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Biomedical subjects

D M Pincivero

Publications and source records attributed to D M Pincivero.

At least 19 recordsLinked to original sources

The effects of rest interval length and training on quadriceps femoris muscle. Part I: knee extensor torque and muscle fatigue.

AIM: The purpose of this study was to examine the effects of rest interval on quadriceps femoris (QF) muscle strength and fatigue during short-term, high-intensity training. METHODS: Fifteen healthy males were assessed for isokinetic QF strength, via peak torque (PT), work (WK) and power (PW), at a pre-set angular velocity of 180 deg x s(-1). Quadriceps femoris muscle fatigue was evaluated as the decline in isokinetic work and power (slope) across 30 maximal concentric contractions. Subjects were randomly assigned to 1 of 3 groups: Group 1 (short rest interval), Group 2 (long rest interval), and Group 3 (control-no training). Subjects in Group 1 received a rest period of 40 s in between exercise sets corresponding to a 2:1 rest:work ratio. Subjects in Group 2 received a rest period of 160 s corresponding to an 8:1 rest:work ratio. Groups 1 and 2 performed isokinetic knee extension contractions at 180 deg x s(-1) 2 days per week for 6 weeks. RESULTS: The results demonstrated a significant increase in QF muscle PT across the 6 week training period in the long rest interval group, and no significant changes in the short rest interval and control groups. Quadriceps femoris muscle work and power were observed to not change significantly across the training period in all 3 groups. The reduction in QF muscle work across the single set of 30 repetitions was observed to decrease significantly in the control group across the 6 week duration; no other significant changes in QF muscle fatigue for work and power were observed. CONCLUSION: The major findings of this study suggests that the possibility of different physiological mechanisms of adaptation exist for QF muscle peak torque, work and power, while changes in muscle fatigue resistance may be present when assessed across multiple, rather than a single, bouts of activity.

Adaptation, Physiological↗

The effects of rest interval and resistance training on quadriceps femoris muscle. Part II: EMG and perceived exertion.

AIM: The purpose of this study was to examine the effects of rest interval on quadriceps femoris muscle activation and perceived exertion, during short-term resistance training. METHODS: Vastus medialis (VM) and vastus lateralis (VL) muscle electromyograms (EMG) were assessed in 15 males during a sustained 80% maximal voluntary contraction (MVC). During the pre-training evaluation, the absolute value of the 80% MVC (N.m) and contraction duration (s) was performed at 2, 4, and 6 weeks during the training period. Perceived exertion was measured via the Borg category-ratio scale every 5 s during the 80% MVC. Subjects were randomly assigned to 3 groups: group 1 received a 40 s rest interval in between exercise sets, group 2 received a rest period of 160 s, and the control group did not participate in training. Groups 1 and 2 performed isokinetic knee extensions at 180 deg.s(-1) 2 days per week for 6 weeks. RESULTS: The results demonstrated a significant decrease in VM EMG within the initial portion of the 80% MVC across the training period in the short rest interval group. The long rest interval and control groups showed no significant changes in VM EMG during 1st part of the contraction across the training period, whereas the control group exhibited a significant reduction in VL EMG across weeks 4 to 6. VL EMG increased during the 80% MVC in the control group across the training period. VM EMG increased during the sustained contractions in the long rest interval and control groups across the training period. The perceived exertion response was lower in the 1st part of the 80% MVC in the short and long rest interval groups, but not in the control group, across the training period. The results also showed a significant decrease in perceived exertion at the end of the sustained contraction in the short rest interval group, but not in the long rest interval group or the control group. CONCLUSIONS: The findings from this study suggest that the application of relatively short rest intervals in between sets of resistance exercise induced a greater neuromuscular response of the VM muscle during short-term training.

Adult↗

Knee extensor torque and quadriceps femoris EMG during perceptually-guided isometric contractions.

