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Brown F, Hill M, Renshaw D, Pedlar C, Hill J, Tallis J. Test–retest reliability of muscular performance tests and compression garment interface pressure measurements: a comparison between consecutive and multiple day recovery. SPORTS ENGINEERING 2023. [DOI: 10.1007/s12283-022-00393-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Baxter BA, Baross AW, Ryan DJ, Wright BH, Kay AD. The acute and repeated bout effects of multi-joint eccentric exercise on physical function and balance in older adults. Eur J Appl Physiol 2023; 123:2131-2143. [PMID: 37217609 PMCID: PMC10492690 DOI: 10.1007/s00421-023-05226-z] [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: 11/18/2022] [Accepted: 05/10/2023] [Indexed: 05/24/2023]
Abstract
PURPOSE Eccentric muscle actions generate high levels of force at a low metabolic cost, making them a suitable training modality to combat age-related neuromuscular decline. The temporary muscle soreness associated with high intensity eccentric contractions may explain their limited use in clinical exercise prescription, however any discomfort is often alleviated after the initial bout (repeated bout effect). Therefore, the aims of the present study were to examine the acute and repeated bout effects of eccentric contractions on neuromuscular factors associated with the risk of falling in older adults. METHODS Balance, functional ability [timed up-and-go and sit-to-stand], and lower-limb maximal and explosive strength were measured in 13 participants (67.6 ± 4.9 year) pre- and post-eccentric exercise (0, 24, 48, and 72 hr) in Bout 1 and 14 days later in Bout 2. The eccentric exercise intervention was performed on an isokinetic unilateral stepper ergometer at 50% of maximal eccentric strength at 18 step‧min-1 per limb for 7 min (126 steps per limb). Two-way repeated measures ANOVAs were conducted to identify any significant effects (P ≤ 0.05). RESULTS Eccentric strength significantly decreased (- 13%) in Bout 1 at 24 hr post-exercise; no significant reduction was observed at any other time-point after Bout 1. No significant reductions occurred in static balance or functional ability at any time-point in either bout. CONCLUSION Submaximal multi-joint eccentric exercise results in minimal disruption to neuromuscular function associated with falls in older adults after the initial bout.
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Affiliation(s)
- Brett A Baxter
- Centre for Physical Activity and Life Sciences, Faculty of Art, Science and Technology, University of Northampton, Northampton, NN1 5PH, UK.
| | - Anthony W Baross
- Centre for Physical Activity and Life Sciences, Faculty of Art, Science and Technology, University of Northampton, Northampton, NN1 5PH, UK
| | - Declan J Ryan
- Centre for Physical Activity and Life Sciences, Faculty of Art, Science and Technology, University of Northampton, Northampton, NN1 5PH, UK
| | - Ben H Wright
- Centre for Physical Activity and Life Sciences, Faculty of Art, Science and Technology, University of Northampton, Northampton, NN1 5PH, UK
| | - Anthony D Kay
- Centre for Physical Activity and Life Sciences, Faculty of Art, Science and Technology, University of Northampton, Northampton, NN1 5PH, UK
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Boyd L, Deakin GB, Devantier-Thomas B, Singh U, Doma K. The Effects of Pre-conditioning on Exercise-Induced Muscle Damage: A Systematic Review and Meta-analysis. Sports Med 2023; 53:1537-1557. [PMID: 37160563 PMCID: PMC10356650 DOI: 10.1007/s40279-023-01839-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/06/2023] [Indexed: 05/11/2023]
Abstract
BACKGROUND Several studies have utilised isometric, eccentric and downhill walking pre-conditioning as a strategy for alleviating the signs and symptoms of exercise-induced muscle damage (EIMD) following a bout of damaging physical activity. OBJECTIVES This systematic review and meta-analysis examined the effects of pre-conditioning strategies on indices of muscle damage and physical performance measures following a second bout of strenuous physical activity. DATA SOURCES PubMed, CINAHL and Scopus. ELIGIBILITY CRITERIA Studies meeting the PICO (population, intervention/exposure, comparison, and outcome) criteria were included in this review: (1) general population or "untrained" participants with no contraindications affecting physical performance; (2) studies with a parallel design to examine the prevention and severity of muscle-damaging contractions; (3) outcome measures were compared using baseline and post-intervention measures; and (4) outcome measures included any markers of indirect muscle damage and muscular contractility measures. PARTICIPANTS Individuals with no resistance training experiences in the previous 6 or more months. INTERVENTIONS A single bout of pre-conditioning exercises consisting of eccentric or isometric contractions performed a minimum of 24 h prior to a bout of damaging physical activity were compared to control interventions that did not perform pre-conditioning prior to damaging physical activity. STUDY APPRAISAL Kmet appraisal system. SYNTHESIS METHODS Quantitative analysis was conducted using forest plots to examine standardised mean differences (SMD, i.e. effect size), test statistics for statistical significance (i.e. Z-values) and between-study heterogeneity by inspecting I2. RESULTS Following abstract and full-text screening, 23 articles were included in this paper. Based on the meta-analysis, the pre-conditioning group exhibited lower levels of creatine kinase at 24 h (SMD = - 1.64; Z = 8.39; p = 0.00001), 48 h (SMD = - 2.65; Z = 7.78; p = 0.00001), 72 h (SMD = - 2.39; Z = 5.71; p = 0.00001) and 96 h post-exercise (SMD = - 3.52; Z = 7.39; p = 0.00001) than the control group. Delayed-onset muscle soreness was also lower for