Reliability of surface electromyographic recordings during walking in individuals with knee osteoarthritis
Date
2013
Authors
Hubley-Kozey, Cheryl
Robbins, Shawn
Rutherford, Derek
Stanish, William
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
To determine test–retest reliability of a surface electromyographic protocol designed to measure knee joint muscle activation during walking in individuals with knee osteoarthritis (OA). Twenty-one individuals with moderate medial compartment knee OA completed two gait data collections separated by approximately 1 month. Using a standardized protocol, surface electromyograms from rectus femoris plus lateral and medial sites for the gastrocnemii, vastii and hamstring muscles were recorded during walking. After full-wave rectification and low pass filtering, time and amplitude normalized (percent of maximum) waveforms were calculated. Principal component analysis (PP-scores) and co-contraction indices (CCI) were calculated from the waveforms. Intraclass correlation coefficients (ICC2,k) were calculated for PP-scores and CCI’s. No differences in walking speed, knee muscle strength and symptoms were found between visits (p > 0.05). The majority of PP-scores (17 of 21) and two of four CCIs demonstrated ICC2,k values greater than 0.81. Remaining PP-scores and CCIs had ICC2,k values between 0.61 and 0.80. The results support that reliable EMG characteristics can be captured from a moderate knee OA patient population using a standardized protocol.
Description
Thanks to Nick Hill and Gillian Hatfield-Murdock for their assistance with data collection and processing.
The study sponsors had no involvement in the design, conduct of the study or manuscript preparation.
Keywords
Electromyography, Knee osteoarthritis, Gait, Reliability, Principal component analysis
Citation
Hubley-Kozey, C. L., Robbins, S. M., Rutherford, D. J., & Stanish, W. D. (2013). Reliability of surface electromyographic recordings during walking in individuals with knee osteoarthritis. Journal of Electromyography and Kinesiology, 23(2), 334-341.