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Buoite Stella A, Cargnel A, Raffini A, Mazzari L, Martini M, Ajčević M, Accardo A, Deodato M, Murena L. Shoulder Tensiomyography and Isometric Strength in Swimmers Before and After a Fatiguing Protocol. J Athl Train 2024; 59:738-744. [PMID: 38014804 PMCID: PMC11277270 DOI: 10.4085/1062-6050-0265.23] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
CONTEXT Shoulder muscles are active during front-crawl swimming to provide propulsion and stabilize the glenohumeral and scapulothoracic joints. Researchers have proposed that fatigue might contribute to altered activation of these muscles and represent a risk factor for injuries. Tensiomyography (TMG) might function as a noninvasive tool to detect changes in contractile measures of the skeletal muscles due to exercise-induced neuromuscular fatigue, though it has not yet been used in the shoulder muscles of swimmers. OBJECTIVE To assess the effects of a fatiguing swimming protocol on shoulder muscle TMG measures and isometric strength in competitive swimmers. DESIGN Cross-sectional study. SETTING Swimming pool facility. PATIENTS OR OTHER PARTICIPANTS A total of 14 young front-crawl competitive swimmers (11 males and 3 females; age = 21 ± 3 years [range, 17-26 years], height = 1.78 ± 0.06 m, mass = 73.1 ± 9.2 kg). MAIN OUTCOME MEASURE(S) Participants completed TMG and isometric strength assessments before and after 30-minute, high-intensity swim training. The TMG assessment was performed on 7 muscles of the shoulder according to front-crawl biomechanics and the applicability of the technique to obtain data, such as time to contraction and muscle-belly radial displacement. Isometric strength was assessed using a digital handheld dynamometer during shoulder flexion, extension, external rotation, and internal rotation. RESULTS Fatigue induced a smaller radial displacement, mostly observable in latissimus dorsi (-1.0 mm; 95% CI = -1.7, -0.3 mm; P = .007) and pectoralis major muscles (-1.4 mm; 95% CI = -2.4, -0.4 mm; P = .007). Only shoulder extension showed an isometric strength reduction after the fatiguing protocol (-0.03 N/kg; 95% CI = -0.05, -0.01 N/kg; F1,13 = 4.936; P = .045; ηp2 = 0.275). CONCLUSIONS This study provides preliminary evidence for the usefulness of TMG to detect fatigue-induced changes in contractile properties of the shoulder muscles in swimmers, in particular the latissimus dorsi and pectoralis major.
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Affiliation(s)
- Alex Buoite Stella
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy
- Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy
| | - Andrea Cargnel
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy
| | - Alessandra Raffini
- Department of Engineering and Architecture, University of Trieste, Italy
| | - Laura Mazzari
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy
| | - Miriam Martini
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy
| | - Miloš Ajčević
- Department of Engineering and Architecture, University of Trieste, Italy
| | - Agostino Accardo
- Department of Engineering and Architecture, University of Trieste, Italy
| | - Manuela Deodato
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy
| | - Luigi Murena
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy
- Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy
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Frasie A, Bertrand-Charette M, Compagnat M, Bouyer LJ, Roy JS. Validation of the Borg CR10 Scale for the evaluation of shoulder perceived fatigue during work-related tasks. APPLIED ERGONOMICS 2024; 116:104200. [PMID: 38091692 DOI: 10.1016/j.apergo.2023.104200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 07/25/2023] [Accepted: 12/04/2023] [Indexed: 01/16/2024]
Abstract
Work-related upper extremity disorders (WRUEDs) are highly prevalent and costly. Development of fatigue is thought to be one of the causes of WRUEDs. Perceived fatigue can be assessed with the Borg CR Scale® (Borg CR10). The objective was to validate the Borg CR10 for the evaluation of shoulder perceived fatigue during lifting tasks. Seventy adults in working age performed three rhythmic lifting tasks with two loads (15% and 30% of maximal voluntary contraction). Using generalized repeated-measures ANOVA (Generalized Estimating Equations), statistically significant Task and Load effects (p < 0.001), as well as Task × Load interaction effects (p < 0.0001) were observed on Borg CR10, without any influence of sex. The Borg CR10 is a valid tool to assess shoulder perceived fatigue as it can discriminate between tasks of different difficulty levels in term of complexity, height, and resistance, regardless of sex.