the pre-conditioning group at 24 h (SMD = - 1.89; Z = 6.17; p = 0.00001), 48 h (SMD = - 2.50; Z = 7.99; p = 0.00001), 72 h (SMD = - 2.73; Z = 7.86; p = 0.00001) and 96 h post-exercise (SMD = - 3.30; Z = 8.47; p = 0.00001). Maximal voluntary contraction force was maintained and returned to normal sooner in the pre-conditioning group than in the control group, 24 h (SMD = 1.46; Z = 5.49; p = 0.00001), 48 h (SMD = 1.59; Z = 6.04; p = 0.00001), 72 h (SMD = 2.02; Z = 6.09; p = 0.00001) and 96 h post-exercise (SMD = 2.16; Z = 5.69; p = 0.00001). Range of motion was better maintained by the pre-conditioning group compared with the control group at 24 h (SMD = 1.48; Z = 4.30; p = 0.00001), 48 h (SMD = 2.20; Z = 5.64; p = 0.00001), 72 h (SMD = 2.66; Z = 5.42; p = 0.00001) and 96 h post-exercise (SMD = 2.5; Z = 5.46; p = 0.00001). Based on qualitative analyses, pre-conditioning activities were more effective when performed at 2-4 days before the muscle-damaging protocol compared with immediately prior to the muscle-damaging protocol, or 1-3 weeks prior to the muscle-damaging protocol. Furthermore, pre-conditioning activities performed using eccentric contractions over isometric contractions, with higher volumes, greater intensity and more lengthened muscle contractions provided greater protection from EIMD. LIMITATIONS Several outcome measures showed high inter-study heterogeneity. The inability to account for differences in durations between pre-conditioning and the second bout of damaging physical activity was also limiting. CONCLUSIONS Pre-conditioning significantly reduced the severity of creatine kinase release, delayed-onset muscle soreness, loss of maximal voluntary contraction force and the range of motion decrease. Pre-conditioning may prevent severe EIMD and accelerate recovery of muscle force generation capacity.
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Affiliation(s)
- Lachlan Boyd
- College of Healthcare Sciences, Sports and Exercise Science, James Cook University, 1 James Cook Drive, Rehabilitation Sciences Building, Douglas, Townsville, QLD, 481, Australia
| | - Glen B Deakin
- College of Healthcare Sciences, Sports and Exercise Science, James Cook University, 1 James Cook Drive, Rehabilitation Sciences Building, Douglas, Townsville, QLD, 481, Australia
| | - Baily Devantier-Thomas
- College of Healthcare Sciences, Sports and Exercise Science, James Cook University, 1 James Cook Drive, Rehabilitation Sciences Building, Douglas, Townsville, QLD, 481, Australia
| | - Utkarsh Singh
- College of Healthcare Sciences, Sports and Exercise Science, James Cook University, 1 James Cook Drive, Rehabilitation Sciences Building, Douglas, Townsville, QLD, 481, Australia
| | - Kenji Doma
- College of Healthcare Sciences, Sports and Exercise Science, James Cook University, 1 James Cook Drive, Rehabilitation Sciences Building, Douglas, Townsville, QLD, 481, Australia.
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Xue X, Hao Y, Yang X, Zhang C, Xu J, Wu X, Deng Z, Li N. Effect of Kinesio tape and Compression sleeves on delayed onset of muscle soreness: a single-blinded randomized controlled trial. BMC Musculoskelet Disord 2023; 24:392. [PMID: 37198619 DOI: 10.1186/s12891-023-06499-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 05/05/2023] [Indexed: 05/19/2023] Open
Abstract
BACKGROUND Both Kinesio Tape (KT) and Compression Sleeves (CS) can relieve Delayed Onset Muscle Soreness (DOMS) to a certain extent, but there is no study report on the difference in the effectiveness of the KT and CS whether the effect is better when used at the same time. The purpose of this study was to compare the effects of KT and CS on the recovery of muscle soreness, isokinetic strength, and body fatigue after DOMS. METHODS In this single-blinded randomized controlled trial, 32 participants aged 18 to 24 years were randomly divided into Control group (CG), Compression Sleeves group (CSG), Kinesio Tape group (KTG), Compression Sleeves and Kinesio Tape group (CSKTG), between October 2021 and January 2022. KTG uses Kinesio Tape, CSG wears Compression Sleeves, and CSKTG uses both Compression Sleeves and Kinesio Tape. Outcomes were performed at five-time points (baseline, 0 h, 24 h, 48 h, 72 h), Primary outcome was pain level Visual Analogue Scale (VAS), and Secondary outcomes were Interleukin 6, Peak Torque/Body Weight, Work Fatigue. Statistical analyses were performed using the repeated measures analysis of variance method. SETTING Laboratory. RESULTS After the intervention, VAS reached the highest at 24 h after exercise-induced muscle soreness, while the KTG and CSG at each time point were less than CG, and the scores of CSKTG at 24 h and 48 h were less than those of KTG and CSG in the same period (P < 0.05). Interleukin 6, at 24 h, CSKTG is lower than KTG 0.71(95%CI: 0.43 to 1.86) and CG 1.68(95%CI: 0.06 to 3.29). Peak Torque/Body Weight, at 24 h, CG was lower than CSKTG 0.99(95%CI: 0.42 to 1.56), KTG 0.94(95%CI: 0.37 to 1.52), and CSG 0.72(95%CI: 0.14 to 1.29); at 72 h, CG was lower than CSKTG 0.65(95%CI: 0.13 to 1.17) and KTG 0.58(95%CI: 0.06 to 1.10). Work Fatigue, at 24 h, CG was lower than KTG 0.10(95%CI: 0.02 to 1.78) and CSKTG 0.01(95%CI: -0.07 to 0.09). At 48 h, CG was lower than KTG 0.10(95%CI: 0.13 to 1.17) and CSKTG 0.11(95%CI: 0.03 to 0.18). CONCLUSIONS Kinesio Tape can significantly reduce DOMS pain, and Kinesio Tape has a better recovery effect on Delayed Onset Muscle Soreness than Compression Sleeves. Kinesio Tape combined with Compression Sleeves is helpful to alleviate the Delayed Onset Muscle Soreness pain, speeding up the recovery of muscle strength, and shortening the recovery time after Delayed Onset Muscle Soreness. TRIAL REGISTRATION Registration number: This study was also registered on 11/10/2021, at the Chinese Clinical Trial Registry (ChiCTR2100051973).
