Biomechanical changes at the knee after lower limb fatigue in healthy young women

doi:10.1016/J.CLINBIOMECH.2013.02.010

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Biomechanical changes at the knee after lower limb fatigue in healthy young women

Journal Article•DOI•

Biomechanical changes at the knee after lower limb fatigue in healthy young women

Heather S. Longpré¹, Jim R. Potvin¹, Monica R. Maly¹•Institutions (1)

McMaster University¹

01 Apr 2013-Clinical Biomechanics (Elsevier)-Vol. 28, Iss: 4, pp 441-447

TL;DR: While neuromuscular fatigue of the knee musculature alters the sagittal plane knee moment in healthy, young women during walking, high intensity fatigue is not consistent with known mechanical environments implicated in knee pathologies or injuries.

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About: This article is published in Clinical Biomechanics.The article was published on 2013-04-01. It has received 54 citations till now. The article focuses on the topics: Gait analysis & Gait (human).

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Proceedings Article•DOI•

Decreased Knee Adduction Moment Does Not Guarantee Decreased Medial Contact Force During Gait

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Jonathan P. Walter¹, Darryl D. D'Lima², Clifford W. Colwell², Benjamin J. Fregly¹•Institutions (2)

University of Florida¹, Scripps Health²

17 Jun 2009

TL;DR: Overloading of the medial compartment in particular has been hypothesized to play a critical role, and many treatment approaches have made reduction of medial contact force during gait their primary target.

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Abstract: Medial compartment knee osteoarthritis (OA) plagues a large portion of the population [1]. The disease process is often initiated by changes in knee joint motions and loads, such as following anterior cruciate ligament or meniscal injury. Since overloading of the medial compartment in particular has been hypothesized to play a critical role, many treatment approaches have made reduction of medial contact force during gait their primary target.Copyright © 2009 by ASME

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117 citations

Journal Article•DOI•

Effects of quadriceps muscle fatigue on stiff-knee gait in patients with hemiparesis.

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J. Boudarham, Nicolas Roche, Didier Pradon, Eric Delouf, Djamel Bensmail, R. Zory¹ - Show less +2 more•Institutions (1)

University of Nice Sophia Antipolis¹

09 Apr 2014-PLOS ONE

TL;DR: It is suggested that quadriceps fatigue did not alter the gait of patients with hemiparesis walking with a stiff-knee gait and that neuromuscular fatigue may play the same functional role as an anti-spastic treatment such as botulinum toxin-A injection.

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Abstract: The relationship between neuromuscular fatigue and locomotion has never been investigated in hemiparetic patients despite the fact that, in the clinical context, patients report to be more spastic or stiffer after walking a long distance or after a rehabilitation session. The aim of this study was to evaluate the effects of quadriceps muscle fatigue on the biomechanical gait parameters of patients with a stiff-knee gait (SKG). Thirteen patients and eleven healthy controls performed one gait analysis before a protocol of isokinetic quadriceps fatigue and two after (immediately after and after 10 minutes of rest). Spatiotemporal parameters, sagittal knee and hip kinematics, rectus femoris (RF) and vastus lateralis (VL) kinematics and electromyographic (EMG) activity were analyzed. The results showed that quadriceps muscle weakness, produced by repetitive concentric contractions of the knee extensors, induced an improvement of spatiotemporal parameters for patients and healthy subjects. For the patient group, the increase in gait velocity and step length was associated with i) an increase of sagittal hip and knee flexion during the swing phase, ii) an increase of the maximal normalized length of the RF and VL and of the maximal VL lengthening velocity during the pre-swing and swing phases, and iii) a decrease in EMG activity of the RF muscle during the initial pre-swing phase and during the latter 2/3 of the initial swing phase. These results suggest that quadriceps fatigue did not alter the gait of patients with hemiparesis walking with a SKG and that neuromuscular fatigue may play the same functional role as an anti-spastic treatment such as botulinum toxin-A injection. Strength training of knee extensors, although commonly performed in rehabilitation, does not seem to be a priority to improve gait of these patients.