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Affiliation(s)
- Antoine Frasie
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval. Québec, QC, Canada
| | - Michaël Bertrand-Charette
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval. Québec, QC, Canada
| | - Maxence Compagnat
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; HAVAE EA6310 (Handicap, Aging, Autonomy, Environment), IFRH, University of Limoges, Department of Physical Medicine and Rehabilitation in the University Hospital Center of Limoges: Limoges, France
| | - Laurent J Bouyer
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval. Québec, QC, Canada
| | - Jean-Sébastien Roy
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval. Québec, QC, Canada.
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Silva-Migueis H, Martínez-Jiménez EM, Casado-Hernández I, Dias A, Monteiro AJ, Martins RB, Bernardes JM, López-López D, Gómez-Salgado J. Assessment and indicators of kinematic behavior and perceived fatigability. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2024; 70:e20230924. [PMID: 38422320 PMCID: PMC10903270 DOI: 10.1590/1806-9282.20230924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 09/28/2023] [Indexed: 03/02/2024]
Abstract
OBJECTIVE The objective of this study was to investigate the relationship between upper limb kinetics and perceived fatigability in elderly individuals during an upper limb position sustained isometric task. METHODS A total of 31 elderly participants, 16 men (72.94±4.49 years) and 15 women (72.27±6.05 years), performed a upper limb position sustained isometric task. Upper-limb acceleration was measured using an inertial measurement unit. Perceived fatigability was measured using the Borg CR10 scale. RESULTS Higher mean acceleration in the x-axis throughout the activity was associated with higher final perceived fatigability scores. Moderate correlations were observed between perceived fatigability variation and mean acceleration cutoffs in all axes during the second half of the activity. In women, significant correlations were found between all perceived fatigability cutoffs and mean acceleration in the y- and x-axes. However, in men, the relationships between perceived fatigability variation and mean acceleration were more extensive and stronger. CONCLUSION The acceleration pattern of the upper limb is linked to perceived fatigability scores and variation, with differences between sexes. Monitoring upper limb acceleration using a single inertial measurement unit can be a useful and straightforward method for identifying individuals who may be at risk of experiencing high perceived fatigability or task failure.
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Affiliation(s)
- Helena Silva-Migueis
- University of A Coruña, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Research, Health and Podiatry Group, Department of Health Sciences - Ferrol, Spain
- Escola Superior de Saúde da Cruz Vermelha Portuguesa-Lisboa, Department of Physiotherapy - Lisbon, Portugal
| | | | - Israel Casado-Hernández
- Complutense University of Madrid, Faculty of Nursing, Physiotherapy and Podiatry - Madrid, Spain
| | - Adriano Dias
- Universidade Estadual Paulista, Department of Public Health, Graduate Program in Collective/Public Health, Botucatu Medical School - Botucatu (SP), Brazil
| | - Ana Júlia Monteiro
- University of A Coruña, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Research, Health and Podiatry Group, Department of Health Sciences - Ferrol, Spain
- Escola Superior de Saúde da Cruz Vermelha Portuguesa-Lisboa, Department of Physiotherapy - Lisbon, Portugal
| | - Rodrigo Brandão Martins
- Escola Superior de Saúde da Cruz Vermelha Portuguesa-Lisboa, Department of Physiotherapy - Lisbon, Portugal
| | - João Marcos Bernardes
- Universidade Estadual Paulista, Department of Public Health, Graduate Program in Collective/Public Health, Botucatu Medical School - Botucatu (SP), Brazil
| | - Daniel López-López
- University of A Coruña, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Research, Health and Podiatry Group, Department of Health Sciences - Ferrol, Spain
| | - Juan Gómez-Salgado
- University of Huelva, Faculty of Labour Sciences, Department of Sociology, Social Work and Public Health - Huelva, Spain
- Espíritu Santo University, Safety and Health Postgraduate Programme - Guayaquil, Ecuador
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Dupuis F, Prud’Homme F, Tougas A, Campeau-Lecours A, Mercier C, Roy JS. The effect of a task-specific training on upper limb performance and kinematics while performing a reaching task in a fatigued state. PLoS One 2024; 19:e0297283. [PMID: 38252643 PMCID: PMC10802943 DOI: 10.1371/journal.pone.0297283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 01/02/2024] [Indexed: 01/24/2024] Open
Abstract
