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Joint position dependence of weakness during maximum isometric voluntary contractions in subjects with hemiparesis.

OBJECTIVE: To determine the distribution of weakness across elbow range of motion (ROM) in subjects with hemiparesis. DESIGN: A detailed analysis of elbow torque and associated electromyographic signals of 5 prime elbow muscles generated during maximum isometric voluntary flexion (MIVF) and extension (MIVE) at 8 different elbow positions. SETTING: Rehabilitation center research laboratory. PARTICIPANTS: Convenience samples of 5 controls and 10 subjects with hemiparesis with sufficient passive (>90 degrees ) and active (>60 degrees ) ROM on their paretic side. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Measured and normalized MIVF and MIVE torques and normalized moving average electromyographic signals of each muscle at each testing position. RESULTS: Measured MIVF and MIVE torques generated by the hemiparetic group were marginally and significantly smaller than those of the control group (2-factor repeated-measures analysis of variance [ANOVA]: P=.053 for MIVF, P=.011 for MIVE). Distribution of weakness was nonuniform across elbow positions, as shown by normalized torque-position curves. Normalized MIVE torque of the hemiparetic group was significantly and marginally smaller than that of the control group at 15 degrees and 30 degrees (Student t test: P<.0001, P=.054), respectively. Although statistically not significant, the normalized MIVF torque of the hemiparetic group was slightly larger than that of the control group but became smaller than the control group's as the elbow flexed beyond 90 degrees. Our electromyographic recordings supported the normalized MIVF torque findings, showing a significant increase in brachioradialis activation in the control group at flexed positions during MIVF (1-factor repeated-measure ANOVA, P=.003), but not in the hemiparetic group (P=.392). CONCLUSION: Our findings suggest that measuring the strength in multiple joint positions is useful for characterizing the basic changes in muscle activation strategies and properties and provides a relevant measure of elbow weakness from a clinical and functional perspective. Various mechanisms of action are discussed to better understand the relation between joint position and weakness.

Adult↗

Biomechanics of human quadriceps muscles during electrical stimulation.

The quadriceps muscles of neurologically intact and spinal cord injured (SCI) human subjects were stimulated with constant current pulses. Up to three, separately adjustable stimulating electrodes over the motor points for vastus medialis (VM), vastus lateralis (VL) and rectus femoris (RF) muscles were used to maximize torque generation while minimizing discomfort. The torque generated by stimulation increased as the knee was slowly flexed to about 1 rad (50-60 degrees) and decreased beyond that point (a 'negative slope' on a torque-angle curve). Despite this region of negative slope the force generated by small oscillations remained positively correlated to the angle changes. When the knee was slowly extended again from a flexed position, the torque continued to decline and therefore showed a large degree of 'hysteresis'. Of the three heads studied, only stimulation of RF muscle generally produced this behavior. VL and VM had torques that increased monotonically with knee flexion over the range studied. The torques generated with electrical stimulation of normal subjects represented up to about 30% of maximum voluntary contraction. When subjects generated similar torques voluntarily, the negative slope region and substantial hysteresis were not observed. Thus, SCI subjects may be adversely affected by hysteresis during electrically-induced transitions from sitting to standing and vice versa, while normal subjects are not.

Adult↗

Torsional properties of nickel-titanium versus stainless steel endodontic files.

The purpose of this study was to evaluate and compare the torsional properties of stainless steel K-type .02 taper and nickel-titanium U-type .02 and .04 taper instruments. Torsion tests were performed on all three designs of instruments according to ANSI/ADA specification number 28. For each design, 20 instruments of each of three sizes (15, 25, and 35) were tested. The three parameters measured were maximum torque, torque at failure, and angular deflection. Stainless steel K-type .02 taper and nickel-titanium U-type .02 and .04 taper instruments met or exceeded specification standards for maximum torque. They also satisfied and far exceeded the standards for angular deflection at the failure point. The stainless steel instruments showed no significant difference between maximum torque and torque at failure, whereas both of the nickel-titanium instruments showed a significant differential between maximum torque and torque at failure.

Analysis of Variance↗

Biomechanical analysis of sit-to-stand movement in normal and obese subjects.