The aim of this study was to examine superficial quadriceps femoris (QF) EMG and torque at perceived voluntary contraction efforts. Thirty subjects (15 males, 15 females) performed 9, 5 s, sub-maximal contractions at prescribed levels of perceived voluntary effort at points 1-9 on an 11-point scale (0-10), in a random order. Surface electromyograms (EMG) of the vastus medialis (VM), vastus lateralis (VL), and rectus femoris (RF) muscles, as well as QF peak torque (PT), average torque (AT), and torque coefficient of variation (C.V.), were sampled. The raw EMG signals were full-wave rectified and integrated over the middle three s of each contraction. The sampled EMG signals, and PT and AT at each perceived exertion level were normalized to the average of three maximal voluntary contractions. The normalized EMG and torque values at each perceived exertion level were then compared to equivalent percent values (i.e., 10% at a perceived level of 1). The results demonstrated that at all perceived exertion levels, with the exception of the RF at a level of 2 which was equivalent to 20%, and the VL and RF muscles at a level 1 in which activation was greater than 10%, activation was significantly less than the equivalent percent value at each point on the scale. VM EMG was found to be less than the VL and RF from contraction levels 3-9. PT was shown to be less than the equivalent percent values at contraction levels 6-9. The AT was found to be lower than the expected percent value at perceived effort levels 2-9. Torque C.V. was not found to be different across the range of perceived effort. The major findings of this study suggested that humans over-estimate voluntary QF muscle torque when guided by perceptual sensations. It is also suggested that the produced EMG signals revealed a reliance on the VL muscle for knee extensor torque generation at sub-maximal levels.

Adult↗

The effects of ACL injury on lower extremity activation during closed kinetic chain exercise.

AIM: Injury to the anterior cruciate ligament (ACL) has been suggested to alter the neuromuscular mechanism in the lower extremity. However, conclusive evidence regarding this occurrence has yet to be established during closed kinetic chain exercise. The purpose of this study was to assess differences in muscle activation during slideboard exercise between non-injured, ACL deficient, and ACL reconstructed individuals. METHODS EXPERIMENTAL DESIGN: comparative study. SETTING: research laboratory. PARTICIPANTS: subjects for this study included 10 healthy, non-injured (NI) individuals, 7 uni-lateral ACL deficient (ACLD) individuals, and 6 uni-lateral ACL reconstructed (ACLR) individuals. INTERVENTIONS: EMG activity was measured from the vastus medialis (VM), vastus lateralis (VL), medial hamstring (MH), lateral hamstring (LH), tibialis anterior (TA), and medial gastrocnemius (MG) muscles during slideboard performance. MEASURES: EMG for each muscle during each of 6 phases of 1 average slideboard cycle was expressed as a percentage of EMG during a maximal voluntary contraction. RESULTS: The results demonstrated that during slideboard phase I the VM, VL, and TA muscles generated the greatest amount of activity as compared to the other muscles. Vastus medialis muscle activation was found to be significantly higher than the other muscles in the involved/dominant limb, as compared to the non-involved/non-dominant limb during slideboard phase II. During slideboard phases III-VI, tibialis anterior muscle activation was found to be consistently higher than the other muscles, while hamstring muscle activity was consistently the lowest. CONCLUSION: It is concluded that adaptive changes following ACL injury during a dynamic, closed kinetic chain activity such as the slideboard exercise, may be a restoration of a bi-lateral balance in muscle activation.

Adult↗

Physiologic response to a prescribed rating of perceived exertion on an elliptical fitness cross-trainer.

AIM: Perceived exertion during physical exercise is a major intrinsic factor for making decisions regarding intensity levels. The use of perceptual indices as a prescriptive guide of exercise intensity may be a valuable tool, should it be concomitant with physiological responses. The purpose of this study was to evaluate the physiologic response during exercise on an elliptical fitness cross-trainer at a prescribed level of perceived exertion. METHODS: Twenty, recreational exercisers (8 males, 12 females) were habituated to the elliptical cross-trainer and then assessed for their peak oxygen utilization (VO(2)) and peak heart rate (HR) using an incremental protocol. The point of volitional fatigue during the maximal test was used to anchor a modified Borg Category Ratio (CR-10) scale. Following a rest period of 48-72 hours, a second exercise session was performed at a prescribed perceived exertion level of 6. The subjects were instructed to manipulate the resistance and striding cadence to maintain the prescribed perceived exertion level for 15 min, during which VO(2) and HR were analyzed. RESULTS: The results from this study demonstrated that at exercise steady state, which occurred 4 min after the start of the protocol, relative VO(2) averaged 75.2+/-12.9% and relative HR was 91+/-.01%. Oxygen utilization and HR values were found to be significantly higher than a corresponding relative RPE in 20 recreational exercises when exercising on an elliptical fitness cross-trainer. CONCLUSION: This response has implications when using RPE as a prescriptive means of intensity regulation.

