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1.
Sensors (Basel) ; 24(14)2024 Jul 16.
Article in English | MEDLINE | ID: mdl-39066010

ABSTRACT

Non-invasive monitoring of pulmonary health may be useful for tracking several conditions such as COVID-19 recovery and the progression of pulmonary edema. Some proposed methods use impedance-based technologies to non-invasively measure the thorax impedance as a function of respiration but face challenges that limit the feasibility, accuracy, and practicality of tracking daily changes. In our prior work, we demonstrated a novel approach to monitor respiration by measuring changes in impedance from the back of the thigh. We reported the concept of using thigh-thigh bioimpedance measurements for measuring the respiration rate and demonstrated a linear relationship between the thigh-thigh bioimpedance and lung tidal volume. Here, we investigate the variability in thigh-thigh impedance measurements to further understand the feasibility of the technique for detecting a change in the respiratory status due to disease onset or recovery if used for long-term in-home monitoring. Multiple within-session and day-to-day impedance measurements were collected at 80 kHz using dry electrodes (thigh) and wet electrodes (thorax) across the five healthy subjects, along with simultaneous gold standard spirometer measurements for three consecutive days. The peak-peak bioimpedance measurements were found to be highly correlated (0.94 ± 0.03 for dry electrodes across thigh; 0.92 ± 0.07 for wet electrodes across thorax) with the peak-peak spirometer tidal volume. The data across five subjects indicate that the day-to-day variability in the relationship between impedance and volume for thigh-thigh measurements is smaller (average of 14%) than for the thorax (40%). However, it is affected by food and water and might limit the accuracy of the respiratory tidal volume.


Subject(s)
COVID-19 , Electric Impedance , Humans , COVID-19/diagnosis , Male , Adult , Respiration , Monitoring, Physiologic/methods , Monitoring, Physiologic/instrumentation , Tidal Volume/physiology , Female , SARS-CoV-2 , Electrodes , Thigh/physiology
2.
J Strength Cond Res ; 38(2): 360-366, 2024 Feb 01.
Article in English | MEDLINE | ID: mdl-38258832

ABSTRACT

ABSTRACT: Nevin, JP, Bowling, K, Cousens, C, Bambrough, R, and Ramsdale, M. The relationship between isometric midthigh pull force-time characteristics and 2-km load-carrying performance in trained British army soldiers. J Strength Cond Res 38(2): 360-366, 2024-Load carriage is a fundamental military occupational task. As such, the aim of this study was to assess the relationship between isometric force-time characteristics and loaded march performance. Furthermore, this study aimed to investigate the relationship between isometric force-time characteristics and standing long jump (SLJ) performance. Thirty-nine, full-trained, male British Army infantry soldiers (age 31 ± 6.1 years; height 176 ± 7.3 cm; body mass 85.8 ± 11.5 kg) performed three isometric midthigh pull trials, three SLJ trials, and a 2-km loaded march carrying an external load of 25 kg. Both the isometric midthigh pull test (intraclass correlation coefficient [ICC] 0.965) and SLJ (ICC 0.916) demonstrated excellent reliability. Relationships between all variables were assessed using Pearson's correlation coefficient. Isometric peak force (r = -0.059), relative peak force (r = -0.135), and rate of force development (r = -0.162) displayed a small correlation with loaded march time to completion. However, isometric relative peak force displayed a large relationship with SLJ performance (r = 0.545; p = <0.01). Our data demonstrate that isometric lower-limb strength measures account for <2% of the total variance observed in 2-km loaded march performance. As such, the use of isometric lower-limb force-time characteristics as a proxy measure of load-carrying ability should be questioned. However, relative isometric strength seems to demonstrate a significant relationship with SLJ performance. As such, isometric testing may have utility in regard to assessing explosive strength, monitoring neuromuscular fatigue, and assessing training readiness in military populations.


Subject(s)
Military Personnel , Thigh , Walking , Weight-Bearing , Adult , Humans , Male , Young Adult , Lower Extremity/physiology , Reproducibility of Results , White People , United Kingdom , Thigh/physiology , Isometric Contraction/physiology , Weight-Bearing/physiology , Walking/physiology , Muscle Strength/physiology , Walking Speed/physiology
3.
J Strength Cond Res ; 38(5): 985-990, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38349337