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Affiliation(s)
- Xiali Xue
- Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, Sichuan, China
| | - Yuerong Hao
- School of Physical Education, Qingdao University, Qingdao, 266071, Shandong, China
| | - Xinwei Yang
- Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, Sichuan, China
| | - Chaoyang Zhang
- Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, Sichuan, China
| | - Jie Xu
- Department of Sports Medicine, Sichuan Province Orthopedic Hospital, Chengdu, 610041, Sichuan, China
| | - Xiaolei Wu
- Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, Sichuan, China
| | - Zhongyi Deng
- Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, Guangdong, China
| | - Ning Li
- Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, Sichuan, China.
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Pincheira PA, Hoffman BW, Cresswell AG, Carroll TJ, Brown NAT, Lichtwark GA. Cyclic eccentric stretching induces more damage and improved subsequent protection than stretched isometric contractions in the lower limb. Eur J Appl Physiol 2021; 121:3349-3360. [PMID: 34436674 DOI: 10.1007/s00421-021-04787-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 08/09/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE Controversy remains about whether exercise-induced muscle damage (EIMD) and the subsequent repeated bout effect (RBE) are caused by the stretching of an activated muscle, or the production of high force at long, but constant, muscle lengths. The aim of this study was to determine the influence of muscle fascicle stretch elicited during different muscle contraction types on the magnitude of EIMD and the RBE. METHODS Fourteen participants performed an initial bout of lower limb exercise of the triceps surae. One leg performed sustained static contractions at a constant long muscle length (ISO), whereas the contralateral leg performed a bout of eccentric heel drop exercise (ECC). Time under tension was matched between the ECC and ISO conditions. Seven days later, both legs performed ECC. Plantar flexor twitch torque, medial gastrocnemius (MG) fascicle length and muscle soreness were assessed before, 2 h and 2 days after each exercise bout. MG fascicle length and triceps surae surface electromyography were examined across the bouts of exercise. RESULTS We found that both ECC and ISO conditions elicited EIMD and a RBE. ISO caused less damage 2 h after the initial bout (14% less drop in twitch torque, P = 0.03) and less protection from soreness 2 days after the repeated bout (56% higher soreness, P = 0.01). No differences were found when comparing neuromechanical properties across exercise bouts. CONCLUSION For MG, the action of stretching an active muscle seems to be more important for causing damage than a sustained contraction at a long length.
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Affiliation(s)
- Patricio A Pincheira
- Centre for Sensorimotor Performance, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia.
| | - Ben W Hoffman
- Centre for Sensorimotor Performance, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia.,School of Health and Wellbeing, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Andrew G Cresswell
- Centre for Sensorimotor Performance, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia
| | - Timothy J Carroll
- Centre for Sensorimotor Performance, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia
| | - Nicholas A T Brown
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT, Australia
| | - Glen A Lichtwark
- Centre for Sensorimotor Performance, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia
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Santos Cerqueira M, Kovacs D, Martins de França I, Pereira R, da Nobrega Neto SB, Aires Nonato RD, De Araújo Moura Lemos TM, De Brito Vieira WH. Effects of Individualized Ischemic Preconditioning on Protection Against Eccentric Exercise-Induced Muscle Damage: A Randomized Controlled Trial. Sports Health 2021; 13:554-564. [PMID: 33622116 DOI: 10.1177/1941738121995414] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The effects of ischemic preconditioning (IPC) versus a deceptive sham protocol on indirect markers of exercise-induced muscle damage (EIMD) after the application of individualized occlusion pressure were examined. The goal of using a sham protocol is to control for the potential effect of placebo. HYPOTHESIS IPC would surpass the sham protocol in protecting against EIMD. STUDY DESIGN A randomized, double-blinded, clinical trial. LEVEL OF EVIDENCE Level 1. METHODS Thirty healthy young men were randomly assigned to an eccentric exercise for the knee extensor muscles preceded by IPC (4 × 5 minutes of individualized total occlusion pressure) or sham protocol (4 × 5 minutes using 20 mm Hg). Maximal voluntary isometric torque (MVIT), rate of torque development, muscle soreness, pressure pain threshold, knee range of motion, thigh girth, and creatine kinase (CK) activity were assessed before IPC or sham protocol and up to 72 hours after the eccentric EIMD. Affective valence and perceived exertion were also evaluated. RESULTS MVIT decreased 17.1% in the IPC and 18.1% in the sham groups, with no differences between groups. Differences from baseline were observed in the sham group for muscle soreness at 48 hours (P < 0.001) and 72 hours (P = 0.02), and for CK activity at 72 hours (P = 0.04). Muscle soreness was reduced in the IPC group at 48 hours compared with the sham group (∆ = 15.8 mm; P = 0.008) but without achieving the minimal clinically important difference. IPC induced a smaller perceived exertion than the sham protocol (∆ = 1.1 a.u.; P = 0.02). The remaining outcomes were not statistically different in both groups. CONCLUSION IPC does not surpass the sham protocol to protect against mild EIMD of the knee extensors muscles. CLINICAL RELEVANCE Although IPC is a noninvasive, low-cost, and easy-to-administer intervention, the IPC effects can, in part, be explained by the placebo effect. In addition, individualized IPC promotes attenuation in perceived exertion during eccentric exercise.
