Welcome to visit Zhongnan Medical Journal Press Series journal website!
Zhongnan Medical Journal Press Series of Journals Center for Evidence-Based and Translational Medicine of Wuhan University

The title
  • The title
  • The keywords
  • The author
Submit中文版

HomeArticlesVol 34,2024 No.8Detail

Characteristics of lower limb surface electromyography in patients with knee osteoarthritis and progress in their exercise rehabilitation

Published on Aug. 31, 2024Total Views: 1332 timesTotal Downloads: 331 timesDownloadMobile

Author: SHAO Yunbo 1 GUO Jiayi 2 LI Feng 2 LI Jianqiang 1 YAO Kexin 1

Affiliation: 1. Luoyang Pingle Orthopedic-Traumatological College, Henan University of Chinese Medicine, Zhengzhou 410307, China 2. Department of Osteoarthropathy, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang 471002, Henan Province, China

Keywords: Knee osteoarthritis Degenerative joint disease Surface electromyography Sports rehabilitation Quadriceps muscle

DOI: 10.12173/j.issn.1004-5511.202406111

Reference: Shao YB, Guo JY, Li F, Li JQ, Yao KX. Characteristics of lower limb surface electromyography in patients with knee osteoarthritis and progress in their exercise rehabilitation[J]. Yixue Xinzhi Zazhi, 2024, 34(8): 927-935. DOI: 10.12173/j.issn.1004-5511.202406111. [Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

Knee osteoarthritis (KOA) is a common joint degenerative disease in clinical practice. The symptoms of lower limb muscle weakness, joint instability and other impaired motor function in long-term KOA patients can be captured by surface electromyography technology, and the representation form are mainly abnormal signals in the activation sequence, activation degree, coordinated movement pattern and fatigue pattern of lower limb muscles. Sports rehabilitation therapy is a necessary means to improve the lower limb motor function of KOA patients and reduce the recurrence rate of KOA. Using surface electromyography technology to expand the evaluation method of motor function can provide a scientific reference for KOA patients to develop long-term, targeted and efficient rehabilitation exercise therapy and muscle strength training, thereby further enriching the rehabilitation exercise methods of KOA. This article aims to reviewthe abnormal electro-physiological characterization of KOA patients' muscles and exercise rehabilitation programs, to enhance the guiding value of surface electromyography in the field of KOA exercise rehabilitation.

Full-text
Please download the PDF version to read the full text: download
References

1. Sharma L. Osteoarthritis of the Knee[J]. N Engl J Med, 2021, 384(1): 51-59. DOI: 10.1056/NEJMcp1903768.

2. Li JT, Zeng N, Yan ZP, et al. A review of applications of metabolomics in osteoarthritis[J]. Clin Rheumatol, 2021, 40(7): 2569-2579. DOI: 10.1007/s10067-020-05511-8.

3. Tayfur B, Charuphongsa C, Morrissey D, et al. Neuromuscular joint function in knee osteoarthritis: a systematic review and Meta-analysis[J]. Ann Phys Rehabil Med, 2023, 66(2): 101662. DOI: 10.1016/j.rehab.2022.101662.

4. Cui A, Li H, Wang D, et al. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies[J]. EClinicalMedicine, 2020, 29-30: 100587. DOI: 10.1016/j.eclinm.2020.100587.

5. Sponberg S, Abbott E, Sawicki GS. Perturbing the muscle work loop paradigm to unravel the neuromechanics of unsteady locomotion[J]. J Exp Biol, 2023, 226(7). DOI: 10.1242/jeb.243561.

6. Merletti R, Farina D. Analysis of intramuscular electromyogram signals[J]. Philos Trans A Math Phys Eng Sci, 2009, 367(1887): 357-368. DOI: 10.1098/rsta.2008.0235.

7. Merletti R, Muceli S. Tutorial. Surface EMG detection in space and time: best practices[J]. J Electromyogr Kinesiol, 2019, 49: 102363. DOI: 10.1016/j.jelekin.2019.102363.

