Simplified Muscle-Recruitment Strategy During Walking in Parkinson's Disease People: A Time-Frequency Analysis of EMG Signal

Objective

Although gait analysis has been widely adopted to describe Parkinson's disease (PD) dysfunctions during walking, few efforts have been made to understand muscle activity role. The current study aims to characterize lower-limb-muscle recruitment during walking in time-frequency domain, based on Continuous Wavelet Transform (CWT) analysis of surface-electromyography (sEMG) signal from lower-limb muscles.

Materials and methods

sEMG signals from Tibialis Anterior (TA), Gastrocnemius Lateralis (GL), Rectus Femoris (RF), and Biceps Femoris (BF) of 20 people with PD and 10 age-matched healthy controls (HC) were acquired during gait. sEMG signals were processed applying a CWT-based approach to assess the occurrence frequency (OF, i.e., the percentage of strides of each muscle activation occurrence) and the frequency content of each muscle activation (in Hz). These parameters are rarely quantified in PD.

Results

Compared to HC, people with PD displayed a significant decrease (p<0.05) in median OF on RF, BF, and TA, indicating a tendency to reduce the global involvement of lower-limb muscles. No significant differences (p>0.05) in OF were detected among muscle within the same population. No significant changes (p>0.05) in frequency content were revealed in PD.

Conclusion

This analysis suggests that people with PD are characterized by a reduced recruitment of those muscles typically adopted to finely control body-segment motion and a concomitant increased recruitment of those muscles mainly involved in locomotion. No substantial alteration in recruiting muscle fibers is associated with PD. These findings suggest that people with PD are inclined to adopt simpler muscular-recruitment strategies during walking, compared to HC.