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Ziane C, Goubault E, Michaud B, Begon M, Dal Maso F. Muscle fatigue during assisted violin performance. ERGONOMICS 2024; 67:275-287. [PMID: 37264800 DOI: 10.1080/00140139.2023.2221416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 05/20/2023] [Indexed: 06/03/2023]
Abstract
Muscle fatigue is a primary risk factor in developing musculoskeletal disorders, which affect up to 93% musicians, especially violinists. Devices providing dynamic assistive support (DAS) to the violin-holding arm can lessen fatigue. The objective was to assess DAS effects on electromyography median frequency and joint kinematics during a fatiguing violin-playing task. Fifteen university-level and professional violinists were equipped with electromyography sensors and reflective markers to record upper-body muscle activity and kinematics. They played G scales with and without DAS until exhaustion. Paired t-tests assessed DAS effects on delta (final-initial) electromyography median frequencies and joint kinematics. DAS prevented the median frequency decrease of left supraspinatus, superior trapezius, and right medial deltoid, and increases in trunk rotation, left-wrist abduction, and right arm-elevation plane. DAS effects on kinematics were marginal due to retention of musical performance despite fatigue. However, DAS reduced fatigue of several muscles, which is promising for injury prevention.Practitioner summary: Violinists are greatly affected by musculoskeletal disorders. Effects of a mobility assistive device on muscle fatigue during violin playing was investigated. The assistive technology slowed down the development of fatigue for three neck/shoulder muscles, making assisted musical performance a promising avenue to prevent violinists' injuries.
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Affiliation(s)
- Clara Ziane
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
- Centre Interdisciplinaire de Recherche sur le Cerveau et l'Apprentissage, University of Montreal, Montreal, Canada
| | - Etienne Goubault
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
| | - Benjamin Michaud
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
| | - Mickaël Begon
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
- Centre de Recherche du CHU Sainte-Justine, Montreal, Canada
| | - Fabien Dal Maso
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
- Centre Interdisciplinaire de Recherche sur le Cerveau et l'Apprentissage, University of Montreal, Montreal, Canada
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Evans NA, Simon JE, Konz SM, Nitz AJ, Uhl TL. Reliability of isokinetic decay slope is superior to using fatigue indices for shoulder horizontal abduction. J Bodyw Mov Ther 2024; 37:372-378. [PMID: 38432831 DOI: 10.1016/j.jbmt.2023.11.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 11/21/2023] [Accepted: 11/26/2023] [Indexed: 03/05/2024]
Abstract
INTRODUCTION Reliable and valid measurements for shoulder muscular endurance should be available for clinical use. The posterior shoulder endurance test offers a potential clinical assessment, but its construct validity isn't available. Since a criterion measure of muscular endurance is not available, this study's purpose was to determine a reliable method for testing shoulder muscular endurance using an isokinetic dynamometer. METHODS The test-retest reliability, standard error measurement, and minimal detectable change were calculated on four different paradigms to quantify muscular fatigue using two isokinetic speeds (60°sec-1,180°sec-1). Calculation paradigms included peak torque fatigue index (FI), average torque FI, area-under-the-curve FI, and peak torque decay slope. Testing occurred on two days. Repeated measures analysis of variance compared the two peak torque decay slopes across both testing days. RESULTS Superior reliability was found within the decay slope measurements at both 60°sec-1 (ICC = 0.941) and 180°sec-1 (ICC = 0.764) speeds, with the 60°sec-1 decay slope being the highest reliability between the two angular velocities. There was a greater amount of fatigue in the 60°sec-1 decay slope compared to the 180°sec-1 decay slope. CONCLUSION Using the decay slope of isokinetic shoulder horizontal abduction at 60°sec-1 is a reliable method to validate other muscular endurance clinical measures. Rehabilitation specialists should utilize the decay slope of the isokinetic dynamometry to monitor responsiveness.
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Affiliation(s)
- Neil A Evans
- Division of Physical Therapy, Ohio University, Athens, OH, USA.
| | - Janet E Simon
- School of Applied Health Science and Professions, Ohio Musculoskeletal Neuromuscular Institute, Ohio University, Athens, OH, USA
| | - Suzanne M Konz
- School of Kinesiology, Marshall University, Huntington, WV, USA
| | - Arthur J Nitz
- Department of Physical Therapy, University of Kentucky, Lexington, KY, USA
| | - Timothy L Uhl
- Department of Physical Therapy, University of Kentucky, Lexington, KY, USA
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Dos Santos YS, Carneiro NB, Souza BCDS, Franken M, de Jesus K, de Jesus K. Benefits and limitations of isokinetic force assessments in swimmer's shoulders: A systematic review. J Bodyw Mov Ther 2024; 37:121-130. [PMID: 38432793 DOI: 10.1016/j.jbmt.2023.11.029] [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: 11/25/2022] [Revised: 09/12/2023] [Accepted: 11/15/2023] [Indexed: 03/05/2024]
Abstract
OBJECTIVE To indicate the benefits and limitations of the isokinetic test results for the performance of the main shoulder joint movements in swimmers, considering the different competitive levels, swimming techniques, race distances, and sex. METHODS Search on the PubMed, CENTRAL, Medline, LILACS, and SCOPUS databases for the oldest records up to October 2022. Risk of bias, methodological quality, and level of evidence were evaluated based on the NHLBI checklist. RESULTS 29 articles met the criteria and were included in this study. The quality analysis classified three as "good" and 26 as "regular", with a KAPPA index of 0.87. The main benefits found involved assessments of the clinical condition of the shoulder joint complex, relationships with performance, and reliability studies. The limitations found point to the participant's positioning in the instrument, use of angular velocity above 180°/s, and sample size. CONCLUSION The use of the isokinetic dynamometer allows verifying the levels of strength, endurance, balance, and asymmetries among swimmers of different techniques, distances, competitive levels, and sex. Thus, it helps in the analysis and monitoring of the clinical conditions of swimmers' shoulder joints, contributing to the decision-making process of physiotherapists and coaches.
