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Updated: Jan 19, 2026

Standing Neurophysiological Assessment of Lower Extremity Muscles Post-Stroke
Published on: July 26, 2021
The Interaction of Cognitive Interference, Standing Surface, and Fatigue on Lower Extremity Muscle Activity
Christopher M Hill1, Hunter DeBusk2, Jeffrey D Simpson3
1Northern Illinois University, Department of Kinesiology and Physical Education, Dekalb, IL, United States.
Cognitive tasks combined with muscular fatigue significantly increase lower extremity muscle activity during standing, regardless of shoe-surface interface. This highlights a heightened demand on the body's postural control system.
Area of Science:
- Biomechanics
- Human Physiology
- Neuroscience
Background:
- Muscle activity in the lower extremities increases during cognitive tasks and muscular fatigue in quiet standing.
- Softer shoe-surface interfaces are common interventions for muscular fatigue.
- The effect of softer interfaces on muscle activity during static standing is not well understood.
Purpose of the Study:
- To evaluate lower extremity muscle activity during erect standing.
- To assess the impact of three different standing surfaces.
- To investigate changes before and after an acute workload and during cognitive tasks.
Main Methods:
- Surface electromyography (sEMG) was used to measure muscle activity in ankle and knee muscles of 15 male participants.
- Key variables included mean, peak, root mean square, and cocontraction index.
- A 2x2x3 within-subject repeated measures analysis of variance was employed for data analysis.
Main Results:
- No significant differences in pre-workload muscle activity were observed across surfaces or cognitive conditions.
- Post-workload balance assessment revealed greater muscle activity, particularly during the cognitive task.
- Cognitive task errors remained consistent across surface and workload conditions.
Conclusions:
- A cognitive task performed after a workload significantly elevates lower extremity muscle activity compared to quiet standing.
- This effect is independent of the shoe-surface interface condition.
- Both fatigue and cognitive load increase the demand on the postural control system.
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