Reliability of parameters during stair ascent measured with Leonardo Mechanograph? Stair A in healthy subjects

Objectives:

Stair climbing (SC) as daily activity is assessed with different SC-tests, but none directly measures ground reaction force over several steps. The Leonardo Mechanograph Stair A has five steps and four force sensors. This study aimed at investigating the reliability of the Stair A test for force, power and time to SC.

Methods:

55 healthy participants (age: 48±14 years) were five times tested during SC with self-chosen and fast speed. 30 participants were examined for test-retest-reliability, calculated with the intraclass correlation coefficient (ICC). The variability was examined with the coefficient of variation (CV). To determine potential associations between SC and jumping performance or daily activity, squat and countermovement jumps were additionally performed and the International physical activity questionnaire (IPAQ) was completed.

Results:

The inter-visit ICCs of self-chosen and fast SC were good to excellent 0.63-0.77. The intra-visit ICCs were excellent after three trials (0.78-0.88). The CVs for SC with self-chosen speed were lower (2.1-6.6%) than those for fast SC (4.9-10.8%). There were no significant correlations between SC and jump parameters and only moderate correlations with the IPAQ.

Conclusion:

The Stair A is a reliable tool for the assessment of SC.     

Specific effects of eccentric and concentric training on muscle strength and morphology in humans

The purpose of this study was to compare pure eccentric and concentric isokinetic training with respect to their possible specificity in the adaptation of strength and morphology of the knee extensor muscles. Ten moderately trained male physical education students were divided into groups undertaking eccentric (ETG) and concentric (CTG) training. They performed 10 weeks of maximal isokinetic (90 degrees x s(-1)) training of the left leg, 4x10 repetitions - three times a week, followed by a second 10-week period of similar training of the right-leg. Mean eccentric and concentric peak torques increased by 18% and 2% for ETG and by 10% and 14% for CTG, respectively. The highest increase in peak torque occurred in the eccentric 90 degrees x s(-1) test for ETG (35%) whereas in CTG strength gains ranged 8%-15% at velocities equal or lower than the training velocity. Significant increases in strength were observed in the untrained contra-lateral leg only at the velocity and mode used in ipsilateral training. Cross-sectional area of the quadriceps muscle increased 3%-4% with training in both groups, reaching statistical significance only in ETG. No major changes in muscle fibre composition or areas were detected in biopsies from the vastus lateralis muscle for either leg or training group. In conclusion, effects of eccentric training on muscle strength appeared to be more mode and speed specific than corresponding concentric training. Only minor adaptations in gross muscle morphology indicated that other factors, such as changes in neural activation patterns, were causing the specific training-induced gains in muscle strength.     

Skeletal muscle mechanics in osteoporotic and nonosteoporotic postmenopausal women

The purpose of this study was to evaluate single-joint, dynamic muscle function of osteoporotic (OST) and nonosteoporotic (N-OST) women. Knee flexor and extensor function in postmenopausal women (6th decade OST,n = 15; 7th decade OST,n = 10; 6th decade N-OST,n = 6; 7th decade N-OST,n = 5) were evaluated at five angular velocities from 60° · s^–1 to 300° · s^–1. All subject groups had similar anthropometric measurements, but the 6th decade N-OST group were more physically active than the age-matched OST group. The OST and N-OST women produced peak torque at similar knee angles. The 6th decade N-OST women produced significantly greater knee extensor mean peak torque and angle specific torque, and mean work than any of the other three groups (P<0.05). However, knee flexor function was equivalent throughout the groups for most comparisons, except those between the 6th decade N-OST and 7th decade OST. While previous research has shown an early loss of flexor muscle function in ageing women, our data indicated that women with osteoporosis also experience a deterioration in quadriceps muscle function not encountered within the N-OST subjects. It is possible that such a change is precipitated by reduced physical activity, and may mirror deterioration in bone mineral content.     

Neuromuscular adaptations and serum hormones in women during short-term intensive strength training