8. 徐明伟, 金龙哲, 于露, 等. 长时间颈部前屈对颈部肌肉疲劳的影响[J]. 工程科学学报, 2019, 41(11): 1493-1500. [Xu MW, Jin LZ, Yu L, et al. Effect of long-term bowing of the head on neck muscle fatigue[J]. Chinese Journal of Engineering, 2019, 41(11): 1493-1500.] DOI: 10.13374/j.issn2095-9389.2019.04.24.007.

9. Chai Y, Chen J, Hou M, et al. Gait strategies for individuals with knee osteoarthritis when transitioning between floor and stair walking [J]. Front Physiol, 2023, 14: 1026299. DOI: 10.3389/fphys.2023.1026299.

10. 王琨, 李小生, 宋姌, 等. 肌电图(EMG)在运动生物力学研究中的应用[J]. 体育科研, 2014, 35(1): 31-33, 38. [Wang K, Li XS, Song R, et al. Application of electromyography(EMG) in sports biomechanical researches[J]. Sport Science Research, 2014, 35(1): 31-33, 38.] DOI: 10.3969/j.issn.1006-1207.2014.01.009.

11. Murphy MC, Latella C, Rio EK, et al. Does lower-limb osteoarthritis alter motor cortex descending drive and voluntary activation? a systematic review and Meta-analysis[J]. EFORT Open Rev, 2023, 8(12): 883-894. DOI: 10.1530/EOR-23-0092.

12. 师东良, 王宁华, 谢斌. 膝骨关节炎患者股内侧肌、股直肌和股外侧肌间的协调性[J]. 中国康复理论与实践, 2010, 16(5): 473-477. [Shi DL, Wang NH, Xie  B. Coordination of vastus medialis, rectus femoris and vastus lateralis in patients with knee osteoarthritis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2010, 16(5): 473-477.] DOI: 10.3969/j.issn.1006-9771. 2010.05.031.

13. Iijima H, Shimoura K, Aoyama T, et al. Biomechanical characteristics of stair ambulation in patients with knee OA: a systematic review with Meta-analysis toward a better definition of clinical hallmarks[J]. Gait Posture, 2018, 62: 191-201. DOI: 10.1016/j.gaitpost.2018.03.002.

14. Petrella M, Selistre LFA, Serrão PRMS, et al. Kinetics, kinematics, and knee muscle activation during sit to stand transition in unilateral and bilateral knee osteoarthritis[J]. Gait Posture, 2021, 86: 38-44. DOI: 10.1016/j.gaitpost. 2021.02.023.

15. 李丹, 王剑雄, 黄茂茂, 等. 健康中老年女性上下楼梯时下肢肌肉的表面肌电图表现[J].中国康复理论与实践, 2023, 29(6): 731-737. [Li D, Wang JX, Huang MM, et al. Surface electromyography of lower limb muscles in healthy middle-aged and old women during stair ascent and descent[J]. Chinese Journal of Rehabilitation Theory and Practice, 2023, 29(6): 731-737.] DOI: 10.3969/j.issn.1006-9771.2023.06.016.

16. Smith SL, Allan R, Marreiros SP, et al. Muscle co-activation across activities of daily living in individuals with knee osteoarthritis[J]. Arthritis Care Res (Hoboken), 2019, 71(5): 651-660. DOI: 10.1002/acr.23688.

17. Smith SL, Woodburn J, Steultjens MPM. Sex-and osteoarthritis-related differences in muscle co-activation during weight-bearing tasks[J]. Gait Posture, 2020, 79: 117-125. DOI: 10.1016/j.gaitpost.2020.04.019.

18. Metcalfe AJ, Stewart C, Postans N, et al. The effect of osteoarthritis of the knee on the biomechanics of other joints in the lower limbs[J]. Bone Joint J, 2013, 95-B(3): 348-353. DOI: 10.1302/0301-620X.95B3.30850.

19. Liu S, Amiri P, Mcgregor AH, et al. Bilateral asymmetry in knee and hip musculoskeletal loading during stair ascending/descending in individuals with unilateral mild-to-moderate medial knee osteoarthritis[J]. Ann Biomed Eng, 2023, 51(11): 2490-2503. DOI: 10.1007/s10439-023-03289-9.