Adult↗

The effects of voluntary contraction intensity and gender on perceived exertion during isokinetic quadriceps exercise.

The objectives of the present study were to: (1) examine perceived exertion across different target voluntary contraction intensities, (2) compare perceived exertion ratings with actual target intensities, and (3) compare perceived exertion ratings between males and females. The subjects for this study included 30 healthy, college-aged male (n = 15) and female (n = 15) volunteers. All subjects were free of orthopedic, cardiopulmonary, systemic and neurological disease. Each subject completed five maximal isokinetic, concentric quadriceps contractions in a seated position at 60 degrees.s-1 to determine their single, highest peak torque. All subjects then completed, in a random order, 3-5 submaximal isokinetic contractions at 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, and 90% of their single, highest peak torque. Each relative contraction level (i.e., percentage) was achieved by having the subjects attempt to match the peak of their torque curve to a horizontal line on a computer monitor. Perceived exertion was measured by asking the subjects to provide a number that corresponded to the feelings in their quadriceps during exercise by viewing a modified category-ratio (CR-10) scale. The results of a two-factor (gender x intensity) analysis of variance revealed a significant, intensity main effect (F8,232 = 92.19, P < 0.001, eta 2 = 0.77, 1 - beta = 0.99) and no significant gender main effect (F8,232 = 2.66, P = 0.11, eta 2 = 0.09, 1 - beta = 0.35) or interactions (F8,232 = 1.01, P = 0.43, eta 2 = 0.04, 1 - beta = 0.46). The findings of this study demonstrate that perceived exertion is significantly (P < 0.05) different from the specific target values on the CR-10 scale at 10%, and 50-90% maximum voluntary contraction. The results revealed that the increase in perceived exertion across the contraction intensities could be fit to both linear (F1,29 = 205.41, P < 0.001, eta 2 = 0.88, 1 - beta = 0.99) and quadratic (F1,29 = 10.05, P = 0.004, eta 2 = 0.26, 1 - beta = 0.87) trends. These findings suggest that perceived exertion is underestimated during submaximal isokinetic exercise, and is not different between males and females.

Adult↗

Assessment of the reliability of high-intensity quadriceps femoris muscle fatigue.

OBJECTIVE: The purpose of this study was to evaluate test-retest reliability of two different measures of isokinetic quadriceps muscle fatigue. METHODS: Subjects for this study included 16 healthy, college age volunteers. Each subject performed 30 maximal, concentric repetitions on the Biodex System II Isokinetic Dynamometer at a preset angular velocity of 180 degrees.s(-1) for both the dominant and nondominant legs. Quadriceps work was evaluated between an angular range of 10 degrees and 60 degrees of flexion for each repetition. Quadriceps muscle fatigue was calculated through a fatigue index (work performed last 5 repetitions/work performed first five repetitions x 100) and the linear slope (beta) across the 30 repetitions. The subjects participated in two test sessions separated by one to two weeks. Intraclass correlation coefficients (ICC) and standard errors of measurements (SEM) were calculated for each fatigue measure on both legs. RESULTS: The findings demonstrated moderate to high ICCs for the nondominant leg (ICC = 0.78--0.92) and high ICCs for the slope and y-intercept for the dominant leg (ICC = 0.82 and 0.89, respectively). The fatigue index for the dominant leg was found to be low (ICC = 0.26). CONCLUSIONS: The findings of this study suggest that the quantification of muscle fatigue during high-intensity, short-term exercise is more reliably described by the slope, which is related to the magnitude of force output.

Adult↗

The effects of joint angle and reliability on knee proprioception.

