During anterior cruciate ligament (ACL) reconstruction, there are various autograft options. Donor-site morbidity is an important consideration while deciding the type of the autograft. Gracilis and ...semitendinosus autografts are commonly used in ACL reconstruction, resulting in weakness of the hamstring muscle.
We hypothesized that if we preserved the tibial insertion site of the sartorial fascia (SF) during hamstring tendon harvest, there would be better recovery of knee flexor strength.
Case-control study; Level of evidence, 3.
In this retrospective study, 34 patients (aged 20-59 years) underwent ACL reconstruction using hamstring tendon autograft with 2 different incision techniques on the SF. The tibial attachment site of the SF was preserved in 17 patients. The insertion site of the muscle was incised transversely in 17 patients. The follow-up duration was ≥2 years. Patients were recalled to the institute for examination and muscle strength assessment. The results were compared between the groups in terms of flexor and extensor knee isokinetic muscle strength at 60 and 180 deg/s.
There was no statistical difference between the groups in terms of age, sex, or body mass index. When compared with patients whose SF attachment site was incised, patients with a preserved SF tibial insertion were found to have a higher flexion peak torque at the angular speed of 180 deg/s (
< 002). No statistically significant difference was noted at 60 deg/s.
During collection of gracilis and semitendinosus autografts, preserving the SF tibial attachment site was associated with better knee flexion peak torque.
Category:
Sports; Ankle
Introduction/Purpose:
In general, Static Stretching (SS) is widely used during warm-ups and cool-downs at competitive practices and events. Previous studies have shown that SS ...have improved muscle stiffness. On the other hand, previous studies have not shown range of motion, or vertical jump. Recently, acute effects of Cyclic Stretching (CS) have suggested to improve muscle stiffness and dynamic balance. CS is moved at a constant speed and angle using continuous passive and dynamometer-equipped exercise equipment. However, long-term CS and SS programs have been shown to improve muscle stiffness, hardness, and It is not known if muscle strength or physical performance is altered. This study aimed to examine the effects of a 4-week CS and SS program on muscle stiffness and hardness, muscle strength, and jump performance.
Methods:
The subjects participated 18 healthy men and were randomly assigned to a CS or SS group. Each stretching program was stretched in each condition for 2 minutes in a standing position in 5 days a week for 4 weeks. To assess muscle stiffness, muscle- tendon junction (MTJ) displacement and MTJ angle of gastrocnemius medialis (MG) were measured using ultrasonography and 20° before (pre-training) and after (post-training) conducting CS and SS program. MG hardness was measured using ultrasound real- time tissue elastography (RTE). ROM max and normalized peak torque (NPT) of ankle plantar flexor, squat jump (SJ) performance were measured in the pre- and post-training. The effects of the intervention on all outcome measures were determined using 2- way repeated-measures ANOVA with two group as a between participants factor and time (pre-training, post-training) When interaction effects were detected, post hoc comparisons were performed to test the differences in physical variables between pre- and post-training.
Results:
ROM max was significantly affected by time between CS and SS program (P < .001, F = 26.0). MTJ displacement from 0°to 20°were significantly affected by time (P < .05, F = 5.49; P < .01, F = 10.26; P < .01, F = 9.74). RTE from 0°to 20°were significantly affected by time (P < .01, F = 13.27; P < .01, F = 8.33; P < .01, F = 53.52). There was significantly interaction for NPT between CS and SS program (P < .01, F = 4.80). SJ were significantly affected by time (P < .05, F = 5.70).
Conclusion:
This study examined the long-term effect of CS and SS on ROM max, muscle stiffness, NPT, and SJ. The results indicate that CS training had greater improvement than SS training in muscle strength between pre- and post-training. A significant decrease in muscle stiffness and hardness after SS was observed compared with CS. However, CS not only improves muscle stiffness and hardness as shown the effect of SS but also suggests the possibility of being a new extension method to improve muscle strength.
The aim of this study was to evaluate the criterion validity of the IHT and the SLHB against isokinetic dynamometry, and to assess the test-retest reliability of the IHT and the SLHBT. Methods: The ...study employed a cross-sectional criterion validity and test-retest reliability design. Test-retest reliability was determined using intraclass correlation (ICC2,1 model).
Introduction: Periodic testing is essential to evaluate changes in key physical and physiological characteristics in response to development strategies employed with adolescent rugby league players; ...however, the retest reliability of scientifically popular tests to assess these characteristics are yet to be comprehensively examined in this population. ...the aim of this study was to determine the retest reliability of the most commonly used tests in the literature, to assess key physical and physiological characteristics in adolescent, male rugby league players. Tests used to assess physiological characteristics demonstrated moderate to excellent ICC, with CV <5% including: linear speed, ICC=0.794, CV=1.35%; change-of-direction speed, ICC=0.787–0.860, CV=1.85–2.07%; aerobic capacity, ICC=0.854, CV=3.42%; muscular power, ICC=0.733–0.874, CV=3.72–4.02%; and muscular strength, ICC=0.944–0.988, CV=1.08–2.56%.
