Lower Limb Maximal Power Predicts Punching Speed in Different Static and Dynamic Attacking Techniques in Karate.

ABSTRACT: Quinzi, F, Rosellini G, and Sbriccoli, P. Lower limb maximal power predicts punching speed in different static and dynamic attacking techniques in karate. J Strength Cond Res 36(5): 1353-1359, 2022-Punching performance of karate can be predicted from lower limb maximal power. However, this relationship was observed only in single actions starting from a static position, thus calling for an investigation on the applicability of this relationship to other conditions. This study aims at investigating whether the relationship between lower limb maximal power and punch speed holds true, not only for single actions, but also for a combination of upper limb techniques in static and dynamic conditions. Ten national-level karate athletes aged 22.3 ± 1.8 years were assessed for maximal power of upper and lower limbs during a bench press and a back squat, and for punching speed during 2 punching techniques (gyaku tsuki [GT]; kizami tsuki and gyaku tsuki [KG]) starting from a static (GTS; KGS) or a dynamic (GTD; KGD) condition. Pearson's correlations were obtained between upper and lower limb maximal relative power and punch speed across tasks and conditions. Significance level was set at p < 0.05. Significant correlations were observed between lower limb maximal relative power and punch speed for all tasks and conditions (r = 0.66-0.80; p = 0.005-0.037). The present results further our knowledge on the relationship between lower limb maximal power and punch speed showing that this relationship holds true also for combinations of punching techniques performed also in dynamic conditions. This information can be useful for karate trainers to predict the punching performance of their athletes using a simple test to assess maximal lower limb power.

Deficit in knee extension strength following anterior cruciate ligament reconstruction is explained by a reduced neural drive to the vasti muscles.

The persistence of quadriceps weakness represents a major concern following anterior cruciate ligament reconstruction (ACLR). The underlying adaptations occurring in the activity of spinal motoneurons are still unexplored. This study examined the discharge patterns of large populations of motor units (MUs) in the vastus lateralis (VL) and vastus medialis muscles following ACLR. Nine ACLR individuals and 10 controls performed unilateral trapezoidal contractions of the knee extensor muscles at 35%, 50% and 70% of the maximal voluntary isometric force (MVIF). High-density surface electromyography (HDsEMG) was used to record the myoelectrical activity of the vasti muscles in both limbs. HDsEMG signals were decomposed with a convolutive blind source separation method and MU properties were extracted and compared between sides and groups. The ACLR group showed a lower MVIF on the reconstructed side compared to the contralateral side (28.1%; P < 0.001). This force deficit was accompanied by reduced MU discharge rates (∼21%; P < 0.05), lower absolute MU recruitment and derecruitment thresholds (∼22% and ∼22.5%, respectively; P < 0.05) and lower input-output gain of motoneurons (27.3%; P = 0.009). Deficits in MU discharge rates of the VL and in absolute recruitment and derecruitment thresholds of both vasti MUs were associated with deficits in MVIF (P < 0.05). A strong between-side correlation was found for MU discharge rates of the VL of ACLR individuals (P < 0.01). There were no significant between-group differences (P > 0.05). These results indicate that mid- to long-term strength deficits following ACLR may be attributable to a reduced neural drive to vasti muscles, with potential changes in excitatory and inhibitory synaptic inputs. KEY POINTS: Impaired expression and control of knee extension forces is common after anterior cruciate ligament reconstruction and is related to high risk of a second injury. To provide novel insights into the neural basis of this impairment, the discharge patterns of motor units in the vastus lateralis and vastus medialis were investigated during voluntary force contractions. There was lower knee extensor strength on the reconstructed side with respect to the contralateral side, which was explained by deficits in motor unit discharge rate and an altered motoneuronal input-output gain. Insufficient excitatory inputs to motoneurons and increased inhibitory afferent signals potentially contributed to these alterations. These results further our understanding of the neural underpinnings of quadriceps weakness following anterior cruciate ligament reconstruction and can help to develop effective rehabilitation protocols to regain muscle strength and reduce the risk of a second injury.

Muscle fiber conduction velocity in the vastus lateralis and medialis muscles of soccer players after ACL reconstruction.

