Lower limb muscle strength and physical activity in healthy individuals approaching retirement

The purpose of this study was to examine knee extensor/flexor muscle strength and physical activity in healthy males and females approaching retirement. Peak torques of the knee extensor and knee flexor muscle groups were measured bilaterally in 95 individuals (mean age 59.4 years) using an isokinetic dynamometer. Isokinetic concentric contractions were performed at angular velocities of 1.05 and 3.14 rad x s(-1). Physical activity, including household, leisure, and sporting activities, was assessed. The results show that the average peak torques exhibited were lower than previously reported in studies using the same methodology with different populations of similar age and body size. Over one-third of the participants were sedentary, with just 13% being active enough to obtain health benefits. The poor muscle strength and low physical activity of this self selecting group of healthy working adults were surprising, and potentially a cause for concern. The combination of retirement being a potential watershed for a decrease in physical activity and the known age-related decline in physical performance indicates that some of these participants are at risk of losing their functional independence fairly early in the retirement stage. We recommend the introduction of effective health promotion interventions for individuals approaching retirement, encouraging them to become more physically active.     

Angle-specific knee muscle torques of ACL-reconstructed subjects and determinants of functional tests after reconstruction

The purposes of this study were to analyse (a) if “angle-specific” (AS) flexor and extensor torques were different between ACL-reconstructed and uninvolved limbs, (b) the difference in peak torque occurrence angles for concentric and eccentric knee flexor and extensor torques between involved and uninvolved limbs and (c) if AS concentric and eccentric knee flexor and extensor torques are determinants of performance in the “single-leg hop test” (SLHT) and “vertical jump and reach test” (VJRT) in ACL-reconstructed legs. Twenty-seven male ACL-reconstructed volunteers were included in the study. Isokinetic knee muscle strength, SLHT and VJRT were performed 6 months after ACL reconstruction. No difference was found in extremity and knee joint angle interaction for concentric and eccentric flexor and extensor torques (p > 0.05). Peak torque occurrence angles were not different between involved and uninvolved limbs (p > 0.05). In involved extremities, concentric knee extensor strength at 90° was a determinant of SLHT performance (R² = 0.403, p < 0.05), and concentric knee extensor strength at 60° was a determinant of VJRT (R² = 0.224, p < 0.05). Assessment of AS concentric knee extensor strength at 60° and 90° might be important, because these were determinants of functional test performance.     

Decrements in knee extensor and flexor strength are associated with performance fatigue during simulated basketball game-play in adolescent,male players

This study quantified lower-limb strength decrements and assessed the relationships between strength decrements and performance fatigue during simulated basketball. Ten adolescent, male basketball players completed a circuit-based, basketball simulation. Sprint and jump performance were assessed during each circuit, with knee flexion and extension peak concentric torques measured at baseline, half-time, and full-time. Decrement scores were calculated for all measures. Mean knee flexor strength decrement was significantly (P < 0.05) related to sprint fatigue in the first half (R = 0.65), with dominant knee flexor strength (R = 0.67) and dominant flexor:extensor strength ratio (R = 0.77) decrement significantly (P < 0.05) associated with sprint decrement across the entire game. Mean knee extensor strength (R = 0.71), dominant knee flexor strength (R = 0.80), non-dominant knee flexor strength (R = 0.75), mean knee flexor strength (R = 0.81), non-dominant flexor:extensor strength ratio (R = 0.71), and mean flexor:extensor strength ratio (R = 0.70) decrement measures significantly (P < 0.05) influenced jump fatigue during the entire game. Lower-limb strength decrements may exert an important influence on performance fatigue during basketball activity in adolescent, male players. Consequently, training plans should aim to mitigate lower-limb fatigue to optimise sprint and jump performance during game-play.     

