Journal of Research in Rehabilitation Sciences

Assessment of Muscle Activity and Co-contraction in Knee and Ankle Joints during Forward and Backward Walking in Healthy Individuals

Document Type : Original Articles

Authors

1 Department of Biomechanics, School of Sport Sciences, Bu-Ali Sina University, Hamadan, Iran

2 Professor, Department of Biomechanics, School of Sport Sciences, Bu-Ali Sina University, Hamadan, Iran

3 Assistant Professor, Department of Sport Physiology, School of Physical Education and Sport Sciences, Alzahra University, Tehran, Iran

10.22122/jrrs.v13i6.3109

Abstract

Introduction: Backward walking trainings are recommended to improve lower limb muscle performance in patients with joint injuries. The purpose of this study was to investigate muscles activity and co-contraction in ankle and knee joints during forward walking (FW) and backward walking (BW) in healthy individuals.Materials and Methods: Ten healthy men aged between 18-28 years participated in this study. The activity and co-contraction of selected muscles (rectus femoris, vastus lateralis, vastus medialis, semitendinosus, biceps femoris, gastrocnemius medialis, gastrocnemius lateralis, and tibialis anterior) were detected using electromyography (EMG) during stance and swing phases of FW and BW. To identify beginning and end of movement, 4 cameras of motion analysis system were synchronously used with EMG. The data statistical analysis was done using repeated measures ANOVA test via SPSS software.Results: The activity of tibialis anterior (P < 0.001) and gastrocnemius lateralis (P = 0.02) increased respectively at stance and swing phases of BW in comparison to FW. In knee joint, co-contraction of vastus lateralis and vastus medialis at swing phase of BW increased in comparison to FW (P = 0.02). In the ankle joint, co-contraction of dorsiflexor and plantar flexor muscles at stance phase of BW increased in comparison to FW (P < 0.001). At swing phase, co-contraction of dorsiflexor and plantar flexor muscles decreased during BW in comparison to FW (P = 0.04).Conclusion: The results of the current study suggest that activity of the lower limb muscles increased during BW in comparison to FW. In addition, co-contraction of lower limb muscles can have mal-effect on knee joint, but useful effect on ankle joint during BW in comparison to FW.

