and on land. Journal of Electromyography and Kinesiology [online], 16, 2006, 3, s. 250-256 [cit. 2013-02-19]. ISSN 10506411. DOI: 10.1016/j.jelekin.2005.06.013.

3. CAKIT, B. D., SARACOGLU, M., GENC, H., ERDEM, H. R., INAN, L.: The effects of incremental speed-dependend treadmill training on postural instability and fear of falling in Parkinsons dise-ase. Clinical Rehabilitation, 21, 2007, 8, s. 698-705.

4. DUPALOVÁ, D., OPAVSKÝ, J., JANEČKOVÁ, K.: The effect of physiotherapy on selected characteristics of gait in patients with Parkinson‘s disease. Rehabilitace a fyzikální lékařství, roč. 12, 2005, č. 2, s. 129-133, ISSN 1211-2658.

5. FUJISAWA, H., SUENAGA, N., MINAMI, A.: Electromyographic study during isometric exercise of the shoulder in head-out water immersion. Journal of Shoulder and Elbow Surgery [online], 7, 1998, 5, s. 491-494 [cit. 2013-03-11]. ISSN 10582746. DOI: 10.1016/S1058-2746(98)90200-2.

6. HAGGERTY, M.: Dystonia and Parkinson’s aquatic techniques. Dystonia and Parkinson’s Aquatic Techniques [online], 2009 [cit. 2013-03-23].

7. HERMAN, T., GILADI, N., GRUENDLINGER, L., HAUSDORFF, M. J.: Six weeks of intensive treadmill training improves gait and quality of life in patients with Parkinson’s disease: A pilot study. Archives of Physical Medicine and Rehabilitation, 88, 2007, 9, s. 1154-1158. DOI: 10.1016/j.apmr.2007.05.015.

8. HERMAN, T., GILADI, N., HAUSDORFF, J. M.: Treadmill training for the treatment of gait disturbances in people with Parkinson’s disease: a mini-review. Journal of Neural Transmission, 116, 2009, 3, s. 307-318. DOI: 10.1007/s00702-008-0139-z. Dostupné z: http://link.springer.com/10.1007/s00702-008-0139-z.

9. HOLLÄNDEROVÁ, D., PAVLŮ, D., PÁNEK, D.: Hodnocení EMG aktivity horní části m. trapezius při cviku proti pružnému odporu ve vodním prostředí a na suchu. Rehabilitace a fyzikální lékařství, roč. 19, 2012, č. 1, s. 35-41.

10. HONG, M. G., EARHART, M.: Rotating treadmill training reduces freezing in Parkinson disease: Preliminary observations. Parkinsonism, 14, 2008, 4, s. 359-363. DOI: 10.1016/j.parkreldis.2007.07.003. Dostupné z: http://linkinghub.elsevier.com/retrieve/pii/S1353802007001265.

11. HUG, F.: Can muscle coordination be precisely studied by surface electromyography? Journal of Electromyography and Kinesiology [online], 21, 2011, 1, s. 1-12 [cit. 2013-03-06]. ISSN 10506411. DOI: 10.1016/j.jelekin.2010.08.009.

12. KANEDA, K.; WAHABAYASHI, H., SATO, D., UEKUSA, T., NOMURA, T.: Lower extremity muscle activity during deep-water running on self-determined pace. Journal of Electromyography and Kinesiology, 18, 2008, 6, s. 965-972, ISSN 1050-6411.

13. KOLÁŘ, P. a kol.: Rehabilitace v klinické praxi. 1. vydání, Praha, Galén, 2009, 713 s., ISBN 978-807-2626-571.

14. LO, A., C., CHANG, V., GIANFRANCESCO, M., FRIEDMAN, J., PATTERSON, T., BENEDICTO, D.: Reduction of freezing of gait in Parkinson’s disease by repetitive robot-assisted treadmill training: a pilot study. Journal of NeuroEngineering and Rehabilitation, 7, 2010, 1, s. 51. DOI: 10.1186/1743-0003-7-51.

15. MASUMOTO, K., TAKASUGI, S., HOTTA, N., FUJISHIMA, K., IWAMOTO, Y.: Electromyographic analysis of walking in water in healthy humans. Journal of Physiological Anthropology and Applied Human Science [online], 23, 2004, 4, s. 119-127 [cit. 2013-03-06]. ISSN 1345-3475. DOI: 10.2114/jpa.23.119.

16. MASUMOTO, K., SHONO, T., TAKASUGI, S., HOTTA, N., FUJISHIMA, K., IWAMOTO, Y.: Age-related differences in muscle activity, stride frequency and heart rate response during wal-king in water. Journal of Electromyography and Kinesiology: Official Journal of the International Society of Electrophysiological Kinesiology [online], 17, 2007a, . 5, s. 596-604 [cit. 2013-03-06]. ISSN 1050-6411. DOI: 10.1016/j.jelekin.2006.06.006.

17. MASUMOTO, K., TAKASUGI, S., HOTTA, N., FUJISHIMA, K., IWAMOTO, Y.: A comparison of muscle activity and heart rate response during backward and forward walking on an underwater treadmill. Gait [online], 25, 2007b, 2, s. 222-228 [cit. 2013-03-06]. ISSN 09666362. DOI: 10.1016/j.gaitpost.2006.03.013.