OBJECTIVE: Main purpose of this study was to develop a biomechanical model for the analysis of sit-to-stand movement in normal and obese subjects. DESIGN: A biomechanical model describing sit-to-stand was developed using kinetic and kinematic experimental data. Trunk flexion, feet movement, knee and hip joint torques were assumed as sensible indexes to discriminate between normal and obese subjects. BACKGROUND: Sit-to-stand is a functional task that may become difficult for certain patients. The analysis of its execution provides useful biomechanical information on the motor ability of selected subjects. METHODS: Sit-to-stand was recorded using an optoelectronic system and a force platform in 40 obese patients and 10 normal subjects. A biomechanical model was developed using inverse dynamics equations. RESULTS: Kinematic and kinetic indexes evidenced differences in motion strategy between normal and obese subjects. Obese subjects rise from the chair limiting trunk flexion (mean value: 73.1 degrees ) and moving their feet backwards from initial position (mean deviation: 50 mm). Normal subjects, instead, show a higher trunk flexion (mean value: 49.2 degrees, a lower angular value between trunk and the horizontal means increased flexion) and fixed feet position (mean deviation: 5 mm). As for kinetics, obese patients show knee joint torque higher than hip torque (maximum knee torque: 0.75 Nm/kg; maximum hip torque: 0.59 Nm/kg), while normal subjects show opposite behaviour (maximum knee torque: 0.38 Nm/kg; maximum hip torque: 0.98 Nm/kg). RELEVANCE: We found differences in motion strategy between normal and obese subjects performing sit-to-stand movement, which may be used to plan and evaluate rehabilitative treatments.

Adult↗

Comparison of load transmission and bracket deformation between titanium and stainless steel brackets.

This study measures the load transmitted and structural integrity of stainless steel and titanium brackets on application of torsional forces. Both 0.018 and 0.022 inch slot size edgewise brackets were tested in a specially designed apparatus that applied a torque value of 45 degrees. The load generated was measured by an Instron Universal Testing Machine at intervals of 15 degrees, 30 degrees, and 45 degrees of torque application. The structural stability of the brackets was evaluated by measuring the bracket slot width with a traveling stereoscopic microscope before and after the brackets were subjected to torsional forces. The specimen population was composed of 80 brackets and 80 wire specimens. An independent sample t test was used for comparison of mean load generated at 45 degrees of torque application. Repeated measures ANOVA (one-way) comparison was used to evaluate changes in load at different torque levels for the stainless steel and titanium brackets. A paired t test (two-tail) was used to determine the difference between initial and final bracket slot width at 45 degrees of torque applied for the two bracket types. The titanium brackets transmitted higher loads at 15 degrees and 30 degrees torque and lower load at 45 degrees torque on application of torsional forces in comparison to stainless steel brackets. The titanium brackets demonstrated superior dimensional stability compared to stainless steel brackets (P < .0001).

Analysis of Variance↗

Effects of age, testing speed, and arm dominance on isokinetic strength of the elbow.

The strength of active flexion/extension and supination/pronation was measured isokinetically in 60 right-hand-dominant nonathletic men. They were equally divided into a younger group (20 to 30 years) and an older group (50 to 60 years) with moderate occupational and spare-time activity levels. Peak torque, work, power, and the angle of peak torque production were measured bilaterally at a slow (90 degrees/sec) and a fast (180 degrees/sec) speed of movement. Although highly significant differences were found between the young and older groups in flexion and extension, no age-related differences were found in supination and pronation. The dominant side had significantly higher levels of peak torque, work, and power in flexion; however, no significant differences were detected in peak torque for extension, supination, and pronation. Isokinetic peak torque and work were greater at the slower speed as opposed to power, which was significantly greater at the faster speed with the exception of pronation movement. With regard to the angle where peak torque was achieved, significant differences were detected between groups, which suggests that age appears to affect where in the range of motion peak torque is produced.

Adult↗

Location of contact areas on rotary Profile instruments in relationship to the forces developed during mechanical preparation on extracted teeth.

