The effect of age and joint angle on the proportionality of extensor and flexor strength at the knee joint

Functional movements require concerted actions of monoarticular and biarticular agonists and antagonists. Understanding age-related changes of muscle function on performance requires insight in the contributions of different muscles to joint moments. Young and elderly participants performed isometric knee extensions and flexions at combinations of knee and hip joint angles. This approach allowed assessing changes in contribution of monoarticular and biarticular knee joint flexors and extensors. Reduced moments were found for elderly persons (flexors: -43%; extensors: -33%). In the flexor group, this reduction was mainly caused by retardation of the biarticular muscles; in the extensors, by reduced strength of the monoarticular muscles. This age-related reduction of joint moments occurred to be joint angle dependent for the extensors. In the flexor group, the reduction was almost invariant. Due to this difference in joint angle dependence, the proportionality between extensors and flexors varied over joint angles and differed with age. It has been discussed how this is related to changes in performances occurring with age

Interrupting long periods of sitting: Good STUFF

There is increasing evidence that sedentary behaviour is in itself a health risk, regardless of the daily amount of moderate to vigorous physical activity. Therefore, sedentary behaviour should be targeted as important health behaviour. It is known that even relatively small changes of health behaviour often require serious efforts from an individual and from people in their environment to become part of their lifestyle. Therefore, interventions to promote healthy behaviours should ideally be simple, easy to perform and easily available. Since sitting is likely to be highly habitual, confrontation with an intervention should almost automatically elicit a reaction of getting up, and thus break up and reduce sitting time. One important prerequisite for successful dissemination of such an intervention could be the use of a recognisable term relating to sedentary behaviour, which should have the characteristics of an effective brand name. To become wide spread, this term may need to meet three criteria: the “Law of the few”, the “Stickiness factor”, and the “Power of context”. For that purpose we introduce STUFF: Stand Up For Fitness. STUFF can be defined as “interrupting long sitting periods by short breaks”, for instance, interrupting sitting every 30 min by standing for at least five minutes. Even though we still need evidence to test the health-enhancing effects of interrupted sitting, we hope that the introduction of STUFF will facilitate the testing of the social, psychological and health effects of interventions to reduce sitting time

Strain of carpal ligaments during wrist-joint motion

To obtain a more accurate apprehension of the mechanics of the wrist-joint, the kinematical behaviour of the carpals and the length changes of the ligaments during hand-motions are determined. These structures are represented by radio-opaque markers. Using X-ray photogrammetric principles the 3D coordinates of those markers are calculated at some fifty positions of a movement-cycle. Clear differences are observed between these 3D, experimentally obtained data and prevailing concepts on ligament behaviour based on 2D kinematics of the carpal bones. It is suggested, based on results, that during some motions the carpal joint is not stabilized by one of the tested ligaments. [Edited author abstract; In English

One-repetition maximum strength test represents a valid means to assess leg strength in vivo in humans.

Skeletal muscle strength is often determined to evaluate the adaptive response to an exercise intervention programme. Although dynamometry is considered the "gold standard" for the assessment of muscle strength in vivo, one-repetition maximum (1-RM) testing performed on training-specific equipment is more commonly applied. We assessed the validity of specific knee extension 1-RM testing by comparison with dynamometry in a heterogeneous population (n = 55). All participants performed 1-RM tests on regular leg extension and leg press machines. Additionally, isometric (at seven different knee angles) and isokinetic (at four different velocities) knee extension peak torques were determined. Pearson's r was calculated for the relationship between 1-RM data and peak torques for the entire population and for subgroups defined by age and gender. One-repetition maximum strength correlated strongly with the dynamometer results. One-repetition maximum leg extension correlated more strongly with peak torques than did 1-RM leg press (0.78 </= r </= 0.88 vs. 0.72 </= r </= 0.77; P < 0.001). Similar correlations were observed in all subgroups. We conclude that 1-RM testing represents a valid means to assess leg muscle strength in vivo in young and elderly men and women. Considering the importance of training specificity in strength assessment, we argue that 1-RM testing can be applied to assess changes in leg muscle strength following an exercise intervention

