Muscle strength, rate of torque development and neuromuscular activation of the upper arm muscles in children and adolescents with spina bifida
The use of locomotive devices requires sufficient levels of upper limb strength. Therefore, it is important to evaluate the maximal isometric torque, rate of torque development and neuromuscular activation in youth with spina bifida. The objective was to investigate these parameters in the elbow mus...
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| Published in: | Clinical biomechanics (Bristol) Vol. 102; p. 105861 |
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01-02-2023
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| Abstract | The use of locomotive devices requires sufficient levels of upper limb strength. Therefore, it is important to evaluate the maximal isometric torque, rate of torque development and neuromuscular activation in youth with spina bifida. The objective was to investigate these parameters in the elbow muscles of youth with spina bifida versus healthy age-matched peers.
Forty-eight participants (8–17 years) were recruited: Spina Bifida (n = 23) and non-affected Controls (n = 25). Maximal isometric elbow flexor/extensor contractions were performed to assess maximal muscle strength (peak torque) and rate of torque development, along with synchronized electromyography recording in the biceps and triceps brachii muscles.
During elbow flexor contractions, Spina Bifida showed reduced rate of torque development in the early contraction phase (0–50 ms) along with lowered relative rate of torque development in the later rate of torque development phase (0–100/200/300 ms) compared to controls. Spina Bifida showed reduced rate of torque development for the elbow extensors in the later phase of rising muscle force (0–200/300 ms) compared to controls. Lower isometric peak torque and smaller triceps brachii electromyography amplitudes (0–200/300 ms) were observed during elbow extensor contractions in Ambulatory spina bifida participants vs. controls.
Although a majority of peak torque and rate of torque development parameters did not differ, significant impairments in maximal and rapid elbow muscle force characteristics were noted in Spina Bifida compared to non-affected Controls. Ambulatory and Non-ambulatory spina bifida participants demonstrated similar rate of torque development in their upper arm muscles.
•Rapid force capacity is reduced in upper arm muscles of young persons with spina bifida.•Rapid force capacity is similar between ambulatory and non-ambulatory youth with spina bifida.•Sedentary lifestyle may contribute to reduced rapid force capacity in youth with spina bifida. |
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| AbstractList | The use of locomotive devices requires sufficient levels of upper limb strength. Therefore, it is important to evaluate the maximal isometric torque, rate of torque development and neuromuscular activation in youth with spina bifida. The objective was to investigate these parameters in the elbow muscles of youth with spina bifida versus healthy age-matched peers.
Forty-eight participants (8–17 years) were recruited: Spina Bifida (n = 23) and non-affected Controls (n = 25). Maximal isometric elbow flexor/extensor contractions were performed to assess maximal muscle strength (peak torque) and rate of torque development, along with synchronized electromyography recording in the biceps and triceps brachii muscles.
During elbow flexor contractions, Spina Bifida showed reduced rate of torque development in the early contraction phase (0–50 ms) along with lowered relative rate of torque development in the later rate of torque development phase (0–100/200/300 ms) compared to controls. Spina Bifida showed reduced rate of torque development for the elbow extensors in the later phase of rising muscle force (0–200/300 ms) compared to controls. Lower isometric peak torque and smaller triceps brachii electromyography amplitudes (0–200/300 ms) were observed during elbow extensor contractions in Ambulatory spina bifida participants vs. controls.
Although a majority of peak torque and rate of torque development parameters did not differ, significant impairments in maximal and rapid elbow muscle force characteristics were noted in Spina Bifida compared to non-affected Controls. Ambulatory and Non-ambulatory spina bifida participants demonstrated similar rate of torque development in their upper arm muscles.
