Dario G. Liebermann, Murray E. Maitland, & Larry Katz. (2002). Lower-limb extension power: How well does it predict short distance speed skating performance? Isokinetics and Exercise Science, 10(2), 87–95.
Abstract: This study was aimed to explore the relationship between lower limb extension power measured by isokinetic knee extensions (IK) and vertical jumps performed on a force plate (VJ) and speed skating (SS) sprint power measured by a laser device.
Methods: Twenty elite short- and long-track speed skaters performed 100 m sprints followed by VJ and IK trials. Power-time curves were calculated off-line. Pearson correlation coefficients were used to determine the degree of association between the variables.
Results: SS sprint power correlates strongly with VJ power (r=0.870; p<0.001) while IK power showed a weaker but significant correlation to both (r=0.707 and r=0.706, respectively; p<0.01). As expected, SS times at 15 m and 100 m were inversely associated with SS sprint power (r=-0.818 and r=-0.909; p<0.001) and VJ power (r=-0.730 and r=-0.763; p<0.001), and to a lesser degree with IK power (r=-0.602; r=-0.618; p<0.01).
Conclusion: The analyses differentiate between methods of estimating power in speed skaters, and show a strong relationship between initial SS performance and muscular power. Given that 100 m split times strongly relate to final 500 m results (r=0.972; p<0.001, N=332), it is reasonable to believe that an initial power and a stable peak speed before the first curve may lead to achieving the winning edge in short SS events. A finding of particular interest is that isokinetic power results are correlated significantly with the practical outcomes of the performance in spite of the high specificity of the isokinetic testing method.
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Dario G. Liebermann, & Larry Katz. (2003). On the assessment of lower-limb power capability. Isokinetics and Exercise Science, 11(2), 87–94.
Abstract: Purpose: This study assessed the reliability and validity of different methods used to estimate lower-limb muscular power capability based on mechanical variables. For this purpose, vertical jumping was compared with isokinetic knee extensions and with power tests used by practitioners.
Methods: Four groups of subjects (N = 106) were tested in different conditions. Group-I performed countermovement vertical jumps (CMJ) on a force plate followed by left and right knee extensions on an isokinetic device at 120, 180 and 240 deg�s-1. Group-II performed CMJ trials followed by 20-m sprints, hand-reach jumps and 1RM leg-press testing. Group-III carried out squat jumps (SJ) in addition to CMJ trials. Finally, Group-IV performed the CMJ test and was retested twice after a short inter-session interval (1–4 days) and after a long one (4.5–5 months). The Pearson correlation was used to assess the validity and reliability of CMJ (p ≤ 0.01, **).
Results: Mean peak power during CMJ was correlated with sprint time (r = -0.882) and leg-press 1 RM (r = 0.797), but less with peak hand-reach height (r = 0.695; p ≤ 0.05). Isokinetic knee extension power showed also a significant correlation with CMJ power, but its strength depended on the angular velocity (Isok-120 r = 0.702; Isok-180 r = 0.737; Isok-240 r = 0.599). Test-retests showed a strong correlation after a short interval (r = 0.915) and after a long one (r = 0.890). Using the SJ technique did not have any effect on reliability (r = 0.914).
Conclusions: CMJ matches other methods used for testing lower-limb power capability. It is highly reliable and it allows a valid assessment of muscular power. Since CMJ is also simple and accurate to perform, it is the recommended method.
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Lackritz, H., Parmet, Y., Frenkel-Toledo, S., Banina, M. C., Soroker, N., Solomon, J. M., et al. (2021). Effect of post-stroke spasticity on voluntary movement of the upper limb. J Neuroeng Rehabil, 18(1), 81.