PURPOSE: The purpose of this study was to examine the reliability and effects of knee angle on the detection and subsequent response to passive knee movement. METHODS: Twenty college-aged male and 20 female volunteers were evaluated for proprioception by a newly developed perturbation test. Subjects were in a prone position on an isokinetic chair with their right lower leg attached to a freely moving resistance adapter. The knee was placed in a starting position of 15, 30, or 60 degrees of flexion. While relaxed, the knee was dropped into extension, and the subjects were instructed to "catch their leg" when movement was perceived. Five trials were completed at each angle, in a random order. An electrogoniometer was secured to the lateral portion of the knee in order to measure angular displacement after perturbation in two specific phases: detection (displacement from leg release to movement cessation) and response (displacement from movement cessation to peak knee flexion). A three-factor ANOVA (two repeated factors (knee angle and proprioception phase) and one between factor (gender)) was performed on the average and standard deviation of the five trials for significant main effects and interactions. RESULTS: The results demonstrated a significant phase by angle interaction, and no gender effect. It was shown that at a more extended knee joint position (15 degrees), significantly less knee movement occurred before perception, followed by a greater response, than in a more flexed position (30 and 60 degrees). CONCLUSION: The major findings of this study suggest that the detection of passive knee movement, and the subsequent voluntary response, may be dependent on joint angle. Considerations of the present method for proprioception assessment are warranted to enhance test-retest reliability.

Adult↗

Influence of contraction intensity, muscle, and gender on median frequency of the quadriceps femoris.

The purpose of this study was to assess the effects of contraction intensity, gender, and muscle on median frequency of the three superficial portions of the quadriceps femoris muscle. Thirty healthy volunteers were assessed for isometric electromyogram activity of the vastus medialis (VM), vastus lateralis (VL), and rectus femoris (RF) muscles with the knee at 60 degrees flexion. Subjects performed 5-s isometric contractions at 10, 20, 30, 40, 50, 60, 70, 80, and 90% of the average of three maximal voluntary contractions. Median frequency (f(med)) of the three muscles was assessed through a power spectral analysis performed over 11 consecutive 512-ms epochs overlapping each other by one-half their length. The f(med) for each of the 11 epochs was then determined, followed by calculation of the mean and SD. The major findings of this study demonstrated that overall f(med) was significantly highest for the VL and lowest for the VM, whereas RF f(med) was between that of the other two muscles. Similar findings were observed for f(med) variability as the VL was significantly higher than the VM and RF, with no gender differences or differences between the latter two muscles. The results demonstrate that the largest change in f(med) as a function of contraction intensity occurred for the VL in men (18.6%) and women (7.6%). These findings suggest that muscle fiber-type homogeneity may exist in the VM and RF, which displayed negligible changes in f(med), whereas the VL may possess greater morphological variability.

Adult↗

Activation linearity and parallelism of the superficial quadriceps across the isometric intensity spectrum.

The purpose of this study was to assess neuromuscular activation of the three superficial portions of the quadriceps femoris muscles during linearly increasing isometric contraction intensities. Thirty healthy volunteers were assessed for isometric electromyographic (EMG) activity of the vastus medialis (VM), vastus lateralis (VL), and rectus femoris (RF) muscles with the knee at 60 degrees of flexion. For 5 s, subjects performed isometric contractions equivalent to 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, and 90% of the average of three maximal voluntary contractions (MVC), in random order. Full-wave rectified and integrated EMG signals over the middle 3 s of each contraction were expressed as a percentage of the activity recorded during the three averaged MVCs. One sample t-tests and 95% confidence intervals were calculated at each relative torque level. A two-factor analysis of variance (muscle by intensity) with repeated measures was performed to evaluate parallel activation across the intensity levels. Activation linearity was assessed via regression analysis for each muscle. VM activation was shown to be significantly lower than expected at 20-70% MVC. VL and RF activations were significantly higher than expected at 10% MVC, and RF EMG was less than expected at 40-70% MVC. EMG of VM was shown to increase significantly more than VL and RF from 80% to 90% MVC. Significant linear and quadratic relations were also demonstrated for all three muscles. Parallel activation of the superficial quadriceps muscles occurred from low to moderate intensities, whereas convergence was noted at near maximal intensities.

Adult↗

Quadriceps activation and perceived exertion during a high intensity, steady state contraction to failure.

