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da Silva MC, da Silva CR, de Lima FF, Lara JR, Gustavson JP, Magalhães FH. Effects of Fatigue on Postural Sway and Electromyography Modulation in Young Expert Acrobatic Gymnasts and Healthy Non-trained Controls During Unipedal Stance. Front Physiol 2022; 13:782838. [PMID: 35222070 PMCID: PMC8864175 DOI: 10.3389/fphys.2022.782838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Accepted: 01/14/2022] [Indexed: 11/13/2022] Open
Abstract
This study investigated whether expert acrobatic gymnasts respond differentially than their non-trained counterparts during a single-legged stance task performed before and after a protocol designed to induce fatigue in the ankle plantarflexor muscles in terms of (a) postural steadiness and (b) electromyography (EMG) activation. We hypothesized that neuromuscular adaptation due to training would lead to different behavior of center of pressure (COP) and EMG quantifiers after fatigue. Twenty eight female volunteers (aged 11 to 24 years) formed two groups: expert acrobatic gymnastics athletes (GYN, n = 14) and age-matched non-gymnasts [control (CTRL), n = 14]. Fatigue of the ankle plantarflexors (dominant leg) was induced by a sustained posture (standing on the toes) until exhaustion. Traditional COP parameters (area, RMS, mean velocity, and power spectrum at low and high frequency ranges) were obtained with a force plate, and time and frequency-domain EMG parameters were obtained by surface electrodes positioned on the tibialis anterior, soleus, lateral gastrocnemius, medial gastrocnemius, vastus lateralis, biceps femoris, spinal erector and rectus abdominis muscles. The main results showed that fatigue induced a significant increase in postural oscillations in the ML axis (including RMS, velocity and frequency components of the power spectrum), with no significant effects in the AP axis. In terms of postural sway parameters (i.e., COP quantifiers), no superior balance stability was found for the GYN group as compared to CTRL, irrespective of the fatigue condition. On the other hand, the modulation of EMG parameters (in both time and frequency domains) indicated that expert acrobatic gymnastics athletes (as compared to healthy untrained matched controls) used different neuromuscular control strategies to keep their postures on single-legged quiet standing after the fatiguing protocol. The present results improve our knowledge of the mechanisms behind the interplay between fatigue and postural performance associated with the neuromuscular adaptations induced by sport practice. The design of gymnastics training might consider strategies aimed at improving the performance of specific muscles (i.e., tibialis anterior, soleus, biceps femoris, spinal erector) for which particular activation patterns were used by the acrobatic gymnastics to control single-legged quiet standing.
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Affiliation(s)
- Marcos Camargo da Silva
- School of Arts, Sciences and Humanities, Universidade de São Paulo, EACH-USP, São Paulo, Brazil
| | - Cristiano Rocha da Silva
- Biomedical Engineering Laboratory and Neuroscience Program, Universidade de São Paulo, EPUSP, PTC, São Paulo, Brazil
| | - Felipe Fava de Lima
- Biomedical Engineering Laboratory and Neuroscience Program, Universidade de São Paulo, EPUSP, PTC, São Paulo, Brazil
| | - Jéssica Rodriguez Lara
- School of Arts, Sciences and Humanities, Universidade de São Paulo, EACH-USP, São Paulo, Brazil
| | - Jackson Paiva Gustavson
- School of Arts, Sciences and Humanities, Universidade de São Paulo, EACH-USP, São Paulo, Brazil
| | - Fernando Henrique Magalhães
- School of Arts, Sciences and Humanities, Universidade de São Paulo, EACH-USP, São Paulo, Brazil
- Biomedical Engineering Laboratory and Neuroscience Program, Universidade de São Paulo, EPUSP, PTC, São Paulo, Brazil
- *Correspondence: Fernando Henrique Magalhães, ;
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Sex differences in neuromuscular control of quadriceps. Eur J Appl Physiol 2020; 120:2193-2202. [PMID: 32712701 DOI: 10.1007/s00421-020-04443-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Accepted: 07/16/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE Patellofemoral pain syndrome (PFPS) is twice as prevalent in females as males, yet a few studies have evaluated differences in quadriceps muscle control between sexes or across force levels. This study investigated sex differences in quadriceps EMG onset times and amplitude at different force levels during isometric knee extension in asymptomatic males and females and in females with PFPS. METHODS Thirteen healthy males, 12 healthy females, and 10 females with PFPS performed isometric knee extension ramp contractions at 25%, 50%, and 75% of maximal voluntary contraction (MVC). Surface EMG was recorded from the vastus lateralis (VL), vastus medialis oblique (VMO), vastus medialis (VM), and rectus femoris (RF). RESULTS Healthy females showed delayed VL (222 ± 67 ms, p = 0.002), VMO (357 ± 101 ms, p = 0.001), and VM (258 ± 62 ms, p < 0.001) recruitment in comparison with healthy males. Healthy males activated the VL earlier than the VM (156 ± 51 ms, p = 0.02) and RF (379 ± 74 ms, p < 0.001), and at a similar time as the VMO; healthy females activated the VL earlier than the VM (192 ± 53 ms, p = 0.004) and VMO (239 ± 73 ms, p = 0.01). A lower VMO:VL activation ratio was found at 25% MVC (p < 0.001) than at higher force levels. CONCLUSIONS Delayed activation of the VMO relative to the VL has been proposed as a risk factor for PFPS. This study confirms a delay in VMO onset time in females.
