Isokinetic rehabilitation after arthroscopic meniscectomy.

The aim of this study was to assess the effects in humans of early (2 weeks) and delayed (6 weeks) isokinetic strength training in the recovery of muscle strength following an arthroscopic partial meniscectomy. The peak torque developed in the quadriceps and hamstrings and the torque developed at a knee angle of 1.05 rad were evaluated in 16 subjects, pre-operatively (pre-op), and 2, 6, and 10 weeks post-operatively (post-op), on an isokinetic device at four different velocities (1.05, 2.09, 3.14, and 4.19 rad.s-1). The fatigue characteristics of the muscles were evaluated by having the subject perform 15 maximal contractions at 3.14 rad.s-1. Training was done on the same device (three times a week for 1-2 months), beginning either 2 or 6 weeks post-op. A repeated measures analysis of variance demonstrated a time effect but no differences between groups and no interactions. Torques developed by the knee flexors and extensors were significantly smaller 2 weeks post-op than pre-op, at all velocities tested. Torques developed in the quadriceps recovered to their pre-op values by 6 weeks, and further gained significantly in strength from 6 to 10 weeks. Quadriceps torques remained weaker than the contralateral side at 10 weeks. Hamstrings torques were either higher or similar to pre-op values by 6 weeks, and demonstrated increases from 6 to 10 weeks post-op at 1.05 and 4.19 rad.s-1 only. Total work and average power developed by the quadriceps and hamstrings during the fatigue protocol changed with time in a similar manner to torque.(ABSTRACT TRUNCATED AT 250 WORDS)     

Changes in force, cross-sectional area and neural activation during strength training and detraining of the human quadriceps

Four male subjects aged 23-34 years were studied during 60 days of unilateral strength training and 40 days of detraining. Training was carried out four times a week and consisted of six series of ten maximal isokinetic knee extensions at an angular velocity of 2.09 rad.s-1. At the start and at every 20th day of training and detraining, isometric maximal voluntary contraction (MVC), integrated electromyographic activity (iEMG) and quadriceps muscle cross-sectional area (CSA) assessed at seven fractions of femur length (Lf), by nuclear magnetic resonance imaging, were measured on both trained (T) and untrained (UT) legs. Isokinetic torques at 30 degrees before full knee extension were measured before and at the end of training at: 0, 1.05, 2.09, 3.14, 4.19, 5.24 rad.s-1. After 60 days T leg CSA had increased by 8.5% +/- 1.4% (mean +/- SEM, n = 4, p less than 0.001), iEMG by 42.4% +/- 16.5% (p less than 0.01) and MVC by 20.8% +/- 5.4% (p less than 0.01). Changes during detraining had a similar time course to those of training. No changes in UT leg CSA were observed while iEMG and MVC increased by 24.8% +/- 10% (N.S.) and 8.7% +/- 4.3% (N.S.), respectively. The increase in quadriceps muscle CSA was maximal at 2/10 Lf (12.0% +/- 1.5%, p less than 0.01) and minimal, proximally to the knee, at 8/10 Lf (3.5% +/- 1.2%, N.S.). Preferential hypertrophy of the vastus medialis and intermedius muscles compared to those of the rectus femoris and lateralis muscles was observed.(ABSTRACT TRUNCATED AT 250 WORDS)     

