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

Muscle co-contraction, defined as the simultaneous action of agonist and antagonist muscles crossing the same joint, 9 is the mechanism that participates in the regulation of joint stiffness 10 and postural stability. 8 however, inappropriate and excessive co-contraction may impair gait performance by reducing gait speed and increasing metabolic cost. 10, 11 the estimation of muscle co-contraction is a useful clinical tool to better understand how pathology can affect the muscle strategies during gait. 12 Whereas co-contraction is related to the ratio of agonist/antagonist muscle s troke is the leading cause of long-term disability. 1 hemiparesis is one of the most common impairments after stroke that contributes significantly to reduce gait performance. 2 a percentage of 52 to 85 of hemiparetic patients regain their capacity to walk, but their gait pattern is different from that of healthy individuals. 3 hemiparetic gait is characterized by reduced speed, cadence, and stride length; 4, 5 asymmetry in temporal, spatial, kinematic, and kinetic gait variables; 6, 7 and abnormal muscle co-contraction. 8

Hiba Souissi, Raphael Zory, Jonathan Bredin, Nicolas Roche, Pauline Gerus. Co-contraction around the knee and the ankle joints during post-stroke gait. European Journal of Physical and Rehabilitation Medicine, 2018, 54, ⟨10.23736/s1973-9087.17.04722-0⟩. ⟨hal-04459768⟩

Journal: European Journal of Physical and Rehabilitation Medicine

Date de publication: 01-06-2018

Auteurs:
  • Hiba Souissi
  • Raphael Zory
  • Jonathan Bredin
  • Nicolas Roche
  • Pauline Gerus

Digital object identifier (doi): http://dx.doi.org/10.23736/s1973-9087.17.04722-0


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