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Azevedo J, Moreira-Silva I, Seixas A, Fonseca P, Oliveira J, Vilas-Boas JP. The Effect of Muscle Fatigue on the Knee Proprioception: A Systematic Review. J Mot Behav 2024:1-33. [PMID: 38810655 DOI: 10.1080/00222895.2024.2341753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 04/07/2024] [Indexed: 05/31/2024]
Abstract
This study aimed to systematically review and summarise the evidence about the effect of muscle fatigue on the knee proprioception of trained and non-trained individuals. A search in PubMed, Scopus, Web of Science and EBSCO databases and Google Scholar was conducted using the expression: "fatigue" AND ("proprioception" OR "position sense" OR "repositioning" OR "kinesthesia" OR "detection of passive motion" OR "force sense" OR "sense of resistance") AND "knee". Forty-two studies were included. Regarding joint-position sense, higher repositioning errors were reported after local and general protocols. Kinesthesia seems to be more affected when fatigue is induced locally, and force sense when assessed at higher target forces and after eccentric protocols. Muscle fatigue, both induced locally or generally, has a negative impact on the knee proprioception.
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Affiliation(s)
- Joana Azevedo
- FP-I3ID, FP-BHS, Escola Superior de Saúde Fernando Pessoa, Porto, Portugal
- Faculty of Sport, University of Porto, Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
| | - Isabel Moreira-Silva
- FP-I3ID, FP-BHS, Escola Superior de Saúde Fernando Pessoa, Porto, Portugal
- Research Centre in Physical Activity, Health and Leisure-CIAFEL, Faculty of Sports, University of Porto, Porto, Portugal
| | - Adérito Seixas
- FP-I3ID, FP-BHS, Escola Superior de Saúde Fernando Pessoa, Porto, Portugal
- LABIOMEP, INEGI-LAETA, Faculdade de Desporto, Universidade do Porto, Porto, Portugal
| | - Pedro Fonseca
- Faculty of Sport, University of Porto, Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
| | - José Oliveira
- Research Centre in Physical Activity, Health and Leisure-CIAFEL, Faculty of Sports, University of Porto, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, Porto, Portugal
| | - João Paulo Vilas-Boas
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
- Centre of Research, Education, Innovation, and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal
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Vila-Chã C, Bovolini A, Francisco C, Costa-Brito AR, Vaz C, Rua-Alonso M, de Paz JA, Vieira T, Mendonca GV. Acute effects of isotonic eccentric exercise on the neuromuscular function of knee extensors vary according to the motor task: impact on muscle strength profiles, proprioception and balance. Front Sports Act Living 2023; 5:1273152. [PMID: 38022776 PMCID: PMC10655025 DOI: 10.3389/fspor.2023.1273152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Accepted: 10/18/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction Eccentric exercise has often been reported to result in muscle damage, limiting the muscle potential to produce force. However, understanding whether these adverse consequences extend to a broader, functional level is of apparently less concern. In this study, we address this issue by investigating the acute and delayed effects of supramaximal isotonic eccentric exercise on neuromuscular function and motor performance of knee extensors during tasks involving a range of strength profiles, proprioception, and balance. Methods Fifteen healthy volunteers (23.2 ± 2.9 years old) performed a unilateral isotonic eccentric exercise of the knee extensors of their dominant lower limb (4 × 10 reps at 120% of one Repetition Maximum (1RM)). The maximum voluntary isometric contraction (MVC), rate of force development (RFD), force steadiness of the knee extensors, as well as knee joint position sense and mediolateral (MLI) and anteroposterior stability (API) of the dominant lower limb, were measured pre-, immediately, and 24 h after the eccentric exercise. The EMG amplitude of the vastus medialis (VM) and biceps femoris (BF) were concomitantly evaluated. Results MVC decreased by 17.9% immediately after exercise (P < 0.001) and remained reduced by 13.6% 24 h following exercise (P < 0.001). Maximum RFD decreased by 20.4% immediately after exercise (P < 0.001) and remained reduced by 15.5% at 24 h (P < 0.001). During the MVC, EMG amplitude of the VM increased immediately after exercise while decreasing during the RFD task. Both values returned to baseline 24 h after exercise. Compared to baseline, force steadiness during submaximal isometric tasks reduced immediately after exercise, and it was accompanied by an increase in the EMG amplitude of the VM. MLI and knee joint position sense were impaired immediately after isotonic eccentric exercise (P < 0.05). While MLI returned to baseline values 24 h later, the absolute error in the knee repositioning task did not. Discussion Impairments in force production tasks, particularly during fast contractions and in the knee joint position sense, persisted 24 h after maximal isotonic eccentric training, revealing that neuromuscular functional outputs were affected by muscle fatigue and muscle damage. Conversely, force fluctuation and stability during the balance tasks were only affected by muscle fatigue since fully recovered was observed 24 h following isotonic eccentric exercise.
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Affiliation(s)
- Carolina Vila-Chã
- Laboratory for the Assessment of Sports Performance, Physical Exercise and Health (Labmov), Polytechnic of Guarda, Guarda, Portugal
- Research Center in Sports Sciences, Health Sciences, and Human Development, Vila Real, Portugal
| | - Antonio Bovolini
- Laboratory for the Assessment of Sports Performance, Physical Exercise and Health (Labmov), Polytechnic of Guarda, Guarda, Portugal
- Research Center in Sports Sciences, Health Sciences, and Human Development, Vila Real, Portugal
| | - Cristiana Francisco
- Laboratory for the Assessment of Sports Performance, Physical Exercise and Health (Labmov), Polytechnic of Guarda, Guarda, Portugal
| | - Ana R. Costa-Brito
- Laboratory for the Assessment of Sports Performance, Physical Exercise and Health (Labmov), Polytechnic of Guarda, Guarda, Portugal
| | - Cláudia Vaz
- Laboratory for the Assessment of Sports Performance, Physical Exercise and Health (Labmov), Polytechnic of Guarda, Guarda, Portugal
| | - María Rua-Alonso
- Laboratory for the Assessment of Sports Performance, Physical Exercise and Health (Labmov), Polytechnic of Guarda, Guarda, Portugal
- Research Center in Sports Sciences, Health Sciences, and Human Development, Vila Real, Portugal
- Performance and Health Group, Department of Physical Education and Sport, Faculty of Sports Sciences and Physical Education, University of A Coruna, A Coruña, Spain
| | | | - Taian Vieira
- Laboratorio di Ingegneria del Sistema Neuromuscolare (LISiN), Dipartimento di Elettronica e Telecomunicazioni, Politecnico di Torino, Turin, Italy
- PoliToBIOMed Lab, Politecnico di Torino, Turin, Italy
| | - Goncalo V. Mendonca
- Neuromuscular Research Laboratory, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
- Interdisciplinary Center for the Study of Human Performance (CIPER), Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
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Chen CH, Chiu CH, Tseng WC, Wu CY, Su HH, Chang CK, Ye X. Acute Effects of Combining Dynamic Stretching and Vibration Foam Rolling Warm-up on Lower-Limb Muscle Performance and Functions in Female Handball Players. J Strength Cond Res 2023; 37:1277-1283. [PMID: 33651738 DOI: 10.1519/jsc.0000000000003998] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
ABSTRACT Chen, CH, Chiu, CH, Tseng, WC, Wu, CY, Su, HH, Chang, CK, and Ye, X. Acute effects of combining dynamic stretching and vibration foam rolling warm-up on lower-limb muscle performance and functions in female handball players. J Strength Cond Res 36(4): 920-926, 2022-The purpose of this study was to compare the acute effects of 3 warm-up protocols on knee flexor and extensor muscles performance in elite female collegiate handball players. Ten female handball players with poor hamstring flexibility completed 3 randomly sequenced experimental visits. During each visit, a different warm-up protocol (general running warm-up [GW], dynamic stretching [DS], or DS combined with vibration foam rolling [DS + VR]) was delivered before the subsequent tests: quadriceps and hamstring muscle stiffness, knee extension and flexion range of motion (ROM), knee joint position sense, knee extension and flexion isokinetic strength with hamstring-quadriceps strength ratio, and muscle endurance during fatiguing exercise. Relative to the GW, the DS + VR protocol resulted in significantly greater knee flexion ROM (mean ± SD : DS + VR = 79.4° ± 7.7°; GW = 69.3° ± 9.6°) and lower hamstring muscle stiffness (DS + VR = 253.33 ± 36.20 N·m -1 ; GW = 292.89 ± 24.28 N·m -1 ). In addition, the DS + VR protocol also yielded greater hamstring muscle endurance than the other 2 protocols did (fatigue percentage: DS + VR = 30.24% ± 10.84%; GW = 41.40% ± 8.98%; DS = 42.22% ± 9.42%). Therefore, the results of this experiment suggest that it can be more beneficial for the female handball players to warm-up with the DS + VR, rather than the GW and DS protocols.
