CJRTP

Chinese Journal of Rehabilitation Theory and Practice >

2020 , Vol. 26 >Issue 6: 673 - 677

DOI: https://doi.org/10.3969/j.issn.1006-9771.2020.06.009

Advance of Muscle Synergy Theory in Rehabilitation Assessment for Children with Cerebral Palsy (review)

  • Yu GU ,
  • Nan CHEN ,
  • Qian LIU ,
  • Xie WU
Expand
  • 1. Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
    2. Department of Rehabilitation Medicine, Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University, Shanghai 200438, China

Received date: 2019-09-02

  Revised date: 2019-10-20

  Online published: 2020-06-29

Supported by

National Natural Science Foundation of China(31701041)

Fold

Abstract

The muscle synergy theory starts from the motor control model, focuses on the neural control function. This paper introduced the theory of muscle synergy, the relationship between muscle synergy and conditions of cerebral palsy patients, and its application in cerebral palsy assessment and rehabilitation. More researches are needed to explore on the details of neuromuscular pattern.

Key words： muscle synergy; cerebral palsy; electromyography; motor control; neurorehabilitation; review

Cite this article

Yu GU , Nan CHEN , Qian LIU , Xie WU . Advance of Muscle Synergy Theory in Rehabilitation Assessment for Children with Cerebral Palsy (review)[J]. Chinese Journal of Rehabilitation Theory and Practice, 2020 , 26(6) : 673 -677 . DOI: 10.3969/j.issn.1006-9771.2020.06.009

