directional symmetry index. As a symmetry index may be used in clinical decisions, it is vital that the measure is consistent. 7 One method of insuring a stable mean symmetry index (SMSI) is to collect a large number of strides, as exemplified by calculating an interlimb symmetry index from all strides
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Strides to Achieve a Stable Symmetry Index During Running
Shane P. Murphy, Zach B. Barrons, and Jeremy D. Smith
Stable and Unstable Load Carriage Effects on the Postural Control of Older Adults
Gregory S. Walsh, Daniel C. Low, and Marco Arkesteijn
can move the COM. Together these findings suggest that load carriage reduces postural stability, 5 which could have implications for fall risk in older adults. Unstable loads have different effects on postural control than stable loads, 3 suggesting the type of load can also impact postural control
Stable Coordination Variability in Overground Walking and Running at Preferred and Fixed Speeds
Hannah E. Wyatt, Gillian Weir, Carl Jewell, Richard E.A. van Emmerik, and Joseph Hamill
anticipated to contribute to the number of trials needed to reach a stable mean and suitably reflect group CV outcomes; these features include mode (walking or running), speed (preferred or fixed), and surface (treadmill or overground). Due to the systematic regulation of dynamic neuromuscular control that
Scapulothoracic Muscle Activation on Stable and Unstable Support Surfaces
Se-yeon Park, Won-gyu Yoo, Hun Kwon, Dong-hyun Kim, Si-eun Lee, and Mi-jin Park
Activation of the upper trapezius, lower trapezius, serratus anterior, and triceps brachii muscles was measured, while center of pressure excursion beneath the hands was simultaneously monitored, during the performance of a push-up exercise on both a stable and an unstable base of support. The activation levels of all muscles were significantly greater for the unstable support surface when compared to those for a stable support surface (p < 0.05). A negative correlation was found between activation of the serriatus anterior muscle and center of pressure excursion (r = -0.64, p < 0.05). Performance of the push-up exercise on an unstable support surface appears to elicit greater muscle activation than a standard push-up exercise performed on a stable support surface.
Nonstationarity of Stable States in Rhythmic Bimanual Coordination
Eric G. James
The HKB model and its variants characterize bimanual coordination with fixedpoint dynamics and predict stationarity of the mean and variance of relative phase in stable coordinative states. In the current study, participants performed in-phase and antiphase coordination modes in rhythmic bimanual finger and elbow flexionextension tasks. The results of runs tests revealed that discrete relative phase was nonstationary in 49.25%, 50.25%, and 54% of time-series in the 10, 20, and 30 box runs tests, respectively. In all individual Task conditions >38% of time-series were nonstationary. These findings contradicted model predictions that the mean and variance of relative phase are stationary in bimanual coordination and distinguish the concept of dynamical stability from statistical stationarity. The findings indicated that relative phase was not attracted to a stationary fixed-point and that fluctuations in relative phase are not Gaussian white noise as in existing models of bimanual coordination.
Shoulder Muscular Activity During Isometric Three-Point Kneeling Exercise on Stable and Unstable Surfaces
Rodrigo Cappato de Araújo, Rodrigo de Andrade, Helga Tatiana Tucci, Jaqueline Martins, and Anamaria Siriani de Oliveira
The purpose of this study was to determine if performing isometric 3-point kneeling exercises on a Swiss ball influenced the isometric force output and EMG activities of the shoulder muscles when compared with performing the same exercises on a stable base of support. Twenty healthy adults performed the isometric 3-point kneeling exercises with the hand placed either on a stable surface or on a Swiss ball. Surface EMG was recorded from the posterior deltoid, pectoralis major, biceps brachii, triceps brachii, upper trapezius, and serratus anterior muscles using surface differential electrodes. All EMG data were reported as percentages of the average root mean square (RMS) values obtained in maximum voluntary contractions for each muscle studied. The highest load value was obtained during exercise on a stable surface. A significant increase was observed in the activation of glenohumeral muscles during exercises on a Swiss ball. However, there were no differences in EMG activities of the scapulothoracic muscles. These results suggest that exercises performed on unstable surfaces may provide muscular activity levels similar to those performed on stable surfaces, without the need to apply greater external loads to the musculoskeletal system. Therefore, exercises on unstable surfaces may be useful during the process of tissue regeneration.
