scholarly journals Familiarization and Reliability of the Isometric Knee Extension Test for Rapid Force Production Assessment

2020 ◽  
Vol 10 (13) ◽  
pp. 4499
Author(s):  
Javier Courel-Ibáñez ◽  
Alejandro Hernández-Belmonte ◽  
Alejandro Cava-Martínez ◽  
Jesús G. Pallarés

Despite the rising interest in the use of portable force sensors during isometric exercises to inform on neuromuscular performance, the design of practical field-based methods to obtain reliable measures is an ongoing challenge. We aim at identifying the intra-session and test-retest reliability of a rapid, isometric knee extension test to evaluate the maximal voluntary concentric force (MVC), rate of force development (RFD) and impulse following a field-based approach. On two occasions, 14 athletes unfamiliar with the test completed three sets of 2 s ballistic contractions (as fast and hard as possible) with 30 s rest. Raw and filtered data were collected in real time using a portable force sensor. RFD and impulse were highly reliability during “late” phases of the contraction (0–250 ms) since the first session (coefficient of variation (CV) < 9.8%). Earlier phases (0–150 ms) achieved a moderate reliability after one familiarization session (CV < 7.1%). Measures at 0–50 ms did not reach sufficient reliability (CV~14%). MVC was accurately assessed. Dominant limbs were not importantly altered by the familiarization. In opposite, non-dominant limbs showed large variations. New evidence is provided about the positive effects of a single familiarization session to improve the reliability the isometric knee extension test for rapid force production assessment. Coaches and practitioners may benefit of from these findings to conduct practical and reliable assessments of the rapid force production using a portable force sensor and a field-based approach.

2020 ◽  
Vol 29 (4) ◽  
pp. 385-393
Author(s):  
Junkyung Song ◽  
Kitae Kim ◽  
Sungjun Lee ◽  
Jiseop Lee ◽  
Jaebum Park

PURPOSE:This study examined the issue of history-dependence on muscle excitation and oxygenation by using surface electromyography (EMG) and near-infrared spectroscopy (NIRS).METHODS: Eight male participants performed isometric knee extension force production tasks that started at four levels of initial force production (30, 40, 60, 70% of maximal voluntary contraction, MVC) and commonly converged to the production of 50% of MVC by increasing or decreasing knee extension forces. We quantified the integrated electromyogram (iEMG), total hemoglobin (tHb), and the desaturation rate of muscle tissue (TSI<sub>SLOPE</sub>) of the vastus lateralis and compared the differences in the quantified variables between the experimental conditions.RESULTS: For the four levels of initial forces production, all the variables showed significant linear relationships with outcome forces. However, the magnitudes of the variables were varied depending on the contraction history at the terminal phase where the identical level of force production (50% of MVC) was required. At the terminal phase, the iEMG was affected by the time history of both mode (e.g., increment or decrement) and magnitude (e.g., 10% or 20% change of MVC), while the tHb and TSI<sub>SLOPE</sub> showed significant differences between the time history of mode only.CONCLUSIONS:The main result of the current study demonstrates the history-dependence of the changes in physiological demands in muscle activation. In particular, the indices of muscle excitation and oxygenation at the same level of force were varied depending on the time history of contraction, which implies the indices of muscle excitation and oxygenation may not be invariant component to specify the levels of outcome forces.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Seyed Taghi Heydari ◽  
Leila Zarei ◽  
Ahmad Kalateh Sadati ◽  
Najmeh Moradi ◽  
Maryam Akbari ◽  
...  

Abstract Background The COVID-19 outbreak is a global pandemic, during which the community preventive and protective behaviors play a crucial role in the containment and control of infection. This study was designed to contribute to the existing knowledge on how risk communication (RC) and risk perception (RP) affect protective and preventive behaviors (PPB) during the COVID-19 outbreak. Methods The required data were extracted from a national online survey of Iranian adults aged 15 and older during March 15–19, 2020 (n=3213). Data analysis was performed using structural equation modeling. Results The study findings reveal that RC has direct and indirect positive effects on PB. Furthermore, this study also provides new evidence indicating that RP mediates the relationship between RC and PB and there is a two-way relationship between RC and RP. These interactions may have impact on risk communication strategies which should be adopted during this pandemic. Conclusion The study findings have remarkable implications for informing future communications as well as interventions during this ongoing outbreak and subsequent national risk events.


2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0011
Author(s):  
Adam Weaver ◽  
Dylan Roman ◽  
Maua Mosha ◽  
Nicholas Giampetruzzi

