Voluntary Isometric Contraction Force Research Articles

A phenomenological model of the time course of maximal voluntary isometric contraction force for optimization of complex loading schemes.

The time course of maximal voluntary isometric contraction (MVIC) force is of particular interest whenever force capacities are a limiting factor, e.g., during heavy manual work or resistance training (RT) sessions. The objective of this work was to develop a mathematical model of this time course that is suitable for optimization of complex loading schemes. We compiled a literature overview of existing models and justified the need for a new model. We then constructed a phenomenological ordinary differential equation model to describe the time course of MVIC force during voluntary isometric contractions and at rest. We validated the model with a comprehensive set of published data from the elbow flexors. For this, we estimated parameters from a subset of the available data and used those estimates to predict the remaining data. Afterwards, we illustrated the benefits of our model using the calibrated model to (1) analyze fatigue and recovery patterns observed in the literature (2) compute a work-rest schedule that minimizes fatigue (3) determine an isometric RT session that maximizes training volume. We demonstrated that our model (1) is able to describe MVIC force under complex loading schemes (2) can be used to analyze fatigue and recovery patterns observed in the literature (3) can be used to optimize complex loading schemes. We developed a mathematical model of the time course of MVIC force that can be efficiently employed to optimize complex loading schemes. This enables an optimal use of MVIC force capacities.

Active versus local vibration warm-up effects on knee extensors stiffness and neuromuscular performance of healthy young males

ObjectivesTo compare the effects of local-vibration and active warm-up on knee extensors muscle stiffness and neuromuscular performance. DesignExperimental crossover study. MethodsThirteen participants performed three 15-min warm-up protocols of control (CON), active (ACT) and local-vibration (LV) in separate testing session. Passive stiffness of vastus lateralis (VL) and vastus medialis (VM) by shear wave elastography and neuromuscular performance were assessed before and 2-min after each condition. ResultsA decrease in muscle stiffness was reported after ACT for VL (−16.0±6.6%; p<0.001) and VM (−10.2±8.7%; p=0.03) while no changes were reported after CON (p=0.46 and p=0.34 for VL and VM, respectively) and LV (p=0.07 and p=0.46 for VL and VM, respectively). Maximal jump performances increased during squat (+8.5±6.6%; p<0.001) and countermovement jump (+5.2±5.8%; p<0.001) after ACT while no changes were reported after CON and LV during squat (p=0.16 and p=0.81, respectively) and countermovement jump (p=0.18 and p=0.31, respectively). We further report that each condition was ineffective to inducing changes in maximal voluntary isometric contraction force (p=0.18), rate of force development (p=0.92), twitch parameters (p>0.05) as well as central modulations as reported by the unchanged voluntary activation level (p=0.24) and maximal electromyography (EMG) recorded from the VL (p=0.44). ConclusionsThe active warm-up acutely reduced muscle stiffness and increased muscle performance during maximal dynamic tasks. With regard to LV, further studies are required to determine optimal parameters (frequency, amplitude, duration) to significantly increase muscle performance.