The effect of range of motion and isometric pre-activation on isokinetic torques

The effect of an increased angle of excursion and isometric pre-activation on isokinetic torques of knee extensors was investigated in five male subjects, mean age 35.0 years, SD 9.6. Peak torque and isoangular torque at 0.52 rad from full knee extension (FKE) were measured when contractions were carried out at 3.14, 4.19 and 5.24 rad.s-1 starting: 1) from a standard knee angle (SA) of 1.57 rad from FKE, 2) from the same starting angle as SA, plus an isometric preload (P) equivalent to 25% of isometric maximal voluntary contraction and 3) from an increased angle of knee flexion (IA), 2.09 rad from FKE plus P. Surface integrated electromyograms (iEMG) of the vastus lateralis muscle in SA and IA + P were also recorded. The IA + P had the effect of increasing peak torque, as compared to SA, on average by 12.0%, SD 7.5% (P less than 0.001) at 3.14 rad.s-1, 19.5%, SD 5.5% (P less than 0.001) at 4.19 rad.s-1, 21.6%, SD 10.7% (P less than 0.001) at 5.24 rad.s-1 and of increasing mean iEMG by 15.7%, SD 7.0% (P less than 0.001) at 5.24 rad.s-1. The IA + P also had the effect of increasing the angle from FKE at which peak torque occurred: from means of 0.80 rad, SD 0.11 to 1.00 rad, SD 0.07 at 3.14 rad.s-1, from 0.65 rad, SD 0.11 to 0.92 rad, SD 0.09 at 4.19 rad.s-1 and from 0.60 rad, SD 0.11 to 0.88 rad, SD 0.11 at 5.24 rad.s-1 (P less than 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)     

Influence of a 3.5 day fast on physical performance

Eight young men were tested for strength, anaerobic capacity and aerobic endurance in a post absorptive state and after a 3.5 day fast. Strength was tested both isokinetically (elbow flexors, 0.52 rad x s-1 and 3.14 rad x s-1) and isometrically. Anaerobic capacity was evaluated by having subjects perform 50 rapidly repeated isokinetic contractions of the elbow flexors at 3.14 rad x s-1. Aerobic endurance was measured as time to volitional fatigue during a cycle ergometer exercise at 45% VO2max. Measures of VO2, VE, heart rate, and ratings of perceived exertion were obtained prior to and during the cycle exercise. The 3.5 day fast did not influence isometric strength, anaerobic capacity or aerobic endurance. Isokinetic strength was significantly reduced (approximately 10%) at both velocities. VO2, VE and perceived exertion were not affected by fasting. Fasting significantly increased heart rate during exercise but not at rest. It was concluded that there are minimal impairments in physical performance parameters measured here as a result of a 3.5 day fast.     

The relationship between contraction and relaxation during fatiguing isokinetic shoulder flexions. An electromyographic study

Knowledge of the strength, endurance and coordination of the shoulder muscles during dynamic contractions in healthy women would contribute to the understanding of symptoms in that part of the body in patients with myalgia. Twenty clinically healthy women performed single maximal forward shoulder flexions at four different angular velocities (0.57-3.14 rad.s-1). The same subjects also took part in two endurance tests (at angular velocities of 0.57 and 2.09 rad.s-1, respectively) consisting of 150 repeated maximal shoulder flexions. Electromyographic activity (EMG) was registered from four shoulder flexors using surface electrodes. Work was used as the mechanical variable. During the endurance tests subjects rated their perception of fatigue in the shoulder muscles. Work and the amplitude of the EMG signals decreaesd with angular velocity. The mean power frequency of the EMG was constant in the span of angular velocities investigated. During the endurance tests, work and the mean power frequency decreased during the initial 40-60 contractions followed by stable levels. The relative work level was higher at 2.09 than at 0.57 rad.s-1. Greater relative increases of the signal amplitudes of EMG occurred at 2.09 than at 0.57 rad.s-1. The EMG activity between the flexions (during the supposed passive extension) was higher at 2.09 than at 0.57 rad.s-1. Such a high activity was associated with a low mechanical performance at 2.09 rad.s-1. It is suggested that the initial sharp decreases in work and in mean power frequency reflect the fatiguing of the fast twitch motor units. Dynamic work consisting of continuous activity could predispose to muscle complaints.     

Expression of the bilateral deficit during reflexively evoked contractions.

During maximal contractions, the sum of forces exerted by homonymous muscles unilaterally is typically larger than the sum of forces exerted by the same muscles bilaterally. This phenomenon is known as the bilateral deficit (BLD), and it is suggested that this deficit is due to neural inhibition. It remains unclear, however, whether such inhibition is mediated by supraspinal mechanisms or by reflex pathways at the level of spinal cord. To further study the origin of likely neural influences, we tested for the presence of BLD under the condition of reflexive force generation. Force output and integrated electromyogram (iEMG) (quadriceps femoris) were measured in 17 male participants after initiation of the myotatic patellar reflex under unilateral and bilateral conditions. A significant BLD of 9.26 +/- 1.19 (P = 0.004) and 16.76 +/- 4.69% (P = 0.001) was found for force and iEMG, respectively. However, because similar findings were not evident during maximal isometric knee extensions, it is difficult to predict the contribution of a spinal mechanism to the BLD under the condition of maximal voluntary activation.     