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Affiliation(s)
- Che-Hsiu Chen
- Department of Sport Performance, National Taiwan University of Sport, Taichung, Taiwan
| | - Chih-Hui Chiu
- Department of Exercise and Health Science, National Taiwan University of Sport, Taichung, Taiwan
| | - Wei-Chin Tseng
- Department of Exercise and Health Sciences, University of Taipei, Taipei, Taiwan
| | - Chun-Yen Wu
- Department of Rehabilitation, Feng Yuan Hospital of the Ministry of Health and Welfare, Taichung, Taiwan
| | - Hsi-Hsun Su
- Department of Rehabilitation, Feng Yuan Hospital of the Ministry of Health and Welfare, Taichung, Taiwan
| | - Chien-Km Chang
- Department of Ball Sports, National Taiwan University of Sport, Taichung, Taiwan; and
| | - Xin Ye
- Department of Rehabilitation Sciences, University of Hartford, West Hartford, Connecticut
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Da Silva F, Monjo F, Gioda J, Blain GM, Piponnier E, Corcelle B, Colson SS. Knee position sense and knee flexor neuromuscular function are similarly altered after two submaximal eccentric bouts. Eur J Appl Physiol 2023; 123:311-323. [PMID: 36273044 DOI: 10.1007/s00421-022-05063-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 09/30/2022] [Indexed: 02/07/2023]
Abstract
PURPOSE This study examined eccentric-induced fatigue effects on knee flexor (KF) neuromuscular function and on knee position sense. This design was repeated across two experimental sessions performed 1 week apart to investigate potential repeated bout effects. METHODS Sixteen participants performed two submaximal bouts of KF unilateral eccentric contractions until reaching a 20% decrease in maximal voluntary isometric contraction force. Knee position sense was evaluated with position-matching tasks in seated and prone positions at 40° and 70° of knee flexion so that KF were either antagonistic or agonistic during the positioning movement. The twitch interpolation technique was used to assess KF neuromuscular fatigue. Perceived muscle soreness was also assessed. Measurements were performed before, immediately (POST) and 24 h after (POST24) each eccentric bout. RESULTS No repeated bout effect on neuromuscular function and proprioceptive parameters was observed. At POST, central and peripheral factors contributed to the force decrement as shown by significant decreases in voluntary activation level (- 3.8 ± 4.8%, p < 0.01) and potentiated doublet torque at 100 Hz (- 10 ± 15.8%, p < 0.01). At this time point, position-matching errors significantly increased by 1.7 ± 1.9° in seated position at 40° (p < 0.01). At POST24, in presence of muscle soreness (p < 0.05), although KF neuromuscular function had recovered, position-matching errors increased by 0.6 ± 2.6° in prone position at 40° (p < 0.01). CONCLUSION These results provide evidence that eccentric-induced position sense alterations may arise from central and/or peripheral mechanisms depending on the testing position.
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Affiliation(s)
- Flavio Da Silva
- Laboratoire Motricité Humaine Expertise Sport Santé (UPR 6312), Ecole Universitaire de Recherche HEALTHY: Ecosystèmes des Sciences de la Santé, Université Côte d'Azur, Campus STAPS-Sciences du Sport, 261, Boulevard du Mercantour, 06205, Nice Cedex 03, France.
| | - Florian Monjo
- Laboratoire Motricité Humaine Expertise Sport Santé (UPR 6312), Ecole Universitaire de Recherche HEALTHY: Ecosystèmes des Sciences de la Santé, Université Côte d'Azur, Campus STAPS-Sciences du Sport, 261, Boulevard du Mercantour, 06205, Nice Cedex 03, France
| | - Jennifer Gioda
- Laboratoire Motricité Humaine Expertise Sport Santé (UPR 6312), Ecole Universitaire de Recherche HEALTHY: Ecosystèmes des Sciences de la Santé, Université Côte d'Azur, Campus STAPS-Sciences du Sport, 261, Boulevard du Mercantour, 06205, Nice Cedex 03, France
| | - Gregory M Blain
- Laboratoire Motricité Humaine Expertise Sport Santé (UPR 6312), Ecole Universitaire de Recherche HEALTHY: Ecosystèmes des Sciences de la Santé, Université Côte d'Azur, Campus STAPS-Sciences du Sport, 261, Boulevard du Mercantour, 06205, Nice Cedex 03, France
| | - Enzo Piponnier
- Laboratoire Motricité Humaine Expertise Sport Santé (UPR 6312), Ecole Universitaire de Recherche HEALTHY: Ecosystèmes des Sciences de la Santé, Université Côte d'Azur, Campus STAPS-Sciences du Sport, 261, Boulevard du Mercantour, 06205, Nice Cedex 03, France
| | - Baptiste Corcelle
- Laboratoire Motricité Humaine Expertise Sport Santé (UPR 6312), Ecole Universitaire de Recherche HEALTHY: Ecosystèmes des Sciences de la Santé, Université Côte d'Azur, Campus STAPS-Sciences du Sport, 261, Boulevard du Mercantour, 06205, Nice Cedex 03, France
| | - Serge S Colson
- Laboratoire Motricité Humaine Expertise Sport Santé (UPR 6312), Ecole Universitaire de Recherche HEALTHY: Ecosystèmes des Sciences de la Santé, Université Côte d'Azur, Campus STAPS-Sciences du Sport, 261, Boulevard du Mercantour, 06205, Nice Cedex 03, France
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Sonkodi B, Pállinger É, Radovits T, Csulak E, Shenker-Horváth K, Kopper B, Buzás EI, Sydó N, Merkely B. CD3+/CD56+ NKT-like Cells Show Imbalanced Control Immediately after Exercise in Delayed-Onset Muscle Soreness. Int J Mol Sci 2022; 23:ijms231911117. [PMID: 36232420 PMCID: PMC9569472 DOI: 10.3390/ijms231911117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/15/2022] [Accepted: 09/19/2022] [Indexed: 11/24/2022] Open
Abstract
The purpose of the study was to carry out an immunophenotypical characterization with a special focus on natural killer cells of junior swimmers from the Hungarian National Swim Team before and after an intensive acute exercise. Nineteen swimmers, ten females and nine males, completed the exercise protocol. Sixteen swimmers experienced delayed-onset muscle soreness. Most of our findings substantiated earlier results, such as the increase in the percentage of the CD3−/CD56+ natural killer cells and the CD3−/CD56dim+ NK cells, and the decrease in the percentage of CD3+ T cells among lymphocytes after the exercise protocol. The drop of natural killer cell activity back to the pre-exercise level was in line with earlier findings. Interestingly, the percentage of CD3+/CD56+ NKT-like cells did not change significantly in those three swimmers who did not report delayed-onset muscle soreness. On the contrary, the percentage of CD3+/CD56+ NKT-like cells among lymphocytes increased in fourteen and decreased in two swimmers reporting delayed-onset muscle soreness. This study for the first time demonstrated a link between the delayed-onset muscle soreness and the imbalanced control of CD3+/CD56+ NKT-like cells among lymphocytes. However, validation of this association in a larger sample size study will be necessary.
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Affiliation(s)
- Balázs Sonkodi
- Department of Health Sciences and Sport Medicine, Hungarian University of Sports Science, 1123 Budapest, Hungary
- Correspondence:
| | - Éva Pállinger
- Department of Genetics, Cell- and Immunobiology, Semmelweis University, 1085 Budapest, Hungary
| | - Tamás Radovits
- Heart and Vascular Center, Semmelweis University, 1122 Budapest, Hungary
| | - Emese Csulak
- Heart and Vascular Center, Semmelweis University, 1122 Budapest, Hungary
| | | | - Bence Kopper
- Faculty of Kinesiology, Hungarian University of Sports Science, 1123 Budapest, Hungary
| | - Edit I. Buzás
- Department of Genetics, Cell- and Immunobiology, Semmelweis University, 1085 Budapest, Hungary
- HCEMM-SU Extracellular Vesicle Research Group, 1089 Budapest, Hungary
- ELKH-SE Translational Extracellular Vesicle Research Group, 1089 Budapest, Hungary
| | - Nóra Sydó
- Heart and Vascular Center, Semmelweis University, 1122 Budapest, Hungary
- Department of Sports Medicine, Semmelweis University, 1122 Budapest, Hungary
| | - Béla Merkely
- Heart and Vascular Center, Semmelweis University, 1122 Budapest, Hungary
- Department of Sports Medicine, Semmelweis University, 1122 Budapest, Hungary
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Sonkodi B. Should We Void Lactate in the Pathophysiology of Delayed Onset Muscle Soreness? Not So Fast! Let’s See a Neurocentric View! Metabolites 2022; 12:metabo12090857. [PMID: 36144262 PMCID: PMC9505902 DOI: 10.3390/metabo12090857] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/11/2022] [Accepted: 09/12/2022] [Indexed: 01/01/2023] Open
Abstract
The pathophysiology of delayed onset muscle soreness is not entirely known. It seems to be a simple, exercise-induced delayed pain condition, but has remained a mystery for over 120 years. The buildup of lactic acid used to be blamed for muscle fatigue and delayed onset muscle soreness; however, studies in the 1980s largely refuted the role of lactate in delayed onset muscle soreness. Regardless, this belief is widely held even today, not only in the general public, but within the medical and scientific community as well. Current opinion is highlighting lactate’s role in delayed onset muscle soreness, if neural dimension and neuro-energetics are not overlooked. By doing so, lactate seems to have an essential role in the initiation of the primary damage phase of delayed onset muscle soreness within the intrafusal space. Unaccustomed or strenuous eccentric contractions are suggested to facilitate lactate nourishment of proprioceptive sensory neurons in the muscle spindle under hyperexcitation. However, excessive acidosis and lactate could eventually contribute to impaired proprioception and increased nociception under pathological condition. Furthermore, lactate could also contribute to the secondary damage phase of delayed onset muscle soreness in the extrafusal space, primarily by potentiating the role of bradykinin. After all, neural interpretation may help us to dispel a 40-year-old controversy about lactate’s role in the pathophysiology of delayed onset muscle soreness.
