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PubMed2006

Torque and surface mechanomyogram parallel reduction during fatiguing stimulation in human muscles.

The purpose of the study was to verify, by means of torque and mechanomyogram (MMG) compared analysis, the validity of MMG as a tool to investigate the contractile changes due to localized muscular fatigue induced by stimulation protocols usually employed for sport training and rehabilitation programs. Ten healthy sedentary subjects participated in the study. Torque produced by the dominant biceps brachii (BB) and vastus lateralis (VL) during transcutaneous stimulated contractions has been recorded by a load cell strapped to the subjects' wrist and distal one-third of the tibia, respectively. MMG was detected over the muscle bellies during a monopolar supramaximal stimulation of the main motor point. After potentiation, the fatiguing stimulation was administered. It consisted of 50 cycles, with 2 s of 50 Hz and 25 s of 2 Hz. Averaged normalized values of peak torque (pT) and MMG peak-to-peak (MMG-pp) of the subjects group decreased from their initial 100% values to 55% (pT) and 60% (MMG-pp) for BB and to 43% (pT) and 47% (MMG-pp) for VL. The pT% and MMG-pp% changes throughout the stimulation protocol presented high correlation (BB: R=0.95, P<0.001; VL: R=0.94, P<0.001). This correlation suggests that MMG could be used to follow muscle mechanical fatigue development when torque output is not or hardly detectable such as during electrical stimulation programs employed for sport training or rehabilitation protocols.

Acceleration↗
PubMed1999

Allometric scaling of isokinetic peak torque: the Nebraska Wrestling Study.

Allometric scaling has been used increasingly in the exercise sciences to control statistically for body size differences in physical performance variables. The purpose of this study was to use multivariate allometric scaling to examine the influence of fat-free mass (FFM) on age-related differences in strength in young club (8-13 years) and high-school (14-18 years) wrestlers. The dependent variables were log-transformed values of isokinetic peak torque for leg extension and flexion at 0.52, 3.14, and 5.24 rad x s(-1)(30, 180, and 300 x s(-1)). The independent variables used in the multiple regression analyses were log-transformed values for FFM, age, and the FFM versus age interaction. The resulting regression equations were of the form: log Y = log a + b1 log X1 + b2 log X2 + bn log Xn. The initial multiple regression analyses showed significant interaction effects (P < 0.05) for all dependent variables, therefore separate regression analyses were performed for the younger and older groups of wrestlers. The results indicate that for the younger wrestlers there were increases in isokinetic peak torque at all velocities across age after controlling for FFM. The FFM scaling exponents ranged from 0.94 to 1.31. All exponents included 1.0 in the 95% confidence interval, except for extension at 3.14 rad x s(-1). For the high-school wrestlers, both FFM and age were significant for the extension data, but only FFM was significant for the flexion data. All FFM exponents included 1.0 in the 95% confidence interval. These results indicate that the relationship between FFM and peak torque differed across age. In addition, with the exception of the flexion data for the high-school wrestlers, within each group increases in isokinetic peak torque occurred across age, independent of increases in FFM. The causes of the age effect for strength are speculative, but it may be due to developmental changes in neuromuscular function, alterations in the distribution of muscle mass as a percentage of FFM and/or the distribution of FFM across body segments.

Adolescent↗
PubMed2000

Effects of 17 days bedrest on the maximal voluntary isometric torque and neuromuscular activation of the plantar and dorsal flexors of the ankle.

