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The Effect of an Overhead External Load Lifting and Lowering on Dynamic Postural Control in Subgroups of Low Back Pain

Majid Shahbazi, Javad Sarrafzadeh, Ismail Ebrahimi Takamjani, and Hossein Negahban

Background: Understanding postural control in low back pain (LBP) subgroups can help develop targeted interventions to improve postural control. The studies on this topic are limited. Therefore, the primary purpose of this study was to compare the postural control of LBP subgroups with healthy individuals during overhead load lifting and lowering. Methods: In this cross-sectional study, the participants were 52 with LBP and 20 healthy. The LBP patients were classified based on the O’Sullivan classification system into 21 flexion patterns and 31 active extension patterns. The participants lifted the box from their waists to their overheads and lowered it to their waists. Changes in postural control parameters were measured with a force plate system. Results: The results of the analysis of variance showed that during load lifting, the mediolateral phase plane (p = .044) and the mean total velocity (p = .029) had significant differences between flexion patterns and healthy. Also, the load-lowering results showed that active extension patterns, compared with healthy, had significant differences in the anteroposterior–mediolateral phase plane (p = .042). The patients showed less postural sway than the healthy. Conclusions: The results in this work highlight the importance of identifying the homogenous subgroups in LBP and support the classification of heterogeneous LBP. Different subgroups exhibit different postural control behaviors. These behaviors can be due to the loading of various tissues during different tasks.

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Motor Transfer and Proactive Interference in Cycling With a Noncircular Chainring

Thomas Haab, Peter Leinen, and Stefan Panzer

Athletes must transfer their performance when changing equipment due to innovative developments in sports technology. This kind of transfer has received only moderate attention. The aim of this study was to examine whether a mechanical change in sports equipment disturbs an athlete’s performance and affects biomechanical and neurophysiological parameters. Therefore, an experiment was conducted in which 36 participants in three groups pedaled at 70 rounds per minute on a cycling ergometer with a circular and a noncircular (NC) chainring. The dependent variables were the total variability of the cadence, torque effectiveness, and muscle cocontraction (electromyographic cocontraction) of four antagonistic acting muscle pairs. Data were recorded during an acquisition phase, a transfer phase, and a retention phase. The results revealed that practice on a circular chainring induces a positive transfer on the NC chainring for total variability without a proactive interference effect. Torque effectiveness did not change within or between groups during the acquisition, transfer, and retention phases. Torque effectiveness and electromyographic cocontraction were not affected when the chainrings were altered from Day 1 to Day 2. During the retention phase, electromyographic cocontraction was higher when using the NC chainring, but the difference was small in absolute terms. The results regarding transfer and proactive interference seem to be strongly dependent on the movement task and the change in sports equipment. Transfer from the circular to NC chainring indicates refined neuromuscular control and improved movement coordination.

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Volume 27 (2023): Issue 4 (Oct 2023)

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Balance Recovery Strategy in Children With and Without Hearing or Visual Impairments

Hamed Zarei, Ali Asghar Norasteh, Lauren J. Lieberman, and Ali Brian

Purpose: The purpose of this study was to examine the balance recovery strategy in children with hearing (HI) and visual impairments (VI) compared with those without these disorders. Materials and Methods: This study featured a cross-sectional design with subjects (N = 45) placed within one of three equally stratified purposive groups (HI, VI, and comparison) within the age range of 9–13 years (mean = 11.43, SD = 1.5). Balance recovery strategy was measured in static and after-perturbation conditions by a four-camera Vicon system used to record three-dimensional lower body kinematic data. A repeated-measures analysis of variance (3 × 2, Group × Condition) was utilized to analyze data. Significance was set at p ≤ .05. Results: In the static condition, the results of the study showed that there was no significant difference between the groups in the ankle joint sway (p > .05). In hip joint sway, VI children had greater sway compared with comparison (p = .001) and HI children (p = .02). Also, HI children had greater sways than comparison (p = .02). In the after-perturbation condition, the results showed that VI children had greater sway in the hip and ankle joints than HI children (p = .001) and comparison (p = .001) to restore and maintain balance. Conclusion: It seems that comparison as well as higher proportion VI children use a hip strategy to maintain and restore balance. Also, it seems that HI children use a different strategy (ankle strategy) to maintain and restore balance compared with comparison and VI children.