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Affiliation(s)
- Mikhail Santos Cerqueira
- Neuromuscular Performance Analysis Laboratory, Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
| | - Daniel Kovacs
- Neuromuscular Performance Analysis Laboratory, Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
| | - Ingrid Martins de França
- Neuromuscular Performance Analysis Laboratory, Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
| | - Rafael Pereira
- Integrative Physiology Research Center, Department of Biological Sciences, State University of Southwest Bahia (UESB), Jequié, Bahia, Brazil
| | - Sinval Bezerra da Nobrega Neto
- Neuromuscular Performance Analysis Laboratory, Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
| | - Rúsia Dayanny Aires Nonato
- Laboratory of Clinical Biochemistry, Departament of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Telma Maria De Araújo Moura Lemos
- Laboratory of Clinical Biochemistry, Departament of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Wouber Hérickson De Brito Vieira
- Neuromuscular Performance Analysis Laboratory, Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
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Akagi R, Sato S, Hirata N, Imaizumi N, Tanimoto H, Ando R, Ema R, Hirata K. Eight-Week Low-Intensity Squat Training at Slow Speed Simultaneously Improves Knee and Hip Flexion and Extension Strength. Front Physiol 2020; 11:893. [PMID: 32848848 PMCID: PMC7396687 DOI: 10.3389/fphys.2020.00893] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 07/02/2020] [Indexed: 11/22/2022] Open
Abstract
Considering that the squat exercise requires flexion and extension of the knee and hip joints, a resistance training program based on squat exercises should efficiently increase the flexion and extension strength of both the knee and hip. To our knowledge, however, no study has simultaneously investigated the effects of squat training on both flexion and extension strength in both the knee and hip. Low-intensity squat exercises at slow speeds can be expected to effectively and safely improve knee and hip flexion and extension strength in a wide range of individuals. This study aimed to clarify whether knee and hip flexion and extension strength improved after an 8-week low-intensity squat training program at slow speed. Twenty-four untrained young men were randomly assigned to a training or control group. Participants in the training group performed 40% one-repetition maximum parallel squats at slow speed (4 s for concentric/eccentric actions), 3 days per week for 8 weeks. Before and after the intervention, isometric peak torque of the knee and hip flexors and extensors during maximal voluntary contraction (MVC) was determined. For the knee flexors and extensors, muscle volume was also measured. There were significant training-induced increases in peak torque (P < 0.05). The training effects on knee and hip extension torque (effect size = 0.36-0.38) were higher than those on knee and hip flexion torque (effect size = 0.09-0.13). The squat training used here increased both knee and hip flexion and extension strength, but the training effects on the flexion strength were less than those on the extension strength. Regarding the knee extensors, a significant training-related increase in muscle volume was found (P < 0.05) without neuromuscular adaptations. In addition, there were significant correlations between the training-induced increases in muscle volume and peak torque of KE. These results suggest that muscle hypertrophy may be responsible for increased muscle strength of the knee extensors after an 8-week low-intensity squat training program at slow speed.
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Affiliation(s)
- Ryota Akagi
- College of Systems Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
- Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
| | - Shinya Sato
- Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
| | - Naoya Hirata
- Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
| | - Naoto Imaizumi
- College of Systems Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
| | - Hiroki Tanimoto
- Graduate School of Health Management, Keio University, Fujisawa, Japan
| | - Ryosuke Ando
- Department of Sports Research, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Ryoichi Ema
- School of Management, Shizuoka Sangyo University, Iwata, Japan
| | - Kosuke Hirata
- Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
- Research Fellow of Japanese Society for the Promotion of Science, Tokyo, Japan
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8
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Exercise induced changes in echo intensity within the muscle: a brief review. J Ultrasound 2020; 23:457-472. [PMID: 31925731 DOI: 10.1007/s40477-019-00424-y] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Accepted: 12/19/2019] [Indexed: 02/07/2023] Open
Abstract
Echo intensity is the mean pixel intensity of a specific region of interest from an ultrasound image. This variable has been increasingly used in the literature as a physiological marker. Although there has been an increased interest in reporting changes in echo intensity in response to exercise, little consensus exists as to what a change in echo intensity represents physiologically. The purpose of this paper is to review some of the earliest, as well as the most up to date literature regarding the changes in echo intensity in response to exercise. Echo intensity has been used to measure muscle quality, muscle damage, acute swelling, and intramuscular glycogen. The changes in echo intensity, however, are not consistent throughout the literature and often times lead to conclusions that seem contrary to the physiologic effects of exercise. For example, echo intensity increases in conjunction with increases in strength, contrary to what would be expected if echo intensity was a marker of muscle quality/muscle damage. It is conceivable that a change in echo intensity represents a range of physiologic effects at different time points. We recommend that these effects should be determined experimentally in order to rule out what echo intensity might and might not represent. Until this is done, caution should be employed when interpreting changes in echo intensity with acute and chronic exercise.
