Rate of force development and its relationship with functional performance in patients after anterior cruciate ligament reconstruction / 中国组织工程研究

BACKGROUND:The maximum muscle strength is typically used for evaluating the recovery of muscle function after anterior cruciate ligament reconstruction.Recent studies have suggested that neuromuscular function should also be considered,such as rate of force development,which measures the slope of the force time curve at different time intervals under conditions of isometric muscle contraction. OBJECTIVE:To elaborate on the current research status and shortcomings of muscle isometric rate of force development in patients undergoing anterior cruciate ligament reconstruction surgery,and analyze the degree of defects in quadriceps femoris and hamstring isometric rate of force development at different times after surgery;to analyze the effect of isometric rate of force development on postoperative functional performance,thereby providing important information for optimizing postoperative rehabilitation following anterior cruciate ligament reconstruction,reducing secondary injury to patients,and reducing the incidence of knee osteoarthritis. METHODS:Literature retrieval of CNKI,VIP,WanFang and PubMed was performed using"anterior cruciate ligament,rate of force development"as Chinese search terms and"anterior cruciate ligament,rate of force development,rate of torque development"as English search terms.Finally,69 articles were included according to inclusion and exclusion criteria. RESULTS AND CONCLUSION:Most studies have found defects in bilateral muscle isometric rate of force development in patients undergoing anterior cruciate ligament reconstruction within 6 months.Early isometric rate of force development of the bilateral hamstring muscles(i.e.the slope of the force time curve at any time interval during muscle contraction of 100 ms)showed significant improvement after 6 months.However,long-term defects in early isometric rate of force development of the bilateral quadriceps indicate long-term damage to the neuromuscular function of the quadriceps after surgery.There is limited research on late isometric rate of force development(the slope of the force time curve at any time interval after 100 ms of muscle contraction),and conclusions cannot be drawn.Regarding landing exercises(jumping to the ground,lateral cutting,etc.)and daily activities(walking,running),early isometric rate of force development of the quadriceps is more correlated with isometric peak torque.Abnormal biomechanical changes during exercise are considered an important risk factor for secondary injury and traumatic knee osteoarthritis in patients.Actively improving early isometric rate of force development of the quadriceps may reduce the incidence of secondary injury and traumatic knee osteoarthritis.Currently,there is limited evidence to suggest that whole-body vibration training can improve early isometric rate of force development of the quadriceps femoris in patients undergoing anterior cruciate ligament reconstruction.It is recommended to use neuromuscular electrical stimulation to intervene in the quadriceps and hamstring in the early postoperative stage and implement explosive force and high resistance training in the late postoperative stage,which may improve the isometric rate of force development in patients.Generating sufficient muscle strength in a short period of time is necessary to effectively protect the anterior cruciate ligament,while the relationship between isometric rate of force development in the hamstring muscle and functional performance is still unclear,which may provide information on preventing secondary injury in patients.It is recommended to use the isometric rate of force development as one of the evaluation indicators for guiding rehabilitation and restoring movement.In addition to focusing on improving symmetry and differences from normal individuals,the hamstring to quadriceps strength ratio should also be considered.An appropriate range of ratios can ensure the balance of muscles during rapid muscle exertion,which may reduce the occurrence of secondary injuries.However,the normal range of ratios is not yet clear.Future research should consider the effects of graft type and knee flexion angle on isometric rate of force development,in order to identify neuromuscular dysfunction in patients as much as possible and help them recover better.

Comparison of drop jump force-time profiles of team sport athletes and active controls

Abstract Aim: Lower-body non-contact injuries in team sport athletes (TSAs) are associated when absorbing force, during cutting and landing movements due to a lack of eccentric strength and decreased neuromuscular control leading to excessively higher joint forces. Thus, this project aimed to identify if TSAs had different acceleration and deceleration force profiles compared to a control group (non-TSA) when performing drop jumps (DJs). Methods: University TSAs (n = 15) and non-TSAs (n = 10) performed a series of DJs from a 39 cm box onto a force-plate. All data were normalized to the individual's body mass. Between-group differences in ground reaction force (GRF), rate of force development (RFD), and propulsive and breaking impulses were compared via t-tests and standardized differences. Results: TSAs had significantly, and meaningfully greater RFD than the non-TSAs (p < 0.01, Hedges' g (ES) = 1.24, 53%). While not statistically significant, the non-TSA group produced practically larger mean GRFs than TSAs (p = .09, ES = 0.72, 12.1%). No significant or meaningful between-group differences were detected for propulsive impulse (p = 0.08, ES = 0.41, 9.1%), braking impulse (p = 0.85, ES = 0.25, 4.6%), or impulse ratio (p = 0.35, ES = 0.21, 6.7%). Conclusions: This study shows the presence of significant RFD differences during the DJ in TSAs compared to non-TSAs. Furthermore, this investigation also showed there was no difference between TSA and students in GRF and impulse metrics. Implications from these findings suggest that TSAs can produce force rapidly, but deceleration metrics were not different from untrained students.

Relationship between upper and lower limbs muscle explosive strength with the vastus lateralis and biceps brachii architecture / Correlação entre a força muscular explosiva dos membros superiores e inferiores com a arquitetura do vasto lateral e do bíceps braquial / Correlación entre la fuerza muscular explosiva de las extremidades superiores e inferiores con la arquitectura del vasto lateral y el bíceps braquial

ABSTRACT We aimed to assess upper and lower limbs explosive strength, and its correlation with biceps brachii (BB) and vastus lateralis (VL) architecture. Absolute and maximum torque normalized rate of torque development (RTD) were measured from isometric elbow flexion (EF) and knee extension (KE). BB and VL architectures were assessed by ultrasound. Absolute RTD of KE was higher (129-272%), although normalized RTD was higher in EF (80-21%). The absolute RTD was correlated to muscle thickness only in the BB (r=.39-46). No relationship was found between muscle architecture and normalized RTD. In conclusion, the higher RTD from KE seems to be due to their greater strength. Only the muscle architecture could not explain the differences found in the RTD.

RESUMO Nosso objetivo foi avaliar a força explosiva de membros superiores e inferiores e a sua correlação com a arquitetura do bíceps braquial (BB) e vasto lateral (VL). A taxa de desenvolvimento de torque (TDT) absoluta e normalizada pela força máxima foi medida na flexão de cotovelo (FC) e extensão de joelho (EJ). A arquitetura do BB e do VL foi avaliada por ultrassonografia. A TDT absoluta de EJ foi maior (129-272%), mas a TDT normalizada foi maior na FC (80-21%). A TDT absoluta foi correlacionada com a espessura do BB (r=.39-46). A TDT normalizada não foi correlacionada à arquitetura muscular. Concluindo, a TDT superior da EJ parece causada pela maior força máxima. Apenas a arquitetura muscular não parece explicar a diferença na TDT.

RESUMEN Nuestro objetivo era evaluar la fuerza explosiva de los miembros superiores y inferiores y su correlación con la arquitectura del bíceps braquial (BB) y vasto lateral (VL). Se medio la tasa de desarrollo de torque (TDT) absoluta y normalizada por la fuerza máxima in la flexión de codo (FC) e extensión de rodilla (ER). La arquitectura del BB y VL fue evaluada por ultrasonido. La TDT absoluta de ER fue mayor (129-272%), pero la TDT normalizada fue mayor en la FC (80-21%). La TDT absoluta se correlacionó con el grosor del BB (r=.39-46). La TDT normalizada no se correlacionó con la arquitectura. En conclusión, la TDT superior del ER parece estar causado por la mayor fuerza máxima. La arquitectura muscular sola no parece explicar la diferencia en la TDT.