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Boccia G, Brustio PR, Beratto L, Peluso I, Ferrara R, Munzi D, Toti E, Raguzzini A, Sciarra T, Rainoldi A. Upper-Limb Muscle Fatigability in Para-Athletes Quantified as the Rate of Force Development in Rapid Contractions of Submaximal Amplitude. J Funct Morphol Kinesiol 2024; 9:108. [PMID: 38921644 PMCID: PMC11204935 DOI: 10.3390/jfmk9020108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 06/13/2024] [Accepted: 06/14/2024] [Indexed: 06/27/2024] Open
Abstract
This study aimed to compare neuromuscular fatigability of the elbow flexors and extensors between athletes with amputation (AMP) and athletes with spinal cord injury (SCI) for maximum voluntary force (MVF) and rate of force development (RFD). We recruited 20 para-athletes among those participating at two training camps (2022) for Italian Paralympic veterans. Ten athletes with SCI (two with tetraplegia and eight with paraplegia) were compared to 10 athletes with amputation (above the knee, N = 3; below the knee, N = 6; forearm, N = 1). We quantified MVF, RFD at 50, 100, and 150 ms, and maximal RFD (RFDpeak) of elbow flexors and extensors before and after an incremental arm cranking to voluntary fatigue. We also measured the RFD scaling factor (RFD-SF), which is the linear relationship between peak force and peak RFD quantified in a series of ballistic contractions of submaximal amplitude. SCI showed lower levels of MVF and RFD in both muscle groups (all p values ≤ 0.045). Despite this, the decrease in MVF (Cohen's d = 0.425, p < 0.001) and RFDpeak (d = 0.424, p = 0.003) after the incremental test did not show any difference between pathological conditions. Overall, RFD at 50 ms showed the greatest decrease (d = 0.741, p < 0.001), RFD at 100 ms showed a small decrease (d = 0.382, p = 0.020), and RFD at 150 ms did not decrease (p = 0.272). The RFD-SF decreased more in SCI than AMP (p < 0.0001). Muscle fatigability impacted not only maximal force expressions but also the quickness of ballistic contractions of submaximal amplitude, particularly in SCI. This may affect various sports and daily living activities of wheelchair users. Early RFD (i.e., ≤50 ms) was notably affected by muscle fatigability.
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Affiliation(s)
- Gennaro Boccia
- Department of Clinical and Biological Sciences, University of Turin, 10043 Turin, Italy;
- Neuromuscular Function Research Group, School of Exercise and Sport Science, University of Turin, 10126 Turin, Italy;
| | - Paolo Riccardo Brustio
- Department of Clinical and Biological Sciences, University of Turin, 10043 Turin, Italy;
- Neuromuscular Function Research Group, School of Exercise and Sport Science, University of Turin, 10126 Turin, Italy;
| | - Luca Beratto
- Neuromuscular Function Research Group, School of Exercise and Sport Science, University of Turin, 10126 Turin, Italy;
- Department of Medical Sciences, University of Turin, 10126 Turin, Italy;
| | - Ilaria Peluso
- Research Centre for Food and Nutrition (CREA-AN), 00178 Rome, Italy; (I.P.); (E.T.); (A.R.)
| | - Roberto Ferrara
- Rehabilitation Medicine Department, Italian Army Medical Hospital, 00143 Rome, Italy; (R.F.); (T.S.)
| | - Diego Munzi
- Joint Veteran Defence Center, 00184 Rome, Italy;
| | - Elisabetta Toti
- Research Centre for Food and Nutrition (CREA-AN), 00178 Rome, Italy; (I.P.); (E.T.); (A.R.)
| | - Anna Raguzzini
- Research Centre for Food and Nutrition (CREA-AN), 00178 Rome, Italy; (I.P.); (E.T.); (A.R.)
| | - Tommaso Sciarra
- Rehabilitation Medicine Department, Italian Army Medical Hospital, 00143 Rome, Italy; (R.F.); (T.S.)
- Joint Veteran Defence Center, 00184 Rome, Italy;
| | - Alberto Rainoldi
- Department of Medical Sciences, University of Turin, 10126 Turin, Italy;
- Research Centre for Food and Nutrition (CREA-AN), 00178 Rome, Italy; (I.P.); (E.T.); (A.R.)
