1
|
Konishi Y, Yoshii R, Takeshita D. Tactile stimulation restores inhibited stretch reflex attributable to attenuation of Ia afferents during surprise landing. Scand J Med Sci Sports 2024; 34:e14568. [PMID: 38268071 DOI: 10.1111/sms.14568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 12/26/2023] [Accepted: 01/11/2024] [Indexed: 01/26/2024]
Abstract
Arthrogenic muscle inhibition (AMI) is induced by pathological knee conditions. The present study aimed to investigate the effect of tactile stimulation on reflex changes induced by simulated AMI during unpredictable landing performances. Twenty participants performed six unilateral landing tasks: 15 cm normal landing (15NL), 30 cm normal landing (30NL), surprise landing (SL), 30 cm normal landing following vibration (30NLV), SL following vibration (SLV), and SL following vibration with Kinesiology tape (SLK). For SL, the solid landing platform (15 cm) was removed and replaced by a false floor. Since the false floor dislodged easily under load, participants unpredictably fell through the platform to the actual landing surface 15 cm below. After completing 15NL, 30NL, and SL, vibration was applied to participants' knees to induce neurological changes similar to AMI. After vibration, participants performed 30NLV, SLV, and SLK in a random order. EMG signals in the post-landing short latency (31-60 ms) and medium latency (61-90 ms) periods were examined. EMG signals from the vastus lateralis (VL), vastus medialis (VM), and biceps femoris (BF) were recorded and compared between tasks. EMG signals of all muscles in SL were significantly enhanced in the medium latency period as compared with 30NL. Enhanced EMG signals in SL were suppressed by vibration stimulation in the VL, but the suppressed EMG signals were restored after cutaneous stimulation with Kinesiology tape (p < 0.01). Our findings suggest that AMI could alter motor control patterns during unpredictable landing and that tactile stimulation could restore the altered motor control to a normal state.
Collapse
Affiliation(s)
- Yu Konishi
- Department of Physical Education, National Defense Academy of Japan, Kanagawa, Japan
| | - Ryo Yoshii
- Division of Medicine, Department of Health Sciences, Interdisciplinary Graduate School, University of Yamanashi, Yamanashi, Japan
- Department of Rehabilitation, National Hospital Organization, Kofu National Hospital, Yamanashi, Japan
| | - Daisuke Takeshita
- Department of Life Sciences (Sports Sciences), University of Tokyo, Tokyo, Japan
| |
Collapse
|
2
|
Arthrogenic Muscle Inhibition: Best Evidence, Mechanisms, and Theory for Treating the Unseen in Clinical Rehabilitation. J Sport Rehabil 2021; 31:717-735. [PMID: 34883466 DOI: 10.1123/jsr.2021-0139] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Revised: 08/06/2021] [Accepted: 09/07/2021] [Indexed: 11/18/2022]
Abstract
CONTEXT Arthrogenic muscle inhibition (AMI) impedes the recovery of muscle function following joint injury, and in a broader sense, acts as a limiting factor in rehabilitation if left untreated. Despite a call to treat the underlying pathophysiology of muscle dysfunction more than three decades ago, the continued widespread observations of post-traumatic muscular impairments are concerning, and suggest that interventions for AMI are not being successfully integrated into clinical practice. OBJECTIVES To highlight the clinical relevance of AMI, provide updated evidence for the use of clinically accessible therapeutic adjuncts to treat AMI, and discuss the known or theoretical mechanisms for these interventions. EVIDENCE ACQUISITION PubMed and Web of Science electronic databases were searched for articles that investigated the effectiveness or efficacy of interventions to treat outcomes relevant to AMI. EVIDENCE SYNTHESIS 122 articles that investigated an intervention used to treat AMI among individuals with pathology or simulated pathology were retrieved from 1986 to 2021. Additional articles among uninjured individuals were considered when discussing mechanisms of effect. CONCLUSION AMI contributes to the characteristic muscular impairments observed in patients recovering from joint injuries. If left unresolved, AMI impedes short-term recovery and threatens patients' long-term joint health and well-being. Growing evidence supports the use of neuromodulatory strategies to facilitate muscle recovery over the course of rehabilitation. Interventions should be individualized to meet the needs of the patient through shared clinician-patient decision-making. At a minimum, we propose to keep the treatment approach simple by attempting to resolve inflammation, pain, and effusion early following injury.
