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Functional muscle synergies to support the knee against moment specific loads while weight bearing

Flaxman, Teresa E. ; Shourijeh, Mohammad S. ; Smale, Kenneth B. ; Alkjær, Tine ; Simonsen, Erik B. ; Krogsgaard, Michael R. and Benoit, Daniel L. LU (2021) In Journal of Electromyography and Kinesiology 56.
Abstract

Objective: Externally applied abduction and rotational loads are major contributors to the knee joint injury mechanism; yet, how muscles work together to stabilize the knee against these loads remains unclear. Our study sought to evaluate lower limb functional muscle synergies in healthy young adults such that muscle activation can be directly related to internal knee joint moments. Methods: Concatenated non-negative matrix factorization extracted muscle and moment synergies of 22 participants from electromyographic signals and joint moments elicited during a weight-bearing force matching protocol. Results: Two synergy sets were extracted: Set 1 included four synergies, each corresponding to a general anterior, posterior, medial, or... (More)

Objective: Externally applied abduction and rotational loads are major contributors to the knee joint injury mechanism; yet, how muscles work together to stabilize the knee against these loads remains unclear. Our study sought to evaluate lower limb functional muscle synergies in healthy young adults such that muscle activation can be directly related to internal knee joint moments. Methods: Concatenated non-negative matrix factorization extracted muscle and moment synergies of 22 participants from electromyographic signals and joint moments elicited during a weight-bearing force matching protocol. Results: Two synergy sets were extracted: Set 1 included four synergies, each corresponding to a general anterior, posterior, medial, or lateral force direction. Frontal and transverse moments were coupled during medial and lateral force directions. Set 2 included six synergies, each corresponding to a moment type (extension/flexion, ab/adduction, internal/external rotation). Hamstrings and quadriceps dominated synergies associated with respective flexion and extension moments while quadriceps-hamstring co-activation was associated with knee abduction. Rotation moments were associated with notable contributions from hamstrings, quadriceps, gastrocnemius, and hip ab/adductors, corresponding to a general co-activation muscle synergy. Conclusion: Our results highlight the importance of muscular co-activation of all muscles crossing the knee to support it during injury-inducing loading conditions such as externally applied knee abduction and rotation. Functional muscle synergies can provide new insight into the relationship between neuromuscular control and knee joint stability by directly associating biomechanical variables to muscle activation.

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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Internal joint moments, Knee joint, Muscle synergies, Stabilization strategies, Weight-bearing
in
Journal of Electromyography and Kinesiology
volume
56
article number
102506
publisher
Elsevier
external identifiers
  • pmid:33271472
  • scopus:85097447053
ISSN
1050-6411
DOI
10.1016/j.jelekin.2020.102506
language
English
LU publication?
no
additional info
Funding Information: This work was supported by the Natural Science and Engineering Research Council of Canada , the Canadian Institutes of Health Research , the Åse and Ejnar Danielsens Fund , the Danish Rheumatism Association , the Lundbeck Foundation , and the University of Ottawa . Publisher Copyright: © 2020
id
07943825-107e-4a30-adf3-88098fc3d83c
date added to LUP
2023-08-24 16:53:15
date last changed
2024-04-05 23:23:22
@article{07943825-107e-4a30-adf3-88098fc3d83c,
  abstract     = {{<p>Objective: Externally applied abduction and rotational loads are major contributors to the knee joint injury mechanism; yet, how muscles work together to stabilize the knee against these loads remains unclear. Our study sought to evaluate lower limb functional muscle synergies in healthy young adults such that muscle activation can be directly related to internal knee joint moments. Methods: Concatenated non-negative matrix factorization extracted muscle and moment synergies of 22 participants from electromyographic signals and joint moments elicited during a weight-bearing force matching protocol. Results: Two synergy sets were extracted: Set 1 included four synergies, each corresponding to a general anterior, posterior, medial, or lateral force direction. Frontal and transverse moments were coupled during medial and lateral force directions. Set 2 included six synergies, each corresponding to a moment type (extension/flexion, ab/adduction, internal/external rotation). Hamstrings and quadriceps dominated synergies associated with respective flexion and extension moments while quadriceps-hamstring co-activation was associated with knee abduction. Rotation moments were associated with notable contributions from hamstrings, quadriceps, gastrocnemius, and hip ab/adductors, corresponding to a general co-activation muscle synergy. Conclusion: Our results highlight the importance of muscular co-activation of all muscles crossing the knee to support it during injury-inducing loading conditions such as externally applied knee abduction and rotation. Functional muscle synergies can provide new insight into the relationship between neuromuscular control and knee joint stability by directly associating biomechanical variables to muscle activation.</p>}},
  author       = {{Flaxman, Teresa E. and Shourijeh, Mohammad S. and Smale, Kenneth B. and Alkjær, Tine and Simonsen, Erik B. and Krogsgaard, Michael R. and Benoit, Daniel L.}},
  issn         = {{1050-6411}},
  keywords     = {{Internal joint moments; Knee joint; Muscle synergies; Stabilization strategies; Weight-bearing}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Electromyography and Kinesiology}},
  title        = {{Functional muscle synergies to support the knee against moment specific loads while weight bearing}},
  url          = {{http://dx.doi.org/10.1016/j.jelekin.2020.102506}},
  doi          = {{10.1016/j.jelekin.2020.102506}},
  volume       = {{56}},
  year         = {{2021}},
}