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Bioelectrical Activity of Vastus Medialis and Rectus Femoris Muscles in Recreational Runners with Anterior Knee Pain. J Hum Kinet 2019; 66:81-88. [PMID: 30988842 PMCID: PMC6458583 DOI: 10.2478/hukin-2018-0065] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Patellofemoral pain syndrome (PFPS), the most common source of knee pain among physically active individuals, is defined as anterior knee pain involving the patella and retinaculum that excludes other intraarticular and peri-patellar pathology. Differences in the activation and endurance of the quadriceps components, causing an imbalance in the forces controlling patellar tracking during flexion and extension in the knee joint, appear to be the most commonly reported risk factors for PFPS. The aim of this study was to determine the differences in bioelectric activity of vastus medialis and rectus femoris muscles during half knee bend position in runners with PFPS. The sample comprised 20 recreational runners (15 males, 5 females; aged 27 ± 5 years) reporting knee pain and diagnosed with PFPS. The age- and sex-matched control group consisted of recreational runners who did not report knee pain. The myon electromyographic system was used to determine the changes in the electromyographic median frequency during a half squat position. The decrease in the median frequency of vastus medialis and rectus femoris muscles was significantly greater in runners with PFPS in comparison to the control group (p < 0.01 for right and left vastus medialis and right rectus femoris; p < 0.05 for left rectus femoris). There is a relationship between knee pain related to PFPS and the imbalance of bioelectric activity of vastus medialis and rectus femoris muscles. Achieving the muscular balance within the thigh muscles can be an important factor in the rehabilitation process of PFPS.
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Peng YL, Tenan MS, Griffin L. Hip position and sex differences in motor unit firing patterns of the vastus medialis and vastus medialis oblique in healthy individuals. J Appl Physiol (1985) 2018; 124:1438-1446. [DOI: 10.1152/japplphysiol.00702.2017] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Weakness of the vastus medialis oblique (VMO) has been proposed to explain the high prevalence of knee pain in female subjects. Clinicians commonly use exercises in an attempt to preferentially activate the VMO. Recently, our group found evidence to support clinical theory that the VMO is neurologically distinct from the vastus medialis (VM). However, the ability to voluntarily activate these muscle subsections is still disputed. The aim of this study was to determine if VM and VMO activation varies between sexes and if control of the two muscles is different between rehabilitation exercises. Thirteen men and 13 women performed isometric straight leg raises in two hip positions, neutral hip rotation and 30 degrees lateral hip rotation. Bipolar intramuscular fine-wire electrodes were inserted into the VM and VMO to obtain motor unit recruitment thresholds and initial firing rates at recruitment. Linear mixed models and Tukey post hoc tests were used to assess significant differences in 654 motor units. Women demonstrated faster motor unit firing rate at recruitment, 1.18 ± 0.56 Hz higher than men. Motor units fired 0.47 ± 0.19 Hz faster during neutral hip rotation compared with lateral hip rotation. The VMO motor units were recruited 2.92 ± 1.28% earlier than the VM. All motor units were recruited 3.74 ± 1.27% earlier during neutral hip rotation than lateral hip rotation. Thus the VM and the VMO can be activated differentially, and their motor unit recruitment properties are affected by sex and hip position. NEW & NOTEWORTHY This is the first study to reveal differential activation of the vastus medialis oblique from the vastus medialis in clinical exercise protocols. Our research group used fine-wire electrodes to examine EMG signals of the vastus medialis oblique and vastus medialis to avoid possible cross talk. We also consider the effect of sex on motor unit firing patterns because of higher prevalence of knee pain in women, and yet few studies evaluating the sex differences in neuromuscular control.
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Affiliation(s)
- Yi-Ling Peng
- Department of Kinesiology, University of Texas at Austin, Austin, Texas
| | - Matthew S. Tenan
- Human Research & Engineering Directorate, U.S. Army Research Laboratory, Aberdeen Proving Ground, Maryland
| | - Lisa Griffin
- Department of Kinesiology, University of Texas at Austin, Austin, Texas
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Gallina A, Garland SJ, Wakeling JM. Identification of regional activation by factorization of high-density surface EMG signals: A comparison of Principal Component Analysis and Non-negative Matrix factorization. J Electromyogr Kinesiol 2018; 41:116-123. [PMID: 29879693 DOI: 10.1016/j.jelekin.2018.05.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Revised: 05/13/2018] [Accepted: 05/18/2018] [Indexed: 11/18/2022] Open
Abstract
In this study, we investigated whether principal component analysis (PCA) and non-negative matrix factorization (NMF) perform similarly for the identification of regional activation within the human vastus medialis. EMG signals from 64 locations over the VM were collected from twelve participants while performing a low-force isometric knee extension. The envelope of the EMG signal of each channel was calculated by low-pass filtering (8 Hz) the monopolar EMG signal after rectification. The data matrix was factorized using PCA and NMF, and up to 5 factors were considered for each algorithm. Association between explained variance, spatial weights and temporal scores between the two algorithms were compared using Pearson correlation. For both PCA and NMF, a single factor explained approximately 70% of the variance of the signal, while two and three factors explained just over 85% or 90%. The variance explained by PCA and NMF was highly comparable (R > 0.99). Spatial weights and temporal scores extracted with non-negative reconstruction of PCA and NMF were highly associated (all p < 0.001, mean R > 0.97). Regional VM activation can be identified using high-density surface EMG and factorization algorithms. Regional activation explains up to 30% of the variance of the signal, as identified through both PCA and NMF.
