AMA Grześkowiak M, Leszczyński P, Lewandowski J. The physiotherapeutic procedures in patients with or without osteoporotic fractures. Menopause Review/Przegląd Menopauzalny. 2013;12(2):142-145. doi:10.5114/pm.2013.35072. APA Grześkowiak, M., Leszczyński, P., & Lewandowski, J. (2013). The physiotherapeutic procedures in patients with or without osteoporotic fractures. Menopause Review/Przegląd Menopauzalny, 12(2), 142-145. https://doi.org/10.5114/pm.2013.35072 Chicago Grześkowiak, Marcin, Piotr Leszczyński, and Jacek Lewandowski. 2013. "The physiotherapeutic procedures in patients with or without osteoporotic fractures". Menopause Review/Przegląd Menopauzalny 12 (2): 142-145. doi:10.5114/pm.2013.35072. Harvard Grześkowiak, M., Leszczyński, P., and Lewandowski, J. (2013). The physiotherapeutic procedures in patients with or without osteoporotic fractures. Menopause Review/Przegląd Menopauzalny, 12(2), pp.142-145. https://doi.org/10.5114/pm.2013.35072 MLA Grześkowiak, Marcin et al. "The physiotherapeutic procedures in patients with or without osteoporotic fractures." Menopause Review/Przegląd Menopauzalny, vol. 12, no. 2, 2013, pp. 142-145. doi:10.5114/pm.2013.35072. Vancouver Grześkowiak M, Leszczyński P, Lewandowski J. The physiotherapeutic procedures in patients with or without osteoporotic fractures. Menopause Review/Przegląd Menopauzalny. 2013;12(2):142-145. doi:10.5114/pm.2013.35072.
Transcutaneous spinal direct current stimulation (tsDCS) increases corticospinal and spinal reflex excitability, and may be a new tool for increasing muscle explosive performance in sports training. The aim of the study was to evaluate whether tsDCS can enhance jumping ability in trained humans practicing volleyball. Twenty eight participants completed the study, including 21 men and 7 women. We investigated the effects of a single 15-minute session of sham, anodal, and cathodal tsDCS over spine and shoulder on repeated counter movement jump (CMJ) and squat jump (SJ) performance at 0, 30 and 60 min post-stimulation. The order of SJs and CMJs sets in each session was randomized. Each SJ and CMJ set consisted of 3 jumps. The break between each attempt was 1 min and the interval between the sets was 3 min. Two-way repeated measures ANOVA did not show effect of time, nor stimulation method, nor stimulation method × time interactions on SJ (time: F(1.8,142.1) = 1.054; p = 0.346, stimulation: F(2,78) = 0.019; p = 0.981, stimulation × time: F(3.6,142.1) = 0.725; p = 0.564) or CMJ (time: F(1.8,140.9) = 2.092; p = 0.132, stimulation: F(2,78) = 0.005; p = 0.995, stimulation × time: F(3.6,140.9) = 0.517; p = 0.705) performance. Single session of tsDCS over spine and shoulder does not increase jumping height in well-trained volleyball players. This is an important finding for coaches and strength conditioning professionals for understanding the practical utility of tsDCS for enhancing muscular explosiveness.
Some evidence indicates that lower back muscles located at the non‑dominant side of the body are more fatigue resistant than their opposite counterparts presumably due to preferential use of the dominant hand. The aim of the study was to determine if any distinction exists in the surface electromyographic activity of corresponding contralateral non‑fatigued lumbar multifidus (LM) muscles as a function of hand dominance. The relative to maximum root mean square, the median frequency (MdF) and spike shape parameters were computed from the surface myoelectric signals of ipsilateral and contralateral lumbar multifidus muscle of 46 adult healthy subjects (27 right‑handed, 19 left‑handed) during voluntary contractions evoked by the single arm lifts in prone position. Activation of LM as a contralateral muscle to lifted arm was greater than as ipsilateral muscle, independently of handedness. Regardless if LM performed ipsi‑ or contralateral action to the lifted arm, the mean spike amplitude, slope, number of peaks per spike and spike duration were greater and mean spike frequency as well as MdF were smaller in the muscle of dominant than non‑dominant side. Combined changes of spike shape measures indicate increased recruitment, lower firing rates and higher synchronization of motor units in the LM of dominant side as compared to its counterpart.