The ability to sustain a high-intensity, steady-state muscle contraction may have differential effects on neuromuscular activation and perceived exertion. The purpose of this study was to examine changes in neuromuscular activation and perceived exertion at a near-maximal steady-state contraction of the quadriceps in healthy men. Seventeen healthy, college-aged male volunteers were studied during isometric contractions equivalent to 80% of the maximum voluntary contraction (MVC). Perceived exertion was measured with a modified category-ratio scale (CR-10). The CR-10 scale was anchored with one high anchor at 100% MVC and one low anchor at 10% MVC. Subjects then performed an 80% MVC for as long as they could sustain it. Subjects were asked to rate the feelings in their quadriceps every 5 s during the contraction. The results demonstrated significant increases in neuromuscular activation of the vastus medialis and vastus lateralis muscles (P < 0.05) during the 80% MVC, but there were no significant muscle by time interactions. The results also demonstrated a significant increase (P < 0.05) in perceived exertion during the 80% MVC. Neuromuscular activation of both muscles, and perceived exertion, were found to increase in linear (P < 0.05) and quadratic (P < 0.05) trends. Alterations in motor unit discharge properties or impairments in muscle fiber membrane excitability may account for nonlinear increases in vastii muscle activation and perceived exertion.

Adult↗

Quadriceps-hamstring EMG activity during functional, closed kinetic chain exercise to fatigue.

It has been hypothesized that the ability of the neuromuscular system to co-contract muscles for joint stabilization may be impaired during the development of fatigue. The purpose of this study was to examine muscle activation of the quadriceps and hamstring muscles during a prolonged closed kinetic chain exercise, the forward lunge. Eight males and two females [mean (SD) age 26.0 (2.3) years, height 177.2 (13.6) cm, body mass 82.8 (17.1) kg] with no prior knee pathology volunteered for this study. Subjects performed repeated forward lunges onto their dominant leg at the cadence of one full lunge cycle every 2 s, until the point of volitional failure. Digital switches were positioned to record foot-strike and knee-strike of the lunge leg at the midpoint of the lunge, as well as heel-strike upon return to stance. During the lunge performance, surface electromyographic (EMG) signals of the vastus lateralis (VL), vastus medialis (VM), biceps femoris (BF), and semitendinosus (ST) muscles of the supporting leg were measured. Heart rate was also monitored every 30 s during the performance. All EMG data were full-wave rectified, partitioned into up and down phases, and integrated over the entire exercise period. The results demonstrated a significant increase in activation of the VL, VM, and BF during performance of the forward lunge to volitional failure (P < 0.05). No significant increase was shown for the ST. Heart rate increased significantly over the course of the lunge. These findings suggest that activation of the VL, VM, and BF muscles occurs as a unit during performance of the forward lunge during both concentric and eccentric lunge phases.

Adult↗

Gender and muscle differences in EMG amplitude and median frequency, and variability during maximal voluntary contractions of the quadriceps femoris.

The purpose of this study was to evaluate gender and muscle differences in electromyographic (EMG) amplitude and median frequency mean and standard deviation during maximal voluntary contractions of the quadriceps femoris. Thirty recreationally active volunteers were assessed for isometric EMG activity of the vastus medialis (VM), vastus lateralis (VL), and rectus femoris (RF) muscles during three 5-s maximal isometric voluntary contractions (MVCs). Median frequency of the three muscles was assessed through a power spectral analysis (fast Fourier transformation, Hanning window processing, 512 points). The power spectral analysis was performed during the middle 3 s of each contraction over 11 consecutive, 512 ms epochs overlapping each other by half their length (256 ms). The median frequency (F(med)) for each of the 11 windows was determined for each muscle. The mean and standard deviation of the F(med) across the 11 overlapping windows were then calculated for each contraction and muscle. EMG amplitude was determined by calculating the root mean square (RMS-50 ms time constant) over the same contraction period for each muscle. The mean amplitude and standard deviation about the mean value were then determined. A three-factor ANOVA with repeated measures was performed on the calculated F(med) mean and standard deviation values, and RMS standard deviations, to assess any gender, muscle, or trial differences, or interactions. A two-factor (gender by muscle) ANOVA with repeated measures was performed on the RMS mean amplitude for each muscle. Intraclass correlation coefficients (ICCs-2,1), standard errors of measurement (SEMs), and associated 95% confidence intervals were then calculated for maximal quadriceps torque and F(med) for each muscle. The results from this study demonstrated that the VL muscle displayed significantly higher F(med) values than the RF and VM muscles. The RF muscle showed significantly higher F(med) values (mean of 11 overlapping windows) than the VM muscle. Intrasession reliability was found to be high for the calculated mean values (ICC=0.85-0.96), but was shown to be low for variability (ICC=0.13-0.45). The major findings of this study support the notion that the EMG signal is "quasi-random" in nature, as demonstrated by the reproducible F(med) means and unreliable variability.