Angle dependency in strength measurements of the ankle plantar flexors

Muscle strength (or muscular moment) generated during dynamic contractions varies with joint angle. This raises the question about the choice of a representative angle in the evaluation of strength capacity. To assess this angle dependency in strength measurements, dynamic moment-angle curves for plantar flexor muscles were obtained in 43 healthy subjects (28 men and 15 women) with a controlled acceleration dynamometer at 0.52 rad s-1 (30 degrees s-1) and using maximal static preloading before the beginning of movement to attenuate the force development phase. Differences between gender and correlations between strength and anthropometric measures were calculated at each 0.087 rad (5 degrees). The plantar flexion moment was larger in men, in general, but this difference was largest when the ankle was most dorsiflexed. The correlations between moment and anthropometric measures were also higher in the first half of the plantar flexion movement. These results stress the importance of reporting joint angles at which moment of force measures were made. Furthermore, they show that the maximal strength capacity of the plantar flexors is best represented by the moment measured in dorsiflexion angles when the muscles are lengthened.     

Fatigue during sustained maximal voluntary contraction of different muscles in humans: dependence on fibre type and body posture

Nine healthy men, aged between 25 and 35 years, performed sustained maximal voluntary contractions (MVC) of foot plantar, foot dorsal, and finger flexor muscles. Contractions lasted 10 min and were followed by short test contractions at 30% MVC during recovery. Two positions of the working extremity high or low were established by different body postures (supine or sitting). Under these conditions, studies of force, integrated electromyogram (iEMG), blood pressure, and heart rate showed firstly that force decreased throughout the first few minutes of maximal contraction but reached a near steady-state value after 5 to 6 min. Secondly, force decay and steady-state level depended on muscle group and body position. When sitting (low leg), muscles with a high incidence of slow twitch fibres (plantar flexors) showed a slower force decay and a higher relative steady-state force than fast dorsal flexor muscles. When supine (high leg), plantar and dorsal flexor muscles reached about the same low level of relative steady-state force. Changes in iEMG, blood pressure, and heart rate did not differ in the two positions. Thirdly, during recovery, plantar flexor muscles showed higher iEMG values as well as higher values of blood pressure and heart rate when supine than when sitting. Recovery of dorsal flexor muscles was little affected by body posture. Fourthly, force development and recovery of predominantly fast finger flexor muscles were almost independent of arm position. It was concluded that muscle fibre composition was the main factor in determining endurance capacity. However, endurance was influenced by changes in the hydrostatic blood pressure component.(ABSTRACT TRUNCATED AT 250 WORDS)     

Effects of fatigue duration and muscle type on voluntary and evoked contractile properties

Behm, D. G., and D. M. M. St-Pierre. Effects of fatigueduration and muscle type on voluntary and evoked contractile properties. J. Appl. Physiol. 82(5):1654-1661, 1997.The effects of fatigue duration and muscle typeon voluntary and evoked contractile properties were investigated withan isometric, intermittent, submaximal fatigue protocol. Four groupsperformed contractions of the plantar flexors and quadriceps at variousintensities to produce long (LDF; 19 min 30 s)- and short-durationfatigue (SDF; 4 min 17 s). The LDF group had a significantly greaterdecrease in muscle activation than did the SDF group (12 vs. 5.8%)during recovery, although there was no difference in the impairment of maximum voluntary contraction force beyond 30 s of recovery. The significant decrease in the compound muscle action potential of the LDFgroup (M-wave amplitude; 14.7%) contrasted with the M-wave potentiation of the SDF group (15.7%), suggesting changes in membrane excitation may affect LDF. The quadriceps group performing contractions at 50% MVC experienced a smaller decrease in agonist electromyograph activity than did other groups, indicating both muscle and fatigue duration specificity. Impairments in excitation-contraction coupling were indicated by changes in quadriceps peak twitch and time to peaktwitch while decreases in PF M-wave amplitudes suggested a disruptionof membrane potentials. Results suggest that fatigue mechanisms may beduration (activation, half relaxation time) or muscle specific(electromyograph, twitch torque) or a combination of both (M wave, timeto peak twitch torque).

