Muscle inactivation: assessment of interpolated twitch technique

Behm, D. G., D. M. M. St-Pierre, and D. Perez. Muscleinactivation: assessment of interpolated twitch technique.J. Appl. Physiol. 81(5):2267-2273, 1996.The validity, reliability, and protocol for theinterpolated twitch technique (ITT) were investigated with isometricplantar flexor and leg extension contractions. Estimates of muscleinactivation were attempted by comparing a variety of superimposed withpotentiated evoked torques with submaximal and maximal voluntarycontraction (MVC) torques or forces. The use of nerve and surfacestimulation to elicit ITT was reliable, except for problems inmaintaining maximal stimulation with nerve stimulation at 20°plantar flexion and during leg extension. The interpolated twitchratio-force relationship was best described by a shallow hyperboliccurve resulting in insignificant MVC prediction errors withsecond-order polynomials (1.1-6.9%). The prediction error under40% MVC was approximately double that over 60% MVC, contributing topoor estimations of MVC in non-weight-bearing postimmobilized anklefracture patients. There was no significant difference in the ITTsensitivity when twitches, doublets, or quintuplets were used.The ITT was valid and reliable when high-intensity contractions wereanalyzed with a second-order polynomial.