ABSTRACT

ABSTRACT: Tanji, F, Ohnuma, H, Ando, R, Yamanaka, R, Ikeda, T, and Suzuki, Y. Longer ground contact time is related to a superior running economy in highly trained distance runners. J Strength Cond Res 38(5): 985-990, 2024-Running economy is a key component of distance running performance and is associated with gait parameters. However, there is no consensus of the link between the running economy (RE), ground contact time, and footstrike patterns. Thus, this study aimed to clarify the relationship between RE, ground contact time, and thigh muscle cross-sectional area (CSA) in highly trained distance runners and to compare these parameters between 2 habitual footstrike patterns (midfoot vs. rearfoot). Seventeen male distance runners ran on a treadmill to measure RE and gait parameters. We collected the CSAs of the right thigh muscle using a magnetic resonance imaging scanner. The RE had a significant negative relationship with distance running performance ( r = -0.50) and ground contact time ( r = -0.51). The ground contact time had a significant negative relationship with the normalized CSAs of the vastus lateralis muscle ( r = -0.60) and hamstrings ( r = -0.54). No significant differences were found in RE, ground contact time, or normalized CSAs of muscles between midfoot ( n = 10) and rearfoot ( n = 7) strikers. These results suggest that large CSAs of knee extensor muscles results in short ground contact time and worse RE. The effects of the footstrike pattern on the RE appear insignificant, and the preferred footstrike pattern can be recommended for running in highly trained runners.


Subject(s)
Gait , Running , Humans , Running/physiology , Male , Gait/physiology , Young Adult , Adult , Biomechanical Phenomena , Muscle, Skeletal/physiology , Quadriceps Muscle/physiology , Quadriceps Muscle/diagnostic imaging , Quadriceps Muscle/anatomy & histology , Athletic Performance/physiology , Hamstring Muscles/physiology , Hamstring Muscles/diagnostic imaging , Thigh/physiology , Thigh/anatomy & histology , Foot/physiology
4.
J Sports Sci ; 41(2): 164-171, 2023 Jan.
Article in English | MEDLINE | ID: mdl-37074755

ABSTRACT

Hamstring morphology may play an important role in understanding the aetiology of hamstring injury. Currently, the methods available to capture detailed morphological data such as muscle shape have not been utilized for the hamstring muscles. The aim of this study was to examine the utility of statistical shape modelling (SSM) for describing and comparing hamstring muscle shape in rugby and sprinting athletes. Magnetic resonance images of both thighs of nine elite male rugby players and nine track and field sprinters were analysed. Images were converted to three-dimensional models enabling generation of four statistical shape models. Principal components describing the shape variation in the cohort were derived and evaluated. Six principal components were sufficient to discriminate differences in the shape of the hamstring muscles of rugby and sprinting athletes with 89% classification accuracy. Distinct shape features distinguishing rugby players from sprinters included size, curvature and axial torsion. These data demonstrate that SSM is useful for understanding hamstring muscle shape and that meaningful variation can be identified within a small sample. This method can be used in future research to enhance the anatomical specificity of musculoskeletal modelling and to understand the relationship between hamstring shape and injury.


Subject(s)
Hamstring Muscles , Leg Injuries , Track and Field , Humans , Male , Hamstring Muscles/physiology , Rugby , Thigh/physiology
5.
J Sport Rehabil ; 32(7): 773-781, 2023 Sep 01.
Article in English | MEDLINE | ID: mdl-37225173

ABSTRACT

CONTEXT: Bridge exercises are extensively used in trunk-strengthening programs. The aim of this study was to investigate the effect of bridging duration on lateral abdominal muscle thickness and gluteus maximus activation. DESIGN: Cross-sectional. METHODS: Twenty-five young males participated in this study. Transversus abdominal (TrA), external and internal oblique ultrasound thickness, gluteus maximus electromyographic activation, and sacral tilt angle were simultaneously measured for every second during 30-second bridging exercise. The contraction thickness ratio and root mean squared signal (normalized to maximum isometric contraction signal) during 6 exercise durations (from 0 to 5, 10, 15, 20, 25, and 30 s) were also calculated and compared using analysis of variance designs. RESULTS: TrA and internal oblique contraction thickness ratio and gluteus maximus root mean squared increased during the first 8 to 10 seconds and remained elevated until the end of the 30-second exercise (P < .05). External oblique contraction thickness ratio declined during exercise (P < .05). Five-second bridging showed less TrA thickness and anteroposterior and mediolateral sacral tilt angle and a lower anteroposterior tilt variability compared with bridges, which lasted more than 10 seconds (P < .05). CONCLUSIONS: Bridge exercises longer than 10 seconds may be better for promoting TrA recruitment than bridges of shorter duration. Clinicians and exercise specialists could adjust the duration of bridge exercise based on the aims of the exercise program.