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Uygur M, Barone DA. The rate of force relaxation scaling factor is highly sensitive to detect upper and lower extremity motor deficiencies in mildly affected people with multiple sclerosis. Mult Scler Relat Disord 2023; 77:104897. [PMID: 37481819 DOI: 10.1016/j.msard.2023.104897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 07/01/2023] [Accepted: 07/15/2023] [Indexed: 07/25/2023]
Abstract
BACKGROUND The motor symptoms affecting upper and lower extremity functioning in people with multiple sclerosis (PwMS) are considered the cardinal symptoms of multiple sclerosis. There is still a need for outcome measures that can sensitively evaluate these symptoms. We aimed to investigate the sensitivity of the isometric outcomes (maximum force; Fmax, maximum rate of force development; RFDmax, rate of force development scaling factor; RFD-SF, and rate of force relaxation scaling factor; RFR-SF) and standard clinical tests (9-hole peg test; 9HPT and timed 25-feet walk test; T25FW) in detecting the upper and lower extremity motor deficiencies in PwMS and also in a subgroup of mildly affected PwMS whose performance in standard clinical tests were similar to controls. METHODS Twenty-nine PwMS (age: 47.9 (8.6) years, relapsing-remitting type, expanded disability status scale: 2.5 (1.5)) and their age- and gender-matched controls completed an identical testing protocol in the upper (grip force muscles) and lower (knee extensors) extremities. For each extremity, we assessed Fmax, RFDmax, RFD-SF, and RFR-SF. Additionally, participants completed standard clinical tests for the evaluation of upper- (9HPT) and lower-extremity (T25FW) function. Comparisons were made between controls and PwMS 1) using all study participants and 2) including only mildly affected PwMS whose performance in standard functional tests was comparable to controls. Independent sample t-tests were utilized to compare groups, with a p-value set at 0.01 to correct for multiple comparisons. P-values and effect sizes were used to evaluate the sensitivity of the outcome measures in detecting group differences. RESULTS Our results indicate that most isometric outcomes and standard functional tests were sensitive in detecting motor deficiencies in both upper and lower extremities between groups (p<0.001). Among participants, 16 PwMS in 9HPT and 11 PwMS in T25FW demonstrated performance similar to that of the control group (9HPT: 18.85 (2.20) s vs 17.81 (2.19) s; p=0.19) and (T25FW: 3.60 (0.42) s vs 3.58 (0.29) s; p=0.92). The results of the comparisons between mildly affected PwMS and their controls indicate that RFR-SF is the only sensitive isometric outcome to detect differences between groups in the upper (-8.24 (0.76) 1/s vs -8.93 (0.6) 1/s; p=0.008) and lower extremity (-5.86 (1.13) 1/s vs -7.71 (1.11) 1/s; p<0.001). CONCLUSION The rate of force relaxation scaling factor, which assesses the ability to rapidly relax muscle forces after quick contractions, demonstrates high sensitivity in detecting motor deficiencies in PwMS, even when the current standard clinical outcomes fail to detect these differences. Our findings emphasize the importance of future randomized controlled trials focusing on rehabilitative and therapeutic interventions that specifically target muscle force relaxation to enhance motor functioning in PwMS.
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Affiliation(s)
- Mehmet Uygur
- Department of Health and Exercise Science, Rowan University, Glassboro, NJ 08028, USA.
| | - Donald A Barone
- Neurological Institute, Cooper University Health Care, Cherry Hill, NJ 08002, USA
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Boccia G, D’Emanuele S, Brustio PR, Beratto L, Tarperi C, Casale R, Sciarra T, Rainoldi A. Strength Asymmetries Are Muscle-Specific and Metric-Dependent. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148495. [PMID: 35886350 PMCID: PMC9319678 DOI: 10.3390/ijerph19148495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 07/06/2022] [Accepted: 07/08/2022] [Indexed: 12/10/2022]
Abstract
We investigated if dominance affected upper limbs muscle function, and we calculated the level of agreement in asymmetry direction across various muscle-function metrics of two heterologous muscle groups. We recorded elbow flexors and extensors isometric strength of the dominant and non-dominant limb of 55 healthy adults. Participants performed a series of explosive contractions of maximal and submaximal amplitudes to record three metrics of muscle performance: maximal voluntary force (MVF), rate of force development (RFDpeak), and RFD-Scaling Factor (RFD-SF). At the population level, the MVF was the only muscle function that showed a difference between the dominant and non-dominant sides, being on average slightly (3–6%) higher on the non-dominant side. At the individual level, the direction agreement among heterologous muscles was poor for all metrics (Kappa values ≤ 0.15). When considering the homologous muscles, the direction agreement was moderate between MVF and RFDpeak (Kappa = 0.37) and low between MVF and RFD-SF (Kappa = 0.01). The asymmetries are muscle-specific and rarely favour the same side across different muscle-performance metrics. At the individual level, no one side is more performative than the other: each limb is favoured depending on muscle group and performance metric. The present findings can be used by practitioners that want to decrease the asymmetry levels as they should prescribe specific exercise training for each muscle.
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Affiliation(s)
- Gennaro Boccia
- Department of Clinical and Biological Sciences, University of Turin, 10126 Turin, Italy; (G.B.); (P.R.B.); (C.T.)
- NeuroMuscularFunction Research Group, School of Exercise and Sport Science, SUISM, University of Turin, 10126 Turin, Italy;
| | - Samuel D’Emanuele
- Department of Neuroscience, Biomedicine and Movement, University of Verona, 37129 Verona, Italy;
| | - Paolo Riccardo Brustio
- Department of Clinical and Biological Sciences, University of Turin, 10126 Turin, Italy; (G.B.); (P.R.B.); (C.T.)
- NeuroMuscularFunction Research Group, School of Exercise and Sport Science, SUISM, University of Turin, 10126 Turin, Italy;
- Department of Neuroscience, Biomedicine and Movement, University of Verona, 37129 Verona, Italy;
| | - Luca Beratto
- NeuroMuscularFunction Research Group, School of Exercise and Sport Science, SUISM, University of Turin, 10126 Turin, Italy;
| | - Cantor Tarperi
- Department of Clinical and Biological Sciences, University of Turin, 10126 Turin, Italy; (G.B.); (P.R.B.); (C.T.)
