Electromyographic and Safety Comparisons of Common Lower Limb Rehabilitation Exercises for People With Hemophilia

2019 ◽  
Author(s):  
Joaquín Calatayud ◽  
Sofía Pérez-Alenda ◽  
Juan J Carrasco ◽  
Adrián Escriche-Escuder ◽  
Carlos Cruz-Montecinos ◽  
...  
Keyword(s):  
Lower Limb ◽  
Muscle Activity ◽  
Plantar Flexion ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Activity Levels ◽  
External Resistance ◽  
Elastic Resistance ◽  
Ankle Plantar Flexion ◽  
Gastrocnemius Lateralis

Abstract Background Ankles and knees are commonly affected in people with hemophilia and thus are targets for prevention or rehabilitation. However, to our knowledge, no studies have evaluated muscle activity and safety during exercises targeting the lower limbs in people with hemophilia; this lack of information hinders clinical decision-making. Objective The aim of this study was to compare the tolerability of, safety of, and muscle activity levels obtained with external resistance (elastic or machine)–based and non–external resistance–based lower limb exercises in people with hemophilia. Design This was a cross-sectional study. Methods Eleven people who had severe hemophilia and were undergoing prophylactic treatment participated. In a single experimental session, participants performed knee extension and ankle plantar flexion during 3 exercise conditions in random order: elastic band–based resistance (elastic resistance), machine-based resistance (machine resistance), and no external resistance. Exercise intensities for the 2 external resistance–based conditions were matched for perceived exertion. Muscle activity was determined using surface electromyography (EMG) for the rectus femoris, biceps femoris, gastrocnemius lateralis, and tibialis anterior muscles. Participants were asked to rate exercise tolerability according to a scale ranging from “very well tolerated” to “not tolerated” and to report possible adverse effects 24 and 48 hours after the session. Results No adverse effects were reported, and exercise tolerability was generally high. In the knee extension exercise, the rectus femoris normalized EMG values during the elastic resistance and machine resistance conditions were similar; 29% to 30% higher activity was obtained during these conditions than during the non–external resistance condition. In the ankle plantar flexion exercise, the gastrocnemius lateralis normalized EMG value was 34% higher during the machine resistance condition than without external resistance, and the normalized EMG values during the elastic resistance and other conditions were similar. Limitations The small sample size and single training session were the primary limitations of this study. Conclusions Exercises performed both with elastic bands and with machines at moderate intensity are safe, feasible, and efficient in people with severe hemophilia, providing comparable activity levels in the agonist muscles.

scholarly journals Characterization of kinesiological patterns of the frontal kick, mae-geri, in karate experts and non-karate practitioners

2014 ◽  
Vol 9 (1) ◽  
pp. 20 ◽  
Author(s):  
António M. VencesBrito ◽  
Marco A. Colaço Branco ◽  
Renato M. Cordeiro Fernandes ◽  
Mário A. Rodrigues Ferreira ◽  
Orlando J. S. M. Fernandes ◽  
...  
Keyword(s):  
Muscle Activity ◽  
Vastus Lateralis ◽  
Plantar Flexion ◽  
Neuromuscular Control ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
Knee Extension ◽  
Maximum Speed ◽  
Ballistic Performance ◽  
The Impact

Presently, coaches and researchers need to have a better comprehension of the kinesiological parameters that should be an important tool to support teaching methodologies and to improve skills performance in sports. The aim of this study was to (i) identify the kinematic and neuromuscular control patterns of the front kick (<em>mae-geri</em>) to a fixed target performed by 14 experienced karate practitioners, and (ii) compare it with the execution of 16 participants without any karate experience, allowing the use of those references in the analysis of the training and learning process. Results showed that the kinematic and neuromuscular activity during the kick performance occurs within 600 ms. Muscle activity and kinematic analysis demonstrated a sequence of activation bracing a proximal-to-distal direction, with the muscles presenting two distinct periods of activity (1, 2), where the karateka group has a greater intensity of activation – root mean square (RMS) and electromyography (EMG) peak – in the first period on <em>Rectus Femoris</em> (RF1) and  <em>Vastus Lateralis</em> (VL1) and a lower duration of co-contraction in both periods on <em>Rectus Femoris</em>-<em>Biceps Femoris</em> and <em>Vastus Lateralis</em>-<em>Biceps Femoris</em> (RF-BF; VL-BF). In the skill performance, the hip flexion, the knee extension and the ankle plantar flexion movements were executed with smaller difference in the range of action (ROA) in the karateka group, reflecting different positions of the segments. In conclusion, it was observed a general kinesiological pattern, which was similar in karateka and non-karateka practitioners. However, in the karateka group, the training induces a specialization in the muscle activity reflected in EMG and kinematic data, which leads to a better ballistic performance in the execution of the <em>mae-geri</em> kick, associated with a maximum speed of the distal segments, reached closer to the impact moment, possibly representing more power in the contact.