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Affiliation(s)
- Yves Simões Dos Santos
- Faculty of Physical Education and Physiotherapy, Federal University of Amazonas, Amazonas, Manaus, Brazil; Human Performance Studies Laboratory, Federal University of Amazonas, Amazonas, Manaus, Brazil
| | - Neice Bahia Carneiro
- Faculty of Physical Education and Physiotherapy, Federal University of Amazonas, Amazonas, Manaus, Brazil; Human Performance Studies Laboratory, Federal University of Amazonas, Amazonas, Manaus, Brazil
| | - Brian Charlesson da Silva Souza
- Faculty of Physical Education and Physiotherapy, Federal University of Amazonas, Amazonas, Manaus, Brazil; Human Performance Studies Laboratory, Federal University of Amazonas, Amazonas, Manaus, Brazil
| | - Marcos Franken
- Health Sciences Department, Integrated Regional University of Alto Uruguay and the Missions, Rio Grande do Sul, Santiago, Brazil
| | - Kelly de Jesus
- Faculty of Physical Education and Physiotherapy, Federal University of Amazonas, Amazonas, Manaus, Brazil; Human Performance Studies Laboratory, Federal University of Amazonas, Amazonas, Manaus, Brazil
| | - Karla de Jesus
- Faculty of Physical Education and Physiotherapy, Federal University of Amazonas, Amazonas, Manaus, Brazil; Human Performance Studies Laboratory, Federal University of Amazonas, Amazonas, Manaus, Brazil.
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Zhu T, Liu K, Ni BY, Li L, Jin HP, Wu W. Effects of extracorporeal shock wave therapy combined with isokinetic strength training on spastic calf triceps in patients after a stroke: a double-blinded randomised controlled trial. Neurol Res 2023; 45:1019-1025. [PMID: 37668321 DOI: 10.1080/01616412.2023.2255413] [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: 10/25/2022] [Accepted: 08/31/2023] [Indexed: 09/06/2023]
Abstract
OBJECTIVES To evaluate the antitetanic effects of extracorporeal shock wave therapy (ESWT) combined with isokinetic strength training (IST) on calf triceps spasm in patients after a stroke. METHODS Forty-five patients with hemiplegia after a stroke and lower extremity spasms were randomly assigned into three groups: a control group (n = 15), an ESWT group (n = 15) and an ESWT+IST group (n = 15). All patients agreed to conventional rehabilitation therapy, while the ESWT and ESWT+IST groups received ESWT of 2.0-3.0 bar once a week for four weeks. In addition, the ESWT+IST group underwent four weeks of ankle IST. All groups were assessed using the modified Ashworth scale (MAS) and surface electromyography before and after four weeks of treatment. The ankle passive movement of all groups was measured using the BIODEX isokinetic system at angular velocities of 60°/s, 120°/s, 180°/s and 240°/s. RESULTS After four weeks of treatment, compared with the control group, the ESWT+IST groups showed a significant reduction in MASscores (P = 0.030). The ESWT+IST group had significantly lower MAS scores than the baseline (P = 0.002), while the ESWT group did not show a significant difference (P = 0.072). The average electromyography (AEMG) analysis demonstrated a significant difference among the groups after four weeks (P = 0.001), with the ESWT+IST group having lower AEMG values compared with the control group (P < 0.001) and the ESWT group (P = 0.042). Peak resistive torque significantly decreased in both the ESWT and ESWT+IST groups at all velocities (60°/s: P = 0.030, 120°/s: P = 0.039, 180°/s: P = 0.030 and 240°/s: P = 0.042). CONCLUSIONS Extracorporeal shock wave therapy combined with IST can significantly improve calf triceps spasm in patients after a stroke.