Abstract The myotonometry is a noninvasive method capable to quantify linear elastic and viscoelastic properties of the myofascial tissue. However, this superficial layer contains different structures that have different distribution and organization of structural components. Myotonometric measurements of dynamic stiffness, logarithmic decrement and creep and ultrasonographic measurements of cutaneous tissue, subcutaneous tissue, thoracolumbar fascia and lumbar multifidus muscle thickness and echogenicity were obtained from 50 healthy individuals in the resting prone position and during contralateral arm lift. The most important findings were that, both in the relaxed and contracted lumbar multifidus state, the dynamic stiffness strongly negatively (r=-0.69; p<0.001 in relaxation, r=-0.83; p<0.001 in contraction) and creep strongly positively (r=0.79; p<0.001 in relaxation, r=0.85; p<0.001 in contraction) correlated with thicknesses of subcutaneous tissue. With lumbar multifidus contraction, the relative increase in dynamic stiffness was negatively correlated with relative decrease in dermis (r=-0.51; p<0.001) and subcutaneous tissue (r=-0.47; p=0.001), as well as positively correlated with relative increase in lumbar multifidus (r=0.36; p=0.010) thickness. Concluding, the amount of dynamic stiffness and creep of superficial soft tissues in the lumbar region predominantly depends on subcutaneous tissue thickness regardless of muscle state. Elasticity is barely affected by soft tissue morphometry. Mechanical parameters do not depend on the echogenicity (density) of soft tissues.
Context: Kinesio taping® (KT) is a therapeutic modality frequently used in the clinical practice for the treatment of various musculoskeletal disorders. It is often applied in patients with chronic low back pain to decrease pain and improve functional capacity. However, it is not known, whether thoracolumbar fascia KT technique can decrease back pain, restore normal activity of paraspinal muscles, and improve functional capacity in patients with lumbar disk herniation (LDH). Objective: To evaluate the impact of 7-day new KT stabilizing application on lumbar paraspinal muscles function, pain perception, and disability in patients with LDH. Design: A randomized controlled trial. Setting: Human Performance Laboratory. Patients: A number of 38 patients with LDH were randomized into KT (n = 19) and placebo taping (n = 19) groups. Interventions: Both groups received the same "x" type application running over the back along fibers of superficial lamina of the posterior layer of thoracolumbar fascia. Main Outcome Measures: The primary outcome measures were flexion-relaxation and extension-relaxation ratios calculated from electromyographic activity of lumbar multifidus and longissimus thoracic muscles. Pain intensity rating (Quadruple Visual Analogue Scale), pressure pain thresholds of the lower back, Roland-Morris Disability Questionnaire score, back extension force, and flexion range of motion (ROM) were among secondary outcomes. Results: KT application did not affect the lumbar multifidus and longissimus thoracic muscles flexion-relaxation and extension-relaxation ratios, lower back pressure pain thresholds, back flexion ROM, and back extension force (no group × time interaction [GTI]). KT and placebo taping comparably decreased disability level (time effect: F1,36 = 22.817, P < .001; GTI: F1,36 = 0.189, P = .67), average pain (time effect: F1,36 =39.648, P < .001; GTI: F1,36 = 2.553, P = .12), and the worst pain (time effect: F1,36 = 36.039, P < .001; GTI: F1,36 = 0.003, P = .96) intensity. Conclusion: Seven-day KT does not normalize lumbar paraspinal muscle function and is not superior to placebo in reducing disability and pain intensity in patients with LDH.