Changes in muscle activities and kinematics due to simulated leg length inequalities

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Hannah Lena Siebers ◽  
Jörg Eschweiler ◽  
Filippo Migliorini ◽  
Valentin Michael Quack ◽  
Markus Tingart ◽  
...  
Keyword(s):  
Muscle Activity ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Pelvic Obliquity ◽  
Lateral Flexion ◽  
Leg Length ◽  
Joint Angles ◽  
Leg Muscles ◽  
Compensation Mechanisms ◽  
Musculoskeletal Problems

Abstract Muscle imbalances are a leading cause of musculoskeletal problems. One example are leg length inequalities (LLIs). This study aimed to analyze the effect of different (simulated) LLIs on back and leg muscles in combination with kinematic compensation mechanics. Therefore, 20 healthy volunteers were analyzed during walking with artificial LLIs (0–4 cm). The effect of different amounts of LLIs and significant differences to the reference condition without LLI were calculated of maximal joint angles, mean muscle activity, and its symmetry index. While walking, LLIs led to higher muscle activity and asymmetry of back muscles, by increased lumbar lateral flexion and pelvic obliquity. The rectus femoris showed higher values, independent of the amount of LLI, whereas the activity of the gastrocnemius on the shorter leg increased. The hip and knee flexion of the long leg increased significantly with increasing LLIs, like the knee extension and the ankle plantarflexion of the shorter leg. The described compensation mechanisms are explained by a dynamic lengthening of the short and shortening of the longer leg, which is associated with increased and asymmetrical muscle activity. Presenting this overview is important for a better understanding of the effects of LLIs to improve diagnostic and therapy in the future.

Alternate muscle activity observed between knee extensor synergists during low-level sustained contractions

2002 ◽  
Vol 93 (2) ◽  
pp. 675-684 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara ◽  
Kei Masani ◽  
Hiroaki Kanehisa ◽  
Tetsuo Fukunaga
Keyword(s):  
Muscle Activity ◽  
Vastus Lateralis ◽  
Force Production ◽  
Knee Extensor ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Low Level ◽  
Integrated Emg

To determine quantitatively the features of alternate muscle activity between knee extensor synergists during low-level prolonged contraction, a surface electromyogram (EMG) was recorded from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) in 11 subjects during isometric knee extension exercise at 2.5% of maximal voluntary contraction (MVC) for 60 min ( experiment 1). Furthermore, to examine the relation between alternate muscle activity and contraction levels, six of the subjects also performed sustained knee extension at 5.0, 7.5, and 10.0% of MVC ( experiment 2). Alternate muscle activity among the three muscles was assessed by quantitative analysis on the basis of the rate of integrated EMG sequences. In experiment 1, the number of alternations was significantly higher between RF and either VL or VM than between VL and VM. Moreover, the frequency of alternate muscle activity increased with time. In experiment 2, alternating muscle activity was found during contractions at 2.5 and 5.0% of MVC, although not at 7.5 and 10.0% of MVC, and the number of alternations was higher at 2.5 than at 5.0% of MVC. Thus the findings of the present study demonstrated that alternate muscle activity in the quadriceps muscle 1) appears only between biarticular RF muscle and monoarticular vasti muscles (VL and VM), and its frequency of alternations progressively increases with time, and 2) emerges under sustained contraction with force production levels ≤5.0% of MVC.