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Affiliation(s)
- Balázs Sonkodi
- Department of Health Sciences and Sport Medicine, Hungarian University of Sports Science, 1123 Budapest, Hungary
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Delayed Onset Muscle Soreness and Critical Neural Microdamage-Derived Neuroinflammation. Biomolecules 2022; 12:biom12091207. [PMID: 36139045 PMCID: PMC9496513 DOI: 10.3390/biom12091207] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 08/26/2022] [Accepted: 08/30/2022] [Indexed: 02/06/2023] Open
Abstract
Piezo2 transmembrane excitatory mechanosensitive ion channels were identified as the principal mechanotransduction channels for proprioception. Recently, it was postulated that Piezo2 channels could be acutely microdamaged on an autologous basis at proprioceptive Type Ia terminals in a cognitive demand-induced acute stress response time window when unaccustomed or strenuous eccentric contractions are executed. One consequence of this proposed transient Piezo2 microinjury could be a VGLUT1/Ia synaptic disconnection on motoneurons, as we can learn from platinum-analogue chemotherapy. A secondary, harsher injury phase with the involvement of polymodal Aδ and nociceptive C-fibers could follow the primary impairment of proprioception of delayed onset muscle soreness. Repetitive reinjury of these channels in the form of repeated bout effects is proposed to be the tertiary injury phase. Notably, the use of proprioception is associated with motor learning and memory. The impairment of the monosynaptic static phase firing sensory encoding of the affected stretch reflex could be the immediate consequence of the proposed Piezo2 microdamage leading to impaired proprioception, exaggerated contractions and reduced range of motion. These transient Piezo2 channelopathies in the primary afferent terminals could constitute the critical gateway to the pathophysiology of delayed onset muscle soreness. Correspondingly, fatiguing eccentric contraction-based pathological hyperexcitation of the Type Ia afferents induces reactive oxygen species production-associated neuroinflammation and neuronal activation in the spinal cord of delayed onset muscle soreness.
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Sonkodi B, Hegedűs Á, Kopper B, Berkes I. Significantly Delayed Medium-Latency Response of the Stretch Reflex in Delayed-Onset Muscle Soreness of the Quadriceps Femoris Muscles Is Indicative of Sensory Neuronal Microdamage. J Funct Morphol Kinesiol 2022; 7:jfmk7020043. [PMID: 35736014 PMCID: PMC9224667 DOI: 10.3390/jfmk7020043] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 05/24/2022] [Accepted: 05/26/2022] [Indexed: 11/16/2022] Open
Abstract
Unaccustomed or strenuous eccentric exercise is known to cause delayed-onset muscle soreness. A recent hypothesis postulated that mechano-energetic microinjury of the primary afferent sensory neuron terminals in the muscle spindles, namely a transient Piezo2 channelopathy, could be the critical cause of delayed-onset muscle soreness in the form of a bi-phasic non-contact injury mechanism. This theory includes that this microlesion could delay the medium-latency response of the stretch reflex. Our aim with this study was to investigate this hypothesis. According to our knowledge, no study has examined the effect of delayed-onset muscle soreness on the medium-latency response of the stretch reflex. Our findings demonstrated that a significant delay in the medium-latency stretch reflex could be observed right after a multi-stage fitness test in the quadriceps femoris muscles of Hungarian professional handball players who consequently experienced delayed-onset muscle soreness. The long-latency stretch reflex and most likely short-latency stretch reflex were unaffected by delayed-onset muscle soreness in our study, which is in line with earlier findings. We translate these findings as indicative of proprioceptive Type Ia terminal microdamage in the muscle spindle in line with the aforementioned new acute non-contact compression axonopathy theory of delayed-onset muscles soreness.
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Affiliation(s)
- Balázs Sonkodi
- Department of Health Sciences and Sport Medicine, Hungarian University of Sport Science, 1123 Budapest, Hungary;
- Correspondence:
| | - Ádám Hegedűs
- Faculty of Kinesiology, Hungarian University of Sport Science, 1123 Budapest, Hungary; (Á.H.); (B.K.)
| | - Bence Kopper
- Faculty of Kinesiology, Hungarian University of Sport Science, 1123 Budapest, Hungary; (Á.H.); (B.K.)
| | - István Berkes
- Department of Health Sciences and Sport Medicine, Hungarian University of Sport Science, 1123 Budapest, Hungary;
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Jeon J, Lee J, Hong J, Yu J, Kim J, Lee D. Correlation of eccentric strength of the knee extensors and knee proprioception with dynamic postural control. J Back Musculoskelet Rehabil 2022; 35:309-316. [PMID: 34180403 DOI: 10.3233/bmr-200106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND It is important for clinicians and researchers to perform dynamic postural control evaluation for predicting musculoskeletal conditions, injury prevention, and rehabilitation. OBJECTIVE The purpose of this study was to investigate the relationship (1) between the eccentric strength of the knee extensors and star excursion balance test (SEBT), and (2) between the knee proprioception and SEBT. METHODS Forty healthy young adults participated in this study. The eccentric peak torque (EPT) of the knee extensors, joint position sense, and force sense were measured. The participants also performed SEBT. Pearson's product-moment correlation and multiple linear regression analysis were used to determine the relationship between the variables and SEBT. RESULTS The posteromedial direction of the SEBT was positively and strongly correlated with EPT (r= 0.74, P< 0.01). The anterior and posterolateral directions were positively and moderately correlated with EPT (r= 0.46, P< 0.01, and r= 0.69, P< 0.01, respectively.). However, knee proprioception was not correlated with all the directions of SEBT (P> 0.05). According to the results of multiple linear regression analysis, EPT of the knee extensors significantly predicted SEBT reach distances. CONCLUSION The eccentric strength of the knee extensors seems to be an essential factor in dynamic postural control. However, the knee proprioception did not show a significant correlation with SEBT.
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Affiliation(s)
- Jeongwoo Jeon
- Department of Physical Therapy, College of Health Sciences, SunMoon University, Asan-si, Chungcheongnam-do, Korea
| | - Jiyeon Lee
- Rehabilitation Center of Dawoori Hospital, Asan-si, Chungcheongnam-do, Korea
| | - Jiheon Hong
- Department of Physical Therapy, College of Health Sciences, SunMoon University, Asan-si, Chungcheongnam-do, Korea
| | - Jaeho Yu
- Department of Physical Therapy, College of Health Sciences, SunMoon University, Asan-si, Chungcheongnam-do, Korea
| | - Jinseop Kim
- Department of Physical Therapy, College of Health Sciences, SunMoon University, Asan-si, Chungcheongnam-do, Korea
| | - Dongyeop Lee
- Department of Physical Therapy, College of Health Sciences, SunMoon University, Asan-si, Chungcheongnam-do, Korea
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Immediate voluntary activation deficits following submaximal eccentric contractions of knee extensors are associated with alterations of the sense of movement. Sci Rep 2022; 12:2338. [PMID: 35149737 PMCID: PMC8837602 DOI: 10.1038/s41598-022-06081-2] [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: 06/25/2021] [Accepted: 12/22/2021] [Indexed: 11/08/2022] Open
Abstract
The mechanisms underlying movement sense alterations following repeated eccentric contractions remain unclear. This study concomitantly investigated the effects of unilateral eccentric contractions on movement sense and on neuromuscular function at the knee before, immediately after (POST), 24 (POST24) and 48 (POST48) h after the exercise. Twelve participants performed sets of submaximal knee extensors (KE) eccentric contractions until a 20% decrease in maximal voluntary isometric contraction (MVIC) torque was reached. Threshold to detect passive movement (TTDPM) tasks were used to assess movement sense during both knee flexion (TTDPMFLEX) and extension (TTDPMEXT). KE fatigability was assessed using the interpolated twitch technique. TTDPM values expressed in seconds and the percentage of unsuccessful trials only increased at POST during TTDPMFLEX and TTDPMEXT. The 20%-MVIC decrease was associated with significant decreases in voluntary activation level (- 12.7%, p < 0.01) and potentiated doublet torque at 100 Hz (- 18.1%, p < 0.001). At POST24, despite persistent reductions of maximal voluntary and electrically evoked torques associated with increased perceived muscle soreness, TTDPM values and the percentage of unsuccessful trials returned to baseline values. Consequently, movement sense alterations were only observed in the presence of voluntary activation deficits, suggesting that some exercise-induced central alterations may affect the somatosensory function.