     

Effects of velocity of isokinetic training on strength, power, and quadriceps muscle fibre characteristics

Twenty young men trained the right knee extensors and flexors on an isokinetic dynamometer three times weekly over a 10-week period. During each session, 10 men in the slow training group completed three sets of 8 maximal contractions at a rate of 1.05 rad s-1, whereas the other 10, the fast group, completed three sets of 20 contractions at a rate of 4.19 rad s-1. Subjects wer pre- and post-tested for peak torque and power on an isokinetic dynamometer at 1.05, 3.14, and 4.19 rad s-1. Proportions of muscle fibre-types and fibre cross-sectional areas were determined from biopsy specimens taken before and after training from the right vastus lateralis. When testing was conducted at 1.05 rad s-1, the slow group improved (P less than 0.05) peak torque by 24.5 N m (8.5%), but no change was noted for the fast group. Power increased (P less than 0.05) by 32.7 W (13.6%) in the slow group and 5.5 W (2.5%) in the fast. At 3.14 rad s-1, both groups increased (P less than 0.05) peak torque and power. At 4.19 rad s-1, the fast group increased (P less than 0.05) peak torque by 30.0 N m (19.7%), whereas no training effect was observed in the slow group. There was no significant change in power in either group at 4.19 rad s-1. No significant changes were observed over the 10-week training period in percentages of type I, IIa and IIb fibres, but both groups showed significant increases (P less than 0.05) in type I and IIa fibre areas.(ABSTRACT TRUNCATED AT 250 WORDS)     

Comparison of elasticity of human tendon and aponeurosis in knee extensors and ankle plantar flexors in vivo

The purposes of this study were to compare the elasticity of tendon and aponeurosis in human knee extensors and ankle plantar flexors in vivo and to examine whether the maximal strain of tendon was correlated to that of aponeurosis. The elongation of tendon and aponeurosis during isometric knee extension (n = 23) and ankle plantar flexion (n = 22), respectively, were determined using a real-time ultrasonic apparatus, while the participants performed ramp isometric contractions up to voluntary maximum. To calculate the strain values from the measured elongation, we measured the respective length of tendon and aponeurosis. For the knee extensors, the maximal strain of aponeurosis (12.1 +/- 2.8 %) was significantly greater than that of the patella tendon (8.3 +/- 2.4 %), p < 0.001. On the contrary, the maximal strain of Achilles tendon (5.9 +/- 1.4 %) was significantly greater than that of aponeurosis in ankle plantar flexors (2.7 +/- 1.4 %), p < 0.001. Furthermore, for both knee extensors and ankle plantar flexors there was no significant correlation between maximal strain of tendon and aponeurosis. These results would be important for understanding the different roles of tendon and aponeurosis during human movements and for more accurate muscle modeling.     

Mechanomyogram from the different heads of the quadriceps muscle during incremental knee extension

To investigate the time- and frequency-domain responses of mechanomyograms (MMGs) during the progressive fatigue induced by intermittent incremental contractions, a surface MMG was obtained from the three muscle heads of the quadriceps muscle in seven subjects while they performed isometric knee extensions lasting 7.6 min. Isometric intermittent incremental contractions started at 1% of the maximal voluntary contraction (MVC) for 3 s, with a 3-s relaxation period in between each contraction, and the contraction level was increased by 1% of MVC for every contraction (by 10% of MVC per min) up to exhaustion. Separate contractions with sufficient rest periods were also conducted to serve for the MMG characteristics without fatigue. The integrated MMG (iMMG) was linearly related to force in all of the muscles when fatigue was not involved. With regard to the incremental contractions, the relationship exhibited an ascending-descending shape, but the behavior was not the same for the individual muscle heads, especially for the rectus femoris muscle. A steep increase in the median frequency of MMG from around 60% of MVC corresponded to a decrease in iMMG. These results suggest that analysis of MMG in the time- and frequency-domain during an incremental protocol is a useful way of characterizing the motor unit recruitment strategy and fatigue properties of individual muscles. Accepted: 19 March 1998     

