Efficacy of Installation of Temporary Bathing Transfer Aids by Older Adults.

Grab bars facilitate bathing and reduce the risk of falls during bathing. Suction cup handholds and rim-mounted tub rails are an alternative to grab bars. The objective of this study was to determine whether older adults could install handholds and tub rails effectively to support bathing transfers. Participants installed rim-mounted tub rails and suction cup handholds in a simulated bathroom environment. Installation location and mechanical loading performance were evaluated. Participant perceptions during device installation and a bathing transfer were characterized. While 85% of suction cup handholds met loading requirements, more than half of participants installed the suction cup handhold in an unexpected location based on existing guidance documents. No rim-mounted tub rails were successfully installed. Participants were confident that the devices had been installed effectively. Suction cup handholds and rim mounted tub rails are easy to install, but clients may need additional guidance regarding where, and how to install them.

The effect of rolling massage on the excitability of the corticospinal pathway.

The aim of the present study was to investigate the alterations of corticospinal excitability (motor evoked potential, MEP) and inhibition (silent period, SP) following rolling massage of the quadriceps muscles. Transcranial magnetic and femoral nerve electrical stimuli were used to elicit MEPs and compound muscle action potential (Mmax) in the vastus lateralis and vastus medialis muscles prior to and following either (i) 4 sets of 90-s rolling massage (ROLLING) or (ii) rest (CONTROL). One series of neuromuscular evaluations, performed after each set of ROLLING or CONTROL, included 3 MEPs and 1 Mmax elicited every 4 s during 15-s submaximal contractions at 10% (experiment 1, n = 16) and 50% (experiment 2, n = 10) of maximal voluntary knee extensions (MVC). The MEP/Mmax ratio and electromyographic activity recorded from vastus lateralis at 10% MVC demonstrated significantly lower values during ROLLING than CONTROL (P < 0.05). The ROLLING did not elicit any significant changes in muscle excitability (Mmax area) and duration of transcranial magnetic stimulation-induced SP recorded from any muscle or level of contraction (P > 0.05). The findings suggest that rolling massage can modulate the central excitability of the circuitries innervating the knee extensors; however, the observed effects are dependent on the background contraction intensity during which the neuromuscular measurements are recorded.

Knowledge of Repetition Range Does Not Affect Maximal Force Production Strategies of Adolescent Females.

PURPOSE: Contrary to adult force reserve strategies, it is not known whether adolescent females with less experience performing maximal voluntary contractions (MVC) have specific responses to a known or unknown fatigue endpoint. METHODS: Using a counterbalanced random crossover design, fourteen inexperienced female adolescents completed three elbow flexor (EF) fatiguing protocols. Participants were randomly assigned to a control (informed they would perform 12 MVCs), unknown (not informed of the number of MVCs to be completed, but stopped after 12) or deception condition (instructed to complete 6 MVCs, however, after the sixth repetition performed another 6 MVCs). Before and during the interventions, EF impulse, force, and biceps brachii (BB) and triceps brachii (TB) electromyography (EMG) activity were recorded. RESULTS: Participants exhibited decreases in impulse (10.9%; p < .05), force (7.5%; p = .001), BB (16.2%; p < .05) and TB (12.9%; p < .05) EMG activity between the pretest and the first repetition of all protocols. Knowledge of endpoint, or lack of it, did not change measures with the repeated MVCs. When informed about the final repetition, force remained depressed suggesting no physiological reserve. CONCLUSION: Adolescent females exhibited an anticipatory response to the task of performing repeated MVCs. A lack of change with knowledge of endpoint indicates that those lacking in MVC experience do not employ the same pacing strategies as in previous studies of participants with MVC experience.