The neural factors underlying the persistency of quadriceps weakness after anterior cruciate ligament reconstruction (ACLR) have been only partially explained. This study examined muscle fiber conduction velocity (MFCV) as an indirect parameter of motor unit recruitment strategies in the vastus lateralis (VL) and medialis (VM) muscles of soccer players with ACLR. High-density surface electromyography (HDsEMG) was acquired from VL and VM in nine soccer players (22.7 ± 2.9 years; BMI: 22.08 ± 1.72 kg·m-2 ; 7.7 ± 2.2 months post-surgery). Voluntary muscle force and the relative myoelectrical activity from the reconstructed and contralateral sides were recorded during linearly increasing isometric knee extension contractions up to 70% of maximal voluntary isometric force (MVIF). The relation of MFCV and force was examined by linear regression analysis at the individual subject level. The initial (intercept), peak (MFCV70 ), and rate of change (slope) of MFCV related to force were compared between limbs and muscles. The MVIF was lower in the reconstructed side than in the contralateral side (-%20.5; P < .05). MFCV intercept was similar among limbs and muscles (P > .05). MFCV70 and MFCV slope were lower in the reconstructed side compared to the contralateral for both VL (-28.5% and -10.1%, respectively; P < .001) and VM (-22.6% and -8.1%, respectively; P < .001). The slope of MFCV was lower in the VL than VM, but only in the reconstructed side (-12.4%; P < .001). These results suggest possible impairments in recruitment strategies of high-threshold motor units (HTMUs) as well as deficits in sarcolemmal excitability, fiber diameter, and discharge rate of knee extensor muscles following ACLR.

Exercise at lunchtime: effect on glycemic control and oxidative stress in middle-aged men with type 2 diabetes.

PURPOSE: Postprandial hyperglycemia and glycemic oscillations have been associated with increased oxidative stress. We sought to investigate the effect of two walking exercise protocols performed during lunchtime on glycemic control and oxidative stress in type 2 diabetic (T2D) patients. METHODS: Nine T2D patients participated in three randomized crossover trials; a control trial (Con), with participants having a standard lunch followed by their normal daily activities and two exercise trials (ContEx and Splitex). In ContEx, subjects performed 40 min of brisk walking 40 min after lunch, whereas in SplitEx the walking exercise was divided in two 20-min isoenergetic bouts, before and 40 min after meal. 24-h glycemic control was monitored by continuous glucose monitoring. 24-h urinary levels of 8-iso PGF2ɑ were measured as a marker of oxidative stress. RESULTS: SplitEx resulted in less time spent in moderate hyperglycemia after lunch vs ContEx (42.4 ± 38.7% vs 68.2 ± 32.7%, P = 0.04). ContEx reduced hyperglycemic time after breakfast consumed the morning after the exercise session (58.3 ± 29.6 Con vs 40.2 ± 33.4% ContEx, P = 0.02). Compared with Con, 24-h urinary isoprostanes were decreased both in ContEx (-68%, P = 0.02) and SplitEx (-63%, P = 0.04). CONCLUSIONS: Splitting an exercise session into two bouts, pre- and post-lunch, affects mainly the glycemic response to lunch, while a single-continuous isoenergetic session exerts its effect later in the 24-h period. Both exercise modalities effectively attenuate systemic oxidative stress with similar overall benefits.

Agonist and antagonist muscle activation in elite athletes: influence of age.

PURPOSE: Age-related neuromuscular control adaptations have been investigated mainly in untrained populations, where higher antagonist activation in adults was observed with respect to children. In elite athletes age-related differences in neuromuscular control have scarcely been investigated. Therefore, this study aims at investigating differences in co-activation about the knee joint in two groups of karate athletes belonging to the Junior (JK) and Senior (SK) age categories, performing the roundhouse kick (RK). METHODS: Six SK and six JK performed the RK impacting on a punching bag. Each participant performed three attempts during which kicking limb kinematics and sEMG from the vastus lateralis (VL) and from the biceps femoris (BF) were recorded. Co-activation index during knee flexion and extension (CIF; CIE) and agonist and antagonist activation areas of VL and BF (I AGO-VL; I AGO-BF; I ANT-VL; I ANT-BF) were computed. Hip and knee range of motion, peak angular velocity and minima and maxima of lower limb angular momentum were computed. RESULTS: During knee extension, the SK demonstrated higher CIE, higher IANT-BF and higher total angular momentum with respect to the JK. Significant relationships were observed between I ANT-BF and total angular momentum maxima, and between I ANT-BF and age. CONCLUSIONS: IANT-BF is partially related to the age of the group and to joint protection upon impact. Moreover, given the very brief duration of the task, a feed-forward mechanism modulating antagonist activation partly based on the stress imposed on the knee joint could be hypothesized. This mechanism potentially involves skill dependent re-modelling of the peripheral and central nervous system.