18. MASUMOTO, K., MERCER, J.: Biomechanics of human locomotion in water: An electromyographic analysis: Methodological cxonsiderations for quantifying muscle activity during water locomotion. Exercise and Sport Sciences Reviews. [online], 36, 2008, 3, s. 160-169, [cit. 2013-03-06]. ISSN 0091-6331, Dostupné z: http://www.medscape.com/viewarticle/576869_5.

19. MEČÍŘ, P.: Poruchy chůze u Parkinsonovy nemoci. Parkinson, časopis Společnosti Parkinson, 1997, č. 2, s. 6-7, ISSN 1212-0189.

20. MIYAI, I., FUJIMOTO, Y., YAMAMOTO, H., UEDA, Y., SAITO, T., NOZAKI, S., KANG, J.: Long-term effect of body weight–supported treadmill training in Parkinson‘s disease: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 83, 2002, 10, s. 1370-1373. DOI: 10.1053/apmr.2002.34603.

21. MIYOSHI, T., SHIROTA, T., YAMAMOTO, S., NAKAZAWA, K., AKAI, M.: Effect of the walking speed to the lower limb joint angular displasments, joint movements and ground reaction force during walking in water. Disability & Rehabilitation, 26, 2004, 12, s. 724-732, ISSN 0963-8288.

22. O’NIHILL, A. E. P., COTHRAN, C., HABERMANN, B.:Aquatic excercise for Parkinson’s disease: A guide for patients and their families. Aquatic handbook [online]. The American Parkinson Disease Association, 2001, [cit. 2013-03-23]. Dostupné z: http://www.parkinsonswny.com/Aquatic-Handbook.pdf.

23. PÁNEK, D., PAVLŮ, D., ČEMUSOVÁ, J.: EMG methods for evaluating muscle and nerve function: Water surface electromyography. 1. vydání, Croatia, Intech, 2012, s. 45-470, ISBN 978-953-307-793-2.

24. PÁNEK, D., JURÁK, D., PAVLŮ, D., KRAJČA, V., ČEMUSOVÁ, J.: Metodika snímání povrchového EMG ve vodním prostředí. Rehabilitace a fyzikální lékařství, roč. 17, 2010, č. 1, s.. 21-25, ISSN 1211-2658.

25. PELOSIN, E., FAELLI, E., LOFRANO, F., AVANZINO, L., MARINELLI, L., BOVE, M., RUGGERI, P., ABBRUZZESE, G.: Effects of treadmill training on walking economy in Parkinson’s disease: a pilot study. Neurological Sciences, 30, 2009, 6, s. 499-504. DOI: 10.1007/s10072-009-0141-8. Dostupné z: http://link.springer.com/10.1007/s10072-009-0141-8.

26. POHL, M., ROCKSTROH G., RÜCKRIEM, S., MRASS, G., MEHRHOLZ, J., BOVE, M., RUGGERI, P., ABBRUZZESE, G.: Immediate effects of speed-dependent treadmill training on gait parameters in early Parkinson’s disease: a pilot study. Archives of Physical Medicine and Rehabilitation, 84, 2003, 12, s. 1760-1766. DOI: 10.1016/S0003-9993(03)00433-7.

27. RESSNER, P., ŠIGUTOVÁ, D.: Léčebná rehabilitace u Parkinsonovy nemoci. Neurologie pro praxi [online]. 2001, č. 1, s. 31-35 [cit. 2012-08-03]. ISSN 1803-5280. Dostupné z: http://www.solen.sk/pdf/Ressner.pdf.

28. ROSENSTEIN, A. A.: Water exercises for Parkinson’s: maintaining balance, strength, endurance, and flexibility. rev. ed. Enumclaw, WA: Idyll Arbor, Inc, 2008. ISBN 978-188-2883-769.

29. SHONO, T.; MASUMOTO, K., FUJISHIMA, K., HOTTA, N., OGAKI, T., ADACHI, T.: GaitPatterns and muscle activity of the lower extremities of elderly women during underwater treadmill walking againts water flow. Journal of Physiological Antropology, 26, 2007, 6, (2007, s. 579-586, ISSN 1880-6791.

30. TUPÁ, V., PÁNEK, D., PAVLŮ, D.: Alternativní terapeutické postupy u pacientů s Parkinsonovou nemocí.. Rehabilitace a fyzikální lékařství, roč. 20, 2013, č. 1, s. 35-42, ISSN 1211- 2658.

31. VÉLE, F.: Kineziologie: přehled klinické kineziologie a patokineziologie pro diagnostiku a terapii poruch pohybové soustavy. 2. rozšířené a přepracované vydání. Praha, Triton, 2006, 375 s., ISBN 80-725-4837-9.

32. VENEZIANO, W., da ROCHA, A., GONCALVES, C., PENA, A., CARMO, J., NASCIMENTO, F., RAINOLDI, A.: Confounding factors in water EMG recordings: an approach to a definitive standard. Medical & Biological Engineering & Computing, 44, 2006, 4, s. 348-351, ISSN 0140-0118.

Labels

Physiotherapist, university degree Rehabilitation Sports medicine

The Effect of Acral Coactivation Therapy on Expiratory Muscle Strength and Lower-chest-wall Motion

Influence of Elastic Tape to Range of Motion During the Trunk Flexion

Diagnostics and Basic Principles of Dysphagia Therapy after Resection of Oropharyngeal Region Tumors

The Use of Biofeedback in Rehabilitation in Patients with Gait Disorders after Stroke

Neuropathy of n. suprascapularis

Fatigue Fracture in the Physiotherapist and Physician Practice

Article was published in

Rehabilitation and Physical Medicine

2015 Issue 2