Subject(s)
Abdominal Muscles , Muscle, Skeletal , Male , Humans , Cross-Sectional Studies , Electromyography , Muscle, Skeletal/diagnostic imaging , Muscle, Skeletal/physiology , Abdominal Muscles/diagnostic imaging , Abdominal Muscles/physiology , Thigh/physiology , Exercise Therapy , Muscle Contraction
6.
BMC Pregnancy Childbirth ; 21(1): 646, 2021 Sep 23.
Article in English | MEDLINE | ID: mdl-34556074

ABSTRACT

BACKGROUND: High rates of adverse pregnancy outcomes globally raise the need to understand risk factors and develop preventative interventions. The Pregnancy Outcomes in the Era of Universal Antiretroviral Treatment in Sub-Saharan Africa (POISE Study) was a prospective, observational cohort study conducted from 2016 to 2017 in Blantyre, Malawi. We examine the associations between indicators of nutritional status, specifically mid-thigh circumference (MTC) and body-mass index (BMI), and adverse pregnancy outcomes, low birth weight (LBW), preterm birth (PTB), and small-for-gestational age (SGA), in a cohort of HIV-infected and HIV-uninfected women. METHODS: Sociodemographic, clinical, laboratory, and maternal height, weight and MTC data were collected immediately before or after delivery at the Queen Elizabeth Central Hospital (QEHC) and 4 affiliated health centers in Blantyre, Malawi. LBW was defined as birth weight < 2.5 kg; PTB as gestational age < 37 weeks using Ballard score; and SGA as birth weight < 10th percentile for gestational age. Descriptive, stratified, and multivariable logistic regression were conducted using R. RESULTS: Data from 1298 women were analyzed: 614 HIV-infected and 684 HIV-uninfected. MTC was inversely associated with LBW (adjusted odds ratio [aOR] = 0.95, p = 0.03) and PTB (aOR 0.92, p < 0.001), after controlling for HIV status, age, socioeconomic status and hemoglobin. The association between MTC and SGA was (aOR 0.99, p = 0.53). Similarly, higher BMI was significantly associated with lower odds of PTB (aOR 0.90, p < 0.001), LBW (aOR 0.93, p = 0.05), and SGA (aOR 0.95, p = 0.04). CONCLUSIONS: We observed an inverse relationship between MTC and adverse pregnancy outcomes in Malawi irrespective of HIV infection. MTC performs comparably to BMI; the ease of measuring MTC could make it a practical tool in resource-constrained settings for identification of women at risk of adverse pregnancy outcomes.


Subject(s)
Body Size/physiology , Nutritional Status/physiology , Pregnancy Complications/epidemiology , Thigh , Adult , Female , Gestational Age , HIV Infections , Humans , Infant, Low Birth Weight , Infant, Newborn , Malawi/epidemiology , Male , Pregnancy , Pregnancy Outcome/epidemiology , Premature Birth/epidemiology , Prospective Studies , Thigh/physiology , Young Adult
7.
Int J Sports Med ; 42(9): 803-811, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33440446

ABSTRACT

The study aimed to compare the effect of performing the same or different exercises for a muscle group on resistance training (RT) sessions on muscle hypertrophy at different sites along muscle length. Twenty-two detrained men (23.3±4.1 years) were randomly allocated to the following groups: a group that performed the same exercises in all training sessions (N-VAR=11) or one that varied the exercises for the same muscle groups (VAR=11). All were submitted to 3 weekly sessions for nine weeks. Muscle thickness was assessed at the proximal, middle, and distal sites of the lateral and anterior thigh, elbow flexors, and extensors by B-mode ultrasound. The VAR group significantly increased all the sites analyzed (P<0.05). Furthermore, the proximal site of the lateral thigh showed a larger relative increase when compared to the middle site (P<0.05). In contrast, the N-VAR group were not revealed significant improvements only for the middle site of the lateral thigh and the proximal site of the elbow flexors (P>0.05). Our results suggest that to perform different resistance exercises can induce hypertrophy of all sites assessed in detrained young men.


Subject(s)
Muscle Strength , Muscle, Skeletal/growth & development , Resistance Training/methods , Adaptation, Physiological , Adult , Elbow/physiology , Humans , Male , Thigh/physiology , Ultrasonography , Young Adult
8.
J Therm Biol ; 101: 103098, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34879916

ABSTRACT

Although dynamic thermography skin temperature assessment has been used in medical field, scientific evidence in sports is scarce. The aim of the study was to assess changes in anterior thigh skin temperature in response to a cold stress test after a strength exercise fatiguing protocol. Ten physically active adults performed a familiarization session and two strength exercise sessions, one with dominant and the other with non-dominant lower limb. Participants performed bouts of 10 concentric and eccentric contractions of leg extensions in an isokinetic device until reaching around 30% of force loss. Infrared thermographic images were taken at baseline conditions and after the fatigue level from both thighs after being cooled using a cryotherapy system. ROIs included vastus medialis, rectus femoris, adductor and vastus lateralis. Skin temperature rewarming was assessed during 180s after the cooling process obtaining the coefficients of the following equation: ΔSkin temperature = ß0 + ß1 * ln(T), being ß0 and ß1 the constant and slope coefficients, respectively, T the time elapsed following the cold stress in seconds, and ΔSkin temperature the difference between the skin temperature at T respect and the pre-cooling moment. Lower ß0 and higher ß1 were found for vastus lateralis and rectus femoris in the intervention lower limb compared with baseline conditions (p < 0.05 and ES > 0.6). Adductor only showed differences in ß0 (p = 0.01 and ES = 0.92). The regressions models obtained showed that ß0 and ß1 had a direct relationship with age and muscle mass, but an inverse relationship with the number of series performed until 30% of fatigue (R2 = 0.8). In conclusion, fatigue strength exercise results in a lower skin temperature and a faster thermal increase after a cold stress test.