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23 citations

Additional excerpts

...Results are also contradictory regarding knee biomechanics after a quadriceps fatigue protocol in young healthy subjects, since some studies report an alteration of kinematic and kinetic parameters and others report no changes [13,14,15]....
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...RPE after the fatigue protocol 12 [11;13] 12 [12;15]...
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Journal Article•DOI•

Comparison of three methods for identifying the heelstrike transient during walking gait

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J. Troy Blackburn¹, Brian Pietrosimone¹, Matthew S. Harkey¹, Brittney A. Luc¹, Derek N. Pamukoff² - Show less +1 more•Institutions (2)

University of North Carolina at Chapel Hill¹, California State University, Fullerton²

01 Jun 2016-Medical Engineering & Physics

TL;DR: Lowpass filtering the vGRF at 75Hz and implementing the Radin method was the most effective approach for identifying the heelstrike transient in the vertical ground reaction force.

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22 citations

Journal Article•DOI•

Muscle activation and knee biomechanics during squatting and lunging after lower extremity fatigue in healthy young women.

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Heather S. Longpré¹, Stacey M. Acker², Monica R. Maly¹•Institutions (2)

McMaster University¹, University of Waterloo²

01 Feb 2015-Journal of Electromyography and Kinesiology

TL;DR: Fatigue altered the recruitment strategy of the quadriceps during squatting and lunging in healthy, young women, and quad riceps activations were greater during lunging than squatting.

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22 citations

Cites background from "Biomechanical changes at the knee a..."

...…in the KAM and KFM. Lower extremity neuromuscular fatigue alters knee moments during low demand tasks such as walking in healthy young adults (Longpré et al., 2013; Murdock and Hubley-Kozey, 2012; Parijat and Lockhart, 2008); however some inconsistency in joint loading changes after fatigue…...
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...…and reported a decrease in the knee flexion/extension moment at different points during the gait cycle, however one study reported a higher post-fatigue peak KAM during gait (Murdock and Hubley-Kozey, 2012) while another reported this measure to be unchanged by fatigue (Longpré et al., 2013)....
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Journal Article•DOI•

Physical activity and age-related biomechanical risk factors for knee osteoarthritis.

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Jocelyn F. Hafer¹, Jocelyn F. Hafer², Jane A. Kent¹, Katherine A. Boyer³•Institutions (3)

University of Massachusetts Amherst¹, University of Michigan², University of Massachusetts Medical School³

01 May 2019-Gait & Posture

TL;DR: The results indicate that maintenance of PA in mid-life may impart small but measurable effects on knee function and biomechanics that may translate to a more stable loading environment in the knee through mid- life and thus could reduce knee OA risk long-term.

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20 citations

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References

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Journal Article•DOI•

A Joint Coordinate System for the Clinical Description of Three-Dimensional Motions: Application to the Knee

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Edward S. Grood¹, W. J. Suntay¹•Institutions (1)

University of Cincinnati¹

01 May 1983-Journal of Biomechanical Engineering-transactions of The Asme

TL;DR: This paper presents a joint coordinate system that provides a simple geometric description of the three-dimensional rotational and translational motion between two rigid bodies.

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Abstract: The experimental study of joint kinematics in three dimensions requires the description and measurement of six motion components. An important aspect of any method of description is the ease with which it is communicated to those who use the data. This paper presents a joint coordinate system that provides a simple geometric description of the three-dimensional rotational and translational motion between two rigid bodies. The coordinate system is applied to the knee and related to the commonly used clinical terms for knee joint motion. A convenient characteristic of the coordinate system shared by spatial linkages is that large joint displacements are independent of the order in which the component translations and rotations occur.

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3,484 citations

"Biomechanical changes at the knee a..." refers methods in this paper

...Knee jointmomentswere calculated using the Joint Coordinate System floating axis model (Grood and Suntay, 1983)....
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Journal Article•

Revision of the Physical Activity Readiness Questionnaire (PAR-Q).

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Scott G. Thomas¹, Jeff Reading, Roy J. Shephard•Institutions (1)

University of Toronto¹

01 Dec 1992-Journal canadien des sciences du sport

TL;DR: The revised wording of the Physical Activity Readiness Questionnaire has apparently had the intended effect of reducing positive responses, particularly to the question regarding an elevation of blood pressure.