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Use of Target Information for Preparing Initial Motor Command of Target Force Production Task

Koichi Hiraoka, Keita Hashimoto, and Takumi Fukuchi

The present study examined how humans use the target information provided immediately before the onset of motor output to prepare the initial motor command in the target force production task. Twenty healthy individuals participated in this study. A target cursor indicating the target force, and a force cursor indicating the force produced with index finger flexion were presented, and participants produced force in response to the appearance of the force cursor so that it moved toward the target cursor as fast as possible. The rate of force development in a time window of 0–100 ms after the onset of force development, representing the intensity of the initial motor command without online feedback adjustment, was measured. The present findings support the hypotheses that humans use the target information provided immediately before the onset of motor output to prepare the initial motor command, and they simultaneously prepare the initial motor command for the intermediate of multiple potential targets using the information of targets provided in previous trials. Another hypothesis, that humans use the information of the target or motor process of the trial immediately before the current trial to prepare the initial motor command, was not supported.

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Increased Risk of Falling in Older Adults When Coordinating Obstacle Avoidance and Grasping

Janine Carvalho Valentino Camargos, Gabriela Vigorito Magalhães, Letícia Munhoz Avellar, Anselmo Frizera, and Natalia Madalena Rinaldi

This study aimed to investigate the kinematic changes in obstacle avoidance and prehension tasks performed simultaneously by older adults with a history of falls at different levels of task difficulty. Twenty-six older adults were divided into faller and nonfaller groups. The experimental protocol was divided into two different tasks: walking with obstacle avoidance and walking with obstacle avoidance combined with a reach-to-grasp task. Two types of sensors (Kinect v2 and Leap Motion Controller, respectively) were used to analyze gait and grasp. Fallers presented kinematic changes associated with the grasping task during obstacle avoidance, such as a decrease in the velocity of the center of mass and the step length, an increase in the step width, a decrease in toe–obstacle horizontal distance, and an increase in vertical foot clearance distance, and an increase in movement time in the grasping task compared with nonfallers. To cope with the obstacle avoidance demands of both walking and grasping, fallers turned to a specific sequencing strategy. While slowing down, they attended first to the grasping task and then to crossing the obstacle on the floor.

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Rating of Perceived Exertion in the First Repetition is Related to the Total Repetitions Performed in Elastic Bands Training

Juan C. Colado, Javier Gené-Morales, Pablo Jiménez-Martínez, Jorge Flandez, Ana María Ferri-Caruana, and Carlos Babiloni-Lopez

Several devices (e.g., linear transducers) have been used for predicting resistance training intensity. However, subjective scales, such as rating of perceived exertion (RPE), are proposed as reliable and easier-to-use tools for monitoring intensity during resistance training. Accordingly, different perceptive scales have been presented in previous research for monitoring intensity during resistance training with elastic bands. The aim was to assess the accuracy and reliability of RPE for quantifying the potential maximal repetitions that could be performed at a given RPE (from 2 to 8 of 10) obtained in the first repetition. For this purpose, 13 recreationally active participants (age: 26.33 [6.52] years, body mass index: 24.97 [5.08] kg/m2) were involved in two familiarization and two experimental sessions. In each session, participants randomly performed one set at each intensity of the first repetition from 2/10 to 8/10 until volitional failure in three different exercises (fly, military press, and push–press). An individual grip width of the elastic band was chosen in each set. The number of repetitions and heart rate were assessed. Significance level was set at p < .05. Repetitions decreased when intensity increased (p < .01) and heart rate was higher in the global exercise (i.e., push–press; p < .05), but nonsignificant differences between intensities were reported. The level of experience influenced the number of repetitions performed (p < .05). Intersession reliability was set from good to excellent (range: 0.64–0.91). Therefore, the RPE of the first repetition is a relevant and reliable parameter related to the total number of repetitions performed for each RPE value in trained participants enrolled in elastic bands resistance training.