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Test-Retest Reliability of a New Device Versus a Long-Arm Goniometer to Evaluate Knee Proprioception. J Sport Rehabil 2021; 31:368-373. [PMID: 34784583 DOI: 10.1123/jsr.2021-0146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 09/06/2021] [Accepted: 09/13/2021] [Indexed: 11/18/2022]
Abstract
CONTEXT Many methods used to evaluate knee proprioception have shortcomings that limit their use in clinical settings. Based on an inexpensive 3D camera, a new portable device was recently used to evaluate the joint position sense (JPS) of the knee joint. However, the test-retest reliability of the new method remains unclear. This study aimed to evaluate the test-retest reliability of the new device and a long-arm goniometer for assessing knee JPS, and to compare the variability of the 2 methods. DESIGN Prospective observational study of the test-retest reliability of knee JPS measurements. METHODS Twenty-one healthy adults were tested in 2 sessions with a 1-week interval. Three target knee flexion angles (30°, 45°, and 60°) were reproduced in each session. Target and reproduced angles were measured with both methods. Intraclass correlation coefficients, standard error of the measurement, and Bland-Altman plots were used to quantify test-retest reliability. Paired t tests were used to compare knee JPS (absolute error of the target-reproduced angle) between the methods. RESULTS The new device (good to excellent intraclass correlation coefficients .74-.80; standard error of the measurement 0.52°-0.61°) demonstrated better test-retest reliability than the goniometer (poor to fair intraclass correlation coefficients .23-.43; standard error of the measurement 0.89°-2.07°) and better test-retest agreement (respective mean differences for the 30°, 45°, and 60° knee angles: 0.11°, 0.13°, and 0.41° for the new system; 0.84°, 1.52°, and 1.18° for the goniometer). The measurements (absolute errors of the target-reproduced angles) with the goniometer were significantly greater than those with the new device (P < .05); the SDs of repeated measurements with the goniometer (1.50°-2.41°) were greater than with the new device (1.08°-1.38°). CONCLUSIONS Given that the new device has good reliability and sufficient precision, it is the better alternative for evaluating knee JPS. Goniometers should be used with caution to assess knee JPS.
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Look MC, Iyengar Y, Barcellona M, Shortland A. Does delayed onset muscle soreness affect the biomechanical variables of the drop vertical jump that have been associated with increased ACL injury risk? A randomised control trial. Hum Mov Sci 2021; 76:102772. [PMID: 33609960 DOI: 10.1016/j.humov.2021.102772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 11/27/2020] [Accepted: 02/02/2021] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Delayed onset muscle soreness (DOMS) and Anterior Cruciate Ligament (ACL) injuries are both prevalent in sport. It is currently unknown whether DOMS increases ACL injury risk. AIM This study aimed to provide preliminary insight on whether DOMS affects ACL injury risk by investigating whether DOMS affects the biomechanical variables of the DVJ that have been identified as risk factors for future ACL injury. METHODS This was a randomised control trial involving 32 active individuals aged 18-35 years, with no history of ACL injury. Participants underwent two sessions of force-plate testing and 3D motion analysis of the drop vertical jump (DVJ). The DVJ was chosen as it has been investigated prospectively for association with future ACL injury. Initial testing was followed by randomisation to DOMS or control group. The DOMS group underwent a DOMS-inducing exercise protocol, the control group did not. Both groups were re-tested 48 h after initial testing. Five variables of the DVJ that have been associated with future ACL injury were chosen for analysis - peak knee flexion angle, peak vertical ground reaction force, ground contact time, peak knee abduction angle & peak knee abduction moment. Between-group differences were compared using a two-way mixed analysis of variance; alpha level set to 0.05. RESULTS DOMS was successfully induced in all participants of the DOMS group however no statistically significant group x time interactions were found for any of the five variables analysed. CONCLUSIONS DOMS did not affect the biomechanical variables of the DVJ that have been associated with future ACL injury. By extension, this may suggest that DOMS might not affect ACL injury risk. However, it is also possible that certain attributes of the DVJ meant that any effect of DOMS was simply unable to be quantified, even if an effect existed. All considered, our position is that conclusion cannot be drawn from this study alone on whether DOMS affects ACL injury risk. Further research is required.
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Affiliation(s)
- Matthew C Look
- Academic Department of Physiotherapy, Faculty of Life Sciences and Medicine, King's College London, 2(nd) Floor Addison House, Guy's Campus, London SE1 1UL, United Kingdom.
| | - Yogita Iyengar
- Academic Department of Physiotherapy, Faculty of Life Sciences and Medicine, King's College London, 2(nd) Floor Addison House, Guy's Campus, London SE1 1UL, United Kingdom.
| | - Massimo Barcellona
- Department of Physiotherapy, King's College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS, United Kingdom.
| | - Adam Shortland
- Department of Biomedical Engineering & Imaging Sciences, Faculty of Life Sciences and Medicine, King's College London, 4(th) Floor, Lambeth Wing, St Thomas' Hospital, London SE1 7EH, United Kingdom.
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Hill MW, Hosseini EA, McLellan A, Price MJ, Lord SR, Kay AD. Delayed Impairment of Postural, Physical, and Muscular Functions Following Downhill Compared to Level Walking in Older People. Front Physiol 2020; 11:544559. [PMID: 33192547 PMCID: PMC7609421 DOI: 10.3389/fphys.2020.544559] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Accepted: 09/18/2020] [Indexed: 11/15/2022] Open
Abstract
Transient symptoms of muscle damage emanating from unaccustomed eccentric exercise can adversely affect muscle function and potentially increase the risk of falling for several days. Therefore, the aims of the present study were to investigate the shorter- and longer-lasting temporal characteristics of muscle fatigue and damage induced by level (i.e., concentrically biased contractions) or downhill (i.e., eccentrically biased contractions) walking on postural, physical, and muscular functions in older people. Nineteen participants were matched in pairs for sex, age and self-selected walking speed and allocated to a level (n = 10, age = 72.3 ± 2.9 years) or downhill (n = 9, age = 72.1 ± 2.2 years) walking group. Postural sway, muscle torque and power, physical function (5× and 60 s sit-to-stand; STS), and mobility (Timed-Up-and-Go; TUG) were evaluated at baseline (pre-exercise), 1 min, 15 min, 30 min, 24 h, and 48 h after 30 min of level (0% gradient) or downhill (−10% gradient) walking on a treadmill. Following downhill walking, postural sway (+66 to 256%), TUG (+29%), 60 s STS (+29%), five times STS (−25%) and concentric power (−33%) did not change at 1–30 min post exercise, but were significantly different (p < 0.05) at 24 and48 h post-exercise when compared to baseline (p < 0.05). Muscle torque decreased immediately after downhill walking and remained impaired at 48 h post-exercise (−27 to −38%). Immediately following level walking there was an increase in postural sway (+52 to +98%), slower TUG performance (+29%), fewer STS cycles in 60 s (−23%), slower time to reach five STS cycles (+20%) and impaired muscle torque (−23%) and power (−19%) which returned to baseline 30-min after exercise cessation (p > 0.05). These findings have established for the first time distinct impairment profiles between concentric and eccentric exercise. Muscle damage emanating from eccentrically biased exercise can lead to muscle weakness, postural instability and impaired physical function persisting for several days, possibly endangering older adult’s safety during activities of daily living by increasing the risk of falls.