Maximal voluntary isometric torque values of the ankle plantar (Tim,PF) and dorsal flexors (Tim,DF) were assessed in eight healthy adult males at 5 degrees and 15 degrees of dorsal flexion (DF) and at 5 degrees, 15 degrees and 25 degrees of plantar flexion (PF) with the knee at right angles, before (two times), during (three times) and after (three times) 17 days of 6 degrees head-down tilt bedrest (BR). Integrated electromyograms (iEMG) were also recorded from the gastrocnemius medialis and tibialis anterior. Tim,PF and the iEMG of the gastrocnemius medialis were significantly larger (by 14% and by 27%, respectively) at the end of recovery than before BR. This was probably the consequence of training and/or habituation leading to: (1) increased activation of the plantar flexors; and (2) decreased co-activation of the antagonist muscles. Neither Tim,DF nor the tibialis anterior iEMG changed significantly. The effects of BR on muscle performance were evaluated as follows. The net torque generated by a given muscle group was assumed to be the algebraic sum of the torque generated by the agonists and by the antagonists. Thus, for the plantar flexors Tim,PF = alpha iEMGGm - beta iEMGTa, where: (1) iEMGGm and iEMGTa are the iEMGs of gastrocnemius medialis and of tibialis anterior during maximal PF; and (2) the constants alpha and beta represent the electromechanical coupling of the plantar (alpha) and dorsal (beta) flexors. Similarly for the dorsal flexors: Tim,DF = beta iEMGTa - alpha iEMGGm, where iEMGTa and iEMGGm are the iEMGs of tibialis anterior and gastrocnemius medialis during maximal DF. Torque and iEMG values were assessed for all subjects under all experimental conditions. Thus, since the biomechanical leverage of the system was constant, alpha and beta could be calculated. During BR, alpha decreased by 25% and it dropped by a further 30% during recovery. In contrast, beta remained almost unchanged. This suggests that, in spite of training and/or habituation, BR significantly impaired the maximal isometric performance of the plantar flexors, an effect that continued during the initial 10 days of recovery.

Adult↗
PubMed1996

Surface action potentials related to torque output in paraplegics' electrically stimulated quadriceps muscle.

We recorded in 15 complete paraplegic patients the torque output and the surface action potentials (SAP) produced by the electrically stimulated quadriceps muscle during an isometric contraction lasting 126 s. We studied the evolution during the test of the peak to peak amplitude, the latency from the onset of stimulation, the rising time to peak, the peak to peak duration, the area of the recorded SAPs and we tried to relate those data to the torque production. Results were extremely different among patients but the general behaviour facing this test was comparable. After a short increase the mechanical output decreased and reached a plateau (range from 7.13 to 53.5% of initial value). The peak to peak amplitude first increased and then decreased, and was not related to the torque production. The latency, the rising time to peak and the peak to peak duration continuously increased to a maximum and then plateaued or slightly decreased after different courses of time. The latency from the onset of stimulation was less affected by the test than the rising time to peak and the peak to peak duration. Therefore, the nerve conduction velocity and the neuromuscular junction transmission did not vary to a great extent compared to the muscle fibre conduction velocity. The area of the rectified SAPs first increased and then decreased and was not related to the torque decrease.

Action Potentials↗
PubMed2005

Influence of thread design on bioabsorbable interference screw insertion torque during retrograde fixation of a soft-tissue graft in synthetic bone.

PURPOSE: Bioabsorbable interference screw design may influence biomechanical characteristics. This study compared the insertion torque and load at failure characteristics of 2 types of screws during retrograde fixation of a soft-tissue graft. TYPE OF STUDY: Biomechanical study. METHODS: Eight matched pairs of doubled 100-mm long tibialis anterior allografts were prepared and fixed in appropriately sized tunnels created in 10 lb/ft 3 (0.16 g/cm3) dense synthetic bone blocks using screws of similar length and root and thread diameter designed with either a large buttress thread with a smaller taper or small buttress thread with a larger taper. Insertion torque was measured at one-third, two-thirds, and full screw insertion. After the graft fixation constructs were mounted in a servohydraulic-testing device with the loading axis aligned directly with the tunnel and preloaded to 25 N, they were cycled 3 times from 0 to 50 N, and then subjected to a 20 mm/minute traction force to failure. RESULTS: All constructs failed by graft slippage past the screw. Mean maximum load at failure (360.5 +/- 68 N v 341.6 +/- 58 N, P = .2) and stiffness (63.6 +/- 16 N/mm 2 v 66.4 +/- 14 N/mm 2 , P = .89) was similar between constructs fixed with a large buttress thread small-taper screw and small buttress thread large-taper screw, respectively. The small buttress thread screw with a large taper displayed greater mean insertion torque at one-third insertion (4.1 +/- 0.57 in-lb v 3.2 +/- 0.49 in-lb, P = .03), whereas the large buttress thread screw with a small taper displayed greater mean insertion torque at full insertion (11.1 +/- 0.74 in-lb v 9.4 +/- 1.3 in-lb, P = .012). Mean differences were not observed at two-thirds screw insertion (P = .12). CONCLUSIONS: Large buttress thread small-taper screws displayed biomechanical fixation characteristics comparable to small buttress thread large-taper screws. CLINICAL RELEVANCE: Given reports of superior screw-graft-bone tunnel contact area, these biomechanical results suggest that use of a large buttress screw with a small taper may be preferable for retrograde soft-tissue graft fixation.