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Affiliation(s)
- Ting Zhu
- Department of Rehabilitation, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Kai Liu
- Department of Rehabilitation, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Bo-Ye Ni
- Department of Rehabilitation, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Li Li
- Department of Rehabilitation, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Hua-Ping Jin
- Department of Rehabilitation, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Wei Wu
- Department of Rehabilitation, The First Affiliated Hospital of Soochow University, Suzhou, China
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Morais JE, Barbosa TM, Gonjo T, Marinho DA. Using Statistical Parametric Mapping as a statistical method for more detailed insights in swimming: a systematic review. Front Physiol 2023; 14:1213151. [PMID: 37457037 PMCID: PMC10339380 DOI: 10.3389/fphys.2023.1213151] [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: 04/27/2023] [Accepted: 06/21/2023] [Indexed: 07/18/2023] Open
Abstract
Swimming is a time-based sport and hence strongly dependent from velocity. Most studies about swimming refer to velocity as discrete variable, i.e., 0-D (no time dimension). However, it was argued that using swimming velocity as a continuous variable (1-D, with time dimension) with Statistical Parametric Mapping (SPM) can bring deeper and detailed insights about swimming performance. Therefore, the aim of this study was to perform a systematic review about the current body of knowledge of using Statistical Parametric Mapping in a swimming context. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to identify relevant articles. After screening, nine articles related to Statistical Parametric Mapping (SPM) analysis in swimming were retained for synthesis. Results showed that four articles (44.4%) aimed to understand the kinematics, isokinetic joint torque or electromyographic (EMG) pattern of the swimmer's shoulder either on land or during front crawl trials. Two articles (22.2%) focused on understanding the swimming velocity while performing the breaststroke stroke. One article (11.1%) analyzed the swimmers' propulsion at front-crawl stroke, another one (11.1%) compared swimming velocity during a complete stroke cycle in young swimmers of both sexes as a discrete variable and as a continuous variable. Also, one article (11.1%) analyzed the underwater undulatory velocity. In an EMG context, some findings verified in SPM are not possible to be discovered with traditional 0-D statistical methods. Studies about swimming velocity (breaststroke, freestyle, and underwater undulatory velocity) and propulsion (front-crawl) also highlighted the SPM advantages in comparison to traditional statistical methods. By using SPM, researchers were able to verify specifically where within the stroke cycle significant differences were found. Therefore, coaches can get more detailed information to design specific training drills to overcome hypothetical handicaps.
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Affiliation(s)
- Jorge E. Morais
- Instituto Politécnico de Bragança, Department of Sports Sciences, Bragança, Portugal
- Research Center in Sports Health and Human Development (CIDESD), Covilhã, Portugal
| | - Tiago M. Barbosa
- Instituto Politécnico de Bragança, Department of Sports Sciences, Bragança, Portugal
- Research Center in Sports Health and Human Development (CIDESD), Covilhã, Portugal
| | - Tomohiro Gonjo
- School of Energy, Geoscience, Infrastructure, and Society, Institute for Life and Earth Sciences, Heriot-Watt University, Edinburgh, United Kingdom
| | - Daniel A. Marinho
- Research Center in Sports Health and Human Development (CIDESD), Covilhã, Portugal
- University of Beira Interior, Department of Sports Sciences, Covilhã, Portugal
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Suzuki K, Okada T, Takayoshi H, Katz-Leurer M, Dvir Z. The dynamic control ratio and its equilibrium point: A preliminary study of isokinetic fatiguing internal-external rotational effort of the shoulder joint in healthy subjects. J Electromyogr Kinesiol 2023; 70:102767. [PMID: 37028113 DOI: 10.1016/j.jelekin.2023.102767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 03/10/2023] [Accepted: 03/15/2023] [Indexed: 03/29/2023] Open
Abstract
The shoulder joint-related dynamic control ratio (DCR) is derived by dividing the peak eccentric moment of the external rotators (ER) by the peak concentric moment of the internal rotators (IR). However, given the inherent limitation associated with a single value DCR, an alternative approach is to calculate it at fixed angular intervals. This preliminary study aimed at exploring the variation in the DCR at a resolution of 1° and under fatiguing external and internal rotation exertions. Eighteen young men, 10 experienced and 8 without experience in overhead sporting activities completed two separate series of 45 ER eccentric and 45 IR concentric isokinetic repetitions at 120°/s. The analysis focused on repetitions 1-3 (TR1), 21-23 (TR2) and 41-43 (TR3). The relative fatigue values for both muscle groups and for both E and NE participants were 25-40% with significantly higher fatigue resistance in eccentric compared with concentric exertions. The DCR traces varied substantially linearly for most of the internal rotation range of motion while significant differences (p < 0.001) were found in their values within group between TR1, TR2 and TR3 and between experienced and non-experienced participants. An antagonistic moment equilibrium (DCR = 1) was reached in all instances and for both groups only during TR3 with a significant progressive reduction in this moment as fatigue increased. Thus, considering the DCR as an angle-based variable rather than a single value isokinetic parameter, may add new insight regarding the interplay between the rotatory muscles of the shoulder joint.
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Affiliation(s)
- Kodai Suzuki
- Graduate School of Health and Sport Science, Nippon Sport Science University, Japan; Dept. of Physical Therapy, Tokyo College of Medical Sports, Japan.
| | - Takashi Okada
- Graduate School of Health and Sport Science, Nippon Sport Science University, Japan.
| | - Hakkaku Takayoshi
- Graduate School of Health and Sport Science, Nippon Sport Science University, Japan.
| | - Michal Katz-Leurer
- Dept. of Physical Therapy, Faculty of Medicine, Tel Aviv University, 6997120, Israel.
| | - Zeevi Dvir
- Dept. of Physical Therapy, Faculty of Medicine, Tel Aviv University, 6997120, Israel.