- Department of Neuroscience, Biomedicine and Movement, University of Verona, 37129 Verona, Italy;
| | - Roberto Casale
- Opusmedica Persons Care & Research, NPO, 29121 Piacenza, Italy;
| | - Tommaso Sciarra
- Joint Veterans Defence Center, Scientific Department, Army Medical Center, 00184 Rome, Italy;
| | - Alberto Rainoldi
- NeuroMuscularFunction Research Group, School of Exercise and Sport Science, SUISM, University of Turin, 10126 Turin, Italy;
- Department of Medical Sciences, University of Turin, 10126 Turin, Italy
- Correspondence:
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Akpinar S. Asymmetry of max grip force and max rate of grip force development among adolescents with and without intellectual disability. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2022; 70:375-381. [PMID: 38699492 PMCID: PMC11062276 DOI: 10.1080/20473869.2022.2093083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 06/19/2022] [Indexed: 05/05/2024]
Abstract
The human body seems symmetrical but functional asymmetry can be observed for many tasks. One of the tasks observed the functional asymmetry is grip force and rate of grip force development (RGFD). To efficiently accomplish many tasks, it is important to measure those parameters in different ages and special groups. Thus, the purpose of the study was to test asymmetry of max grip force and max RGFD among adolescents with and without intellectual disability. 41 adolescents with (IQ between 50 and 70) and 41 adolescents without intellectual disability voluntarily participated to the study. Max grip force and max RGFD was measured using a force transducer with custom-made software. The statistical analysis displayed that adolescents without intellectual disability had higher max grip force and max RGFD with their both hands compared to adolescent with intellectual disability. Interestingly, whereas adolescent without intellectual disability displayed an asymmetry between the hands both for max grip force and max RGFD, adolescents with intellectual disability had asymmetry only for max grip force but not for max RGFD. Thus, adolescents with intellectual disability may have symmetrical neurological pathways. Individuals with intellectual disability should be provided with more physical activity and/or exercise opportunities including the bimanual movements with fast and ballistic actions.
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Affiliation(s)
- Selcuk Akpinar
- Department of Physical Education and Sport, Faculty of Sport Science, Nevsehir Haci Bektas Veli University, Nevsehir, Turkey
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Kozinc Ž, Smajla D, Šarabon N. Relationship between hip abductor strength, rate of torque development scaling factor and medio-lateral stability in older adults. Gait Posture 2022; 95:264-269. [PMID: 33243521 DOI: 10.1016/j.gaitpost.2020.11.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 11/09/2020] [Accepted: 11/11/2020] [Indexed: 02/02/2023]
Abstract
BACKGROUND Recently, the rate of torque development scaling factor (RTD-SF) has been proposed as a useful tool that could contribute to a more comprehensive insight into muscular capacity. While lower RTD-SF is associated with ageing and certain neuromuscular diseases, it remains unknown whether this novel measure is associated with the postural control in the older adults. RESEARCH QUESTION Are hip abductor muscle strength, RTD and RTD-SF associated with responses to external postural perturbations in medio-lateral direction in older adults? METHODS Twenty healthy older adults (14 females, 6 males) were assessed for hip abductor muscle strength, RTD and RTD-SF, using a custom-built dynamometer. Perturbations were applied at waist level (4 perturbation intensities, 15 repetitions each) using a wire-pull paradigm, with centre-of-pressure (CoP) being recorded with force plates. For each condition (i.e. perturbation intensity), medio-lateral displacement and velocity of the CoP were computed. For both parameters, within-individual variation (representing consistency of the responses), expressed by the standard deviation (SD) of CoP parameters was also considered. Pearson correlation coefficients were computed between parameters of hip muscle capacity and CoP responses and SD values of CoP responses. RESULTS RTD-SF was moderately positively related to the consistency of the responses of both CoP displacement and velocity (r = 0.53-0.56; p = 0.011-0.016) at the lowest level of the perturbation magnitude (15 N). No other statistically significant relationships were found (all r < 0.35). SIGNIFICANCE RTD-SF could play a role in preserving postural balance in older adults when low-intensity perturbations are applied. RTD-SF is a novel outcome measure that could represent an important alternative clinical tool to traditional strength assessments. It could represent a supplementary tool to assess the risk of falls, however, several limitations and ambiguities need to be resolved by future research before it can be utilized in practice.
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Affiliation(s)
- Žiga Kozinc
- University of Primorska, Faculty of Health Sciences, Polje 42, SI-6310 Izola, Slovenia; University of Primorska, Andrej Marušič Institute, Muzejski trg 2, SI-6000 Koper, Slovenia
| | - Darjan Smajla
- University of Primorska, Faculty of Health Sciences, Polje 42, SI-6310 Izola, Slovenia; InnoRenew CoE, Human Health Department, Livade 6, SI6310 Izola, Slovenia
| | - Nejc Šarabon
- University of Primorska, Faculty of Health Sciences, Polje 42, SI-6310 Izola, Slovenia; InnoRenew CoE, Human Health Department, Livade 6, SI6310 Izola, Slovenia; S2P, Science to Practice, Ltd., Laboratory for Motor Control and Motor Behavior, Tehnološki Park 19, SI-1000 Ljubljana, Slovenia.