Collapse
|
3
|
Bodkin SG, Bruce AS, Hertel J, Diduch DR, Saliba SA, Novicoff WM, Hart JM. Visuomotor therapy modulates corticospinal excitability in patients following anterior cruciate ligament reconstruction: A randomized crossover trial. Clin Biomech (Bristol, Avon) 2021; 81:105238. [PMID: 33234323 DOI: 10.1016/j.clinbiomech.2020.105238] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 11/11/2020] [Accepted: 11/13/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND Corticospinal adaptations have been observed following anterior cruciate ligament reconstruction around the time of returning to activity. These measures have been related to quadriceps strength deficits. Visuomotor therapy, combining motor control tasks with visual biofeedback, has been shown to increase corticospinal excitability. The purpose of this study was to assess the immediate changes of corticospinal excitability following a single session of visuomotor therapy in patients following anterior cruciate ligament reconstruction. METHODS This was a single blinded, sham-controlled crossover study. Ten patients following ACLR (8 Female, 26.1(6.2) years) completed assessments of quadriceps strength at approximately 4- and 6-months following anterior cruciate ligament reconstruction. At 6-months, quadriceps motor evoked potentials were assessed at 80%, 90%, 100%, 110%, 120%, 130%, 140%, and 150% of the patient's active motor threshold. Patients were randomized to receive a single session of visuomotor therapy(active) or passive motion(sham). Quadriceps motor evoked potentials were reassessed for treatment effect. Following a one-week washout period, all patients received the crossover intervention. FINDINGS Moderate to large increases in motor response following visuomotor therapy 90%(P = .008, r = 0.60), 110%(P = .038, r = 0.46), 120%(P = .021, r = 0.52), 130%(P = .021, r = 0.52), 140%(P = .008, r = 0.60) and 150%(P = .021, r = 0.52) of the active motor threshold were found. Moderate increases in motor response was observed following the passive motion at 80% of the active motor threshold(P = .028, r = 0.49). INTERPRETATION A single session of visuomotor therapy was found to increase quadriceps corticospinal motor response greater than the response to sham therapy. Visuomotor therapy is a potential supplement to quadriceps rehabilitation programs when upregulation of corticospinal excitability is indicated.
Collapse
Affiliation(s)
- Stephan G Bodkin
- Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
| | - Amelia S Bruce
- Department of Kinesiology, University of Virginia, Charlottesville, VA, USA
| | - Jay Hertel
- Department of Kinesiology, University of Virginia, Charlottesville, VA, USA
| | - David R Diduch
- Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA
| | - Susan A Saliba
- Department of Kinesiology, University of Virginia, Charlottesville, VA, USA
| | - Wendy M Novicoff
- Public Health Sciences, University of Virginia, Charlottesville, VA, USA
| | - Joe M Hart
- Department of Kinesiology, University of Virginia, Charlottesville, VA, USA
| |
Collapse
|
4
|
Abe S, Miyagi A, Yoshinaga K, Matsuka Y, Matsumoto F, Uyama E, Suzuki Y, Oshima M, Okura K, Tanaka E. Immediate Effect of Masticatory Muscle Activity with Transcutaneous Electrical Nerve Stimulation in Muscle Pain of Temporomandibular Disorders Patients. J Clin Med 2020; 9:jcm9103330. [PMID: 33081336 PMCID: PMC7603025 DOI: 10.3390/jcm9103330] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 09/12/2020] [Accepted: 10/14/2020] [Indexed: 02/08/2023] Open
Abstract
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive treatment modality for acute and chronic pain. However, little information for muscle activity is available on the immediate effects of TENS in masticatory muscle pain related to temporomandibular disorders (TMDs). The present study aimed to evaluate the immediate effects of TENS treatment on TMD-related muscle pain. Thirty-six patients with TMD-related muscle pain and 39 healthy subjects served as TMD and control groups, respectively. For objective evaluations, maximum mouth opening, and maximum bite force were measured before and after TENS. The pain intensity was assessed according to a 100-mm visual analog scale (VAS). TENS was applied to painful muscles for 20 min with frequencies of 100–200 Hz. The treatment outcome was evaluated using Global Rating of Change (GRC) scales. In the TMD group, VAS values significantly decreased after TENS. Although there was significant increase in the maximum mouth opening after TENS for only TMD group, the maximum bite force of both groups was significantly greater after TENS. According to GRC scales, one patient with TMD-related muscle pain expressed negative feelings after TENS. Conclusively, TENS treatment might quickly relieve pain in masticatory muscles and improve masticatory functions in patients with TMD-related muscle pain.