The frequency of alternate muscle activity is associated with the attenuation in muscle fatigue

2006 ◽  
Vol 101 (3) ◽  
pp. 715-720 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara
Keyword(s):  
Muscle Fatigue ◽  
Muscle Activity ◽  
Healthy Subjects ◽  
Vastus Lateralis ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Sustained Contraction ◽  
Low Level ◽  
Before And After

Alternate muscle activity between synergist muscles has been demonstrated during low-level sustained contractions [≤5% of maximal voluntary contraction (MVC) force]. To determine the functional significance of the alternate muscle activity, the association between the frequency of alternate muscle activity during a low-level sustained knee extension and the reduction in knee extension MVC force was studied. Forty-one healthy subjects performed a sustained knee extension at 2.5% MVC force for 1 h. Before and after the sustained knee extension, MVC force was measured. The surface electromyogram was recorded from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) muscles. The frequency of alternate muscle activity for RF-VL, RF-VM, and VL-VM pairs was determined during the sustained contraction. The frequency of alternate muscle activity ranged from 4 to 11 times/h for RF-VL (7.0 ± 2.0 times/h) and RF-VM (7.0 ± 1.9 times/h) pairs, but it was only 0 to 2 times/h for the VL-VM pair (0.5 ± 0.7 times/h). MVC force after the sustained contraction decreased by 14% ( P < 0.01) from 573.6 ± 145.2 N to 483.3 ± 130.5 N. The amount of reduction in MVC force was negatively correlated with the frequency of alternate muscle activity for the RF-VL and RF-VM pairs ( P < 0.001 and r = 0.65 for both) but not for the VL-VM pair. The results demonstrate that subjects with more frequent alternate muscle activity experience less muscle fatigue. We conclude that the alternate muscle activity between synergist muscles attenuates muscle fatigue.

scholarly journals The Effect of Limb Position on a Static Knee Extension Task can be Explained with a Simple Spinal Cord Circuit Model

2021 ◽  
Author(s):  
Gareth James Richard York ◽  
Hugh Osborne ◽  
Piyanee Sriya ◽  
Sarah Astill ◽  
Marc de Kamps ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Muscle Activity ◽  
Neural Circuits ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Afferent Input ◽  
Muscle Synergy ◽  
Knee Angle ◽  
Activation Patterns ◽  
Isometric Knee Extension

The influence of proprioceptive feedback on muscle activity during isometric tasks is the subject of conflicting studies. We performed an isometric knee extension task experiment based on two common clinical tests for mobility and flexibility. The task was carried out at four pre-set angles of the knee and we recorded from five muscles for two different hip positions. We applied muscle synergy analysis using non-negative matrix factorisation on surface electromyograph recordings to identify patterns in the data which changed with internal knee angle, suggesting a link between proprioception and muscle activity. We hypothesised that such patterns arise from the way proprioceptive and cortical signals are integrated in neural circuits of the spinal cord. Using the MIIND neural simulation platform, we developed a computational model based on current understanding of spinal circuits with an adjustable afferent input. The model produces the same synergy trends as observed in the data, driven by changes in the afferent input. In order to match the activation patterns from each knee angle and position of the experiment, the model predicts the need for three distinct inputs: two to control a non-linear bias towards the extensors and against the flexors, and a further input to control additional inhibition of rectus femoris. The results show that proprioception may be involved in modulating muscle synergies encoded in cortical or spinal neural circuits.

scholarly journals Coordination amongst quadriceps muscles suggests neural regulation of internal joint stresses, not simplification of task performance

2020 ◽  
Vol 117 (14) ◽  
pp. 8135-8142 ◽  
Author(s):  
Cristiano Alessandro ◽  
Filipe O. Barroso ◽  
Adarsh Prashara ◽  
David P. Tentler ◽  
Hsin-Yun Yeh ◽  
...  
Keyword(s):  
Task Performance ◽  
Muscle Activity ◽  
Vastus Lateralis ◽  
Movement Control ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
High Positive Correlation ◽  
Internal Joint ◽  
Task Variables