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Application of statistical parametric mapping for comparison of scapular kinematics and EMG. J Biomech 2022; 145:111357. [PMID: 36395530 DOI: 10.1016/j.jbiomech.2022.111357] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Revised: 09/24/2022] [Accepted: 10/20/2022] [Indexed: 11/15/2022]
Abstract
Scapular kinematics and EMG are frequently measured as a functional assessment of the shoulder. Previous studies have compared interval averaging for these time series data, but it is not clear whether this method exactly captures the dynamics of scapular kinematics and muscle activity. Statistical parametric mapping (SPM) can be used to compare time series data. The purpose of this study was to investigate whether there is a difference between the results of SPM and interval averaging (every 10° or 30°) in comparing scapular kinematics, EMG, and EMG ratio. Scapular kinematics and EMG of the upper trapezius (UT), middle trapezius (MT), and lower trapezius (LT) and serratus anterior (SA) were measured in 21 healthy males. Tasks included arm raising and lowering with or without load, and we compared scapular kinematics, EMG, and EMG ratio in the loaded and unloaded conditions. Results suggest disagreement between SPM and interval averaging. Characteristic results are that for scapular kinematics during lowering SPM showed a decrease in upward rotation in only the regions 113-65° and 42-30°, while interval averaging showed a decrease in all range. For EMG during lowering, SPM results were not significantly different in SA over 50-48 and 45-30°, while interval averaging suggested increased activity in all ranges. For EMG ratio during raising, SPM showed no significant difference, while interval averaging showed a decrease in UT/LT during the latter period. These results indicate that SPM provides better resolution regarding effect regions than interval averaging, and suggest that SPM may improve shoulder function assessment accuracy.
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Sun J, Liu G, Sun Y, Lin K, Zhou Z, Cai J. Application of Surface Electromyography in Exercise Fatigue: A Review. Front Syst Neurosci 2022; 16:893275. [PMID: 36032326 PMCID: PMC9406287 DOI: 10.3389/fnsys.2022.893275] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 06/07/2022] [Indexed: 11/13/2022] Open
Abstract
Exercise fatigue is a common physiological phenomenon in human activities. The occurrence of exercise fatigue can reduce human power output and exercise performance, and increased the risk of sports injuries. As physiological signals that are closely related to human activities, surface electromyography (sEMG) signals have been widely used in exercise fatigue assessment. Great advances have been made in the measurement and interpretation of electromyographic signals recorded on surfaces. It is a practical way to assess exercise fatigue with the use of electromyographic features. With the development of machine learning, the application of sEMG signals in human evaluation has been developed. In this article, we focused on sEMG signal processing, feature extraction, and classification in exercise fatigue. sEMG based multisource information fusion for exercise fatigue was also introduced. Finally, the development trend of exercise fatigue detection is prospected.
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King S, Dong L, Caron M, Côté JN. Changes in Muscle Activation During and After a Shoulder-Fatiguing Task: A Comparison of Elite Female Swimmers and Water Polo Players. Front Sports Act Living 2022; 4:881582. [PMID: 35911373 PMCID: PMC9326320 DOI: 10.3389/fspor.2022.881582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 05/30/2022] [Indexed: 11/13/2022] Open
Abstract
This study compared female athletes with different aquatic sports expertise in their neuromuscular activation before, during, and after a shoulder internal rotation fatigue protocol. Eleven water polo players, 12 swimmers, and 14 controls completed concentric maximal voluntary external and internal shoulder rotations before and after a fatigue protocol consisting of concentric internal rotations at 50% of maximal voluntary contraction for at least 3 min or until reporting a rating of perceived effort RPE of 8/10 or higher. Muscle activation was measured for the maximal voluntary contractions, as well as for the first (T1), middle (T2), and third (T3) minute of the fatigue protocol using surface electromyography (EMG) on pectoralis major, anterior and posterior deltoid, upper and middle trapezius, and latissimus dorsi. Intramuscular EMG was used for supraspinatus, infraspinatus, and subscapularis. Pre-fatigue internal rotation torque was significantly correlated with shorter task duration (r = −0.39, p = 0.02), with water polo players producing significantly greater torque than controls but having significantly lower endurance. Swimmers demonstrated decreased latissimus dorsi activation at T3 compared to T2 (p = 0.020, g = 0.44) and T1 (p = 0.029, g = 0.74), differing from water polo players and controls who exhibited increased agonist activation and decreased activation of stabilizers. Comparing the pre-fatigue to the post-fatigue maximal shoulder rotations, water polo players had decreased activation in subscapularis (p = 0.018, g = 0.67); all groups had decreased activation in latissimus dorsi (p < 0.001), though swimmers demonstrated a large effect (g = 0.97); and controls had decreased activation in supraspinatus (p = 0.005, g = 0.71). Together, these results suggest that sports expertise may be associated with different muscle activation both while and after fatigue is induced. Further research should continue to explore sports-specific patterns of muscle recruitment and fatigue adaptations, as well as if certain strategies are adaptive or maladaptive. This may have important consequences for injury prevention among athletes who perform repetitive overhead movements in their sports and who are susceptible to overuse injuries.