Background: The standard of care in ACL reconstruction (ACLR) typically involves standardized strength testing at 6 months or later to assess a patient’s readiness to return to play (RTP) using isokinetic and isometric testing, and functional strength testing. Recent literature suggests that isokinetic knee extension strength should demonstrate 89% limb symmetry index (LSI) or greater prior to returning to sport. However, there is little known on the effects of strength testing early in the rehabilitation process and the relationship to strength test performance at time of RTP. Purpose: The purpose of this study was to examine how early post-operative strength test performance impacts isokinetic strength outcomes at RTP testing in adolescents. Methods: The retrospective cohort study included patients undergoing primary ACLR between 12 and 18 years of age, early post-operative strength measures, and isokinetic dynamometer strength at RTP from July 2017 and April 2019. Data was dichotomized into desired outcomes at 3 months: >70% isometric knee extension LSI, > 20 repetitions on anterior stepdown test (AST), > 90% LSI Y Balance. At RTP testing, isokinetic knee extension strength data was categorized into >89% LSI at 3 speeds (300, 180, 60°/sec). Chi square testing and odds ratio statistics were used to examine association and its magnitude. Results: 63 patients met inclusion criteria (38 females; 15.37±1.66 years old). >70% LSI isometric knee extension strength at 3 months showed a significant association (Table 2) and demonstrated the strongest odds of having >89% LSI on isokinetic strength tests at all 3 speeds at RTP with 180°/sec being the highest (OR=14.5; 95% CI=4.25,49.43; p= <0.001). Performance on AST showed a significant association (χ2 (1, n=63) = 17.00, p <0.001), and highest odds at 180°/sec (OR=4.61; 95% CI = 1.59, 13.39, p=<0.001) and 60°/sec (OR= 3.07; 95% CI = 1.10, 8.63, p= 0.04). Combination of performance on isometric strength tests and AST showed a significant association to isokinetic strength at all three speeds, but less predictive then isometrics in isolation. (Table 2). There was no significant relationship between YBR LSI at 3 months and isokinetic strength at 6 months. Conclusion: Standardized strength testing early in rehabilitation can help identify patients that will successfully complete RTP testing. Our results suggest that isometric knee extension strength and timed anterior stepdown test provide meaningful clinical information early in the rehabilitation process. This data also suggests that the use of YBAL for predicting isokinetic strength performance is limited. [Table: see text][Table: see text]


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242324
Author(s):  
Jonathan Harnie ◽  
Thomas Cattagni ◽  
Christophe Cornu ◽  
Peter McNair ◽  
Marc Jubeau

The aim of the current study was to investigate the effect of a single session of prolonged tendon vibration combined with low submaximal isometric contraction on maximal motor performance. Thirty-two young sedentary adults were assigned into two groups that differed based on the knee angle tested: 90° or 150° (180° = full knee extension). Participants performed two fatigue-inducing exercise protocols: one with three 10 min submaximal (10% of maximal voluntary contraction) knee extensor contractions and patellar tendon vibration (80 Hz) another with submaximal knee extensor contractions only. Before and after each fatigue protocol, maximal voluntary isometric contractions (MVC), voluntary activation level (assessed by the twitch interpolation technique), peak-to-peak amplitude of maximum compound action potentials of vastus medialis and vastus lateralis (assessed by electromyography with the use of electrical nerve stimulation), peak twitch amplitude and peak doublet force were measured. The knee extensor fatigue was significantly (P<0.05) greater in the 90° knee angle group (-20.6% MVC force, P<0.05) than the 150° knee angle group (-8.3% MVC force, P = 0.062). Both peripheral and central alterations could explain the reduction in MVC force at 90° knee angle. However, tendon vibration added to isometric contraction did not exacerbate the reduction in MVC force. These results clearly demonstrate that acute infrapatellar tendon vibration using a commercial apparatus operating at optimal conditions (i.e. contracted and stretched muscle) does not appear to induce knee extensor neuromuscular fatigue in young sedentary subjects.


2019 ◽  
Author(s):  
Gareth York ◽  
Hugh Osborne ◽  
Piyanee Sriya ◽  
Sarah Astill ◽  
Marc de Kamps ◽  
...  

AbstractProprioceptive feedback and its role in control of isometric tasks is often overlooked. In this study recordings were made from upper leg muscles during an isometric knee extension task. Internal knee angle was fixed and subjects were asked to voluntarily activate their rectus femoris muscle. Muscle synergy analysis of these recordings identified canonical temporal patterns in the data. These synergies were found to encode two separate features: one concerning the coordinated contraction of the recorded muscles and the other indicating agonistic/antagonistic interactions between these muscles. The second synergy changed with internal knee angle reflecting the influence of afferent activity. This is in contrast to previous studies of dynamic task experiments which have indicated that proprioception has a negligible effect on synergy expression. Using the MIIND neural simulation platform, we developed a spinal population model with an adjustable input representing proprioceptive feedback. The model is based on existing spinal population circuits used for dynamic tasks. When the same synergy analysis was performed on the output from the model, qualitatively similar muscle synergy patterns were observed. These results suggest proprioceptive feedback is integrated in the spinal cord to control isometric tasks via muscle synergies.Significance statementSensory feedback from muscles is a significant factor in normal motor control. It is often assumed that instantaneous muscle stretch does not influence experiments where limbs are held in a fixed position. Here, we identified patterns of muscle activity during such tasks showing that this assumption should be revisited. We also developed a computational model to propose a possible mechanism, based on a network of populations of neurons, that could explain this phenomenon. The model is based on well established neural circuits in the spinal cord and fits closely other models used to simulate more dynamic tasks like locomotion in vertebrates.Conflict of interest statementThe authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.


2018 ◽  
Vol 103 (9) ◽  
pp. 1251-1263 ◽  
Author(s):  
Callum G. Brownstein ◽  
Paul Ansdell ◽  
Jakob Škarabot ◽  
Ash Frazer ◽  
Dawson Kidgell ◽  
...  

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