Hindawi Publishing Corporation
BioMed Research International
Volume 2013, Article ID 173148, 7 pages
http://dx.doi.org/10.1155/2013/173148
Research Article
Differences in Muscle Activation Patterns during Sit to Stand
Task among Subjects with and without Intellectual Disability
Antonio I. Cuesta-Vargas
1,2
and Manuel González-Sánchez
2
1
School of Clinical Sciences, Faculty of Health, Queensland University of Technology (QUT),
Victoria Park Road, Kelvin Grove, QLD 4059, Australia
2
Department of Physiotherapy, Faculty of Health Sciences, University of Malaga, 29071 M´ alaga, Spain
Correspondence should be addressed to Antonio I. Cuesta-Vargas; acuesta.var@gmail.com
Received 24 May 2013; Revised 2 September 2013; Accepted 3 September 2013
Academic Editor: Stephen E. Alway
Copyright © 2013 A. I. Cuesta-Vargas and M. Gonz´ alez-S´ anchez. his is an open access article distributed under the Creative
Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.
he aim of this study is to analyse the diferences in muscle activity between subjects who have intellectual disability and healthy
subjects when they make the transition from sitting to standing positions. A cross-sectional study. A group of adults was divided
into two subgroups: with and without intellectual disability (ID). he means of the basic features in both groups were 22.13 and
22.83 for age, 66.38 and 67.67 for weight, and 173.38 and 174.33 for height, for the ID (=8) and without ID (=7) groups,
respectively. Each subject performed three sets of ive repetitions during which, starting from sitting, they had to get up and sit on
the chair. he recording of muscle activity was performed using surface electromyography taking the measures of muscle activity of
diferent muscles of the lower limbs. he results showed diferences in the pattern of muscle activity between groups during sitting
to standing movement.
1. Introduction
Muscle activation (MA) that generates force is required
for many activities of daily living (ADL), including eating,
dressing, walking, or rising from a chair (sit to stand move-
ment (STS)). Each of these activities is essential to ensure
the maintenance of a person’s physical independence [1].
herefore, it is not surprising to discover that the progressive
loss of efectiveness in MA is associated with a deiciency of
basic capabilities, such as those previously mentioned and
which, therefore, decreases a person’s independence [2].
he sequences of STS and sitting are very common in
ADL. he ability to develop STS movements is considered a
very important feature for determining the degree of inde-
pendence and the quality of life of a person [2]. his sequence
is considered the most mechanical movement within ADL
[3, 4], due to the high level of muscle activation that it
requires, as individuals need to coordinate a transfer from
a horizontal to a vertical position in one movement [5].
Furthermore, it is necessary for nervous system stability and
alignment of the various body segments both dynamically
[6] and statically. Nevertheless, for the realisation of this
sequence, muscle strength [7, 8], balance [9, 10], and synergy
of muscle activation [11, 12] are required.
Individuals with intellectual disabilities (ID) oten have
diferent MAs from those who do not have ID [13–15]. It
appears that this MA would result in a poorer physical proile
whose explanations could be found in chronotropic failure,
reduced motivation, or even in the diiculty of advising this
population [16]. It appears that this diference in the MA is
associated with qualitative and quantitative deiciencies of
muscle tissue, especially related to a sedentary lifestyle [14].
On the other hand, itness in people with ID appears to be
closely related to the vocational performance level of the
individual and it has been shown that when individuals were
removed from competitive environments, there was a decline
in the quality of life and ability to perform the tasks [17, 18],
leading to a progressive increase in the dependency of the
person and a decline of their integration in society [1, 19].
MA could be deined as the distribution of activation
or muscle strength of individual muscles to produce a joint
motion [20], which can be studied using electromyography
(EMG), using diferent models to estimate muscle strength
[21]. In addition, several studies have shown that a muscle