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Posture-movement changes following repetitive motion-induced shoulder muscle fatigue
Authors:Jason R. Fuller  Karen V. Lomond  Joyce Fung  Julie N. Côté
Affiliation:1. School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC;2. Department of Physical Medicine & Rehabilitation, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC;3. Department of Biomedical Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran;4. Department of Physical Therapy, College of Medicine, National Cheng Kung University, Taiwan, ROC;5. Graduate Institute of Biomedical Engineering, National Chung Hsing University, Taichung, Taiwan, ROC;6. School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC;7. Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, ROC;8. Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC
Abstract:Repetitive motion-induced fatigue not only alters local motion characteristics but also provokes global reorganization of movement. However, the three-dimensional (3D) characteristics of these reorganization patterns have never been documented in detail. The goal of this study was to assess the effects of repetitive reaching-induced arm fatigue on the whole-body, 3D biomechanical task characteristics. Healthy subjects (N = 14) stood and performed a continuous reaching task (RRT) between two targets placed at shoulder height to fatigue. Whole-body kinematic (Vicon©), kinetic (AMTI© force platforms) and electromyographic (EMG, Noraxon©) characteristics were recorded. Maximal voluntary isometric efforts (MVIE) of the shoulder and elbow were measured pre- and post-RRT. Post-RRT shoulder elevation MVIE was reduced by 4.9 ± 8.3% and trapezius EMG amplitude recorded during the RRT increased by 46.9 ± 49.9% from the first to last minute of the RRT, indicating that arm fatigue was effectively induced. During fatigued reaching, subjects elevated their shoulder (11.7 ± 10.5 mm) and decreased their average shoulder abduction angle by 8.3 ± 4.4°. These changes were accompanied by a lateral shift of the body’s center of mass towards the non-reaching arm. These findings suggest a compensatory strategy to decrease the load on the fatigued shoulder musculature.
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