Quadriceps Torque,Peak Variability and Strength Endurance in Patients after Anterior Cruciate Ligament Reconstruction: Impact of Local Muscle Fatigue

Abstract

We tested if ACL-reconstructed participants show a decreased quadriceps torque, a lower muscle endurance capacity and a higher peak torque variability compared to unimpaired control participants prior to and following local muscle fatigue. Participants (n?=?19, 10 women; 25?±?5yrs.) with unilateral hamstrings autograft ACL-reconstruction and a matched unimpaired control group were recruited. Participants performed two maximal isometric voluntary force (MIVF) contractions of the knee extensors. In between, standardized local muscle fatigue was induced. ACL-reconstructed knees display a lower peak torque of the knee extensors in comparison to the contralateral limb (3.2?±?.3Nm/kg vs. 3.5?±?.3 Nm/kg). Peak torque variability and fatigue resistance were not affected by local muscle fatigue (p > .05). Participants with ACL-reconstructed knees show a persistent quadriceps muscle dysfunction. This dysfunction and lower limb side asymmetries might be risk factors for ACL re-ruptures.     

Force and Directional Force Modulation Effects on Accuracy and Variability in Low-Level Pinch Force Tracking

The authors investigated how varying the required low-level forces and the direction of force change affect accuracy and variability of force production in a cyclic isometric pinch force tracking task. Eighteen healthy right-handed adult volunteers performed the tracking task over 3 different force ranges. Root mean square error and coefficient of variation were higher at lower force levels and during minimum reversals compared with maximum reversals. Overall, the thumb showed greater root mean square error and coefficient of variation scores than did the index finger during maximum reversals, but not during minimum reversals. The observed impaired performance during minimum reversals might originate from history-dependent mechanisms of force production and highly coupled 2-digit performance.     

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.     

Coordination of Grip Configurations as a Function of Force Output

In this investigation, the authors examined the coordination and control of force production by the digits of the hand as a function of criterion force level and grip configuration. Each adult participant (N = 6: 3 men and 3 women) was required to place the thumb and a finger (or fingers) upon load cells that were fixed to a grasping apparatus that was clamped to a table. In the task, participants had to match a criterion continuous constant total force level displayed on a computer screen. There were 10 trials at each grip configuration and criterion force level combination on each of 3 consecutive days. The results showed that (a) different grip configurations minimized error at each force level; (b) there was a specific digit pairing within a given grip configuration that produced the highest correlation of force output; (c) the correlation between the force output of digits generally increased at higher force levels; (d) error was reduced at each force level and grip configuration over the practice period; and (e) the organization of the force output of each digit varied as a function of digit, force level, grip configuration, and practice. The findings are consistent with the hypothesis that coordination of the digits in prehension is reflective of an adaptive, task-specific solution that is modified with practice.     

Directional Variability of the Isometric Force Vector Produced by the Human Hand in Multijoint Planar Tasks

Numerous studies have examined control of force magnitude, but relatively little research has considered force direction control. The subjects applied isometric forces to a handle and the authors compared within-trial variability when force is produced in different directions. The standard deviation of the force parallel to the prescribed direction of force production increased linearly with the targeted force level, as did the standard deviation of the force perpendicular to the instructed direction. In contrast, the standard deviation of the angle of force production decreased with increased force level. In the 4 (of 8) instructed force directions where the endpoint force was generated due to a joint torque in only 1 joint (either the shoulder or elbow) the principal component axes in force space were well aligned with the prescribed direction of force production. In the other directions, the variance was approximately equal along the 2 force axes. The variance explained by the first principal component was significantly larger in torque space compared to the force space, and mostly corresponded to positive correlation between the joint torques. Such coordinated changes suggest that the torque variability was mainly due to the variability of the common drive to the muscles serving 2 joints, although this statement needs to be supported by direct studies of muscle activation in the future.     

The Micro-Structure of Tapping Movements in Children

In order to investigate the development of movement speed in relation to movement organization, children of 5, 6, 7, 8 and 9 years of age and adults carried out a reciprocal tapping task, in which time pressure and distance were manipulated. The duration, velocity, acceleration and accuracy of the movements were compared between age groups. Age differences appeared mainly in the homing time, not in the duration of the distance covering movement phase. Accuracy and velocity of the distance covering movement phase differed with age. Time pressure affected the homing time, but not the duration of the distance covering phase. Distance manipulation affected mainly the velocity and duration of the distance covering movement phase and the homing time. In the discussion it is contended that age differences in homing time may be related to both the accuracy of the distance covering movement phase and the rate of information processing of the subject.     

An Examination of the Selection of Criterion Scores for the Study of Motor Learning and Retention

150 Ss were given 50 practice trials on the stabilometer over a period of 4 days (20 trials on Day 1 followed by a 1-day rest, 10 trials on Day 2, followed by a 7-day rest, 10 trials on Day 3 followed by a 14-day rest, and 10 trials on Day 4). A series of learning scores reflecting improvement in performance over the 4 days and retention scores reflecting loss of performance between days were obtained. The reliability of individual differences in these scores were calculated using the odd-even method and by progressively increasing the number of trials included in the measure of initial and final performance level. On the basis of the findings obtained it was concluded that using 4 – 6 trials in initial and final ability levels results in a difference (criterion) score which combines relatively high reliability with a relatively high estimate of the amount of change in performance.     

Variation of Isometric Response Force in the Rat

Hungry, unrestrained rats (N = 7) were rewarded for pressing a response beam in excess of 11 different force requirements. Changes in peak force production as a function of peak force requirement were examined by analyses of the first four moments of distributions of peak response forces: constant error, the within-subject standard deviation, skewness, and kurtosis. Results were similar to those previously obtained with human subjects: Constant error was positive at low and negative at high force requirements, the within-subject standard deviation increased as a negatively accelerating function of force requirement, and skewness and kurtosis were positive at low force requirements and decreased to negative values at the highest increments. Additional analyses of response kinetics indicated that rats, like humans, meet increasing force requirements by altering the rate of rise of force. The performance similarities suggest that common processes are engaged by the human and rat motor control systems to solve the problem of generating forces that are appropriate to the prevailing environmental constraints.     

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.