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Proprioceptive Acuity Assessment in Multiple Directions Across Multiple Joints in the Upper Limb

Kai-Qi Zhang, Yan-Xia Li, Na Lv, Qiang Ma, Shu-Jun Zhang, Xi Zhao, Kai Wang, Li Li, and Lin Li

Proprioception is essential for precise movement as it helps the body transmit important data about its surroundings to the central nervous system for maintaining body posture and position. This study aimed to investigate the effect of direction and joint angle on upper limb proprioception. Thirty individuals (all males) completed a position reproduction activity in 13 directions and three joint angles. It was discovered that upper limb proprioception is dependent on joint angle, direction, and range of motion. The position reproduction error was found to be dependent on the direction, which had a significantly lower accuracy in the direction with a larger range of motion. In addition, upper limb repositioning errors increased at greater limb elevation angles. Our findings also showed that the joint angle did not significantly affect the absolute error of elbow flexion. With an increase in the elbow flexion, the increase of the gravitational moment of the upper arm and hand coupled with the increase of the muscle arm of the biceps brachii possibly causes slight changes in muscle length perceived by spindles or muscular force perceived by Golgi tendon organs.

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Immediate Effects of Real-Time Feedback During Overground Gait Performed Using Inertial Measurement Units on Gait Parameters in Healthy Young Participants: A Cross-Sectional Study

Takasuke Miyazaki, Yasufumi Takeshita, Daichi Shimose, Shogo Kakimoto, Sota Araki, Yuta Matsuzawa, Shobu Nakashima, Yuki Nakai, Masayuki Kawada, and Ryoji Kiyama

This cross-sectional study examined the immediate effects of four types of real-time feedback during overground gait performed using inertial measurement units on gait kinematics in healthy young participants. Twelve healthy young participants (mean age: 27.1 years) performed 60-s gait trials with each of the following real-time feedback: walking spontaneously (no feedback trial); increasing the ankle plantar-flexion angle during the late stance (ankle trial); increasing the leg extension angle, defined the location of the ankle joint relative to the hip joint in the sagittal plane, during late stance (leg trial); and increasing the knee flexion angle during the swing phase (knee trial). Tilt angles and accelerations of the pelvis and lower limb segments were measured using seven inertial measurement units pre- and postfeedback trials. The differences in gait parameters pre- and postfeedback according to the types of feedback were compared using one-factor repeated-measures analysis of variance, Friedman test, and post hoc test. Real-time feedback in the ankle trial increased gait speed, step length, and ankle plantar-flexion angle compared to the no feedback trial (p ≤ .001). Meanwhile, real-time feedback in the leg trial increased step length and hip extension angle compared to the no feedback trial (p ≤ .001) and showed a tendency to increase gait speed and leg extension angle. Real-time feedback using inertial measurement units increased gait speed immediately with specific changes in gait kinematics in healthy participants. This study might imply the possibility of clinical application for overground gait training, and further studies are needed to clarify the effectiveness for older people.

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Judokas Exhibit Short Response Latency Even to Non-Judo-Specific External Perturbation: Insights Into the Involuntary Postural Control Ability in Humans

Natsuki Sado, Norihisa Fujii, Eri Nonaka, and Terumitsu Miyazaki

Humans experience unanticipated external postural perturbations and recover their posture faster via involuntary responses than voluntary responses. Previous cross-sectional comparisons between athletes and untrained populations have suggested that daily motor experiences can lead to adaptations in the reflex system, but the temporal aspect of this adaptation has been unclear. Here we show that judokas have an earlier muscle activation response to even non-judo-specific external perturbations compared with an untrained population. The response latency to a backward push-and-release type postural perturbation was compared between male judokas (n = 7, career >13 years, ranging from world champions to prefectural competitors) and untrained nonjudokas (n = 7). Latency was defined as the instant of tibialis anterior muscle activity onset. Judokas exhibited shorter latency (20.6 ± 7.1 ms) than nonjudokas (28.3 ± 8.9 ms). The rank order of latency in judokas did not correlate with their competition performance. We suggest that daily training in responding to perturbations might improve some parts of the sensorimotor pathway relating to postural response latency, and that this excellence in involuntary response is independent of athletic performance. The findings provide a novel perspective for understanding postural control ability in humans.