EMG-Based Muscle Synergy Analysis: Leg Dominance Effects During One-Leg Stance on Stable and Unstable Surfaces

Leg dominance has been linked to an increased risk of lower-limb injuries in sports. This study examined bilateral asymmetry in muscle synergy patterns during one-leg stance on stable and multiaxial unstable surfaces. Twenty-five active young adults (25.6 ± 3.9 years) performed unipedal stance tasks on their dominant and non-dominant legs while surface electromyography (EMG) was recorded from seven lower-limb muscles per leg. Muscle synergies were extracted using non-negative matrix factorization (NMF), and structural similarity was assessed via cosine similarity with the Hungarian matching algorithm. Four consistent synergies were identified under both surface conditions, accounting for 88% of the total variance. On the stable surface, significant asymmetry in muscle weightings was observed in the rectus femoris (p = 0.030) for Synergy 1 and in the rectus femoris (p = 0.042), tibialis anterior (p = 0.024), peroneus longus (p = 0.023), and soleus (p = 0.006) for Synergy 2. On the unstable surface, asymmetry was evident in the biceps femoris (p = 0.048) for Synergy 2 and the rectus femoris (p = 0.045) for Synergy 3. Overall, dominance-related asymmetry was more pronounced under stable conditions and became more subtle as postural demand increased, revealing bilateral asymmetry in neuromuscular coordination during unipedal stance.