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The Potential of Musculoskeletal Modeling and Surface Electromyography in Assessing Return-To-Play in Patients with Lateral Ankle Sprain

Waaijer, I.J. (2024) The Potential of Musculoskeletal Modeling and Surface Electromyography in Assessing Return-To-Play in Patients with Lateral Ankle Sprain.

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Abstract:Lateral ankle injuries, including ankle sprains, are common among athletes, leading to significant economic burdens and high recurrence rates. Current rehabilitation methods often overlook crucial neuro-muscular parameters, potentially hindering effective treatment and increasing the risk of relapse. This thesis aims to explore a comprehensive approach to assess and enhance rehabilitation outcomes for lateral ankle injury patients. Objective: This thesis evaluates the potential of musculoskeletal models and surface electromyography (sEMG) in aiding physiotherapists to determine an injured patient's readiness for Return-to-Play (RTP). Additionally, it aims to determine the potential utility of musculoskeletal modeling and sEMG measurements in identifying differences between patient groups, informing rehabilitation strategies, and enhancing patient outcomes in lateral ankle injury rehabilitation. Methods: The study involved eight healthy subjects and three individuals with a lateral ankle sprain. The subjects were equipped with a garment for EMG measurements. Movement data, recorded using retroreflective markers and optical motion capture cameras, were synchronized with force plate data to analyze joint angles, muscle activity, and muscle tendon lengths in muscles around the ankle. Results: For the joint angles and the muscle tendon length, differences were observed between dominant and non-dominant legs in healthy subjects. Variation analysis for the wobble exercise indicated significant differences between healthy and injured groups. Conclusion: Results indicate the potential of musculoskeletal modeling and sEMG muscle information as valuable tools in assessing patient functional recovery. Further exploration of their integration into clinical practice is recommended to enhance RTP decision-making. Continued research could establish standardized protocols, fostering their seamless integration into physiotherapy practice and ultimately optimizing patient outcomes in musculoskeletal injury rehabilitation.
Item Type:Essay (Master)
Faculty:ET: Engineering Technology
Subject:77 psychology
Programme:Biomedical Engineering MSc (66226)
Link to this item:https://purl.utwente.nl/essays/98705
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