title: Neuromuscular response of hip-spanning and low back muscles to medio-lateral foot center of pressure manipulation during gait.
abstract: BACKGROUND
  Footwear-generated medio-lateral foot center of pressure manipulation has been shown to have potential positive effects on gait parameters of hip osteoarthritis patients, ultimately reducing maximum joint reaction forces. The objective of this study was to investigate effects of medio-lateral foot center of pressure manipulation on muscle activity of hip-spanning and back muscles during gait in bilateral hip osteoarthritis patients.
  
  
  METHODS
  Foot center of pressure was shifted along the medio-lateral foot axis using a foot-worn biomechanical device allowing controlled center of pressure manipulation. Sixteen female bilateral hip osteoarthritis patients underwent electromyography analysis while walking in the device set to three parasagittal configurations: neutral (control), medial, and lateral. Seven hip-spanning muscles (Gluteus Medius, Gluteus Maximus, Tensor Fascia Latae, Rectus Femoris, Semitendinosis, Biceps Femoris, Adductor Magnus) and one back muscle (Erector Spinae) were analyzed. Magnitude and temporal parameters were calculated.
  
  
  RESULTS
  The amplitude and temporal parameter varied significantly between foot center of pressure positions for 5 out of 8 muscles each for either the more or less symptomatic leg in at least one subphase of the gait cycle.
  
  
  CONCLUSIONS
  Medio-lateral foot center of pressure manipulation significantly affects neuromuscular pattern of hip and back musculature during gait in female hip bilateral osteoarthritis patients.
authors.affiliation: Biorobotics and Biomechanics Lab (BRML), Faculty of Mechanical Engineering, Technion-Israel Institute of Technology, 32000 Haifa, Israel. Electronic address: dsolo@tx.technion.ac.il.
authors.forename: Deborah
authors.initials: D
authors.lastname: Solomonow-Avnon
authors.affiliation: Department of Orthopedics B, Rambam Medical Center, Haifa, Israel.
authors.forename: Daniel
authors.initials: D
authors.lastname: Levin
authors.affiliation: Physical Therapy Department, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
authors.forename: Michal
authors.initials: M
authors.lastname: Elboim-Gabyzon
authors.affiliation: Department of Orthopedic Surgery, Ha'Emek Medical Center, Afula, Israel.
authors.forename: Nimrod
authors.initials: N
authors.lastname: Rozen
authors.affiliation: Department of Orthopedics B, Rambam Medical Center, Haifa, Israel.
authors.forename: Eli
authors.initials: E
authors.lastname: Peled
authors.affiliation: Biorobotics and Biomechanics Lab (BRML), Faculty of Mechanical Engineering, Technion-Israel Institute of Technology, 32000 Haifa, Israel.
authors.forename: Alon
authors.initials: A
authors.lastname: Wolf
mesh_terms: D000328:Adult; D000368:Aged; D064131:Back Muscles / Q000502:physiology*; D001696:Biomechanical Phenomena / Q000502:physiology; D004576:Electromyography / Q000379:methods*; D005260:Female; D005528:Foot / Q000502:physiology*; D005684:Gait / Q000502:physiology*; D006615:Hip / Q000502:physiology*; D006621:Hip Joint / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000502:physiology; D015207:Osteoarthritis, Hip / Q000175:diagnosis / Q000503:physiopathology; D011312:Pressure; D016138:Walking / Q000502:physiology
keywords: Electromyography; Foot center of pressure; Gait; Hip osteoarthritis