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Affiliation(s)
- Savannah King
- Biomechanics of Occupation and Sports (BOS) Lab, Department of Kinesiology and Physical Education, McGill University, Montréal, QC, Canada
- *Correspondence: Savannah King
| | - Lily Dong
- Département des sciences de l'activité physique, Université du Québec à Montréal (UQAM), Montréal, QC, Canada
| | - Michelle Caron
- Biomechanics of Occupation and Sports (BOS) Lab, Department of Kinesiology and Physical Education, McGill University, Montréal, QC, Canada
| | - Julie N. Côté
- Biomechanics of Occupation and Sports (BOS) Lab, Department of Kinesiology and Physical Education, McGill University, Montréal, QC, Canada
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Goubault E, Martinez R, Bouffard J, Dowling-Medley J, Begon M, Dal Maso F. Shoulder electromyography-based indicators to assess manifestation of muscle fatigue during laboratory-simulated manual handling task. ERGONOMICS 2022; 65:118-133. [PMID: 34279186 DOI: 10.1080/00140139.2021.1958013] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 07/13/2021] [Indexed: 06/13/2023]
Abstract
Muscle fatigue is a risk factor for developing shoulder musculoskeletal disorders. The aim of this study was to identify shoulder electromyographic indicators that are most indicative of muscle fatigue during a laboratory simulated manual handling task. Thirty-two participants were equipped with electromyographic electrodes on 10 shoulder muscles and moved boxes for 45-minutes. The modified rate of perceived exertion (mRPE) was assessed every 5-minutes and multivariate linear regressions were performed between myoelectric manifestation of fatigue (MMF) and the mRPE scores. During a manual handling task representative of industry working conditions, spectral entropy, median frequency, and mobility were the electromyographic indicators that explained the largest percentage of the mRPE. Overall, the deltoids, biceps and upper trapezius were the muscles that most often showed significant changes over time in their electromyographic indicators. The combination of these three indicators may improve the accuracy for the assessment of MMF during manual handling. Practitioner Summary: To date, muscle fatigue has primarily been assessed during tasks done to exhaustion, which are not representative of typical working conditions. During a manual handling task representative of industry working conditions, EMG-derived spectral entropy, and median frequency, both extracted from time-frequency analysis, and mobility extracted from time domain, were the best indicators of the manifestation of muscle fatigue.
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Affiliation(s)
- Etienne Goubault
- Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des sciences de l'activité physique, Université de Montréal, Laval, Canada
| | - Romain Martinez
- Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des sciences de l'activité physique, Université de Montréal, Laval, Canada
| | - Jason Bouffard
- Département de Kinésiologie, Faculté de Médecine, Université Laval, Québec, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Université Laval, Québec, Canada
| | - Jennifer Dowling-Medley
- Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des sciences de l'activité physique, Université de Montréal, Laval, Canada
| | - Mickaël Begon
- Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des sciences de l'activité physique, Université de Montréal, Laval, Canada
- Sainte-Justine Hospital Research Center, Montreal, Canada
| | - Fabien Dal Maso
- Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des sciences de l'activité physique, Université de Montréal, Laval, Canada
- Centre interdisciplinaire de recherche sur le cerveau et l'apprentissage
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11
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Goubault E, Verdugo F, Pelletier J, Traube C, Begon M, Dal Maso F. Exhausting repetitive piano tasks lead to local forearm manifestation of muscle fatigue and negatively affect musical parameters. Sci Rep 2021; 11:8117. [PMID: 33854088 PMCID: PMC8047012 DOI: 10.1038/s41598-021-87403-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 03/23/2021] [Indexed: 02/02/2023] Open
Abstract
Muscle fatigue is considered as a risk factor for developing playing-related muscular disorders among professional pianists and could affect musical performance. This study investigated in 50 pianists the effect of fatiguing repetitive piano sequences on the development of forearm muscle fatigue and on piano performance parameters. Results showed signs of myoelectric manifestation of fatigue in the 42-electromyographic bipolar electrodes positioned on the forearm to record finger and wrist flexor and extensor muscles, through a significant non-constant decrease of instantaneous median frequency during two repetitive Digital (right-hand 16-tones sequence) and Chord (right-hand chords sequence) excerpts, with extensor muscles showing greater signs of fatigue than flexor muscles. In addition, muscle fatigue negatively affected key velocity, a central feature of piano sound intensity, in both Digital and Chord excerpts, and note-events, a fundamental aspect of musicians' performance parameter, in the Chord excerpt only. This result highlights that muscle fatigue may alter differently pianists' musical performance according to the characteristics of the piece played.