20. Duncan RC, Hay EM, Saklatvala J, et al. Prevalence of radiographic osteoarthritis—it all depends on your point of view[J]. Rheumatology (Oxford), 2006, 45(6): 757-760. DOI: 10.1093/rheumatology/kei270.

21. Suzuki Y, Iijima H, Nakamura M, et al. Rate of force development in the quadriceps of individuals with severe knee osteoarthritis: a preliminary cross-sectional study[J]. PLoS One, 2022, 17(1): e0262508. DOI: 10.1371/journal.pone.0262508.

22. Fu S, Duan T, Hou M, et al. Postural balance in individuals with knee osteoarthritis during stand-to-sit task[J]. Front Hum Neurosci, 2021, 15: 760960. DOI: 10.3389/fnhum.2021.760960.

23. Pan J, Fu W, Lv J, et al. Biomechanics of the lower limb in patients with mild knee osteoarthritis during the sit-to-stand task[J]. BMC Musculoskelet Disord, 2024, 25(1): 268. DOI: 10.1186/s12891-024-07388-z.

24. 刘本科, 陈博, 熊凤, 等. 膝骨关节炎患者上下梯过程中膝关节的稳定性特征分析[J]. 风湿病与关节炎, 2022, 11(4): 7-12. [Liu BK, Chen B, Xiong F, et al. Analysis of stability characteristics of knee joint in patients with knee osteoarthritis when going up and down stairs[J]. Rheumatism and Arthritis, 2022, 11(4): 7-12.] DOI: 10.3969/j.issn.2095-4174.2022.04.002.

25. 俞晓杰, 吴毅, 胡永善, 等. 膝关节骨关节炎患者膝屈伸肌的表面肌电信号研究[J]. 中华物理医学与康复杂志, 2006, 28(6): 402-405. [Yu XJ, Wu Y, Hu YS, et al. Surface electromyography of knee flexor extensor muscle in patients with knee osteoarthritis[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2006, 28(6): 402-405.] DOI: 10.3760/j:issn:0254-1424.2006.06.013.

26. Siqueira MS, Souto LR, Martinez AF, et al. Muscle activation, strength, and volume in people with patellofemoral osteoarthritis: a systematic review and Meta-analysis[J]. Osteoarthritis Cartilage, 2022, 30(7): 935-944. DOI: 10.1016/j.joca.2022.01.013.

27. 方博儒, 仇大伟, 白洋, 等. 表面肌电信号在肌肉疲劳研究中的应用综述[J]. 计算机科学与探索, 2024: 1-16. [Fang BR,Qiu DW, Bai Y, et al. Review of the application of surface electromyography signals in muscle fatigue research[J]. Journal of Frontiers of Computer Science and Technology, 2024: 1-16.] DOI: 10.3778/j.issn.1673-9418.2312042.

28. 刘光达, 董梦坤, 许蓝予, 等. 手臂疲劳时表面肌电信号特征[J]. 科学技术与工程, 2021, 21(25): 10690-10696.[Liu GD, Dong MK, Xu LY, et al. Characteristic of surface electromyography signal in arm fatigue[J]. Science Technology and Engineering, 2021, 21(25): 10690-10696.] DOI: 10.3969/j.issn.1671-1815.2021.25.017.

29. Bongiorno G, Biancuzzi H, Dal Mas F, et al. Evaluation of muscle energy in isometric maintenance as an index of muscle fatigue in roller speed skating[J]. Front Sports Act Living, 2023, 5: 1153946. DOI: 10.3389/fspor.2023. 1153946.

30. Pethick J, Winter SL, Burnley M. Fatigue reduces the complexity of knee extensor torque during fatiguing sustained isometric contractions[J]. Eur J Sport Sci, 2019, 19(10): 1349-1358. DOI: 10.1080/17461391. 2019.1599450.

