Submaximal Concentric Contractions Research Articles

The influence of maximal and submaximal cyclic concentric and eccentric exercise on chondrocyte death and synovial fluid proteins in the rabbit knee

BackgroundMechanical stimulation of joints regulates the biosynthetic activity of chondrocytes. It has been argued that excessive loading might cause chondrocyte death, leading to degeneration of cartilage and cause osteoarthritis. The aims of this study were to apply a high, short-term loading, and a low intensity, long-term loading protocol to intact joints in life animals and determine changes in synovial fluid and the percentage of dead cells in rabbit knee cartilage. MethodNine rabbits were subjected to unilateral exercise loading consisting of five sets of 10 maximal eccentric knee contractions. Another 6 rabbits were subjected to submaximal concentric contractions for 30 min at 20% of the maximum isometric knee extensor force. Contralateral joints served as unloaded controls. Cell viability was assessed using confocal microscopy. Synovial fluid was analyzed for total protein concentration and total number of identifiable proteins and was compared to protein content of control rabbits (n = 4). FindingsNeither the high-intensity, short-term nor the low-intensity, long-term loading protocol caused increased chondrocyte death compared to the unloaded control joints. Total synovial fluid protein concentration was the same before and after exercise. Following the high-intensity exercise protocol, the number of identifiable proteins was decreased, while following the low-intensity exercise protocol, the number of identifiable proteins was increased compared to control. InterpretationChondrocytes are well protected in the intact joint and withstood maximal eccentric muscular loading, and maximal endurance loading. Synovial fluid protein content was changed after exercise, and these changes depended crucially on the type of loading.

Dry needling equilibration theory: A mechanistic explanation for enhancing sensorimotor function in individuals with chronic ankle instability

ABSTRACT Patients with chronic ankle instability (CAI) experience a dynamic interplay between impaired mechanical structures and sensorimotor deficiencies that contribute to recurrent sprains and sensations of instability. Concomitantly, muscular trigger points (MTrPs) are known to occur following trauma, maximal or submaximal concentric contractions, and unaccustomed eccentric loads. Additionally, MTrPs are theorized to be exacerbated in low-load and repetitive strain activities. MTrPs located within a muscle are associated with altered motor control, reaction delay, and decreased strength, deficits also found among those with CAI. Dry needling (DN) is reported to improve muscle range of motion, motor control, and pain in a myriad of neuromusculoskeletal conditions by decreasing spontaneous electrical activity and stiffness of taut muscle bands while improving filament overlap. Building on evidence supporting neuromechanical decoupling in chronic ligamentous injury with what is known about the development of MTrPs, this paper proposes a centrally mediated mechanism for improved sensorimotor function following DN for individuals with CAI. Dry needling equilibration theory (DNET) states that proprioception is improved following DN in the lower extremity by changing the muscle’s length–tension relationship and leveraging minor acute discomfort to improve muscle spindle afferent information via the gamma motor system. The application of DNET for individuals with CAI may provide a mechanistic explanation for improved descending cortical output, resulting in enhanced sensorimotor function.

Effect of warm-up exercise on delayed-onset muscle soreness

In this study, we wished to determine whether a warm-up exercise consisting of 100 submaximal concentric contractions would attenuate delayed-onset muscle soreness and decreases in muscle strength associated with eccentric exercise-induced muscle damage. Ten male students performed two bouts of an elbow flexor exercise consisting of 12 maximal eccentric contractions with a warm-up exercise for one arm (warm-up) and without warm-up for the other arm (control) in a randomized, counterbalanced order separated by 4 weeks. Muscle temperature of the biceps brachii prior to the exercise was compared between the arms, and muscle activity of the biceps brachii during the exercise was assessed by surface integral electromyogram (iEMG). Changes in visual analogue scale for muscle soreness and maximal voluntary isometric contraction strength (MVC) of the elbow flexors were assessed before, immediately after, and every 24 h for 5 days following exercise, and compared between the warm-up and control conditions by a two-way repeated-measures analysis of variance. The pre-exercise biceps brachii muscle temperature was significantly (P<0.01) higher for the warm-up (35.8±0.2°C) than the control condition (34.4±0.2°C), but no significant differences in iEMG and torque produced during exercise were evident between conditions. Changes in muscle soreness and MVC were not significantly different between conditions, although these variables showed significant (P<0.05) changes over time. It was concluded that the warm-up exercise was not effective in mitigating delayed-onset muscle soreness and loss of muscle strength following maximal eccentric exercise.

Myofascial Trigger Points: An Evidence-Informed Review

This article provides a best evidence-informed review of the current scientific understanding of myofascial trigger points with regard to their etiology, pathophysiology, and clinical implications. Evidence-informed manual therapy integrates the best available scientific evidence with individual clinicians' judgments, expertise, and clinical decision-making. After abrief historical review, the clinical aspects of myofascial trigger points, the interrater reliability for identifying myofascial trigger points, and several characteristic features are discussed, including the taut band, local twitch response, and referred pain patterns. The etiology of myofascial trigger points is discussed with a detailed and comprehensive review of the most common mechanisms, including low-level muscle contractions, uneven intramuscular pressure distribution, direct trauma, unaccustomed eccentric contractions, eccentric contractions in unconditioned muscle, and maximal or sub-maximal concentric contractions. Many current scientific studies are included and provide support for considering myofascial trigger points in the clinical decision-making process. The article concludes with a summary of frequently encountered precipitating and perpetuating mechanical, nutritional, metabolic, and psychological factors relevant for physical therapy practice. Current scientific evidence strongly supports that awareness and working knowledge of muscle dysfunction and in particular myofascial trigger points should be incorporated into manual physical therapy practice consistent with the guidelines for clinical practice developed by the International Federation of Orthopaedic Manipulative Therapists. While there are still many unanswered questions in explaining the etiology of myofascial trigger points, this article provides manual therapists with an up-to-date evidence-informed review of the current scientific knowledge.

An Electromyographic Analysis of Elbow Flexors during Sub-maximal Concentric Contractions

Abstract The electrical activity of five muscles: pronator teres, extensor carpi radialis longus, biceps brachii, brachioradialis, and brachialis was analyzed during concentric contractions at the elbow joint at varying positions, resistances, and velocities to determine which of these muscles was active during the prescribed actions. Normalized electromyography was statistically compared for each muscle during full range of motion flexions of 1 s and 4 s duration against resistances correlated to 5% and 20% of each subject's maximum isometric capability. Data analysis showed consistent patterns of electrical activity for all of the muscles. It was concluded that concentric elbow flexion involves the action of five muscles during 1 s or 4 s flexions even when resistance is slightly greater than that provided by the forearm segment itself.