Trunk Muscle Fatigue and Activation are Associated with Drop Jump Performance

Although the importance of core muscles on human motions has been recognized, little is known about the effect of trunk muscle fatigue and activation on drop jump (DJ) performance. PURPOSE: To examine how trunk muscle fatigue and activation relate to DJ performance. METHODS: The study included 7 healthy, well-trained males (age 20.8±1.4 years, height 168.4±5.7 cm, weight 67.1±8.0 kg). Subjects held vertical trunk position against a wire with one end attached to the posterior thorax, pulling the trunk posteriorly, with the other end attached to a weight corresponding to 25% of maximal voluntary isometric contraction force. Before and after this fatiguing task, maximum voluntary isometric trunk flexor contraction force (MVIC), and double- and single-leg DJ height (DJH), contact time (CT), and DJ index (DJI; DJH/CT) were measured. Surface electromyography was recorded from the dominant side of the anterior and posterior trunk musculature during DJs. Mean differences before and after the fatiguing task were examined using paired-sample t-tests. Simple linear regression analyses tested the relation of relative changes before and after the fatiguing task in the jump performance index and trunk muscle activation during preactivation, braking, and push off phase of each DJ. RESULTS: After the fatiguing task, MVIC was significantly decreased to 68.8±11.5% (p<0.01). DJI (Pre vs. Post fatigue for double- and single-leg DJ: 1.18±0.31 vs. 0.94±0.36, 0.52±0.13 vs. 0.41±0.15) and DJH (Pre vs. Post fatigue for double- and single-leg DJ: 22.12±5.09 cm vs. 20.01±5.24 cm, 13.21±3.04 cm vs. 11.07±3.64 cm) were significantly decreased (p<0.01), and CT (0.19±0.02 s vs. 0.22±0.03 s) was significantly extended (p<0.01). Regression analyses revealed that greater ensemble trunk muscle preactivation reduction rate was associated with CT lengthening rate in double-leg DJ (R2=0.582, B=-0.257, p=0.046), and DJI reductions rate in single-leg DJ (R2=0.910, B=0.309, p=0.001) and that greater rectus abdominus (R2=0.779, B=0.138, p=0.008) and external oblique activations reduction rate during breaking phase (R2=0.703, B=0.276, p=0.018) were associated with greater DJI reduction rate. CONCLUSIONS: Trunk muscle fatigue and decreased trunk flexor muscle activation during DJ have negative effects on both double- and single-leg DJ.

Women show similar central and peripheral fatigue to men after half-marathon

Women are known to be less fatigable than men in single-joint exercises, but fatigue induced by running has not been well understood. Here we investigated sex differences in central and peripheral fatigue and in rate of force development (RFD) in the knee extensors after a half-marathon run. Ten male and eight female amateur runners (aged 25–50 years) were evaluated before and immediately after a half-marathon race. Knee extensors forces were obtained under voluntary and electrically evoked isometric contractions. Maximal voluntary isometric contraction (MVC) force and peak RFD were recorded. Electrically doublet stimuli were delivered during the MVC and at rest to calculate the level of voluntary activation and the resting doublet twitch. After the race, decreases in MVC force (males: −11%, effect size [ES] 0.52; females: −11% ES 0.33), voluntary activation (males: −6%, ES 0.87; females: −4%, ES 0.72), and resting doublet twitch (males: −6%, ES 0.34; females: −8%, ES 0.30) were found to be similar between males and females. The decrease in peak RFD was found to be similar between males and females (males: −14%, ES 0.43; females: −15%, ES 0.14). Half-marathon run induced both central and peripheral fatigue, without any difference between men and women. The maximal and explosive strength loss was found similar between sexes. Together, these findings do not support the need of sex-specific training interventions to increase the tolerance to neuromuscular fatigue in half-marathoners.

Kinesio Taping Improves Perceptions of Pain and Function of Patients With Knee Osteoarthritis: A Randomized, Controlled Trial

Context: Although increasingly used for therapeutic treatment, only limited evidence exists regarding the effects of kinesio taping on patients with knee osteoarthritis (OA). Objective: To determine the effects of kinesio taping on pain, function, gait, and neuromuscular control concerning patients with knee OA. Design: Randomized sham-controlled trial. Setting: University laboratory. Participants: A total of 141 patients (65.1 [7.0] y) with a clinical and radiographic diagnosis of knee OA. Intervention: Kinesio tape, sham tape, or no tape for 3 consecutive days. Main Outcome Measures: Self-reported pain, stiffness, and function were measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Further tests included the Balance Error Scoring System, 10-m walk test, the maximum voluntary isometric contraction force of the quadriceps femoris, and knee active range of motion. Results: At baseline, there were no differences in all outcomes between groups except for knee flexion. Significant effects were found for WOMAC pain (tape vs sham, P = .05; tape vs control, P = .047), stiffness (tape vs sham, P = .01; tape vs control, P ≤ .001), and physical function (tape vs sham, P = .03; tape vs control P = .004). No interactions were found for balance, muscle strength, walking speed, or active range of motion. Conclusion: Wearing kinesio tape for 3 consecutive days had beneficial effects regarding self-reported clinical outcomes of pain, joint stiffness, and function. This emphasizes that kinesio taping might be an adequate conservative treatment for the symptoms of knee OA.