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Uygur M, Barone DA, Dankel SJ, DeStefano N. Isometric tests to evaluate upper and lower extremity functioning in people with multiple sclerosis: reliability and validity. Mult Scler Relat Disord 2022; 63:103817. [DOI: 10.1016/j.msard.2022.103817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 03/15/2022] [Accepted: 04/21/2022] [Indexed: 10/18/2022]
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Kozinc Ž, Smajla D, Šarabon N. The rate of force development scaling factor: a review of underlying factors, assessment methods and potential for practical applications. Eur J Appl Physiol 2022; 122:861-873. [DOI: 10.1007/s00421-022-04889-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Accepted: 01/06/2022] [Indexed: 11/24/2022]
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Sousa MMD, Laett CT, Gavilão UF, Goes RA, Oliveira CGD, Santos LDM, Silva SCD, Cossich VRA. EFFECT OF FATIGUE ON EXPLOSIVE STRENGTH AND MUSCLE ARCHITECTURE OF THE VASTUS LATERALIS. REV BRAS MED ESPORTE 2021. [DOI: 10.1590/1517-8692202127062020_0062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Introduction: There has been little research on changes in rate of torque development (RTD) and muscle architecture. This study evaluated the effect of fatigue on RTD and muscle architecture of the vastus lateralis (VL). Methods: Seventeen volunteers (25.5 ± 6.2 years; 177.2 ± 12.9 cm; 76.4 ± 13.1 kg) underwent isokinetic knee extension assessment at 30°/s to obtain the peak torque (PT-ISK), before and after a set of intermittent maximal voluntary isometric contractions (MVIC) (15 reps – 3 s contraction, 3 s rest) used to promote muscle fatigue, monitored by the median frequency (MDF) of the electromyography from the VL, rectus femoris and vastus medialis muscles. Before and after the fatigue protocol, ultrasound images of the VL were obtained to measure muscle thickness (MT), fascicle length (FL), and fascicle angle (FA). The peak isometric torque (PT-ISM) and the RTDs in 50 ms windows were calculated for each MVIC. The RTDs were reported as absolute values and normalized by the PT-ISM. Results: Fatigue was confirmed due to significant reductions in MDF in all three muscles. After the fatigue protocol, the PT-ISK was reduced from 239.0±47.91 to 177.3±34.96 Nm, and the PT-MVIC was reduced from 269.5±45.63 to 220.49±46.94 Nm. All the RTD absolute values presented significant change after the fatigue protocol. However, the normalized RTD did not demonstrate any significant differences. No significant differences were found in the muscle architecture of the VL. Conclusions: The reduction in explosive strength occurred concomitantly with the reduction in maximum strength, as evidenced by the lack of changes in normalized TDT. Level of Evidence III.
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Affiliation(s)
| | - Conrado Torres Laett
- Instituto Nacional de Traumatologia e Ortopedia, Brazil; Universidade Federal do Rio de Janeiro, Brazil
| | - Ubiratã Faleiro Gavilão
- Instituto Nacional de Traumatologia e Ortopedia, Brazil; Universidade Federal do Rio de Janeiro, Brazil
| | | | | | | | | | - Victor Rodrigues Amaral Cossich
- Instituto Nacional de Traumatologia e Ortopedia, Brazil; Universidade Federal do Rio de Janeiro, Brazil; Instituto Nacional de Traumatologia e Ortopedia, Brazil
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Smajla D, Žitnik J, Šarabon N. Quantification of Inter-Limb Symmetries With Rate of Force Development and Relaxation Scaling Factor. Front Physiol 2021; 12:679322. [PMID: 34234690 PMCID: PMC8255989 DOI: 10.3389/fphys.2021.679322] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 05/21/2021] [Indexed: 11/13/2022] Open
Abstract
The inter-limb (a)symmetries have been most often assessed with the tests that quantify the maximal muscle capacity. However, the rapid force production and relaxation during submaximal tasks is equally important for successful sports performance. This can be evaluated with an established rate of force development and relaxation scaling factor (RFD-SF/RFR-SF). The aims of our study were (1) to assess the intra-session reliability of shortened RFD-SF/RFR-SF protocol and its absolute and symmetry outcome measures, (2) to compare the main absolute RFD-SF/RFR-SF outcome measures (slopes of RFD-SF and RFR-SF: kRTD-SF and kRFR-SF, theoretical peak RFD/RFR: TPRFD and TPRFR) across gender and sports groups, and (3) to compare inter-limb symmetries across gender and sports groups for main outcome measures (kRFD-SF, kRFR-SF, TPRFD, and TPRFR). A cross-sectional study was conducted on a group of young health participants (basketball and tennis players, and students): 30 in the reliability study and 248 in the comparison study. Our results showed good to excellent relative and excellent absolute reliability for the selected absolute and symmetry outcome measures (kRFD-SF, kRFR-SF, TPRFD, and TPRFR). We found significantly higher absolute values for kRFD-SF and TPRFD in males compared to females for the preferred (kRFD-SF: 9.1 ± 0.9 vs. 8.6 ± 0.9/s) and the non-preferred leg (kRFD-SF: 9.1 ± 0.9 vs. 8.5 ± 0.8/s), while there was no effect of sport. Significantly lower symmetry values for kRFR-SF (88.4 ± 8.6 vs. 90.4 ± 8.0%) and TPRFR (90.9 ± 6.8 vs. 92.5 ± 6.0%) were found in males compared to females. Moreover, tennis players had significantly higher symmetry values for kRFR-SF (91.1 ± 7.7%) and TPRFR (93.1 ± 6.0%) compared to basketball players (kRFR-SF: 88.4 ± 8.7% and TPRFR: 90.9 ± 6.7%) and students (kRFR-SF: 87.6 ± 8.7% and TPRFR: 90.5 ± 6.7%). Our results suggest that the reduced RFD-SF/RFR-SF protocol is a valuable and useful tool for inter-limb (a)symmetry evaluation. Differences in symmetry values in kRFR-SF and TPRFR (relaxation phase) were found between different sports groups. These may be explained by different mechanisms underlying the muscle contraction and relaxation. We suggest that muscle contraction and relaxation should be assessed for in-depth inter-limb symmetry investigation.