BACKGROUND Fatigue impacts motor performance and upper limb kinematics. It is of interest to study whether it is possible to minimize the potentially detrimental effects of fatigue with prevention programs. OBJECTIVE To determine the effect of task-specific training on upper limb kinematics and motor performance when reaching in a fatigued state. METHODS Thirty healthy participants were recruited (Training group n = 15; Control group n = 15). Both groups took part in two evaluation sessions (Day 1 and Day 5) during which they performed a reaching task (as quickly and accurately as possible) in two conditions (rested and fatigued). During the reaching task, joint kinematics and motor performance (accuracy and speed) were evaluated. The Training group participated in three task-specific training sessions between Day 1 and Day 5; they trained once a day, for three days. The Control group did not perform any training. A three-way non-parametric ANOVA for repeated measures (Nonparametric Analysis of Longitudinal Data; NparLD) was used to assess the impact of the training (Condition [within subject]: rested, fatigued; Day [within subject]: Day 1 vs. Day 5 and Group [between subjects]: Training vs. Control). RESULTS After the training period, the Training group significantly improved their reaching speed compared to the Control group (Day x Group p < .01; Time effect: Training group = p < .01, Control group p = .20). No between-group difference was observed with respect to accuracy. The Training group showed a reduction in contralateral trunk rotation and lateral trunk flexion in Day 2 under the fatigue condition (Group x Day p < .04; Time effect: Training group = p < .01, Control group = p < .59). CONCLUSION After the 3-day training, participants demonstrated improved speed and reduced reliance on trunk compensations to complete the task under fatigue conditions. Task-specific training could help minimizing some effects of fatigue.
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Affiliation(s)
- Frédérique Dupuis
- Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, Quebec, Canada
| | - Félix Prud’Homme
- Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, Quebec, Canada
| | - Arielle Tougas
- Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, Quebec, Canada
| | - Alexandre Campeau-Lecours
- Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, Quebec, Canada
- Faculty of Science and Engineering, Université Laval, Quebec City, Quebec, Canada
| | - Catherine Mercier
- Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, Quebec, Canada
| | - Jean-Sébastien Roy
- Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, Quebec, Canada
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Batalha N, Sousa JP, Fernandes O, Dias E, Parraca JA, Villafaina S. Effects of an 11-Week Detraining, Imposed by the COVID-19 Confinement, on Handball Players' Shoulder Rotator Isokinetic Profile, Shoulder Range of Motion, and Ball Release Velocity. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1548. [PMID: 37763667 PMCID: PMC10533007 DOI: 10.3390/medicina59091548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 08/14/2023] [Accepted: 08/22/2023] [Indexed: 09/29/2023]
Abstract
Background and Objectives: The COVID-19 confinement significantly impacted the physical condition of athletes. However, the detraining impacts of this period on the shoulder rotator and range of motion in handball players have not been studied. Thus, the main aim of this study was to investigate the effect of this 11-week detraining period, imposed by the COVID-19 pandemic confinement, on the shoulder rotator isokinetic profile (peak torque, ratio, fatigue index), shoulder rotator and flexion range of motion, and ball release velocity in handball players. Materials and Methods: A total of 16 handball players, with a mean age of 22.38 (5.28) years, participated in this study. The isokinetic strength was assessed using two protocols (three repetitions at an angular velocity of 60°/s and 20 repetitions at an angular velocity of 180°/s). In addition, the range of motion and ball release (at jump and standing shots) were measured. All these measurements were assessed before and after the COVID-19 confinement. Results: The results showed a significant reduction in the peak torque of the external rotation of their dominant and non-dominant shoulders. In addition, confinement significantly increased the fatigue index of external rotation and internal rotation and reduced the range of motion of internal rotation. Additionally, the ball release velocity during standing and jump shots was significantly reduced. Conclusions: These results suggested that strengthening external and internal rotation as well as recovering the internal rotation range of motion may be necessary after a detraining period in order to prevent shoulder injuries.
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Affiliation(s)
- Nuno Batalha
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7000-727 Évora, Portugal; (J.P.S.); (O.F.); (E.D.); (J.A.P.); (S.V.)