31. Duchateau J, Baudry S. The neural control of coactivation during fatiguing contractions revisited[J]. J Electromyogr Kinesiol, 2014, 24(6): 780-788. DOI: 10.1016/j.jelekin. 2014.08.006.

32. 李世明, 许全盛, 翟佳丽, 等. 基于sEMG时频分析的递增负荷诱导肌肉周期动态疲劳估计[J]. 中国体育科技, 2016, 52(3): 48-55. [Li SM, Xu QS, Zhai JL, et al. Assessing increasing load induced muscle fatigue during periodic dynamic contractions based on time-frequency analysis of semg signals[J]. China Sport Science and Technology, 2016, 52(3): 48-55] DOI: 10.16470/j.csst.201603007.

33. Patsika G, Kellis E, Amiridis IG. Neuromuscular efficiency during sit to stand movement in women with knee osteoarthritis[J]. J Electromyogr Kinesiol, 2011, 21(5): 689-694. DOI: 10.1016/j.jelekin.2011.05.006.

34. Mehra P, Cheung VCK, Tong RKY. Muscle endurance time estimation during isometric training using electromyogram and supervised learning[J]. J Electromyogr Kinesiol, 2020, 50: 102376. DOI: 10.1016/j.jelekin.2019.102376.

35. NICE Clinical Guidelines. Osteoarthritis: care and management[M]. London: National Institute for Health and Care Excellence, 2020.

36. Moseng T, Vliet Vlieland TPM, Battista S, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update[J]. Ann Rheum Dis, 2024, 83(6): 730-740. DOI: 10.1136/ard-2023-225041.

37. 罗曦娟, 李新, 张献博, 等. 慢性疾病运动处方新进展 [J]. 中国运动医学杂志, 2023, 42(8): 658-664. [Luo  XJ, Li X, Zhang XB, et al. Recent progress in exercise for chronic diseases[J]. Chinese Journal of Sports Medicine, 2023, 42(8): 658-664.] DOI: 10.3969/j.issn.1000-6710.2023.08.013.

38. 蔡明瑾, 侯朝铭, 高静, 等. 不同有氧运动对膝骨关节炎患者干预效果的网状Meta分析[J]. 中华护理教育, 2023, 20(6): 745-751. [Cai MJ, Hou CM, Gao J, et al. Intervention effect of aerobic exercise on knee osteoarthritis patients:a network Meta-analysis[J]. Chinese Journal of Nursing Education, 2023, 20(6): 745-751.] DOI: 10.3761/j.issn.1672-9234.2023.06.019.

39. 王小逸, 谢苏杭, 何成奇. 功率自行车运动治疗膝骨关节炎的临床研究进展[J]. 中国康复医学杂志, 2022, 37(9): 1262-1267. [Wang XY, Xie SH, He CQ. Progress of clinical research on treatment of knee osteoarthritis by power cycling[J]. Chinese Journal of Rehabilitation Medicine, 2022, 37(9): 1262-1267.] DOI: 10.3969/j.issn.1001-1242.2022.09.021.

40. Brosseau L, Taki J, Desjardins B, et al. The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part three: aerobic exercise programs[J]. Clin Rehabil, 2017, 31(5): 612-624. DOI: 10.1177/0269215517691085.

41. Deng X, Xu H, Hao X, et al. Effect of moderate exercise on osteoarthritis[J]. EFORT Open Rev, 2023, 8(3): 148-161. DOI: 10.1530/EOR-22-0119.

42. Wallis JA, Webster KE, Levinger P, et al. The maximum tolerated dose of walking for people with severe osteoarthritis of the knee: a phase I trial[J]. Osteoarthritis Cartilage, 2015, 23(8): 1285-1293. DOI: 10.1016/j.joca.2015.04.001.

43. 张旻, 庞坚, 陈博, 等. 步态矫正训练治疗膝骨关节炎的研究进展[J]. 中国康复医学杂志, 2017, 32(9): 1078-1081. [Zhang W, Pang J, Chen B, et al. Research progress of gait correction training in the treatment of knee osteoarthritis[J]. Chinese Journal of Rehabilitation Medicine, 2017, 32(9): 1078-1081.] DOI: 10.3969/j.issn.1001-1242.2017.09.025.

