Assessment of muscle strength, muscle activity and metabolic changes of patients with transtibial amputation
DOI:
https://doi.org/10.33233/fb.v17i6.701Keywords:
transtibial amputation, electromyography, muscle strength, energy expenditureAbstract
Objective: To assemble findings in the literature regarding electromyography, muscle strength and metabolic alterations in patients with transtibial amputations. Methods: Systematic review of the literature from January to March of 2014 of Pubmed, Scielo, Lilacs, BVS, Dedalus and BCE research databases; the following key words were used: transtibial amputee, sEMG, below the knee, amputees, muscle strength, energy expenditure and its Portuguese equivalents. Results: 144 articles were identified. After subsequent analysis and evaluation, 33 were selected. Metabolic demand appears to be increased during amputees gait in comparison to non-amputees subjects. Concerning EMG studies, the main muscles used in this population are both biceps femoris and rectus femoris. Torque was the most described variable for its directly relation with muscle strength. Conclusion: EMG signals are strongly related to the transtibial amputee locomotion. The proper prosthesis selection may reduce metabolic demand.
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