Isokinetic imbalance of hip muscles in soccer players with osteitis pubis

Abstract

In this study, we compared the isokinetic torques of hip flexors/extensors and abductors/adductors in soccer players suffering from osteitis pubis (OP), with normal soccer players. Twenty soccer male athletes with OP and 20 normal soccer athletes were included in this study. Peak torque/body weight (PT/BW) was recorded from hip flexor/extensor and abductor/adductor muscles during isokinetic concentric contraction modes at angular velocity of 2.1 rad · s^?1, for both groups. The results showed a significant difference between the normal and OP groups for hip flexors (P < 0.05). The normal group had significant, lower PT/BW value than the OP group for their hip flexors (P < 0.05). The hip flexor/extensor PT ratio of OP affected and non-affected limbs was significantly different from that of normal dominant and non-dominant limbs. There were no significant differences between the normal and OP groups for hip extensor, adductor and abductor muscles (P > 0.05). Regarding the hip adductor/abductor PT ratio, there was no significant difference between the normal and OP groups of athletes (P > 0.05). The OP group displayed increase in hip flexor strength that disturbed the hip flexor/extensor torque ratio of OP. Therefore, increasing the hip extensor strength should be part of rehabilitation programmes of patients with OP.     

The effects of imagery training on fast isometric knee extensor torque development

Abstract

We hypothesized that imagery training would improve the fast onset of neuromuscular activation and thereby fast knee extensor isometric torque development. Forty young healthy participants, not involved in strength training, were assigned to one of four groups: physical training, imagery training, placebo training or control. The three training groups had three 15 min sessions per week for 4 weeks, with a 90° knee angle but were tested also at 120°. At 90° knee angle, maximal torque increased (～8%) similarly in all three training groups. The torque–time integral (contractile impulse) over the first 40 ms after torque onset (TTI40) increased (P < 0.05) after physical training (by ～100%), but only at 90°. This increase was significantly different from the delta values (change pre to post) in the control and placebo groups, whereas delta values in the imagery group were similar to those in the placebo group. The increases in TTI40 following physical training were related (r ² = 0.81, P < 0.05) to significant increases of knee extensor rectified surface EMG at torque onset (EMG40). In conclusion, only physical training led to a knee angle specific increase of contractile impulse that was significantly different from placebo and controls and that was related to improved onset of neuromuscular activation.     

Assessment of the risk and biomechanical consequences of lateral epicondylalgia by estimating wrist and finger muscle capacities in tennis players

Previous studies suggested that a pronounced weakness of the extensor muscles relative to the flexor muscles could increase the risk of occurrence of lateral epicondylalgia. This study investigates this hypothesis by estimating the ratio of extensor to flexor muscle capacities among healthy non-players (n = 10), healthy tennis players (n = 20), symptomatic players (n = 6), and players who have recovered from lateral epicondylalgia (n = 6). Maximum net joint moments in flexion or extension were measured during seven tasks involving the voluntary contraction of wrist and fingers. Using these data, the muscle capacities of the main muscle groups of the hand (wrist flexors, wrist extensors, finger flexors, finger extensors, and intrinsic muscles) were estimated using a musculoskeletal model. These capacities were then used to compute the extensor/flexor capacity ratios about the wrist and the finger joints. Compared to healthy non-players, healthy players presented higher extensor muscle capacities and greater capacity ratios showing that playing tennis generates specific adaptations of muscle capacities. Interestingly, symptomatic players, similar to those of non-players, showed more imbalanced ratios than healthy players. These results confirm that the ratio of extensor/flexor muscle capacities seems to be associated with lateral epicondylalgia and can be further used to understand its incidence and consequences.     

Differences in trunk and thigh muscle strength,endurance and thickness between elite sailors and non-sailors

Dinghy sailors lean their upper body over the windward side of the boat (‘hiking’) to keep the boat’s balance and maximise its speed. Sustaining the hiking position is essential for competitive performance and this study examined sport-specific differences of muscles relevant for hiking in elite sailors. Knee extensor muscle strength as well as trunk muscle strength, muscle endurance and muscle thickness were assessed in elite dinghy sailors (n = 15) and compared to matched, non-sailing controls (n = 15). Isometric extensor strength was significantly higher in sailors at 60° (+14%) but not at 20° knee flexion. Sailors showed significantly higher trunk flexor (but not extensor) strength under isometric (+18%) and eccentric (+11%) conditions, which was associated to greater muscle thickness (rectus abdominis +40%; external oblique +26%) and higher endurance for ventral (+66%) and lateral (+61%) muscle chains compared to non-sailors. Greater muscles thickness and the particular biomechanical requirements to maintain the hiking position may drive the increases in isometric and eccentric muscle strength as well as ventral and lateral trunk endurance. The current findings identified sport-specific muscle function differences and provide performance benchmarks for muscle strength and endurance in elite sailors.     