Many studies have demonstrated covariation between muscle activations during behavior, suggesting that muscles are not controlled independently. According to one common proposal, this covariation reflects simplification of task performance by the nervous system so that muscles with similar contributions to task variables are controlled together. Alternatively, this covariation might reflect regulation of low-level aspects of movements that are common across tasks, such as stresses within joints. We examined these issues by analyzing covariation patterns in quadriceps muscle activity during locomotion in rats. The three monoarticular quadriceps muscles (vastus medialis [VM], vastus lateralis [VL], and vastus intermedius [VI]) produce knee extension and so have identical contributions to task performance; the biarticular rectus femoris (RF) produces an additional hip flexion. Consistent with the proposal that muscle covariation is related to similarity of muscle actions on task variables, we found that the covariation between VM and VL was stronger than their covariations with RF. However, covariation between VM and VL was also stronger than their covariations with VI. Since all vastii have identical actions on task variables, this finding suggests that covariation between muscle activity is not solely driven by simplification of overt task performance. Instead, the preferentially strong covariation between VM and VL is consistent with the control of internal joint stresses: Since VM and VL produce opposing mediolateral forces on the patella, the high positive correlation between their activation minimizes the net mediolateral patellar force. These results provide important insights into the interpretation of muscle covariations and their role in movement control.

Protein Intake and Physical Performance Following Long-Term Stay on the International Space Station

2021 ◽  
Vol 92 (3) ◽  
pp. 153-159
Author(s):  
Yuko Nozawa ◽  
Yukiko Wagatsuma
Keyword(s):  
Physical Performance ◽  
Protein Intake ◽  
Plantar Flexion ◽  
Space Station ◽  
Knee Extension ◽  
Carbohydrate Intake ◽  
International Space ◽  
Exercise Effect ◽  
Ankle Plantar Flexion

INTRODUCTION: Exposure to microgravity reduces muscle mass, volume, and performance. The ingestion of protein, especially combined with carbohydrate intake and exercise after ingestion, improves net muscle protein synthesis and increases muscle mass. However, there are few studies on this relationship during and after a long-term spaceflight. The objective of this study was to investigate the influence of protein and the combined effects of carbohydrate intake on muscle performance following long-term spaceflight.METHODS: This study is a retrospective cohort study involving secondary analysis of data stored in the NASA Lifetime Surveillance of Astronaut Health Repository. Multivariable analysis was performed to evaluate the impact of protein intake on physical performance by considering covariates potentially associated with each model.RESULTS: After adjusting for sex, age, flight week, energy intake, and preflight physical performance, protein intake was found to be significantly associated with concentric measurements for knee extension ( 51.66), ankle plantar flexion ( 32.86), and eccentric measurements for ankle plantar flexion ( 79.85) at 5 d after landing. Significant associations remained after controlling for exercise effect. No significant interaction between protein and carbohydrate intake was observed in either model.DISCUSSION: Protein intake during spaceflight was related to physical performance for knee extension and ankle plantar flexion, even after taking exercise effect into consideration. However, protein and carbohydrate intake provided no synergetic benefit. This suggests that high protein intake, about twice the current average intake, may serve as a countermeasure to offset the negative effects of long-duration spaceflights.Nozawa Y, Wagatsuma Y. Protein intake and physical performance following long-term stay on the International Space Station. Aerosp Med Hum Perform. 2021; 92(3):153159.

scholarly journals Comparative Study of Kinematics and Muscle Activity Between Elite and Amateur Table Tennis Players During Topspin Loop Against Backspin Movements

2018 ◽  
Vol 64 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Meizi Wang ◽  
Lin Fu ◽  
Yaodong Gu ◽  
Qichang Mei ◽  
Fengqin Fu ◽  
...  
Keyword(s):  
Lower Limb ◽  
Muscle Activity ◽  
Rectus Femoris ◽  
Surface Emg ◽  
Table Tennis ◽  
Mean Power ◽  
Mean Power Frequency ◽  
Lower Limb Muscles ◽  
Balance Ability ◽  
Hip Flexion