Subject(s)
Cold-Shock Response , Exercise/physiology , Fatigue/physiopathology , Skin Temperature , Thigh/physiology , Adult , Female , Humans , Male , Thermography , Young Adult
9.
J Sports Sci Med ; 20(4): 626-634, 2021 12.
Article in English | MEDLINE | ID: mdl-35321144

ABSTRACT

Despite its beneficial effects on flexibility and muscle soreness, there is still conflicting evidence regarding dose-response relationships and underlying mechanisms of foam rolling (FR). This study aimed to investigate the impact of different FR protocols on tissue perfusion and tissue stiffness. In a randomized crossover trial, two FR protocols (2x1 min, 2x3 min) were applied to the right anterior thigh of twenty healthy volunteers (11 females, 25 ± 4 years). Tissue perfusion (near infrared spectroscopy, NIRS) and stiffness (Tensiomyography, TMG and Myotonometry, MMT) were assessed before and after FR application. Variance analyses revealed a significant interaction of FR duration and tissue perfusion (F[1,19] = 7.098, p = 0.015). Local blood flow increased significantly from pre to post test (F[1,19] = 7.589, p = 0.013), being higher (Δ +9.7%) in the long-FR condition than in the short-FR condition (Δ +2.8%). Tissue stiffness (MMT) showed significant main effects for time (F[1,19] = 12.074, p = 0.003) and condition (F[1,19] = 7.165, p = 0.015) with decreases after short-FR (Δ -1.6%) and long-FR condition (Δ -1.9%). However, there was no time*dose-interaction (F[1,19] = 0.018, p = 0.895). No differences were found for TMG (p > 0.05). FR-induced changes failed to exceed the minimal detectable change threshold (MDC). Our data suggest that increased blood flow and altered tissue stiffness may mediate the effects of FR although statistical MDC thresholds were not achieved. Longer FR durations seem to be more beneficial for perfusion which is of interest for exercise professionals designing warm-up and cool-down regimes. Further research is needed to understand probable effects on parasympathetic outcomes representing systemic physiological responses to locally applied FR stimulations.


Subject(s)
Warm-Up Exercise , Cross-Over Studies , Female , Humans , Male , Perfusion , Range of Motion, Articular/physiology , Thigh/physiology
10.
J Neurophysiol ; 124(1): 192-206, 2020 07 01.
Article in English | MEDLINE | ID: mdl-32519579

ABSTRACT

Recent brain imaging studies have suggested that cortical remodeling within sensorimotor regions are associated with persistent low back pain and may be a driving mechanism for the impaired neuromuscular control associated with this condition. This paper outlines a new approach for investigating cortical sensorimotor integration during the performance of small-amplitude lumbopelvic movements with functional MRI. Fourteen healthy right-handed participants were instructed in the lumbopelvic movement tasks performed during fMRI acquisition. Surface electromyography (EMG) collected on 8 lumbopelvic and thigh muscles captured organized patterns of muscle activation during the movement tasks. fMRI data were collected on 10 of 14 participants. Sensorimotor cortical activation across the tasks was identified using a whole brain analysis and further explored with regional analyses of key components of the cortical sensorimotor network. Head motion had low correlation to the tasks (r = -0.101 to 0.004) and head translation averaged 0.98 (0.59 mm) before motion correction. Patterns of activation of the key lumbopelvic and thigh musculature (average amplitude normalized 2-17%) were significantly different across tasks (P > 0.001). Neuroimaging demonstrated activation in key sensorimotor cortical regions that were consistent with motor planning and sensory feedback needed for performing the different tasks. This approach captures the specificity of lumbopelvic sensorimotor control using goal-based tasks (e.g., "lift your hip" vs. "contract your lumbar multifidus to 20% of maximum") performed within the confines of the scanner. Specific patterns of sensorimotor cortex activation appear to capture differences between bilateral and unilateral tasks during voluntary control of multisegmental movement in the lumbopelvic region.NEW & NOTEWORTHY We demonstrated the feasibility of using task-based functional magnetic resonance imaging (fMRI) protocols for acquiring the blood oxygen level-dependent (BOLD) response of key sensorimotor cortex regions during voluntary lumbopelvic movements. Our approach activated lumbopelvic muscles during small-amplitude movements while participants were lying supine in the scanner. Our data supports these tasks can be done with limited head motion and low correlation of head motion to the task. The approach provides opportunities for assessing the role of brain changes in persistent low back pain.