Absorbable Implants↗
PubMed2004

Ankle joint evertor-invertor muscle torque ratio decrease due to recurrent lateral ligament sprains.

OBJECTIVE: To determine an ankle inversion-eversion movement range part where evertor/invertor muscles torque ratio is altered after recurrent ankle lateral ligament sprains. DESIGN: The ankle evertor/invertor muscles torque ratios were determined in the different range parts of angular positions by the muscle isokinetic movements. BACKGROUND: It is important to determine the movement range part where the evertor muscle weakness after the ankle lateral ligament sprains is more expressed and a repeated trauma of the lateral ligaments is more probable. METHODS: Twenty-eight male handball players participated in the tests using an ankle isokinetic inversion-eversion movement investigation dynamometer system. Thirty-three ankle joints were uninjured, but 23 underwent recurrent lateral ligament sprains. RESULTS: The ankle evertor/invertor muscles torque ratio for the sprained ankles was significantly lower in comparison with the uninjured joints in inversion positions at 50 degrees and 60 degrees of the range of movements in all applied velocities, except the slowest movement (30 degrees /s). CONCLUSIONS: The recurrent ankle lateral ligament sprains reduced the evertor/invertor muscles torque ratio in the inversion positions of the range of movements and therefore the evertor muscle weakness was more expressed in the beginning of the eversion movement.

Adolescent↗
PubMed2006

Reliability of concentric and eccentric torque during isokinetic knee extension in post-stroke hemiparesis.

BACKGROUND: Emerging evidence on the velocity-dependent nature of force impairment in post-stroke hemiparesis has emphasized the complexity of strength and motor performance assessments in this clinical population. The need to establish reliability and responsiveness of muscle performance measures across a broad range of concentric and eccentric movement speeds is therefore clear, as these metrics will provide benchmarks both for making clinical inference and evaluating meaningful clinical change following interventions. METHODS: Isokinetic knee extensor strength was tested at 14 angular velocities in 17 adults with chronic post-stroke hemiparesis (>18 months), and 13 non-disabled controls. Identical tests were conducted on two occasions separated by two days. Test-retest reliability of maximal isokinetic torque was evaluated using intraclass correlation. Absolute reliability was assessed using standard error of measurement from which smallest real differences were derived. FINDINGS: Overall, intraclass correlation coefficients were excellent for both hemiparetic (0.891) and control (0.937) groups. Intraclass correlation coefficients for each criterion speed were also high for both groups (>0.86). Measurement error relative to the mean torque varied between 14.1% and 26.3% for hemiparetic subjects and 6.0-18.1% for controls. The smallest real difference relative to mean torque was 39.0-72.7% and 16.6-50.2% for hemiparetic and control subjects, respectively. INTERPRETATION: Isokinetic knee extension torque can be measured reliably in persons with chronic post-stroke hemiparesis and in non-disabled controls across a full functional range of concentric and eccentric speeds. Established measurement error and smallest real differences will aid interpretation of longitudinal observations of muscle performance in this clinical population.

Adult↗
PubMed2006

Inter-individual variability in the torque-related patterns of responses for mechanomyographic amplitude and mean power frequency.

The purpose of this study was to examine the inter-individual variability for the patterns of responses for mechanomyographic (MMG) amplitude and mean power frequency (MPF) versus isometric torque in lower-strength (LS) and higher-strength (HS) individuals. Twelve participants (mean +/- S.D. age = 25 + 4 years) performed two isometric maximal voluntary contractions (MVCs) before and after completing nine submaximal step muscle actions (15%, 25%, 35%, 45%, 55%, 65%, 75%, 85%, and 95% MVC) of the right leg extensors. MMG signals were recorded from the vastus lateralis muscle, and MMG amplitude and MPF values were computed for each corresponding percentage of the MVC. Polynomial regression analyses indicated that the composite MMG amplitude versus isometric torque relationship was best fit with a linear model (r(2) = 0.980) for the LS group and a cubic model (r(2) = 0.994) for the HS group. The composite MMG MPF versus isometric torque relationships were best fit with linear models for both the LS (r(2) = 0.529) and HS (r(2)=0.591) groups. However, only 66% of the individuals exhibited the same linear MMG amplitude patterns as the composite relationship for the LS group, whereas only 33% of the individual relationships were cubic for the HS group. Only one subject exhibited a positive linear (r(2) = 0.681) relationship for the MMG(MPF) versus isometric torque relationship for either the LS or HS groups. These findings suggested that strength differences do not affect the patterns of responses for MMG amplitude or MPF. The lack of consistency between the individual and composite patterns of responses suggested some degree of inter-individual variability. Therefore, future studies should examine the individual patterns of response to draw conclusions about motor control strategies.