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Affiliation(s)
- Etienne Goubault
- grid.14848.310000 0001 2292 3357Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des Sciences de l’activité Physique, Université de Montréal, 1700 Rue Jacques-Tétreault, Laval, QC Canada
| | - Felipe Verdugo
- grid.14709.3b0000 0004 1936 8649Input Devices and Music Interaction Laboratory, Centre for Interdisciplinary Research in Music Media and Technology, Schulich School of Music, McGill University, Montreal, QC Canada ,grid.267180.a0000 0001 2168 0285EXPRESSION Team, Université Bretagne-Sud, Vannes, France
| | - Justine Pelletier
- grid.38678.320000 0001 2181 0211Laboratoire Arts vivants et interdisciplinarité, Département de danse, Université du Québec à Montréal, Montreal, QC Canada
| | - Caroline Traube
- grid.14848.310000 0001 2292 3357Laboratoire de recherche sur le geste musicien, Faculté de musique, Université de Montréal, Montreal, QC Canada
| | - Mickaël Begon
- grid.14848.310000 0001 2292 3357Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des Sciences de l’activité Physique, Université de Montréal, 1700 Rue Jacques-Tétreault, Laval, QC Canada ,grid.411418.90000 0001 2173 6322Sainte-Justine Hospital Research Center, Montreal, QC Canada
| | - Fabien Dal Maso
- grid.14848.310000 0001 2292 3357Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des Sciences de l’activité Physique, Université de Montréal, 1700 Rue Jacques-Tétreault, Laval, QC Canada ,Centre interdisciplinaire de recherche sur le cerveau et l’apprentissage, Montréal, QC Canada
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Electromyographic Evaluation of the Shoulder Muscle after a Fatiguing Isokinetic Protocol in Recreational Overhead Athletes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052516. [PMID: 33802582 PMCID: PMC7967333 DOI: 10.3390/ijerph18052516] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 02/22/2021] [Accepted: 02/25/2021] [Indexed: 11/17/2022]
Abstract
The goal of our study was to examine the muscle activity of the shoulder girdle after isokinetic fatigue, which may simulate muscle activities commonly occurring during specific sport-related activities in recreational overhead asymptomatic athletes. We hypothesized that exercise-induced fatigue, reported after isokinetic protocols, may cause a decrease in the median frequency (MF) of the upper trapezius (UT), infraspinatus (IS), and deltoid muscles. Twenty-four male overhead volleyball (n = 8), handball (n = 8), and tennis (n = 8) athletes participated in this study. All subjects were without shoulder injury history. The surface electromyography (SEMG) was collected on the right (dominant) side of the shoulder girdle muscles in the following order: UT, IS and anterior (DA), and posterior deltoideus (DP). The fatigue protocol consisted of three sets of 32 maximum isokinetic concentric contractions while performing shoulder internal and external rotation at an isokinetic speed of 120 o/s. The resultant difference in median frequency (ΔMF) values consistently dropped after the fatiguing tasks across all recorded muscles, in terms of the initial MF (MFINI = 65.1 ± 1.1 Hz) and final MF (MFFIN = 57.9 ± 0.9 Hz), and the main effect of time was significant (F(1,22) = 43.15, p < 0.001). MF values decreased mostly for IS (ΔMFIS = −9.9 ± 1.6 Hz) and DP (ΔMFPD = −9.5 ± 1.9 Hz) muscles, while DA and UT showed smaller changes (ΔMFDA = −6.9 ± 1.5 Hz) and (ΔMFUT = −3.2 ± 1.3 Hz). The results of our study show a meaningful contribution in determining increased fatigue of the shoulder girdle muscles during repeated isokinetic internal-external rotation protocols. We have also demonstrated a significant decrease in MF in all examined muscles, especially IS and DA.
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Short walking exercise leads to gait changes and muscle fatigue in children with cerebral palsy who walk with jump gait. Am J Phys Med Rehabil 2021; 100:1093-1099. [PMID: 33587452 DOI: 10.1097/phm.0000000000001713] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To evaluate kinematic changes and muscle fatigue in jump gait during a walking exercise, and the relationship between kinematic changes and muscle fatigue and strength. DESIGN This preliminary study included ten children with cerebral palsy (CP) who walk with jump gait. Hip and knee maximal isometric muscle strength were measured using a dynamometer. Then, lower-limb kinematics and electromyography were collected while children walked continuously for 6-min at their self-selected speed. Electromyography median frequency and lower-limb joint angles were compared between the first and the sixth minute of the walking exercise using T-test and Wilcoxon rank test. Relationship between kinematic changes and muscle strength and changes in electromyography median frequency were assessed using correlation analyses. RESULTS During stance, maximal knee flexion significantly increased at the sixth minute (P=0.01) and was associated with knee extensor muscle weakness (rho=-0.504, P=0.03). Muscle fatigue was only observed in gluteus medius muscle (P=0.01). CONCLUSIONS Children with CP who walked with jump gait and who had knee extensor weakness were more prone to an increase in knee flexion during a continuous walk. The fatigue in the gluteus medius muscle suggests that physical intervention should target the endurance of this muscle to improve jump gait.
