DOI QR코드

DOI QR Code

Influence of Unilateral Muscle Fatigue in Knee and Ankle Joint on Balance and Gait in Healthy Adults

  • Lee, Na-Kyung (Department of Physical Therapy, Graduate School, Daegu University) ;
  • Kim, Young-Mi (Department of Physical Therapy, Graduate School, Daegu University) ;
  • Kim, Kyoung (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • Received : 2017.01.20
  • Accepted : 2017.02.22
  • Published : 2017.02.28

Abstract

Purpose: This study was to investigate the effects of unilateral muscle fatigue in knee and ankle joints on balance and gait in healthy adults. Methods: Exercise inducing muscle fatigue in the knee joint consisted of concentric and eccentric contraction of dominant knee extensors in healthy adults by using the Leg Extension Rehap exercise machine (HUR, Finland). Exercise inducing muscle fatigue in the ankle joint was composed of voluntary contractions and forced contractions of the dominant plantar flexors in healthy adults. Exercises to induce muscle fatigue in the knee and ankle joints were performed until the subject complained of fatigue or pain, the occurrence of muscle fatigue was confirmed by electromyography. We measured static and dynamic balance using the Good Balance system and gait performance by RS-scan. Results: Static and dynamic balance ability and spatial-temporal gait decreased significantly after muscle fatigue in knee and ankle joint. Conclusion: These results show that unilateral muscle fatigue of the lower extremities affected postural control and gait. Therefore, therapists and sport trainers should minimize the risks of fall and injuries related to unilateral muscle fatigue.

Keywords

References

  1. Allen DG, Westerblad H. Role of phosphate and calcium stores in muscle fatigue. J Physiol. 2001;536(3):657-65. https://doi.org/10.1111/j.1469-7793.2001.t01-1-00657.x
  2. Miller RG, Kent-Braun JA, Sharma KR et al. Mechanisms of human muscle fatigue. Quantitating the contribution of metabolic factors and activation impairment. Adv Exp Med Biol. 1995;384:195-210.
  3. Bellew JW, Fenter PC. Control of balance differs after knee or ankle fatigue in older women. Arch Phys Med Rehabil. 2006;87(11):1486-9. https://doi.org/10.1016/j.apmr.2006.08.020
  4. Kanekar N, Santos MJ, Aruin AS. Anticipatory postural control following fatigue of postural and focal muscles. Clin Neurophysiol. 2008; 119(10):2304-13. https://doi.org/10.1016/j.clinph.2008.06.015
  5. Gribble PA, Hertel J. Effect of hip and ankle muscle fatigue on unipedal postural control. J Electromyogr Kinesiol. 2004;14(6):641-6. https://doi.org/10.1016/j.jelekin.2004.05.001
  6. Christina KA, White SC, Gilchrist LA. Effect of localized muscle fatigue on vertical ground reaction forces and ankle joint motion during running. Hum Mov Sci. 2001;20(3):257-76. https://doi.org/10.1016/S0167-9457(01)00048-3
  7. Johnston RB, Howard ME, Cawley PW et al. Effect of lower extremity muscular fatigue on motor control performance. Med Sci Sports Exerc. 1998;30(12):1703-7. https://doi.org/10.1097/00005768-199812000-00008
  8. Kellis E, Kouvelioti V. Agonist versus antagonist muscle fatigue effects on thigh muscle activity and vertical ground reaction during drop landing. J Electromyogr Kinesiol. 2009;19(1):55-64. https://doi.org/10.1016/j.jelekin.2007.08.002
  9. Urabe Y, Kobayashi R, Sumida S et al. Electromyographic analysis of the knee during jump landing in male and female athletes. Knee. 2005; 12(2):129-34. https://doi.org/10.1016/j.knee.2004.05.002
  10. Kim G, Yoon NM. A Study on Kinetic Gait Analysis of the Normal Adult. J Kor Phys Ther. 2009;21(2):87-95.
  11. Lee SY, Son GS, Jeon HJ et al. The Effects of Therapeutic Exercise on the Balance and Gait in Older Adults. J Kor Phys Ther. 2007;19(2):1-10. https://doi.org/10.1589/jpts.19.1
  12. Egerton T, Brauer SG, Cresswell AG. The immediate effect of physical activity on standing balance in healthy and balance-impaired older people. Australas J Ageing. 2009;28(2):93-6. https://doi.org/10.1111/j.1741-6612.2009.00350.x
  13. Wojcik LA, Nussbaum MA, Lin D et al. Age and gender moderate the effects of localized muscle fatigue on lower extremity joint torques used during quiet stance. Hum Mov Sci. 2011;30(3):574-83. https://doi.org/10.1016/j.humov.2010.03.008
  14. Reimer RC, Wikstrom EA. Functional fatigue of the hip and ankle musculature cause similar alterations in single leg stance postural control. J Sci Med Sport. 2010;13:161-6. https://doi.org/10.1016/j.jsams.2009.01.001
  15. Barbieri FA, dos Santos PC, Vitorio R et al. Effect of muscle fatigue and physical activity level in motor control of the gait of young adults. Gait Posture. 2013;38(4):702-7. https://doi.org/10.1016/j.gaitpost.2013.03.006
  16. Hatton AL, Menant JC, Lord SR et al. The effect of lower limb muscle fatigue on obstacle negotiation during walking in older adults. Gait Posture. 2013;37(4):506-10. https://doi.org/10.1016/j.gaitpost.2012.09.004
  17. Gefen A, Megido-Ravid M, Itzchak Y et al. Analysis of muscular fatigue and foot stability during high-heeled gait. Gait Posture. 2002;15(1):56-63. https://doi.org/10.1016/S0966-6362(01)00180-1
  18. Lim GL. Effects of Muscle Fatigue in Lower Extremity on Balance during Standing in Healthy Adults. Daegu University. Dissertation of Master's Degree. 2013.
  19. Nardone A, Tarantola J, Giordano A et al. Fatigue effects on body balance. Electroencephalogr Clin Neurophysiol. 1997;105(4):309-20. https://doi.org/10.1016/S0924-980X(97)00040-4
  20. Gimmon Y, Riemer R, O ddsson L et al. The effect of plantar flexor muscle fatigue on postural control. 2011;21(6):922-8. https://doi.org/10.1016/j.jelekin.2011.08.005
  21. Spink MJ, Fotoohabadi MR, Wee E et al. Foot and ankle strength, range of motion, posture, and deformity are associated with balance and functional ability in older adults. Arch Phys Med Rehabil. 2011;92:68-75. https://doi.org/10.1016/j.apmr.2010.09.024

Cited by

  1. The Effect of Whole Body Vibration Exercise on Ankle Joint Spasticity Patients with Chronic Stroke vol.30, pp.4, 2018, https://doi.org/10.18857/jkpt.2018.30.4.135
  2. Effects of Squatting with Different Foot Positions on Muscle Activations in Subjects with Genu Varum vol.31, pp.2, 2017, https://doi.org/10.18857/jkpt.2019.31.2.76