Force variability during isometric wrist flexion in highly skilled and sedentary individuals

The association of expertness in specific motor activities with a higher ability to sustain a constant application of force, regardless of muscle length, has been hypothesized. Ten highly skilled (HS group) young tennis and handball athletes and 10 sedentary (S group) individuals performed maximal and submaximal (5, 10, 20, 50, and 75% of the MVC) isometric wrist flexions on an isokinetic dynamometer (Kin-Com, Chattanooga). The wrist joint was fixed at five different angles (230, 210, 180, 150, and 1300). For each position the percentages of the maximal isometric force were calculated and participants were asked to maintain the respective force level for 5 s. Electromyographic (EMG) activation of the Flexor Carpi Ulnaris and Extensor Digitorum muscles was recorded using bipolar surface electrodes. No significant differences were observed in maximal isometric strength between HS and S groups. Participants of HS group showed significantly (P < 0.05) smaller force coefficient of variability (CV) and SD values at all submaximal levels of MVC at all wrist angles. The CV and SD values remained unaltered regardless of wrist angle. No difference in normalized agonist and antagonist EMG activity was observed between the two groups. It is concluded that long-term practice could be associated with decreased isometric force variability independently from muscular length and coactivation of the antagonist muscles

Vertical Heterophoria and Postural Control in Nonspecific Chronic Low Back Pain

The purpose of this study was to test postural control during quiet standing in nonspecific chronic low back pain (LBP) subjects with vertical heterophoria (VH) before and after cancellation of VH; also to compare with healthy subjects with, and without VH. Fourteen subjects with LBP took part in this study. The postural performance was measured through the center of pressure displacements with a force platform while the subjects fixated on a target placed at either 40 or 200 cm, before and after VH cancellation with an appropriate prism. Their postural performance was compared to that of 14 healthy subjects with VH and 12 without VH (i.e. vertical orthophoria) studied previously in similar conditions. For LBP subjects, cancellation of VH with a prism improved postural performance. With respect to control subjects (with or without VH), the variance of speed of the center of pressure was higher, suggesting more energy was needed to stabilize their posture in quiet upright stance. Similarly to controls, LBP subjects showed higher postural sway when they were looking at a target at a far distance than at a close distance. The most important finding is that LBP subjects with VH can improve their performance after prism-cancellation of their VH. We suggest that VH reflects mild conflict between sensory and motor inputs involved in postural control i.e. a non optimal integration of the various signals. This could affect the performance of postural control and perhaps lead to pain. Nonspecific chronic back pain may results from such prolonged conflict

Efeitos da manipulação do estímulo visual e da intenção na oscilação postural de idosas

Este estudo investigou a influência de características do estímulo visual e o efeito da intenção nas respostas do controle postural frente à manipulação visual de adultas idosas. As 20 participantes permaneceram em pé em uma sala móvel durante sete tentativas com duração de 1 minuto cada, olhando para um alvo fixo, medindo-se sua oscilação corporal. Na primeira tentativa não houve qualquer movimento da sala, porém a partir da segunda a sala foi movimentada no sentido ântero-posterior. Para dez participantes, a velocidade de pico da movimentação foi de 0,6 cm/s e, para as demais, de 1,0 cm/s. A partir da quinta tentativa, as participantes foram informadas do movimento da sala e orientadas a resistir à movimentação. Os resultados indicam que a oscilação corporal das idosas é induzida pelo movimento da sala móvel. Intenção e alteração da característica do estímulo visual reduzem a influência da informação visual na oscilação corporal, mas a manipulação de propriedade do estímulo (neste caso, velocidade), é menos efetiva que a intenção. Essa maior dependência da intenção para alterar a influência de um estímulo sensorial no controle postural indica que o funcionamento do sistema de controle postural em idosos não possibilita ajustes "automáticos" de respostas posturais frente a pequenas variações das condições ambientais. Iinformações sobre tais variações podem ser direcionadas de forma a compensar essa diferença.This study examined the influence of both visual stimulus features and intention on postural control responses due to visual manipulation of elderly women. Twenty participants stood upright inside a moving room, for seven trials for 1 min apiece, staring at a fixed target, their body sway being measured. The room was not moved during the first trial, but from the second trial on, it was continuously oscillated back and forward. For ten participants, the moving room oscillated with peak velocity of 0.6 cm/s and for the others, with peak velocity of 1.0 cm/s. From the fifth trial on, participants were informed about the movement of the room and instructed to resist to its influence. Results show that body sway is induced by visual manipulation in elderly adults. Intention and change in visual stimulus lead to less influence of the visual information on body sway, but changes in the stimulus properties (velocity, for that matter), is less effective than intention. This higher dependency on intention for changing sensory influence on postural control suggests that postural control in elderly adults does not benefit from "automatic" postural responses due to small environmental changes. Tips and information about such kind of environmental changes should be used in order to make up for such difference in automatic adjustments observed in the elderly

Cortical and spinal excitability during and after lengthening contractions of the human plantar flexor muscles performed with maximal voluntary effort

This study was designed to investigate the sites of potential specific modulations in the neural control of lengthening and subsequent isometric maximal voluntary contractions (MVCs) versus purely isometric MVCs of the plantar flexor muscles, when there is enhanced torque during and following stretch. Ankle joint torque during maximum voluntary plantar flexion was measured by a dynamometer when subjects (n = 10) lay prone on a bench with the right ankle tightly strapped to a foot-plate. Neural control was analysed by comparing soleus motor responses to electrical nerve stimulation (M-wave, V-wave), electrical stimulation of the cervicomedullary junction (CMEP) and transcranial magnetic stimulation of the motor cortex (MEP). Enhanced torque of 17 +/- 8% and 9 +/- 8% was found during and 2.5-3 s after lengthening MVCs, respectively. Cortical and spinal responsiveness was similar to that in isometric conditions during the lengthening MVCs, as shown by unchanged MEPs, CMEPs and V-waves, suggesting that the major voluntary motor pathways are not subject to substantial inhibition. Following the lengthening MVCs, enhanced torque was accompanied by larger MEPs (