Force developmental phase and reliability in explosive and voluntary grip exertions

The Effects of Passive Simulated Jogging on Parameters of Explosive Handgrip in Nondiabetics and Type 2 Diabetics: A Single Arm Study

Aims

Type 2 diabetes (T2D) is associated with sarcopenia and decreased muscle strength. Explosive and isometric voluntary handgrip strengths (EHGS and HGS) are frequently utilized methods to ascertain health status and a marker of overall muscle strength. We have previously shown that a portable, motorized device, which produces effortless, rapid stepping in place (passive simulated jogging device (JD)), improves glucose homeostasis. This study quantitatively evaluated the effects of JD in modifying parameters of the modified EHGS curve in T2D and nondiabetic (ND) subjects.

Methods

Twenty-one adult participants (11 ND and 10 T2D) (mean age: 41.3 ± 13.5 yr) performed a modified explosive handgrip strength (EHGS) test on study day 1 followed by daily use of JD (90 min per day) for 7 days. The EHGS was repeated after 3 and 7 days' use of JD (JD3 and JD7) and 3 days after completion of JD (Carryover). EHGS curves were analyzed for the following: maximal peak force value (MAX); rate of force development at 25%,75%, and 90% of maximum force; and maximum force (RFD_25%, RFD_75%, RFD_90%, and RFD_max); time to 90%, 75%, and 25% of maximal force (t₉₀, t₇₅, t₂₅) and time to maximal force (t_max); and the integrated area under the curve for force vs. time until task failure (iAUC_TF); and fatigue resistance times at 50% and 25% of maximal force (FR₅₀ and FR25) and fatigue resistance time to task failure (FR_TF).

Results

At baseline, T2D had lower MAX compared to ND. There were no differences at baseline for force development time or fatigue resistance time between T2D and ND. In both T2D and ND, 7 days of JD increased FR₂₅ and FR_TF and iAUC_TF compared to baseline.

Conclusion

JD for at least 7 days prior to EHGS increased time to task failure (fatigue resistance) and iAUC_TF of the force-time curve. JD is a reasonable intervention to decrease sedentary behavior and improve muscle fatigue resistance under various clinical and nonclinical scenarios. This trial is registered with NCT03550105 (08-06-2018).

Instruction in Reliability and Magnitude of Evaluation Parameters at Each Phase of a Sit-to-Stand Movement

The sit-to-stand movement strategy of each subject is different depending on whether the subjects perform voluntary movements or have concrete instructions (i.e., stand quickly), which is strongly reflected in the performance of each sit-to-stand movement phase. Thirty young-adult male subjects participated in this study ( M age = 20.7 yr; SD = 2.6). Subjects performed the two movements from a chair height adjusted to the subject's lower thigh length. In the self-administered (SA) condition, subjects voluntarily stood up from the chair without instruction, and in the assigned-ordered (AO) condition subjects stood up from the chair as fast as possible. Vertical floor reaction force and electromyograms of the rectus femoris and tibialis anterior muscles were measured, and 15 parameters were selected. The parameters in the phase between the peak value of the floor reaction force and completion of the movement was highly reliable regardless of instruction. However, other parameters had different reliabilities between the instruction conditions. In particular, the parameters in the phase between starting the movement and the peak value of the floor reaction force under the assigned-order were higher than those of the self-administered condition. Moreover, the sit-to-stand movement was conducted faster in the assigned-order condition during the phase between starting the movement and buttocks-syneresis, and the peak value of the floor reaction force and completion of the movement. From the above, in the assigned-order condition “as fast as possible,” the anteflexion bending movement and extension of knee and trunk joints were faster, and anteflexion movement was repeated more similarly under a concrete instruction such as moving as fast as possible.

Relations between the Inflection Point on the Force-Time Curve and Force-Time Parameters during Static Explosive Grip

Individual differences in muscle contractile speed during static explosive muscle contraction are reflected in the developmental phase of the force-time curve. The purposes of this study were to clarify the properties and reliability of the inflection point of force-time, statistically dividing speed during static explosive grip into two phases and to assess the relations between that inflection point and others. Static explosive grip data were measured two times with a 5-min. rest (sampling frequency; 100 Hz). 32 healthy, young men (age: 15.5 ± 0.8 yr., height: 173.9 ± 7.3 cm, body mass: 71.5 ± 11.2 kg) participated. 8 static explosive grip parameters were selected: time of reaching, integrated area, and quotient values of the integrated areas up to 0.25, 0.5, and 1.0 sec. divided by maximal grip force. The inflection point was calculated statistically from two regression lines fitted to a developmental phase and the almost steady-state phase of reaching maximal grip force by applying a two-phase regression model. The reliabilities of maximal grip force, time of reaching 90% of maximal grip force, and the integrated area until 0.5 sec. and 1.0 sec. after the onset of grip were good ( ICC = .77 to .93). The time of reaching an inflection force value appeared at 0.3 sec. after the onset of grip, corresponding to 80% of maximal grip force, and the reliabilities of the parameters regarding inflection point were good ( ICC = .77 to .95). The time determined by boundary data between the former and the latter regression data set and the regression coefficient during the developmental phase correlated significantly with the time of reaching 90% of maximal grip force, the integrated area, and the quotient values of the integrated areas up to 0.25, 0.5, and 1.0 sec. divided by maximal grip force ( rs = −.78 to −.96 and −.75 to 0.88, respectively, p < .05). However, these parameters did not correlate with maximal grip force. A force during the developmental phase and maximal grip force can depend on different physiological factors. The time determined by boundary data between the former and the latter regression data set and the regression coefficient during the developmental phase are useful parameters for evaluating static explosive grip.

Using the force-time curve to detect maximal grip strength effort

Currently, there are no universally accepted assessment methods for detecting insincere effort during grip strength testing. We examined the validity of the slopes of the force-time curve (during force-generation and force-decay phases) as indicative of sincerity of effort. Thirty healthy subjects performed both maximal and submaximal grip strength trials. The test administrator was blinded as to the nature of the effort. A force-time curve was generated for each individual trial. The slopes of the force-generation phase and the force-decay phase were calculated. Both slopes were significantly steeper for the maximal than the submaximal efforts (p</=0.0001). Sensitivity and specificity analyses revealed that the slope of the force-generation phase was a more effective assessment of sincerity of effort for women, whereas the slope of the force-decay phase was a more effective assessment for men. The most notable finding was that for the force-decay phase, for slope cutoff values of -0.75 and -1.0, none of the men who exerted maximal effort were mistakenly identified as exerting a submaximal effort, whereas only 7% of the men who exerted submaximal effort were incorrectly identified as exerting a maximal effort. Thus, the slopes of the force-time curve are valid and effective in detecting sincerity of effort in healthy subjects. This study represents the first step in establishing the feasibility and validity of a new sincerity of effort assessment using the slopes of the force-time curve. Future research is needed to establish the validity and effectiveness of this sincerity of effort assessment in people with hand injury.