Collapse
Affiliation(s)
- Susumu Abe
- Department of Comprehensive Dentistry, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan;
- Correspondence: ; Tel.: +81-88-633-9181
| | - Akane Miyagi
- Department of Comprehensive Dentistry, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan;
| | - Kaoru Yoshinaga
- Department of Orthodontics and Dentofacial Orthopedics, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan; (K.Y.); (E.T.)
| | - Yoshizo Matsuka
- Department of Stomatognathic Function and Occlusal Reconstruction, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan; (Y.M.); (Y.S.); (M.O.); (K.O.)
| | - Fumihiro Matsumoto
- Department of Oral Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima 7708504, Japan;
| | - Emi Uyama
- Department of Biomaterials and Bioengineering, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan;
| | - Yoshitaka Suzuki
- Department of Stomatognathic Function and Occlusal Reconstruction, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan; (Y.M.); (Y.S.); (M.O.); (K.O.)
| | - Masamitsu Oshima
- Department of Stomatognathic Function and Occlusal Reconstruction, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan; (Y.M.); (Y.S.); (M.O.); (K.O.)
| | - Kazuo Okura
- Department of Stomatognathic Function and Occlusal Reconstruction, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan; (Y.M.); (Y.S.); (M.O.); (K.O.)
| | - Eiji Tanaka
- Department of Orthodontics and Dentofacial Orthopedics, Tokushima University Graduate School of Biomedical Sciences, Tokushima 7708504, Japan; (K.Y.); (E.T.)
| |
Collapse
|
5
|
Simultaneous ice and transcutaneous electrical nerve stimulation decrease anterior knee pain during running but do not affect running kinematics or associated muscle inhibition. Clin Biomech (Bristol, Avon) 2020; 72:1-7. [PMID: 31765839 DOI: 10.1016/j.clinbiomech.2019.11.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 11/08/2019] [Accepted: 11/15/2019] [Indexed: 02/07/2023]
Abstract
BACKGROUND Runners often experience anterior knee pain and this pain is associated with altered running neuromechanics. The purpose of this study was to examine potential therapeutic benefits (reduced pain and restored running neuromechanics) of simultaneously applied ice and transcutaneous electrical nerve stimulation on experimentally-induced anterior knee pain. METHODS Nineteen healthy subjects completed a sham and treatment data collection session. For both sessions, hypertonic saline was infused into the infrapatellar fat pad for approximately 80 min to induce experimental anterior knee pain. Perceived pain levels were measured every two minutes and running neuromechanics were recorded at four time points: pre-pain, pain before treatment, pain immediately post-treatment, and pain 20 min post-treatment. FINDINGS The saline infusion significantly increased perceived knee pain from 0 to 2.8 cm. The ice/transcutaneous electrical nerve stimulation treatment significantly reduced perceived knee pain by 35%, six minutes after the treatment initiation. Perceived knee pain remained reduced until eight minutes after the treatment termination. The knee pain significantly decreased peak gluteus medius, vastus lateralis, and vastus medialis activation during running, each by an average of 17% plus/minus 6%; however, none of these decreases were resolved via the therapeutic treatment. Neither the knee pain nor the therapeutic treatment significantly affected peak gluteus maximus activation or peak hip adduction angle. INTERPRETATION The experimental pain model effectively produced anterior knee pain and decreased muscle activation during running. The simultaneous ice/transcutaneous electrical nerve stimulation treatment effectively decreased anterior knee pain, but did not restore running neuromechanics that were altered due to the pain.