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Affiliation(s)
- Darjan Smajla
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia
- Human Health Department, InnoRenew CoE, Izola, Slovenia
| | - Jure Žitnik
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia
- Human Health Department, InnoRenew CoE, Izola, Slovenia
| | - Nejc Šarabon
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia
- Human Health Department, InnoRenew CoE, Izola, Slovenia
- Andrej Marušič Institute, University of Primorska, Koper, Slovenia
- S2P, Science to Practice, Ltd., Laboratory for Motor Control and Motor Behavior, Ljubljana, Slovenia
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Smajla D, Žitnik J, Šarabon N. Advancements in the Protocol for Rate of Force Development/Relaxation Scaling Factor Evaluation. Front Hum Neurosci 2021; 15:654443. [PMID: 33854424 PMCID: PMC8039132 DOI: 10.3389/fnhum.2021.654443] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Accepted: 03/08/2021] [Indexed: 02/01/2023] Open
Abstract
Brief submaximal actions are important for wide range of functional movements. Until now, rate of force development and relaxation scaling factor (RFD-SF and RFR-SF) have been used for neuromuscular assessment using 100-120 isometric pulses which requires a high level of attention from the participant and may be influenced by physiological and/or psychological fatigue. All previous studies have been conducted on a smaller number of participants which calls into question the eligibility of some of the outcome measures reported to date. Our aims were: (1) to find the smallest number of rapid isometric force pulses at different force amplitudes is still valid and reliable for RFD-SF slope (k R F D -SF) and RFR-SF slope (k RFR-SF ) calculation, (2) to introduce a new outcome measure - theoretical peak of rate of force development/relaxation (TP RFD and TP RFR ) and (3) to investigate differences and associations between k RFD-SF and k RFR-SF . A cross-sectional study was conducted on a group of young healthy participants; 40 in the reliability study and 336 in the comparison/association study. We investigated the smallest number of rapid isometric pulses for knee extensors that still provides excellent reliability of the calculated k RFD-SF and k RFR-SF (ICC2,1 ≥ 0.95, CV < 5%). Our results showed excellent reliability of the reduced protocol when 36 pulses (nine for each of the four intensity ranges) were used for the calculations of k RFD-SF and k RFR-SF . We confirmed the negligibility of the y-intercepts and confirmed the reliability of the newly introduced TP RFD and TP RFR . Large negative associations were found between k RFD-SF and k RFR-SF (r = 0.502, p < 0.001), while comparison of the absolute values showed a significantly higher k RFD-SF (8.86 ± 1.0/s) compared to k RFR-SF (8.03 ± 1.3/s) (p < 0.001). The advantage of the reduced protocol (4 intensities × 9 pulses = 36 pulses) is the shorter assessment time and the reduction of possible influence of fatigue. In addition, the introduction of TP RFD and TP RFR as an outcome measure provides valuable information about the participant's maximal theoretical RFD/RFR capacity. This can be useful for the assessment of maximal capacity in people with various impairments or pain problems.
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Affiliation(s)
- Darjan Smajla
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia.,Human Health Department, InnoRenew CoE, Izola, Slovenia
| | - Jure Žitnik
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia.,Human Health Department, InnoRenew CoE, Izola, Slovenia
| | - Nejc Šarabon
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia.,Human Health Department, InnoRenew CoE, Izola, Slovenia.,Andrej Marušič Institute, University of Primorska, Koper, Slovenia.,S2P, Science to Practice, Ltd., Laboratory for Motor Control and Motor Behavior, Ljubljana, Slovenia
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Interlimb Asymmetries and Ipsilateral Associations of Plantar Flexors and Knee Extensors Rate-of-Force Development Scaling Factor. Symmetry (Basel) 2020. [DOI: 10.3390/sym12091522] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Rate of force/torque development scaling factor (RFD-SF/RTD-SF) was recently introduced as a tool to quantify the neuromuscular quickness, and it could have potential for interlimb asymmetry identification. Moreover, positive relationships in RFD-SF ability among different muscle groups were shown, but not in the lower extremity. The first aim of our study was to use RTD-SF for interlimb asymmetry identification. The second aim was to determine associations between plantar flexors (PF) and knee extensors (KE). Forty young healthy athletes (14.8 ± 1.2 years) performed explosive isometric contractions to a span of torque levels for PF and KE. From rapid isometric contractions, the RTD-SF and linearity (r2) of the regression line were calculated. Using RTD-SF we identified 10% (PF) and 15% (KE) of subjects with contralateral asymmetries (>15% criterion). The results revealed significant positive moderate correlation in RTD-SF between PF and KE (r = 0.401, p < 0.05). We supported that RTD-SF can be a useful tool for interlimb asymmetry identification. Future research about observed asymmetry in rapid submaximal contractions deserves more attention, as most of the functional sport specific activities put high demands on rapid force production. Our study as first confirmed positive associations in RTD-SF ability between muscle groups in lower limbs.