Prediction of peak torque and contraction work at different isokinetic angular velocities of plantarflexion

Contraction work (CW) and peak torque (PT) of maximum isokinetic plantar flexions were measured in clinically healthy subjects randomly chosen from the official census list of Ume?, Sweden, in three groups: 40-44, 50-54 and 60-64 years of age, with similar proportions of men and women. Maximum isokinetic plantar-flexions were performed at angular velocities of 30, 60, 120 and 180 degrees X s-1. Body-weight, height and crural circumference were measured. Subjects rated their levels of leisure and occupational activities. To establish formulae to predict CW and PT, stepwise regression procedures were applied. The predictive powers (r2) of the formulae which incorporated age, sex and crural circumference, were higher for PT (30 degrees X s-1: 0.82, 60 degrees X s-1: 0.79, 120 degrees X s-1: 0.75, 180 degrees X s-1: 0.56) than for CW (30 degrees s-1: 0.63, 60 degrees s-1: 0.63, 120 degrees s-1: 0.60, 180 degrees s-1: 0.52). Thus the part of the variance explained decreased with increasing angular velocity, but more than 50% was still explained at 180 degrees s-1. The results indicate that the mechanical output of the plantar flexors is predictable.     

Moment dependency of the series elastic stiffness in the human plantar flexors measured in vivo.

The moment dependency of the series elastic stiffness (SES) in the human plantar flexors was investigated in vivo with the quick release method. At an ankle moment of 100 N m produced with either voluntary or electrical stimulation we found non-significantly different SES of 506+/-72 and 529+/-125 N m rad(-1), respectively. It has recently been proposed that the amount of series elastic tissue involved in plantar flexion changes with the moment level produced by the plantar flexors (Hof, J. Biomech 31 (1998) 793). However, our results indicate that the amount of series elastic tissue involved in plantar flexions remained constant with changing moment levels. We therefore propose that the series elastic component (SEC) in human plantar flexors act as one structure or rather one combination of anatomical structures which is engaged at all muscle activation levels, and that the mechanical properties (i.e. the stress-strain function) are determined by the combined tissue mechanical properties. Additionally, our results demonstrated that the SES in the human plantar flexors at moments levels up to about isometric maximum did not reach an asymptote where the stiffness is independent of moment, i.e. SEC of the plantar flexors is, during many daily activities, loaded for the greatest part in the non-linear part of the stress-strain function.     

Effect of exercise-induced fatigue on postural control of the knee

Muscle fatigue is associated with reduced power output and work capacity of the skeletal muscle. Fatigue-induced impairments in muscle function are believed to be a potential cause of increased injury rates during the latter stages of athletic competition and often occur during unexpected perturbations. However the effect of fatigue on functionally relevant, full body destabilizing perturbations has not been investigated. This study examines the effect of muscle fatigue on the activation of the quadriceps and hamstrings to fast, full body perturbations evoked by a moveable platform. Surface electromyographic (EMG) signals were recorded from the knee extensor (vastus medialis, rectus femoris, and vastus lateralis) and flexor muscles (biceps femoris and semitendinosus) of the right leg in nine healthy men during full body perturbations performed at baseline and immediately following high intensity exercise performed on a bicycle ergometer. In each condition, participants stood on a moveable platform during which 16 randomized postural perturbations (eight repetitions of two perturbation types: 8 cm forward slides, 8 cm backward slides) with varying inter-perturbation time intervals were performed over a period of 2-3 min. Maximal voluntary knee extension force was measured before and after the high intensity exercise protocol to confirm the presence of fatigue. Immediately after exercise, the maximal force decreased by 63% and 66% for knee extensors and flexors, respectively (P<0.0001). During the post-exercise postural perturbations, the EMG average rectified value (ARV) was significantly lower than the baseline condition for both the knee extensors (average across all muscles; baseline: 19.7±25.4μV, post exercise: 16.2±19.4 μV) and flexors (baseline: 24.3±20.9 μV, post exercise: 13.8±11.0 μV) (both P<0.05). Moreover the EMG onset was significantly delayed for both the knee extensors (baseline: 132.7±32.9 ms, post exercise: 170.8±22.9 ms) and flexors (baseline: 139.1±38.8 ms, post exercise: 179.3±50.9 ms) (both P<0.05). A significant correlation (R(2)=0.53; P<0.05) was identified between the percent reduction of knee extension MVC and the percent change in onset time of the knee extensors post exercise. This study shows that muscle fatigue induces a reduction and delay in the activation of both the quadriceps and hamstring muscles in response to rapid destabilizing perturbations potentially reducing the stability around the knee.     