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Barreto RV, de Lima LCR, Greco CC, Denadai BS. Protective Effect Conferred by Isometric Preconditioning Against Slow- and Fast-Velocity Eccentric Exercise-Induced Muscle Damage. Front Physiol 2019; 10:1203. [PMID: 31632283 PMCID: PMC6779724 DOI: 10.3389/fphys.2019.01203] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 09/03/2019] [Indexed: 11/13/2022] Open
Abstract
We investigated if the same isometric preconditioning protocol (IPP) attenuates the magnitude of muscle damage induced by different maximal eccentric exercise protocols in the elbow flexors. Sixty-four untrained men were assigned to either two experimental or two control groups. Participants in the experimental groups performed an IPP prior to either slow (60°·s-1 - ISO + ECC-S) or fast (180°·s-1 - ISO + ECC-F) maximal eccentric contractions (MaxECC). Subjects in the control groups performed slow (ECC-S) or fast (ECC-F) MaxECC without IPP. Maximal isokinetic concentric torque (MVC), muscle soreness (SOR), and muscle thickness (MT) were assessed before, immediately after, and 1-4 days following the MaxECC. Significant (p < 0.05) group vs. time interactions were found for MVC (F = 4,517), SOR (F = 6,318), and MT (F = 1,863). The ECC-S group presented faster (p < 0.05) recovery of MVC and MT and less (p < 0.05) SOR at 96 h post-MaxECC compared with ECC-F group. No significant differences in MVC and MT were found between ECC-S and ECC-F groups following MaxECC. The ISO + ECC-S group showed faster (p < 0.05) recovery of MVC and SOR compared to the ECC-S group. No significant differences were evident between ISO + ECC-S and ECC-S in any variable. The ISO + ECC-F group showed faster (p < 0.05) recovery of all assessed variables compared with the ECC-F group. MVC was greater (p < 0.05) at 48-72 h, and SOR was less (p < 0.05) at 48-96 h in the ISO + ECC-F compared to the ECC-F group. No significant differences were evident between ISO + ECC-S and ISO + ECC-F for any variable. These results show that the IPP accelerated recovery of MVC and SOR for the slow-eccentric exercise condition and attenuated strength loss and SOR in addition to faster recovery of all assessed variables for the fast-eccentric exercise condition. Therefore, the IPP can be used as a strategy to attenuate and accelerate recovery of muscle damage induced by different-velocity eccentric exercises, resulting in greater protection against muscle damage induced by faster velocity.
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Affiliation(s)
- Renan Vieira Barreto
- Human Performance Laboratory, Department of Physical Education, São Paulo State University, Rio Claro, Brazil
| | - Leonardo Coelho Rabello de Lima
- Human Performance Laboratory, Department of Physical Education, São Paulo State University, Rio Claro, Brazil.,Faculty of Biological and Health Sciences, University Centre Herminio Ometto, Araras, Brazil.,School of Physical Education, Salesian University Centre of São Paulo, Campinas, Brazil
| | - Camila Coelho Greco
- Human Performance Laboratory, Department of Physical Education, São Paulo State University, Rio Claro, Brazil
| | - Benedito Sérgio Denadai
- Human Performance Laboratory, Department of Physical Education, São Paulo State University, Rio Claro, Brazil
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10
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Huang MJ, Nosaka K, Wang HS, Tseng KW, Chen HL, Chou TY, Chen TC. Damage protective effects conferred by low-intensity eccentric contractions on arm, leg and trunk muscles. Eur J Appl Physiol 2019; 119:1055-1064. [PMID: 30778759 DOI: 10.1007/s00421-019-04095-9] [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: 10/08/2018] [Accepted: 02/06/2019] [Indexed: 11/28/2022]
Abstract
PURPOSE Low-intensity eccentric contractions with a load corresponding to 10% of maximal voluntary isometric contraction strength (10% EC) attenuate muscle damage in a subsequent bout of higher-intensity eccentric contractions performed within 2 weeks for the elbow flexors, knee flexors and knee extensors. However, it is not known whether this strategy could be applied to other muscles. This study investigated whether 10% EC would confer damage protective effect on high-intensity eccentric contractions (80% EC) for nine different muscle groups. METHODS Untrained young men were placed to an experimental or a control group (n = 12/group). Experimental group performed 50 eccentric contractions with a load corresponding to 10% EC at 2 days prior to 50 eccentric contractions with 80% EC for the elbow flexors and extensors, pectoralis, knee flexors and extensors, plantar flexors, latissimus, abdominis and erector spinae. Control group performed 80% EC without 10% EC. Changes in maximal voluntary isometric contraction strength (MVC) and muscle soreness, plasma creatine kinase (CK) activity and myoglobin concentration after 80% EC were compared between groups by a mixed-factor ANOVA. RESULTS MVC recovered faster (e.g., 6-31% greater MVC at 5 days post-exercise), and peak muscle soreness was 36-54% lower for Experimental than Control group for the nine muscles (P < 0.05). Increases in plasma CK activity and myoglobin concentration were smaller for Experimental (e.g., peak CK: 2763 ± 3459 IU/L) than Control group (120,360 ± 50,158 IU/L). CONCLUSIONS These results showed that 10% EC was effective for attenuating the magnitude of muscle damage after 80% EC for all muscles, although the magnitude of the protective effect differed among the muscles.
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Affiliation(s)
- Min-Jyue Huang
- Department of Physical Education, National Taiwan Normal University, P.O. Box 97-71, Wenshan Wansheng, Taipei, 11699, Taiwan, Republic of China
| | - Kazunori Nosaka
- Centre for Exercise and Sports Science Research, School of Medical and Health Sciences, Edith Cowan University, Western Australia, Australia
| | - Ho-Seng Wang
- Department of Physical Education, National Taiwan Normal University, P.O. Box 97-71, Wenshan Wansheng, Taipei, 11699, Taiwan, Republic of China
| | - Kuo-Wei Tseng
- Department of Exercise and Health Sciences, University of Taipei, Taipei, Taiwan, Republic of China
| | - Hsin-Lian Chen
- Department of Physical Education, Health and Recreation, National Chiayi University, Chiayi, Taiwan, Republic of China
| | - Tai-Ying Chou
- Department of Athletic Performance, National Taiwan Normal University, Taipei, Taiwan, Republic of China
| | - Trevor C Chen
- Department of Physical Education, National Taiwan Normal University, P.O. Box 97-71, Wenshan Wansheng, Taipei, 11699, Taiwan, Republic of China.