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Šarabon N, Knezevic MO, Mirkov MD, Smajla D. Introduction of dynamic rate-of-force development scaling factor in progressive drop jumps. J Biomech 2020; 110:109980. [PMID: 32827790 DOI: 10.1016/j.jbiomech.2020.109980] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 07/14/2020] [Accepted: 07/29/2020] [Indexed: 10/23/2022]
Abstract
Rapid force generation across submaximal levels has been evaluated with the rate of force development scaling factor (RFD-SF) in different isometric tasks, while such measurement was still not verified in dynamic tasks. Our study was designed to evaluate the feasibility of the RFD-SF in dynamic drop jump (DJ) task (RFD-SFDJ). A total of 55 young athletes performed isometric plantarflexion at different submaximal intensities and 60 DJs (6 different drop heights). For each participant we calculated linearity (r2) and slope in isometric task (RFD-SFPF), eccentric part of DJ (RFD-SFDJ-ECC) and concentric part of DJ (RFD-SFDJ-CON), as well as average jump height (DJH) from each drop height. Our results revealed strong linear force-RFD relationship for isometric plantarflexion (r2 = 0.90 ± 0.06), eccentric (r2 = 0.87 ± 0.09) and concentric phase of DJ (r2 = 0.80 ± 0.18). Significant moderate positive correlations were calculated between RFD-SFPF and RFD-SFDJ-ECC (r = 0.311, p < 0.05) and small negative correlations between RFD-SFDJ-CON and RFD-SF (r = -0.276, p < 0.05). Significant positive moderate correlations were seen only between RFD-SFDJ-ECC and DJH from 10 cm (r = 0.459, p < 0.001) and 15 cm (r = 0.423, p < 0.01). This is the first study to introduce and confirm that RFD-SFDJ can be obtained from the multi-joint tasks (60 jumps) and still provide acceptable reliability and linear relationship. Furthermore, RFD-SFDJ may have greater practical application than RFD-SF assessed under the isometric conditions. This verification of RFD-SFDJ opens opportunities for further research regarding its practical application.
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Affiliation(s)
- Nejc Šarabon
- University of Primorska, Faculty of Health Sciences, Izola, Slovenia; InnoRenew CoE, Livade 6, 6310 Izola, Slovenia; University of Primorska, Andrej Marušič Institute, Koper, Slovenia; S2P, Science to practice, Ltd., Laboratory for Motor Control and Motor Behaviour, Ljubljana, Slovenia.
| | - M Olivera Knezevic
- University of Belgrade, Institute for Medical Research, Belgrade, Serbia
| | - M Dragan Mirkov
- University of Belgrade, Faculty of Sport and Physical Education, The Research Centre, Belgrade, Serbia
| | - Darjan Smajla
- University of Primorska, Faculty of Health Sciences, Izola, Slovenia; InnoRenew CoE, Livade 6, 6310 Izola, Slovenia
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Age- and Sex-Related Differences in the Maximum Muscle Performance and Rate of Force Development Scaling Factor of Precision Grip Muscles. Motor Control 2020; 24:274-290. [PMID: 31972538 DOI: 10.1123/mc.2019-0021] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Revised: 11/23/2019] [Accepted: 11/30/2019] [Indexed: 11/18/2022]
Abstract
The aim of this study was to explore the effects of age and sex on the rate of force development scaling factor (RFD-SF) and maximum performance (i.e., maximum grip force [GFMax] and maximum rate of grip force development [RGFDMax]) of precision handgrip muscles. Sixty-four subjects, allocated in four groups according to their age and sex, were asked to hold an instrumented handle with the tip of the digits and perform two tests: maximum voluntary contraction and RFD-SF tests. In the maximum voluntary contraction test, GFMax and RGFDMax were assessed. In the RFD-SF test, the subjects generated quick isometric force pulses to target amplitudes varying between 20% and 100% of their GFMax. The RFD-SF and R2 values were obtained from the linear relationship between the peak values of the force pulses and the corresponding peak values of the rate of force development. Younger adults and males produced higher GFMax and RGFDMax and presented higher R2 and RFD-SF than older adults and females, respectively. No correlations between GFMax and RFD-SF and between RGFDMax and RFD-SF were observed.
