Age and gender moderate the effects of localized muscle fatigue on lower extremity joint torques used during quiet stance

This study examined the effects of localized muscle fatigue, age, and gender on lower extremity joint torques used during quiet stance. Thirty-two participants performed exercises designed to fatigue the ankle plantarflexors, knee extensors, torso extensors, or shoulder flexors. Body kinematics and ground reaction forces were obtained both before and after the exercises, and joint torques were derived via inverse dynamics. Single joint fatigue affected torque variability at all lower extremity joints, with similar changes for both age groups. Males and females exhibited increased ankle torque variability after different tasks, with males showing more variability after ankle fatigue and females after shoulder and lumbar fatigue. Correlations between peak torques and torque variability differed between males and females and between age groups in certain cases. The results of this study suggested that both age and gender moderate the effects of fatigue on postural control and should be considered when developing strategies to prevent occupational falls.     

Rate of Torque Development and Feedforward Control of the Hip and Knee Extensors: Gender Differences

The purpose of this study was to determine whether women demonstrate decreased rate of torque development (RTD) of the hip and knee extensors and altered onset timing of the vastus lateralis and gluteus maximus during a drop-jump task when compared with men. On average, women demonstrated significantly lower normalized RTD of the hip extensors (women: 11.6 ± 1.3 MVT.s^?1, men: 13.1 ± 0.9 MVT.s^?1; p ≤ .01); however, there was no significant difference in knee extensor RTD. Women also demonstrated significantly earlier activation of their vastus lateralis (women: 206.0 ± 130.6 ms, men: 80.9 ± 69.6 ms; p ≤ .01) and gluteus maximus (women: 85.7 ± 58.6 ms, men: 54.5 ± 35.4 ms; p = .02). In both men and women, there was a significant negative correlation between the hip extensor RTD and the vastus lateralis electromyographic onset time (men: r = –.386, p = .046; women: r = –.531, p = .008). The study findings suggest that women may utilize a feedforward control strategy in which they activate their knee extensors earlier than men to compensate for deficits in hip extensor RTD. The impaired capacity to rapidly stabilize the hip and knee joints during dynamic maneuvers may contribute to the increased risk of anterior cruciate ligament injury observed in women.     

Comparing the torque- and power-velocity relationships between children and adolescents during isokinetic leg extension muscle actions

The purpose of this study was to use polynomial regression analyses to examine the torque- and power-velocity relationships and calculate and compare the vertices of these nonlinear models, and how they relate to measurements of muscle size and maximal strength, between male and female children and adolescents during maximal isokinetic leg extension muscle actions. Sixteen children (n = 8 males, n = 8 females) and 22 adolescents (n = 11 males, n = 11 females) participated in this study. Measurements of growth included age, maturity offset, height, body mass, fat-free mass, and quadriceps femoris muscle cross-sectional area (CSA). Participants completed maximal voluntary isometric contractions (MVICs) of the leg extensors and maximal voluntary isokinetic leg extensions at 60, 120, 180, 240, and 300°·s⁻¹. Variables calculated during all leg extension muscle actions included peak torque (PT, Nm) and mean power (MP, W). Polynomial regression analyses determined the model of best fit for the PT- and MP-velocity relationships. For each participant, the vertex from the PT- and MP-velocity quadratic models were quantified as the predicted maximum velocity of last measurable torque (V_PT) and the predicted velocity of maximum mean power (V_MP), respectively. Measurements of growth, PT and MP at all velocities, V_PT, and V_MP were greater in the adolescents than children. When normalized to CSA, V_PT and V_MP remained greater for adolescents than children, and exhibited low to very high relationships with measurements of growth. When normalized to MVIC strength, V_PT and V_MP were no longer different between children and adolescents and exhibited negligible to low relationships with measurements of growth. The results of the present study suggest that the ability to produce torque and power at high velocities may be more dependent on muscle strength than muscle size, which suggests that mechanisms other than muscular hypertrophy affect torque and power production at high velocities in young males and females.     