Neuroplastic alterations in common synaptic inputs and synergistic motor unit clusters controlling the vastii muscles of individuals with ACL reconstruction.

This cross-sectional study aims to elucidate the neural mechanisms underlying the control of knee extension forces in individuals with anterior cruciate ligament reconstruction (ACLR). Eleven soccer players with ACLR and nine control players performed unilateral isometric knee extensions at 10% and 30% of their maximum voluntary force (MVF). Simultaneous recordings of high-density surface electromyography (HDEMG) and force output were conducted for each lower limb, and HDEMG data from the vastus lateralis (VL) and vastus medialis (VM) muscles were decomposed into individual motor unit spike trains. Force steadiness was estimated using the coefficient of variation of force. An intramuscular coherence analysis was adopted to estimate the common synaptic input (CSI) converging to each muscle. A factor analysis was applied to investigate the neural strategies underlying the control of synergistic motor neuron clusters, referred to as motor unit modes. Force steadiness was similar between lower limbs. However, motor neurons innervating the VL on the reconstructed side received a lower proportion of CSI at low-frequency bandwidths (<5 Hz) compared with the unaffected lower limbs (P < 0.01). Furthermore, the reconstructed side demonstrated a higher proportion of motor units associated with the neural input common to the synergistic muscle, as compared with the unaffected lower limbs (P < 0.01). These findings indicate that the VL muscle of reconstructed lower limbs contribute marginally to force steadiness and that a plastic rearrangement in synergistic clusters of motor units involved in the control of knee extension forces is evident following ACLR.NEW & NOTEWORTHY Chronic quadriceps dysfunction is common after anterior cruciate ligament reconstruction (ACLR). We investigated voluntary force control strategies by estimating common inputs to motor neurons innervating the vastii muscles. Our results showed attenuated common inputs to the vastus lateralis and plastic rearrangements in functional clusters of motor neurons modulating knee extension forces in the reconstructed limb. These findings suggest neuroplastic adjustments following ACLR that may occur to fine-tune the control of quadriceps forces.

Motor Competence in Individuals with Down Syndrome: Is an Improvement Still Possible in Adulthood?

In children, motor competence (MC) and the amount of physical activity are tightly interconnected. In adults with Down syndrome (DS), MC has been poorly addressed, resulting in a limited understanding of the possibility to improve MC over time. Here, we aim to: (1) investigate MC in adults with DS by comparing them with a group of typically developed peers and (2) verify the effect of an adapted karate program on MC. Adults with DS (DSG; n = 57) and typically developed adults (TDG; n = 21) performed the Test of Gross Motor Development version 3 (TGMD-3). The total TGMD-3 score (TOTTGMD-3), the locomotor (LOCTGMD-3), and object control (OBJTGMD-3) scores were computed. After a 40 week adapted karate program, DSG (n = 37) underwent the post-training TGMD-3 assessment. Compared to TDG, DSG showed lower TOTTGMD-3 (DSG: 45.5 ± 17.3; TDG: 77.3 ± 9.5), LOCTGMD-3 (DSG: 22.2 ± 10.0; TDG: 36.2 ± 7.6) and OBJTGMD-3 (DSG: 23.3 ± 10.9; TDG: 41.1 ± 5.6). After the training, TOTTGMD-3, LOCTGMD-3 and OBJTGMD-3 increased by 35.6%, 30.0% and 40.7%, respectively. Our results suggest that MC acquisition does not evolve into a mature form in adulthood in individuals with DS. Moreover, a brief exposure to an adapted karate program induces an increase in motor competence in DS, even in adulthood.

Effects of aging and training status on ventilatory response during incremental cycling exercise.