44. LI S, NG WH, Abujaber S, et al. Effects of resistance training on gait velocity and knee adduction moment in knee osteoarthritis patients: a systematic review and Meta-analysis[J]. Sci Rep, 2021, 11(1): 16104. DOI: 10.1038/s41598-021-95426-4.

45. 邓程远, 周桂娟, 王甜甜, 等. 膝骨关节炎的物理治疗进展[J]. 中国老年学杂志, 2021, 41(8): 1756-1760. [Deng CY, Zhou GJ, Wang TT, et al. Progress of physical therapy for knee osteoarthritis[J]. Chinese Journal of Gerontology, 2021, 41(8): 1756-1760.] DOI: 10.3969/j.issn.1005- 9202.2021.08.055.

46. 宿旺, 张孝权, 吴春春, 等. 速肌力训练治疗膝骨关节炎随机试验的Meta分析[J]. 中国康复医学杂志, 2020, 35(7): 858-863. [Su W, Zhang XQ, Wu CC. Meta-analysis of randomized trial of isokinetic muscle strength training in treatment of knee osteoarthritis[J]. Chinese Journal of Rehabilitation Medicine, 2020, 35(7): 858-863.] DOI: 10.3969/j.issn.1001-1242.2020.07.018.

47. Yokoyama M, Iijima H, Kubota K, et al. Exploring the modification factors of exercise therapy on biomechanical load in patients with knee osteoarthritis: a systematic review and Meta-analysis[J]. Clin Rheumatol, 2023, 42(7): 1737-1752. DOI: 10.1007/s10067-023-06553-4.

48. Hislop AC, Collins NJ, Tucker K, et al. Does adding hip exercises to quadriceps exercises result in superior outcomes in pain, function and quality of life for people with knee osteoarthritis? A systematic review and Meta-analysis[J]. Br J Sports Med, 2020, 54(5): 263-271. DOI: 10.1136/bjsports-2018-099683.

49. 马健文, 岳虹妤, 谢超群, 等. 传统功法干预膝骨关节炎的临床应用及效应机制研究进展[J]. 上海中医药杂志, 2023, 57(12): 96-100. [Ma JW, Yue HY, Xie CQ, et  al. Research progress on the clinical application and effect mechanism of traditional exercises in the intervention of knee osteoarthritis[J]. Shanghai Journal of Traditional Chinese Medicine, 2023, 57(12): 96-100.] DOI: 10.16305/j.1007-1334.2023.2302043.

50. 秦凯华, 郭语艳, 杨慎峭, 等. 八段锦改善中老年人膝骨关节炎的机理浅析[J]. 成都中医药大学学报, 2019, 42(3): 9-11. [Qin KH, Guo YY, Yang SQ, et al. Analysis on mechanism of Baduanjin in improving knee osteoarthritis in middle-aged and old people[J]. Journal of Chengdu University of Traditional Chinese Medicine, 2019, 42(3): 9-11.] DOI: 10.13593/j.cnki.51-1501/r.2019.03.009.

51. Xiao CM, Li JJ, Kang Y, et al. Follow-up of a Wuqinxi exercise at home programme to reduce pain and improve function for knee osteoarthritis in older people: a randomised controlled trial[J]. Age Ageing, 2021, 50(2): 570-575. DOI: 10.1093/ageing/afaa179.

52. 王强, 杨立群. 不同养生功法在膝骨关节炎患者中的对比研究[J].成都体育学院学报, 2021, 47(4): 107-111. [Wang Q, Yang LQ. Comparative study of different health exercises in patients with knee osteoarthritis[J]. Journal of Chengdu Sport University, 2021, 47(4): 107-111.] DOI: 10.15942/j.jcsu.2021.04.017.

Popular Papers
© 2022 - 2024 Zhongnan Medical Journal Press of Zhongnan Hospital of Wuhan University|Support: Yufu Technology
About NM | Contact us