•Rapid force capacity is reduced in upper arm muscles of young persons with spina bifida.•Rapid force capacity is similar between ambulatory and non-ambulatory youth with spina bifida.•Sedentary lifestyle may contribute to reduced rapid force capacity in youth with spina bifida. BACKGROUNDThe use of locomotive devices requires sufficient levels of upper limb strength. Therefore, it is important to evaluate the maximal isometric torque, rate of torque development and neuromuscular activation in youth with spina bifida. The objective was to investigate these parameters in the elbow muscles of youth with spina bifida versus healthy age-matched peers. METHODSForty-eight participants (8-17 years) were recruited: Spina Bifida (n = 23) and non-affected Controls (n = 25). Maximal isometric elbow flexor/extensor contractions were performed to assess maximal muscle strength (peak torque) and rate of torque development, along with synchronized electromyography recording in the biceps and triceps brachii muscles. FINDINGSDuring elbow flexor contractions, Spina Bifida showed reduced rate of torque development in the early contraction phase (0-50 ms) along with lowered relative rate of torque development in the later rate of torque development phase (0-100/200/300 ms) compared to controls. Spina Bifida showed reduced rate of torque development for the elbow extensors in the later phase of rising muscle force (0-200/300 ms) compared to controls. Lower isometric peak torque and smaller triceps brachii electromyography amplitudes (0-200/300 ms) were observed during elbow extensor contractions in Ambulatory spina bifida participants vs. controls. INTERPRETATIONAlthough a majority of peak torque and rate of torque development parameters did not differ, significant impairments in maximal and rapid elbow muscle force characteristics were noted in Spina Bifida compared to non-affected Controls. Ambulatory and Non-ambulatory spina bifida participants demonstrated similar rate of torque development in their upper arm muscles. The use of locomotive devices requires sufficient levels of upper limb strength. Therefore, it is important to evaluate the maximal isometric torque, rate of torque development and neuromuscular activation in youth with spina bifida. The objective was to investigate these parameters in the elbow muscles of youth with spina bifida versus healthy age-matched peers. Forty-eight participants (8-17 years) were recruited: Spina Bifida (n = 23) and non-affected Controls (n = 25). Maximal isometric elbow flexor/extensor contractions were performed to assess maximal muscle strength (peak torque) and rate of torque development, along with synchronized electromyography recording in the biceps and triceps brachii muscles. During elbow flexor contractions, Spina Bifida showed reduced rate of torque development in the early contraction phase (0-50 ms) along with lowered relative rate of torque development in the later rate of torque development phase (0-100/200/300 ms) compared to controls. Spina Bifida showed reduced rate of torque development for the elbow extensors in the later phase of rising muscle force (0-200/300 ms) compared to controls. Lower isometric peak torque and smaller triceps brachii electromyography amplitudes (0-200/300 ms) were observed during elbow extensor contractions in Ambulatory spina bifida participants vs. controls. Although a majority of peak torque and rate of torque development parameters did not differ, significant impairments in maximal and rapid elbow muscle force characteristics were noted in Spina Bifida compared to non-affected Controls. Ambulatory and Non-ambulatory spina bifida participants demonstrated similar rate of torque development in their upper arm muscles. |
| ArticleNumber | 105861 |
| Author | Mattiello-Sverzut, Ana Claudia Martins, Emanuela Juvenal de Lemos, Tenysson Will Aagaard, Per Franco, Camila Scarpino Barboza |
| Author_xml | – sequence: 1 givenname: Emanuela Juvenal surname: Martins fullname: Martins, Emanuela Juvenal email: emanuelanep@usp.br organization: Postgraduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil – sequence: 2 givenname: Ana Claudia surname: Mattiello-Sverzut fullname: Mattiello-Sverzut, Ana Claudia email: acms@fmrp.usp.br organization: Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil – sequence: 3 givenname: Camila Scarpino Barboza surname: Franco fullname: Franco, Camila Scarpino Barboza email: camilasbfranco@gmail.com organization: Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil – sequence: 4 givenname: Tenysson Will surname: de Lemos fullname: de Lemos, Tenysson Will email: tenysson@fmrp.usp.br organization: Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil – sequence: 5 givenname: Per surname: Aagaard fullname: Aagaard, Per email: paagaard@health.sdu.dk organization: Institute of Sports Science and Clinical Biomechanics, Muscle Physiology and Biomechanics Research Unit, University of Southern Denmark, Odense, Denmark |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36623326$$D View this record in MEDLINE/PubMed |
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| Keywords | Rate of force development Pediatrics Myelomeningocele Elbow Dynamometer |
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| SubjectTerms | Adolescent Arm - physiology Child Dynamometer Elbow Electromyography Humans Isometric Contraction - physiology Muscle Contraction - physiology Muscle Strength - physiology Muscle, Skeletal - physiology Myelomeningocele Pediatrics Rate of force development Torque Upper Extremity |
| Title | Muscle strength, rate of torque development and neuromuscular activation of the upper arm muscles in children and adolescents with spina bifida |
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