This study examined the acute effects of passive stretching on electromechanical delay (EMD), peak twitch force (PTF), rate of force development (RFD), and peak-to-peak M-wave (PPM) for the soleus muscle during evoked isometric plantar flexion muscle actions. Fourteen men (mean age ± SD = 21.2 ± 2.4 years; body mass = 80.0 ± 14.9 kg; height = 176.9 ± 7.2 cm) and 20 women (20.9 ± 2.5 years; 61.3 ± 8.9 kg; 165.3 ± 7.5 cm) volunteered for the study. Five single-square, supramaximal transcutaneous electrical stimuli (each separated by 5 s) were delivered to the tibial nerve before and after passive stretching. A time × gender interaction was observed for EMD, and the post hoc dependent-samples t tests indicated that EMD increased 4% for the women (p = .023), but not for the men (p = .191). There were no other stretching-related changes for PTF, RFD, or p-p M-wave for either the men or women (p > .05). These findings tentatively suggested that mechanical factors related to the stiffness of the muscle-tendon unit may contribute to the explanation for why stretching caused an acute increase in the EMD during evoked twitches in the women, but not in the men.
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Pablo B. Costa, Eric D. Ryan, Trent J. Herda, Ashley A. Walter, Katherine M. Hoge, and Joel T. Cramer
Graham E. Caldwell and Li Li
In this commentary we question whether the relationship between muscle activity and joint moments is the same for natural motor tasks as for controlled experimental situations. An important consideration in this regard is the identification of the correct electromechanical delay (EMD) for comparing EMG and joint moment data. Data from recent cycling studies are used to illustrate the importance of EMD, and how changing task constraints can alter the relation between muscle activity and joint moment balance for bi-articular antagonist pairs.
Maria Angelika Peer and Nigel Gleeson
. 10 Electromechanical delay (EMD) represents an important aspect of functional neuromuscular reaction time, 3 during which there could be unrestrained development of forces of sufficient magnitude to damage ligamentous tissue in synovial joints. 4 Exercises that help develop and maintain
Peter F. Vint and Richard N. Hinrichs
Isometric knee extension force and average integrated EMG of the vastus lateralis muscle were obtained from 27 healthy subjects using a maximum effort, ramp and hold protocol. In each of the 125 total trials mat were included in the analysis, a 2-s plateau region was extracted and divided into two adjacent 1000-ms bins. Variability and reliability of bin-to-bin measurements of force and EMG were then evaluated across 14 different integration intervals ranging from 10 to 1000 ms. Statistical analyses of bin-to-bin variability measures demonstrated that integration intervals of 250 ms and longer significantly reduced variability and improved reliability of average integrated EMG values during maximum effort isometric exertions. Bin-to-bin EMG reliability increased from .728 at 10 ms to .991 at 1000 ms. Force parameters appeared less sensitive to changes in length of the integration interval. It was suggested that longer intervals might also improve the validity of the EMG-force relationship during maximum effort isometric exertions by reducing problems associated with electromechanical delay.
D. Clark Dickin and Jacqueline E. Heath
Whole body vibration (WBV) has been shown to improve force and power output as well as flexibility and speed, with improvements suggested to result from reduced electromechanical delays, improved rate of force development, and sensitivity of muscle spindles. Fixed frequency studies on postural control have been somewhat equivocal; however, individualized frequency protocols have shown promising results in other motor tasks. To assess this, 18 healthy young adults experienced three 4-minute WBV sessions with postural control assessed before vibration, after multiple exposures, and during recovery, with altered levels of sensory information available to the participants. Sway velocity, sway path length, and sway area were assessed in each environment. Study findings revealed that stability was impacted following WBV, with more challenging environments eliciting improvements persisting for 20 minutes. When the environment was less challenging, postural stability was impaired; however, the effects dissipated quickly (10-20 min). It was determined that exposure to individualized frequency WBV served to impair postural control when the challenge was low, but resulted in heightened stability when the overall challenge was high and vestibular information was needed for stability.