A Kinetic Analysis of the Ground Leg During Sprint Running

Abstract

Fifteen highly skilled sprinters were filmed while running at maximum velocity. The results were digitized and computer processed with interest focused on the muscle moments generated about the hip, knee, and ankle of the ground leg. Muscle activity about the hip consisted of extensor (concentric) dominance from foot descent, through foot strike, and into mid-support. Muscle dominance shifted to the hip flexors (eccentric) during mid-support and continued through takeoff. Muscle dominance at the knee demonstrated a pattern of flexor (eccentric, then concentric) dominance from foot descent through foot strike and into mid-support. Knee extensors (eccentric, then concentric) then achieved dominance through takeoff. During the later stages of takeoff, the dominance decreased or reversed briefly to flexor (eccentric) activity prior to a period of minimal activity following the toe-off position. From a period of minimal activity prior and subsequent to ground contact, the plantar flexors (eccentric, then concentric) of the foot were dominant throughout the ground phase. Qualitatively, the unexpected knee flexor dominance during foot strike was generated to limit the braking action created during this portion of ground contact. The unanticipated hip flexor dominance during takeoff served to rotate the upper body forward and into the approaching air phase. In addition, both of these actions allowed efficient use of the two-joint muscles of the leg during the critical phases of ground contact. Finally, the minimizing or reversing of the knee extensor dominance during the later stages of takeoff served to protect the joint from injury. Quantitatively, the magnitude of hip extensor/knee flexor activity during foot strike was significantly related (r = .70, p = .01) to the prior occurrences of related leg injury in the subjects.     

The effects of stretching on knee flexor fatigue and perceived exertion

Abstract

The objective of this study was to examine the effects of acute static muscle stretch on hamstring muscle fatigue and perceived exertion between young adult men and women. Twenty volunteers participated in two experimental sessions, in which we assessed maximal-effort isokinetic knee flexor force (90° · s^?1) and the number of sub-maximal (50% maximal) knee flexor repetitions to the point of failure. Immediately before the sub-maximal contractions on one randomly selected session, participants received ten 30-s passive knee flexor muscle stretches. Perceived exertion was sampled with a modified Borg category-ratio scale following each sub-maximal repetition. Each participant's perceived exertion response was estimated every 10% across the sub-maximal repetitions, via linear interpolation and power-function modelling. The men generated significantly greater force than the women during both experimental sessions, while muscle stretching had no significant effect on the number of sub-maximal repetitions. When estimated via power-function modelling, perceived exertion increased at a significantly greater rate following muscle stretch. Perceived exertion was significantly greater for the women following muscle stretch than the men. The findings suggest that the elevation in perceived exertion following knee flexor muscle stretching may be greater in women than men, despite no significant alterations in mechanical measures of muscle fatigue.     

Low-intensity electrical muscle stimulation induces significant increases in muscle strength and cardiorespiratory fitness

The aim of this study was to investigate the effect of low-intensity exercise training using belt electrode skeletal muscle electrical stimulation on muscle strength and cardiorespiratory fitness in healthy subjects. Nineteen healthy subjects were allocated into control or intervention groups; in both groups the participants kept regular physical activity while the intervention group underwent 30 min B-SES training at 3–4 METs for four weeks. Knee extensor muscle strength and cardiorespiratory endurance during incremental exercise test were measured at baseline and after four weeks for all participants. The relative change of knee extensor muscle strength in the intervention group was significantly higher than control group (p?p?相似文献   

等动测力及康复训练系统在运动员膝关节损伤后力量训练中的应用

研究利用等动测力及康复系统对膝关节损伤的女运动员进行等速向心训练。经过约8周的训练,患膝屈伸肌群的峰值力矩在不同测试速度下均有显著提高,但伸肌峰值力矩提高较屈肌快。此次研究表明等速向心训练对膝关节损伤后的肌肉功能恢复有一定的促进作用。     

Reciprocal Versus Nonreciprocal Assessment of Knee Flexors and Extensors in Concentric Actions Using the CON-TREX Multijoint Isokinetic Dynamometer: A Reliability Study