Collapse
|
6
|
Sonnery-Cottet B, Saithna A, Quelard B, Daggett M, Borade A, Ouanezar H, Thaunat M, Blakeney WG. Arthrogenic muscle inhibition after ACL reconstruction: a scoping review of the efficacy of interventions. Br J Sports Med 2018; 53:289-298. [PMID: 30194224 PMCID: PMC6579490 DOI: 10.1136/bjsports-2017-098401] [Citation(s) in RCA: 88] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2018] [Indexed: 02/06/2023]
Abstract
OBJECTIVE To determine whether reported therapeutic interventions for arthrogenic muscle inhibition (AMI) in patients with ACL injuries, following ACL reconstruction, or in laboratory studies of AMI, are effective in improving quadriceps activation failure when compared with standard therapy in control groups. DESIGN A scoping review of the efficacy of interventions was conducted in accordance with the methodological framework of Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Search terms included 'arthrogenic muscle inhibition', 'quadriceps activation following knee injuries', 'anterior cruciate' or 'knee' combined with 'quadriceps activation', 'quadriceps inhibition', 'corticomotor', 'arthrogenic', 'brain activation' and 'neuroplasticity'. Articles were evaluated for risk of bias using the PEDro (Physiotherapy Evidence Database) criteria. The overall quality of evidence for each intervention was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). DATA SOURCES PubMed, EMBASE and Cumulative Index to Nursing and Allied Health Literature databases. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Isolated case reports and articles reporting outcomes in patients with chronic disease or major trauma were excluded. All other original research articles were included. RESULTS 780 potential articles were identified. 20 met the inclusion criteria. These studies provided a moderate quality of evidence to support the efficacy of cryotherapy and physical exercises in the management of AMI. There was low-quality evidence for efficacy of neuromuscular electrical stimulation and transcutaneous electrical nerve stimulation, and very low-quality evidence for efficacy of ultrasound and vibration. CONCLUSIONS This scoping review demonstrated moderate-quality evidence for the efficacy of cryotherapy and physical exercises in improving quadriceps activation failure after ACL injury and reconstruction. These therapeutic modalities are therefore recommended in the management of AMI.
Collapse
Affiliation(s)
- Bertrand Sonnery-Cottet
- Department of Orthopaedic Surgery and Sports Medicine, Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Generale de Sante, Hôpital Privé Jean Mermoz, Lyon, France
| | - Adnan Saithna
- School of Science and Technology, Nottingham Trent University, Nottingham, East Midlands, UK.,Department of Orthopaedic Surgery, Southport and Ormskirk Hospitals, Ormskirk, Lancashire, UK
| | - Benedicte Quelard
- Department of Physiotherapy, Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Generale de Sante, Hôpital Privé Jean Mermoz, Lyon, France
| | - Matt Daggett
- Department of Orthopaedic Surgery, Kansas City University of Medicine and Biosciences, Kansas City, Missouri, USA
| | - Amrut Borade
- Department of Orthopaedic Surgery and Sports Medicine, Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Generale de Sante, Hôpital Privé Jean Mermoz, Lyon, France
| | - Hervé Ouanezar
- Department of Orthopaedic Surgery and Sports Medicine, Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Generale de Sante, Hôpital Privé Jean Mermoz, Lyon, France
| | - Mathieu Thaunat
- Department of Orthopaedic Surgery and Sports Medicine, Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Generale de Sante, Hôpital Privé Jean Mermoz, Lyon, France
| | - William G Blakeney
- Department of Orthopaedic Surgery and Sports Medicine, Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Generale de Sante, Hôpital Privé Jean Mermoz, Lyon, France.,Department of Orthopaedic Surgery, Albany Health Campus, Albany, Western Australia, Australia
| |
Collapse
|