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Affiliation(s)
- Mathew William Hill
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom
| | - Edyah-Ariella Hosseini
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom
| | - Abbie McLellan
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom
| | - Michael James Price
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom
| | - Stephen Ronald Lord
- Falls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales, Sydney, NSW, Australia
| | - Anthony David Kay
- Centre for Physical Activity and Life Sciences, University of Northampton, Northampton, United Kingdom
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Stožer A, Vodopivc P, Križančić Bombek L. Pathophysiology of exercise-induced muscle damage and its structural, functional, metabolic, and clinical consequences. Physiol Res 2020; 69:565-598. [PMID: 32672048 DOI: 10.33549/physiolres.934371] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Extreme or unaccustomed eccentric exercise can cause exercise-induced muscle damage, characterized by structural changes involving sarcomere, cytoskeletal, and membrane damage, with an increased permeability of sarcolemma for proteins. From a functional point of view, disrupted force transmission, altered calcium homeostasis, disruption of excitation-contraction coupling, as well as metabolic changes bring about loss of strength. Importantly, the trauma also invokes an inflammatory response and clinically presents itself by swelling, decreased range of motion, increased passive tension, soreness, and a transient decrease in insulin sensitivity. While being damaging and influencing heavily the ability to perform repeated bouts of exercise, changes produced by exercise-induced muscle damage seem to play a crucial role in myofibrillar adaptation. Additionally, eccentric exercise yields greater hypertrophy than isometric or concentric contractions and requires less in terms of metabolic energy and cardiovascular stress, making it especially suitable for the elderly and people with chronic diseases. This review focuses on our current knowledge of the mechanisms underlying exercise-induced muscle damage, their dependence on genetic background, as well as their consequences at the structural, functional, metabolic, and clinical level. A comprehensive understanding of these is a prerequisite for proper inclusion of eccentric training in health promotion, rehabilitation, and performance enhancement.
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Affiliation(s)
- A Stožer
- Institute of Physiology, Faculty of Medicine, University of Maribor, Slovenia.
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15
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Koumantakis GA, Roussou E, Angoules GA, Angoules NA, Alexandropoulos T, Mavrokosta G, Nikolaou P, Karathanassi F, Papadopoulou M. The immediate effect of IASTM vs. Vibration vs. Light Hand Massage on knee angle repositioning accuracy and hamstrings flexibility: A pilot study. J Bodyw Mov Ther 2020; 24:96-104. [PMID: 32826015 DOI: 10.1016/j.jbmt.2020.02.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Revised: 02/03/2020] [Accepted: 02/17/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The effectiveness of novel soft-tissue interventions relative to traditional ones requires further exploration. The purpose of this pilot study was to evaluate the immediate effect of Instrument Assisted Soft Tissue Mobilization (IASTM) compared to Vibration Massage or Light Hand Massage on hamstrings' flexibility and knee proprioception. METHODS 16 healthy non-injured male participants (mean age 23.7 years, height 1.80 cms and body mass 77.7 kg) were randomly assigned to the following interventions: (a) 5min IASTM, (b) 5min Vibration Massage and (c) 8min Light Hand-Massage, sequentially delivered to all participants with an in-between 1-week time interval. A single application of each intervention was given over the hamstrings of their dominant leg (repeated measures under 3 different experimental conditions). An active knee angle reproduction proprioception test and the back-saver sit and reach flexibility test were performed before and immediately after each intervention. Reliability of outcomes was also assessed. RESULTS Reliability for flexibility (ICC3,1 = 0.97-0.99/SEM = 0.83-1.52 cm) and proprioception (ICC3,1 = 0.83-0.88/SEM = 1.63-2.02°) was very good. For flexibility, statistically significant immediate improvement (p < 0.001) was noted in all 3 groups (1.61-3.23 cm), with no between-group differences. For proprioception, improvement in the IASTM (2.12°), Vibration Massage (0.32°) and Light Hand-Massage (1.17°) conditions was not statistically significant; no between-group differences were also evident. CONCLUSIONS Our findings indicate that muscle flexibility was positively influenced immediately after a single intervention of IASTM, Vibration Massage or Light Hand Massage. Proprioception changes were not statistically significant either within or between groups. Further evaluation of those interventions in a larger population with hamstrings pathology is required.
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Affiliation(s)
- George A Koumantakis
- 401 General Army Hospital of Athens, Physiotherapy Department, Pan. Kanellopoulou 1, Athens, Greece; Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK.
| | - Eleonora Roussou
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Georgios A Angoules
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Nikolaos A Angoules
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Theodoros Alexandropoulos
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Georgia Mavrokosta
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Prokopios Nikolaou
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Filippi Karathanassi
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Maria Papadopoulou
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
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Effect of sustained experimental muscle pain on joint position sense. Pain Rep 2019; 4:e737. [PMID: 31583352 PMCID: PMC6749891 DOI: 10.1097/pr9.0000000000000737] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Revised: 02/20/2019] [Accepted: 02/20/2019] [Indexed: 11/30/2022] Open
Abstract
Introduction: Joint position sense (JPS) is impaired in clinical musculoskeletal pain conditions, but when this impairment develops in the transition from initial to prolonged pain is not known. Objectives: This study assessed whether progressively developing sustained experimentally induced muscle pain impacts JPS in healthy individuals. Methods: Twenty-eight healthy individuals received injection of nerve growth factor (NGF) into the right extensor carpi radialis brevis muscle on days 0 and 2 to induce sustained pain and hyperalgesia. Wrist JPS was assessed 2 days before day 0 (day −2), before the injection on days 0 and 2, and on days 4 and 14. Joint position sense was quantified as the ability to return the wrist to a neutral position following movements in the direction of radial and ulnar deviation. A 3-dimensional motion analysis system was used to calculate absolute, relative, and joint-angle repositioning errors. Numerical rating scale scores of pain intensity, body chart pain drawings, and pressure pain thresholds (PPTs) were recorded on each day. Results: Compared with baseline, pressure pain thresholds decreased while pain intensity and area increased at day 2 (P < 0.001) and day 4 (P < 0.001) before returning to baseline on day 14 (P > 0.13). Relative to day 0, there was no change in wrist JPS at day 2, 4, and 14 following movements in either target direction (P > 0.05). Conclusion: Despite the presence of sustained muscle pain and hyperalgesia for 4 days at the elbow, no statistical change in wrist joint position error was observed. These findings suggest that pain and hyperalgesia lasting as long as 4 days does not impair JPS.
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Leite CMF, Profeta VLDS, Chaves SFN, Benine RPC, Bottaro M, Ferreira-Júnior JB. Does exercise-induced muscle damage impair subsequent motor skill learning? Hum Mov Sci 2019; 67:102504. [PMID: 31362262 DOI: 10.1016/j.humov.2019.102504] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Revised: 07/09/2019] [Accepted: 07/20/2019] [Indexed: 12/16/2022]
Abstract
Motor skill learning is a fundamental aspect of human behavior based on the calibration of internal models via sensory information such as proprioception. Some conditions, as exercise-induced muscle damage (EIMD), disrupt proprioceptive information, and may cause learning impairment. Such possible relation between EIMD and motor skill learning has not yet been investigated and it is the aim of this study. For this purpose, thirty male university students (19.3 ± 1.8 years) were equally assigned to two groups: EIMD and CON group. The EIMD group received a treatment to induce muscle damage consisting of a weight lifting protocol directed to the agonist muscles related to the task prior to the pretest and to the learning sessions. EIMD was verified and compared between groups and along the process (0-168 h) by means of the degree of delayed onset muscle soreness (DOMS), perceived total quality recovery and maximal isometric strength (MIS). To investigate motor skill learning, both groups practiced a dart throwing task for four sessions with 150 trials in each session. Recovery status and DOMS were recovered at 96 h in the EIMD group, and MIS was not recovered throughout 168 h. In contrast, muscle damage parameters were not altered across 168 h in the CON group. Accuracy and consistency were compared within and between groups in a pretest posttest design. The EIMD group showed less accurate and consistent results on the long term (delayed posttest). Results confirmed our hypothesis that EIMD, a common condition in sports and in rehab practices, may hinder motor skill learning, possibly due to neurological aspects such as proprioceptive information, its relation to central nervous system reorganization and internal model consolidation.
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Affiliation(s)
- Claudio M F Leite
- Federal University of São João del-Rei, São João del-Rei, MG 36301-360, Brazil
| | | | - Suene F N Chaves
- Federal Institute of Sudeste of Minas Gerais, Campus Rio Pomba, MG, Brazil
| | - Ricardo P C Benine
- Federal Institute of Sudeste of Minas Gerais, Campus Rio Pomba, MG, Brazil
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Nagai T, Bates NA, Hewett TE, Schilaty ND. Paradoxical relationship in sensorimotor system: Knee joint position sense absolute error and joint stiffness measures. Clin Biomech (Bristol, Avon) 2019; 67:34-37. [PMID: 31071536 PMCID: PMC6635082 DOI: 10.1016/j.clinbiomech.2019.04.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Revised: 04/23/2019] [Accepted: 04/29/2019] [Indexed: 02/07/2023]
Abstract
BACKGROUND Relationships between joint position sense and the sensorimotor characteristics such as joint stiffness, time to detect motion, and time to peak torque during a perturbation test have rarely been investigated due to methodological challenges. The purpose of this study was to compare joint position sense and the sensorimotor characteristics in healthy individuals. METHODS A total of 26 subjects were recruited and completed joint position sense and a perturbation test on isokinetic dynamometer. Joint position sense was assessed by comparison of the absolute angle difference between a reference and replicated position. During the perturbation test, the dynamometer moved the knee flexion angle from 70° to 30° (0° represents a full knee extension) at the velocity of 500° per second at random. Subjects were asked to react and pull back the leg as soon as they perceived the movement. Pearson or Spearman's correlation coefficients were used to assess these relationships (P < 0.05). FINDINGS Larger joint position sense absolute error values were significantly correlated with higher short-range at 50 milliseconds (r = 0.572, P = 0.002), at 100 milliseconds (ρ = 0.416, P = 0.035), and reactive joint stiffness (r = 0.395, P = 0.046). INTERPRETATION There was a paradoxical relationship between higher joint stiffness and worsened joint position sense. Potential reasons include sensory weighting within the sensorimotor system and thixotropic properties (after-effects of muscle eccentric contractions to increase stiffness and alter joint position sense).
