scholes cj phd 1,2,3 mcdonald md phd 2 coolican mrj fracs 1 parker da fracs 1
DESCRIPTION
Efficacy of Repetitive Stepping as a Test of Quadriceps Fatigue: Comparison to Isokinetic Exercise. Scholes CJ PhD 1,2,3 McDonald MD PhD 2 Coolican MRJ FRACS 1 Parker DA FRACS 1 Parker AW PhD 3 1 Sydney Orthopaedic Research Institute - PowerPoint PPT PresentationTRANSCRIPT
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SydneyAustrali
a
SORI
Efficacy of Repetitive Stepping as a Efficacy of Repetitive Stepping as a Test of Quadriceps Fatigue: Test of Quadriceps Fatigue:
Comparison to Isokinetic ExerciseComparison to Isokinetic Exercise
Scholes CJ Scholes CJ PhDPhD1,2,31,2,3
McDonald MD McDonald MD PhDPhD22
Coolican MRJ Coolican MRJ FRACSFRACS11
Parker DA Parker DA FRACSFRACS11
Parker AW Parker AW PhDPhD33
11 Sydney Orthopaedic Research Institute Sydney Orthopaedic Research Institute22 School of Human Movement Studies, Queensland University of Technology School of Human Movement Studies, Queensland University of Technology
33Institute of Health & Biomedical Innovation, Queensland University of TechnologyInstitute of Health & Biomedical Innovation, Queensland University of Technology
Australian Orthopaedic AssociationAustralian Orthopaedic Association7070thth Annual Scientific Meeting Annual Scientific Meeting
Adelaide, 2010Adelaide, 2010
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Conflict of InterestConflict of Interest
There is no conflict of interest in this research There is no conflict of interest in this research projectproject
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Quadriceps FunctionQuadriceps Function
Strength and endurance critical Strength and endurance critical to knee functionto knee function
Implications of dysfunction Implications of dysfunction following surgeryfollowing surgery
Quadriceps avoidance Quadriceps avoidance (Lewek et (Lewek et al 2002)al 2002)
Joint loading Joint loading (Shelbourne et al 2004)(Shelbourne et al 2004)
Functional instability Functional instability (Hurd et al (Hurd et al 2007)2007)
Endurance improves Endurance improves performance of functional performance of functional activitiesactivities
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IntroductionIntroduction
Dynamometry – ‘gold standard’Dynamometry – ‘gold standard’
LimitationsLimitations Cost (~$100k)Cost (~$100k) SpaceSpace Dedicated specialist personnelDedicated specialist personnel
Need for a clinical alternative Need for a clinical alternative
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AimAim
Validate a functional protocol to induce and Validate a functional protocol to induce and quantify quadriceps fatigue compared to quantify quadriceps fatigue compared to isokinetic dynamometryisokinetic dynamometry
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MethodsMethods
ParticipantsParticipants Male undergraduates Male undergraduates 20.620.6++2.5yrs2.5yrs 1.781.78++0.05m0.05m 72.372.3++8.8kg8.8kg
Repetitive Repetitive SteppingStepping
Additional WeightAdditional Weight Step HeightStep Height Start-end PosturesStart-end Postures SpeedSpeed
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MethodsMethods
DynamometryDynamometry 50 Repetitions50 Repetitions
Concentric-EccentricConcentric-Eccentric
Range-of-motion 90Range-of-motion 9000
Speed 60Speed 6000/sec/sec
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Methods - Fatigue Methods - Fatigue IndicatorsIndicators
Peak powerPeak power
Inverse Inverse dynamicsdynamics
Integrated Integrated torque/timtorque/timee
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Methods - Fatigue Methods - Fatigue IndicatorsIndicators
Surface Surface ElectromyographyElectromyography
Wireless (Zerowire, Wireless (Zerowire, Italy)Italy)
VM, VL, RFVM, VL, RF Standardised Standardised
placementplacement
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Methods - Mean FrequencyMethods - Mean Frequency
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Results - Peak Power Results - Peak Power ProductionProduction
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Results - Mean FrequencyResults - Mean Frequency
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Results - Protocol Results - Protocol ComparisonComparison
*
* Significant difference between stepping and isokinetic
^
^Significant difference between muscles
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DiscussionDiscussion
Stepping induced greater fatigue compared to Stepping induced greater fatigue compared to previous studies previous studies (Coventry et al 2006; Bonato et al 2001)(Coventry et al 2006; Bonato et al 2001)
Isokinetic exercise also induced greater fatigue Isokinetic exercise also induced greater fatigue compared to previous studies compared to previous studies (Molinari et al 2006)(Molinari et al 2006)
Combined eccentric-concentric actionCombined eccentric-concentric action
Differential isokinetic fatigue pattern agrees Differential isokinetic fatigue pattern agrees with previous studies with previous studies (Molinari et al 2006)(Molinari et al 2006)
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DiscussionDiscussion
Lack of studies quantifying fatigue progression Lack of studies quantifying fatigue progression in quadriceps during functional taskin quadriceps during functional task
Parallel fatigue could be related to joint stability Parallel fatigue could be related to joint stability and balance during steppingand balance during stepping
Increased variability in power productionIncreased variability in power production Load sharing between hip and kneeLoad sharing between hip and knee
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ConclusionsConclusions
Stepping protocol valid method to induce Stepping protocol valid method to induce quadriceps fatiguequadriceps fatigue
not as effective as isokinetic exercisenot as effective as isokinetic exercise
Potential future model for clinic-based fatigue Potential future model for clinic-based fatigue assessmentassessment
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Future clinical toolFuture clinical tool Adjustments to the protocol to reduce variabilityAdjustments to the protocol to reduce variability
Validity and reliability for surgically-repaired kneesValidity and reliability for surgically-repaired knees Modify protocol for patient populationsModify protocol for patient populations Effects of rehabilitationEffects of rehabilitation
Clinical measurements – fatigue indicatorsClinical measurements – fatigue indicators Steps to exhaustionSteps to exhaustion Stepping frequencyStepping frequency
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Thank You