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Affiliation(s)
- Alessio Gallina
- Graduate Programs in Rehabilitation Sciences, University of British Columbia, Vancouver V6T 1Z3, Canada
| | - S Jayne Garland
- Department of Physical Therapy, University of British Columbia, Vancouver V6T 1Z3, Canada; Faculty of Health Sciences, University of Western Ontario, London N6A 5B9, Canada.
| | - James M Wakeling
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby V5A 1S6, Canada
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de Souza LML, Cabral HV, de Oliveira LF, Vieira TM. Motor units in vastus lateralis and in different vastus medialis regions show different firing properties during low-level, isometric knee extension contraction. Hum Mov Sci 2018; 58:307-314. [DOI: 10.1016/j.humov.2017.12.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Revised: 11/17/2017] [Accepted: 12/15/2017] [Indexed: 11/27/2022]
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Boccia G, Dardanello D, Tarperi C, Rosso V, Festa L, La Torre A, Pellegrini B, Schena F, Rainoldi A. Decrease of muscle fiber conduction velocity correlates with strength loss after an endurance run. Physiol Meas 2017; 38:233-240. [PMID: 28099172 DOI: 10.1088/1361-6579/aa5139] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Monitoring surface electromyographic (EMG) signals can provide useful insights for characterizing muscle fatigue, which is defined as an exercise-induced strength loss. This experiment investigated the muscle fiber conduction velocity (CV) changes induced by an endurance run. The day before and immediately after a half-marathon run (21.097 km) 11 amateur runners performed maximum voluntary contractions (MVCs) of knee extensor muscles. During the MVC, multichannel EMG was recorded from the vastus lateralis and EMG amplitude and CV were calculated. After the run, knee extensors showed a decreased strength (-13 ± 9%, p = 0.001) together with a reduction in EMG amplitude (-13 ± 10%, p = 0.003) and in CV (-6 ± 8%, p = 0.032). Knee extensor strength loss positively correlated with vastus lateralis CV differences (r = 0.76, p = 0.006). Thus, the exercises-induced muscle fatigue was associated not only with a decrease in EMG amplitude, but also with a reduction in CV. This finding suggests that muscle fibers with higher CV (i.e. those with greater fiber size) were the most impaired during strength production after an endurance run.
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Affiliation(s)
- Gennaro Boccia
- CeRiSM Research Center 'Sport, Mountain, and Health', via del Ben 5/b, Rovereto, (TN) 38068, Italy. Department of Medical Sciences, Motor Science Research Center, School of Exercise & Sport Sciences, SUISM, University of Turin, 12, piazza Bernini, Torino 10143, Italy
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Boccia G, Coratella G, Dardanello D, Rinaldo N, Lanza M, Schena F, Rainoldi A. Severe COPD Alters Muscle Fiber Conduction Velocity During Knee Extensors Fatiguing Contraction. COPD 2016; 13:583-8. [DOI: 10.3109/15412555.2016.1139561] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Gennaro Boccia
- Motor Science Research Center, School of Exercise & Sport Sciences, SUISM, Department of Medical Sciences, University of Turin, Torino, Italy
- CeRiSM Research Center, Sport, Mountain, and Health, Rovereto, (TN), Italy
| | - Giuseppe Coratella
- School of Sport and Exercise Sciences, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy
| | - Davide Dardanello
- Motor Science Research Center, School of Exercise & Sport Sciences, SUISM, Department of Medical Sciences, University of Turin, Torino, Italy
| | - Nicoletta Rinaldo
- School of Sport and Exercise Sciences, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy
| | - Massimo Lanza
- School of Sport and Exercise Sciences, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy
| | - Federico Schena
- CeRiSM Research Center, Sport, Mountain, and Health, Rovereto, (TN), Italy
- School of Sport and Exercise Sciences, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy
| | - Alberto Rainoldi
- Motor Science Research Center, School of Exercise & Sport Sciences, SUISM, Department of Medical Sciences, University of Turin, Torino, Italy
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Martinez-Valdes E, Laine CM, Falla D, Mayer F, Farina D. High-density surface electromyography provides reliable estimates of motor unit behavior. Clin Neurophysiol 2015; 127:2534-41. [PMID: 26778718 DOI: 10.1016/j.clinph.2015.10.065] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2015] [Revised: 08/29/2015] [Accepted: 10/14/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To assess the intra- and inter-session reliability of estimates of motor unit behavior and muscle fiber properties derived from high-density surface electromyography (HDEMG). METHODS Ten healthy subjects performed submaximal isometric knee extensions during three recording sessions (separate days) at 10%, 30%, 50% and 70% of their maximum voluntary effort. The discharge timings of motor units of the vastus lateralis and medialis muscles were automatically identified from HDEMG by a decomposition algorithm. We characterized the number of detected motor units, their discharge rates, the coefficient of variation of their inter-spike intervals (CoVisi), the action potential conduction velocity and peak-to-peak amplitude. Reliability was assessed for each motor unit characteristics by intra-class correlation coefficient (ICC). Additionally, a pulse-to-noise ratio (PNR) was calculated, to verify the accuracy of the decomposition. RESULTS Good to excellent reliability within and between sessions was found for all motor unit characteristics at all force levels (ICCs>0.8), with the exception of CoVisi that presented poor reliability (ICC<0.6). PNR was high and similar for both muscles with values ranging between 45.1 and 47.6dB (accuracy>95%). CONCLUSION Motor unit features can be assessed non-invasively and reliably within and across sessions over a wide range of force levels. SIGNIFICANCE These results suggest that it is possible to characterize motor units in longitudinal intervention studies.