Subject(s)
Hip/physiology , Lumbosacral Region/physiology , Motor Activity/physiology , Muscle, Skeletal/physiology , Nerve Net/physiology , Pelvis/physiology , Sensorimotor Cortex/physiology , Thigh/physiology , Adult , Brain Mapping , Electromyography , Female , Humans , Magnetic Resonance Imaging , Male , Nerve Net/diagnostic imaging , Sensorimotor Cortex/diagnostic imaging , Young Adult
11.
Scand J Med Sci Sports ; 30(2): 303-311, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31605551

ABSTRACT

There is strong evidence linking an athlete's movement technique during sidestepping with anterior cruciate ligament (ACL) injury risk. However, it is unclear how these injurious postures are influenced by prior movement. We aim to describe preparatory trunk and thigh kinematics at toe-off of the penultimate-step and flight-phase angular momenta, and explore their associations with frontal-plane risk factors during unplanned sidestepping maneuvers. We analyzed kinematic and kinetic data of 33 male Australian Football players performing unplanned sidestepping tasks (103 trials). Linear mixed models tested for reliable associations between ACL injury risk during weight acceptance of the execution-step, with preparatory kinematics and angular momenta of the trunk and thigh during the penultimate-step. Multi-planar flight-phase trunk momenta along with hip abduction angle at penultimate-step toe-off were significantly associated with peak knee valgus moments during the execution-step (R2  = .21, P < .01). Execution-step trunk lateral flexion was significantly predicted by frontal and sagittal-plane preparatory trunk positioning at toe-off of the penultimate-step (R2  = .44, P < .01). Multi-planar flight-phase trunk momenta as well as multi-planar trunk and hip positioning at penultimate-step toe-off were associated with hip abduction during the execution-step (R2  = .53, P < .01). Preparatory positioning of the trunk and hip, along with flight-phase trunk momentum adjusting this positioning are linked to known ACL injury risk factors. We recommend that during the penultimate-step athletes maintain an upright trunk, as well as minimize frontal-plane trunk momentum and transverse-plane trunk momentum toward the sidestep direction to reduce risk of ACL injury during unplanned sidesteps.


Subject(s)
Anterior Cruciate Ligament Injuries , Athletic Injuries , Movement , Thigh , Torso , Adolescent , Adult , Humans , Male , Young Adult , Anterior Cruciate Ligament Injuries/prevention & control , Athletes , Australia , Biomechanical Phenomena , Knee/physiology , Posture , Thigh/physiology , Torso/physiology , Athletic Injuries/prevention & control , Sports
12.
BMC Musculoskelet Disord ; 21(1): 320, 2020 May 21.
Article in English | MEDLINE | ID: mdl-32438905

ABSTRACT

BACKGROUND: Altered motor unit (MU) activity has been identified after anterior cruciate ligament (ACL) injury, but its effect on muscle tissue properties is unknown. The purpose of this study was to compare thigh musculature muscle stiffness between control and ACL-injured subjects. METHODS: Thirty ACL-injured subjects and 25 control subjects were recruited. Subjects completed a randomized protocol of isometric contractions while electromyography (EMG) signals were recorded. Three maximum voluntary isometric contractions (MVIC) determined peak force for 10 and 25% MVIC trials. Shear wave elastography was captured during each 10 and 25% MVIC trials. RESULTS: Differences in muscle stiffness were assessed between limbs and groups. 12 months post-surgery had higher stiffness for VM 0% MVIC, VL 0 and 10% MVIC, and ST 10 and 25% MVIC (all p ≤ 0.04). CONCLUSION: Thigh musculature stiffness changed throughout rehabilitation and remained altered at 12 months after ACL reconstruction.


Subject(s)
Anterior Cruciate Ligament Reconstruction/rehabilitation , Isometric Contraction/physiology , Muscle Strength/physiology , Thigh/physiology , Adolescent , Anterior Cruciate Ligament/surgery , Anterior Cruciate Ligament Injuries , Electromyography , Female , Humans , Linear Models , Male , Muscle Contraction/physiology , Young Adult
13.
J Sports Sci ; 38(19): 2200-2207, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32921248

ABSTRACT

The aims of this study were (a) to describe the kinematics underlying the phenomenon of the knee of the swing leg passing medially in front of the athlete during the single push (SP) phase of the block sprint start, and (b) to determine the relationships between block phase pelvis range of motion (RoM), 1st step width and block phase performance. Three-dimensional kinematic data (250 Hz) were collected from eleven competitive sprinters (100 m PB: 11.17 ± 0.41) performing maximal effort block starts. The joint angles of the rear hip with respect to the pelvis and the pelvis segment angles with respect to the laboratory coordinate system were calculated during the block start phase to the end of the 1st stance. A combination of pelvis list and rotation (not hip adduction) was coupled with the thigh of the swing leg moving medially during the SP phase. A very high positive correlation was found between pelvic list RoM and 1st step width (r = 0.799, p = 0.003). No other significant correlations were found. Attempting to reduce pelvic RoM or changing frontal and transverse plane hip joint angles to minimise medial thigh motion is unlikely to lead to an improvement to performance.


