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Updated: Aug 9, 2025

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Standing Neurophysiological Assessment of Lower Extremity Muscles Post-Stroke
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Lower-limb Nonparametric Functional Muscle Network: Test-retest Reliability Analysis
Biorxiv : the Preprint Server for Biology
|February 17, 2023
Summary
Functional muscle network analysis shows high reliability for tracking intermuscular synchronicity in lower limb movements. These network metrics offer reliable biomarkers for rehabilitation, outperforming traditional surface electromyography (sEMG) measures.
Area of Science:
- Biomechanics
- Neuroscience
- Rehabilitation Engineering
Background:
- Functional muscle network analysis shows promise for detecting intermuscular synchronicity changes.
- Reliability of these network measures, particularly between and within sessions, remains largely unestablished.
- Previous studies primarily focused on healthy subjects, with recent extensions to neurological conditions.
Approach:
- Investigated the test-retest reliability of non-parametric lower-limb functional muscle networks.
- Included controlled (sit-to-stand) and lightly controlled (over-the-ground walking) tasks in healthy subjects.
- Quantified reliability using intraclass correlation coefficient (ICC) for network metrics and compared with surface electromyography (sEMG) root mean square (RMS) and median frequency (MDF).
Key Points:
- Muscle network analysis demonstrated superior between-session reliability compared to classical sEMG measures (RMS, MDF).
- Topographical metrics from functional muscle networks reliably quantify synergistic intermuscular synchronicity in lower limb tasks.
- Network metrics achieved reliable measurements with fewer sessions, suggesting potential as rehabilitation biomarkers.
Conclusions:
- Functional muscle network analysis provides a reliable method for multi-session observations of intermuscular synchronicity.
- The findings support the use of these network metrics as sensitive biomarkers in rehabilitation settings.
- This study establishes a foundation for utilizing functional muscle networks in clinical and research applications.