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Affiliation(s)
- E Martinez-Valdes
- Department of Sports Medicine and Sports Orthopaedics, University of Potsdam, Potsdam, Germany
| | - C M Laine
- Department of Neurorehabilitation Engineering, Bernstein Focus Neurotechnology Göttingen (BFNT), Bernstein Centre for Computational Neuroscience (BCCN), University Medical Center Göttingen, Georg-August University, Göttingen, Germany
| | - D Falla
- Department of Neurorehabilitation Engineering, Bernstein Focus Neurotechnology Göttingen (BFNT), Bernstein Centre for Computational Neuroscience (BCCN), University Medical Center Göttingen, Georg-August University, Göttingen, Germany; Pain Clinic, Center for Anesthesiology, Emergency and Intensive Care Medicine, University Hospital Göttingen, Göttingen, Germany
| | - F Mayer
- Department of Sports Medicine and Sports Orthopaedics, University of Potsdam, Potsdam, Germany
| | - D Farina
- Department of Neurorehabilitation Engineering, Bernstein Focus Neurotechnology Göttingen (BFNT), Bernstein Centre for Computational Neuroscience (BCCN), University Medical Center Göttingen, Georg-August University, Göttingen, Germany.
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Boccia G, Dardanello D, Beretta-Piccoli M, Cescon C, Coratella G, Rinaldo N, Barbero M, Lanza M, Schena F, Rainoldi A. Muscle fiber conduction velocity and fractal dimension of EMG during fatiguing contraction of young and elderly active men. Physiol Meas 2015; 37:162-74. [DOI: 10.1088/0967-3334/37/1/162] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Boccia G, Dardanello D, Coratella G, Rinaldo N, Schena F, Rainoldi A. Differences in age-related fiber atrophy between vastii muscles of active subjects: a multichannel surface EMG study. Physiol Meas 2015; 36:1591-600. [DOI: 10.1088/0967-3334/36/7/1591] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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12
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Beretta-Piccoli M, D’Antona G, Barbero M, Fisher B, Dieli-Conwright CM, Clijsen R, Cescon C. Evaluation of central and peripheral fatigue in the quadriceps using fractal dimension and conduction velocity in young females. PLoS One 2015; 10:e0123921. [PMID: 25880369 PMCID: PMC4400165 DOI: 10.1371/journal.pone.0123921] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2014] [Accepted: 03/09/2015] [Indexed: 02/05/2023] Open
Abstract
PURPOSE Over the past decade, linear and non-linear surface electromyography descriptors for central and peripheral components of fatigue have been developed. In the current study, we tested fractal dimension (FD) and conduction velocity (CV) as myoelectric descriptors of central and peripheral fatigue, respectively. To this aim, we analyzed FD and CV slopes during sustained fatiguing contractions of the quadriceps femoris in healthy humans. METHODS A total of 29 recreationally active women (mean age±standard deviation: 24±4 years) and two female elite athletes (one power athlete, age 24 and one endurance athlete, age 30 years) performed two knee extensions: (1) at 20% maximal voluntary contraction (MVC) for 30 s, and (2) at 60% MVC held until exhaustion. Surface EMG signals were detected from the vastus lateralis and vastus medialis using bidimensional arrays. RESULTS Central and peripheral fatigue were described as decreases in FD and CV, respectively. A positive correlation between FD and CV (R=0.51, p<0.01) was found during the sustained 60% MVC, probably as a result of simultaneous motor unit synchronization and a decrease in muscle fiber CV during the fatiguing task. CONCLUSIONS Central and peripheral fatigue can be described as changes in FD and CV, at least in young, healthy women. The significant correlation between FD and CV observed at 60% MVC suggests that a mutual interaction between central and peripheral fatigue can arise during submaximal isometric contractions.
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Affiliation(s)
- Matteo Beretta-Piccoli
- Rehabilitation Research Laboratory, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, SUPSI, Manno, Switzerland
- * E-mail:
| | - Giuseppe D’Antona
- Department of Molecular Medicine and Sport Medicine Centre Voghera, University of Pavia, Pavia, Italy
| | - Marco Barbero
- Rehabilitation Research Laboratory, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, SUPSI, Manno, Switzerland
| | - Beth Fisher
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, United States of America
| | - Christina M. Dieli-Conwright
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, United States of America
| | - Ron Clijsen
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, SUPSI, Landquart, Switzerland
| | - Corrado Cescon
- Rehabilitation Research Laboratory, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, SUPSI, Manno, Switzerland
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Reliability of H-reflex in vastus lateralis and vastus medialis muscles during passive and active isometric conditions. Eur J Appl Physiol 2014; 114:2509-19. [DOI: 10.1007/s00421-014-2969-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2014] [Accepted: 07/28/2014] [Indexed: 10/24/2022]
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14
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Hagio S, Kouzaki M. The flexible recruitment of muscle synergies depends on the required force-generating capability. J Neurophysiol 2014; 112:316-27. [DOI: 10.1152/jn.00109.2014] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
To simplify redundant motor control, the central nervous system (CNS) may modularly organize and recruit groups of muscles as “muscle synergies.” However, smooth and efficient movements are expected to require not only low-dimensional organization, but also flexibility in the recruitment or combination of synergies, depending on force-generating capability of individual muscles. In this study, we examined how the CNS controls activations of muscle synergies as changing joint angles. Subjects performed multidirectional isometric force generations around right ankle and extracted the muscle synergies using nonnegative matrix factorization across various knee and hip joint angles. As a result, muscle synergies were selectively recruited with merging or decomposition as changing the joint angles. Moreover, the activation profiles, including activation levels and the direction indicating the peak, of muscle synergies across force directions depended on the joint angles. Therefore, we suggested that the CNS selects appropriate muscle synergies and controls their activation patterns based on the force-generating capability of muscles with merging or decomposing descending neural inputs.