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14
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Uygur M, de Freitas PB, Barone DA. Rate of force development and relaxation scaling factors are highly sensitive to detect upper extremity motor impairments in multiple sclerosis. J Neurol Sci 2020; 408:116500. [DOI: 10.1016/j.jns.2019.116500] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Revised: 08/21/2019] [Accepted: 09/17/2019] [Indexed: 11/26/2022]
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Hanlon C, Krzak JJ, Prodoehl J, Hall KD. Effect of Injury Prevention Programs on Lower Extremity Performance in Youth Athletes: A Systematic Review. Sports Health 2019; 12:12-22. [PMID: 31390306 DOI: 10.1177/1941738119861117] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Understanding how existing youth injury prevention programs affect specific modifiable injury risk factors will inform future program development for youth athletes. OBJECTIVE To comprehensively evaluate the effects of injury prevention programs on the modifiable intrinsic risk factors associated with lower extremity performance in youth athletes. DATA SOURCES This systematic review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A systematic search of the literature was performed using multiple databases (PubMed, EBSCOhost [including CINAHL, Medline, and SPORTDiscus], and PEDro). Secondary references were appraised for relevant articles. Article types included randomized or cluster randomized controlled trials and randomized cohort designs with youth athletes engaged in organized sports, along with outcomes that included at least 1 physical performance outcome measure. STUDY SELECTION Eight studies met inclusion and exclusion criteria and were reviewed by 2 independent reviewers, with a third consulted in the case of disagreement, which was not needed. STUDY DESIGN Systematic review. LEVEL OF EVIDENCE Level 3. DATA EXTRACTION Included studies underwent review of methodological quality using the Physiotherapy Evidence Database scale. RESULTS Studies included mixed-sex samples of youth athletes who predominantly participated in soccer at different skill levels. The FIFA 11+ series was the most commonly used injury prevention program. Among studies, the mean percentage of improvement identified was 11.3% for force generation, 5.7% for coordination, 5.2% for posture, and 5.2% for balance. The lowest mean percentage improvement was in speed (2.2%). Endurance was not significantly affected by any of the programs. CONCLUSION This systematic review shows that injury prevention programs improve several modifiable intrinsic risk factors of lower extremity performance among youth athletes, particularly force generation. However, several intrinsic risk factors were either not significantly affected or specifically addressed by existing programs.
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Affiliation(s)
| | - Joseph J Krzak
- Physical Therapy Program, Midwestern University, Downers Grove, Illinois.,Shriners Hospital for Children-Chicago, Chicago, Illinois
| | - Janey Prodoehl
- Physical Therapy Program, Midwestern University, Downers Grove, Illinois
| | - Kathy D Hall
- Physical Therapy Program, Midwestern University, Downers Grove, Illinois
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Brustio PR, Casale R, Buttacchio G, Calabrese M, Bruzzone M, Rainoldi A, Boccia G. Relevance of evaluating the rate of torque development in ballistic contractions of submaximal amplitude. Physiol Meas 2019; 40:025002. [PMID: 30650396 DOI: 10.1088/1361-6579/aaff24] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE The neuromuscular quickness capacity can be assessed by calculating the rate of torque development (RTD) during ballistic contractions of maximal (RTDmaximal) or submaximal (RTDsubmaximal) amplitudes. In a series of ballistic contractions of submaximal amplitudes, the RTD scaling factor (RTD-SF) represents the slope of the linear regression between achieved peak torques and the corresponding RTD. First we investigated whether the RTD-SF contributes to the prediction, together with maximal voluntary torques (MVT), of the RTDmaximal. Then, we evaluated the agreement between the z-scores of RTDmaximal and RTDsubmaximal. APPROACH The MVT was obtained for the quadriceps and hamstrings muscles of 22 elite young soccer players. RTD-SF was quantified in a series of ballistic contractions of submaximal and maximal amplitudes. RTDsubmaximal was estimated from the regression relationship between the peak torques and the corresponding RTD. MAIN RESULTS MVT, RTD-SF and y -intercept in total accounted for 76.9 and 61.2% of the variance in RTDmaximal in quadriceps and hamstrings, respectively. Specifically, RTD-SF accounted for 13.7% and 18.7% of the variance in RTDmaximal, respectively. Generally, the agreement between the z-scores of RTDmaximal and RTDsubmaximal was poor both in quadriceps and hamstrings. SIGNIFICANCE These results suggest that RTD-SF may have a functional relevance in the relationship between MVT and RTDmaximal and influence the amount of torque that can be achieved in a quick muscle contraction. Moreover, evaluating the RTDsubmaximal does not provide results that are interchangeable with RTDmaximal. Thus, evaluating the RTD across the whole range of torque could provide additional meaningful information about neuromuscular quickness.
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Affiliation(s)
- Paolo Riccardo Brustio
- Department of Medical Sciences, NeuroMuscularFunction Research Group, School of Exercise & Sport Sciences, University of Turin, Turin, Italy
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Boccia G, Brustio PR, Buttacchio G, Calabrese M, Bruzzone M, Casale R, Rainoldi A. Interlimb Asymmetries Identified Using the Rate of Torque Development in Ballistic Contraction Targeting Submaximal Torques. Front Physiol 2018; 9:1701. [PMID: 30546321 PMCID: PMC6280127 DOI: 10.3389/fphys.2018.01701] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 11/12/2018] [Indexed: 11/30/2022] Open
Abstract
Evaluating the rate of torque development (RTD) in isometric ballistic contraction targeting submaximal torques is usually overlooked in the literature. In a series of isometric ballistic contractions targeting a range of submaximal torque values, there is a linear relationship between the peak torque and the peak RTD obtained in each contraction. RTD scaling factor (RTD-SF) represents the slope of this relationship. In this study, we investigated the prevalence of interlimb asymmetry in the RTD-SF and in the RTD calculated across submaximal torques. Furthermore, we compared these asymmetry indices with those calculated adopting more classical approaches, such as ballistic contraction targeting maximal torque and isokinetic concentric conditions. Quadriceps and hamstrings strength was evaluated in both limbs of elite under 17 and under 19 soccer players (20 males, 17 ± 1 years). Participants performed three concentric isokinetic contractions at 240°/s and a series of isometric ballistic contractions targeting from 20 to 100% of maximal isometric torque. The interlimb difference was calculated for each parameter and players presenting an interlimb difference >15% were identified. A total of 40% (for quadriceps) and 60% (for hamstring) of players showed an interlimb asymmetry in isometric RTD for at least 50% of submaximal torque range. The RTD-SF was able to identify more players with asymmetry than the classical isokinetic tests. However, isokinetic and isometric indices of asymmetry were in general poorly or not correlated with each other. Most players presented an interlimb asymmetry in RTD for a wide part of the torque range and the adopted protocol was able to highlight important interindividual differences. Furthermore, players showed a large prevalence of RTD-SF asymmetry in both quadriceps and hamstrings. It is still to be determined if these asymmetries are functionally relevant. Nevertheless, the adopted protocol provided meaningful information for identifying interlimb asymmetries that could not be gathered when adopting the classical method of ballistic contractions targeting only maximal torques.