AIM: The aim of this study was to locate the areas of direct instrument contact with dentine in the root canal system during rotary preparation and to analyse the relationship between these areas and the vertical forces and torque developed during the preparation. METHODOLOGY: Canal preparations were performed by endodontists either with the step-back (SB) or the crown-down (CD) technique. In order to locate the areas of contact, the instruments were coated with two layers of gold by electro-deposition. They were photographed before and after use, and a coding system, based on mm from the instrument tip, was devised to designate areas of gold removal or instrument wear due to friction. To standarise the conditions of instrument manipulation, the teeth were fixed in the Endographe holder, and this device was used to measure vertical forces and torque. RESULTS: The results showed that the first series of instruments used for the CD technique (taper 0.06) left 2 +/- 1 mm of the tip with the gold intact, indicating that these instruments and this step of the CD technique are the safest part of the preparation. For all other instruments (taper 0.04 series), the areas of gold removal involved the 3 mm around the tip and this finding was independent of the order of instrument use and preparation technique (SB or CD). The differences between the two techniques were significant in terms of the mean area of decolouration and the mean force and torque values. For the SB and CD techniques, the contact areas were, respectively, 10 +/- 3 and 7 +/- 2 mm. The forces and torque values were correspondingly higher for SB vs. CD; the mean values were, respectively, 19 and 21 N for vertical forces and 16 10(5) and 13 10(5) Nm for torque. CONCLUSIONS: The recorded torque values and the location on the instruments of the areas of contact with dentine during this development of torque i.e. at or near the tip, indicate that great caution should be used with the rotary technique, particularly with the taper 0.04 instruments, regardless of preparation technique.

Analysis of Variance↗

Reliability of lower extremity strength measures in persons with chronic stroke.

OBJECTIVE: To determine the reliability of isokinetic concentric strength measures of both the hemiparetic and noninvolved limbs for flexion and extension motions of the hip, knee, and ankle joints in individuals who have had a stroke. DESIGN: Test-retest, repeated-measures intraobserver reliability design. SETTING: Tertiary rehabilitation center. PARTICIPANTS: Twenty community-dwelling individuals who have had a stroke, with motor deficits ranging from 3 to 6 on the Chedoke-McMaster Stroke Assessment; volunteer sample. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak torque and average torque (ie, mean over the range of motion tested) from an ensemble-averaged (3 trials) torque-angle curve during isokinetic concentric extension and flexion movements of the ankle, knee, and hip. RESULTS: Although peak and average torque were significantly less for the hemiparetic limb compared with the noninvolved limb, the intraclass correlation coefficients (ICCs) between the 2 test sessions were high (.95-.99 for peak torque,.88-.98 for average torque) for both limbs for all 3 joints. However, there was a learning effect, as observed by the slightly greater values attained from the second test session. CONCLUSIONS: Peak and average isokinetic torque can be used to assess reliably lower extremity strength in persons with chronic stroke. Practice sessions may be required before the actual test to reduce the effect of learning.

Aged↗

The forces in the anterior cruciate ligament and knee kinematics during a simulated pivot shift test: A human cadaveric study using robotic technology.

PURPOSE: Although it is well known that the anterior cruciate ligament (ACL) is a primary restraint of the knee under anterior tibial load, the role of the ACL in resisting internal tibial torque and the pivot shift test is controversial. The objective of this study was to determine the effect of these 2 external loading conditions on the kinematics of the intact and ACL-deficient knee and the in situ force in the ACL. TYPE OF STUDY: This study was a biomechanical study that used cadaveric knees with the intact knee of the specimen serving as a control. MATERIALS AND METHODS: Twelve human cadaveric knees were tested using a robotic/universal force-moment sensor testing system. This system applied (1) a 10-Newton meter (Nm) internal tibial torque and (2) a combined 10-Nm valgus and 10-Nm internal tibial torque (simulated pivot shift test) to the intact and the ACL-deficient knee. RESULTS: In the ACL-deficient knee, the isolated internal tibial torque significantly increased coupled anterior tibial translation over that of the intact knee by 94%, 48%, and 19% at full extension, 15 degrees, and 30 degrees of flexion, respectively (P <.05). In the case of the simulated pivot shift test, there were similar increases in anterior tibial translation, i.e., 103%, 61%, and 32%, respectively (P <.05). Furthermore, the anterior tibial translation under the simulated pivot shift test was significantly greater than under an isolated internal tibial torque (P <.05). Under the simulated pivot shift test, the in situ forces in the ACL were 83 +/- 16 N at full extension and 93 +/- 23 N at 15 degrees of knee flexion. These forces were also significantly higher when compared with those for an isolated internal tibial torque (P <.05). CONCLUSION: Our data indicate that the ACL plays an important role in restraining coupled anterior tibial translation in response to the simulated pivot shift test as well as under an isolated internal tibial torque, especially when the knee is near extension. These findings are also consistent with the clinical observation of anterior tibial subluxation during the pivot shift test with the knee near extension.

Adult↗

Re-examination of training effects by electrostimulation in the human elbow musculoskeletal system.