Bareket Falk
Children develop lower levels of muscle force, and at slower rates, than adults. Although strength training in children is expected to reduce this differential, a synchronous adaptation in the tendon must be achieved to ensure forces continue to be transmitted to the skeleton with efficiency while minimizing the risk of strain- related tendon injury. We hypothesized that resistance training (RT) would alter tendon mechanical properties in children concomitantly with changes in force production characteristics. Twenty prepubertal children (age 8.9 ± 0.3 yr) were equally divided into control (nontraining) and experimental (training) groups. The training group completed a l0-week RT intervention consisting of 2–3 sets of 8–15 plantar flexion contractions performed twice weekly on a recumbent calf-raise machine. Achilles tendon properties (cross-sectional area, elongation, stress, strain, stiffness, and Young’s modulus), electromechanical delay (EMD; time between the onset of muscle activity and force), rate of force development (RFD; slope of the force-time curve), and rate of electromyographic (EMG) increase (REI; slope of the EMG time curve) were measured before and after RT. Tendon stiffness and Young’s modulus increased significantly after RT in the experimental group only (~29% and ~25%, respectively); all other tendon properties were not significantly altered, although there were mean decreases in both peak tendon strain and strain at a given force level (14% and 24%, respectively; not significant) which may have implications for tendon injury risk and muscle fiber mechanics. A decrease of ~13% in EMD was found after RT for the experimental group, which paralleled the increase in tendon stiffness (r = −0.59); however, RFD and REI were unchanged. The present data show that the Achilles tendon adapts to RT in prepubertal children and is paralleled by a change in EMD, although the magnitude of this change did not appear to be sufficient to influence RFD. These findings are of importance within the context of the efficiency and execution of movement.
Andrea Kay Bailey, Claire Minshull, James Richardson, and Nigel P. Gleeson
Context:
Autologous chondrocyte implantation (ACI) aims to restore hyaline cartilage. Traditionally, ACI rehabilitation is prescribed in a concurrent (CON) format. However, it is well known from studies in asymptomatic populations that CON training produces an interference effect that can attenuate strength gains. Strength is integral to joint function, so adopting a nonconcurrent (N-CON) approach to ACI rehabilitation might improve outcomes.
Objective:
To assess changes in function and neuromuscular performance during 48 wk of CON and N-CON physical rehabilitation after ACI to the knee.
Setting:
Orthopedic Hospital NHS Foundation Trust.
Design:
Randomized control, pilot study.
Participants:
11 patients (9 male, 2 female; age 32.3 ± 6.6 y; body mass 79.3 ±10.4 kg; time from injury to surgery 7.1 ± 4.9 mo [mean ± SD]) randomly allocated to N-CON:CON (2:1).
Interventions:
Standardized CON and N-CON physiotherapy that involved separation of strength and cardiovascular-endurance conditioning.
Main Outcome Measures:
Function in the single-leg-hop test, patient-reported outcomes (Knee injury and Osteoarthritis Outcome Score [KOOS], International Knee Documentation Committee subjective questionnaire [IKDC]), and neuromuscular outcomes of peak force (PF), rate of force development (RFD), electromechanical delay (EMD), and sensorimotor performance (force error [FE]) of the knee extensors and flexors of the injured and noninjured legs, measured presurgery and at 6, 12, 24, and 48 wk postsurgery.
Results:
Factorial ANOVAs with repeated measures of group by leg and by test occasion revealed significantly superior improvements for KOOS, IKDC, PF, EMD, and FE associated with N-CON vs CON rehabilitation (F 1.5, 13.4 GG = 3.7−4.7, P < .05). These results confirm increased peak effectiveness of N-CON rehabilitation (~4.5−13.3% better than CON over 48 wk of rehabilitation). N-CON and CON showed similar patterns of improvement for single-leg-hop test and RFD.
Conclusions:
Nonconcurrent strength and cardiovascular-endurance conditioning during 48 wk of rehabilitation after ACI surgery elicited significantly greater improvements to functional and neuromuscular outcomes than did contemporary concurrent rehabilitation.