Hand-held dynamometry (HHD) has never previously been used to examine isometric muscle power. Rate of force development (RFD) is often used for muscle power assessment, however no consensus currently ...exists on the most appropriate method of calculation. The aim of this study was to examine the reliability of different algorithms for RFD calculation and to examine the intra-rater, inter-rater, and inter-device reliability of HHD as well as the concurrent validity of HHD for the assessment of isometric lower limb muscle strength and power.
30 healthy young adults (age: 23±5 yrs, male: 15) were assessed on two sessions. Isometric muscle strength and power were measured using peak force and RFD respectively using two HHDs (Lafayette Model-01165 and Hoggan microFET2) and a criterion-reference KinCom dynamometer. Statistical analysis of reliability and validity comprised intraclass correlation coefficients (ICC), Pearson correlations, concordance correlations, standard error of measurement, and minimal detectable change.
Comparison of RFD methods revealed that a peak 200 ms moving window algorithm provided optimal reliability results. Intra-rater, inter-rater, and inter-device reliability analysis of peak force and RFD revealed mostly good to excellent reliability (coefficients ≥ 0.70) for all muscle groups. Concurrent validity analysis showed moderate to excellent relationships between HHD and fixed dynamometry for the hip and knee (ICCs ≥ 0.70) for both peak force and RFD, with mostly poor to good results shown for the ankle muscles (ICCs = 0.31-0.79).
Hand-held dynamometry has good to excellent reliability and validity for most measures of isometric lower limb strength and power in a healthy population, particularly for proximal muscle groups. To aid implementation we have created freely available software to extract these variables from data stored on the Lafayette device. Future research should examine the reliability and validity of these variables in clinical populations.
Treatments are lacking for sarcopenia, a debilitating age-related skeletal muscle wasting syndrome. We identifed increased amounts of 15-hydroxyprostaglandin dehydrogenase (15-PGDH), the ...prostaglandin E
(PGE
)-degrading enzyme, as a hallmark of aged tissues, including skeletal muscle. The consequent reduction in PGE
signaling contributed to muscle atrophy in aged mice and results from 15-PGDH-expressing myofibers and interstitial cells, such as macrophages, within muscle. Overexpression of 15-PGDH in young muscles induced atrophy. Inhibition of 15-PGDH, by targeted genetic depletion or a small-molecule inhibitor, increased aged muscle mass, strength, and exercise performance. These benefits arise from a physiological increase in PGE
concentrations, which augmented mitochondrial function and autophagy and decreased transforming growth factor-β signaling and activity of ubiquitin-proteasome pathways. Thus, PGE
signaling ameliorates muscle atrophy and rejuvenates muscle function, and 15-PGDH may be a suitable therapeutic target for countering sarcopenia.
The purpose of this study was to critically appraise and summarize the evidence for reliability of muscle strength and muscle power assessment in patients with neuromuscular diseases (NMDs) using ...isokinetic dynamometry.
PubMed, CINAHL, and Embase electronic databases were searched from inception to March 8, 2022. Studies designed to evaluate reliability of muscle strength and power measurements using isokinetic dynamometry were included in this review. First, the methodological quality of the studies was assessed according to the Consensus-Based Standards for the Selection of Health Measurement Instruments guidelines. Next, the quality of measurement properties was determined. Finally, the methodological quality and quality of measurement properties of the studies were combined to obtain a best-evidence synthesis.
A best-evidence synthesis of reliability was performed in 11 studies including postpoliomyelitis syndrome (n = 5), hereditary motor and sensory neuropathy (n = 2), motor neuron diseases (n = 1), myotonic dystrophy (n = 1), and groups of pooled NMDs (n = 2). A best-evidence synthesis on measurement error could not be performed. Quality of evidence on reliability ranged from high in postpoliomyelitis syndrome to very low in hereditary motor and sensory neuropathy, motor neuron diseases, and groups of pooled NMDs. The most frequently used outcome measure was peak torque, which was reliable in all populations (intraclass correlation coefficient >0.7).
The quality of evidence for reliability of isokinetic dynamometry was found to vary substantially among different NMDs. High quality of evidence has been obtained only in patients with postpoliomyelitis syndrome. Further research is needed in the majority of known NMDs to determine reliability and validity of isokinetic dynamometry.
The ability of isokinetic dynamometers to capture clinically relevant changes in muscle strength and muscle power in NMDs remains unclear. Isokinetic dynamometry results in NMDs should be interpreted with caution.
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