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Affiliation(s)
- Takashi Nagai
- Biomechanics Laboratories, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA,Sports Medicine Center, Mayo Clinic, Rochester and Minneapolis, Minnesota, USA, CORRESPONDING AUTHOR: Name: Takashi Nagai, ATC, PhD, Address: Biomechanics Laboratories – 200 First Street SW, Rochester, MN 55905, USA,
| | - Nathaniel A. Bates
- Biomechanics Laboratories, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA,Sports Medicine Center, Mayo Clinic, Rochester and Minneapolis, Minnesota, USA,Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, USA
| | - Timothy E. Hewett
- Biomechanics Laboratories, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA,Sports Medicine Center, Mayo Clinic, Rochester and Minneapolis, Minnesota, USA,Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, USA,Department of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA
| | - Nathan D. Schilaty
- Biomechanics Laboratories, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA,Sports Medicine Center, Mayo Clinic, Rochester and Minneapolis, Minnesota, USA,Department of Physiology & Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, USA
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AGOSTINI VALENTINA, VISCONTI LORENZO, TRUCCO MARCO, MARITANO ALESSIO, CAPRA GIANPIERO, BALESTRA GABRIELLA, ROSATI SAMANTA, KNAFLITZ MARCO. KNEE PROPRIOCEPTION MAY BE ALTERED BY TREATMENT IN ATHLETES SUFFERING FROM DELAYED ONSET MUSCLE SORENESS. J MECH MED BIOL 2019. [DOI: 10.1142/s0219519419500118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Delayed onset muscle soreness (DOMS) is a very common musculoskeletal problem in athletes involved in extreme competitions. The aim of this study is to compare the effect of diathermy, sham diathermy and massage on the knee proprioception of athletes treated for DOMS. Forty athletes were enrolled after the second day of a demanding ski mountaineering race. They were randomly assigned to four groups: no treatment [Formula: see text], massage [Formula: see text], diathermy [Formula: see text], and sham diathermy [Formula: see text]. The knee reposition error was measured after the treatments in order to assess knee proprioception. Significant differences between the diathermy and sham diathermy groups were found ([Formula: see text]) with an absolute effect size of [Formula: see text]. No other significant differences were found among groups. This means that diathermy has a negative impact on joint proprioception and can be explained by the spindle desensitization consequent to deeper tissue heating. This information can be important in the DOMS management of athletes, since an altered proprioception may interfere with the athlete’s performance and can increase the risk of injury.
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Affiliation(s)
- VALENTINA AGOSTINI
- Dipartimento di Elettronica e Telecomunicazioni, Politecnico di Torino, Torino, Italy
| | | | | | | | - GIANPIERO CAPRA
- SUPSI-University of Applied Sciences and Arts of the Southern Switzerland, Manno, Switzerland
| | - GABRIELLA BALESTRA
- Dipartimento di Elettronica e Telecomunicazioni, Politecnico di Torino, Torino, Italy
| | - SAMANTA ROSATI
- Dipartimento di Elettronica e Telecomunicazioni, Politecnico di Torino, Torino, Italy
| | - MARCO KNAFLITZ
- Dipartimento di Elettronica e Telecomunicazioni, Politecnico di Torino, Torino, Italy
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Iodice P, Ripari P, Pezzulo G. Local high-frequency vibration therapy following eccentric exercises reduces muscle soreness perception and posture alterations in elite athletes. Eur J Appl Physiol 2018; 119:539-549. [PMID: 30377781 DOI: 10.1007/s00421-018-4026-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 10/23/2018] [Indexed: 11/29/2022]
Abstract
PURPOSE Exercise-induced muscle damage produces painful sensations (delayed onset of muscle soreness, DOMS). DOMS causes compensatory postural adaptations, which in turn affect athletes' walking and running gait biomechanics. It is still debated whether the postural changes are due to impaired proprioception or pain perception. To disambiguate between these two contrasting hypotheses, we designed a study that tested post-exercise postural adjustments in two groups of athletes: a group who was administered a vibration therapy (VT), to attenuate pain perception, and a control group. METHODS Thirty professional futsal players were tested on five different occasions: baseline, eccentric exercises (EE) session day, 24, 48 and 72 h after EE. Vibration therapy (120 Hz) was applied on legs muscles for 15 min in the experimental group, while no vibration was applied in the control group. The measurements included: isokinetic evaluation, stabilometric test, perceived soreness evaluation and serum levels of creatine kinase, and lactate dehydrogenase. RESULTS 48 h after EE, the control group showed changes in biomechanical parameters (antero-rotations of pelvis, p < 0.05). A substantial alteration in the hip kinematics was found, associated to a reduced contractile force (p < 0.01) and soreness perception. On the contrary, the VT group did not show any change in posture and pain perception. High-intensity VT decreases EE effects on muscle strength and DOMS. CONCLUSIONS DOMS significantly changes athletes' posture; but postural changes disappear following a VT therapy that decreases pain perception. It is concluded that soreness perception is the main cause of postural changes and that its effects can be counteracted using VT therapy.
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Affiliation(s)
- Pierpaolo Iodice
- Centre d'Etude des Transformations des Activités Physiques et Sportives (CETAPS), EA 3832, Faculty of Sports Sciences, University of Rouen, Mont Saint Aignan, France.
| | - P Ripari
- Department of Clinical and Experimental Science, "G. d'Annunzio" University of Chieti, Chieti, Italy
| | - G Pezzulo
- Institute of Cognitive Sciences and Technologies-CNR, Rome, Italy
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Kao PC, Pierro MA, Booras K. Effects of motor fatigue on walking stability and variability during concurrent cognitive challenges. PLoS One 2018; 13:e0201433. [PMID: 30048551 PMCID: PMC6062111 DOI: 10.1371/journal.pone.0201433] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Accepted: 07/16/2018] [Indexed: 01/31/2023] Open
Abstract
Cognitive-motor interference, a negative influence on the performance of one or both tasks, is manifested when simultaneously performing a cognitive and a motor task. Motor fatigue reduces the ability of generating a required force level. However, little is known about the effects of motor fatigue on the cognitive-motor dual-tasking performance, an important capability during our daily lives. This study investigated how motor fatigue affects dual-task walking performance. Eighteen healthy younger adults walked on a treadmill under three different conditions: walking only, walking while receiving the Paced Auditory Serial Addition Test (PASAT) or a modified Stroop test before and after a lower-extremity fatiguing exercise. We computed dynamic margins of stability (MOS), step and joint kinematic variability, and short-term local divergence exponent (LDE) of the trunk motion. We found that subjects had similar values of short-term LDE during all conditions, indicating that local stability was not affected by the motor fatigue or dual-task conditions. Compared to the baseline, subjects had significantly greater mean MOS after the fatiguing exercise by walking with greater step length and width while having significantly greater gait variability. In contrast, subjects walked with similar mean MOS but significantly less gait variability during the dual-task conditions, indicating that subjects used different adaptive strategies when walking with motor fatigue and during dual-task conditions. There were no significant differences in the number of errors for the two cognitive tests before and after the fatiguing exercise. The current findings demonstrate that motor fatigue does not affect cognitive but motor performance in younger adults.