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Affiliation(s)
- Shota Hagio
- Research Fellow of the Japan Society for the Promotion of Science, Tokyo, Japan; and
- Laboratory of Neurophysiology, Graduate School of Human and Environmental Studies, Kyoto University, Yoshida-nihonmatsu, Kyoto, Japan
| | - Motoki Kouzaki
- Laboratory of Neurophysiology, Graduate School of Human and Environmental Studies, Kyoto University, Yoshida-nihonmatsu, Kyoto, Japan
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Analysis of the response speed of musculature of the knee in professional male and female volleyball players. BIOMED RESEARCH INTERNATIONAL 2014; 2014:239708. [PMID: 25003109 PMCID: PMC4070587 DOI: 10.1155/2014/239708] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2014] [Revised: 04/09/2014] [Accepted: 05/06/2014] [Indexed: 11/18/2022]
Abstract
The aim of this study was to evaluate the normalized response speed (Vrn) of the knee musculature (flexor and extensor) in high competitive level volleyball players using tensiomyography (TMG) and to analyze the muscular response of the vastus medialis (VM), rectus femoris (RF), vastus lateralis (VL), and biceps femoris (BF) in accordance with the specific position they play in their teams. One hundred and sixty-six players (83 women and 83 men) were evaluated. They belonged to eight teams in the Spanish women's superleague and eight in the Spanish men's superleague. The use of Vrn allows avoiding possible sample imbalances due to anatomical and functional differences and demands. We found differences between Vrn in each of the muscles responsible for extension (VM, RF, and VL) and flexion (BF) regardless of the sex. Normalized response speed differences seem to be larger in setters, liberos and outside players compared to middle blockers and larger in males when compared to females. These results of Vrn might respond to the differences in the physical and technical demands of each specific position, showing an improved balance response of the knee extensor and flexor musculature in male professional volleyball players.
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Silva CRD, Silva DDO, Ferrari D, Negrão Filho RDF, Alves N, Azevedo FMD. Exploratory study of electromyographic behavior of the vastus medialis and vastus lateralis at neuromuscular fatigue onset. MOTRIZ: REVISTA DE EDUCACAO FISICA 2014. [DOI: 10.1590/s1980-65742014000200012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
This study aimed to determine and analyze the neuromuscular fatigue onset by median frequency (MDF) and the root mean square (RMS) behavior of an electromyographic signal (EMG). Eighteen healthy men with no prior knee problems initially performed three maximum voluntary isometric contractions (MVIC). After two days of MVIC test, participants performed a fatiguing protocol in which they performed submaximal knee-extension contractions at 20% and 70% MVIC held to exhaustion. The MDF and RMS values from the EMG signals were recorded from the vastus medialis (VM) and the vastus lateralis (VL). Analysis of the MDF and RMS behavior enabled identification of neuromuscular fatigue onset for VM and VL muscles in 20% and 70% loads. Alterations between the VM and VL in the neuromuscular fatigue onset, at 20% and 70% MVIC, were not significant. These findings suggest that the methodology proposal was capable of indicating minute differences sensible to alterations in the EMG signals, allowing identification of the moment when the MDF and the RMS showed significant changes in behavior. The methodology used was also a viable one for describing and identifying the neuromuscular fatigue onset by means of the analysis of EMG signals.
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Tanino Y, Suzuki T. Spinal reflex arc excitability corresponding to the vastus medialis obliquus and vastus medialis longus muscles. J Phys Ther Sci 2014; 26:101-4. [PMID: 24567685 PMCID: PMC3927017 DOI: 10.1589/jpts.26.101] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2013] [Accepted: 08/12/2013] [Indexed: 01/14/2023] Open
Abstract
[Purpose] The gross morphology of the vastus medialis (VM) muscle has been thoroughly described. However, there is insufficient evidence of physiological differentiation between the VM obliquus (VMO) and VM longus (VML). To elucidate spinal reflex arc excitability in two divisions of the VM, we compared H-reflexes and T-waves in VMO and VML. [Subjects] Twenty-three healthy male volunteers participated in this study. [Methods] The H-reflex was evoked from the VMO and VML by electrical stimulation of the femoral nerve during knee extension at 10% maximal voluntary isometric contraction. Also, the patellar tendon was tapped by an examiner using an electrical tendon hammer, and a component of the compound muscle action potential (T-wave) was recorded. [Results] The configurations of the H-reflex and T-wave were sharp and slow in VMO and VML, respectively. No significant differences in the amplitudes of the H-reflexes and T-waves were observed between VMO and VML. The durations of VML H-reflexes and T-waves were significantly longer than those in VMO. [Conclusion] Spinal reflex arc excitability corresponding to VMO and VML was similar. However, the configurations and durations of the H-reflex and T-wave were differentiated with electromyography. On the basis of these findings, we suggest that VMO and VML are electrophysiologically distinct entities.