Keywords

  1. Morris JN, Hardman AE. Walking to health. Sports Med 1997; 23(5): 306-32.
  2. Hemmasian Etefagh, Jamshidi A, Nickjoo A. walking backwards improves high school female athletes' balance. J Res Med Dent Sci 2017; 5(1): 46-8.
  3. Amini HA, Fazel Kalkhoran J, Salehi M, Jazini F. Effect of backward walking training on improves postural stability in children with down syndrome. Int J Pediatr 2016; 4(7): 2171-81.
  4. Song DV, Silvernail JF, Tandy RD, Lee S, Dufek JS. Effects of slope on backward locomotion. EC Orthopaedics 2018; 9(2): 34-41.
  5. Kim WH, Kim WB, Yun CK. The effects of forward and backward walking according to treadmill inclination in children with cerebral palsy. J Phys Ther Sci 2016; 28(5): 1569-73.
  6. Roos PE, Barton N, van Deursen RW. Patellofemoral joint compression forces in backward and forward running. J Biomech 2012; 45(9): 1656-60.
  7. Li-Yuan C, Fong-Chin S, Ping-Yen C. Kinematic and EMG analysis of backward walking on treadmill. 2000 p. 825-7.
  8. Joshi S, Vij JS, Singh SK. Retrowalking: A new concept in physiotherapy and rehabilitation. Int J Recent Sci Res 2015; 4(10: 152-6.
  9. Hao WY, Chen Y. Backward walking training improves balance in school-aged boys. Sports Med Arthrosc Rehabil Ther Technol 2011; 3: 24.
  10. Yang YR, Yen JG, Wang RY, Yen LL, Lieu FK. Gait outcomes after additional backward walking training in patients with stroke: A randomized controlled trial. Clin Rehabil 2005; 19(3): 264-73.
  11. Takami A, Wakayama S. Effects of partial body weight support while training acute stroke patients to walk backwards on a treadmill -a controlled clinical trial using randomized allocation. J Phys Ther Sci 2010; 22(2): 177-87.
  12. Kachanathu SJ, Hafez AR, Zakaria AR. EFFICACY of backward versus forward walking on hamstring strain rehabilitation. International Journal of Therapies and Rehabilitation Research 2013; 2(1): 8-14.
  13. Grasso R, Bianchi L, Lacquaniti F. Motor patterns for human gait: Backward versus forward locomotion. J Neurophysiol 1998; 80(4): 1868-85.
  14. Kuma DM, Shina WS. Effect of backward walking training using an underwater treadmill on muscle strength, proprioception and gait ability in persons with stroke. J Phys Ther Sci 2017; 6: 120-6.
  15. Kim YS, Park J, Shim JK. Effects of aquatic backward locomotion exercise and progressive resistance exercise on lumbar extension strength in patients who have undergone lumbar diskectomy. Arch Phys Med Rehabil 2010; 91(2): 208-14.
  16. Kim HJ, Lee JH, Ahn SE, Park MJ, Lee DH. Influence of anterior cruciate ligament tear on thigh muscle strength and hamstring-to-quadriceps ratio: A meta-analysis. PLoS One 2016; 11(1): e0146234.
  17. Schuermans J, Van Tiggelen D, Danneels L, Witvrouw E. Biceps femoris and semitendinosus--teammates or competitors? New insights into hamstring injury mechanisms in male football players: a muscle functional MRI study. Br J Sports Med 2014; 48(22): 1599-606.
  18. Oatis CA. Kinesiology: The mechanics and pathomechanics of human movement. Philadelphia, PA: Lippincott Williams and Wilkins; 2004.
  19. Knarr BA, Zeni JA, Jr., Higginson JS. Comparison of electromyography and joint moment as indicators of co-contraction. J Electromyogr Kinesiol 2012; 22(4): 607-11.
  20. Craig CE, Calvert GHM, Doumas M. Effects of the availability of accurate proprioceptive information on older adults' postural sway and muscle co-contraction. Eur J Neurosci 2017; 46(10): 2548-56.
  21. Tsai LC, McLean S, Colletti PM, Powers CM. Greater muscle co-contraction results in increased tibiofemoral compressive forces in females who have undergone anterior cruciate ligament reconstruction. J Orthop Res 2012; 30(12): 2007-14.
  22. Richards C, Higginson JS. Knee contact force in subjects with symmetrical OA grades: differences between OA severities. J Biomech 2010; 43(13): 2595-600.
  23. Hodges PW, van den Hoorn W, Wrigley TV, Hinman RS, Bowles KA, Cicuttini F, et al. Increased duration of co-contraction of medial knee muscles is associated with greater progression of knee osteoarthritis. Man Ther 2016; 21: 151-8.
  24. Detrembleur C, Dierick F, Stoquart G, Chantraine F, Lejeune T. Energy cost, mechanical work, and efficiency of hemiparetic walking. Gait Posture 2003; 18(2): 47-55.
  25. Peterson DS, Martin PE. Effects of age and walking speed on coactivation and cost of walking in healthy adults. Gait Posture 2010; 31(3): 355-9.
  26. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007; 39(2): 175-91.
  27. Fischer SL, Grewal TJ, Wells R, Dickerson CR. Effect of bilateral versus unilateral exertion tests on maximum voluntary activity and within-participant reproducibility in the shoulder. J Electromyogr Kinesiol 2011; 21(2): 311-7.
  28. Flynn TW, Soutas-Little RW. Patellofemoral joint compressive forces in forward and backward running. J Orthop Sports Phys Ther 1995; 21(5): 277-82.
  29. Kadaba MP, Ramakrishnan HK, Wootten ME. Measurement of lower extremity kinematics during level walking. J Orthop Res 1990; 8(3): 383-92.
  30. Krkeljas Z, Moss SJ. Relationship between gait kinematics and walking energy expenditure during pregnancy in South African women. BMC Sports Sci Med Rehabil 2018; 10: 11.
  31. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol 2000; 10(5): 361-74.
  32. Murley GS, Bird AR. The effect of three levels of foot orthotic wedging on the surface electromyographic activity of selected lower limb muscles during gait. Clin Biomech (Bristol, Avon) 2006; 21(10): 1074-80.
  33. Heiden TL, Lloyd DG, Ackland TR. Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clin Biomech (Bristol, Avon) 2009; 24(10): 833-41.
  34. Pal S, Besier TF, Draper CE, Fredericson M, Gold GE, Beaupre GS, et al. Patellar tilt correlates with vastus lateralis: Vastus medialis activation ratio in maltracking patellofemoral pain patients. J Orthop Res 2012; 30(6): 927-33.
  35. Waryasz GR, McDermott AY. Patellofemoral pain syndrome (PFPS): A systematic review of anatomy and potential risk factors. Dyn Med 2008; 7: 9.
  36. Dutton RA, Khadavi MJ, Fredericson M. Update on rehabilitation of patellofemoral pain. Curr Sports Med Rep 2014; 13(3): 172-8.
Journal of Research in Rehabilitation Sciences
Volume 13, Issue 6 - Serial Number 6
March 2018
Pages 309-317
  • Receive Date: 08 August 2018
  • Revise Date: 20 April 2024
  • Accept Date: 22 May 2022