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Affiliation(s)
- Pei-Chun Kao
- Department of Physical Therapy, University of Massachusetts Lowell, Lowell, Massachusetts, United States of America
- * E-mail:
| | - Michaela A. Pierro
- Biomedical Engineering and Biotechnology Program, University of Massachusetts Lowell, Lowell, Massachusetts, United States of America
| | - Konstantina Booras
- Department of Physical Therapy, University of Massachusetts Lowell, Lowell, Massachusetts, United States of America
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Macgregor LJ, Hunter AM. High-threshold motor unit firing reflects force recovery following a bout of damaging eccentric exercise. PLoS One 2018; 13:e0195051. [PMID: 29630622 PMCID: PMC5890972 DOI: 10.1371/journal.pone.0195051] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Accepted: 03/11/2018] [Indexed: 11/18/2022] Open
Abstract
Exercise-induced muscle damage (EIMD) is associated with impaired muscle function and reduced neuromuscular recruitment. However, motor unit firing behaviour throughout the recovery period is unclear. EIMD impairment of maximal voluntary force (MVC) will, in part, be caused by reduced high-threshold motor unit firing, which will subsequently increase to recover MVC. Fourteen healthy active males completed a bout of eccentric exercise on the knee extensors, with measurements of MVC, rate of torque development and surface electromyography performed pre-exercise and 2, 3, 7 and 14 days post-exercise, on both damaged and control limb. EIMD was associated with decreased MVC (235.2 ± 49.3 Nm vs. 161.3 ± 52.5 Nm; p <0.001) and rate of torque development (495.7 ± 136.9 Nm.s-1 vs. 163.4 ± 163.7 Nm.s-1; p <0.001) 48h post-exercise. Mean motor unit firing rate was reduced (16.4 ± 2.2 Hz vs. 12.6 ± 1.7 Hz; p <0.01) in high-threshold motor units only, 48h post-exercise, and common drive was elevated (0.36 ± 0.027 vs. 0.56 ± 0.032; p< 0.001) 48h post-exercise. The firing rate of high-threshold motor units was reduced in parallel with impaired muscle function, whilst early recruited motor units remained unaltered. Common drive of motor units increased in offset to the firing rate impairment. These alterations correlated with the recovery of force decrement, but not of pain elevation. This study provides fresh insight into the central mechanisms associated with EIMD recovery, relative to muscle function. These findings may in turn lead to development of novel management and preventative procedures.
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Affiliation(s)
- Lewis J. Macgregor
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland
| | - Angus M. Hunter
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland
- * E-mail:
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Chen CH, Xin Y, Lee KW, Lin MJ, Lin JJ. Acute effects of different dynamic exercises on hamstring strain risk factors. PLoS One 2018; 13:e0191801. [PMID: 29390001 PMCID: PMC5794078 DOI: 10.1371/journal.pone.0191801] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Accepted: 01/11/2018] [Indexed: 11/18/2022] Open
Abstract
The purpose of the study was to examine the acute effects of different dynamic exercise interventions on hamstring muscle performance. Thirty-six young men with poor hamstring flexibility were randomly assigned to three intervention groups: jogging combined with dynamic open kinetic chain stretching (DS), jogging combined with dynamic closed kinetic chain stretching (lunge with eccentric hamstring windmills, LEC), and jogging only (CON) groups. Hamstring flexibility, muscle stiffness (area under the curve, AUC), joint position sense (JPS), maximal eccentric strength (ECC), and angle of peak torque (APT) were recorded before and immediately after the exercise interventions. The results showed that the hamstring flexibility increased in DS (p < 0.001); muscle stiffness decreased in DS and was lower than jogging (p < 0.001). Moreover, ECC increased in LEC and was higher than jogging and DS (p < 0.001). APT was different among 3 groups (p < 0.001). Decreased accuracy of JPS was found in DS and jogging (p < 0.001). In conclusion, the dynamic closed kinetic chain stretching (LEC) as compared to open kinetic chain stretching (DS) or jogging group, may be an effective technique to enhance muscle performance during the pre-competition warm-up routine.
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Affiliation(s)
- Che Hsiu Chen
- Department of Sport Performance, National Taiwan University of Sport, Taichung, Taiwan
- Graduate Institute of Sports Training University of Taipei, Taiwan
| | - Ye Xin
- Department of Health, Exercise Science, and Recreation Management, University of Mississippi, Mississippi, United States of America
| | - Kuang Wu Lee
- Graduate Institute of Sports Training University of Taipei, Taiwan
| | - Ming Ju Lin
- Department of Physical Education, Health and Recreation, National Chiayi University, 85 Wenlong Village, Minsyong Township, Chiayi County, Taiwan
| | - Jiu Jenq Lin
- School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Zhongzheng District, Taipei City, Taiwan
- * E-mail:
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Abstract
OBJECTIVE To determine whether high-level athletes with patellar tendinopathy have diminished knee proprioceptive acuity. DESIGN Cross-sectional study. SETTING University research laboratory (institutional). PARTICIPANTS Twenty-one basketball and volleyball players with patellar tendinopathy (13 men and 8 women; mean age 24.5 ± 3.6; body mass index = 22.5 ± 2.0 kg/m) and an equal number of athletes without symptoms of patellar tendinopathy injury were included in this study. ASSESSMENTS Participants underwent knee proprioception assessments on a single day. Furthermore, age, sex, height, weight, VISA-P (Victorian Institute of Sport Assessment) questionnaire sports participation, medical history, knee injuries, previous treatment, and medication were obtained. MAIN OUTCOME MEASURES Knee proprioception was evaluated by assessing sense of resistance, using a weight discrimination protocol, and joint position sense (JPS). RESULTS No significant differences were observed in JPS at 30 and 60 degrees of knee flexion between groups (P = 0.165 and 0.481, respectively). In regard to the ability to discriminate weight, significant differences between the 2 groups were found with the tendinopathy group showing a higher percentage of error (P = 0.009), namely when the set of incremental weights varied by 10% from the standard weight. CONCLUSIONS Athletes with patellar tendinopathy have a diminished perception of force signals required for weight discrimination, whereas JPS remains unaffected in these athletes.
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Allison KF, Abt JP, Beals K, Nagle EF, Lovalekar MT, Lephart SM, Sell TC. Aerobic capacity and isometric knee flexion strength fatigability are related to knee kinesthesia in physically active women. ISOKINET EXERC SCI 2016. [DOI: 10.3233/ies-160638] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Katelyn Fleishman Allison
- Neuromuscular Research Laboratory, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA
| | - John P. Abt
- College of Health Sciences, University of Kentucky, Lexington, KY, USA
| | - Kim Beals
- Neuromuscular Research Laboratory, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA
| | - Elizabeth F. Nagle
- Department of Health and Physical Activity, School of Education, University of Pittsburgh, Pittsburgh, PA, USA
| | - Mita T. Lovalekar
- Neuromuscular Research Laboratory, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA
| | - Scott M. Lephart
- College of Health Sciences, University of Kentucky, Lexington, KY, USA
| | - Timothy C. Sell
- Michael W. Krzyzewski Human Performance Laboratory (K-Lab), Department of Orthopaedic Surgery, School of Medicine, Duke University, Durham, NC, USA
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Kim J, Kim S, Lee J. Longer application of kinesio taping would be beneficial for exercise-induced muscle damage. J Exerc Rehabil 2016; 12:456-462. [PMID: 27807525 PMCID: PMC5091062 DOI: 10.12965/jer.1632702.351] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2016] [Accepted: 09/24/2016] [Indexed: 11/22/2022] Open
Abstract
Kinesio taping (KT) has been widely used to prevent muscle pain and to improve range of motion in clinical settings. However, no previous research has examined how long KT should be applied to muscle following damaging exercise. The aim of this study was to investigate the effect of the duration of KT application on markers of muscle damage following eccentric exercise. Thirty-two male subjects participated in the study and were randomly assigned to one of the following groups: control (CON), KT-post, KT-30 min, or KT-24 hr. Eccentric exercise consisted of 2 sets of 25 contractions of elbow flexors using the non-dominant arm. Maximal isometric strength, muscle soreness (SOR), range of motion, and creatine kinase activity were measured before, immediately after, and at 24, 48, 72, and 96 hr after exercise. The KT-24 hr group showed lesser muscle damage and a faster recovery time than the CON and KT-post groups. Both the KT-30 min and KT-24 hr groups showed lesser SOR than CON and KT-post groups. These findings suggested that prolonged application of KT had a positive effect on markers of muscle damage.
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Affiliation(s)
- Jooyoung Kim
- Sport, Health and Rehabilitation Major, College of Physical Education, Kookmin University, Seoul, Korea
| | - Seunghwan Kim
- Sport, Health and Rehabilitation Major, College of Physical Education, Kookmin University, Seoul, Korea
| | - Joohyung Lee
- Sport, Health and Rehabilitation Major, College of Physical Education, Kookmin University, Seoul, Korea
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Romero-Franco N, Jiménez-Reyes P. Effects of Warm-Up and Fatigue on Knee Joint Position Sense and Jump Performance. J Mot Behav 2016; 49:117-122. [PMID: 27341088 DOI: 10.1080/00222895.2016.1152222] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The purpose of this study was to evaluate the effects of a warm-up and fatigue protocol on the vertical jump and knee joint position sense of sprinters. Thirty-two sprinters were randomly allocated to either a control group (CONT) or a plyometric group (PLYO) that performed a warm-up, followed by a high-intensity plyometric protocol. Absolute (AAE), relative (RAE), and variable (VAE) angular errors and vertical jump were evaluated before and after the warm-up, as well as after the plyometric protocol and again 5 min later. After the warm-up, athletes improved RAE and jump performance. After the plyometric protocol, scores on the RAE, VAE, and the vertical jump performance worsened compared to the control group and to the values obtained after the warm-up. Five minutes later, RAE and vertical jump continued to be impaired. AAE did not show significant differences. The vertical jump is improved after the warm-up, although it is deteriorated after high-intensity plyometry. Regarding knee proprioception, the lack of impairments in the AAE make unclear the effects of the plyometric exercises on knee proprioception.