Functional Capacity Of Gastrointestinal Cancer Patients - A Pre-therapy Comparison To Breast Cancer Patients And Healthy Women

PURPOSE: Many studies of cancer patients report that frailty, cachexia and decreased physical function during chemotherapy (CT) predict a higher mortality risk. Although a high prevalence of these symptoms in gastrointestinal (GI) cancer patients is known, there is almost no data on functional status and body composition in this population. The aim of the study is to asses and compare the pre-therapy motor performance of advanced GI cancer patients in contrast to breast cancer patients and healthy controls. METHODS: In a 3-arm cross-sectional study female patients with advanced cancer (UICC ≥ III) (GI: n=17; 70.1±3.1 yrs; BMI 23.6±5.3 kg/m2; breast: n=17; 66.9±2.3 yrs; BMI 23.6±3.8 kg/m2) before first-line CT and 17 healthy age-matched women (69.4±1.4 yrs; BMI 24.2±3.3 kg/m2) are examined. Body composition was obtained from bioelectrical impedance analysis. The amount of daily physical activity (steps; MVPA/min·wk-1) was calculated from accelerometer (Actigraph) readings. A capacitive force platform (Zebris) was used for gait speed recordings during free level walking. Maximal isometric voluntary contraction force (MIVF) of the quadriceps muscle was assessed by a strain gauge force transducer (ASYS). RESULTS: ANOVA with post-hoc test and Bonferroni correction show significant differences in outcome measures of GI cancer patients compared to breast cancer patients and healthy women. GI cancer patients show lower values in phase angle (4.5±0.8°; 5.4±0.4°; 5.3±0.5°; p<.01) and isometric strength (5.5±2.2; 9.1±3.3; 8.4±1.8 N/kg; p<.01). Steps per day (3125±2396; 8703±4104 stp, p<.001), moderate to vigorous activity (7.3±11.9; 36.9±28.5 MVPA/min·wk-1; p=.001) and gait speed (3.5±1.1; 4.9±0.6 km/h; p<.001) are decreased compared to healthy women. CONCLUSIONS: Patients with advanced GI cancers demonstrate sufficient deficits in functional status and motor performance before CT compared to advanced breast cancer patients and healthy women. Gait speed, phase angle and force are below cut-off values for low prognosis of survival and may reflect a diminished tolerance of CT. Measures to improve muscle status, physical function and its effects on treatment is warranted in patients with advanced GI cancers.

Hiking strap force decreases during sustained upwind sailing

The hypothesis, that sailing upwind in wind speeds above 12 knots causes fatigue, which manifests as a reduction in exerted hiking strap force and/or maximal isometric voluntary contraction force (MVC) of the knee extensors, was evaluated. Additionally, it was investigated if a relationship exists between maximal exerted hiking force (hMVC) and sailing performance. In part 1 of the study, 12 national level athletes sailed upwind for 2 × 10 min while hiking strap forces were continuously acquired. Before, in between and after sailing periods, the MVC of the knee extensors was measured. In part 2 of the study, hMVC was measured dry land in a hiking bench and correlated with the overall results at a national championship. Hiking strap force decreased from the first to the last minute in both 10 min sailing periods (430 ± 131 vs. 285 ± 130 N, P < .001 and 369 ± 74 vs. 267 ± 97 N, P < .001, respectively), but MVC was similar before, between and after the two 10 min sailing periods (878 ± 215 vs. 852 ± 202 vs. 844 ± 211 130 N). In part 2, a significant positive correlation (r2 = 0.619, P < .01) was observed between hMVC and regatta results. In conclusion, upwind sailing in wind speeds above 12 knots causes sailing-specific fatigue as evidenced by a marked reduction in exerted hiking strap force. However, MVC of the knee extensors was not compromised ∼45 s after hiking was terminated. Additionally, sailing performance is related to maximal hiking force.

