{Reference Type}: Journal Article {Title}: The effects of surface inclination on gastrocnemius, soleus and tibialis anterior muscle activation during gait. {Author}: Malik RJ;Waris A;Gilani SO;Iqbal J;Kashif AS;Kamboh HM;Ghafoor MF; {Journal}: J Back Musculoskelet Rehabil {Volume}: 36 {Issue}: 1 {Year}: 2023 {Factor}: 1.456 {DOI}: 10.3233/BMR-210371 {Abstract}: BACKGROUND: Inclined walking is associated with multiple musculoskeletal benefits and is considered a therapeutic exercise. Various patterns of increased and decreased muscle activation with inclined surfaces have been observed in normal muscles, with more focus on the proximal lower limb musculature.
OBJECTIVE: The aim of this study was to assess the differences in electromyographic activation of gastrocnemius, soleus, and tibialis anterior at various inclined surfaces during gait.
METHODS: Fourteen healthy male participants aged between 17-30 years walked at a self-selected speed at motor driven treadmill on 0, 2 and 4 degrees of inclination. EMG activity of the muscles was recorded using the Delsys Trigno surface EMG system.
RESULTS: Results showed that muscular activation of tibialis anterior significantly decreased with increase in the level of inclination (p< 0.05). However, soleus, gastrocnemius medialis and gastrocnemius lateralis showed no significant differences (p> 0.05) in their muscular activation, and no noticeable trends were found. Furthermore, no significant difference was found between all the muscles at ground level and inclined level 2 and 4.
CONCLUSIONS: These differences in activation patterns found in distal extremity can be useful for designing rehabilitation protocols in sports training and for patients with neurological and musculoskeletal pathologies.