The Effect of Knee Joint Angle on Torque Control

The purpose of the author's investigation was to examine the effect of knee joint angle on torque control of the quadriceps muscle group. In all, 12 healthy adults produced maximal voluntary contractions and submaximal torque (15, 30, and 45% MVC [maximal voluntary contraction]) at leg flexion angles of 15°, 30°, 60°, and 90° below the horizontal plane. As expected, MVC values changed with respect to joint angle with maximum torque output being greatest at 60° and least at 15°. During the submaximal tasks, participants appropriately scaled their torque output to the required targets. Absolute variability (i.e., standard deviation) of torque output was greatest at 60° and 90° knee flexion. However, relative variability as indexed by coefficient of variation (CV) decreased as joint angle increased, with the greatest CV occurring at 15°. These results are congruent with the hypothesis that joint angle influences the control of torque.     

Relationship Between Balance Recovery From a Forward Fall and Lower-Limb Rate of Torque Development

Abstract

The authors examined the relationship between the maximum recoverable lean angle via the tether-release method with early- or late-phase rate of torque development (RTD) and maximum torque of lower-limb muscle groups in 56 young healthy adults. Maximal isometric torque and RTD at the hip, knee, and ankle were recorded. The RTD at 50-ms intervals up to 250?ms from force onset was calculated. The results of a stepwise multiple regression analysis, early RTD for hip flexion, and knee flexion were chosen as predictive variables for the maximum recoverable lean angle. The present study suggests that some of the early RTD in the lower limb muscles, but not the maximum isometric torque, can predict the maximum recoverable lean angle.     

The Effects of Task Type on Time to Task Failure During Fatigue: A Modified Sørensen Test

Understanding mechanisms of fatigue of the trunk extensors is important because fatigue is a major factor in predicting incidence of low back pain, but few studies have examined trunk extensor fatigue muscles using differing load types and measured the amplitude and frequency domain of the electromyographic signal to explain these differences. Sixteen healthy participants performed position- and force-matching fatigue tasks in a modified Sørensen test position. Time to task failure was significantly longer during the position-matching task compared to force-matching task (58.3 ± 6.6 min vs. 36.1 ± 5.4 min). This finding is the opposite of that commonly reported for the appendicular muscle, but the mean power frequency shifts and muscle activation patterns of the trunk and hip extensors did not explain this difference. The mean power frequency shifts and muscle activation patterns of the trunk and hip extensors did not explain this difference. The greater time to task failure during the position-matching task may reflect adaptation of the trunk extensor muscles to optimize maintaining specific joint angles more so than specific loads.     

Muscle Strength Training Alters Muscle Activation of the Lower Extremity during Side-Step Cutting in Females

Abstract

The objective of this study was to examine the effects of muscle strength training on knee kinematics/kinetics and muscle activation patterns during anticipated side-step cutting. Three-dimensional knee kinematics/kinetics data and muscle activation of selected lower extremity muscles were measured while performing cutting before and after completing 10-week circuit strength training mixed typical resistance training and power training (intervention) or no training (control) from 25 female subjects. The muscle strength of quadriceps and hamstrings were measured before and after training using isokinetic dynamometer. No statistically significant differences were observed in quadriceps and hamstrings muscle strength, all kinematic/kinetic variables, and muscle activation for the control group. Both quadriceps (p?=?0.005) and hamstrings (p?=?0.030) muscle strength were increased after training. An increased biceps femoris (p?=?0.003) and H:Q ratio of activation (p?=?0.016), as well as decreased gastrocnemius muscle activation (p?=?0.012) during pre-activation phase in intervention group were found. No significant differences were found in knee kinematics and kinetics both at the time frame of the initial contact and the peak tibial anterior shear force after training. In conclusion, muscle strength training altered some muscle activations of lower extremity muscles, which might affect the risk of ACL injury, but it did not change the kinematic/kinetic parameters.     

Effect of knee extensors muscles fatigue on bilateral force accuracy,variability, and coordination

The aim of this study was to test the effect of fatigue of the knee extensors muscles on bilateral force control accuracy, variability, and coordination in the presence and absence of visual feedback. Twenty-two young physically active subjects (18 males, 4 females) were divided into two groups and performed 210 submaximal sustained bilateral isometric contractions of knee extensors muscles with and without visual feedback. One group performed a symmetrical task—both legs were set at identical positions (60° knee flexion)—while the other group performed an asymmetrical task (60° and 30° knee flexion). We used the framework of the uncontrolled manifold hypothesis to quantify two variance components: one of them did not change total force (V_UCM), while the other did (V_ORT). Performance of bilateral isometric contractions reduced voluntary and electrically induced force without changes in bilateral force control variability and accuracy. Bilateral force production stability and accuracy were higher in both tasks with visual feedback. Synergistic (anti-phase) structure of force control between the lower limbs occurred and the values of synergy index were higher only during the performance of the asymmetrical task with visual feedback. In addition, greater bilateral force control accuracy was observed during the performance of the asymmetrical task (with and without visual feedback), despite no differences in within-trial variability of both tasks.     