Thomas D. O’Brien
Children develop lower levels of muscle force, and at slower rates, than adults. While strength training in children is expected to reduce this differential, a synchronous adaptation in the tendon must be achieved to ensure forces continue to be transmitted to the skeleton with efficiency while minimizing the risk of strainrelated tendon injury. We hypothesized that resistance training (RT) would alter tendon mechanical properties in children concomitantly with changes in force production characteristics. Twenty prepubertal children (8.9 ± 0.3 years) were equally divided into control (nontraining) and experimental (training) groups. The training group completed a 10-week RT intervention consisting of 2-3 sets of 8-15 plantar flexion contractions performed twice weekly on a recumbent calf raise machine. Achilles tendon properties (cross-sectional area, elongation, stress, strain, stiffness and Young’s modulus), electromechanical delay (EMD; time between the onset of muscle activity and force), rate of force development (RFD; slope of the force-time curve) and rate of EMG increase (REI; slope of the EMG-time curve) were measured before and after RT. Tendon stiffness and Young’s modulus increased significantly after RT in the experimental group only (~29% and ~25%, respectively); all other tendon properties were not significantly altered, although there were mean decreases in both peak tendon strain and strain at a given force level (14% and 24%, respectively, n.s) which may have implications for tendon injury risk and muscle fiber mechanics. A ~13% decrease in EMD was found after RT for the experimental group which paralleled the increase in tendon stiffness (r = −0.59), however RFD and REI were unchanged. The present data show that the Achilles tendon adapts to RT in prepubertal children and is paralleled by a change in EMD, although the magnitude of this change did not appear to be sufficient to influence RFD. These findings are of potential importance within the context of the efficiency and execution of movement.
Cameron Mitchell, Rotem Cohen, Raffy Dotan, David Gabriel, Panagiota Klentrou, and Bareket Falk
Previous studies in adults have demonstrated power athletes as having greater muscle force and muscle activation than nonathletes. Findings on endurance athletes are scarce and inconsistent. No comparable data on child athletes exist.
Purpose:
This study compared peak torque (Tq), peak rate of torque development (RTD), and rate of muscle activation (EMG rise, Q30), in isometric knee extension (KE) and fexion (KF), in pre- and early-pubertal power- and endurance-trained boys vs minimally active nonathletes.
Methods:
Nine gymnasts, 12 swimmers, and 18 nonathletes (7–12 y), performed fast, maximal isometric KE and KF. Values for Tq, RTD, electromechanical delay (EMD), and Q30 were calculated from averaged torque and surface EMG traces.
Results:
No group differences were observed in Tq, normalized for muscle cross-sectional area. The Tq-normalized KE RTD was highest in power athletes (6.2 ± 1.9, 4.7 ± 1.2, 5.0 ± 1.5 N·m·s–1, for power, endurance, and nonathletes, respectively), whereas no group differences were observed for KF. The KE Q30 was significantly greater in power athletes, both in absolute terms and relative to peak EMG amplitude (9.8 ± 7.0, 5.9 ± 4.2, 4.4 ± 2.2 mV·ms and 1.7 ± 0.8, 1.1 ± 0.6, 0.9 ± 0.5 (mV·ms)/(mV) for power, endurance, and nonathletes, respectively), with no group differences in KF. The KE EMD tended to be shorter (P = .07) in power athletes during KE (71.0 ± 24.1, 87.8 ± 18.0, 88.4 ± 27.8 ms, for power, endurance, and nonathletes), with no group differences in KF.
Conclusions:
Pre- and early-pubertal power athletes have enhanced rate of muscle activation in specifically trained muscles compared with controls or endurance athletes, suggesting that specific training can result in muscle activation-pattern changes before the onset of puberty.
Colin Clancy, Nigel Gleeson, and Tom Mercer
.3.359 10.1123/ijspp.3.3.359 3. Zhou S , Carey MF , Snow RJ , Lawson DL , Morrison WE . Effects of muscle fatigue and temperature on electromechanical delay . Electromyogr Clin Neurophysiol . 1998 ; 38 ( 2 ): 67 – 73 . PubMed ID: 9553743 9553743 4. Howatson G . The impact of damaging