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Affiliation(s)
- Gennaro Boccia
- NeuroMuscularFunction Research Group, School of Exercise and Sport Sciences, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Paolo Riccardo Brustio
- NeuroMuscularFunction Research Group, School of Exercise and Sport Sciences, Department of Medical Sciences, University of Turin, Turin, Italy
| | | | - Marzia Calabrese
- Habilita Care & Research Rehabilitation Hospital, Bergamo, Italy
| | | | - Roberto Casale
- Habilita Care & Research Rehabilitation Hospital, Bergamo, Italy
| | - Alberto Rainoldi
- NeuroMuscularFunction Research Group, School of Exercise and Sport Sciences, Department of Medical Sciences, University of Turin, Turin, Italy
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Mathern RM, Anhorn M, Uygur M. A novel method to assess rate of force relaxation: reliability and comparisons with rate of force development across various muscles. Eur J Appl Physiol 2018; 119:291-300. [DOI: 10.1007/s00421-018-4024-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2018] [Accepted: 10/20/2018] [Indexed: 01/12/2023]
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Boccia G, Dardanello D, Brustio PR, Tarperi C, Festa L, Zoppirolli C, Pellegrini B, Schena F, Rainoldi A. Neuromuscular Fatigue Does Not Impair the Rate of Force Development in Ballistic Contractions of Submaximal Amplitudes. Front Physiol 2018; 9:1503. [PMID: 30405448 PMCID: PMC6207600 DOI: 10.3389/fphys.2018.01503] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 10/05/2018] [Indexed: 02/03/2023] Open
Abstract
The effect of muscle fatigue on rate of force development (RFD) is usually assessed during tasks that require participants to reach as quickly as possible maximal or near-maximal force. However, endurance sports require athletes to quickly produce force of submaximal, rather than maximal, amplitudes. Thus, this study investigated the effect of muscle fatigue induced by long-distance running on the capacity to quickly produce submaximal levels of force. Twenty-one male amateur runners were evaluated before and shortly after a half-marathon race. Knee extensors force was recorded under maximal voluntary and electrically evoked contractions. Moreover, a series of ballistic contractions at different submaximal amplitudes (from 20 to 100% of maximal voluntary force) was obtained, by asking the participants to reach submaximal forces as fast as possible. The RFD was calculated for each contraction. After the race, maximal voluntary activation, resting doublet twitch, maximal force, and RFD during maximal contraction decreased (-12, -12, -21, and -19%, respectively, all P-values < 0.0001). Nevertheless, the RFD values measured during ballistic contractions up to 60% of maximal force were unaffected (all P-values > 0.4). Long-distance running impaired the capacity to quickly produce force in ballistic contractions of maximal, but not of submaximal, amplitudes. Overall, these findings suggest that central and peripheral fatigue do not affect the quickness to which muscle contracts across a wide range of submaximal forces. This is a relevant finding for running and other daily life activities that rely on the production of rapid submaximal contractions rather than maximal force levels.
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Affiliation(s)
- Gennaro Boccia
- NeuroMuscularFunction Research Group, School of Exercise & Sport Sciences, Department of Medical Sciences, University of Turin, Turin, Italy.,CeRiSM Research Center for Sport, Mountain, and Health, University of Verona, Rovereto, Italy
| | - Davide Dardanello
- NeuroMuscularFunction Research Group, School of Exercise & Sport Sciences, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Paolo Riccardo Brustio
- NeuroMuscularFunction Research Group, School of Exercise & Sport Sciences, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Cantor Tarperi
- School of Sport and Exercise Sciences, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Luca Festa
- School of Sport and Exercise Sciences, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Chiara Zoppirolli
- CeRiSM Research Center for Sport, Mountain, and Health, University of Verona, Rovereto, Italy.,School of Sport and Exercise Sciences, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Barbara Pellegrini
- CeRiSM Research Center for Sport, Mountain, and Health, University of Verona, Rovereto, Italy.,School of Sport and Exercise Sciences, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Federico Schena
- CeRiSM Research Center for Sport, Mountain, and Health, University of Verona, Rovereto, Italy.,School of Sport and Exercise Sciences, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Alberto Rainoldi
- NeuroMuscularFunction Research Group, School of Exercise & Sport Sciences, Department of Medical Sciences, University of Turin, Turin, Italy
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