The aim of this study was to examine the effect of aging and training status on ventilatory response during incremental cycling exercise. Eight young (24 ± 5 years) and 8 older (64 ± 3 years) competitive cyclists together with 8 young (27 ± 4 years) and 8 older (63 ± 2 years) untrained individuals underwent a continuous incremental cycling test to exhaustion to determine ventilatory threshold (VT), respiratory compensation point (RCP), and maximal oxygen uptake (VO2max). In addition, the isocapnic buffering (IB) phase was calculated together with the hypocapnic hyperventilation. Ventilatory threshold occurred at similar relative exercise intensities in all groups, whereas RCP was recorded at higher intensities in young and older cyclists compared to the untrained subjects. The IB phase, reported as the difference between VT and RCP and expressed either in absolute (ml·min⁻¹·kg⁻¹ VO2) or in relative terms, was greater (p < 0.01) in both young and older trained cyclists than in untrained subjects, who were also characterized by a lower exercise capacity. Isocapnic buffering was particularly small in the older untrained volunteers. Although young untrained and older trained subjects had a similar level of VO2max, older athletes exhibited a larger IB. In addition, a higher absolute but similar relative IB was observed in young vs. older cyclists, despite a higher VO2max in the former. In conclusion, the present study shows that aging is associated with a reduction of the IB phase recorded during an incremental exercise test. Moreover, endurance training induces adaptations that result in an enlargement of the IB phase independent of age. This information can be used for the characterization and monitoring of the physiological adaptations induced by endurance training.

Altered Knee Laxity and Stiffness in Response to a Soccer Match Simulation in Players Returning to Sport Within 12 Months After Anterior Cruciate Ligament Reconstruction.

BACKGROUND: The acute effects of exercise on anterior knee laxity (AKL) and anterior knee stiffness (AKS) have been documented in healthy participants, but only limited evidence has been provided for athletes cleared to return to sports after anterior cruciate ligament (ACL) reconstruction (ACLR). PURPOSE/HYPOTHESIS: The purpose was to determine if 45 minutes of a soccer match simulation lead to acute changes in AKL and AKS in soccer players returning to sport within 12 months after ACLR. We hypothesized that the reconstructed knee of the ACLR group would exhibit an altered response to sport-specific exercise. STUDY DESIGN: Controlled laboratory study. METHODS: A total of 13 soccer players cleared to return to sport after ACLR and 13 healthy control soccer players matched for age, physical activity level, limb dominance, and anthropometric characteristics were recruited. To assess the effects of a standardized soccer match simulation (Soccer Aerobic Field Test [SAFT45]) on AKL and AKS, an arthrometric evaluation was carried out bilaterally before and immediately after SAFT45. To conduct a comprehensive examination of the force-displacement curve, the absolute and side-to-side difference (SSD) values of both AKL and AKS were extracted at 67, 134, and 200 N. RESULTS: The ACLR and control groups showed similar AKL and AKS at baseline (P > .05). In response to SAFT45, laxity increased bilaterally at all force levels by 14% to 17% only in the control group (P < .025). Similarly, AKS at 134 and 200 N decreased in response to SAFT45 only in the control group (10.5% and 20.5%, respectively; P < .025). After SAFT45, the ACLR group had 1.9 and 2.5 times higher SSDs of AKS at 67 and 134 N compared with the control group, respectively (P < .025), as well as a 1.9 times higher SSD of AKS at 134 N compared with baseline (P = .014). CONCLUSION: Soccer players at the time of return to sport after ACLR showed an altered mechanical response to a sport-specific match simulation consisting of bilaterally unchanged AKL and AKS. CLINICAL RELEVANCE: Soccer players showing altered AKL and AKS in response to exercise after ACLR may not be ready to sustain their preinjury levels of sport, thus potentially increasing the risk of second ACL injuries.

Hopping skill in individuals with Down syndrome: A qualitative and quantitative assessment.