Evidence of nonlocal muscle fatigue in male youth

Evidence for nonlocal muscle fatigue (NLMF) has been inconsistent in adults, with no studies investigating youth. The objective was to examine NLMF in youth. Forty-two young males (age, 10-13 years) were tested for maximal voluntary isometric contraction (MVIC) force of the ipsilateral and contralateral knee extensors at 90° and 120° knee flexion, elbow flexors at 90°, handgrip, knee extensor isokinetic torque (300°·s-1 analyzed at 90° and 120° knee flexion), as well as a unilateral countermovement jump (CMJ) and Y Balance test (YBT). Isokinetic fatigue group (n = 15) had unilateral fatigue induced with 10 sets of 20 repetitions of maximal isokinetic knee extensor contractions at 300°·s-1. Isometric fatigue group (n = 15) used 10 repetitions of 6-s knee extensor MVIC whereas the control group (n = 12) were not fatigued. There was no significant difference in the response to the isometric- or isokinetic-fatigue intervention protocols. Main time effects indicated that NLMF was evident with the contralateral knee extensor MVIC at 90° (p = 0.008; 8.9%), knee extensor isokinetic torque at 90° (p < 0.001; 11.4%), and 120° (p = 0.05; 5.4%), CMJ (p = 0.02; 11.5%), handgrip (p = 0.06; 4.5%), elbow flexors (p < 0.001; 7.7%), and YBT (p = 0.001; 5.6%). Ipsilateral NLMF deficits occurred with handgrip (p < 0.001; 7.3%), elbow flexors MVICs (p < 0.001; 10.7%), CMJ (p = 0.02; 12.2%), and YBT (p = 0.002; 3.8%). NLMF with similar relative fatigue-induced deficits of fatigued and nonfatigued limbs suggest that youth fatigue is highly dependent upon the extent of activation or inhibition of the nervous system. Coaches of young athletes might consider developing technical motor skills before fatiguing exercise components, which might hinder the proficiency of their performance.

Neuromuscular Fatigue and Physiological Responses After Five Dynamic Squat Exercise Protocols.

This aimed to analyze neuromuscular, physiological and perceptual responses to a single bout of 5 different dynamic squat exercise protocols. In a randomized and counterbalanced order, 15 male resistance-trained athletes (mean ± SD; age: 23.1 ± 1.9 years, body mass: 77.4 ± 8.0 kg) completed traditional multiple sets (MS: 4 × 6, 85% 1 repetition maximum [RM]), drop sets (DS: 1 × 6, 85% 1RM + 3 drop sets), eccentric overload (EO: 4 × 6, 70% 1RM concentric, 100% 1RM eccentric), flywheel YoYo squat (FW: 4 × 6, all-out), and a plyometric jump protocol (PJ: 4 × 15, all-out). Blood lactate (La), ratings of perceived exertion (RPE), counter movement jump height (CMJ), multiple rebound jump (MRJ) performance, maximal voluntary isometric contraction force, serum creatine kinase (CK) and delayed onset muscle soreness were measured. Immediately post exercise, La was significantly (p < 0.001) higher in FW (mean ± 95% confidence limit; 12.2 ± 0.9 mmol·L) and lower in PJ (3.0 ± 0.8 mmol·L) compared with MS (7.7 ± 1.5 mmol·L), DS (8.5 ± 0.6 mmol·L), and EO (8.2 ± 1.6 mmol·L), accompanied by similar RPE responses. Neuromuscular performance (CMJ, MRJ) significantly remained decreased (p < 0.001) from 0.5 to 48 hours post exercise in all protocols. There was a significant time × protocol interaction (p ≤ 0.05) in MRJ with a significant lower performance in DS, EO, and FW compared with PJ (0.5 hours post exercise), and in EO compared with all other protocols (24 hours post exercise). A significant main time effect with peak values 24 hours post exercise was observed in CK serum concentrations (p < 0.001), but there was no time × protocol interaction. In conclusion, (a) metabolic and perceptual demands were higher in FW and EO compared with MS, DS and PJ, (b) neuromuscular fatigue was consistent up to 48 hours post exercise in all protocols, and

Sex differences in fatigability of dynamic contractions.