Effects of speed and distance of muscle shortening on force depression during voluntary contractions

The purpose of this study was to determine the influence of speed and distance of muscle shortening on the amount of force depression for voluntary contractions. Two experimental tests were performed. In the first test, subjects performed isometric knee extensor contractions following muscle shortening produced by isokinetic knee extensions over the range 25-50 degrees. In the second test, subjects performed isometric knee extensor contractions following muscle shortening produced by isokinetic knee extensions at two speeds: 20 and 240 degrees /s. Knee extensor moments, surface electromyographical (EMG) signals of quadriceps femoris, and interpolated twitch moments were measured during all contractions and were compared with the corresponding values obtained during purely isometric contractions. Force depression following muscle shortening for the voluntary contractions tested in this study did not depend on the distance or the speed of muscle shortening. These results are in contrast to the corresponding results in the literature obtained using artificial electrical stimulation in which force depression was always found to be directly related to the distance of shortening and inversely related to the speed of shortening. The difference in force depression as a function of the distance and speed of muscle shortening between voluntary and artificial electrical stimulation may be associated with changes in activation following the voluntary shortening contractions, whereas activation is controlled and constant in all artificial stimulation protocols.     

Relationship between neuromuscular fatigue and spasticity in chronic stroke patients: A pilot study

IntroductionThe aim of this study was to assess the effects of neuromuscular fatigue on stretch reflex-related torque and electromyographic activity of spastic knee extensor muscles in hemiplegic patients. The second aim was to characterize the time course of quadriceps muscle fatigue during repetitive concentric contractions.MethodsEighteen patients performed passive, isometric and concentric isokinetic evaluations before and after a fatigue protocol using an isokinetic dynamometer. Voluntary strength and spasticity were evaluated following the simultaneous recording of torque and electromyographic activity of rectus femoris (RF), vastus lateralis (VL) and biceps femoris (BF).ResultsIsometric knee extension torque and the root mean square (RMS) value of VL decreased in the fatigued state. During the fatigue protocol, the normalized peak torque decreased whereas the RMS of RF and BF increased between the first five and last five contractions. There was a linear decrease in the neuromuscular efficiency-repetitions relationships for RF and VL. The peak resistive torque and the normalized RMS of RF and VL during passive stretching movements were not modified by the fatigue protocol for any stretch velocity.DiscussionThis study showed that localized quadriceps muscle fatigue caused a decrease in voluntary strength which did not modify spasticity intensity. Changes in the distribution of muscle fiber type, with a greater number of slow fibers on the paretic side, may explain why the stretch reflex was not affected by fatigue.     

Reproducibility of isokinetic leg strength and endurance characteristics of adult men and women