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11
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Chen TC, Lin MJ, Chen HL, Yu HI, Nosaka K. Contralateral Repeated Bout Effect of the Knee Flexors. Med Sci Sports Exerc 2018; 50:542-550. [PMID: 29077637 DOI: 10.1249/mss.0000000000001470] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE Eccentric exercise of the elbow flexors (EF) confers protective effect against muscle damage of the same exercise performed by the opposite arm at 1, 7, or 28 d later. This is known as the contralateral repeated bout effect (CL-RBE), but it is not known whether CL-RBE is evident for the knee flexors (KF). The present study tested the hypothesis that KF CL-RBE would be observed at 1, 7, and 28 d after the initial bout. METHODS Young untrained men were assigned to a control or one of three experimental groups (n = 13 per group). The experimental groups performed 60 maximal KF eccentric contractions (60MaxEC) using one leg followed by the same exercise using the opposite leg at 1, 7, or 28 d later. The control group used the nondominant leg to repeat 60MaxEC separated by 14 d. Changes in several indirect muscle damage markers after 60MaxEC were compared between bouts and among the groups by using a mixed-design, two-way ANOVA. RESULTS Changes in maximal voluntary isokinetic concentric contraction torque, range of motion, muscle soreness, and plasma creatine kinase activity after the first 60MaxEC were similar among the groups. These changes were smaller after the second than the first 60MaxEC for the control, 1-d, and 7-d groups, and the changes after the second 60MaxEC were smaller for the control than for both the 1- and 7-d groups (P < 0.05). When the KF CL-RBE was compared with the EF CL-RBE of the previous study, the magnitude was not significantly different. CONCLUSIONS These results showed that CL-RBE was evident for KF in a similar manner to that for EF, but did not last for 28 d, and the CL-RBE was smaller than the ipsilateral RBE.
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Affiliation(s)
- Trevor C Chen
- Department of Physical Education, National Taiwan Normal University, Taipei City, TAIWAN
| | - Ming-Ju Lin
- Department of Physical Education, National Taiwan Normal University, Taipei City, TAIWAN
| | - Hsin-Lian Chen
- Department of Physical Education, National Taiwan Normal University, Taipei City, TAIWAN
| | - Hui-I Yu
- Department of Physical Education, National Taiwan Normal University, Taipei City, TAIWAN
| | - Kazunori Nosaka
- Department of Physical Education, National Taiwan Normal University, Taipei City, TAIWAN
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12
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Lima LCR, Bassan NM, Cardozo AC, Gonçalves M, Greco CC, Denadai BS. Isometric pre-conditioning blunts exercise-induced muscle damage but does not attenuate changes in running economy following downhill running. Hum Mov Sci 2018; 60:1-9. [PMID: 29751254 DOI: 10.1016/j.humov.2018.05.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Revised: 04/30/2018] [Accepted: 05/02/2018] [Indexed: 11/19/2022]
Abstract
Running economy (RE) is impaired following unaccustomed eccentric-biased exercises that induce muscle damage. It is also known that muscle damage is reduced when maximal voluntary isometric contractions (MVIC) are performed at a long muscle length 2-4 days prior to maximal eccentric exercise with the same muscle, a phenomenon that can be described as isometric pre-conditioning (IPC). We tested the hypothesis that IPC could attenuate muscle damage and changes in RE following downhill running. Thirty untrained men were randomly assigned into experimental or control groups and ran downhill on a treadmill (-15%) for 30 min. Participants in the experimental group completed 10 MVIC in a leg press machine two days prior to downhill running, while participants in the control group did not perform IPC. The magnitude of changes in muscle soreness determined 48 h after downhill running was greater for the control group (122 ± 28 mm) than for the experimental group (92 ± 38 mm). Isometric peak torque recovered faster in the experimental group compared with the control group (3 days vs. no full recovery, respectively). No significant effect of IPC was found for countermovement jump height, serum creatine kinase activity or any parameters associated with RE. These results supported the hypothesis that IPC attenuates changes in markers of muscle damage. The hypothesis that IPC attenuates changes in RE was not supported by our data. It appears that the mechanisms involved in changes in markers of muscle damage and parameters associated with RE following downhill running are not completely shared.
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Affiliation(s)
- Leonardo C R Lima
- Human Performance Laboratory, São Paulo State University, Av 24-A, 1515, Rio Claro, SP 13506-900, Brazil; Faculty of Biological and Health Sciences, Centro Universitário Hermínio Ometto, Av. Maximiliano Baruto, 500, Araras, SP 13607-339, Brazil; Faculty of Physical Education, Centro Universitário Salesiano de São Paulo, Rua Baronesa Geraldo Resende, 330, Campinas, SP 13075-270, Brazil.
| | - Natália M Bassan
- Human Performance Laboratory, São Paulo State University, Av 24-A, 1515, Rio Claro, SP 13506-900, Brazil
| | - Adalgiso C Cardozo
- Biomechanics Laboratory, São Paulo State University, Av 24-A, 1515, Rio Claro, SP 13506-900, Brazil.
| | - Mauro Gonçalves
- Biomechanics Laboratory, São Paulo State University, Av 24-A, 1515, Rio Claro, SP 13506-900, Brazil
| | - Camila C Greco
- Human Performance Laboratory, São Paulo State University, Av 24-A, 1515, Rio Claro, SP 13506-900, Brazil.
| | - Benedito S Denadai
- Human Performance Laboratory, São Paulo State University, Av 24-A, 1515, Rio Claro, SP 13506-900, Brazil.
