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Karin Tammik, Mariann Matlep, Jaan Ereline, Helena Gapeyeva and Mati Pääsuke

Isometric voluntary force production and relaxation capacity of the quadriceps femoris (QF) muscle was compared between 12 children with spastic diplegic cerebral palsy (CP) and healthy controls, age 10–11 years. Children with CP had less (p < .05) maximal voluntary-contraction force, voluntary activation, and rate of force development than controls. Visual reaction to contraction did not differ significantly in measured groups, whereas the reaction time to relaxation and halfrelaxation time were longer (p < .05) in children with CP. The authors concluded that in children with CP, the capacity for rapid voluntary force production and relaxation is reduced to a greater extent than isometric maximal force.

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Andrew L. McDonough and Joseph P. Weir

The purpose of this case study was to investigate reflex inhibition of the quadriceps femoris in a subject with postsurgical edema of the left knee. The subject was a 45-year-old male with a traumatic knee injury with resultant edema who underwent elective arthroscopic surgery. Reflex inhibition was assessed by H-reflex elicitation in the femoral nerve and surface electromyography of the quadriceps. To assess the degree of edema, direct circumferential measurements were taken. On the first presurgical visit, the left knee demonstrated mild edema with a decrease in H-reflex amplitudes. Two days after surgery, a further reduction in amplitudes and more swelling were demonstrated followed by an increase in amplitudes and a reduction in edema on the 28th postoperative day. These findings document a relationship between reflex inhibition and joint swelling that was previously described in experimental models where joint edema was simulated.

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Louise M. Thoma, David C. Flanigan, Ajit M. Chaudhari, Robert A. Siston, Thomas M. Best and Laura C. Schmitt

Context:

Few objective data are available regarding strength and movement patterns in individuals with articular cartilage defects (ACDs) of the knee.

Objectives:

To test the following hypotheses: (1) The involved limb of individuals with ACDs would demonstrate lower peak knee-flexion angle, peak internal knee-extension moment, and peak vertical ground-reaction force (vGRF) than the contralateral limb and healthy controls. (2) On the involved limb of individuals with ACDs, quadriceps femoris strength would positively correlate with peak knee-flexion angle, peak internal knee-extension moment, and peak vGRF.

Design:

Cross-sectional.

Setting:

Biomechanics research laboratory.

Participants:

11 individuals with ACDs in the knee who were eligible for surgical cartilage restoration and 10 healthy controls.

Methods:

Quadriceps femoris strength was quantified as peak isometric knee-extension torque via an isokinetic dynamometer. Sagittal-plane knee kinematics and kinetics were measured during the stance phase of stair ascent with 3-dimensional motion analysis.

Main Outcome Measures:

Quadriceps strength and knee biomechanics during stair ascent were compared between the involved and contralateral limbs of participants with ACD (paired t tests) and with a control group (independent-samples t tests). Pearson correlations evaluated relationships between strength and stair-ascent biomechanics.

Results:

Lower quadriceps strength and peak internal knee-extension moments were observed in the involved limb than in the contralateral limb (P < .01) and the control group (P < .01). For the involved limb of the ACD group, quadriceps femoris strength was strongly correlated (r = .847) with involved-limb peak internal knee-extension moment and inversely correlated (r = −.635) with contralateral peak vGRF. Conclusions: Individuals with ACDs demonstrated deficits in quadriceps femoris strength with associated alterations in movement patterns during stair ascent. The results of this study are not comprehensive; further research is needed to understand the physiological characteristics, activity performance, and movement quality in this population.