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-727 Évora, Portugal
| | - João Paulo Sousa
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7000-727 Évora, Portugal; (J.P.S.); (O.F.); (E.D.); (J.A.P.); (S.V.)
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-727 Évora, Portugal
| | - Orlando Fernandes
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7000-727 Évora, Portugal; (J.P.S.); (O.F.); (E.D.); (J.A.P.); (S.V.)
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-727 Évora, Portugal
| | - Eduardo Dias
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7000-727 Évora, Portugal; (J.P.S.); (O.F.); (E.D.); (J.A.P.); (S.V.)
| | - Jose A. Parraca
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7000-727 Évora, Portugal; (J.P.S.); (O.F.); (E.D.); (J.A.P.); (S.V.)
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-727 Évora, Portugal
| | - Santos Villafaina
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7000-727 Évora, Portugal; (J.P.S.); (O.F.); (E.D.); (J.A.P.); (S.V.)
- Grupo de Investigación Actividad Física y Calidad de Vida (AFYCAV), Facultad de Ciencias del Deporte, Universidad de Extremadura, 10003 Cáceres, Spain
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Silva-Migueis H, Martínez-Jiménez EM, Casado-Hernández I, Dias A, Monteiro AJ, Martins RB, Bernardes JM, López-López D, Gómez-Salgado J. Upper-Limb Kinematic Behavior and Performance Fatigability of Elderly Participants Performing an Isometric Task: A Quasi-Experimental Study. Bioengineering (Basel) 2023; 10:bioengineering10050526. [PMID: 37237596 DOI: 10.3390/bioengineering10050526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 04/20/2023] [Accepted: 04/24/2023] [Indexed: 05/28/2023] Open
Abstract
Upper-limb position-sustained tasks (ULPSIT) are involved in several activities of daily living and are associated with high metabolic and ventilatory demand and fatigue. In older people, this can be critical to the performance of daily living activities, even in the absence of a disability. OBJECTIVES To understand the ULPSIT effects on upper-limb (UL) kinetics and performance fatigability in the elderly. METHODS Thirty-one (31) elderly participants (72.61 ± 5.23 years) performed an ULPSIT. The UL average acceleration (AA) and performance fatigability were measured using an inertial measurement unit (IMU) and time-to-task failure (TTF). RESULTS The findings showed significant changes in AA in the X- and Z-axes (p < 0.05). AA differences in women started earlier in the baseline cutoff in the X-axis, and in men, started earlier between cutoffs in the Z-axis. TTF was positively related to AA in men until 60% TTF. CONCLUSIONS ULPSIT produced changes in AA behavior, indicative of movement of the UL in the sagittal plane. AA behavior is sex related and suggests higher performance fatigability in women. Performance fatigability was positively related to AA only in men, where movement adjustments occurred in an early phase, though with increased activity time.
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Affiliation(s)
- Helena Silva-Migueis
- Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, 15403 Ferrol, Spain
- Physiotherapy Department, Escola Superior de Saúde da Cruz Vermelha Portuguesa-Lisboa, 1300-125 Lisbon, Portugal
| | - Eva María Martínez-Jiménez
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain
| | - Israel Casado-Hernández
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain
| | - Adriano Dias
- Department of Public Health, Graduate Program in Collective/Public Health, Botucatu Medical School, Universidade Estadual Paulista/UNESP, Botucatu 18610-307, SP, Brazil
| | - Ana Júlia Monteiro
- Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, 15403 Ferrol, Spain
- Physiotherapy Department, Escola Superior de Saúde da Cruz Vermelha Portuguesa-Lisboa, 1300-125 Lisbon, Portugal
| | - Rodrigo B Martins
- Physiotherapy Department, Escola Superior de Saúde da Cruz Vermelha Portuguesa-Lisboa, 1300-125 Lisbon, Portugal
| | - João Marcos Bernardes
- Department of Public Health, Graduate Program in Collective/Public Health, Botucatu Medical School, Universidade Estadual Paulista/UNESP, Botucatu 18610-307, SP, Brazil
| | - Daniel López-López
- Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, 15403 Ferrol, Spain
| | - Juan Gómez-Salgado
- Departamento de Sociología, Trabajo Social y Salud Pública, Universidad de Huelva, 21004 Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil 092301, Ecuador
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