Subject(s)
Knee Joint/physiology , Pelvis/physiology , Running/physiology , Acceleration , Biomechanical Phenomena , Female , Gait Analysis , Hip Joint/physiology , Humans , Male , Posture/physiology , Range of Motion, Articular , Thigh/physiology , Time and Motion Studies , Young Adult
14.
Knee Surg Sports Traumatol Arthrosc ; 28(2): 637-644, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31734705

ABSTRACT

PURPOSE: The gracilis tendon is a commonly used autologous graft. Most information on knee function and outcomes after its harvest is related to both semitendinosus- and gracilis tendon harvest. Therefore this study analyzed the effect of isolated gracilis tendon harvest from healthy, uninjured knees on thigh muscle strength and patient reported outcome measures (PROMs). METHODS: Stabilization of the acromioclavicular joint because of chronic instability was performed with autologous gracilis tendon in 12 patients. After a mean of 44 ± 25 months after surgery, isokinetic peak-torque measurements of specific functions of the gracilis muscle were performed: knee flexion in a sitting position (flexion angles 0-90°) and in prone position (flexion angles > 70°), internal tibial rotation and hip adduction. The contralateral limb was control. Knee specific PROMs were collected including IKDC-2000 subjective evaluation form, Lysholm score, the Marx Activity Rating Scale and SF-36 health survey. RESULTS: No significant side-to-side differences were found regarding torque measurements. Excellent results were shown regarding the PROMs, which even in terms of IKDC-2000 (97 vs. 82 points, p = 0.001) exceeded significantly the age- and gender matched reference-data. CONCLUSION: Isolated gracilis tendon harvesting was not associated with loss of strength in knee flexion, internal tibial rotation and thigh adduction. Additionally, good functional outcome as well as excellent knee-specific subjective outcome was found. LEVEL OF EVIDENCE: III.


Subject(s)
Acromioclavicular Joint/surgery , Gracilis Muscle/transplantation , Joint Instability/surgery , Muscle Strength/physiology , Tissue and Organ Harvesting/methods , Adult , Autografts , Female , Humans , Knee/physiology , Male , Middle Aged , Patient Reported Outcome Measures , Range of Motion, Articular , Rotation , Thigh/physiology , Tibia/physiology , Torque
15.
Sensors (Basel) ; 20(4)2020 Feb 18.
Article in English | MEDLINE | ID: mdl-32085505

ABSTRACT

To enable exoskeleton wearers to walk on level ground, estimation of lower limb movement is particularly indispensable. In fact, it allows the exoskeleton to follow the human movement in real time. In this paper, the general regression neural network optimized by golden section algorithm (GS-GRNN) is used to realize prediction of the human lower limb joint angle. The human body hip joint angle and the surface electromyographic (sEMG) signals of the thigh muscles are taken as the inputs of a neural network to predict joint angles of lower limbs. To improve the prediction accuracy in different gait phases, the plantar pressure signals are also added into the input. After that, the error between the prediction result and the actual data decreases significantly. Finally, compared with the prediction result of the BP neural network, GRNN shows splendid prediction performance for its less processing time and higher prediction accuracy.


Subject(s)
Exoskeleton Device , Hip Joint/physiology , Lower Extremity/physiology , Thigh/physiology , Algorithms , Biomechanical Phenomena , Electromyography/methods , Gait/physiology , Humans , Muscle, Skeletal/physiology , Neural Networks, Computer , Range of Motion, Articular/physiology , Walking/physiology
16.
Sensors (Basel) ; 20(6)2020 Mar 11.
Article in English | MEDLINE | ID: mdl-32168780

ABSTRACT

: Nowadays, the use of insoles in sport practice have been recognized to decrease the foot and lower limb injury patterns. The aim of this study was to analyse the effect of four types of hardness insoles (HI) in the activity patterns of the hip and thigh muscles (HTM) in motoriders during motorcycling sport. The study was a crossover trial. Subjects were elite motoriders. The mean age was 33 ± 5.14 years. Electromyography (EMG) of hip and thigh muscles (HTM) data was registered via surface while subjects were riding on an elite motorcycle simulator. Subjects had to complete different tests with randomly hardest insoles (HI): 1: only polypropylene (58° D Shore); 2: Polypropylene (58° D Shore) with selective aluminium in hallux and metatarsal heads (60 HB Brinell hardness); 3: Ethylene vinyl acetate (EVA) (52° A Shore); and finally, 4: Ordinary EVA (25° A Shore) as the control. EMG patterns of the HTM, riding on an elite motorcycle simulator, showed the lowest peak amplitude with the insoles with polypropylene and selective aluminium. Using the hardest insoles in our study (selective aluminium) the EMG amplitude peaks decreased in all HTM.