Knee flexor and extensor muscular assessment via isokinetic dynamometry is common practice and established in the research literature. However, reporting assessment methodology regarding reciprocal and nonreciprocal movements is often vague or absent. Such methodological issues are crucial for accurate assessments. Therefore, knee extensor and flexor peak moment using either reciprocal movement or nonreciprocal modalities was assessed. Fifteen participants performed three blocks of five concentric muscle actions at three angular velocities [1: nonreciprocal (maximal active flexion followed by passive extension); B2: reciprocal (maximal active extension followed by maximal active flexion); B3 nonreciprocal (maximal active extension followed by passive flexion)]. ANOVA revealed statistically significant within-subject modality effects for peak knee extensor moment and flexor velocity and modality differences (p < .05). Reciprocal and nonreciprocal assessments give significantly different results, with nonreciprocal giving higher peak moments. Reporting which modality is used is crucial to allow for greater clarity for the reader and practitioner.     

Net joint moments and muscle activation in barbell squats without and with restricted anterior leg rotation

Muscle utilisation in squat exercise depends on technique. The purpose of this study was to compare net joint moments (NJMs) and muscle activation during squats without and with restricted leg dorsiflexion. Experienced men (n = 5) and women (n = 4) performed full squats at 80% one repetition maximum. 3D motion analysis, force platform and (EMG) data were collected. Restricting anterior leg rotation reduced anterior leg (P = 0.001) and posterior thigh (P < 0.001) rotations, resulting in a smaller knee flexion range of motion (P < 0.001). At maximum squat depth, ankle plantar flexor (P < 0.001) and knee extensor (P < 0.001) NJM were higher in unrestricted squats. Hip extensor NJM (P = 0.14) was not different between squat types at maximum squat depth. Vastus lateralis (P > 0.05), vastus medialis (P > 0.05) and rectus femoris (P > 0.05) EMG were not different between squat types. Unrestricted squats have higher ankle plantar flexor and knee extensor NJM than previously reported from jumping and landing. However, ankle plantar flexor and knee extensor NJM are lower in restricted squats than previous studies of jumping and landing. The high NJM in unrestricted squat exercise performed through a full range of motion suggests this squat type would be more effective to stimulate adaptations in the lower extremity musculature than restricted squats.     

The influence of variable resistance moment arm on knee extensor performance

Abstract

To enhance muscular strength, resistance training machines with a cam, incorporating a variable resistance moment arm, are widely used. However, little information is available about the influence of the variable resistance moment arm on torque, velocity, and power during muscle contraction. To address this, a knee extensor machine was equipped with a cam or with a semi-circular pulley that imposed a variable or a constant resistance moment arm, respectively. Fourteen physically active men performed two full knee extensions against loads of 40–80 kg in both conditions. Participants developed significantly higher torque with the pulley than with the cam (P < 0.001). The relative differences between pulley and cam conditions across all loads ranged from 8.72% to 19.87% (P < 0.001). Average knee extension velocity was significantly higher in the cam condition than in the pulley condition. No differences were observed in average and peak power, except at 50 and 55 kg. Torque–velocity and power–velocity relationships were modified when the resistance moment arm was changed. In conclusion, whatever the link, namely cam or pulley, the participants produced similar power at each load. However, the torque–velocity and power–velocity relationships were different in the cam and pulley conditions. The results further suggest that the influence of the machine's mechanism on muscular performance has to be known when prescribing resistance exercises.     

踢毽对中老年人下肢肌肉力量和伸展的影响

采用CybexⅡ^ 等速肌力测试系统对持续踢毽锻炼2年的广州市128名中老年人的膝关节屈、伸肌群力量进行标准化、定量化测量，结果表明：男、女屈、伸膝肌群耐力(ER)、爆发力(TAE)自身前后对照各项肌力指标均有显著性差异。     