The influence of stride-length on plantar foot-pressures and joint moments

AbstractPurposeJoint moments have been acknowledged as key factors in understanding gait abnormalities. Gait velocity is further known to affect joint moments and foot pressures. Keeping gait velocity constant is thus a strategy to cancel out the influence of different preferred gait speed between groups. But even if gait velocity is controlled, individuals can choose different stride length–stride frequency combinations to cope with an imposed gait velocity.ScopeTo understand the influence of stride frequency–stride length on joint moments and plantar pressures.MethodsTwenty healthy young adults had to cross an 8m walkway with a walking speed of 1.3ms−1. The wooden walkway was equipped with a force and a pressure platform. While walking speed was kept constant each participant walked with five different imposed stride lengths (SL): preferred (SL0); with a decrease of 10% (SL−10); with a decrease of 20% (SL−20); with an increase of 10% (SL+10) and with an increase of 20% (SF+20).ResultsAnkle and knee joint moments significantly decreased with a decrease in SL. A significant (p<.05) lower peak pressure was achieved with a decreased SL under the heel, toes and midfoot.Discussion/conclusionThe results showed that a change in stride lengths alters both, joint moments and foot pressures with clinically interesting indications. Redistribution of joint moments in the elderly for example might rather result from decreased SL than from age

The importance to including objective functional outcomes in the clinical follow up of total knee arthroplasty patients.

In clinical practice, it is increasingly important to assess patients' daily functionality routinely and objectively. Acceleration-based gait analysis (AGA) has shown to be reliable and technically suitable for routine clinical use outside the laboratory. This study investigated the suitability of AGA for measuring function in orthopaedic patients with symptomatic gonarthrosis listed for total knee arthroplasty (TKA) by investigating (a) the ability of AGA to distinguish patients from healthy subjects, (b) the sensitivity to gait changes of AGA in assessing recovery following total knee arthroplasty in a subpopulation, and (c) correlations between AGA parameters and clinical scales. Gait was assessed using AGA in 24 patients with symptomatic gonarthrosis listed for TKA, and in 24 healthy subjects. AGA parameters (e.g. speed, asymmetry) and clinical scales (e.g. KSS) were used to monitor progress in 12 patients 3months after TKA. The Mann-Whitney-U test, Receiver Operating Characteristic (ROC) curves, repeated measurement ANOVA and Pearson correlations were performed. AGA differentiated pathological from healthy gait. The area under the ROC curve, sensitivity and specificity values were high for speed, step frequency and step length. Different recovery profiles were found, with clinical scales showing faster recovery rates. None or only weak correlations were found between AGA and clinical scores. AGA was found to be of clinical relevance in identifying and monitoring patients with symptomatic gonarthrosis in orthopaedic practice, providing objective and additional information about function beyond clinical scales. This, together with the fact that AGA can be applied routinely, suggests the suitability of AGA for use in rehabilitation programs

THE INFLUENCE OF THIRD GENERATION ARTIFICIAL SOCCER TURF CHARACTERISTICS ON GROUND REACTION FORCES DURING RUNNING

The aim of this study was to determine the effect of different artificial soccer turf pitches on the ground reaction forces of running soccer players. For this purpose ground reaction forces were determined for twenty soccer players while they ran at three different speeds across a 25 meter long track covered with a third generation artificial soccer turf. Three different pitches, two FIFA 1star and one FIFA 2star, were examined. There was no difference between the two 1star systems in the peak vertical and horizontal ground reactions forces. Data on the 2star system was equivocal due to a too small sample size. It is concluded that surface characteristics influence the loading of the human muscle-skeletal system more subtly than initially anticipated. A more detailed biomechanical analysis of the events during impact is required to identify the critical loading parameters

Satellite cell content is specifically reduced in type II skeletal muscle fibers in the elderly

Satellite cells (SC) are essential for skeletal muscle growth and repair. As sarcopenia is associated with type II muscle fiber atrophy, we hypothesized that SC content is specifically reduced in the type II fibers in the elderly. A total of 8 elderly (E:76+/-1y) and 8 young (Y:20+/-1y) healthy males were selected. Muscle biopsies were collected from the vastus lateralis in both legs. ATPase staining and a pax7-antibody were used to determine fiber type specific SC content (i.e. pax7-positive SC) on serial muscle cross-sections. In contrast to the type I fibers, the proportion and mean cross-sectional area of the type II fibers were substantially reduced in the E versus the Y. The number of SC per type I fiber was similar in E and Y. However, the number of SC per type II fiber was substantially lower in the E versus the Y (0.044+/-0.003 vs 0.080+/-0.007; P<0.01). In addition, in the type II fibers the number of SC relative to the total number of nuclei and the number of SC per fiber area were also significantly lower in the E. This study is the first to show type II fiber atrophy in the elderly to be associated with a fiber type specific decline in SC content. The latter is evident when SC content is expressed per fiber or per fiber area. The decline in SC content might be an important factor in the etiology of type II muscle fiber atrophy, which accompanies the loss of skeletal muscle with aging. Key words: skeletal muscle, sarcopenia, muscle stem cells, atrophy, metabolism

The Association Between Objectively Measured Physical Activity and Academic Achievement in Dutch Adolescents: Findings From the GOALS Study

The main goal of this study was to investigate the association between objectively measured physical activity and academic achievement in adolescents