What is the topic of this review? Women are usually less fatigable than men for isometric fatiguing contractions of similar intensity, but whether this occurs for dynamic tasks is less clear. This review presents evidence that the sex difference in muscle fatigue of repeated dynamic contractions is specific to the task requirements, including the velocity of shortening and the muscle group involved. What advances does it highlight? Contractile mechanisms are responsible for the sex differences in muscle fatigue for slow-velocity and low-load dynamic tasks. The variability of the sex difference in fatigability among dynamic tasks has implications for fatiguing contractions prescribed in training and rehabilitation to men and women. Women are usually less fatigable than men during single-limb isometric contractions, primarily because of sex-related differences in contractile mechanisms. It is less clear whether these sex differences in muscle fatigue occur for dynamic fatiguing tasks. This review highlights new findings that the sex difference in fatigability for dynamic shortening contractions with a single limb is dependent on the contraction velocity and the muscle group involved. Recent studies demonstrate that women are less fatigable than men for a dynamic task as follows: (i) the elbow-flexor muscles at slow- but not high-velocity contractions; and (ii) the knee-extensor muscles when muscle fatigue was quantified as a reduction in the maximal voluntary isometric contraction force after the dynamic fatiguing task. Contractile mechanisms are responsible for the sex difference in muscle fatigue of the dynamic contractions, with no evidence for a sex difference in the reduction in voluntary activation (i.e. central fatigue). Thus, these findings indicate that the sex difference in muscle fatigue of dynamic contractions is task specific. These data also challenge the assumption that men and women respond in a similar manner to training and rehabilitation that involve fatiguing contractions to overload the neuromuscular system. There is, however, a tremendous opportunity for conducting high-impact studies to gain insight into those factors that define the sex-based differences in muscle fatigue during dynamic tasks. Such studies can define the boundaries to human performance in both men and women during athletic endeavours, ergonomic tasks and rehabilitation.

Reliability of the Superimposed-Burst Technique in Patients With Patellofemoral Pain: A Technical Report

The superimposed-burst (SIB) technique is commonly used to quantify central activation failure after knee-joint injury, but its reliability has not been established in pathologic cohorts. To assess within-session and between-sessions reliability of the SIB technique in patients with patellofemoral pain. Descriptive laboratory study. University laboratory. A total of 10 patients with self-reported patellofemoral pain (1 man, 9 women; age = 24.1 ± 3.8 years, height = 167.8 ± 15.2 cm, mass = 71.6 ± 17.5 kg) and 10 healthy control participants (3 men, 7 women; age = 27.4 ± 5.0 years, height = 173.5 ± 9.9 cm, mass = 78.2 ± 16.5 kg) volunteered. Participants were assessed at 6 intervals spanning 21 days. Intraclass correlation coefficients (ICCs [3,3]) were used to assess reliability. Quadriceps central activation ratio, knee-extension maximal voluntary isometric contraction force, and SIB force. The quadriceps central activation ratio was highly reliable within session (ICC [3,3] = 0.97) and between sessions through day 21 (ICC [3,3] = 0.90-0.95). Acceptable reliability of knee extension (ICC [3,3] = 0.75-0.91) and SIB force (ICC [3,3] = 0.77-0.89) was observed through day 21. The SIB technique was reliable for clinical research up to 21 days in patients with patellofemoral pain.

Muscle Damage Response in Female Collegiate Athletes After Repeated Sprint Activity

Exercise-induced muscle damage (EIMD) is a well-investigated area, however there is a paucity of data surrounding the damage response in females. The aim of this study was to examine the damage responses from a sport-specific bout of repeated sprints in female athletes. Eleven well-trained females (mean ± SD; age: 22 ± 3 years; height: 166.6 ± 5.7 cm; mass: 62.7 ± 4.5 kg) in the luteal phase of the menstrual cycle completed a repeated sprint protocol designed to induce EIMD (15 × 30 m sprints). Creatine kinase, countermovement jump height, knee extensor maximal voluntary isometric contraction (MVIC) force, delayed onset muscle soreness (DOMS), 30-m sprint time, and limb girth were recorded before, after, 24, 48, and 72 hours after exercise. Creatine kinase was elevated at 24, 48, and 72 hours (p ≤ 0.05), peaking at 24 hours (+418%) and returning toward baseline at 72 hours. Countermovement jump height was reduced immediately after, 24, and 48 hours (p ≤ 0.05). Sprint performance was also negatively affected immediately after, 24, 48, and 72 hours after exercise. Muscle soreness peaked at 48 hours (p < 0.01) and remained significantly elevated at 72 hours after exercise (p < 0.01). Limb girth and MVIC did not alter over time. This study provides new information on the EIMD response in trained females after a sport-specific bout of repeated sprints. Importantly, this damage response has the potential to negatively affect performance for several days after exercise.