加压力量训练对排球运动员下肢肌力影响的个例研究

目的探讨加压力量训练对排球运动员下肢肌肉力量的影响,为进一步优化增强下肢肌力方案、探索新的有效的训练方法提供依据。方法通过实验法,筛选身体健康,无下肢运动损伤及其它限制上下肢运动的疾病的专项排球运动员1人,对其下肢进行加压力量训练。使用Biodex System3.0等速测试系统测量他训练前后的伸髋肌群,屈髋肌群,伸膝肌群和屈膝肌群的最大肌力,比较训练前后肌力的变化,从而确定加压训练对排球运动员的下肢肌力的影响。结果经4周加压力量训练后,受试者下肢肌肉力量均明显增强。结论 4周加压力量训练对排球运动员下肢肌力有促进作用。     

青年男子足球运动员膝关节肌力特征与损伤的关系

利用等速测力技术探讨青年足球运动员膝关节屈伸肌群肌力特征与损伤的关系。结果显示,无论慢速运动还是快速运动条件下,均表现出运动员膝关节优势侧与非优势侧屈伸肌力的显著差异性,膝关节屈伸峰力矩比值和平均功率比值随运动速度增加而增大的趋势。提示,以上结果符合青年足球运动员惯用腿踢球的运动习惯,是随着运动年限的延长容易发生膝关节及屈伸肌群损伤的重要原因,因此,我们推断早期注重膝关节前后及双侧肌力的均衡发展是预防足球运动中膝关节损伤的有效措施。     

Do oarsmen have asymmetries in the strength of their back and leg muscles?

The aim of this study was to establish whether asymmetry of the strength of the leg and trunk musculature is more prominent in rowers than in controls. Nineteen oarsmen and 20 male controls matched for age, height and body mass performed a series of isokinetic and isometric strength tests on an isokinetic dynamometer. These strength tests focused on the trunk and leg muscles. Comparisons of strength were made between and within groups for right and left symmetry patterns, hamstring :quadriceps ratios, and trunk flexor and extensor ratios. The results revealed no left and right asymmetries in either the knee extensor or flexor strength parameters (including both isometric and isokinetic measures). Knee extensor strength was significantly greater in the rowing population, but knee flexor strength was similar between the two groups. No difference was seen between the groups for the hamstring:quadriceps strength ratio. In the rowing population, stroke side had no influence on leg strength. No differences were observed in the isometric strength of the trunk flexors and extensors between groups, although EMG activity was significantly higher in the rowing population. Patterns of asymmetry of muscle activity were observed between the left and right erector spinae muscles during extension, which was significantly related to rowing side ( P < 0.01). These observations could be related to the high incidence of low back pain in oarsmen.     

膝关节前交叉韧带损伤后肌肉功能变化的观察与分析

评价膝关节前交叉韧带损伤后屈伸肌肉力量变化和腘绳肌生理状态变化的特征,以指导前交叉韧带重建术前和术后的康复治疗与训练。结果表明,前交叉韧带损伤后膝关节肌肉功能状态水平下降,在一定程度上影响运动中膝关节的稳定性,韧带重建术前和术后应注重加强膝关节肌肉力量和屈膝肌反应速度的康复训练,以减少术后康复训练中对重建韧带的负荷。     

Analysis of elbow muscle strength parameters in Brazilian jiu-jitsu practitioners

Upper-body dynamic and isometric maximum strength are essential components for success in Brazilian jiu-jitsu (BJJ). This study was aimed at analysing strength parameters in the elbow flexor and extensor muscles of BJJ practitioners. Participants (n = 28) performed maximum isometric contractions of elbow flexors and extensors to determine peak torque (PT), rate of force development (RFD), and the torque–angle (T–A) relationship at elbow angles of 45°, 60°, 75°, 90°, 105°, and 120°. Additionally, concentric and eccentric PTs were measured at 1.04 rad·s^-1. Student t-test and ANOVA were performed using α = 0.05. Elbow flexors were stronger isometrically (P < 0.001, ES = 1.23) but weaker concentrically (P < 0.05, ES = 0.54) than extensor muscles, possibly because of the extensive grip disputes and pushing of opponents in BJJ. The T–A relationship had an inverted “U”-shape. Torque differences across elbow angles were moderate (ES = 0.62) for the extensor and large (ES = 0.92) for the flexor muscles. Isometric torque was greatest for elbow angles of 105° and 75° and smallest for 45° and 120° for extensor and flexor muscles, respectively. Elbow flexors had a greater RFD than extensors, regardless of elbow angle. The present study provides comprehensive results for elbow muscle strength in BJJ practitioners.