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  • Author: Mati Pääsuke x
  • Athletic Training, Therapy, and Rehabilitation x
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Bernardo Requena, Jaan Ereline, Helena Gapeyeva and Mati Pääsuke

Context:

The understanding of posttetanic potentiation (PTP) in human muscles induced by percutaneous electrical stimulation (PES) is important for effective application of electrical stimulation in rehabilitation.

Objective:

To examine the effect of 7-second high-frequency (100-Hz) submaximal (25% of maximal voluntary contraction force) direct PES on contractile characteristics of the knee-extensor (KE) muscles.

Design:

Single-group repeated measures.

Setting:

Kinesiology laboratory.

Subjects:

13 healthy men age 18–27 years.

Measurement:

Peak force (PF), maximal rates of force development (RFD) and relaxation (RR) of supramaximal twitch, and PF of doublet and 10-Hz tetanic contractions before and after direct tetanic PES.

Results:

A significant potentiation of twitch, doublet, and 10-Hz tetanic-contraction PF has been observed at 1–5 minutes posttetanic. Twitch RFD and RR were markedly potentiated throughout the 10-minute posttetanic period.

Conclusions:

A brief high-frequency submaximal tetanic PES induces PTP in KE muscles associated with small increase at 1–5 minutes.

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Viire Talts, Jaan Ereline, Tatjana Kums, Mati Pääsuke and Helena Gapeyeva

Our aim with the current study was to compare upper extremity and cue kinematics, and electromyographic (EMG) activation of shoulder muscles during novus (a special form of billiards) shots of different difficulty levels. Ten proficient and 10 less-skilled novus players performed 3 types of novus shots (penalties, cuts, rebounds) 10 times each. During each shot, elbow flexion and cue–forearm angles (using a movement analysis system), and surface EMG activity of the trapezius, posterior, and lateral deltoid muscles of each subject’s dominant side, were measured. Data were compared between more- and less-skilled players, and successful compared with unsuccessful shots. Elbow flexion angle among the more-skilled players was 24.5% larger (P < .001) during unsuccessful cut shots than successful ones. The more-skilled players performed successful penalty and rebound shots with 26.8% and 49.8% lower (P < .01 and P < .001, respectively) EMG activity of the trapezius muscle than unsuccessful ones. Less-skilled players’ shots were characterized by higher EMG activity in the trapezius muscle. The obtained findings suggest that the more-skilled novus players had acquired a different muscle recruitment pattern than less-skilled players.

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Helena Gapeyeva, Mati Pääsuke, Jaan Ereline, Vallo Vaher, Aivar Pintsaar and Aalo Eller

Context:

Contractile characteristics of the knee extensors after arthroscopic meniscectomy are poorly understood.

Objective:

To measure the recovery of knee-extensor-muscle contractility after arthroscopic partial meniscectomy.

Design:

Single-group repeated measures.

Setting:

Kinesiology and biomechanics laboratory.

Subjects:

Fourteen patients with arthroscopic partial medial meniscectomies.

Main Outcome Measures:

Maximal isometric voluntary contraction (MVC) force, rate of force development (MRFDES), and half-relaxation time (HRTES) of evoked tetanic contraction preoperatively and during 6 months postoperatively.

Results:

Two weeks postoperatively, a reduction in MVC force of 27.1% and in MRFDES of 17.8% and a prolongation of HRTES of 34.0% in the injured leg were found. A significant MVC-force deficit (17.5%) was observed 3 months postoperatively.

Conclusions:

The recovery of knee-extensor-muscle voluntary strength is more delayed than are evoked tetanic-contractile characteristics after partial meniscectomy. The rehabilitation protocol seems to be insufficient to attain effective recovery of knee-extensor-muscle voluntary strength.