This study examines the effects of a 7 weeks sub-maximal training period of electrostimulation on the maximal isometric, concentric, eccentric voluntary torque and muscle contractile properties of the elbow flexor muscles of nine subjects. The daily program consisted of five series of six 6-s isometric actions (60 to 70% of maximal isometric voluntary action) at an elbow angle of 90 . After training the maximal voluntary isometric flexion torque increased significantly whereas the maximal voluntary isometric extension torque decreased significantly. Increases in isometric flexion torque were linked to an increase of the myoelectrical activity of the biceps brachii muscle. Under dynamic conditions flexion torque was significantly increased throughout the whole spectrum of angular velocities. These changes were accompanied by an increase in the myoelectrical activity of the agonist muscle under eccentric conditions and at two fast concentric angular velocities, without modifications of the myoelectrical activity of the antagonist muscle. The analysis of the electrical and mechanical twitches indicated that modifications of the muscle membrane electrical activity were also present at the muscle level. These results indicate that torque gains were attributed to neural adaptations and/or to a modification of the relative part of agonist and antagonist muscles in elbow flexion torque production.

Adaptation, Physiological↗

Operator-induced compressive axial forces during implant gold screw fastening.

STATEMENT OF PROBLEM: The gold screw of an implant is put under tension during fastening. An increase in operator-induced compressive axial force during fastening may diminish screw tension, lower the friction between the screw threads, and allow for increased tightening torque. PURPOSE: This study was undertaken to assess and compare the compressive axial forces and torques placed simultaneously on implant gold screws by persons with varying degrees of expertise. MATERIAL AND METHODS: A calibrated electric torque driver was used to fasten implant gold screws. Three groups of operators with various levels of implant experience (faculty [F; n = 4], prosthodontic residents [R; n = 4], and undergraduate dental students [S; n = 6]) were asked to repeatedly tighten and loosen a new gold abutment screw into a standard 3.75-mm diameter Branemark abutment. Compressive axial forces during torquing were assessed over the tightening time by means of a miniature load cell adapted to the electric torque driver. Each operator repeated the experiment 3 times after calibration. Within operator and between operator reliability were evaluated. RESULTS: Loosening compressive axial forces were always higher than tightening compressive axial forces, and peak torque was less on loosening than tightening. Faculty placed a smaller range of forces on the screws (mean = 3.29 N, SD +/- 1.45 N) than did the residents (mean = 2.74 N, SD +/- 1.96) or the students (mean = 3.01 N, SD +/- 2.54). CONCLUSION: The clinical experience of operators seems to influence their application of compressive axial force during gold screw tightening. Less torque during unfastening of gold screws seems to be related to increased axial loading.

Analysis of Variance↗

The influence of abutment screw tightening on screw joint configuration.

STATEMENT OF PROBLEM: Limiting abutment-to-implant hexagonal discrepancies and rotational movement of the abutment around the implant to less than 5 degrees would result in a more stable screw joint. However, the exact relationship after abutment screw tightening is unknown, as is the effect of a counter-torque device in limiting abutment movement during screw tightening. PURPOSE: This study examined the orientation of the abutment hexagon to the implant hexagon after tightening of the abutment screw for several abutment systems with and without the use of a counter-torque device. MATERIAL AND METHODS: Thirty conical self-tapping implants (3.75 x 10.0 mm) and 10 wide-platform Brånemark System implants (5.0 x 10.0 mm), along with 10 abutment specimens from the CeraOne, Estheticone, Procera, and AuraAdapt systems, were selected for this investigation. The implants were placed in a holding device prior to tightening of the abutments. When the tightening torque recommended for each abutment system was reached with the use of a torque controller, each implant abutment specimen was removed from the holding device and embedded in a hard resin medium. The specimens were sectioned in a horizontal direction at the level of the hexagons and cleansed of debris prior to examination. The hexagon orientations were assessed as the degree and direction of rotation of the abutment hexagon around the implant hexagon. RESULTS: The range of the maximum degrees of rotation for all 4 abutment groups tightened with or without the counter-torque device was slightly more than 3.53 degrees. The absolute degrees of rotation for all 4 abutment groups were less than 1.50 degrees with or without the use of the counter-torque device. CONCLUSION: The hexagon-to-hexagon orientation measured as rotational fit on all abutment systems was below the 5 degrees suggested as optimal for screw joint stability. The absolute degrees of rotation for all 4 abutment groups were less than 1.50 degrees regardless of whether the counter-torque device was used.

