Background: Although the median frequency is used as a basis to assess the presence of muscular fatigue, some studies have found that it is not a good estimator for this purpose. Physiotherapists often deal with patients with movement issues related to fatigue. A new objective estimator that is easy to obtain and interpret can help with the management of such patients.Objective and Purpose: The aim of this study was to identify the frequency bands most affected by fatigue and propose a protocol to obtain such information.Methods: Thirty healthy subjects (age 22.05 ± 2.42 years, height 1.71 ± 0.08 m, and weight 68.75 ± 11.42 kg) were recruited to measure the rectus femoris electromyography (EMG) of both legs during gait, before and after a fatiguing protocol. Four frequency bands were studied: high frequency (107-250 Hz), midfrequency (65-94 Hz), 40 Hz (34-53 Hz), and low frequency (< 25 Hz). Each frequency band is related to different aspects of the muscular contraction.Results: The main finding is that the ratios of the 40-Hz frequency and low-frequency bands showed significant differences in both legs between pre-fatigue and post-fatigue recordings. Critical thresholds F* 4.86 and 4.93 were exceeded at 4.5-8.7%, 30.64-46%.38, 63.75-66.8%, and 83.69-90.79% and at 0-2.53%, 4.7-15.21%, 18.15-54.65%, and 55.81-99.95% of the gait cycle, respectively, with p values < .05.Conclusions: The low-frequency band constitutes the best indicator to assess fatigue in gait.
Keywords: Electromyography; gait; muscular fatigue; rectus femoris; wavelet transform.