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13
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Steinberg N, Stern M, Tenenbaum S, Blankstein A, Zeev A, Siev-Ner I. Ultrasonography and clinical examination of knee injuries in pre- and post- menarche dancers. Res Sports Med 2018. [PMID: 29519163 DOI: 10.1080/15438627.2018.1447474] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
This study aimed at evaluating whether the prevalence of knee injuries and morphological features are different among pre-and-post menarche dancers; Sixty-seven pre-and-post menarche dancers were screened for anthropometric parameters; knee laxity; patella femoral pain syndrome (PFPS), pathologies and anatomical structure of the knees. Both groups showed a high and similar prevalence of PFPS. The post-menarche dancers produced a significantly higher rate of Tanner stages 3-4 (p = .010), greater weight (p < .001) higher BMI (p = .003); and, higher prevalence of MCL pathology, pes planus, and scoliosis compared with pre-menarche dancers (p < .05). The pre-menarche dancers started dance practice earlier (p = .008); and, showed significantly higher prevalence of lateral laxity, patellar laxity, positive Lachman test and positive Drawer test compared with post-menarche dancers (p < .05). Interactions (menarche yes/no by PFPS no/one leg/both legs) were found for BMI (p = .044; η2 = .187), trochlear cartilage thickness (p = .020; η2 = 0.121) and tip of patella - trochlear groove distance (p = .024; η2 = .150). Pre-and-post-menarche female dancers demonstrated similar prevalence of knee injuries, with different body morphology.
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Affiliation(s)
- Nili Steinberg
- a The Wingate College of physical Education and Sports Sciences at the Wingate Institute , Netanya , Israel
| | - Myriam Stern
- b Department of Radiology, Sheba Medical Center, Tel hashomer, Israel. Affiliated to Sackler School of Medicine , Tel Aviv University , Israel
| | - Shay Tenenbaum
- c Department of orthopedic surgery, Chaim Sheba medical center Tel-Hashomer, affiliated to the Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel
| | - Alexander Blankstein
- c Department of orthopedic surgery, Chaim Sheba medical center Tel-Hashomer, affiliated to the Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel
| | - Aviva Zeev
- a The Wingate College of physical Education and Sports Sciences at the Wingate Institute , Netanya , Israel
| | - Itzhak Siev-Ner
- d Orthopedic Rehabilitation Dept ., Sheba Medical Center , Tel-Hashomer , Israel
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14
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Peek K, Gatherer D, Bennett KJM, Fransen J, Watsford M. Muscle strength characteristics of the hamstrings and quadriceps in players from a high-level youth football (soccer) Academy. Res Sports Med 2018; 26:276-288. [PMID: 29506423 DOI: 10.1080/15438627.2018.1447475] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The objective of this study was to investigate knee muscle strength characteristics in players from a high-level youth football Academy. In total, 110 players (aged 8-15 years) underwent muscle strength assessments carried out by a research physiotherapist using a computer-linked hand-held dynamometer. Results indicated that isometric hamstrings and quadriceps strength increased with age, whereas the isometric hamstring to quadriceps (H/Q) ratio decreased with age. A number of youth football players (n = 20; 18%; 95% CI: 11-27%) demonstrated isometric H/Q ratios of less than 0.60, as well as muscle strength asymmetries between limbs for the hamstrings (n = 40, 36%; 95% CI: 27-46%) and quadriceps (n = 51, 46%; 95% CI 37-56%), potentially increasing injury risk. This study provides new evidence that the isometric H/Q ratio reduces with advancing age during adolescence which may have important implications for junior athlete development and long-term injury prevention in football.
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Affiliation(s)
- Kerry Peek
- a School of Medicine and Public Health , University of Newcastle, University Drive , Callaghan , Australia
| | | | - Kyle J M Bennett
- c Applied Sports Science and Exercise Testing Laboratory, Faculty of Science and Information Technology , University of Newcastle , Ourimbah , Australia
| | - Job Fransen
- d Sport and Exercise Science, Faculty of Health , University of Technology Sydney , Moore Park , Australia
| | - Mark Watsford
- d Sport and Exercise Science, Faculty of Health , University of Technology Sydney , Moore Park , Australia
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15
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Lin MJ, Nosaka K, Ho CC, Chen HL, Tseng KW, Ratel S, Chen TCC. Influence of Maturation Status on Eccentric Exercise-Induced Muscle Damage and the Repeated Bout Effect in Females. Front Physiol 2018; 8:1118. [PMID: 29354073 PMCID: PMC5760894 DOI: 10.3389/fphys.2017.01118] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Accepted: 12/18/2017] [Indexed: 11/25/2022] Open
Abstract
This study compared changes in indirect muscle damage markers, proprioception and arterial stiffness after elbow flexor eccentric exercise between pre-pubescent (9-10 y), pubescent (14-15 y), and post-pubescent (20-24 y) healthy, untrained females (n = 13/group). The maturation of the participants was confirmed by the hand bone age. All participants performed two bouts of 30 sub-maximal eccentric contractions (EC1, EC2) using a dumbbell set at 60% of pre-exercise maximal voluntary isometric elbow flexion strength at 90°. Changes in maximal voluntary concentric contraction (MVC) torque, muscle soreness (SOR), plasma creatine kinase activity, proprioception (position sense, joint reaction angle) and arterial stiffness (carotid-femoral pulse-wave velocity: cfPWV) before to 5 days after EC1 and EC2 were compared among groups by a mixed-design two-way ANOVA. Pre-exercise MVC torque and cfPWV were smaller (P < 0.05) for the pre-pubescent (MVC: 10.0 ± 0.9 Nm, cfPWV: 903 ± 60 cm/s) and the pubescent (14.3 ± 1.1 Nm, 967 ± 61 cm/s) than the post-pubescent (19.1 ± 1.4 Nm, 1,103 ± 73 cm/s). Changes in all variables after EC1 were smaller (P < 0.05) for the pre-pubescent (e.g., MVC at 1 d post-exercise: -10 ± 6%, peak SOR: 5 ± 2 mm) than the pubescent (-15 ± 9%, 12 ± 6 mm) and the post-pubescent (-25 ± 7%, 19 ± 13 mm). After EC2, changes in all variables were smaller (P < 0.05) than those after EC1 for all groups (e.g., MVC at 1 d post-exercise, pre-pubescent: -4 ± 6%, pubescent: -9 ± 4%, post-pubescent: -14 ± 5%; peak SOR: 3 ± 2, 7 ± 3, 11 ± 6 mm), but the magnitude of the repeated bout effect was not different (P > 0.05) among the groups. These results show that the extents of muscle damage, and proprioception and arterial stiffness changes after eccentric exercise are greater at later stages of maturation, but the repeated bout effect is not affected by maturation.
