Rehabilitation processes are based on protocols and clinical practice guidelines with therapeutic objectives that seek to potentiate joint motion through anisometric contractions that modify the length of the muscle. These techniques are also useful for gait training and re-education of the sporting gesture. Depending on the type of injury, different intervention protocols should be implemented, using different techniques aimed at proprioceptive re-education to encourage the execution of reflex activities and activate and strengthen muscle groups to stabilize the joint and improve its muscle elasticity and joint thickness. The functioning of the knee can be affected by pathologies of traumatic, degenerative, genetic, neurological, or autoimmune origin, 10 the first two being the most common types. These tools are based on tests and clinical signs, and require the expertise of the physical therapist for a correct execution and interpretation of the results, and for a proper assessment of the integrity of the cartilage, muscles, menisci, ligament stability, etc. 2, 8Ĭurrently, there are different diagnostic tests and specific exploratory maneuvers to assess the anatomic and functional characteristics of the knee joint complex. 2, 6, 7 The range of motion for knee flexion is 130° to 140° however, these values may increase or decrease depending on the position of the hip joint during knee movement. The movements of the knee occur in the tibiofemoral joint and are mainly flexion and extension, but there may also be internal and external rotation to a lesser extent. It is composed of the tibiofemoral and patellofemoral joints 1 - 4 and its formation involves both bone components (femur, tibia, and patella) and soft tissue components (synovial membrane, joint capsule, bursae, retinaculum, meniscus, and ligaments). The knee is one of the most complex joint structures in the human body. Palabras clave: Articulación de la rodilla, Electromiografía, Contracción muscular (DeCS). Finalmente se incluyeron 18 estudios que describen de forma comparativa cómo estimar el par a partir de señales de sEMG.Įl uso de señales de sEMG para calcular el par en una articulación es una herramienta alternativa que permite al terapeuta acceder a parámetros cuantitativos y, de esta forma, valorar el progreso de los pacientes durante el proceso de rehabilitación de rodilla. Luego de realizar la remoción de duplicados esta cifra descendió a 308, los cuales fueron analizados para determinar si cumplían con los criterios de inclusión.
Se realizó una revisión de la literatura publicada entre 1986 y 2018, sin límites geográficos, en las bases de datos Engineering Village, IEEE Xplore, ScienceDirect, Web of Science, Scopus y PubMed mediante la combinación de 8 términos de búsqueda.Īl finalizar la búsqueda inicial se obtuvieron 355 registros. Realizar una revisión de la literatura sobre el uso de señales de sEMG como alternativa para la estimación del par de rodilla con el fin de medir objetivamente el progreso de los pacientes en las diferentes etapas de rehabilitación de lesiones de rodilla. Múltiples estudios de procesamiento de señales han reportado la aplicación de las señales de electromiografía de superficie (sEMG) en robótica y en procesos de rehabilitación motora. Keywords: Knee Joint, Electromyography, Torque, Muscle Contraction (MeSH).
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Finally, 18 studies describing, in a comparative way, how to estimate torque based on sEMG signals were included.Ĭonclusion: The use of sEMG signals to calculate joint torque is an alternative method that allows therapists to obtain quantitative parameters and assess the progress of patients undergoing knee rehabilitation processes. Duplicated publications were eliminated, and 308 articles were analyzed to determine if they met the inclusion criteria. Results: After completing the initial search, 355 records were retrieved. Materials and methods: A literature review of studies published between 19, without geographical limits, was carried out in the Engineering Village, IEEE Xplore, Science-Direct, Web of Science, Scopus, and PubMed databases by combining 8 search terms. Objective: To conduct a literature review on the use of sEMG signals as an alternative method for knee torque estimation in order to objectively measure the progress of patients at different stages of knee injury rehabilitation. Introduction: Multiple signal processing studies have reported the application of surface electromyography (sEMG) signals in robotics and motor rehabilitation processes.
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