scholarly journals Functional assessments of the knee joint biomechanics by using pendulum test in adults with Down syndrome

2012 ◽  
Vol 113 (11) ◽  
pp. 1747-1755 ◽  
Author(s):  
Antonino Casabona ◽  
Maria Stella Valle ◽  
Mariangela Pisasale ◽  
Maria Rosita Pantò ◽  
Matteo Cioni

In this study, we assessed kinematics and viscoelastic features of knee joint in adults with Down syndrome (DS) by means of the Wartenberg pendulum test. This test allows the measuring of the kinematics of the knee joint during passive pendular motion of leg under the influence of gravity. In addition, by a combination of kinematic and anthropometric data, pendulum test provides estimates of joint viscoelastic properties by computing damping and stiffness coefficients. To monitor the occurrences of muscle activation, the surface electromyogram (EMG) of muscle rectus femoris was recorded. The experimental protocol was performed in a group of 10 adults with DS compared with 10 control adults without DS. Joint motion amplitude, velocity, and acceleration of the leg during the first knee flexion significantly decreased in persons with DS with respect to those without DS. This behavior was associated with the activation of rectus femoris in subjects with DS that resulted in increasing of joint resistance shortly after the onset of the first leg flexion. The EMG bursts mostly occurred between 50 and 150 ms from the leg flexion onset. During the remaining cycles of pendular motion, persons with DS exhibited passive leg oscillations with low tonic EMG activity and reduced damping coefficient compared with control subjects. These results suggest that adults with DS might perform preprogrammed contractions to increase joint resistance and compensate for inherent joint instability occurring for quick and unpredictable perturbations. The reduction of damping coefficients observed during passive oscillations could be a predictor of muscle hypotonia.

2005 ◽  
Vol 93 (5) ◽  
pp. 2698-2709 ◽  
Author(s):  
Y. Y. Dhaher ◽  
A. D. Tsoumanis ◽  
T. T. Houle ◽  
W. Z. Rymer

We have previously shown that abduction angular perturbations applied to the knee consistently elicit reflex responses in knee joint musculature. Although a stabilizing role for such reflexes is widely proposed, there are as of yet no studies quantifying the contribution of these reflex responses to joint stiffness. In this study, we estimate the mechanical contributions of muscle contractions elicited by mechanical excitation of periarticular tissue receptors to medial-lateral knee joint stiffness. We hypothesize that these reflex muscle contractions will significantly increase knee joint stiffness in the adduction/abduction direction and enhance the overall stability of the knee. To assess medial-lateral joint stiffness, we applied an abducting positional deflection to the fully extended knee using a servomotor and recorded the torque response using a six degree-of-freedom load-cell. EMG activity was also recorded in both relaxed and preactivated quadriceps and hamstrings muscles with surface electrodes. A simple, linear, second-order, delayed model was used to describe the knee joint dynamics in the medial/lateral direction. Our data indicate that excitation of reflexes from periarticular tissue afferents results in a significant increase of the joint’s adduction-abduction stiffness. Similar to muscle stretch reflex action, which is modulated with background activation, these reflexes also show dependence on muscle activation. The potential significance of this reflex stiffness during functional tasks was also discussed. We conclude that reflex activation of knee muscles is sufficient to enhance joint stabilization in the adduction/abduction direction, where knee medial-lateral loading arises frequently during many activities.


2017 ◽  
Vol 39 (1) ◽  
pp. 17 ◽  
Author(s):  
Mariane Fernandes Ribeiro ◽  
Ana Paula Espindula ◽  
Alex Abadio Ferreira ◽  
Luciane Aparecida Pascucci Sande de Souza ◽  
Vicente De Paula Antunes Teixeira

Hippotherapy is a therapeutic method that uses the horse’s movement to achieve functional results in practitioners with Down syndrome (DS), who present motor and neurophysiological changes that affect the musculoskeletal system. Evaluating the motor behavior related to the control and the improvement of muscle activation in practitioners with Down syndrome subjected to hippotherapy. 10 practitioners were divided into two groups: Down Group (DG) – practitioners with DS, and Healthy Group (HG) – practitioners with no physical impairment. The muscles gluteus medius, tensor fasciae latae, rectus femoris, vastus medialis, vastus lateralis, biceps femoris, tibialis anterior and gastrocnemius were evaluated by electromyography using gross RMS values, which correspond to muscle activation; the evaluations were performed on the 1st and 10th hippotherapy sessions (frequency: once a week), and after 2 months interval without treatment, they were performed on the 1st and 10th hippotherapy sessions (frequency: twice a week). It was noted that activation of the studied muscles increased with the passing of sessions, regardless the weekly frequency of attendance; however, the period without treatment resulted in reduction of this effect. Practitioners with DS presented satisfactory changes in muscle activation pattern, in learning and in motor behavior during hippotherapy sessions. 