INTRODUCTION: Individuals with Down syndrome (DS) show a delayed acquisition of gross motor skills. Among gross motor skills, hopping is a particular form of jumping that can be performed using one leg. Despite its large use during play and physical activity, this skill in adults with DS has not received much attention so far. Here, we aim at investigating hopping skill in adults with DS both from a quantitative and qualitative point of view. METHODS: Center of mass and dominant leg kinematics during hopping over distance were recorded from 24 adult individuals with DS and from 21 typically developed adults (TD) using two inertial measurement units positioned on the posterior aspect of the lower back and on the lateral malleolus of the hopping leg. From linear acceleration and angular velocity signals, hopping frequency (HF), cycle, stance and flight duration (CD, SD, FD), vertical stiffness (KV) and peak to peak linear acceleration and angular velocities about the cranio-caudal, antero-posterior and medio-lateral axes were extracted. A qualitative process assessment of the hopping skill was carried out using the performance criteria of the test for gross motor development (TGMD-3). The extracted parameters were submitted to analysis of covariance, with stature as a covariate to rule-out possible confounding effects. RESULTS: The qualitative assessment highlighted a poorer hopping performance in the DS group compared to the TD group. DS participants showed higher HF and KV, shorter CD, SD, FD and lower angular velocity about the cranio-caudal axis compared to the TD group. Significant correlations between the temporal parameters of the quantitative assessment and the results of the qualitative assessment were observed. DISCUSSION: The poorer motor competence in hopping in individuals with DS compared to TD peers may be related to the shorter flight time and higher vertical stiffness observed in TD peers. The adopted instrumental approach, overcoming the limitations of subjective evaluations, represents a promising opportunity to quantify motor competence in hopping.

Neuromuscular control adaptations in elite athletes: the case of top level karateka.

This paper aimed at investigating the neuromuscular response of knee flexor and extensor muscles in elite karateka and karate amateurs (Amateurs) during isokinetic knee flexion/extensions and during the execution of a front kick (FK). Surface electromyograms (sEMG) were recorded from the right vastus lateralis (VL) and biceps femoris (BF) muscles with a four-array electrode during maximal isometric knee flexion and extension (maximal voluntary contraction), during isokinetic contractions (30 degrees , 90 degrees , 180 degrees , 270 degrees , 340 degrees , 400 degrees /s), and during the FK. The level of VL and BF agonist (ago) and antagonist (ant) activation during the isokinetic and FK protocols was quantified through normalized sEMG root mean square value (%RMS(ago/ant-ISOK/FK)). VL and BF average muscle fiber conduction velocity (CV) was computed for isokinetic and FK. Isokinetic flexion and extension torques and knee angular velocity during FK were also assessed. Analysis of variance was used to test the effect of group, angular velocity, and task on the assessed variables (P < 0.05). Elite karateka showed higher isokinetic knee flexion torque when compared with Amateurs. For all angular velocities, VL and BF %RMS(ant-isokinetic) were lower in elite karateka, while their BF-CV(isokinetic) BF-CV(front kick) and BF %RMS(ant-front kick) values were higher. For VL and BF, %RMS(ago-front kick) was lower than %RMS(ago-isokinetic) in both groups. Elite karateka demonstrated a typical neuromuscular activation strategy that seems task and skill level dependent. Knee flexion torque and CV results suggest the presence of an improved ability of elite karateka to recruit fast MUs as a part of training induced neuromuscular adaptation.

Comparison of two variants of a kata technique (unsu): the neuromechanical point of view.

The objective of this work was to characterize from a neuromechanical point of view a jump performed within the sequence of Kata Unsu in International top level karateka. A modified jumping technique was proposed to improve the already acquired technique. The neuromechanical evaluation, paralleled by a refereeing judgment, was then used to compare modified and classic technique to test if the modification could lead to a better performance capacity, e.g. a higher score during an official competition. To this purpose, four high ranked karateka were recruited and instructed to perform the two jumps. Surface electromyographic signals were recorded in a bipolar mode from the vastus lateralis, rectus femoris, biceps femoris, gluteus maximus, and gastrocnemious muscles of both lower limbs. Mechanical data were collected by means of a stereophotogrammetric system and force platforms. Performance was associated to parameters characterizing the initial conditions of the aerial phase and to the CoM maximal height. The most critical elements having a negative influence on the arbitral evaluation were associated to quantitative error indicators. 3D reconstruction of the movement and videos were used to obtain the referee scores. The Unsu jump was divided into five phases (preparation, take off, ascending flight, descending flight, and landing) and the critical elements were highlighted. When comparing the techniques, no difference was found in the pattern of sEMG activation of the throwing leg muscles, while the push leg showed an earlier activation of RF and GA muscles at the beginning of the modified technique. The only significant improvement associated with the modified technique was evidenced at the beginning of the aerial phase, while there was no significant improvement of the referee score. Nevertheless, the proposed neuromechanical analysis, finalized to correlate technique features with the core performance indicators, is new in the field and is a promising tool to perform further analyses. Key PointsA quantitative phase analysis, highlighting the critical features of the technique, was provided for the jump executed during the Kata Unsu.Kinematics and neuromuscular activity can be assessed during the Kata Unsu jump performed by top level karateka.Neuromechanical parameters change during different Kata Unsu jump techniques.Appropriate performance capacity indicators based on the neuromechanical evaluation can describe changes due to a modification of the technique.