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Giuseppe LU, Laura RA, Berton A, Candela V, Massaroni C, Carnevale A, Stelitano G, Schena E, Nazarian A, DeAngelis J, Denaro V. Scapular Dyskinesis: From Basic Science to Ultimate Treatment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082974. [PMID: 32344746 PMCID: PMC7215460 DOI: 10.3390/ijerph17082974] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Revised: 04/16/2020] [Accepted: 04/22/2020] [Indexed: 01/05/2023]
Abstract
Background: This study intends to summarize the causes, clinical examination, and treatments of scapular dyskinesis (SD) and to briefly investigate whether alteration can be managed by a precision rehabilitation protocol planned on the basis of features derived from clinical tests. Methods: We performed a comprehensive search of PubMed, Cochrane, CINAHL and EMBASE databases using various combinations of the keywords “Rotator cuff”, “Scapula”, “Scapular Dyskinesis”, “Shoulder”, “Biomechanics” and “Arthroscopy”. Results: SD incidence is growing in patients with shoulder pathologies, even if it is not a specific injury or directly related to a particular injury. SD can be caused by multiple factors or can be the trigger of shoulder-degenerative pathologies. In both cases, SD results in a protracted scapula with the arm at rest or in motion. Conclusions: A clinical evaluation of altered shoulder kinematics is still complicated. Limitations in observing scapular motion are mainly related to the anatomical position and function of the scapula itself and the absence of a tool for quantitative SD clinical assessment. High-quality clinical trials are needed to establish whether there is a possible correlation between SD patterns and the specific findings of shoulder pathologies with altered scapular kinematics.
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Affiliation(s)
- Longo Umile Giuseppe
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Trigoria 200, 00128 Rome, Italy; (R.A.L.); (A.B.); (V.C.); (A.C.); (G.S.)
- Correspondence: ; Tel.: +39-062-2541-1613; Fax: +39-0622-5411
| | - Risi Ambrogioni Laura
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Trigoria 200, 00128 Rome, Italy; (R.A.L.); (A.B.); (V.C.); (A.C.); (G.S.)
| | - Alessandra Berton
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Trigoria 200, 00128 Rome, Italy; (R.A.L.); (A.B.); (V.C.); (A.C.); (G.S.)
| | - Vincenzo Candela
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Trigoria 200, 00128 Rome, Italy; (R.A.L.); (A.B.); (V.C.); (A.C.); (G.S.)
| | - Carlo Massaroni
- Laboratory of Measurement and Biomedical Instrumentation, Campus Bio-Medico University, Via Alvaro del Portillo 200, 00128 Rome, Italy; (C.M.); (E.S.)
| | - Arianna Carnevale
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Trigoria 200, 00128 Rome, Italy; (R.A.L.); (A.B.); (V.C.); (A.C.); (G.S.)
- Laboratory of Measurement and Biomedical Instrumentation, Campus Bio-Medico University, Via Alvaro del Portillo 200, 00128 Rome, Italy; (C.M.); (E.S.)
| | - Giovanna Stelitano
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Trigoria 200, 00128 Rome, Italy; (R.A.L.); (A.B.); (V.C.); (A.C.); (G.S.)
| | - Emiliano Schena
- Laboratory of Measurement and Biomedical Instrumentation, Campus Bio-Medico University, Via Alvaro del Portillo 200, 00128 Rome, Italy; (C.M.); (E.S.)
| | - Ara Nazarian
- Carl J. Shapiro Department of Orthopaedic Surgery and Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 20115, USA; (A.N.); (J.D.)
| | - Joseph DeAngelis
- Carl J. Shapiro Department of Orthopaedic Surgery and Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 20115, USA; (A.N.); (J.D.)
| | - Vincenzo Denaro
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Trigoria 200, 00128 Rome, Italy; (R.A.L.); (A.B.); (V.C.); (A.C.); (G.S.)
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15
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Ultrasonographic and Myotonometric Evaluation of the Shoulder Girdle After an Isokinetic Muscle Fatigue Protocol. J Sport Rehabil 2019; 29:1047-1052. [PMID: 31593927 DOI: 10.1123/jsr.2019-0117] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Revised: 06/10/2019] [Accepted: 08/03/2019] [Indexed: 11/18/2022]
Abstract
OBJECTIVES The aim of the study was to investigate supraspinatus tendon thickness, acromiohumeral distance (AHD), and stiffness/creep measures of the shoulder girdle in overhead asymptomatic athletes in muscle fatigue conditions. DESIGN Observational, case series study. SETTING Biomechanics and motion analysis lab. PARTICIPANTS Twenty-four male overhead volleyball (n = 8), handball (n = 8), and tennis (n = 8) athletes. All subjects were without shoulder injury history. MAIN OUTCOME MEASURE The subjects were tested for supraspinatus tendon thickness (in short and long axis), AHD using ultrasound scans and stiffness/creep of upper trapezius, infraspinatus, anterior and posterior deltoid, and pectoralis major using the myotonometer device before and immediately after a fatigue protocol. INTERVENTION The fatigue protocol consisted of 3 sets of 32 maximum isokinetic concentric contractions performing shoulder internal and external rotation at isokinetic speed of 120°/s. RESULTS A significant increase in supraspinatus tendon thickness (both in short and long axis) (P = .045 and P = .01, respectively) and a reduction in AHD (P = .01) were found after an isokinetic protocol. The stiffness increased significantly in upper trapezius (P ≤ .01), infraspinatus (P = .003), posterior deltoid (P = .047), and pectoralis major (P = .01), whereas the creep showed a significant decrement for upper trapezius (P = .001) and infraspinatus (P = .003). CONCLUSION The present study has demonstrated the postexercise fatigue in overhead athletes. The increase of stiffness (reduction of muscle creep) and tendon thickness (simultaneous to the reduction of AHD) may indicate rotator cuff overloading as a primary intrinsic tendon pathology process.