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Affiliation(s)
- Ming-Ju Lin
- Department of Physical Education, Health and Recreation, National Chiayi University, Chiayi, Taiwan
| | - Kazunori Nosaka
- Centre for Exercise and Sports Science Research, School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia
| | - Chih-Chiao Ho
- Department of Physical Education, National Taiwan Normal University, Taipei City, Taiwan
| | - Hsin-Lian Chen
- Department of Physical Education, Health and Recreation, National Chiayi University, Chiayi, Taiwan
| | - Kuo-Wei Tseng
- Department of Exercise Health Sciences, University of Taipei, Taipei City, Taiwan
| | - Sébastien Ratel
- Université Clermont Auvergne, Laboratoire des Adaptations Métaboliques à l'Exercice en conditions Physiologiques et Pathologiques (AME2P), Clermont-Ferrand, France
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16
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Marqués-Jiménez D, Calleja-González J, Arratibel-Imaz I, Delextrat A, Uriarte F, Terrados N. Influence of different types of compression garments on exercise-induced muscle damage markers after a soccer match. Res Sports Med 2017; 26:27-42. [DOI: 10.1080/15438627.2017.1393755] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Diego Marqués-Jiménez
- Physical Education and Sport Department, University of Basque Country (UPV-EHU), Vitoria, Spain
| | - Julio Calleja-González
- Physical Education and Sport Department, University of Basque Country (UPV-EHU), Vitoria, Spain
| | - Iñaki Arratibel-Imaz
- Physical Education and Sport Department, University of Basque Country (UPV-EHU), Vitoria, Spain
| | - Anne Delextrat
- Sport and Health Sciences Department, Oxford Brookes University, Oxford, UK
| | | | - Nicolás Terrados
- Department of Functional Biology, University of Oviedo, Oviedo, Spain
- Regional Unit of Sports Medicine of Asturias, Avilés, Spain
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17
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Steinberg N, Tenenbaum S, Hershkovitz I, Zeev A, Siev-Ner I. Lower extremity and spine characteristics in young dancers with and without patellofemoral pain. Res Sports Med 2017; 25:166-180. [PMID: 28140673 DOI: 10.1080/15438627.2017.1282355] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Very little is known about patellofemoral pain syndrome (PPFS) among young dancers. Understanding the mechanism of the injury and implementing a preventative programme are important in order to minimize the risk of PFPS. The aim of the current study is to determine the extent to which factors such as lower extremity and back characteristics are common among dancers with PFPS. The study population included 271 dancers with PFPS and 271 non-injured dancers, aged 10-16 years. All dancers were screened for morphometric profile, dance discipline (h/week), anatomical anomalies (present/absent of scoliosis, genu valgus/varum, etc.), and joint range of motion (measured by goniometer at the hip, knee, ankle, foot, and spinal joints). The predicting factors for PFPS among young dancers (10-11 years old) were: hyper hip abduction (OR = 0.906) and lower back and hamstring flexibility (OR = 3.542); for adolescent dancers (12-14 years old): hyper ankle dorsiflexion (OR = 0.888), hind foot-varum (OR = 0.260), and mobility of patella (OR = 2.666); and, for pre-mature dancers (15-16 years old): scoliosis (OR = 5.209), limited ankle plantar-flexion (OR = 1.060), and limited hip internal rotation (OR = 1.063). In conclusion, extrinsic and intrinsic parameters predisposing the dancers to knee injuries should be identified by screening in early stages of dance classes.
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Affiliation(s)
- Nili Steinberg
- a Sackler Faculty of Medicine, Department of Anatomy and Anthropology , Tel-Aviv University , Tel-Aviv , Israel.,b The Wingate College of physical Education and Sports Sciences at the Wingate Institute , Netanya , Israel
| | - Shay Tenenbaum
- c Department of orthopedic surgery, Chaim Sheba medical center Tel-Hashomer, affiliated to the Sackler Faculty of Medicine , Tel Aviv University , Tel-Aviv , Israel
| | - Israel Hershkovitz
- a Sackler Faculty of Medicine, Department of Anatomy and Anthropology , Tel-Aviv University , Tel-Aviv , Israel
| | - Aviva Zeev
- b The Wingate College of physical Education and Sports Sciences at the Wingate Institute , Netanya , Israel
| | - Itzhak Siev-Ner
- d Orthopedic Rehabilitation Dept , Sheba Medical Center , Tel-Hashomer , Israel
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