Validation and Normative Standard of Chair Sit-to-stand Test for Evaluating Lower Body Strength in Korean Older Adults

A major factor governing independence for the elderly and persons with disabilities is the ability to stand from a chair. The purpose of this study was to compare the validity of a 30 second chair sit-to-stand (CSS-30) and 5 times chair sit-to-stand (5-CSS) tests to evaluate the lower extremity muscle strength, and to develop normative CSS-30 standards for the Korean older adults (1947 men and 3046 women, aged 65-97 years), and to analyze age and gender patterns of decline for the CSS-30. The moderate high correlation between chair stand performance and maximum voluntary isometric contraction force of knee extension for both CSS-30 and 5-CSS (r=.455 and .414, respectively) supported the criterion-related validity of the chair stand as a measure of lower body strength (all, p<.01). As expected, chair-stand performance decreased significantly across age groups in decades―from the 60s to the 70s tothe 80s (p<.01), but no differences were observed between the gender groups. Active participants scored better in CSS-30 tests than their average and nonactive peers (p<.0001). This study showed that the CSS-30 tests provide a valid indicator of lower body strength of Korean elderly men and women in a field setting, and these newly established normative standards make it possible to assess individual lower body strength.

Vitamin C and E supplementation alters protein signalling after a strength training session, but not muscle growth during 10 weeks of training.

This study investigated the effects of vitamin C and E supplementation on acute responses and adaptations to strength training. Thirty-two recreationally strength-trained men and women were randomly allocated to receive a vitamin C and E supplement (1000 mg day(-1) and 235 mg day(-1), respectively), or a placebo, for 10 weeks. During this period the participants' training involved heavy-load resistance exercise four times per week. Muscle biopsies from m. vastus lateralis were collected, and 1 repetition maximum (1RM) and maximal isometric voluntary contraction force, body composition (dual-energy X-ray absorptiometry), and muscle cross-sectional area (magnetic resonance imaging) were measured before and after the intervention. Furthermore, the cellular responses to a single exercise session were assessed midway in the training period by measurements of muscle protein fractional synthetic rate and phosphorylation of several hypertrophic signalling proteins. Muscle biopsies were obtained from m. vastus lateralis twice before, and 100 and 150 min after, the exercise session (4 × 8RM, leg press and knee-extension). The supplementation did not affect the increase in muscle mass or the acute change in protein synthesis, but it hampered certain strength increases (biceps curl). Moreover, increased phosphorylation of p38 mitogen-activated protein kinase, Extracellular signal-regulated protein kinases 1 and 2 and p70S6 kinase after the exercise session was blunted by vitamin C and E supplementation. The total ubiquitination levels after the exercise session, however, were lower with vitamin C and E than placebo. We concluded that vitamin C and E supplementation interfered with the acute cellular response to heavy-load resistance exercise and demonstrated tentative long-term negative effects on adaptation to strength training.