Investigating the Constrained Action Hypothesis: A Movement Coordination and Coordination Variability Approach

The purpose of this study was to examine the effects of focus of attention cues on movement coordination and coordination variability in the lower extremity. Twenty participants performed the standing long jump under both internal and external focus of attention conditions. A modified vector coding technique was used to evaluate the influence of attentional focus cues on lower extremity coordination patterns and coordination variability during the jumps. Participants jumped significantly further under an external focus of attention condition compared with an internal focus of attention condition (p = .035, effect size = .29). Focus of attention also influenced coordination between the ankle and knee, F(6, 19) = 2.87, p = .012, effect size = .388, with participants primarily using their knees under the internal focus of attention, and using both their ankles and knees under the external focus of attention. Attentional focus cues did not influence ankle-knee, F(1, 19) = 0.02, p = .98, effect size = .02, or hip-knee, F(1, 19) = 5.00, p = .49, effect size = .16, coordination variability. Results suggest that while attentional focus may not directly influence movement coordination condition, there is still a change in movement strategy resulting in greater jump distances following an external focus of attention.     

Soccer players' muscular imbalances: restoration with an isokinetic strength training program

The aim of the study was to investigate the effect of a muscular training program on soccer players' performance which initially appeared imbalanced or bilaterally asymmetrical. During the preparation period, 35 soccer players performed an isokinetic measurement of knee flexors and extensors (60 degrees(-1) and 180 degrees sec.(-1)). 15 of these had muscular imbalances or deficits and followed a specific isokinetic training program for 2 mo., 3 times per week. After the completion of the isokinetic training program, the 35 players underwent the same isokinetic test. Significant differences were noted between the pre- and posttraining measures at both angular velocities in peak torque values, in differences from one limb to the other, and in peak torque ratios for flexors and extensors. Consequently, the application of this specific isokinetic training program can restore imbalances in knee muscle strength efficiently.     

Whole Body Coordination and Knee Movement Control During Five Rehabilitation Exercises

Knee rehabilitation exercises to improve motor control, target movement fluency, and displacement variability. Although knee movement in the frontal plane during exercise is routinely assessed in clinical practice, optimal knee control remains poorly understood. In this study, 29 healthy participants (height: 1.73 ± 0.11 m, mass: 73.5 ± 16.4 kg, age: 28.0 ± 6.9 years) performed 4 repetitions of 5 rehabilitation exercises while motion data were collected using the VICON PlugInGait full-body marker set. Fluency and displacement variability were calculated for multiple landmarks, including center of mass (CoM) and knee joint centers. Fluency was calculated as the inverse of the average number of times a landmark velocity in the frontal plane crossed zero. Variability was defined as the standard deviation of the frontal plane movement trajectories. CoM fluency and displacement variability were significantly different between tasks (p < .001). CoM displacement variability was consistently smallest compared to the constituent landmarks (p < .005). This was interpreted as a whole body strategy of compensatory variability constraining CoM frontal plane movement. Ipsilateral knee fluency (p < .01) and displacement variability (p < .001) differed substantially between tasks. The role of the weight-bearing knee seemed dependent on task constraints of the overall movement and balance, as well as constraints specific for knee joint stability.     

Corticomotor excitability of gluteus maximus and hip extensor strength: The influence of sex

PurposeTo compare hip extensor strength and corticomotor excitability (CME) of gluteus maximus (GM) between males and females. A secondary purpose was to determine if CME of GM is predictive of hip extensor strength.MethodThirty-two healthy individuals participated (15 males and 17 females). CME of GM was assessed using the input-output curve (IOC) procedure acquired from transcranial magnetic stimulation (average slope). Hip extensor strength was measured by a dynamometer during a maximal voluntary isometric contraction. Independent t-tests were used to compare CME of GM and peak hip extensor torque between males and females. Linear regression analysis was used to determine whether peak hip extensor torque was predicted by CME of GM.ResultCompared to males, females demonstrate lower peak hip extensor torque (4.42 ± 1.11 vs. 6.15 ± 1.72 Nm/kg/m2, p < 0.01) and lower CME of GM (1.36 ± 1.07 vs. 2.67 ± 1.30, p < 0.01). CME of GM was a significant predictor of peak hip extensor torque for males and females combined (r² = 0.36, p < 0.001).ConclusionOur findings support the premise that corticomotor excitability plays a role in the ability of a muscle to generate torque.     