Acceleration↗
PubMed2001

Viscoelastic dynamics of actin filaments coupled to rotary F-ATPase: angular torque profile of the enzyme.

ATP synthase (F(O)F(1)) operates as two rotary motor/generators coupled by a common shaft. Both portions, F(1) and F(O), are rotary steppers. Their symmetries are mismatched (C(3) versus C(10-14)). We used the curvature of fluorescent actin filaments, attached to the rotating c-ring, as a spring balance (flexural rigidity of 8. 10(-26) Nm(2)) to gauge the angular profile of the output torque at F(O) during ATP hydrolysis by F(1) (see theoretical companion article (. Biophys. J. 81:1234-1244.)). The large average output torque (50 +/- 6 pN. nm) proved the absence of any slip. Variations of the torque were small, and the output free energy of the loaded enzyme decayed almost linearly over the angular reaction coordinate. Considering the threefold stepping and high activation barrier of the driving motor proper, the rather constant output torque implied a soft elastic power transmission between F(1) and F(O). It is considered as essential, not only for the robust operation of this ubiquitous enzyme under symmetry mismatch, but also for a high turnover rate of the two counteracting and stepping motor/generators.

Actin Cytoskeleton↗
PubMed2000

Dynamic hip screw: does side make a difference? Effects of clockwise torque on right and left DHS.

A study was performed to assess the effect of clockwise rotational torque onto the fracture configuration in unstable intertrochanteric fractures. The premise is that rotational torque in the sagittal plane imparted during screw insertion can lead to a potentially unstable construct in LEFT-sided DHS fixations when compared to the RIGHT-sided ones. This unstable fixation construct manifests as an anterior spike of the proximal fragment in left-sided fixations due to clockwise torque. Eleven out of 30 unstable left-sided fractures showed an anterior spike compared with none in 26 right-sided fractures (p<0.001). The study concludes that appropriate corrective measures of reducing the torque imparted is probably indicated in unstable left-sided fractures treated with a DHS.

Aged↗
PubMed2001

Age and gender differences in peak lower extremity joint torques and ranges of motion used during single-step balance recovery from a forward fall.

Previous studies have found substantial age and gender group differences in the ability of healthy adults to regain balance with a single step after a forward fall. It was hypothesized that differences in lower extremity joint strengths and ranges of motion (ROM) may have contributed to these observed differences. Kinematic and forceplate data were therefore used with a rigid-link biomechanical model simulating stepped leg dynamics to examine the joint torques and ROM used by subjects during successful single-step balance recoveries after release from a forward lean. The peak ROM and torques used by subjects in the study were compared to published estimates or measured values of the available maxima. No significant age or gender group differences were found in the mean ROM used by the subjects for any given initial lean angle. As initial lean angle increased, larger knee ROM and significantly larger hip ROM were used in the successful recoveries. There were substantial gender differences and some age group differences in peak lower extremity joint torques used in successful recoveries. Both young and older females often used nearly maximal joint torques to recover balance. Subjects' maximum joint strengths in plantarflexion and hip flexion were not good predictors of single-step balance recovery ability, particularly among the female subjects.

Accidental Falls↗
PubMed2003

The mechanics of back-extensor torque production about the lumbar spine.