Day-to-day variability and single-measurement reliability of selected isokinetic knee extension-flexion strength and endurance indices were assessed in 10 adult men and 8 adult women. On three occasions separated by at least 5 days, the subjects completed 4 reciprocal maximal voluntary contractions (MVC) at different angular velocities (1.05 rad.s-1 and 3.14 rad.s-1). The men also completed a muscular endurance test consisting of 30 reciprocal, MVC at 3.14 rad.s-1. Coefficient of variation, intra-class correlation coefficient and standard error of single-measurement scores support the continued use of gravity corrected peak torque (PT) and average peak torque (APT) as indices of isokinetic leg strength. Similarly, gravity corrected APT and total work should be the recommended indices of isokinetic leg muscular endurance in men. The results suggest that these isokinetic indices must be assessed using multiple day-to-day trial protocols adequately to describe performance capacity. Composite indices such as the ratio of Knee flexion to extension PT and fatigue measurements offer considerably reduced reliability and a greater potential for misinterpretation. The reliability of knee extension indices generally exceeds that of flexion indices. Similar variability and reproducibility of responses were observed between men and women and between reciprocal contractions performed at angular velocities of 1.05 rad.s-1 and 3.14 rad.s-1.     

Residual force enhancement during submaximal and maximal effort contractions of the plantar flexors across knee angle

Following active muscle lengthening, steady-state isometric force is elevated compared with an isometric contraction without prior lengthening for the same muscle length and activation level. This property of muscle contraction is known as residual force enhancement (RFE). Here, we aimed to determine whether neural factors may mask some of the mechanical benefits of RFE on plantar flexion torque production. Inherent to lengthening contractions is an increase in cortical and spinal-mediated inhibition, while knee flexion places the medial gastrocnemius at a neuromechanical disadvantage. Neuromuscular properties of the plantar flexors were investigated with a Humac Norm dynamometer in 10 males (∼27 years) with a flexed (90°) and extended (180°) knee and with or without calcaneal tendon vibration (frequency range: 80–110 Hz). There was no effect for vibration (p > 0.05), but there was an effect for knee angle (p < 0.05) such that there was a 2 fold increase in RFE with the knee flexed compared with extended. During submaximal torque matching, following active lengthening there was an activation reduction (electromyography; EMG) of 7.2 and 4.7% with the knee flexed and extended, respectively for soleus as compared with the reference isometric contraction, but no difference for the medial gastrocnemius. Despite attempting to excite Ia input onto the plantar flexor motor neuron pool, vibration had no influence on RFE. Surprisingly, RFE was elevated more for the knee flexed than extended, which was possibly owing to the activation differences across the disparate muscles of the triceps surae during the plantar flexion task.     

An estimation of the influence of force decrease on the mean power spectral frequency shift of the EMG during repetitive maximum dynamic knee extensions.

Frequency analysis of myoelectric (ME) signals, using the mean power spectral frequency (MNF), has been widely used to characterize peripheral muscle fatigue during isometric contractions assuming constant force. However, during repetitive isokinetic contractions performed with maximum effort, output (force or torque) will decrease markedly during the initial 40-60 contractions, followed by a phase with little or no change. MNF shows a similar pattern. In situations where there exist a significant relationship between MNF and output, part of the decrease in MNF may per se be related to the decrease in force during dynamic contractions. This study estimated force effects on the MNF shifts during repetitive dynamic knee extensions. Twenty healthy volunteers participated in the study and both surface ME signals (from the right vastus lateralis, vastus medialis, and rectus femoris muscles) and the biomechanical signals (force, position, and velocity) of an isokinetic dynamometer were measured. Two tests were performed: (i) 100 repetitive maximum isokinetic contractions of the right knee extensors, and (ii) five gradually increasing static knee extensions before and after (i). The corresponding ME signal time-frequency representations were calculated using the continuous wavelet transform. Compensation of the MNF variables of the repetitive contractions was performed with respect to the individual MNF-force relation based on an average of five gradually increasing contractions. Whether or not compensation was necessary was based on the shape of the MNF-force relationship. A significant compensation of the MNF was found for the repetitive isokinetic contractions. In conclusion, when investigating maximum dynamic contractions, decreases in MNF can be due to mechanisms similar to those found during sustained static contractions (force-independent component of fatigue) and in some subjects due to a direct effect of the change in force (force-dependent component of fatigue). In order to compare MNF shifts during sustained static and repetitive dynamic contractions it is necessary to estimate the force-dependent component of fatigue of dynamic contractions. Our results are preliminary and have to be confirmed in larger experiments using single dynamic contractions when determining the MNF-force relationship of the unfatigued situation.