Dental Abutments↗

Effect of cycle time and duty cycle on psychophysically determined acceptable levels in a highly repetitive task.

Psychophysical methodology has been used to develop guidelines for lifting and more recently similar methods have been applied to repetitive upper limb movements. While a range of cycle times are usually used, there is often no control for duty cycle. The purpose of this paper is to present psychophysically determined acceptable torques for a common upper limb task, with both cycle time and duty cycle conditions set by the researcher. Eight female participants, sitting at adjustable workstations, performed a simulated in-line screw running task. A computer-controlled torque motor applied a torque every 3, 6, 12 or 20 s with a duty cycle of 25, 50 or 83%. The participants worked with one set of conditions each day and self-selected the highest torque that they felt was acceptable without developing undue pain and discomfort. Duty cycle was found to significantly affect the amount of torque selected. With duty cycle controlled, cycle time was no longer found to have any significant effect on selected torque. Acceptable torques for 25, 50 and 83% duty cycles were 1.09, 0.9 and 0.73 Nm. Discomfort and stiffness were concentrated on the back of the hand and on the thumb web. These findings suggest that increased perception of discomfort with increased frequency (decreased cycle time) may be related to decreased rest/recovery time for muscles.

Adult↗

Pain-related factors contributing to muscle inhibition in patients with chronic low back pain: an experimental investigation based on superimposed electrical stimulation.

OBJECTIVE: To evaluate muscle strength, as a component of physical deconditioning, and central activation ratio, representing the performance level during testing, in patients with chronic low back pain as compared to healthy controls, and to evaluate the contribution of cognitive-behavioral and pain-related factors to the central activation ration of patients with chronic low back pain. METHODS: Twenty-five patients with chronic low back pain and 25 age and gender-matched controls participated. Muscle strength, that is, peak torque of the quadriceps muscle, was measured on a Cybex dynamometer. During peak torque, the quadriceps muscle was percutaneously stimulated using superimposed electrical stimulation, generating an additional twitch torque in case of submaximal performance. The central activation ratio was calculated as peak torque/(peak torque + additional twitch torque). To evaluate cognitive-behavioral and pain-related factors influencing the central activation ratio, measures of fear of injury, pain catastrophizing, psychologic distress, and pain intensity were used. Differences between groups were tested using either T tests or Mann-Whitney U tests. Associations were tested by partial correlation coefficients controlling for gender. RESULTS: The male:female ratio was 15:10. Mean age and chronic low back pain duration were 42.7 (+/-9.5) and 9.9 (+/-8.3) years, respectively. Mean muscle torque (per kg lean body mass) in patients (1.95 Nm/kg +/-0.8) was less than in controls (3.16 Nm/kg +/-0.7) (P < 0.01). Median central activation ratio was lower in patients (P < 0.05). Patients experiencing increased psychologic distress and patients with a higher current pain level showed a lower central activation ratio (P < 0.05). CONCLUSIONS: When interpreting decreased muscle strength in terms of physical deconditioning in patients with chronic low back pain, submaximal performance has to be taken into account. The results suggest that patients with chronic low back pain who report increased psychologic distress and a higher level of current pain tend to show increased inhibition of muscle activity, leading to submaximal performance.

Adolescent↗

Mobility and contact mechanics of a rotating platform total knee replacement.

Despite their increasing clinical use, mobile-bearing total knee replacements have not been well characterized biomechanically. An experimental and finite element analysis was done to assess the mobility and contact mechanics of a widely used rotating platform total knee replacement. Parameters that varied were axial load, condylar load allocation, flexion angle, and static versus dynamic loading. Similar results from the physical model and finite element model lend credence to the validity of the findings. The torque required to initiate rotation (static torque) was greater than that to sustain rotation (dynamic torque). At four times body weight axial load, peak resisting torque measured was 9.47+/-0.61 and 5.51+/-0.38 N-m, for static and dynamic torque, respectively. A 60-40 condylar load allocation produced slightly less resisting torque than the 50-50 load. For all practical purposes, the polyethylene insert rotated simultaneously with the femoral component, leading to maintenance of high contact area, desirable behavior clinically. Walking cycle simulations produced a total axial rotation range of motion of 6 degrees. The high frictional torques observed at the mobile interface may explain why a percentage of these mobile-bearings fail to rotate under routine functional load.

Biomechanical Phenomena↗

Reproducibility of ballistic movement.