The effects were investigated in ten women of intensive heavy resistance strength training lasting for 3 weeks on electromyographic (EMG) activity, muscle cross-sectional area (CSA) and voluntary force production characteristics of leg extensor muscles. Blood samples for the determinations of serum hormones were taken from five of the subjects. Significant increases occurred in the higher force portions of the isometric force-time curve with an increase of 9.7 (SD 8.4)% (P less than 0.01) in maximal peak force. An increase of 15.8 (SD 20.9)% (P less than 0.05) took place also in the maximal neural activation (integrated EMG) of the trained muscles, while an enlargement of 4.6 (SD 7.4)% (P less than 0.05) occurred in the CSA of the quadriceps femoris muscle. Maximal force per muscle CSA increased significantly (P less than 0.05). No statistically significant changes were observed during the training in the mean concentrations of serum testosterone, free testosterone, cortisol and sex hormone binding globulin (SHBG). The individual concentrations of serum testosterone:SHBG ratio correlated with the individual changes obtained during the training in the muscle CSA (r = 0.99; P less than 0.01). The present findings in women indicated that the increases in maximal strength during short-term but intensive strength training were primarily due to the increased voluntary activation of the trained muscles, while muscle hypertrophy remained limited in magnitude. Large interindividual differences in women in serum testosterone concentrations could indicate corresponding differences in muscle hypertrophy and strength development even during a short-term but intensive strength training period.     

Joint moments’ contributions to vertically accelerate the center of mass during stair ambulation in the elderly: An induced acceleration approach

Falls are a serious problem faced by the elderly. Older adults report mostly to fall while performing locomotor activities, especially the ones requiring stair negotiation. During these tasks, older adults, when compared with young adults, seem to redistribute their lower limb joint moments. This may indicate that older adults use a different strategy to accelerate the body upward during these tasks. The purposes of this study were to quantify the contributions of each lower limb joint moment to vertically accelerate the center of mass during stair ascent and descent, in a sample of community-dwelling older adults, and to verify if those contributions were correlated with age and functional fitness level. A joint moment induced acceleration analysis was performed in 29 older adults while ascending and descending stairs at their preferred speed. Agreeing with previous studies, during both tasks, the ankle plantarflexor and the knee extensor joint moments were the main contributors to support the body. Although having a smaller contribution to vertically accelerate the body, during stair descent, the hip joint moment contribution was related with the balance score. Further, older adults, when compared with the results reported previously for young adults, seem to use more their knee extensor moment than the ankle plantarflexor moment to support the body when the COM downward velocity is increasing. By contributing for a better understanding of stair negotiation in community dwelling older adults, this study may help to support the design of interventions aiming at fall prevention and/or mobility enhancement within this population.     

Generality versus specificity: a comparison of dynamic and isometric measures of strength and speed-strength

Considerable debate exists as to whether the qualities of muscle function exist as general or specific physiological capacities. If there is a generality of muscle function then strong relationships would exist between various measures of function for the same muscle(s), independent of the test contraction, mode or velocity. The purpose of this study was to examine the relationship between isometric and dynamic measures of muscle function to determine the existence of generality or specificity. A group of 22 men, experienced in weight training, were tested for lower and upper body dynamic and isometric measures of strength and speed-strength. The changes in these measures consequent to a resistance training programme were also investigated. The results of this study indicated that whilst isometric and dynamic measures of strength did significantly correlate (r=0.57-0.61), the relationship was below that required to denote statistical generality. More important, the changes in isometric and dynamic strength consequent to a dynamic heavy resistance training programme were unrelated (r=0.12-0.15). Thus the mechanisms that contribute to enhanced dynamic strength appearred unrelated to the mechanisms that contribute to enhanced isometric strength. Measures of dynamic and isometric speed-strength were unrelated, as were the changes in these measures resulting from training. The results of this study demonstrated that a generality of muscle function did not exist and that modality specific results were observed. Consequently this study calls into question the validity of isometric tests to monitor dynamically induced training adaptations.     

Differentiating between types and levels of isokinetic knee musculature efforts

This investigation assessed whether a measure of moment curve shape similarity, and a measure quantifying curve magnitude differences, enables differentiation between types (sincere vs. feigned) and levels (maximal vs. submaximal) of effort exerted during isokinetic testing of the knee. Healthy participants (n = 37) performed four sets of six concentric knee extension–flexion repetitions on two occasions. The sets consisted of: (1) maximal effort; (2) self-perceived 75% of maximal effort; (3) self-perceived 50% of maximal effort; and (4) a set attempting to feign injury. Average cross-correlation and percent root mean square difference values were computed between moment curves in each direction. Logistic regression was used to derive decision rules for differentiating between maximal and submaximal effort levels; and between sincere and feigned effort types. Using a cutoff criteria corresponding to 100% specificity, maximal effort production could be ascertained with 96% sensitivity within the sample. Feigned efforts, however, could be ascertained with only 31% sensitivity due to overlap with sincere submaximal effort. Using the proposed models, clinicians may be able to ascertain whether maximal efforts were produced during isokinetic knee musculature testing. Additionally, evidence regarding participant’s intentions with regard to influencing test results may be gauged, although to a lesser extent.     