Abstract This study investigated differences of lower limb kinematics and muscle activity during table tennis topspin loop against backspin movements between elite players (EPs) and amateur players (APs). Ten EPs and ten APs performed crosscourt backhand loop movements against the backspin ball with maximal power. Vicon motion analysis and a MEGA ME6000 system was used to capture kinematics and surface EMG data. The motion was divided into two phases, including the backswing and swing. The joints’ flexion and extension angle tendency between EPs and APs differed significantly. The coefficient of multiple correlation (CMC) values for EPs were all beyond 0.9, indicating high similarity of joint angles change. APs presented moderate similarity with CMC values from 0.5 to 0.75. Compared to APs, EPs presented larger ankle eversion, knee and hip flexion at the beginning moment of the backswing. In the sEMG test, EPs presented smaller standardized AEMG (average electromyography) of the lower limb muscles in the rectus femoris and tibia anterior on both sides. Additionally, the maximum activation of each muscle for EPs was smaller and MPF (mean power frequency) of the lower limb was greater during the whole movement. The present study revealed that EPs could complete this technical motion more economically than APs, meanwhile, EPs were more efficient in muscle usage and showed better balance ability.

Joint-Specific Power-Pedaling Rate Relationships During Maximal Cycling

2014 ◽  
Vol 30 (3) ◽  
pp. 423-430 ◽  
Author(s):  
John McDaniel ◽  
N. Scott Behjani ◽  
Steven J. Elmer ◽  
Nicholas A.T. Brown ◽  
James C. Martin
Keyword(s):  
Repeated Measures ◽  
Control Strategies ◽  
Plantar Flexion ◽  
Knee Extension ◽  
Specific Power ◽  
Rate Relationship ◽  
S Cycling ◽  
Hip Extension ◽  
Ankle Plantar Flexion ◽  
Pedaling Rate

Previous authors have reported power-pedaling rate relationships for maximal cycling. However, the joint-specific power-pedaling rate relationships that contribute to pedal power have not been reported. We determined absolute and relative contributions of joint-specific powers to pedal power across a range of pedaling rates during maximal cycling. Ten cyclists performed maximal 3 s cycling trials at 60, 90, 120, 150, and 180 rpm. Joint-specific powers were averaged over complete pedal cycles, and extension and flexion actions. Effects of pedaling rate on relative joint-specific power, velocity, and excursion were assessed with regression analyses and repeated-measures ANOVA. Relative ankle plantar flexion power (25 to 8%;P= .01;R2= .90) decreased with increasing pedaling rate, whereas relative hip extension power (41 to 59%;P< .01;R2= .92) and knee flexion power (34 to 49%;P< .01;R2= .94) increased with increasing pedaling rate. Knee extension powers did not differ across pedaling rates. Ankle joint angular excursion decreased with increasing pedaling rate (48 to 20 deg) whereas hip joint excursion increased (42 to 48 deg). These results demonstrate that the often-reported quadratic power-pedaling rate relationship arises from combined effects of dissimilar joint-specific power-pedaling rate relationships. These dissimilar relationships are likely influenced by musculoskeletal constraints (ie, muscle architecture, morphology) and/or motor control strategies.

scholarly journals Static vs. Dynamic Acute Stretching Effect on Quadriceps Muscle Activity during Soccer Instep Kicking

2013 ◽  
Vol 39 (1) ◽  
pp. 37-47 ◽  
Author(s):  
Mohammadtaghi Amiri-Khorasani ◽  
Eleftherios Kellis
Keyword(s):  
Angular Velocity ◽  
Muscle Activity ◽  
High Speed ◽  
Muscle Activation ◽  
Body Height ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Emg Activity ◽  
Dynamic Stretching

Abstract The purpose of this study was to compare the effects of static and dynamic stretching on quadriceps muscle activation during maximal soccer instep kicking. The kicking motion of twelve male college soccer players (body height: 174.66 ± 5.01 cm; body mass: 72.83 ± 4.83 kg; age: 18.83 ± 0.75 years) was captured using six synchronized high-speed infra-red cameras whilst electromyography (EMG) signals from vastus medialis (VM), lateralis (VL) and rectus femoris (RF) were recorded before and after static or dynamic stretching. Analysis of variance designs showed a higher increase in knee extension angular velocity (9.65% vs. -1.45%, p < 0.001), RF (37.5% vs. -8.33%, p < 0.001), VM (12% vs. - 12%, p < 0.018), and VL EMG activity (20% vs. -6.67%, p < 0.001) after dynamic stretching exercises. Based on these results, it could be suggested that dynamic stretching is probably more effective in increasing quadriceps muscle activity and knee extension angular velocity during the final swing phase of a maximal soccer instep kick than static stretching.

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