The reproducibility of ballistic actions performed on a custom-made apparatus was assessed in six untrained men who reported to the laboratory two times over a span of 10 d, on each occasion performing three isometric maximal voluntary contractions (MVC, elbow extension) and 10 ballistic elbow extension movements in each of two conditions: unloaded (L0) and with a load equal to 10% MVC (L10). For both the average of the trials and the best trial, method errors and Pearson correlation coefficients (r) were calculated for isometric peak torque and 10 (5 at each of L0 and L10) selected ballistic movement parameters (peak torque, peak rate of torque development, movement time, peak velocity, and peak acceleration). Based on method errors obtained and given an alpha level of 0.05 and power of 0.9, needed sample sizes were calculated for treatment effects ranging from 5 to 20%. Method errors for isometric peak torque were 5.1 and 3.1% for best and average of trials, respectively. For the 10 ballistic parameters, the corresponding method errors averaged 7.1 +/- 5.4% (SD) and 6.8 +/- 3.6%. The largest method errors were found in peak torque and peak rate of torque development with L0. The expected high negative correlation between method errors and r values was not found. For 5, 10, and 20% treatment effects, 4, 6, and 9 of 10 best trial measures met the sample size criterion of N < or = 20. For the average of trials, 3, 8, and all 10 met the criterion. With the exception of rate of torque development, the reproducibility of the described ballistic measures is acceptable for longitudinal training studies and cross-sectional group comparisons.

Adult↗

Quadriceps muscle performance in sitting and standing in young women with patellofemoral pain syndrome and young healthy women.

The aim of this study was to evaluate and compare muscular activation in sitting and standing in patients with patellofemoral pain syndrome and healthy controls. Eleven women with patellofemoral pain syndrome and nine healthy controls were evaluated regarding: (a) muscle performance in sitting compared to standing-knee extensor torque was registered in sitting with a Kin Com dynamometer and in standing with a force plate, and quadriceps muscle activity was registered with EMG in both sitting and standing; and (b) ability to maximally voluntarily activate during sitting isometric knee extension. Maximally tolerated single-twitch electrical stimulation was superimposed on 20, 40, 60, 80 and 100% of maximal voluntary activation. Additional torque from the single twitch was documented. Five patients and all nine controls were tested twice (tests a and b) with 2 days between tests, and high reproducibility could be demonstrated. A significantly higher torque during sitting compared with standing was found in both patients and controls, but with a significant correlation between sitting and standing torque values. No significant difference was found between patients and controls. Single-twitch electrical stimulation superimposed on maximal voluntary activation resulted in increased torque in two of the nine controls compared to 10 of the 11 patients. The average increased torque in the patients were significantly higher than in the controls and estimated to 18%. It was concluded that sitting isometric measurements are representative of the ability to produce standing isometric knee torque. A moderate degree of inhibition was demonstrated during sitting strength measurements in the patients (not studied in standing).

Adolescent↗

In vivo human muscle structure and function: adaptations to resistance training in old age.

This study investigated changes in elderly muscle joint angle-torque relation induced by resistance training. Older adults were assigned to either training (n = 9, age 74.3 +/- 3.5 years; mean +/-s.d.) or to control groups (n = 9, age 67.1 +/- 2 years). Leg-extension and leg-press exercises were performed three times per week for 14 weeks. Maximal isometric knee extension torque was measured across the knee joint angle range of movement. Vastus lateralis muscle architecture was examined in vivo using ultrasonography. The vastus lateralis muscle fascicle force was estimated from the measured joint torque, enabling construction of the fascicle length-force relation. Electromyographic (EMG) activity was measured from representative agonist and antagonist muscles. Training altered the angle-torque relation: (a) displacing it by 9-31% towards higher torque values (P < 0.05); and (b) shifting the optimal angle from 70 deg (corresponding torque: 121.4 +/- 61 N m) before to 60 deg (134.2 +/- 57.2 N m; P < 0.05) after training. Training also altered the fascicle length-force relation: (a) displacing it by 11-35% towards higher force values; and (b) shifting the optimal fascicle length from 83.7 +/- 8 mm (corresponding force: 847.9 +/- 365.3 N) before to 93.2 +/- 12.5 mm (939.3 +/- 347.8 N; P < 0.01) after training. The upward displacement of the angle-torque relation was mainly due to a training-induced increase in agonist activation, whilst the shift in the optimal angle was associated with changes in muscle-tendon properties.

Adaptation, Physiological↗