The purpose of this study was to develop and evaluate a biomechanical model of lumbar back extension over a wide range of positions for the lumbar spine, incorporating the latest information on muscle geometry and intra-abdominal pressure (IAP). Analysis of the Visible Human data was utilised in order to obtain anatomical information unavailable from the literature and magnetic resonance imaging was used to generate subject-specific anatomical descriptions. The model was evaluated by comparisons with measured maximal voluntary static back-extension torques. Predicted maximal specific muscle tensions agreed well with in vitro measurements from the literature. When modelling the maximal static back-extension torque production, it was possible to come fairly close to simultaneous equilibrium about all the lumbar discs simply by a uniform muscle activation of all back-extensor muscles (the caudal part showed, however, less agreement). This indicates that equilibrium in the lumbar spine is mainly regulated by passive mechanical properties, e.g. muscle length changes due to postural changes, rather than due to complex muscle coordination, as earlier proposed. The model showed that IAP (measured during torque exertions) contributes about 10% of the total maximal voluntary back-extensor torque and that it can unload the spine from compression. The spinal unloading effect from the IAP was greatest with the spine held in a flexed position. This is in opposition to the effects of changed muscle lever arm lengths, which for a given load would give the largest spinal unloading in the extended position. These findings have implications for the evaluation of optimal lifting techniques.

Abdomen↗
PubMed1999

Effect of washers on reverse torque displacement of dental implant gold retaining screws.

STATEMENT OF THE PROBLEM: Gold screw loosening is a frequent problem that affects dental implants. PURPOSE: This study determined the effect of spring washers on gold screw displacements during applied removal torque in dental implants. MATERIAL AND METHODS: A 3-unit fixed partial denture was cast in semiprecious alloy and fixed to 2 dental implants with gold-retaining screws. Implants were embedded in acrylic resin and restrained from movement. A miniature load sensor was attached to a torque controller handpiece to accurately measure the time and torque needed to completely loosen the gold screws. Rotational displacements were calculated for 4 experimental setups, involving washers placed on (a) both, (b) the mesial, (c) the distal, and (d) no implants. Screw displacement data were compared between implants in all 4 combinations by means of paired t tests. RESULTS: Gold screws with underlying conical spring washers underwent on average up to 35% (14.1 microm) more rotational displacement during applied removal torque than those without washers. CONCLUSION: Inclusion of a conical spring washer significantly increased the amount of rotational displacement needed to completely loosen an implant gold retaining screw.

Dental Prosthesis, Implant-Supported↗
PubMed2003

A removal torque of the laser-treated titanium implants in rabbit tibia.

The purpose of the present study is to evaluate the significance of different surface textures by comparison of the removal forces for laser-treated and machined titanium screw 8 weeks after the installation in rabbit tibia. A total of 14 screw shaped, commercially pure titanium implants with a length of 5 mm, a diameter of 3.75 mm were grouped as follows: Group A: seven implants left as-machined; Group B: seven implants treated with laser method (CSM implant, CSM company, Daegu, Korea) Topographic evaluation was performed with scanning electron microscope (Hitachi S-4200, Japan) to compare the surface structure of laser-treated and machined ones. Installation procedures were done according to Branemark protocol after pre-threading, machined implants were inserted in right tibia metaphysics and laser-treated surface implants were inserted in left ones. Eight weeks post surgically seven rabbits were sacrificed. The implant sites were exposed, and the bone and soft tissues that had formed on top of the implants were carefully removed. Subsequently, the force needed to unscrew the implants (n=14) was measured using a digital torque gauge (Mark-10 corporation, USA). Scanning electron micrographs of the laser-treated and machined control groups demonstrated created a deep and regular honey-comb pattern with small pore, while machined treatment created the typical microscopically grooved and relatively smooth surface characteristic. Eight weeks after implant placement, the average removal torque was 23.58+/-3.71 N cm for the machined implants, 62.57+/-10.44 N cm for the laser-treated implants. The torque measurements yielded statistically significant differences between the machined group and the laser-etched group (p=0.00055) (Wilcoxon's signed-rank test). The laser-treated group achieved higher removal torque values compared to the machined control group.

Animals↗
PubMed1999

Torque, power and efficiency characterization of dental air turbine handpieces.