Higher torque and muscle fibre conduction velocity of the Biceps Brachii in karate practitioners during isokinetic contractions.

PURPOSE: Although upper limb techniques are largely utilized during karate combat competitions scarce information regarding their NM control is available. This study aims at investigating the effect of karate practice on the NM control of Biceps and Triceps Brachii during isokinetic contractions to enhance current knowledge on neuromuscular control adaptations and training methodologies in combat sports. METHODS: Torque and surface electromyograms (sEMG) of Biceps Brachii Caput Longum (BB) and Triceps Brachii Lateral Head (TB) were recorded in eight karate practitioners (KA) and eight age-matched sedentary individuals (CO) during isokinetic elbow flexion-extensions (0-240°/s-1). BB and TB sEMG amplitude (Root Mean Square - RMS) and frequency (Median Frequency - MDF) were computed during agonist and antagonist activity. Moreover, muscle fibre conduction velocity (MFCV) of the BB was computed. RESULTS: During the isokinetic contractions, KA group demonstrated higher peak torque and higher MFCV in the BB with respect to CO. KA and CO presented comparable activation of agonist and antagonist muscles and comparable frequency content in both BB and TB. CONCLUSIONS: The greater torque observed in KA should be interpreted in the light of a different motor unit recruitment strategy as suggested by the higher MFCV. Karate and combat sport practitioners should consider including in their training programmes methodologies emphasising neural rather than morphological adaptations.

Neuromechanical response to passive cyclic loading of the ACL in non-professional soccer players: A pilot study.

OBJECTIVE: To investigate the effects of passive cyclic loading (CYC) on anterior tibial translation (ATT), knee extensor and flexor muscle strength and activation in soccer players. DESIGN: Cross-sectional study. SETTING: Functional Assessment Laboratory; Participants: Eight healthy competitive soccer players. INTERVENTIONS: The knee of the dominant limb was subjected to 10 min of CYC at 200 N force. MAIN OUTCOMES MEASURES: ATT was measured before and after CYC. Percentage of variation was used to estimate ACL creep. Knee extension and flexion maximal voluntary contractions (MVCs) were assessed both before and after CYC. EMG amplitudes of both Biceps Femoris (BF) and Vastus Lateralis (VL) were recorded during both MVCs and CYC. RESULTS: There was a 20.7% increase in ATT after CYC application (p<0.001). Post-CYC agonist and antagonist BF activations were 37.7% and 18.4% lower than pre-CYC ones during MVCs (p<0.05). BF EMG activity in the last 30s of CYC was 19.9% higher than in the first 30s (p<0.05). CONCLUSION: The increased ATT and the variations in neuromuscular activation of the BF in response to loading may expose the knee at higher injury risk by increasing joint instability. Further studies are required to thoroughly investigate these aspects in both laboratory and real-field settings.

Work to rest durations ratios exceeding unity are a risk factor for low back disorder; a feline model.

Low back disorders are prominent among the work force engaged in static anterior flexion during the workday. As a continuing part of a long-term research aimed to identify the biomechanical and physiological processes and corresponding risk factors leading to such cumulative trauma disorder (CTD), we ventured to assess the effect of rest and the work-to-rest duration ratios that may prevent CTD. Three groups of the feline model were subjected to three load/rest paradigms: two 30 min loading periods spaced by 10 min rest in Group I, two 30 min loading period spaced by 30 min rest in Group II and one 60 min loading period for Group III. The cumulative loading duration in the three groups was 60 min. Each of the groups were allowed 7h of rest while monitoring EMG and lumbar viscoelastic tissue creep each hour. The results demonstrate that for two 30 min load periods with a 30 min in between rest, an acute neuromuscular disorder was not present whereas for two 30 min loading with a 10 min rest it was. Similarly, for a 60 min loading with long-term rest, the disorder was present. Post hoc Fisher analysis demonstrated significant differences in the delayed hyperexcitability between the first and second group (P<0.0001) and the third and second (P<0.0001) group. Statistical difference in the displacement data of the three groups was not present. ANOVA showed a significant effect of time post-loading (P<0.0001 and different rest durations (P<0.0001) on the EMG data during the 7h recovery. The new data allow us to conclude that a work-to-rest duration ratio of 1:1 can prevent the development of CTD as long as the work periods are not too long (<60 min). Longer static flexion durations do not respond favorably to rest even if it is of equal or longer duration. It is suggested that appropriate durations of rest may be a viable tool to avert CTD in a certain range whereas long static flexion durations should be avoided at all cost.