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Moissenet F, Bélaise C, Piche E, Michaud B, Begon M. An Optimization Method Tracking EMG, Ground Reactions Forces, and Marker Trajectories for Musculo-Tendon Forces Estimation in Equinus Gait. Front Neurorobot 2019; 13:48. [PMID: 31379547 PMCID: PMC6646662 DOI: 10.3389/fnbot.2019.00048] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Accepted: 06/24/2019] [Indexed: 11/22/2022] Open
Abstract
In the context of neuro-orthopedic pathologies affecting walking and thus patients' quality of life, understanding the mechanisms of gait deviations and identifying the causal motor impairments is of primary importance. Beside other approaches, neuromusculoskeletal simulations may be used to provide insight into this matter. To the best of our knowledge, no computational framework exists in the literature that allows for predictive simulations featuring muscle co-contractions, and the introduction of various types of perturbations during both healthy and pathological gait types. The aim of this preliminary study was to adapt a recently proposed EMG-marker tracking optimization process to a lower limb musculoskeletal model during equinus gait, a multiphase problem with contact forces. The resulting optimization method tracking EMG, ground reactions forces, and marker trajectories allowed an accurate reproduction of joint kinematics (average error of 5.4 ± 3.3 mm for pelvis translations, and 1.9 ± 1.3° for pelvis rotation and joint angles) and ensured good temporal agreement in muscle activity (the concordance between estimated and measured excitations was 76.8 ± 5.3 %) in a relatively fast process (3.88 ± 1.04 h). We have also highlighted that the tracking of ground reaction forces was possible and accurate (average error of 17.3 ± 5.5 N), even without the use of a complex foot-ground contact model.
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Affiliation(s)
- Florent Moissenet
- Centre National de Rééducation Fonctionnelle et de Réadaptation-Rehazenter, Luxembourg, Luxembourg
| | - Colombe Bélaise
- Laboratory of Simulation and Movement Modeling, School of Kinesiology and Exercise Sciences, Université de Montréal, Montreal, QC, Canada
| | - Elodie Piche
- Laboratory of Simulation and Movement Modeling, School of Kinesiology and Exercise Sciences, Université de Montréal, Montreal, QC, Canada
| | - Benjamin Michaud
- Laboratory of Simulation and Movement Modeling, School of Kinesiology and Exercise Sciences, Université de Montréal, Montreal, QC, Canada.,Sainte-Justine Hospital Research Center, Montreal, QC, Canada
| | - Mickaël Begon
- Laboratory of Simulation and Movement Modeling, School of Kinesiology and Exercise Sciences, Université de Montréal, Montreal, QC, Canada.,Sainte-Justine Hospital Research Center, Montreal, QC, Canada
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Muscle fatigue during a short walking exercise in children with cerebral palsy who walk in a crouch gait. Gait Posture 2019; 72:22-27. [PMID: 31132593 DOI: 10.1016/j.gaitpost.2019.05.021] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Revised: 05/06/2019] [Accepted: 05/19/2019] [Indexed: 02/02/2023]
Abstract
BACKGROUND A deterioration of crouch gait was found in a group of children with cerebral palsy (CP) after a short walking exercise. The increased knee flexion reported after a continuous walk could be related with muscle fatigue and muscle strength. AIM Does muscle fatigue appears at the end of a walking exercise in children with CP who walk in a crouch gait? METHODS Eleven children with cerebral palsy (GMFCS I to III) who walk in a crouch gait were included. Isometric muscle strength was assessed using a handheld dynamometer. Children were asked to walk for 6 min at comfortable speed. Spatio-temporal, kinematic and electromyographic (EMG) measurements were recorded at the first and the last minute of the 6-minute walking exercise. Muscle fatigue was evaluated using the shift of EMG signals median frequency. RESULTS There was no significant difference in walking speed, cadence, and step length at the end of the 6mwe. Maximal and mean anterior pelvic tilt decreased and knee flexion increased (p < 0.05). Rectus femoris EMG median frequency decreased (p < 0.05). The median frequency in other muscles did not decrease significantly. Greater hip extensor strength was associated with lesser knee flexion at the end of the 6-minute walking exercise (p < 0.05). SIGNIFICANCE The increase in knee flexion at the end of the 6-minute walking exercise can be explained by muscle fatigue found in rectus femoris. Hip extensor strength can limit the deterioration of crouch gait after a 6-minute walking exercise representative of daily activities.
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