Changes in Muscle Activity in Response to Assistive Force during Isometric Elbow Flexion

Abstract

This study investigated the muscle activity and force variability in response to perturbation of assistive force during isometric elbow flexion. Sixteen healthy right-handed young men (age: 22.0?±?1.1?years; height: 171.9?±?4.8?cm; weight 68.4?±?11.2?kg) were recruited and the muscle activity of biceps brachii and triceps brachii were assessed using surface electromyography. Workload force and assistive force applied on isometric elbow flexion significantly affected the changes in both biceps and triceps muscle activities. A higher assistive force was shown to result in reduced biceps muscle activity compared to the unassisted period. In contrast, the efficiency of the assistive force acting on the biceps decreased as the assistive force increased. In general, the force variability of the biceps muscle remained approximately the same at lower workload force conditions than that at higher workload force conditions. In conclusion, higher assistive force may not yield a higher performance efficiency in human-assistive force interaction.     

Muscle Damaging Exercise Affects Isometric Force Fluctuation as well as Intraindividual Variability of Cognitive Function

Healthy untrained men (N = 11) were asked to perform 10 series of 12 repetitions of knee eccentric extension (EE) at 160° per second. Quadriceps muscle torques evoked by electrical stimulation at 20 Hz (P20) and 100 Hz (P100), maximal voluntary isometric contraction torque (MVC), maximal isokinetic concentric torque (IT) at 30° per second, voluntary activation index (VA), simple reaction time (RTs), complex reaction time (RTc), and torque variability at 30% of MVC were measured before EE, immediately after EE, and 60 min and 24 hr after EE. MVC, IT, P20, P100, and VA decreased significantly after EE and remained depressed 24 hr later. Torque variability increased significantly after EE. Average RTs and RTc did not change after EE, whereas intraindividual variability in RTs and RTc increased significantly after EE.     

Relationship Between Muscle Fiber Type and Reactive Balance: A Preliminary Study

The authors’ objective was to quantify the relationship between type II muscle fiber composition and recovery latency from controlled perturbations. Thirty healthy adults performed a Thorstensson test to indirectly determine muscle fiber composition of the knee extensors. On a subsequent day, reactive balance was measured by assessing latency time required to accommodate three controlled perturbations via computerized dynamic posturography. The proportion of type II fibers had a negative correlation with latency caused by a large backward perturbation (r = –.62, p = .001). These data may indicate a higher percentage of type II fibers in the knee extensors are associated with better reactive balance. Further investigation is warranted, in particular as it pertains to populations at risk for balance impairment.     

Maximum isokinetic familiarization of the knee: Implication on bilateral assessment

PurposeFamiliarization is necessary for an accurate strength assessment as it reduces confounding factors such as learning and training effects. However, the number of contractions required for familiarization and whether cross-limb transfer during familiarization could affect bilateral assessment are unknown. This study aimed at identifying the number of maximum contractions required for isokinetic knee extension and flexion familiarization in both dominant (D) and non-dominant limb (ND).MethodsTwenty-eight right-limb dominant males (age: 22.64 ± 2.60 years, BMI: 23.82 ± 2.85 kg/m²) performed a total of 6 sets (each consisted of 5 continuous maximum contractions) at 60^o/s for each limb.ResultsThe number of sets required for familiarization is determined when the average peak torque achieved stabilization from the series of contractions of each limb. For knee extension, 3 sets (15 contractions) were required for familiarization, whereas 2 sets (10 contractions) for knee flexion in both limbs. Interestingly, for knee extension in ND, the number of sets required for familiarization was reduced to 2 following contralateral contractions in D, however, for knee extension in D, there was no difference in the number of sets required for familiarization following contralateral contractions in ND. While for knee flexion, no cross-limb transfer was observed. These observations suggest the presence of cross-limb transfer from D to ND during familiarization which implies the involvement of the central nervous system.ConclusionsPractically, familiarization for bilateral isokinetic strength assessment for knee extension and flexion at 60^o/s should begin with the dominant limb for 3 sets to obtain accurate and reliable measurements.     