Adult↗

Perceived exertion during isometric quadriceps contraction. A comparison between men and women.

BACKGROUND: 1) To examine the validity and accuracy of the CR-10 scale for evaluating perceived exertion, and 2) to assess gender differences in perceived exertion across different levels of contraction intensity. METHODS EXPERIMENTAL DESIGN: cross-sectional, comparative design. SETTING: Human Performance and Fatigue Laboratory, Eastern Washington University. SUBJECTS: 30 healthy, college age volunteers (15 males, 15 females). MEASURES: All subjects were assessed for isometric torque and perceived exertion of the quadriceps femoris muscles, via the CR-10 scale. One low anchor was applied under resting conditions with the knee flexed to 60 degrees, and a high anchor was applied during a maximal voluntary muscle contraction (MVC). SUBJECTS performed five-second isometric contractions equivalent to 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, and 90% of their MVC, in a random order, and were assessed for perceived exertion by visually observing the CR-10 scale. One sample "t"-tests and 95% confidence intervals were calculated for perceived exertion at each relative torque level. A single factor ANOVA with repeated measures was performed across al levels of exercise intensity. Linearity for perceived exertion was assessed via regression analysis. RESULTS: Perceived exertion at each exercise intensity were as follows: 10%: 1.87+/-1.14, 20%: 2.43+/-1.19, 30%: 3.5+/-1.36, 40%: 3.97+/-1.52, 50%: 4.73+/-1.28, 60%: 5.53+/-1.28, 70%: 6.73+/-1.62, 80%: 7.57+/-1.72, and 90%: 8.6+/-1.52. The increase in perceived exertion across the intensity spectrum was found to fit both linear and quadratic trends. There were no gender differences in perceived exertion across all levels of exercise intensity. CONCLUSIONS: The findings demonstrate that the CR-10 scale closely approximates perceived exertion of the quadriceps femoris muscles during sub-maximal, static contractions, and is not gender specific.

Cross-Sectional Studies↗

Changes in forearm blood flow during single and intermittent cold application.

STUDY DESIGN: Two-factor repeated measures design. OBJECTIVES: To compare the effects of a 20-minute cold application to the effects of a 20-minute cold application followed by 20 additional minutes of intermittent cold on forearm blood flow over a 60-minute period. BACKGROUND: The appropriate duration of cold application as a therapeutic modality following soft tissue trauma is an important clinical question because the goal of using this modality is to limit edema, decrease pain, and produce effective muscle relaxation without causing cold-induced reactive vasodilatation or nerve damage. METHODS AND MEASURES: Thirteen subjects (mean age, 21.46 +/- 4.01 years) volunteered to participate in this study. A bilateral tetrapolar impedance plethysmograph was used with venous occlusion to measure changes in local limb blood volume at the forearm for a period of 60 minutes under 2 conditions: Condition 1: Prolonged intermittent cold application (20 minutes ice application; 10 minutes off; 10 minutes ice on; 10 minutes off; 10 minutes ice on); Condition 2: Cold followed by application of a room-temperature pack of equal weight to the ice bag (20-minute ice application; 10 minutes off; 10 minute room-temperature pack on; 10 minutes off; 10-minute room-temperature pack on). RESULTS: A significantly lower blood flow was noted during the last 10 minutes of Condition 1 compared with Condition 2. CONCLUSIONS: The findings of this study indicate that blood flow is reduced when a prolonged intermittent cold application (Condition 1) is used compared to a single cold application (Condition 2).