Abstract: BACKGROUND: Hemiparesis following stroke is often accompanied by spasticity. Spasticity is one factor among the multiple components of the upper motor neuron syndrome that contributes to movement impairment. However, the specific contribution of spasticity is difficult to isolate and quantify. We propose a new method of quantification and evaluation of the impact of spasticity on the quality of movement following stroke. METHODS: Spasticity was assessed using the Tonic Stretch Reflex Threshold (TSRT). TSRT was analyzed in relation to stochastic models of motion to quantify the deviation of the hemiparetic upper limb motion from the normal motion patterns during a reaching task. Specifically, we assessed the impact of spasticity in the elbow flexors on reaching motion patterns using two distinct measures of the 'distance' between pathological and normal movement, (a) the bidirectional Kullback-Liebler divergence (BKLD) and (b) Hellinger's distance (HD). These measures differ in their sensitivity to different confounding variables. Motor impairment was assessed clinically by the Fugl-Meyer assessment scale for the upper extremity (FMA-UE). Forty-two first-event stroke patients in the subacute phase and 13 healthy controls of similar age participated in the study. Elbow motion was analyzed in the context of repeated reach-to-grasp movements towards four differently located targets. Log-BKLD and HD along with movement time, final elbow extension angle, mean elbow velocity, peak elbow velocity, and the number of velocity peaks of the elbow motion were computed. RESULTS: Upper limb kinematics in patients with lower FMA-UE scores (greater impairment) showed greater deviation from normality when the distance between impaired and normal elbow motion was analyzed either with the BKLD or HD measures. The severity of spasticity, reflected by the TSRT, was related to the distance between impaired and normal elbow motion analyzed with either distance measure. Mean elbow velocity differed between targets, however HD was not sensitive to target location. This may point at effects of spasticity on motion quality that go beyond effects on velocity. CONCLUSIONS: The two methods for analyzing pathological movement post-stroke provide new options for studying the relationship between spasticity and movement quality under different spatiotemporal constraints.
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Bezalel, G., Nachoum Arad, G., Plotnik, M., & Friedman, J. (2021). Voluntary step execution in patients with knee osteoarthritis: Symptomatic vs. non-symptomatic legs. Gait Posture, 83, 60–66.
Abstract: BACKGROUND: Individuals with osteoarthritis fall at a greater rate than the general population, likely as a result of weakness, pain, movement limitations, and a decline in balance. Due to the high prevalence of osteoarthritis in the population, understanding the mechanisms leading to greater fall risk is an important issue to better understand. RESEARCH QUESTION: What is the influence of unilateral knee osteoarthritis on the characteristics of performing a voluntary step (i.e., similar to that performed to avoid a fall after a perturbation), compared to healthy age-matched controls? METHODS: Case-control study performed in a Health maintenance organization physical therapy clinic. The research group consisted of a referred sample of 21 patients with unilateral knee osteoarthritis. The control group consisted of 22 age-matched healthy individuals. All participants were over 65 years of age. Participants were excluded if they had a surgical procedure to back or lower limb within one year before testing, oncological or neurological disease or a deficit in tactile sense. Movements were performed with and without dual tasking. MEASUREMENTS: Duration of the initiation phase (cue to step initiation), preparatory phase (step initiation to foot off) and swing phase (foot off to foot contact). RESULTS: In the preparatory phase and swing phase, the osteoarthritis group moved more slowly than the control group, and these differences were larger for forward compared to backward movements. Dual-tasking slowed responses in the pre-movement initiation stage across groups. SIGNIFICANCE: The differences in basic parameters, and the slower movements in the osteoarthritis group, are consistent with known features of osteoarthritis, being a disease commonly regarded as primarily “mechanical”, and are likely to increase fall risk. These response deficits suggest we should take advantage of advanced rehabilitation techniques, including cognitive loading, to help prevent falls in older adults with osteoarthritis.
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Nahab, F., Kundu, P., Gallea, C., Kakareka, J., Pursley, R., Pohida, T., et al. (2011). The neural processes underlying self-agency. Cerebral Cortex, 21(1), 48–55.
Abstract: Self-agency (SA) is the individual’s perception that an action is the consequence of his/her own intention. The neural networks underlying SA are not well understood. We carried out a novel, ecologically valid, virtual-reality experiment using BOLD-fMRI where SA could be modulated in real-time while subjects performed voluntary finger movements. Behavioral testing was also performed to assess the explicit judgment of SA. Twenty healthy volunteers completed the experiment. Results of the behavioral testing demonstrated paradigm validity along with the identification of a bias that led subjects to over- or underestimate the amount of control they had. The fMRI experiment identified two discrete networks. These leading and lagging networks likely represent a spatial and temporal flow of information, with the leading network serving the role of mismatch detection and the lagging network receiving this information and
mediating its elevation to conscious awareness, giving rise to SA.
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