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Updated: Oct 8, 2026

Quantifying Arms and Legs Contributions during Repetitive Electrically-Assisted Sit-To-Stand Exercise in Paraplegics: A Pilot Study
Published on: November 11, 2022
A sequence of postural muscle excitations precedes and accompanies isometric ramp efforts performed while sitting in
S Le Bozec1, J Lesne, S Bouisset
1Laboratoire de Physiologie du Mouvement, Université Paris-Sud, 91405 Orsay, France. serge.lebozec@lpm.u-psud.fr
Abstract:
The purpose of this study was to explore how the muscles which control postural body segments are activated during bilateral isometric ramp pushes exerted with the upper limbs by seated subjects. The paradigm under study presents the advantage that the subject is in a quasi-static posture, and since upper limbs are stretched out, the dynamic phenomena, which might occur, can only originate from the rest of the body, which means from the postural chain. A dynamometer was used to measure the horizontal force, Fx, exerted on the bar, and a custom-designed force-plate was used to measure global reaction forces (Rx) and displacement of the centre of pressure (Xp) along the antero-posterior axis. Electromyograms (EMGs) were picked up by bipolar surface electrodes from 14 muscles crossing the lower limb, pelvis, trunk and upper limb joints. It was shown that transient push efforts require monotonous EMG increase in postural as well as in focal muscles. The EMG sequence starts with the postural muscles and ends with the focal ones. The postural EMG sequence is anticipatory. It is concluded that the EMG sequence is programmed according to the task parameters, and that its role is to counteract in advance the perturbing effect of the effort, in order to allow the effort to be performed efficiently. It is suggested that excitation between the postural muscles is distributed according to their biomechanical role in relation to the supports.
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