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Affiliation(s)
- N Romero-Franco
- a Nursery and Physiotherapy Department , University of Balearic Islands , Palma de Mallorca , Spain
| | - P Jiménez-Reyes
- b Physical Activity and Sports Department , Catholic University of San Antonio , Murcia , Spain
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Torres R, Trindade R, Gonçalves RS. The effect of kinesiology tape on knee proprioception in healthy subjects. J Bodyw Mov Ther 2016; 20:857-862. [PMID: 27814867 DOI: 10.1016/j.jbmt.2016.02.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2015] [Revised: 02/10/2016] [Accepted: 02/12/2016] [Indexed: 11/15/2022]
Abstract
BACKGROUND Kinesiology tape can improve athletic performance; however, due to cutaneous stimulation its application can have an influence on proprioception. OBJECTIVES To determine the effects of kinesiology tape on knee proprioception applied to quadriceps, namely in the joint position sense (JPS) and in the threshold to detect passive movement (TTDPM), both immediately after and 24 h after its application. METHODS Thirty young healthy participants were randomly divided into experimental and control group. In the experimental group, a kinesiology tape on the quadriceps muscle was applied. The JPS and the TTDPM of the knee was assessed before, immediately after and 24 h after the kinesiology tape intervention. RESULTS No significant differences were found in the assessment made before intervention. The Friedman Test showed that kinesiology tape had no influence on JPS in either group over time (p > 0.05). However, the TTDPM decreased significantly immediately after and 24 h after its application (p < 0.05).
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Affiliation(s)
- Rui Torres
- CESPU, North Polytechnic Institute of Health, Paredes, Portugal; CEMAH, Activity and Human Movement Study Center, Polytechnic Institute of Oporto, Oporto, Portugal.
| | - Raquel Trindade
- High School of Health of Dr Lopes Dias, Polytechnic Institute of Castelo Branco, Portugal.
| | - Rui Soles Gonçalves
- High School of Health of Dr Lopes Dias, Polytechnic Institute of Castelo Branco, Portugal; Coimbra Health School, Polytechnic Institute of Coimbra, Coimbra, Portugal.
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Salgado E, Ribeiro F, Oliveira J. Joint-position sense is altered by football pre-participation warm-up exercise and match induced fatigue. Knee 2015; 22:243-8. [PMID: 25864146 DOI: 10.1016/j.knee.2014.10.002] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2014] [Revised: 07/07/2014] [Accepted: 10/13/2014] [Indexed: 02/02/2023]
Abstract
BACKGROUND The demands to which football players are exposed during the match may augment the risk of injury by decreasing the sense of joint position. This study aimed to assess the effect of pre-participation warm-up and fatigue induced by an official football match on the knee-joint-position sense of football players. METHODS Fourteen semi-professional male football players (mean age: 25.9±4.6 years old) volunteered in this study. The main outcome measures were rate of perceived exertion and knee-joint-position sense assessed at rest, immediately after a standard warm-up (duration 25 min), and immediately after a competitive football match (90 minutes duration). RESULTS Perceived exertion increased significantly from rest to the other assessments (rest: 8.6±2.0; after warm-up: 12.1±2.1; after football match: 18.5±1.3; p<0.001). Compared to rest, absolute angular error decreased significantly after the warm-up (4.1°±2.2° vs. 2.0°±1.0°; p=0.0045). After the match, absolute angular error (8.7°±3.8°) increased significantly comparatively to both rest (p=0.001) and the end of warm-up (p<0.001). Relative error showed directional bias with an underestimation of the target position, which was higher after the football match compared to both rest (p<0.001) and after warm-up (p<0.001). CONCLUSIONS The results indicate that knee-joint-position sense acuity was increased by pre-participation warm-up exercise and was decreased by football match-induced fatigue. CLINICAL RELEVANCE Warm-up exercises could contribute to knee injury prevention, whereas the deleterious effect of match-induced fatigue on the sensorimotor system could ultimately contribute to knee instability and injury.
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Affiliation(s)
- Eduardo Salgado
- University of Porto, Faculty of Sport, Research Centre in Physical Activity, Health and Leisure (CIAFEL), Porto, Portugal
| | - Fernando Ribeiro
- School of Health Sciences, University of Aveiro, Aveiro, Portugal
| | - José Oliveira
- University of Porto, Faculty of Sport, Research Centre in Physical Activity, Health and Leisure (CIAFEL), Porto, Portugal.
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Déficit proprioceptivo em indivíduos com ruptura unilateral do ligamento cruzado anterior após a avaliação ativa do senso de posição articular. Rev Bras Ortop 2014. [DOI: 10.1016/j.rbo.2013.07.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
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31
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Cossich V, Mallrich F, Titonelli V, de Sousa EB, Velasques B, Salles JI. Proprioceptive deficit in individuals with unilateral tearing of the anterior cruciate ligament after active evaluation of the sense of joint position. Rev Bras Ortop 2014; 49:607-12. [PMID: 26229869 PMCID: PMC4487438 DOI: 10.1016/j.rboe.2013.07.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2013] [Accepted: 07/30/2013] [Indexed: 01/15/2023] Open
Abstract
Objective To ascertain whether the proprioceptive deficit in the sense of joint position continues to be present when patients with a limb presenting a deficient anterior cruciate ligament (ACL) are assessed by testing their active reproduction of joint position, in comparison with the contralateral limb. Methods Twenty patients with unilateral ACL tearing participated in the study. Their active reproduction of joint position in the limb with the deficient ACL and in the healthy contralateral limb was tested. Meta-positions of 20% and 50% of the maximum joint range of motion were used. Proprioceptive performance was determined through the values of the absolute error, variable error and constant error. Results Significant differences in absolute error were found at both of the positions evaluated, and in constant error at 50% of the maximum joint range of motion. Conclusion When evaluated in terms of absolute error, the proprioceptive deficit continues to be present even when an active evaluation of the sense of joint position is made. Consequently, this sense involves activity of both intramuscular and tendon receptors.
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Affiliation(s)
- Victor Cossich
- Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil
| | - Frédéric Mallrich
- Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil ; Department of Biosciences, School of Physical Education and Sports (EEFD), Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil
| | - Victor Titonelli
- Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil
| | - Eduardo Branco de Sousa
- Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil
| | - Bruna Velasques
- Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil ; Department of Biosciences, School of Physical Education and Sports (EEFD), Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil ; Neurophysiology and Attention Neuropsychology Laboratory, Institute of Psychiatry, Federal University of Rio de Janeiro (IPUB/UFRJ), Rio de Janeiro, RJ, Brazil ; Institute of Applied Neurosciences (INA), Rio de Janeiro, RJ, Brazil
| | - José Inácio Salles
- Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil ; Brazilian Volleyball Confederation (BV), Rio de Janeiro, RJ, Brazil
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33
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Torres R, Pinho F, Duarte JA, Cabri JM. Effect of single bout versus repeated bouts of stretching on muscle recovery following eccentric exercise. J Sci Med Sport 2013; 16:583-8. [DOI: 10.1016/j.jsams.2013.01.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Revised: 10/04/2012] [Accepted: 01/10/2013] [Indexed: 11/26/2022]
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Héroux ME, Gandevia SC. Human muscle fatigue, eccentric damage and coherence in the EMG. Acta Physiol (Oxf) 2013; 208:294-5. [PMID: 23746370 DOI: 10.1111/apha.12133] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M. E. Héroux
- Neuroscience Research Australia; Sydney; NSW; Australia
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Ribeiro F, Venâncio J, Quintas P, Oliveira J. The effect of fatigue on knee position sense is not dependent upon the muscle group fatigued. Muscle Nerve 2011; 44:217-20. [DOI: 10.1002/mus.22018] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2010] [Indexed: 11/06/2022]
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Tsatalas T, Giakas G, Spyropoulos G, Paschalis V, Nikolaidis MG, Tsaopoulos DE, Theodorou AA, Jamurtas AZ, Koutedakis Y. The effects of muscle damage on walking biomechanics are speed-dependent. Eur J Appl Physiol 2010; 110:977-88. [DOI: 10.1007/s00421-010-1589-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2010] [Indexed: 10/19/2022]
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