Longitudinal study of anthropometric,skinfold, work,and motor characteristics of boys and girls,three to six years of age

Groups of preschool children were followed longitudinally: boys, n = 36, from 3.48 up to 6.02 years and girls, n = 22, from 3.53 up to 6.03 years. Anthropometric dimensions, skinfold thicknesses, reaction of the cardiovascular system to a work load (modified step test), motor performance, and hand grip strength were measured. Boys had greater values for height, weight, length, and circumferential measures, with the exception of the thigh. Boys had also smaller skinfolds and better performances in 20 meter dash, broad jump, cricket ball throw, and grip strength compared to girls. All anthropometric dimensions increased with age, but these increase did not have the same character. Children became more linear in spite of relatively greater increase in total body weight. Chest and abdomen circumferences increased more in boys during the last year of the study. Skinfold thicknesses decreased significantly in boys, and stayed the same in girls. Motor performance and muscle strength also increased during the experimental period. Pulse rate at rest, during modified step test and recovery period decreased with age, and the economy of cardiac work improved significantly as indicated by step test index and/or cardiac efficiency index. The changes derived from longitudinal observations corresponded to previous results of cross-sectional data.     

Relationship of CSF neurotransmitter metabolite levels to disease severity and disability in multiple sclerosis

Axonal degeneration and brain tissue loss occur during disease progression in multiple sclerosis (MS) and are expected to influence neurotransmitter activities, with consequences on neurologic and psychiatric symptomatology. We searched for relationships of disease duration, disability, and severity of MS patients to CSF levels of the major metabolites of noradrenaline, dopamine, and serotonin, MHPG, methoxyhydroxyphenylglycol (MHPG), homovanillic acid, and 5-hydroxyindoleacetic acid (5-HIAA), respectively, in 39 patients with relapsing–remitting (RR) MS in remission, and 26 patients with progressive (PR) MS. Disability and Disease Severity were assessed by the Expanded Disability Status Scale (EDSS) and the Multiple Sclerosis Severity Score (MSSS). Compared with the levels of 50 control subjects, MHPG levels were not different in either MS group, correlated negatively to duration of illness and number of relapses in the RRMS group, but not to EDSS score or to MSSS. Homovanillic acid levels were significantly lower only in the PRMS group, with a negative correlation to duration of illness, and a strong negative correlation to EDSS score, but not to MSSS. 5-HIAA was significantly lower in both RRMS and PRMS groups. In the RRMS group, 5-HIAA levels were negatively related to EDSS and to MSSS. Multiple regression analyses revealed a significant association of MHPG to duration of illness, and a strong negative association of 5-HIAA to MSSS rather than to EDSS. The strong negative correlation of MSSS to CSF 5-HIAA levels in RRMS group of patients indicates that deficits in central serotonergic activity are related to the rate of disability accumulation in RRMS, and could be linked to the reported reduction of disease activity by serotonergic drugs.     

浙江天童常绿阔叶林藤本植物的适应生态学研究 II.攀援能力和单株攀援效率

选用节间长、节数和支持木大小作为攀援能力的指标,单株攀援的支持木种类、数量及水平扩展面积作为单株攀援效率的指标,对浙江天童常绿阔叶林中5类12种大中型木质藤本的攀援能力及生态适应性和其中2种藤本单株攀援效率进行了分析,结果发现:1)不同攀援类型的节间长和节数存在显著差异,对支持木大小要求不同,反映出攀援能力在类型间的差异;没有一类藤本兼具所有优势,攀援能力是节间长、节数和支持木大小不同组合的结果;卷须类的广东蛇葡萄(Ampelopsiscantoniensis)和暗色菝葜(Smilaxlanceifoliavar.opaca)节间最长、节数居中、要求较小支持木;枝卷类的香港黄檀(Dalbergiamillettii)节数和支持木大小与卷须类接近,但节间较短;不定根类的中华常春藤(Hederanepalensisvar.sinensis)、扶芳藤(Euonymusfortunei)、薜荔(Ficuspumila)和络石(Trachlospermumjasmi noides)以及吸盘类的异叶爬山虎(Parthnocissusheterophylla)节间最短、但节数最多,要求较大支持木;茎缠绕类的白花野木瓜(Stauntonialeucantha)、羊角藤(Morindaumbellata)、忍冬(Lonicerajaponica)和薯莨(Dioscoreacirrhosa)节间长居中,节数最少,要求中等但幅度较宽的支持木。2 )同类型不同藤本的节间长、节数和支持木大小的差异反映出由非亲缘关系植