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An electromyographic study of abdominal muscle activity in children with spastic cerebral palsy
Saviour K Adjenti1, Graham Louw2, Jennifer Jelsma3
1Department of Anatomy, School of Biomedical & Allied Health Sciences, College of Health Sciences, University of Ghana, Ghana.
Insights
Children with spastic-type cerebral palsy (STCP) show different abdominal muscle activation patterns compared to typically developing peers. The rectus abdominis may need support from other muscles for trunk stability in STCP rehabilitation.
Area of Science:
- Neuromuscular Physiology
- Pediatric Rehabilitation
- Movement Science
Background:
- Limited understanding of abdominal muscle recruitment in spastic-type cerebral palsy (STCP).
- Need to compare neuromuscular activity patterns between children with STCP and typically developing (TD) peers.
Purpose of the Study:
- To investigate differences in abdominal muscle neuromuscular activity (activation patterns) between children with STCP and TD children.
- To identify specific muscle group variations in activity.
Main Methods:
- Electromyography (EMG) was utilized to record abdominal muscle activity in individuals with STCP (n=63) and TD individuals (n=82).
- Activity was monitored during resting and active states.
- Repeated measures ANOVA and Spearman's rank order correlation were employed for analysis.
Main Results:
- Significant differences in neuromuscular activity patterns were observed between STCP and TD groups, except for the rectus abdominis (RA).
- External oblique (EO) and internal oblique (IO) muscles showed elevated resting EMG activity in the STCP group.
- RA muscle activity was similar between STCP and TD groups during resting and active states.
Conclusions:
- The rectus abdominis (RA) is a potential target for rehabilitation in STCP.
- Optimal trunk stability in STCP may require synergistic support from the external oblique (EO) and internal oblique (IO) muscles, as RA force alone may be insufficient.
Background:
Inadequate knowledge in the recruitment patterns of abdominal muscles in individuals with spastic-type cerebral palsy (STCP).
Objectives:
To determine whether there is any difference between the neuromuscular activity (activation pattern) of the abdominal muscles in children with STCP and those of their typically developing (TD) peers.
Method:
The NORAXAN® electromyography (EMG) was used to monitor the neuromuscular activity in abdominal muscles of individuals with STCP (n = 63), and the results were compared with the findings from age-matched TD individuals (n = 82).
Results:
EMG frequencies were recorded during rest and during active states and compared using repeated measures ANOVA. Spearman's rank order correlation was used to explore relationships between age, body mass index and abdominal muscle activity. With the exception of the rectus abdominis (RA) muscle, the pattern of neuromuscular activity in children with STCP differs significantly from that of their TD peers. Three of the muscles - external oblique abdominis (EO), internal oblique abdominis (IO) and RA - in both groups showed significant changes (p < 0.001) in the frequency of EMG activity between the resting and active states. An elevated EMG activity at rest in the EO and IO was recorded in the STCP group, whereas the RA during resting and active stages showed similar results to TD individuals.
Conclusion:
The findings from this study suggest that the RA could be targeted during rehabilitation regimens; however, the force generated by this muscle may not be sufficient for the maintenance of trunk stability without optimal support from the EO and IO muscles.
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