Stance time variability during stair stepping before and after total knee arthroplasty: A pilot study

The main objectives of this pilot study were to: (1) investigate stance time variability (STV) during stair stepping in older adults with osteoarthritis (OA) before and after total knee arthroplasty (TKA), and compare to an age- and sex-matched group of healthy controls with native knees and (2) evaluate the relationship between quadriceps strength and STV during stair stepping before and after TKA. A prospective, observational, pilot study was carried out on 13 individuals (15% male, mean age 62.71 ± 6.84 years) before and after TKA using an instrumented stairway, patient-reported outcomes, timed stair stepping test, and quadriceps strength measures. At 6-months post-operatively, STV during stair descent was significantly greater in the TKA-GROUP compared to the CONTROL-GROUP, but was not significantly different at 12-months compared to controls. There were no significant differences in STV for stair ascent between the pre- and post-operative visits, or compared to controls. There was a trend toward significance for the relationship between quadriceps strength and STV during stair ascent (P = 0.059) and descent (P = 0.073). Variability during stair stepping may provide an important, short-term rehabilitation target for individuals following TKA and may represent another parameter to predict declines in functional mobility.     

The influence of a long term exercise program on lower limb movement variability and walking performance in patients with peripheral arterial disease

The purpose of this study was to examine the effects of a 12 month exercise program on lower limb movement variability in patients with peripheral arterial disease (PAD). Participants (n = 21) with an appropriate history of PAD and intermittent claudication (IC) volunteered for this study and were randomly allocated to either a control group (CPAD–IC) (n = 11), which received normal medical therapy and a treatment group (TPAD–IC) (n = 10), which received normal medical therapy treatment and a 12 month supervised exercise program. All participants underwent 2D joint angular kinematic analysis during normal walking to assess lower limb movement variability and walking speed. Between-group differences were analyzed via mixed measures ANOVA. The 12 month supervised exercise program made no significant impact on the lower limb movement variability or walking speed of the TPAD–IC group as determined by either intralimb joint coordination or single joint analysis techniques. Long term supervised exercise programs do not appear to influence the lower limb movement variability of PAD–IC patients.     

Force Control Is Greater in the Upper Compared With the Lower Extremity

The authors investigated whether force control is similar between the upper and lower limbs and between contractions that involve 1 or 2 joints. Six volunteers (27.5 ± 11.2 years of age) attempted to produce consistent discrete rapid force responses of 30, 60, and 90 N by using 6 different body postures, 3 with the upper and 3 with the lower limb. One of the postures for each limb involved 2 joints. The standard deviation of peak force and impulse (aggregate of the force-time curve) was significantly greater (?25%) for the lower limb than for the upper limb (p < .01). Contractions that involved 1 or 2 joints within a limb had similar variability. Therefore, the upper limb might have better control of force than the lower limb because of its extensive use in fine motor tasks in daily activities.     

Bipedal Hopping Reveals Evidence of Advanced Neuromuscular Aging Among People With Mild Multiple Sclerosis

Measures of walking such as the timed 25-ft walk test (T25FWT) may not be able to detect subtle impairment in lower limb function among people with multiple sclerosis (MS). We examined bipedal hopping to determine to what extent people with mild (Expanded Disease Severity Scale ≤ 3.5) MS (n = 13) would differ compared to age-, gender-, and education-matched controls (n = 9) and elderly participants (n = 13; ≥ 70 years old). We estimated lower limb power (e.g., hop length, velocity), consistency (e.g., variability of hop length, time), and symmetry (ratio of left to right foot). Participants completed the T25FWT and, after a rest, they then hopped using both feet 4 times along the walkway. We found that although all groups scored below the 6 -s cutoff for T25FWT, the elderly group had significantly shorter hop lengths, more variability, and more asymmetry than the controls. The results of the MS group were not significantly different from the elderly or controls in most measures and most of their values fell between the control and elderly groups. Hop length, but not measures of walking predicted Expanded Disease Severity Scale score (R² = .38, p = .02). Bipedal hopping is a potentially useful measure of lower limb neuromuscular performance.