title: Discomfort and muscle activation during car egress in drivers with hemiplegia following stroke.
abstract: [Purpose] This study investigated and compared the discomfort experienced during car egress with the car door opened at different angles and muscle activation in drivers with hemiplegia following stroke and non-disabled drivers. [Subjects and Methods] The participants were five drivers with hemiplegia and five non-disabled drivers. The discomfort experienced during car egress was measured using the nine-point Likert scale when the door was opened wide and when it was opened 45°. Muscle activation was measured using the TeleMyo 2400T G2 electromyography system. Electromyograph electrodes were placed on the erector spinae, rectus abdominis, and rectus femoris muscles. [Results] In the non-disabled drivers, there was no significant difference in the discomforts they experienced during car egress when the door was opened wide and when it was opened 45°. However, the discomfort experienced by drivers with hemiplegia when the door was opened 45° was significantly higher than that experienced when it was opened wide. There was a significant difference in the activation of the erector spinae, but no difference in the activation of the rectus abdominis or rectus femoris muscles. [Conclusion] This study will help to understand the difficulties experienced by drivers with hemiplegia following stroke during car ingress and egress.
authors.affiliation: Department of Occupational Therapy, Baekseok University, Republic of Korea.
authors.forename: Nam-Hae
authors.initials: NH
authors.lastname: Jung
authors.affiliation: Department of Occupational Therapy, Semyung University, Republic of Korea.
authors.forename: Hwanhee
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Occupational Therapy, College of Biomedical Science and Engineering, Inje University, Republic of Korea.
authors.forename: Moonyoung
authors.initials: M
authors.lastname: Chang
keywords: Car egress; Driving; Muscle activation
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