Author(s):  
Darien T. Pyka ◽  
Pablo B. Costa ◽  
Jared W. Coburn ◽  
Lee E. Brown

Background: A new fitness trend incorporates stability exercises that challenges trunk muscles and introduces crawling as an exercise, but has yet to be investigated for muscle activity. Purpose: To compare the effects of static (STA), stationary (STN), and traveling (TRV) trunk exercises on muscle activation of the rectus abdominis, rectus femoris, external oblique, and erector spinae using surface electromyography (EMG). Methods: Seventeen recreationally active women (mean age ± SD = 22.4 ± 2.4 years, body mass 62.9 ± 6.9 kg, height 165.1 ± 5.8 cm) and twenty-three men (23.6 ±3.9 years, 83.2 ±17.1 kg, 177.1 ± 9.1 cm) volunteered to participate in this study. Subjects performed maximal voluntary contractions for normalization of each muscle’s EMG activity. They then performed the three exercises in random order for thirty seconds each with a two-minute rest in between. Results: For the rectus abdominis, STA was significantly lower than STN (P = 0.003) and TRV (P = 0.001). For the external oblique, STA was significantly lower than STN (P = 0.001) and TRV (P = 0.001) and STN was significantly greater than TRV (P = 0.009). For the erector spinae and rectus femoris, STA was significantly lower than STN (P = 0.001) and TRV (P = 0.001) Conclusions: There was greater muscle activation in all muscles tested in the stationary and traveling exercises versus the static. Strength and conditioning coaches and allied health professionals could potentially use stationary and traveling forms of trunk stabilization exercises as a viable strategy to increase muscle activation.


2020 ◽  
Vol 76 ◽  
pp. 311-317 ◽  
Author(s):  
Diego M. Ferreira ◽  
Huaqing Liang ◽  
Jianhua Wu

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Paulo Henrique Marchetti ◽  
Josinaldo Jarbas da Silva ◽  
Brad Jon Schoenfeld ◽  
Priscyla Silva Monteiro Nardi ◽  
Silvio Luis Pecoraro ◽  
...  

The purpose of this study was to compare muscle activation of the lower limb muscles when performing a maximal isometric back squat exercise over three different positions. Fifteen young, healthy, resistance-trained men performed an isometric back squat at three knee joint angles (20°, 90°, and 140°) in a randomized, counterbalanced fashion. Surface electromyography was used to measure muscle activation of the vastus lateralis (VL), vastus medialis (VM), rectus femoris (RF), biceps femoris (BF), semitendinosus (ST), and gluteus maximus (GM). In general, muscle activity was the highest at 90° for the three quadriceps muscles, yet differences in muscle activation between knee angles were muscle specific. Activity of the GM was significantly greater at 20° and 90° compared to 140°. The BF and ST displayed similar activation at all joint angles. In conclusion, knee position alters muscles activation of the quadriceps and gluteus maximus muscles. An isometric back squat at 90° generates the highest overall muscle activation, yet an isometric back squat at 140° generates the lowest overall muscle activation of the VL and GM only.


2013 ◽  
Vol 39 (1) ◽  
pp. 37-47 ◽  
Author(s):  
Mohammadtaghi Amiri-Khorasani ◽  
Eleftherios Kellis

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.


2021 ◽  
Vol 2 ◽  
Author(s):  
Camille Pouliquen ◽  
Guillaume Nicolas ◽  
Benoit Bideau ◽  
Nicolas Bideau

This study aimed to quantify the influence of an increase in power output (PO) on joint kinematics and electromyographic (EMG) activity during an incremental test to exhaustion for a population of professional cyclists. The hip flexion/extension and internal/external rotation as well as knee abduction/adduction ranges of motion were significantly decreased at 100% of the maximal aerobic power (MAP). EMG analysis revealed a significant increase in the root mean square (RMS) for all muscles from 70% of the MAP. Gastrocnemius muscles [lateralis gastrocnemius (GasL) and medialis gastrocnemius (GasM)] were the less affected by the increase of PO. Cross-correlation method showed a significant increase in the lag angle values for VM in the last stage compared to the first stage, meaning that the onset of the activation started earlier during the pedaling cycle. Statistical Parametric Mapping (SPM) demonstrated that from 70% MAP, biceps femoris (BF), tibialis anterior (TA), gluteus maximus (GM), and rectus femoris (RF) yielded larger ranges of the crank cycle on which the level of recruitment was significantly increased. This study revealed specific muscular and kinematic coordination for professional cyclists in response to PO increase.


2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Maria Stella Valle ◽  
Antonino Casabona ◽  
Marco Micale ◽  
Matteo Cioni

This study was designed to measure in vivo muscle architecture of the rectus femoris in adults with Down syndrome, testing possible relationships with functional parameters of the knee motion. Ten adults with Down syndrome and ten typically developed participated in the study. Pennation angle and thickness of the rectus femoris and subcutaneous layer of the thigh were measured via ultrasound imaging. Knee kinematics and electromyographic activity of the rectus femoris were recorded during free leg dropping. Muscle thickness was reduced and subcutaneous layer was thicker in persons with Down syndrome with respect to typically developed adults, but there were no differences in the pennation angle. The area of the rectus femoris EMG activity during the leg flexion was greater in Down syndrome with respect to typically developed adults. The leg movement velocity was lower in Down people than in controls, but the knee excursion was similar between the groups. Functional parameters correlated with pennation angle in the persons with Down syndrome and with muscle thickness in typically developed persons. The description of muscle architecture and the relationships between morphological and functional parameters may provide insights on the limits and the opportunities to overcome the inherent biomechanical instability in Down syndrome.


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