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Abstract: The original Physical Activity Readiness Questionnaire (PAR-Q) offers a safe preliminary screening of candidates for exercise testing and prescription, but it screens out what seems an excessive proportion of apparently healthy older adults. To reduce unnecessary exclusions, an expert committee established by Fitness Canada has now revised the questionnaire wording. The present study compares responses to the original and the revised PAR-Q questionnaire in 399 men and women attending 40 accredited fitness testing centres across Canada. The number of subjects screened out by the revised test decreased significantly (p < .05), from 68 to 48 of the 399 subjects. The change reflects in part the inclusion of individuals who had made an erroneous positive response to the original question regarding high blood pressure. There is no simple gold standard to provide an objective evaluation of the sensitivity and specificity of either questionnaire format, but the revised wording has apparently had the intended effect of reducing positive responses, particularly to the question regarding an elevation of blood pressure.

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1,824 citations

"Biomechanical changes at the knee a..." refers background in this paper

...Inclusion criteria included regular physical activity, and no contraindications to exercise on the Physical Activity Readiness Questionnaire (Thomas et al., 1992)....
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Journal Article•DOI•

Quadriceps Weakness and Osteoarthritis of the Knee

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Charles W. Slemenda¹, Kenneth D. Brandt, Douglas K. Heilman¹, Steven A. Mazzuca, Ethan M. Braunstein¹, Barry P. Katz, Fredric D. Wolinsky² - Show less +3 more•Institutions (2)

Indiana University¹, Regenstrief Institute²

15 Jul 1997-Annals of Internal Medicine

TL;DR: The relation among lower-extremity muscle strength, lower-Extremity lean tissue mass, and osteoarthritis of the knee in men and women 65 years of age and older is studied.

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Abstract: Background: The quadriceps weakness commonly associated with osteoarthritis of the knee is widely believed to result from disuse atrophy secondary to pain in the involved joint. However, quadriceps...

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924 citations

"Biomechanical changes at the knee a..." refers background in this paper

...…in the strength of the quadriceps, defined as a reduction in maximum torque generating capacity (Enoka, 2002), is thought to alter knee biomechanics and impair the ability to mediate loads across the knee (Lewek et al., 2004; Rice et al., 2011; Slemenda et al., 1997, 1998; Zeni et al., 2009)....
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Book•

Neuromechanics of Human Movement

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Roger M. Enoka

01 Sep 2001

TL;DR: This chapter describes motion, the forces within the body, and how these forces interact with each other to form muscles and motor units.

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Abstract: Chapter 1. Describing Motion Chapter 2. Movement Forces Chapter 3. Forces Within the Body Chapter 4. Running, Jumping, and Throwing Chapter 5. Excitable Membranes Chapter 6. Muscle and Motor Units Chapter 7. Voluntary Movement Chapter 8. Acute Adjustments Chapter 9. Chronic Adaptations.

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668 citations

"Biomechanical changes at the knee a..." refers background in this paper

...A decrease in the strength of the quadriceps, defined as a reduction in maximum torque generating capacity (Enoka, 2002), is thought to alter knee biomechanics and impair the ability to mediate loads across the knee (Lewek et al., 2004; Rice et al., 2011; Slemenda et al., 1997, 1998; Zeni et al.,…...
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...A decrease in the strength of the quadriceps, defined as a reduction in maximum torque generating capacity (Enoka, 2002), is thought to alter knee biomechanics and impair the ability to mediate loads across the knee (Lewek et al....
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Journal Article•DOI•

A kinematic and kinetic comparison of overground and treadmill walking in healthy subjects.

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Patrick O. Riley¹, Gabriele Paolini¹, Ugo Della Croce², Ugo Della Croce¹, Kate W. Paylo¹, D. Casey Kerrigan¹ - Show less +2 more•Institutions (2)

University of Virginia¹, University of Sassari²

01 Jun 2007-Gait & Posture

TL;DR: T treadmill gait is qualitatively and quantitatively similar to overground gait, and it is now possible for clinical movement analysis to take advantage of treadmill-based protocols.

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654 citations

"Biomechanical changes at the knee a..." refers background in this paper

...Peak knee extensor and flexor moments do not exceed approximately 0.6 Nm/kg in young, healthy individuals during walking (Riley et al., 2007)....
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...6 Nm/kg in young, healthy individuals during walking (Riley et al., 2007)....
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