Assistive devices: an effective strategy in non-pharmacological treatment for hand osteoarthritis-randomized clinical trial.

This study aims to evaluate the use of assistive devices as a strategy in non-pharmacological treatment for hand osteoarthritis (HOA). This is a randomized, prospective, parallel, assessor-blinded clinical trial, in which patients with a diagnosis of HOA were randomly allocated to an intervention group (IG), where they received assistive devices for daily life activities, or to a control group (CG), where they received a guideline leaflet with information on joint protection and disease features. The primary outcomes considered were occupational performance, measured by the Canadian Occupational Performance Measure (COPM), and hand function was evaluated through the Score for the Assessment and Quantification of Chronic Rheumatoid Affections of the Hands (SACRAH). The secondary outcomes were pain, measured by the visual analog scale (VAS), and quality of life, measured by the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF). We compared both outcomes before and after interventions and outcomes between groups. Participants from the two groups were assessed at the time of inclusion in the study, 30, and 90 days after initial evaluation. Out of the 39 patients included, 19 were allocated to the IG and 20 to the CG. Only two patients from the CG did not complete the follow-up period. The patients' hand function and occupational performance improved after intervention (30 days-SACRAH-p < 0.05; COPM-p < 0.05; VAS-p < 0.05). When comparing results between the groups, there was a statistical difference in COPM (performance-p < 0.001; and satisfaction-p < 0.001), in the first reevaluation carried out. The use of assistive devices has proved to be an effective alternative in non-pharmacological treatment for HOA. CLINICAL TRIAL REGISTRATION: NCT02667145.

Leg muscles recruitment pattern in soccer players and active individuals during isometric contractions.

This study aimed to compare the torque, torque ratio (Hamstrings: Quadriceps - H:Q), electromyographic (EMG) activity and EMG ratio (knee flexors: knee extensors EMG) in soccer players (SG, N = 10) and active subjects (AG, N = 10). Subjects performed three maximal voluntary isometric knee extensions and flexions at 45 degrees and 90 degrees to determine the peak torque and EMG activity. Torque and EMG activity of the knee flexor (biceps femoris [BF] and semitendinosus [ST]) were divided by the torque and EMG activity of the knee extensor (vastuls lateralis [VL] and rectus femoris [RF]) to calculate torque ratios (H:Q) and EMG ratios (BF:VL, BF:RF, ST:VL, ST:RF). The flexion torque was significantly higher for SG (p < 0.05) in 45 degrees and 90 degrees. EMG activity for SG was significantly higher in agonist contractions for VL, RF and ST and significantly lower in antagonist contractions for RF and ST when compared to AG. Torque and EMG ratios were similar between groups and there were good correlations between torque ratio and BF:VL ratio (r = 0.71, p = 0.02) and BF:RF ratio (r = 0.81, p = 0.004) at 45. The EMG results could overestimate the joint balance calculated using torque ratios. Differences in recruitment pattern between soccer players and non-athletes can be related to the training routines and the EMG ratios presents applicable in trained populations.

Electromyographic fatigue threshold of the biceps brachii: the effect of endurance time.

Muscle fatigue can be a limiting factor to determine index as the electromyographic fatigue threshold (EMGFT) due the alterations in motivation and disconfots. This way, the purpose of this study was to identify the right biceps brachii and left biceps brachii obtained from repetitive elbow flexions at each 100% of total time. Nine healthy subjects performed the exercise named biceps curl until exhaustion with 25%, 35%, and 45%0 of one repetition maximum, in three different days. EMG amplitude (root mean square--RMS) was obtained for concentric contractions during these load levels and correlated with time to determine the slope values for each load and them determine the EMGFT. The EMGFT was obtained within of each 10% of total time and they were compared by analysis of variance. The results showed a progressive increase in RMS with time, for both muscles in all loads, characterizing the muscle fatigue process, and for the EMGFT values ware not found predominantly significant differences between the execution time, as well as between muscles (right biceps x left biceps). This protocol allowed to identify the EMGFT to both muscles during the biceps curl, which was similar at different percentage of total time, indicating the possibility to reduce the length of the contraction test without the need to maintain the contraction until exhaustion. Further studies are needed to evaluate the applicability of this method to determining the effects on performance.

Electromyographic fatigue threshold of the biceps brachii muscle during dynamic contraction.

The purpose of this study was to identify the Electromyographic Fatigue Threshold (EMGFT) of the biceps brachii muscle bilaterally during the elbow flexion in tests performed in different times. 30 second test, 1 minute test and fatiguing test, in concentric (CC) and eccentric (EC) phases. Nine healthy young men performed the elbow flexion with loads corresponding at 25%, 35% and 45% of the one repetition maximum (1-RM) in separate days. The results indicated that the test applied for the biceps brachii muscle during elbow flexion induced a progressive increment of EMG activity with time indicating muscle fatigue and allowed the identification of the EMGFT. The three tests presented no difference of EMGFT between CC and EC phases bilaterally.