Latent trigger points in lower limb muscles in sedentary and athletic subjects. A cross-sectional study on prevalence

Physiotherapy ◽  
2016 ◽  
Vol 102 ◽  
pp. e209-e210
Author(s):  
A. Gomez-Conesa ◽  
J.C. Zuil-Escobar ◽  
C.B. Martínez-Cepa ◽  
J.A. Martín-Urrialde
Author(s):  
Przemysław Pietraszewski ◽  
Artur Gołaś ◽  
Michał Krzysztofik ◽  
Marta Śrutwa ◽  
Adam Zając

The purpose of this cross-sectional study was to analyze changes in normalized surface electromyography (sEMG) signals for the gastrocnemius medialis, biceps femoris, gluteus maximus, tibialis anterior, and vastus lateralis muscles occurring during a 400 m indoor sprint between subsequent curved sections of the track. Ten well-trained female sprinters (age: 21 ± 4 years; body mass: 47 ± 5 kg; body height: 161 ± 7 cm; 400 m personal best: 52.4 ± 1.1 s) performed an all-out 400 m indoor sprint. Normalized sEMG signals were recorded bilaterally from the selected lower limb muscles. The two-way ANOVA (curve × side) revealed no statistically significant interaction. However, the main effect analysis showed that normalized sEMG signals significantly increased in subsequent curves run for all the studied muscles: gastrocnemius medialis (p = 0.003), biceps femoris (p < 0.0001), gluteus maximus (p = 0.044), tibialis anterior (p = 0.001), and vastus lateralis (p = 0.023), but differences between limbs were significant only for the gastrocnemius medialis (p = 0.012). The results suggest that the normalized sEMG signals for the lower limb muscles increased in successive curves during the 400 m indoor sprint. Moreover, the gastrocnemius medialis of the inner leg is highly activated while running curves; therefore, it should be properly prepared for high demands, and attention should be paid to the possibility of the occurrence of a negative adaptation, such as asymmetries.


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Rasha M Ibrahim ◽  
Haitham M Hamdy ◽  
Amr A Mohammed ◽  
Ahmed M Elsadek ◽  
Ahmed M Bassiouny ◽  
...  

Abstract Background Limb-girdle muscular dystrophies (LGMDs) are a clinically and genetically heterogeneous group of disorders characterized by progressive muscle weakness and degenerative muscle changes. Studies have shown that ultrasound can be useful both for diagnosis and follow-up of LGMDs patients. Objectives This study aims to measure the sensitivity and the specificity of muscle ultrasound in assessment of suspected limb girdle muscular dystrophy patients. Subjects and Methods This cross-sectional descriptive study was conducted on Fifty-five patients with suspected LGMD from neuromuscular unit, myology clinic, Ain Shams University hospitals and eight healthy subjects. Age was above 2 years. Both sexes were included in the study. They underwent real-time B-mode ultrasonography performed with using Logiq p9 General Electric ultrasound machine and General Electric 7-11.5 MHZ linear array ultrasound probe. All ultrasound images have been obtained and scored by a single examiner and muscle echo intensity was visually graded semiquantitative according to Heckmatt's scale. The examiner was blinded to the muscle biopsy results and clinical evaluations. Results Statistical analysis revealed that the diagnostic performance of muscle US (Heckmatt’s score) in LGMD is most sensitive when calculated in all examined upper limb and lower limb muscles, followed by lower limb muscles alone. US of upper limb was found to be the least sensitive. Conclusions Muscle ultrasound is a practical and reproducible and valid tool that can be used in assessment of suspected LGMD patients.


2014 ◽  
Vol 132 (5) ◽  
pp. 282-289 ◽  
Author(s):  
Fernanda Sotello Batista ◽  
Grace Angélica de Oliveira Gomes ◽  
Maria José D'Elboux ◽  
Fernanda Aparecida Cintra ◽  
Anita Liberalesso Neri ◽  
...  

CONTEXT AND OBJECTIVE: Muscle strength and functional independence are considered to be determinants of frailty levels among elderly people. The aim here was to compare lower-limb muscle strength (LLMS) with functional independence in relation to sex, age and number of frailty criteria, and to ascertain the influence of these variables on elderly outpatients' independence.DESIGN AND SETTING: Quantitative cross-sectional study, in a tertiary hospital.METHODS: The study was conducted on 150 elderly outpatients of both sexes who were in a cognitive condition allowing oral communication, between October 2005 and October 2007. The following instruments were used: five-times sit-to-stand test (FTSST), Functional Independence Measurement (FIM) and Lawton's Instrumental Activities of Daily Living Scale (IADL). Descriptive, comparative, multivariate, univariate and Cronbach alpha analyses were performed.RESULTS: The mean time taken in the FTSST was 21.7 seconds; the mean score for FIM was 82.2 and for IADL was 21.2; 44.7% of the subjects presented 1-2 frailty criteria and 55.3% > 3 criteria. There was a significant association between LLMS and functional independence in relation to the number of frailty criteria, without homogeneity regarding sex and age. Functional independence showed significant influence from sex and LLMS.CONCLUSION: Elderly individuals with 1 or 2 frailty criteria presented greater independence in all FTSST scores. The subjects with higher LLMS presented better functional independence.


2018 ◽  
Vol 22 (6) ◽  
pp. 459-466 ◽  
Author(s):  
Larissa Tavares Aguiar ◽  
Ludimylla Brennar Alves Camargo ◽  
Lorena Dasdores Estarlino ◽  
Luci Fuscaldi Teixeira-Salmela ◽  
Christina Danielli Coelho de Morais Faria

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