Post-tetanic potentiation (PTP) of force depends on intramuscular Ca 2+ levels and sensitivity and may be affected by fatigue. The aim of this study was to determine the ability of isolated fast fatigue-resistant (FR) and fast-fatigable (FF) motor units (MUs) to potentiate force evoked with single and 40-Hz electrical stimulation after 5 weeks of voluntary weight-lifting training. Tetanic contractions evoked by gradually increasing (10–150 Hz) stimulation frequency served as conditioning stimulation. Additionally, the concentration of myosin light chain kinase and proteins engaged in calcium handling was measured in rat fast medial gastrocnemius muscle. After the training, the potentiation of twitch force and peak rate of force development was increased in FF but not FR MUs. Force potentiation of 40-Hz tetanic contractions was increased in both fast MU types. After the training, the twitch duration of FR MUs was decreased, and FF MUs were less prone to high-frequency fatigue during conditioning stimulation. Muscle concentration of triadin was increased, whereas concentrations of ryanodine receptor 1, junctin, FKBP12, sarcoplasmic reticulum calcium ATPase 1, parvalbumin, myosin light chain kinase, and actomyosin adenosine triphosphatase content were not modified. After short-term resistance training, the twitch contraction time and twitch:tetanus force ratio of FR MUs are decreased, and PTP ability is not changed. However, PTP capacity is increased in response to submaximal activation. In FF MUs increase in PTP ability coexists with lesser fatigability. Further work is required to find out if the increase in triadin concentration has any impact on the observed contractile response.
Introduction: It is commonly considered that myotonometry is a non-invasive method capable of quantifying linear elastic and viscoelastic properties of the myofascial tissue through the application of a weak mechanical impulse to the surface of the skin. However, before the impulse can reach the myofascial tissue, it must cross more superficial tissues such as the skin and subcutaneous tissue (ST). All these superficial tissues have different distributions and organizations of structural components. Therefore, the study aimed to examine the potential relationships between the mechanical and morphometric properties of various superficial soft tissues surrounding the lumbar multifidus muscle (LM). Methods: Myotonometric measurements of dynamic stiffness, logarithmic decrement, and creep, and ultrasonographic measurements of thickness and echogenicity of cutaneous, subcutaneous, perimuscular tissue, and LM were obtained from 50 healthy individuals in the resting prone position and during contralateral arm lift. Results: The most important findings were that in both the relaxed and contracted LM state, the dynamic stiffness strongly negatively (r = -0.69; p < 0.001 in relaxation, r = -0.83; p < 0.001 in contraction) and creep strongly positively (r = 0.79; p < 0.001 in relaxation, r = 0.85; p < 0.001 in contraction) correlated with the thicknesses of the ST. Similar but weaker correlations were noticed between both these measures and the perimuscular tissue thickness. Elasticity was uncorrelated to the thicknesses of the tissues. With LM contraction (change from the relaxed to contracted state), the relative increase in dynamic stiffness was correlated with the relative decrease in dermis (r = -0.51; p < 0.001) and ST (r = -0.47; p = 0.001) thickness, and with the relative increase in LM (r = 0.36; p = 0.010) thickness. Moreover, the relative decrease (thinning) in the ST thickness was correlated with the relative increase in logarithmic decrement (i.e., decrease in soft tissue elasticity, r = -0.37, p = 0.011). The mechanical properties of the soft tissues were not related to their echogenicity. Discussion: In conclusion, the thicker the subcutaneous and perimuscular layers, the lesser the stiffness and the greater the time-dependent deformation to the external force of the tissues surrounding the LM during its relaxation and isometric contraction. Moreover, the greater the thinning of the ST and the thickening of the LM during its contraction, the higher the increase in lumbosacral tissue stiffness and the decrease in elasticity. Therefore, one should consider the thickness of the ST before planning or analyzing the outcomes of myotonometric or other external biomechanical measurements to avoid drawing the wrong conclusions about the mechanical properties of the myofascial tissue.
