Modeling of muscle activation from electromyography recordings in patients with cerebral palsy

The present study estimated muscle activation from electromyographic (EMG) recordings in patients with cerebral palsy (CP) during cycling on an ergometer. This could be used as an input to the modeling of muscle force following the neuromusculoskeletal modeling technique which can help to understand the alterations in neuromotor processes underlying disabilities in CP. EMG signals of lower leg muscle activity from 14 adult patients with CP and 10 adult healthy participants were used here to derive muscle activation. With a self developed EMG system, signals from the following muscles were recorded: Musculus tibialis anterior, Musculus gastrocnemius, Musculus rectus femoris, and Musculus biceps femoris. Collected EMG signals were mathematically transformed into muscle activation following a parameter dependent and a nonlinear transformation. Muscle activation values from patients with CP were compared to equivalent reference values obtained from healthy controls. Muscle activation calculated at specific foot positions deviated clearly from reference values. The deviation was larger for patients with higher degree of spasticity. Observations underline the need of muscle force modeling during cycling for individualized cycling training for rehabilitation strategy.