OBJECTIVES: In a previous paper the flow and free running speed characteristics of dental air turbine handpieces were discussed. The present work was to continue the analysis and characterization of these handpieces by addressing the issues of torque, power generation, efficiency and the specification of figures of merit to aid comparative testing and selection. METHODS: Using the principle of the rope brake, torque was determined from stall to free running at a variety of supply pressures for fourteen models of handpiece. Using previous results for air flow rate and free running speed, power and efficiency were calculated. RESULTS: Stall torque was demonstrated to depend on rotor position. Dynamic torque was found to closely approach the expected linear relationship over the range from stall to free running. Several figures of merit (performance indices) were identified which might be used for routine rating and specification of handpieces. CONCLUSIONS: Standardized testing can now be performed and effective figures of merit derived to characterize the behaviour of dental air turbine handpieces.

Algorithms↗
PubMed2003

Kinematic and torque-related effects of dorsally angulated distal radius fractures and the distal radial ulnar joint.

PURPOSE: The purpose of this study was to examine the torque required to achieve a full range of motion of the distal radioulnar joint (DRUJ) as a result of increasing dorsal angulation from simulated fractures of the distal radius. Based on this study the accepted amount of dorsal angulation of the distal radius can be determined. METHODS: In 9 fresh cadaver limbs motion of the DRUJ was simulated by a custom motion and loading forearm device. The malunion model of the distal radius was controlled by a specially designed external fixation frame that provided control in 6 degrees of dorsal angulations (N, 0 degrees, 10 degrees, 20 degrees, 30 degrees, and 40 degrees ). The study included an intact and nonintact triangular fibrocartilage complex. RESULTS: This study showed that torque across the DRUJ was affected by the degree of simulated malunion of the distal radius. With more than 30 degrees dorsal angulation the torque across the DRUJ was increased in both muscle loading and unloading conditions. Although significance was not noted, with resistive loading this study showed torque changes with as little as 10 degrees malunion of the distal radius. CONCLUSIONS: We conclude that reduction of distal radius fractures to within 10 degrees of dorsal angulation is needed to allow patients to maintain full forearm and wrist rotation.

Aged↗
PubMed2002

EMG activity of trunk muscles and torque output during isometric axial rotation exertion: a comparison between back pain patients and matched controls.

Abnormal patterns of trunk muscle activity could affect the biomechanics of spinal movements and result in back pain. The present study aimed to examine electromyographic (EMG) activity of abdominal and back muscles as well as triaxial torque output during isometric axial rotation at different exertion levels in back pain patients and matched controls. Twelve back pain patients and 12 matched controls performed isometric right and left axial rotation at 100%, 70%, 50% and 30% maximum voluntary contractions in a standing position. Surface EMG activity of rectus abdominis, external oblique, internal oblique, latissimus dorsi, iliocostalis lumborum and multifidus were recorded bilaterally. The primary torque in the transverse plane and the coupling torques in sagittal and coronal planes were measured. Results showed that there was a trend (P = 0.08) of higher flexion coupling torque during left axial rotation exertion in back pain patients. Higher activity for external oblique and lower activity for multifidus was shown during left axial rotation exertion in back pain group when compared to the control group. In right axial rotation, back pain patients exhibited lesser activity of rectus abdominis at higher levels of exertion when compared with matched controls. These findings demonstrated that decreased activation of one muscle may be compensated by overactivity in other muscles. The reduced levels of activity of the multifidus muscle during axial rotation exertion in back pain patients may indicate that spinal stability could be compromised. Future studies should consider these alternations in recruitment patterns in terms of spinal stability and internal loading. The findings also indicate the importance of training for coordination besides the strengthening of trunk muscles during rehabilitation process.

Abdominal Muscles↗
PubMedDate not supplied

Reliability of isometric wrist extension torque using the LIDO WorkSET for late follow-up of postoperative wrist patients.

The objectives of this study were to determine interobserver, intraobserver, and overall reliability of isometric wrist extension torque using the LIDO WorkSET and then to estimate the minimal level of detectable change using the standard error of measurement. A generalizability study was conducted on 18 postoperative patients. Primary outcome was mean torque of three trials. Variance components were used to calculate generalizability coefficients for intraobserver (G = 0.96), interobserver (G = 0.94), and overall reliability (G = 0.92). When the same therapist is evaluating a patient on different days, a change of more than 16 inch-lb is needed to be 90% confident that true change has occurred. A greater value for change (23 inch-lb) is required when different therapists evaluate a patient on different days. The LIDO WorkSET measures wrist torque in a reproducible manner in an applied setting. The testing protocol is sensitive to differences in wrist torque between individuals and tolerated in the late postoperative period.

Adult↗