Shoulder Muscle Activation Levels During the Push-Up-Plus Exercise on Stable and Unstable Surfaces
Rafaela J.B. Torres, André L.T. Pirauá, Vinícius Y.S. Nascimento, Priscila S. dos Santos, Natália B. Beltrão, Valéria M.A. de Oliveira, Ana Carolina R. Pitangui, and Rodrigo C. de Araújo
The aim of this study was to evaluate the acute effect of the use of stable and unstable surfaces on electromyography (EMG) activity and coactivation of the scapular and upper-limb muscles during the push-up plus (with full protraction of the scapula). Muscle activation of anterior deltoid (AD), posterior deltoid (PD), pectoralis major, biceps brachii (BB), triceps brachii (TB), upper trapezius (UT), middle trapezius (MT), lower trapezius (LT), and serratus anterior (SA) levels and coactivation index were determined by surface EMG in 20 young men during push-up plus performed on a stable and unstable condition (2 unstable devices applied to hands and feet). The paired t test and Cohen d were used for statistical analysis. The results showed that during the execution of the push-up plus on the unstable surface an increased EMG activity of the scapular stabilizing muscles (SA, MT, and LT) was observed, while AD and PD muscles showed a decrease. During exercise execution on the unstable surface there was a higher index of coactivation of the scapular muscles (SA–MT and UT–LT pairs). No significant differences were observed in TB–BB and AD–PD pairs. These results suggest that the push-up-plus exercise associated with unstable surfaces produced greater EMG activity levels and coactivation index of the scapular stabilizing muscle. On the other hand, the use of an unstable surface does not promote the same effect for the shoulder muscles.
The Effect of Ankle Bracing and Taping on Joint Position Sense in the Stable Ankle
Eric J. Heit, Scott M. Lephart, and Susan L. Rozzi
The purpose of this study was to determine the proprioceptive effects of ankle bracing and taping. Proprioception was assessed in 26 subjects by evaluating ankle joint position sense, which was determined by the subjects' ability to actively reproduce a passively positioned joint angle. Testing was performed at positions of 30° of plantar flexion and 15° of inversion. Each subject underwent four trials at each test angle under three conditions: braced, taped, and control. For the plantar flexion test, both the braced condition and the taped condition significantly enhanced joint position sense when compared to the control condition. There was no significant difference between the braced and taped conditions. For the inversion test, the taped condition significantly enhanced joint position sense compared to the control condition. There was no significant difference between the braced and the control conditions or between the braced and the taped conditions. This study demonstrates that ankle bracing and taping improve joint position sense in the stable ankle.
Shoulder Muscle Activation Levels During Exercises With Axial and Rotational Load on Stable and Unstable Surfaces
Vinícius Yan Santos Nascimento, Rafaela Joyce Barbosa Torres, Natália Barros Beltrão, Priscila Soares dos Santos, André Luiz Torres Pirauá, Valéria Mayaly Alves de Oliveira, Ana Carolina Rodarti Pitangui, and Rodrigo Cappato de Araújo
This study evaluated the effects of instability on the EMG activity of scapular stabilizing and upper limb muscles during exercises with axial and rotational load. Twenty male volunteers (20.9 ± 1.8 years, 174.1 ± 0.04 cm, 73.17 ± 8.77 kg) experienced in strength training participated in a crossover design. Muscle activation of anterior deltoid (AD), posterior deltoid (PD), pectoralis major (PM), biceps brachii (BB), triceps brachii (TB), upper trapezius (UT), middle trapezius (MT), lower trapezius (LT), and serratus anterior (SA) were determined on both conditions. Participants performed a single series of 10 repetitions of bench press and fly exercises on stable (bench) and unstable (proprioceptive disc) conditions at 60% of 1-RM. The Friedman test and post hoc Dunn’s indicated that the unstable condition showed greater EMG activity for AD (P = .001) and BB (P = .002) on the fly exercise, SA (P = .001) and LT (P = .048) on the bench press, and PM (P ≤ .002) on both exercises. These results show that using an unstable surface in exercises with rotational load provides superior EMG activity of the agonist muscles, while in exercise with axial load, the instability favors EMG activity of the scapular stabilizing muscles.
Effects of Trial Duration on Intrasession Reliability of Single Leg Balance Testing on Stable and Unstable Surfaces
Bryan L. Riemann, Kelsey Piersol, and George J. Davies
Context: Single leg balance testing is a commonly used tool in sports medicine; however, there has been no consensus on trial duration needed to obtain reliable measures. Objective: This investigation sought to determine the minimum trial duration required to obtain the highest intrasession single and average trial reliability for single leg balance testing on stable and unstable surfaces using dominant and nondominant limbs. Design: Intrasession reliability. Setting: Biomechanics laboratory. Participants: 70 healthy (35 men, 35 women), physically active young adults aged 22.8 ± 2.8 y divided into 3 subgroups (n = 10, 30, 30) across a 3-phase study. Methods: 3 phases of single leg balance testing were performed. For phase 1, the duration of time each participant could maintain posture on each limb/surface were computed. Phase 2 considered performance for 6 cumulative time intervals (5s, 10s, 15s, 20s, 25s, 30s). Phase 3 served to solidify results of phase 2 by computing reliability of 15s trials. Main outcome measures: Overall stability index of the center of pressure and platform tilt. Results: Intraclass correlation coefficients for phase 2 ranged from .74 (5s interval for nondominant limb on unstable surface) to .94 (20s interval for nondominant limb on stable surface). Phase 3 intraclass correlation coefficients ranged from .66 to .78 for single trial and .85 to .92 for 3 trial average with coefficients of variation ranging from 23.9% to 40.4% for single trial and 13.8% to 23.0% for 3 trial average. Conclusions: These results ultimately suggest 15s as the optimal trial duration to provide reliable measures while reducing compensatory event occurrence.