Repeated Kicking Actions in Karate: Effect on Technical Execution in Elite Practitioners.

PURPOSE: Training in martial arts is commonly performed by repeating a technical action continuously for a given number of times. This study aimed to investigate if the repetition of the task alters the proper technical execution, limiting the training efficacy for the technical evaluation during competition. This aim was pursued analyzing lower-limb kinematics and muscle activation during repeated roundhouse kicks. METHODS: Six junior karate practitioners performed continuously 20 repetitions of the kick. Hip and knee kinematics and sEMG of vastus lateralis, biceps (BF), and rectus femoris were recorded. For each repetition, hip abduction-adduction and flexion-extension and knee flexion-extension peak angular displacements and velocities, agonist and antagonist muscle activation were computed. Moreover, to monitor for the presence of myoelectric fatigue, if any, the median frequency of the sEMG was computed. All variables were normalized with respect to their individual maximum observed during the sequence of kicks. Linear regressions were fitted to each normalized parameter to test its relationship with the repetition number. RESULTS: Linear-regression analysis showed that, during the sequence, the athletes modified their technique: Knee flexion, BF median frequency, hip abduction, knee-extension angular velocity, and BF antagonist activation significantly decreased. Conversely, hip flexion increased significantly. CONCLUSIONS: Since karate combat competitions require proper technical execution, training protocols combining severe fatigue and technical actions should be carefully proposed because of technique adaptations. Moreover, trainers and karate masters should consider including specific strength exercises for the BF and more generally for knee flexors.

Stress related changes during TeamGym competition.

BACKGROUND: The aim of the present study was to investigate the stress-related changes of a TeamGym competition considering both physiological (i.e. salivary cortisol [sC] and alpha-amylase [sAA]) and psychological (i.e. state anxiety) responses in relation to exercise intensity and competition outcomes. METHODS: Eleven (5 males and 6 females) elite TeamGym athletes (age: 21-28 yrs) were administered the State-Trait Anxiety Inventory before an official international TeamGym competition. sAA and sC samples were collected 15 minutes prior to competition, after each apparatus, 10-min and 30-min after competition. Exercise intensity was estimated by heart rate (HR) recording and performance was evaluated by three international judges. All these parameters were correlated with competition outcomes. RESULTS: TeamGym competition posed a low exercise load (most of exercise was performed below 85% of the individual HRmax). Significant increases (P<0.004) in sAA (3.53 fold induction) and state anxiety (P=0.045) were observed, with respect to baseline values. Conversely, sC remained stable throughout the competition. Significant (P=0.029) correlation between sAA, state anxiety and competition outcomes emerged. CONCLUSIONS: Present findings provide the first evidence that the psycho-physiological stress response prior to and during competition can affect performance outcome, especially in a technical sport such as TeamGym.

Neuromuscular response to cyclic loading of the anterior cruciate ligament.