Effects of cervical muscle fatigue on the perception of the subjective vertical and horizontal

IntroductionCervical functional capacity outcome measures that are simple and reliable are urgently needed in order permit accurate assessment/reassessment during treatments and rehabilitation. Induced neck muscle fatigue has been shown to alter functional capacities such as balance and kinaesthetic sense in the standing posture. The Rod and Frame Test has also shown promise as a method of assessing the effects of chronic neck pain and injury, but currently only in the sitting position. The objectives of this project were therefore 1) to validate the computerised rod and frame test in the standing posture, and 2) to measure the effects that different cervical muscle fatigue protocol would have on the assessment of the subjective visual vertical and horizontal.MethodThe validation of the standing computerised rod and frame test in the standing posture was obtained by comparing results (n = 74) between the sitting and standing positions with the Spearman’s correlation coefficient. In addition, agreement between the two methods was analysed with the Bland-Altman method.Participants (n = 56) resisted with their neck muscles approximately 35% maximum isometric voluntary contraction force for 15 minutes on a purpose built apparatus in eight different directions. Wilcoxon signed rank tests analysed changes in horizontal and vertical rod and frame test between the neutral and all different directions of contraction. The changes of recorded unsigned vertical and horizontal errors for the combined frame condition in all situations of isometric contraction were analysed with two respective one-way repeated measures analysis of variance (ANOVA).DiscussionThe Spearman’s rho and Bland-Altman plots show that the Rod and Frame Test works equally well in sitting and standing positions.After muscle contraction, there were significant increases in error in all participants for both horizontal and vertical rod and frame tests, except after flexion. These errors were predominantly present after fatigue of muscles in the coronal plane of contraction. Proprioception alone cannot explain the difference in the rod and frame results between different muscle groups. It is suggested that an evolutionary advantage of developing improved subjective verticality awareness in the same direction as the main visual field could explain these findings.

CSM 2014 Sports Physical Therapy Section Platform Presentations (Abstracts SPL1–SPL66)

CSM 2014 Sports Physical Therapy Section Platform Presentations (Abstracts SPL1–SPL66)

Biomechanics of the heel-raise test performed on an incline in two knee flexion positions

BackgroundAlthough single-legged heel-raise cycles are often performed on an incline in different knee flexion positions to discriminate the relative contribution of the triceps surae muscles, detailed kinematic and kinetic analyses of this procedure are not available. Our study characterizes and compares the biomechanics and clinical outcomes of single-legged heel-raise cycles performed to volitional exhaustion on an incline with the knee straight (0°) and bent (45°), considering the effect of sex and age. MethodsFifty-six male and female volunteers, with equal numbers of younger (20 to 40years of age) and older (40 to 60years of age) individuals, completed a maximal number of heel-raise cycles on an incline at both nominal knee angles. Kinematic and kinetic data were acquired during testing using a 3D motion capturing system and multi-axial force plate. The impact of fatigue on performance was quantified using changes in maximal voluntary isometric contraction force and biomechanical performance of cycles. FindingsOverall, participants completed three more cycles and maintained better biomechanical performance with 45° than 0° of knee flexion. More precisely, the decreases in maximal heel-raise heights, plantar-flexion angles at maximal height and ranges of ankle motion per cycle were all smaller with the knee bent. However, several outcomes indicated similar plantar-flexion fatigue at both knee angles. Males demonstrated a more rapid decline in peak ground reaction forces during testing; but otherwise, neither sex nor age significantly impacted outcomes. InterpretationIt is concluded that the differences discerned here in the biomechanics of single-legged heel-raise cycles performed at 0° and 45° of knee flexion to volitional exhaustion on an incline may be too small to identify in clinical settings or reflect substantial alterations in the relative contribution of the triceps surae muscles.

Effects of low-intensity concentric and eccentric exercise combined with blood flow restriction on indices of exercise-induced muscle damage

Low-intensity blood-flow restriction (BFR) resistance training significantly increases strength and muscle size, but some studies report it produces exercise-induced muscle damage (EIMD) in the lower body after exercise to failure. To investigate the effects of a pre-set number of repetitions of upper body concentric and eccentric exercise when combined with BFR on changes in EIMD. Ten young men had arms randomly assigned to either concentric BFR (CON-BFR) or eccentric BFR (ECC-BFR) dumbbell curl exercise (30% one-repetition maximum (1-RM), 1 set of 30 repetitions followed by 3 sets of 15 repetitions). Maximal isometric voluntary contraction force (MVC), muscle thickness (MTH), circumference, range of motion (ROM), ratings of perceived exertion (RPE), and muscle soreness were measured before, immediately after, and daily for 4 days post-exercise. MVC decreased by 36% for CON-BFR and 12% for ECC-BFR immediately after exercise but was not changed 1-4 days post-exercise (p > 0.05). Only CON-BFR had significant changes in MTH and circumference immediately after exercise (p < 0.05). Muscle soreness was observed in the ECC-BFR arm at 1 and 2 days after exercise. Low-intensity ECC-BFR produces significant muscle soreness at 24 h but neither ECC-BFR nor CON-BFR exercise produces significant changes in multiple indices of EIMD.