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Dae-Hyun Kim, Jin-Hee Lee, Seul-Min Yu and Chang-Man An

The quadriceps femoris (QF) is the strongest muscle in the human body and is an important factor in activities of daily living and sports activity. 1 , 2 QF weakening is known as a potential component of musculoskeletal disorders, such as knee degenerative arthritis, ligament injury, and

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Wolfgang Seiberl, Daniel Hahn, Florian Kreuzpointner, Ansgar Schwirtz and Uwe Gastmann

The purpose of this study was to investigate if force enhancement (FE) in vivo is influenced by stretch-induced changes of muscle architecture. Therefore, 18 subjects performed maximum voluntary isometric (100° knee flexion angle) and isometric-eccentric-isometric stretch contractions (80°–100° ω = 60°s−1) whereby pennation angle and fascicle length of vastus lateralis was determined using ultrasonography. We found significant (2-way repeated ANOVA; α = 0.05) enhanced torque of 5–10% after stretch as well as significant passive FE but no significant differences in muscle architecture between isometric and stretch contractions at final knee angle. Furthermore, EMG recordings during a follow-up study (n = 10) did not show significant differences in activation and mean frequency of contraction conditions. These results indicate that FE in vivo is not influenced by muscle architectural changes due to stretch.

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Atsuki Fukutani and Toshiyuki Kurihara

Recent studies have reported that resistance training increases the cross-sectional areas (CSAs) of tendons; however, this finding has not been consistently observed across different studies. If tendon CSA increases through resistance training, resistance-trained individuals should have larger tendon CSAs as compared with untrained individuals. Therefore, in the current study, we aimed to investigate whether resistance training increases tendon CSAs by comparing resistance-trained and untrained individuals. Sixteen males, who were either body builders or rugby players, were recruited as the training group, and 11 males, who did not participate in regular resistance training, were recruited into the control group. Tendon CSAs and muscle volumes of the triceps brachii, quadriceps femoris, and triceps surae were calculated from images obtained by using magnetic resonance imaging. The volumes of the 3 muscles were significantly higher in the training group than in the control group (P < .001 for all muscles). However, a significant difference in tendon CSAs was found only for the distal portion of the triceps surae tendon (P = .041). These findings indicate that tendon CSA is not associated with muscle volume, suggesting that resistance training does not increase tendon CSA.

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Norihide Sugisaki, Kai Kobayashi, Hiroyasu Tsuchie and Hiroaki Kanehisa

thickness and 100-m-sprint performance. However, according to the findings of Hoshikawa et al, 2 the quadriceps femoris muscle cross-sectional area (CSA) for junior male sprinters was negatively correlated to 100-m-sprint performance. For the psoas major muscle, Copaver et al 1 observed significant

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Conall F. Murtagh, Christopher Nulty, Jos Vanrenterghem, Andrew O’Boyle, Ryland Morgans, Barry Drust and Robert M. Erskine

maximum muscle power. Indeed, quadriceps femoris M vol has been shown to be strongly related to mean power produced during bilateral vertical CMJs in adults and children ( r 2  = .9) 6 and moderately related in male children alone ( r 2  = .3). 7 Nonetheless, bilateral vertical CMJ performance is not

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Karinna Sonálya Aires da Costa, Daniel Tezoni Borges, Liane de Brito Macedo, Caio Alano de Almeida Lins and Jamilson Simões Brasileiro

muscles is related to strength deficits. It can lead to functional decline in these individuals. 1 , 2 In particular, quadriceps femoris weakness is a primary impairment following ACL reconstruction, 3 and improvement of quadriceps femoris strength is an important factor in improving functional outcomes

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Taija Finni and Sulin Cheng

The positions of EMG electrodes over the knee extensor muscles were examined in 19 healthy men using MR images; electrodes were placed according to the SENIAM (surface electromyography for non-invasive assessment of muscles) guidelines. From axial images, the medial and lateral borders of the muscles were identified, and the arc length of the muscle surface was measured. The electrode location was expressed as a percentage value from the muscle’s medial border. EMGs were recorded during isometric maximal contraction, squat jumps, and countermovement jumps and analyzed for cross-correlation. The results showed that variations in lateral positioning were greatest in vastus medialis (47% SD 11) and rectus femoris (68% SD 15). In vastus lateralis, the electrode was usually placed close to the rectus femoris (19% SD 6). The peak cross-correlation coefficient varied between 0.15 and 0.68, but was not associated with electrode location. It is recommended that careful consideration is given to the medial-lateral positioning of the vastus lateralis electrodes especially, so that the electrodes are positioned over the mid-muscle rather than in close proximity to rectus femoris.