Subject(s)
Electromyography/methods , Foot Orthoses , Hardness/physiology , Motorcycles , Muscle, Skeletal/physiology , Adult , Cross-Over Studies , Hip/physiology , Humans , Male , Polypropylenes , Sports , Thigh/physiology
17.
J Strength Cond Res ; 34(10): 2824-2831, 2020 Oct.
Article in English | MEDLINE | ID: mdl-31136544

ABSTRACT

Wells, JET, Mitchell, ACS, Charalambous, LH, and Fletcher, IM. Relationships between highly skilled golfers' clubhead velocity and vertical ground reaction force asymmetry during vertical jumps and an isometric midthigh pull. J Strength Cond Res 34(10): 2824-2831, 2020-Clubhead velocity (CHV) is a commonly measured variable within golf due to strong associations with increased drive distance. Previous research has revealed significant relationships between CHV and vertical ground reaction force (vGRF) variables during bilateral tasks including a countermovement jump (CMJ), squat jump (SJ), drop jump (DJ), and isometric midthigh pull (IMTP). Asymmetries have been linked to performance outcomes in a number of sports; however, few studies have assessed asymmetries within golf. The current study, therefore, examined the relationships between CHV and vGRF asymmetries for CMJ positive impulse, SJ positive impulse, DJ positive impulse, and IMTP peak force (PF). Furthermore, the level of agreement for asymmetries between protocols was assessed by using Kappa coefficients. Fifty highly skilled (handicap ≤5) male golfers attended laboratory and range-based testing sessions. Positive impulse and PF were measured using a dual force platform system, with CHV measured using a TrackMan 3e launch monitor. There was no significant relationship (r = -0.14 to 0.22) between CHV and each of the vGRF asymmetry measures. Of the golfers tested, 26 had a "real" asymmetry in the CMJ, 18 had a "real" asymmetry in the SJ, 25 had a "real" asymmetry in the DJ, and 27 had a "real" asymmetry in the IMTP. Kappa coefficients indicated that asymmetries rarely favored the same limb (k = 0.06 to 0.39) with asymmetries varying for individual golfers between protocols. As such, asymmetries are neither beneficial nor detrimental to CHV but are inherently individual and dependent on the task.


Subject(s)
Golf/physiology , Muscle Strength/physiology , Thigh/physiology , Adolescent , Adult , Cross-Sectional Studies , Humans , Male , Posture , Young Adult
18.
J Strength Cond Res ; 34(9): 2407-2411, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32865941

ABSTRACT

Merrigan, JJ, Dabbs, NC, and Jones, MT. Isometric mid-thigh pull kinetics: Sex differences and response to whole-body vibration. J Strength Cond Res 34(9): 2407-2411, 2020-The purpose was to investigate whether whole-body vibration's (WBV's) effect on force-time characteristics is dependent on time and sex. Subjects (men, n = 18; women, n = 18) performed a static quarter squat with WBV (frequency: 30 Hz; amplitude: 2-4 mm) and without for 5 × 30 seconds repetitions (1:1, WBV:rest). Next, they performed 2 sets of 3 repetitions of the isometric mid-thigh pull (IMTP) with 3 minutes of intraset rest and 5 minutes of interset rest. Peak force (PF) and rate of force development (RFD) from 0 to 50, 0 to 150, and 0 to 250 milliseconds (RFD50, RFD150, and RFD250) were analyzed (p < 0.05). A significant effect of condition existed for PF (p = 0.019) and RFD from 0 to 250 seconds (p = 0.031). In women, RFD was moderately affected immediately post-WBV (p = 0.070; d = 0.49). Yet in men, the effect of WBV on RFD existed 15 minutes after exposure (p = 0.017; d = 0.36). In absolute terms men produced more PF than women (1,008.6 ± 289.7 N; p < 0.001). All RFD bands were greater in men than those of women (RFD50, 5,519.3 ± 2,927.2 N·s; RFD150, 3,361.4 ± 1,385.3 N·s; RFD250, 2,505.7 ± 867.1 N·s; p < 0.05). However, relative to fat-free mass, PF in men (40.1 ± 7.2 N·kg) was not different from women (37.7 ± 6.4 N·kg; p = 0.284). The same was true for RFD150 (21.1 ± 24.1 N·kg·s; p = 0.084) and RFD250 (10.9 ± 14.1 N·kg·s; p = 0.128). Yet, RFD50 remained greater in men (139.1 ± 33.6 N·kg·s) than that of women (86.8 ± 34.5 N·kg·s; p = 0.034). Current WBV protocols resulted in trivial to moderate effects on IMTP forces, which may be dependent on sex and time. Finally, it is recommended that women complete movements with the intent to move weight quickly to improve early RFD.