Initial Electrical Stimulation Frequency and Cramp Threshold Frequency and Force

In the electrically induced cramp model, the tibial nerve is stimulated at an initial frequency of 4 Hz with increases in 2-Hz increments until the flexor hallucis brevis cramps. The frequency at which cramping occurs (ie, threshold frequency [TF]) can vary considerably. A potential limitation is that multiple subthreshold stimulations before TF might induce fatigue, which is operationally defined as a decrease in maximal voluntary isometric contraction (MVIC) force, thereby biasing TF. To determine if TF is similar when initially stimulated at 4 Hz or 14 Hz and if MVIC force is different among stimulation frequencies or over time (precramp, 1 minute postcramp, and 5 minutes postcramp). Crossover study. Laboratory. Patients or Other Participants: Twenty participants (13 males: age = 20.6 ± 2.9 years, height = 184.4 ± 5.7 cm, mass = 76.3 ± 7.1 kg; 7 females: age = 20.4 ± 3.5 years, height = 166.6 ± 6.0 cm, mass = 62.4 ± 10.0 kg) who were prone to cramps. Participants performed 20 practice MVICs. After a 5-minute rest, three 2-second MVICs were recorded and averaged for the precramp measurement. Participants were stimulated at either 4 Hz or 14 Hz, and the frequency was increased in 2-Hz increments from each initial frequency until cramp. The MVIC force was reevaluated at 1 minute and 5 minutes postcramp. The TF and MVIC force. Initial stimulation frequency did not affect TF (4 Hz = 16.2 ± 3.8 Hz, 14 Hz = 17.1 ± 5.0 Hz; t(19) = 1.2, P = .24). Two participants had inaccurate TFs when initially stimulated at 14 Hz; they cramped at 10 and 12 Hz in the 4-Hz condition. The MVIC force did not differ between initial frequencies (F(1,19) = 0.9, P = .36) but did differ over time (F(2,38) = 5.1, P = .01). Force was lower at 1 minute postcramp (25.1 ± 10.1 N) than at precramp (28.7 ± 7.8 N; P, .05) but returned to baseline at 5 minutes postcramp (26.7 ± 8.9 N; P > .05). The preferred initial stimulation frequency might be 4 Hz because it did not alter or overestimate TF. The MVIC force was lower at 1 minute postcramp, suggesting the induced cramp rather than the varying electrical frequencies affected force. A 1- to 5-minute rest should be provided postcramp induction if multiple cramps are induced.

Effects of Transcutaneous Electrical Nerve Stimulation(TENS), Self-Stretching and Functional Massage on the Muscle Fatigue by Maximum Muscular Strength

The present study purposed to examine the effects of transcutaneous electrical nerve stimulation, self-stretching and functional massage on the recovery of muscle contraction force for muscle fatigue caused by sustained isotonic contraction. The subjects of this study were 45 healthy students. They were divided into transcutaneous electrical nerve stimulation group(n=15), self-stretching group(n=15) and functional massage group(n=15), and using Primus RS. We observed the pattern of changes in maximal voluntary isometric contraction force(MVIC) after causing muscle fatigue in quadriceps femoris muscle through sustained isotonic contraction. Maximal voluntary isometric contraction force(MVIC) were greatly increased after transcutaneous electrical nerve stimulation, self-stretching and functional massage. In the comparison of recovery rate of muscle contraction force for muscle fatigue caused by sustained isotonic contraction among the treatment groups, it did not show any significant differences. However, it showed that each treatment may be effective in recovery of muscle fatigue caused by sustained isotonic contraction.