BACKGROUND: Cyclic load applied to various joints during occupational and sports activities is epidemiologically linked to higher risk of neuromuscular disorder development. HYPOTHESIS: Passive cyclic loading of the knee will develop laxity and creep in the anterior cruciate ligament, and these may elicit a neuromuscular disorder in the quadriceps and hamstrings. Women may be more susceptible to the disorder. STUDY DESIGN: Controlled laboratory study. METHODS: Male and female groups were subjected to 10 minutes of passive cyclic loading (0.1 Hz) of the knee at a mild load (150-200 N) and at 35 degrees and 90 degrees flexion. Anterior tibial displacement and electromyogram from the quadriceps and hamstrings were monitored during cyclic loading. Maximal voluntary contraction of knee extension and flexion was assessed before and after cyclic loading. The effect of gender and angle on maximal voluntary contraction and quadriceps/hamstrings electromyogram was tested by a 2-way analysis of variance. Differences between the preload and postload data were tested by a paired t test. RESULTS: At a knee angle of 90 degrees, after cyclic loading, a decrease in maximal voluntary contraction during extension was present in men and women, with an associated decrease in quadriceps electromyogram activity. At 35 degrees, a decrease in maximal voluntary contraction in extension was noted in women and men. Electromyogram spasms were present in the quadriceps and hamstrings during the 10-minute cyclic loading in 51.7% of subjects. Analysis of variance demonstrated that ligament creep was significantly greater in women than in men at both knee angles. CONCLUSIONS: Even a mild cyclic loading of the anterior cruciate ligament, for a relatively short period, can elicit substantial creep, laxity, and a neuromuscular disorder. The disorder is composed of spasms and attenuated muscular function that may together create a condition that exposes the knee to injury. Women seem to be more susceptible than men. CLINICAL RELEVANCE: Cyclic actions performed at high frequencies and high-load magnitudes may lead to the occurrence of increased knee laxity and changes in neuromuscular function that, together with fatigue and changes in proprioception, may increase the risk of injury.

Short rest periods after static lumbar flexion are a risk factor for cumulative low back disorder.

The objective of this work was to study the effect of rest periods of various durations applied between six 10-min sessions of static flexion on the development of cumulative low back disorder (CLBD). Three experimental groups of a feline model were used, and the rest duration between sequential static load periods was set to 5, 10, and 20 min, with a corresponding load-to-rest ratio of 2:1, 1:1 and 1:2, respectively. The reflex electromyographic (EMG) activity from the multifidus muscles and supraspinous ligament displacement (creep) were recorded during the flexion periods and over 7 h of rest following the load-rest cycles. It was found that a minor disorder developed in all the groups whereas a severe neuromuscular disorder including a delayed hyperexcitability was observed only in the group subjected to 5 min rest. The two-way ANOVA showed a significant effect of time post loading (p<0.001) and rest duration (p<0.001) on the Normalized Integrated EMG (NIEMG) recovery data; a significant effect of time post loading on the Displacement data (p<0.001) was observed as well. The post hoc Fisher test performed on the NIEMG data during the recovery phase showed a significant difference between the group subjected to 5 min rest and the other two groups (p<0.001). These results suggest that while a short rest period of 2:1 load-to-rest ratio leads to CLBD, longer rest at 1:1 and 1:2 load-to-rest ratio are more favorable for preventing or attenuating the development of CLBD. Short rest periods between sessions of static lumbar flexion, therefore, are a risk factor for the development of CLBD.

Longer static flexion duration elicits a neuromuscular disorder in the lumbar spine.

The objective of this study was to assess the impact of two sequential long, static, anterior lumbar flexions on the development of a neuromuscular disorder and to compare it with previously obtained data from a series of short static flexion periods of the same cumulative time (Sbriccoli P, Solomonow M, Zhou BH, Baratta RV, Lu Y, Zhu MP, and Burger EL, Muscle Nerve 29: 300-308, 2004). Static flexions with loads of 20, 40, and 60 N were applied to the lumbar spine over two 30-min periods with a 10-min rest in between. The reflex EMG activity from the multifidus muscles and supraspinous ligament displacement (creep) was recorded during the flexion periods. Creep and EMG were also monitored over 7 h of rest following the work-rest-work cycle. It was found that the creep that developed in the first 30-min flexion period did not recover completely during the following 10 min of rest, giving rise to a large cumulative creep at the end of the work-rest-work session. Spasms were frequently seen within the EMG during the static flexion. Initial and delayed hyperexcitabilities were observed in all of the preparations at any of the three loads explored during the 7-h rest period. ANOVA revealed a significant effect of time (P < 0.0001) on the postloading data. Larger loads elicited larger magnitudes of the initial and delayed hyperexcitabilities, yet were not statistically different. It was concluded that the 3:1 work-to-rest duration ratio resulted in a neuromuscular disorder, regardless of the load magnitude. The conclusions are reinforced in view of the results from a previous study using 60 min of flexion overall but at 1:1 work-to-rest ratio in which only the highest load elicited a delayed hyperexcitability (Sbriccoli et al., Muscle Nerve 29: 300-308, 2004). An optimal dose-to-duration ratio needs to be established to limit, attenuate, or prevent the adverse effects of static load on the lumbar spine while considering the loading duration as a major risk factor.