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Affiliation(s)
- Yoshitsugu Tanino
- Clinical Physical Therapy Laboratory, Kansai University of Health Sciences, Japan
| | - Toshiaki Suzuki
- Clinical Physical Therapy Laboratory, Kansai University of Health Sciences, Japan
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Kisiel-Sajewicz K, Siemionow V, Seyidova-Khoshknabi D, Davis MP, Wyant A, Ranganathan VK, Walsh D, Yan JH, Hou J, Yue GH. Myoelectrical manifestation of fatigue less prominent in patients with cancer related fatigue. PLoS One 2013; 8:e83636. [PMID: 24391800 PMCID: PMC3877402 DOI: 10.1371/journal.pone.0083636] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2013] [Accepted: 11/05/2013] [Indexed: 11/18/2022] Open
Abstract
PURPOSE A lack of fatigue-related muscle contractile property changes at time of perceived physical exhaustion and greater central than peripheral fatigue detected by twitch interpolation technique have recently been reported in cancer survivors with fatigue symptoms. Based on these observations, it was hypothesized that compared to healthy people, myoelectrical manifestation of fatigue in the performing muscles would be less significant in these individuals while sustaining a prolonged motor task to self-perceived exhaustion (SPE) since their central fatigue was more prominent. The purpose of this study was to test this hypothesis by examining electromyographic (EMG) signal changes during fatiguing muscle performance. METHODS Twelve individuals who had advanced solid cancer and cancer-related fatigue (CRF), and 12 age- and gender-matched healthy controls performed a sustained elbow flexion at 30% maximal voluntary contraction till SPE. Amplitude and mean power frequency (MPF) of EMG signals of the biceps brachii, brachioradialis, and triceps brachii muscles were evaluated when the individuals experienced minimal, moderate, and severe fatigue. RESULTS CRF patients perceived physical "exhaustion" significantly sooner than the controls. The myoelectrical manifestation of muscular fatigue assessed by EMG amplitude and MPF was less significant in CRF than controls. The lower MPF even at minimal fatigue stage in CRF may indicate pathophysiologic condition of the muscle. CONCLUSIONS CRF patients experience less myoelectrical manifestation of muscle fatigue than healthy individuals near the time of SPE. The data suggest that central nervous system fatigue plays a more important role in limiting endurance-type of motor performance in patients with CRF.
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Affiliation(s)
- Katarzyna Kisiel-Sajewicz
- Department of Biomedical Engineering, the Lerner Research Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wroclaw, Wroclaw, Poland
| | - Vlodek Siemionow
- Department of Biomedical Engineering, the Lerner Research Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
- Department of Physical Medicine and Rehabilitation, the Neurological Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Dilara Seyidova-Khoshknabi
- The Harry R. Horvitz Center for Palliative Medicine, the Taussig Cancer Center, the Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Mellar P. Davis
- The Harry R. Horvitz Center for Palliative Medicine, the Taussig Cancer Center, the Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Alexandria Wyant
- Department of Biomedical Engineering, the Lerner Research Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Vinoth K. Ranganathan
- Department of Biomedical Engineering, the Lerner Research Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
- Department of Physical Medicine and Rehabilitation, the Neurological Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Declan Walsh
- The Harry R. Horvitz Center for Palliative Medicine, the Taussig Cancer Center, the Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Jin H. Yan
- Institute of Affective and Social Neuroscience, Shenzhen University, Shenzhen; Department of Psychology, Tsinghuan University, Beijing, China
- * E-mail: (GHY); (JHY)
| | - Juliet Hou
- Department of Physical Medicine and Rehabilitation, the Neurological Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Guang H. Yue
- Department of Biomedical Engineering, the Lerner Research Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
- Department of Physical Medicine and Rehabilitation, the Neurological Institute, the Cleveland Clinic, Cleveland, Ohio, United States of America
- Kessler Foundation Research Center, West Orange, New Jersey, United States of America
- * E-mail: (GHY); (JHY)
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Smith TO, Dixon J, Bowyer D, Davies L, Donell ST. EMG activity of vastus medialis and vastus lateralis with patellar instability: a systematic review. PHYSICAL THERAPY REVIEWS 2013. [DOI: 10.1179/174328808x356357] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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20
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Gallina A, Merletti R, Gazzoni M. Innervation zone of the vastus medialis muscle: position and effect on surface EMG variables. Physiol Meas 2013; 34:1411-22. [PMID: 24081116 DOI: 10.1088/0967-3334/34/11/1411] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The aim of this study was to investigate the position of the innervation zone (IZ) of the vastus medialis (VM) and its effect on the electromyographic (EMG) amplitude and mean frequency estimates. Eighteen healthy subjects performed maximal isometric knee extensions at three knee angles. Surface EMG signals were collected by using a 16 × 8 electrode grid placed on the VM muscle. The position of the IZ was estimated through visual analysis, and traditional bipolar signals were obtained from channels over and away from it; amplitude and mean frequency values were extracted and compared using an analysis of variance (ANOVA) with repeated measures. The IZ is shaped as a line running from the proximal-lateral to the distal-medial aspect of the VM muscle. The presence of an IZ under the electrodes lowered the EMG amplitude (P < 0.001, F = 58.11) and increased the EMG mean frequency (P < 0.001, F = 26.47); variations of these parameters due to the knee flexion angle were less frequently observed in EMG signals collected over than away from the IZ. Electrodes placed 'over the belly of the VM muscle' are likely to collect EMG signals influenced by the presence of the IZ, thus hindering the detection of changes in muscle activity.