Subject(s)
Isometric Contraction/physiology , Muscle Strength/physiology , Thigh/physiology , Vibration , Adult , Cross-Over Studies , Exercise Test , Female , Humans , Kinetics , Male , Sex Factors
19.
J Sport Rehabil ; 29(7): 926-933, 2020 Sep 01.
Article in English | MEDLINE | ID: mdl-31775121

ABSTRACT

CONTEXT: Foam rolling (FR) has been developed into a popular intervention and has been established in various sports disciplines. However, its effects on target tissue, including changes in stiffness properties, are still poorly understood. OBJECTIVE: To investigate muscle-specific and connective tissue-specific responses after FR in recreational athletes with different FR experience. DESIGN: Case series. SETTING: Laboratory environment. PARTICIPANTS: The study was conducted with 40 participants, consisting of 20 experienced (EA) and 20 nonexperienced athletes (NEA). INTERVENTION: The FR intervention included 5 trials per 45 seconds of FR of the lateral thigh in the sagittal plane with 20 seconds of rest between each trial. MAIN OUTCOME MEASURES: Acoustic radiation force impulse elastosonography values, represented as shear wave velocity, were obtained under resting conditions (t0) and several times after FR exercise (0 min [t1], 30 min [t2], 6 h [t3], and 24 h [t4]). Data were assessed in superficial and deep muscle (vastus lateralis muscle; vastus intermedius muscle) and in connective tissue (iliotibial band). RESULTS: In EA, tissue stiffness of the iliotibial band revealed a significant decrease of 13.2% at t1 (P ≤ .01) and 12.1% at t3 (P = .02). In NEA, a 6.2% increase of stiffness was found at t1, which was not significantly different to baseline (P = .16). For both groups, no significant iliotibial band stiffness changes were found at further time points. Also, regarding muscle stiffness, no significant changes were detected at any time for EA and NEA (P > .05). CONCLUSIONS: This study demonstrates a significant short-term decrease of connective tissue stiffness in EA, which may have an impact on the biomechanical output of the connective tissue. Thus, FR effects on tissue stiffness depend on the athletes' experience in FR, and existing studies have to be interpreted cautiously in the context of the enrolled participants.


Subject(s)
Fascia/physiology , Massage/instrumentation , Quadriceps Muscle/physiology , Thigh/physiology , Adult , Athletes , Fascia/diagnostic imaging , Female , Healthy Volunteers , Humans , Male , Massage/methods , Quadriceps Muscle/diagnostic imaging , Thigh/diagnostic imaging , Ultrasonography , Young Adult
20.
J Sports Sci Med ; 19(3): 469-477, 2020 09.
Article in English | MEDLINE | ID: mdl-32874099

ABSTRACT

Muscle damage and soreness associated with increased exercise training loads or unaccustomed activity can be debilitating and impact the quality of subsequent activity/performance. Current techniques to assess muscle soreness are either time consuming, invasive or subjective. Infrared thermography has been identified as a quick, non-invasive, portable and athlete friendly method of assessing skin temperature. This study assessed the capability of thermal infrared imaging to detect skin temperature changes that may accompany the inflammatory response associated with delayed onset muscular soreness (DOMS). Eight recreationally trained participants (age 25 ± 3 years, mass 74.9 ± 13.6 kg, training minutes 296 ± 175 min·wk-1) completed 6 sets of 25 maximal concentric/eccentric contractions of the right knee flexors/extensors on a dynamometer to induce muscle damage and DOMS. The left knee extensors acted as a non-exercise control. Neuromuscular performance, subjective pain assessment and infrared thermography were undertaken at baseline, 24 and 48 hr post the DOMS-inducing exercise protocol. Data were analysed using Bayesian hierarchical regression and Cohen's d was also calculated. Maximal voluntary contraction torque was statistically lower at 24 hr (d = -0.70) and 48 hr (d = -0.52) compared to baseline, after the DOMS-inducing exercise protocol. These neuromuscular impairments coincided with statistically higher ratings of muscle soreness at 24 hr (d = 0.96) and 48 hr (d = 0.48). After adjusting for ambient temperature, anterior thigh skin temperature was statistically elevated at 24 hr, but not 48 hr, compared with baseline, in both the exercised and non-exercised leg. Thigh temperature was not different statistically between legs at these time points. Infrared imaging was able to detect elevations in skin temperature, at 24 hrs after the DOMS inducing exercise protocol, in both the exercised and non-exercised thigh. Elevations in the skin temperature of both thighs, potentially identifies a systemic inflammatory response occurring at 24 hr after the DOMS-inducing exercise protocol.


Subject(s)
Exercise/physiology , Knee/physiology , Myalgia/physiopathology , Skin Temperature , Thermography/methods , Adult , Affect , Evoked Potentials, Motor , Exercise/psychology , Humans , Male , Muscle Contraction , Myalgia/psychology , Perception , Temperature , Thigh/physiology , Time Factors , Torque , Young Adult
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