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Patients with stroke experience declined physical functions and aim to recover by rehabilitation. It is important to improve their functions in the subacute period. Hemiplegic patients who can stand exhibit differing characteristics such as the center of mass and muscle synergy compared to healthy subjects. However, the characteristics to be achieved by the sit-to-stand motion in the subacute period is unknown. This study investigated the sit-to-stand motions of hemiplegic patients (n = 21) in three months of stroke onset. The patients were partitioned into two groups ('mild' and 'severe'), based on the functional independence score at the time of discharge, and the patient's sit-to-stand motion in the subacute period was analyzed by muscle synergy and kinematics. The severe patients performed a biased standing on the non-paralyzed side, and the activation timing of muscle synergy that contributes to whole-body extension was earlier than that of the mild patients. This study contributes to the development of guidelines for optimal intervention for each patient. [ABSTRACT FROM AUTHOR]

Sit-to-stand motion is an important daily activity, and it is important to study the mechanism of the motion to improve the ability when it becomes weak. To study the mechanism, we hypothesized that muscle synergy generates muscle activity as a feedforward signal, which is modified by sensory input. This study focuses on determining the sensory input primarily used for modifying sit-to-stand motion. To obtain this, we built artificial neural network models that generate muscle activities based on sensory input and feedforward signals and analyzed the effect of each input on the output. The models were built for each motion phase. The input was information from vestibular and somatosensory input and averaged muscle synergy as feedforward signals, and the output was muscle synergy. As a result, it was revealed that humans may primarily use hip angle to bend forward, ankle and vertical foot reaction force to hip rise, ankle, knee, and lumber angles and vertical foot reaction force to extend body, and lumber angle to stabilize. This indicates the type of sensory input used to control each muscle synergy in each motion phase. The information should be used to modify the sit-to-stand motion in environmental conditions where the motion is performed. [ABSTRACT FROM AUTHOR]

Sit-to-stand (STS) motion is an important daily activity, and many post-stroke patients have difficulty performing STS motion. Previous studies found that there are four muscle synergies (synchronized muscle activations) in the STS motion of healthy adults. However, for post-stroke patients, it is unclear whether muscle synergies change and which features primarily reflect motor impairment. Here, we use a machine learning method to demonstrate that temporal features in two muscle synergies that contribute to hip rising and balance maintenance motion reflect the motor impairment of post-stroke patients. Analyzing the muscle synergies of age-matched healthy elderly people ($n = 12$) and post-stroke patients ($n = 33$), we found that the same four muscle synergies could account for the muscle activity of post-stroke patients. Also, we were able to distinguish post-stroke patients from healthy people on the basis of the temporal features of these muscle synergies. Furthermore, these temporal features were found to correlate with motor impairment of post-stroke patients. We conclude that post-stroke patients can still utilize the same number of muscle synergies as healthy people, but the temporal structure of muscle synergies changes as a result of motor impairment. This could lead to a new rehabilitation strategy for post-stroke patients that focuses on activation timing of muscle synergies. [ABSTRACT FROM AUTHOR]

The sit-to-stand motion is a common movement in daily life and understanding the mechanism of the sit-to-stand motion is important. Our previous study shows that four muscle synergies can characterize the sit-to-stand motion, and they have specific roles, such as upper body flexion, rising from a chair, body extension, and posture stabilization. The time-varying weight of these synergies are changed to achieve adaptive movement. However, the relationship between sensory input and the activation of the muscle synergies is not completely understood. In this paper, we aim to clarify how vestibular and visual inputs affect the muscle synergy in sit-to-stand motion. To address this, we conducted experiments as follows. Muscle activity, body kinematics, and ground reaction force were measured for the sit-to-stand motion under three different conditions: control, visual-disturbance, and vestibular-disturbance conditions. Under the control condition, the participants stood without any intervention. Under the visual-disturbance condition, the participants wore convex lens glasses and performed the sit-to-stand motion in a dark room. Under the vestibular-disturbance condition, a caloric test was performed. Muscle synergies were calculated for these three conditions using non-negative matrix factorization. We examined whether the same four muscle synergies were employed under each condition, and the changes in the time-varying coefficients were determined. These experiments were conducted on seven healthy, young participants. It was found that four muscle synergies could explain the muscle activity in the sit-to-stand motion under the three conditions. However, there were significant differences in the time-varying weight coefficients. When the visual input was disturbed, a larger amplitude was found for the muscle synergy that activated mostly in the final posture stabilization phase of the sit-to-stand motion. Under vestibular-disturbance condition, a longer activation was observed for the synergies that extended the entire body and led to posture stabilization. The results implied that during human sit-to-stand motion, visual input has less contribution to alter or correct activation of muscle synergies until the last phase. On the other hand, duration of muscle synergies after the buttocks leave are prolonged in order to adapt to the unstable condition in which sense of verticality is decreased under vestibular-disturbance. [ABSTRACT FROM AUTHOR]

Standing-up motion is an important daily activity. It has been known that humans can employ different strategies to stand up from a chair, but it was not clear how people control their redundant muscles to achieve different strategies. This study employs the concept of muscle synergy which suggests that humans utilize the small number of modules (called muscle synergy) to generate the movements. This study uses two approaches to understand how humans generate different movements. Firstly, measurement experiment was performed to investigate the muscle synergy structure during different strategies. Next, the finding from the measurement experiment is validated through the forward dynamic simulation using our developed neuromusculoskeletal model. Both of our results from simulation study and measurement experiment showed that four muscle synergies could generate standing-up motion. However, they adaptively changed the start time of a certain synergy to achieve different strategies. [ABSTRACT FROM PUBLISHER]