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Travnik L, Djordjevič S, Rozman S, Hribernik M, Dahmane R. Muscles within muscles: a tensiomyographic and histochemical analysis of the normal human vastus medialis longus and vastus medialis obliquus muscles. J Anat 2013; 222:580-7. [PMID: 23586984 DOI: 10.1111/joa.12045] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/07/2013] [Indexed: 11/29/2022] Open
Abstract
The aim of this study was to show the connection between structure (anatomical and histochemical) and function (muscle contraction properties) of vastus medialis obliquus (VMO) and vastus medialis longus (VML). The non-invasive tensiomyography (TMG) method was used to determine the contractile properties (contraction time; T(c)) of VML and VMO muscle, as a reflection of the ratio between the slow and fast fibers in two groups of nine young men. VML and VMO significantly (P < 0.01) differ in the proportion of type 1 (59.6: 44%) and type 2b (6.3: 15%) fibers. The VML muscle is almost entirely composed of type 1 and type 2a fibers. In many samples of this muscle no type 2b fibers were found. The proportion of slow-twitch type 1 fibers is nearly twice as high as the proportion of fast-twitch type 2a fibers. These observations indicate that VML is a slower and more fatigue-resistant muscle than VMO muscle. These characteristics correspond to the different functions of the VML, which is an extensor of the knee, and to the VMO, which maintains the stable position of the patella in the femoral groove. Our results obtained by TMG provided additional evidence that muscle fibers within the segments of VM muscle were not homogenous with regard to their contractile properties, thereby confirming the histochemical results. T(c) can be attributed to the higher percentage of slow-twitch fibers - type 1. The statistically shorter T(c) (P ≤ 0.001) of VMO (22.8 ± 4.0 ms) compared with VML (26.7 ± 4.0 ms) in our study is consistent with previously found differences in histochemical, morphological and electrophysiological data. In conclusion, the results of this study provide evidence that the VML and VMO muscles are not only anatomically and histochemically different muscles, but also functionally different biological structures.
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Affiliation(s)
- Ludvik Travnik
- Department of Orthopedic Surgery, University Medical Centre, Ljubljana, Slovenia
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22
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Gallina A, Ritzel CH, Merletti R, Vieira TMM. Do surface electromyograms provide physiological estimates of conduction velocity from the medial gastrocnemius muscle? J Electromyogr Kinesiol 2012; 23:319-25. [PMID: 23265664 DOI: 10.1016/j.jelekin.2012.11.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2012] [Revised: 11/09/2012] [Accepted: 11/11/2012] [Indexed: 11/18/2022] Open
Abstract
Muscle fiber conduction velocity (CV) is commonly estimated from surface electromyograms (EMGs) collected with electrodes parallel to muscle fibers. If electrodes and muscle fibers are not located in parallel planes, CV estimates are biased towards values far over the physiological range. In virtue of their pinnate architecture, the fibers of muscles such as the gastrocnemius are hardly aligned in planes parallel to surface electrodes. Therefore, in this study we investigate whether physiological CV estimates can be obtained from the gastrocnemius muscle. Specifically, with a large grid of 16×8 electrodes we map CV estimates over the whole gastrocnemius muscle while eleven subjects exerted isometric plantar flexions at three different force levels. CV was estimated for couples of single differential EMGs and estimate locations (i.e., channels) were classified as physiological and non-physiological, depending on whether CV estimates were within the physiological range (3-6ms(-1)) or not. Physiological CV values could be estimated from a markedly small muscle region for eight participants; channels providing physiological CV estimates corresponded to about 5% of the total number of channels. As expected, physiological and non-physiological channels were clustered in distinct regions. CV estimates within the physiological range were obtained for the most distal gastrocnemius portion (ANOVA, P<0.001), where occurrences of propagating potentials were often verified through visual analysis. For the first time, this study shows that CV might be reliably assessed from surface EMGs collected from the most distal gastrocnemius region.