Adult↗

The effects of rest interval on quadriceps torque and perceived exertion in healthy males.

BACKGROUND: The ability to generate maximal muscular force is dependent upon time mediated mechanisms of fatigue. Interset rest interval length may not only affect force production but may also manifest changes in ratings of perceived exertion (RPE). The purpose of this study was to examine the effects of rest interval on quadriceps torque and RPE during multiple sets of resisted knee extensions. METHODS: 14 healthy male volunteers were assessed for concentric isokinetic quadriceps peak torque, total work, and average power on the Biodex System II Isokinetic Dynamometer at a preset angular velocity of 180 deg.sec-1. Perceived exertion was measured with a modified category-ratio scale (CR-10). Under isometric conditions the perceptual range was anchored with one high and two low anchors. Subjects were randomly assigned to one of two groups: short rest interval (Group 1, 40 sec) and long rest interval (Group 2, 160 sec). All subjects performed 4 sets of 20 maximal isokinetic contractions with an inter-set rest interval that corresponded to their group assignment. Following the completion of each set subjects were asked to assign a rating out of 10 to the feelings in their quadriceps by visually observing a chart of the CR-10 scale. RESULTS: The results demonstrated a significantly greater decline in quadriceps peak torque (p < 0.05), total work (p < 0.05), and average power (p < 0.05) by Group 1 as compared to Group 2. Changes in RPE across the 4 sets of exercise did not show a significant difference between the 2 groups. CONCLUSIONS: The generation of quadriceps torque is a function of rest interval length, whereas perceived exertion appears to be unaffected.

Adult↗

The effects of muscular fatigue on shoulder proprioception.

OBJECTIVE: To assess the influence of muscular fatigue on active and passive shoulder proprioception within the midrange of rotation. DESIGN: A randomized controlled, before-and-after design. SETTING: Neuromuscular research laboratory. PARTICIPANTS: Twenty recreationally active men (mean age, 23.81+/-2.77 years) were randomly assigned to either a control or a fatigue group. Exclusion criteria were any history of upper extremity injury or pathology, cardiovascular disease, or disease affecting the sensory system. INTERVENTION: Shoulder proprioception was assessed by active reproduction of passive positioning (ARPP), active reproduction of active positioning (ARAP), reproduction of passive positioning (RPP), and threshold to detect passive motion (TTDPM). For each test direction, the experimental group performed two bouts of maximal reciprocal concentric isokinetic internal and external contractions at 180 degrees/s until peak torque decreased to 50% of the established maximum voluntary contraction. After two bouts of the fatigue protocol, subjects were randomly assessed for proprioception into internal or external rotation. MAIN OUTCOME MEASURES: The absolute angular error for active and passive proprioception was measured on the Biodex System II Isokinetic Dynamometer (Biodex Medical Inc., Shirley, NY, U.S.A.) and a proprioception testing device, respectively. MAIN RESULTS: A two-factor repeated measures analysis of variance revealed no significant interactions between the experimental and control groups for ARPP, ARAP, RPP, or TTDPM. CONCLUSIONS: Shoulder proprioception was not affected by the short-duration, high-intensity protocol used in this study. This may be due to the lack of an extended recovery period observed with this type of fatigue regimen.

Adult↗

Proprioception of the ankle and knee.

Proprioception and accompanying neuromuscular feedback mechanisms provide an important component for the establishment and maintenance of functional joint stability. Neuromuscular control and joint stabilisation is mediated primarily by the central nervous system. Multisite sensory input, originating from the somatosensory, visual and vestibular systems, is received and processed by the brain and spinal cord. The culmination of gathered and processed information results in conscious awareness of joint position and motion, unconscious joint stabilisation through protective spinal-mediated reflexes and the maintenance of posture and balance. Clinical research aimed at determining the effects of articular musculoskeletal injury, surgery and rehabilitation, on joint proprioception, neuromuscular control and balance has focused on the knee and ankle joints. Such studies have demonstrated alterations in proprioception subsequent to capsulo-ligamentous injury, partial restoration of proprioceptive acuity following ligamentous reconstruction, and have suggested beneficial proprioceptive changes resulting from comprehensive rehabilitation programmes.

Ankle Joint↗