References

[1] 唐久来, 秦炯, 邹丽萍, 等. 中国脑性瘫痪康复指南(2015):第一部分[J]. 中国康复医学杂志, 2015, 30(7):747-754.
[2] Tian C Y, Leng L G, Tian Z M. How to deal with cerebral palsy in 21st century: a new epoch in clinic treatment[J]. Chin J Appl Physiol, 2014, 30(6):511-515.
[3] D'avella A, Bizzi E. Shared and specific muscle synergies in natural motor behaviors[J]. Proc Natl Acad Sci U S A, 2005, 102(8):3076-3081.
[4] Cheung V C, Piron L, Agostini M, et al. Stability of muscle synergies for voluntary actions after cortical stroke in humans[J]. Proc Natl Acad Sci U S A, 2009, 106(46):19563-19568.
[5] Shojaeefard M, Khandan A, Baniasad M A, et al. O 027 - There are common patterns of muscle synergy in cerebral palsy crouch gait[J]. Gait Posture, 2018, 65(Suppl 1):55-56.
[6] Holdefer R N, Miller L E. Primary motor cortical neurons encode functional muscle synergies[J]. Exp Brain Res, 2002, 146(2):233-243.
[7] Ting L H, McKay J L. Neuromechanics of muscle synergies for posture and movement[J]. Curr Opin Neurobiol, 2007, 17(6):622-628.
[8] Emilio B, Cheung V C K. The neural origin of muscle synergies[J]. Front Comput Neurosci, 2013, 7(51):51.
[9] Steele K M, Rozumalski A, Schwartz M H. Muscle synergies and complexity of neuromuscular control during gait in cerebral palsy[J]. Dev Med Child Neurol, 2015, 57(12):1176-1182.
[10] Yu Y, Chen X, Cao S, et al. Gait synergetic neuromuscular control in children with cerebral palsy at different gross motor function classification system levels[J]. J Neurophysiol, 2019, 121(5):1680-1691.
[11] Cappellini G, Sylos-Labini F, Maclellan M J, et al. Backward walking highlights gait asymmetries in children with cerebral palsy[J]. J Neurophysiol, 2018, 119(3):1153-1165.
[12] Goudriaan M, Shuman B R, Steele K M, et al. Non-neural muscle weakness has limited influence on complexity of motor control during gait[J]. Front Hum Neurosci, 2018, 12(5):5.
[13] Barroso F O, Torricelli D, Molina-Rueda F, et al. Combining muscle synergies and biomechanical analysis to assess gait in stroke patients[J]. J Biomech, 2017, 63:98-103.
[14] Tropea P, Monaco V, Coscia M, et al. Effects of early and intensive neuro-rehabilitative treatment on muscle synergies in acute post-stroke patients: a pilot study[J]. J Neuroeng Rehabil, 2013, 10(1):103.
[15] Falaki A, Huang X, Lewis M M, et al. Dopaminergic modulation of multi-muscle synergies in postural tasks performed by patients with Parkinson's disease[J]. J Electromyogr Kinesiol, 2017, 33:20-26.
[16] Pierrynowski M R, Tiidus P M, Galea V. Women with fibromyalgia walk with an altered muscle synergy[J]. Gait Posture, 2005, 22(3):210-218.
[17] Mooren F C. Encyclopedia of Exercise Medicine in Health and Disease[M]. Berlin, Heidelberg: Springer, 2012: 192.
[18] Rathelot J A, Strick P L. Muscle representation in the macaque motor cortex: an anatomical perspective[J]. Proc Natl Acad Sci U S A, 2006, 103(21):8257-8262.
[19] Nadia D, Ivanenko Y P, Germana C, et al. Locomotor primitives in newborn babies and their development[J]. Science, 2011, 334(6058):997-999.
[20] Giszter S F, Mussa-Ivaldi F A, Bizzi E. Convergent force fields organized in the frog's spinal cord[J]. J Neurosci, 1993, 13(2):467-491.
[21] Caggiano V, Cheung V C, Bizzi E. An optogenetic demonstration of motor modularity in the mammalian spinal cord[J]. Sci Rep, 2016, 6(1):35185.
[22] Kargo W J, Ramakrishnan A, Hart C B, et al. A simple experimentally based model using proprioceptive regulation of motor primitives captures adjusted trajectory formation in spinal frogs[J]. J Neurophysiol, 2010, 103(1):573-590.
[23] Gentner R, Classen J. Modular organization of finger movements by the human central nervous system[J]. Neuron, 2006, 52(4):731-742.
[24] Gandolfo F, Mussa-Ivaldi F A, Bizzi E. Motor learning by field approximation[J]. Proc Natl Acad Sci U S A, 1996, 93(9):3843-3846.
[25] Overduin S A, D'avella A, Carmena J M, et al. Microstimulation activates a handful of muscle synergies[J]. Neuron, 2012, 76(6):1071-1077.
[26] Saltiel P, Wylerduda K, D'avella A, et al. Muscle synergies encoded within the spinal cord: evidence from focal intraspinal NMDA iontophoresis in the frog[J]. J Neurophysiol, 2001, 85(2):605-619.
[27] Tresch M C, Saltiel P, Bizzi E. The construction of movement by the spinal cord[J]. Nat Neurosci, 1999, 2(2):162-167.
[28] Mussa-Ivaldi F A, Giszter S F, Bizzi E. Linear combinations of primitives in vertebrate motor control[J]. Proc Natl Acad Sci U S A, 1994, 91(16):7534-7538.
[29] Haghpanah S A, Farahmand F, Zohoor H. Modular neuromuscular control of human locomotion by central pattern generator[J]. J Biomech, 2017, 53:154-162.
[30] Kargo W J, Giszter S F. Individual premotor drive pulses, not time-varying synergies, are the units of adjustment for limb trajectories constructed in spinal cord[J]. J Neurosci, 2008, 28(10):2409-2425.
[31] D'avella A, Saltiel P, Bizzi E. Combinations of muscle synergies in the construction of a natural motor behavior[J]. Nat Neurosci, 2003, 6(3):300-308.
[32] Oliveira A S, Gizzi L, Farina D, et al. Motor modules of human locomotion: influence of EMG averaging, concatenation, and number of step cycles[J]. Front Hum Neurosci, 2014, 8:335.
[33] Lambert-Shirzad N, Van Der Loos H F M. On identifying kinematic and muscle synergies: a comparison of matrix factorization methods using experimental data from the healthy population[J]. J Neurophysiol, 2017, 117(1):290-302.
[34] Tresch M C, Cheung V C, D'avella A. Matrix factorization algorithms for the identification of muscle synergies: evaluation on simulated and experimental data sets[J]. J Neurophysiol, 2006, 95(4):2199-2212.
[35] Shuman B R, Goudriaan M, Desloovere K, et al. Associations between muscle synergies and treatment outcomes in cerebral palsy are robust across clinical centers[J]. Arch Phys Med Rehabil, 2018, 99(11):2175-2182.
[36] Shuman B, Goudriaan M, Bar-On L, et al. Repeatability of muscle synergies within and between days for typically developing children and children with cerebral palsy[J]. Gait Posture, 2016, 45:127-132.
[37] Mehrabi N, Schwartz M H, Steele K M. Can altered muscle synergies control unimpaired gait?[J]. J Biomech, 2019, 90:84-91.
[38] Cappellini G, Ivanenko Y P, Martino G, et al. Immature spinal locomotor output in children with cerebral palsy[J]. Front Physiol, 2016, 7:478.
[39] Kim Y, Bulea T C, Damiano D L. Children with cerebral palsy have greater stride-to-stride variability of muscle synergies during gait than typically developing children: implications for motor control complexity[J]. Neurorehabil Neural Repair, 2018, 32(9):834-844.
[40] Tang L, Li F, Cao S, et al. Muscle synergy analysis in children with cerebral palsy[J]. J Neural Eng, 2015, 12(4):046017.
[41] Tang L, Chen X, Cao S, et al. Assessment of upper limb motor dysfunction for children with cerebral palsy based on muscle synergy analysis[J]. Front Hum Neurosci, 2017, 11:130.
[42] Gao Z, Chen L, Xiong Q, et al. Degraded synergistic recruitment of sEMG oscillations for cerebral palsy infants crawling[J]. Front Neurol, 2018, 9:760.
[43] Pitto L, Kainz H, Falisse A, et al. SimCP: a simulation platform to predict gait performance following orthopedic intervention in children with cerebral palsy[J]. Front Neurorobot, 2019, 13:54.
[44] Shimizu Y, Kadone H, Kubota S, et al. Voluntary elbow extension-flexion using single joint hybrid assistive limb (HAL) for patients of spastic cerebral palsy: two cases report[J]. Front Neurol, 2019, 10:2.
[45] Shuman B R, Goudriaan M, Desloovere K, et al. Muscle synergies demonstrate only minimal changes after treatment in cerebral palsy[J]. J Neuroeng Rehabil, 2019, 16(1):46.
[46] Pitto L, Kaat D, Guy M, et al. O 109 - Post-treatment muscle coordination patterns during gait are highly similar to pre-treatment ones in CP children[J]. Gait Posture, 2018, 65(Suppl 1):228-229.
[47] D'avella A, Portone A, Fernandez L, et al. Control of fast-reaching movements by muscle synergy combinations[J]. J Neurosci, 2006, 26(30):7791-7810.
Options
Outlines

/

〈 〉