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Affiliation(s)
- Alessio Gallina
- Laboratorio di Ingegneria del Sistema Neuromuscolare (LISiN), Politecnico di Torino, Italy
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Enoka RM. Muscle fatigue – from motor units to clinical symptoms. J Biomech 2012; 45:427-33. [DOI: 10.1016/j.jbiomech.2011.11.047] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2011] [Accepted: 11/16/2011] [Indexed: 11/26/2022]
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Stock MS, Beck TW, Defreitas JM. Effects of fatigue on motor unit firing rate versus recruitment threshold relationships. Muscle Nerve 2011; 45:100-9. [DOI: 10.1002/mus.22266] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Bryant AL, Clark RA, Pua YH. Morphology of hamstring torque-time curves following ACL injury and reconstruction: mechanisms and implications. J Orthop Res 2011; 29:907-14. [PMID: 21259335 DOI: 10.1002/jor.21306] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2009] [Accepted: 10/12/2010] [Indexed: 02/04/2023]
Abstract
The purposes of this study were (i) to examine the effects of anterior cruciate ligament (ACL) status on hamstring force steadiness, peak hamstring strength, quadriceps (antagonist) activation, and physical performance, and (ii) to evaluate the associations of physical performance with hamstring steadiness and hamstring strength. Thirteen subjects with unilateral deficiency of the ACL (ACLD), 39 matched subjects with unilateral reconstructed ACL (ACLR; n = 25 with bone-patella tendon-bone (ACLR-PT) graft and n = 14 with combined semitendinosus and gracilis tendon (ACLR-STGT) graft) and 33 control subjects participated. Each subject performed maximal-effort isokinetic knee flexion repetitions at 180° s(-1) with electromyography (EMG) electrodes attached to their medial and lateral quadriceps muscles. Physical performance was assessed using the single-limb long hop for distance. Wavelet-derived mean instantaneous frequency (Mif) of flexor torque-time curves was significantly (p < 0.05) higher (i.e., less smooth) in ACLR-STGT subjects compared to the ACLD, ACLR-PT and control subjects. No significant differences existed for peak hamstrings strength (i.e., peak torque produced) or quadriceps antagonist EMG activity. Positive correlations were identified between hamstrings force steadiness and quadriceps antagonist activity for ACLD (r = 0.797), ACLR-PT (r = 0.467), and ACLR-STGT (r = 0.628) subjects. For ACLR-STGT subjects, reduced hamstrings force steadiness associated with poorer long-hop performance (r = -0.695). Reduced steadiness amongst ACLR-STGT subjects may reflect motor output variability of the antagonist (i.e., quadriceps dyskinesia) and/or agonist musculature-a maladaptive feature which potentially contributes to poorer single-limb hop performance. Measures of hamstring force steadiness in combination with traditional measures of peak hamstring strength provide valuable clinical information regarding knee joint function following ACL injury/ACLR.
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Affiliation(s)
- Adam L Bryant
- Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
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Neuromuscular activation of vastus intermedius muscle during fatiguing exercise. J Electromyogr Kinesiol 2010; 20:661-6. [DOI: 10.1016/j.jelekin.2010.01.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2009] [Revised: 01/05/2010] [Accepted: 01/15/2010] [Indexed: 11/21/2022] Open
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Lenti M, De Vito G, Sbriccoli P, Scotto di Palumbo A, Sacchetti M. Muscle fibre conduction velocity and cardiorespiratory response during incremental cycling exercise in young and older individuals with different training status. J Electromyogr Kinesiol 2010; 20:566-71. [DOI: 10.1016/j.jelekin.2010.02.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2009] [Revised: 01/26/2010] [Accepted: 02/10/2010] [Indexed: 11/17/2022] Open
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Rudroff T, Justice JN, Matthews S, Zuo R, Enoka RM. Muscle activity differs with load compliance during fatiguing contractions with the knee extensor muscles. Exp Brain Res 2010; 203:307-16. [PMID: 20358188 DOI: 10.1007/s00221-010-2233-3] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2010] [Accepted: 03/15/2010] [Indexed: 11/29/2022]
Abstract
The purpose of this study was to determine the influence of load compliance on the time to failure and rate of change in electromyographic (EMG) activity when the knee extensor muscles performed fatiguing contractions against submaximal loads. The low-compliance condition required the subject to exert a force against a rigid restraint (force control), whereas the high-compliance condition involved maintaining the knee joint angle while supporting an equivalent inertial load (position control). Both contractions were sustained for as long as possible. Each subject exerted a similar net torque about the knee joint during the force and position tasks; the target force corresponded to a force at the ankle equal to 20% of the maximal voluntary contraction (MVC) force. Thirteen healthy adults (25 +/- 7 year) participated in the study. MVC forces before the force and position tasks were similar (189 +/- 40 N vs. 179 +/- 43 N, P = 0.4), and the target force was 36 +/- 8 N. The time to task failure was longer for the force task (224 +/- 114 s) than for the position task (110 +/- 36 s, P < 0.05), but MVC force declined to a similar level immediately after task failure for the two tasks (-31 +/- 16%). The briefer time to failure for the position task was accompanied by greater rates of increase in agonist EMG amplitude and the pressor response. Coactivation ratios, in contrast, were similar for the two tasks and did not contribute to task differences in time to failure. These findings indicate that it was more difficult to sustain a submaximal contraction with the knee extensor muscles when the task required position control, despite comparable net muscle torques for the low- and high-compliance tasks.
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Affiliation(s)
- Thorsten Rudroff
- Department of Integrative Physiology, University of Colorado, Boulder, CO 80309-0354, USA.
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Gruet M, Vallier J, Mely L, Brisswalter J. Long term reliability of EMG measurements in adults with cystic fibrosis. J Electromyogr Kinesiol 2010; 20:305-12. [DOI: 10.1016/j.jelekin.2009.05.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2009] [Revised: 05/04/2009] [Accepted: 05/11/2009] [Indexed: 11/27/2022] Open
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30
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Non-invasive assessment of muscle fiber conduction velocity during an incremental maximal cycling test. J Electromyogr Kinesiol 2009; 19:e380-6. [DOI: 10.1016/j.jelekin.2009.03.008] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2008] [Revised: 03/19/2009] [Accepted: 03/19/2009] [Indexed: 11/18/2022] Open
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Smith TO, Bowyer D, Dixon J, Stephenson R, Chester R, Donell ST. Can vastus medialis oblique be preferentially activated? A systematic review of electromyographic studies. Physiother Theory Pract 2009; 25:69-98. [DOI: 10.1080/09593980802686953] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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