development-low-cost-epimysial-electromyography-electrode-simplified

Development of a Low-cost Epimysial Electromyography Electrode: A Simplified Workflow for Fabrication and Testing

Electromyography (EMG) is a valuable diagnostic tool for detecting neuromuscular abnormalities. Implantable epimysial electrodes are commonly used to ...

University of Michigan, Ann Arbor

Evaluating average performance on functional hop tasks can potentially overestimate physical function, as it masks variability present within individual trials and may lead to clinician oversight regarding the overall movement quality. The purpose was to evaluate the trial-by-trial agreement between hop-distance symmetry and knee biomechanics (knee flexion angle, knee extension moment) to reveal the full extent of agreement between these measures.

No shortage of disagreement between biomechanical and clinical hop symmetry after anterior cruciate ligament reconstruction.

Neural alterations after anterior cruciate ligament reconstruction (ACLR) may initiate a maladaptive neurocognitive response (learned helplessness [LH]). Understanding the interrelationships between neural inhibition, quadriceps function and psychological responses can provide clinicians areas to target during recovery. The purpose was to longitudinally evaluate neural excitability, strength and self-reported LH after ACL injury and to explore the relationship between these measures and knee mechanics and patient reported function.

Alterations in physical and neurocognitive wellness across recovery after ACLR: A preliminary look into learned helplessness.

Altered quadriceps muscle activity can contribute to reduced ability of the muscle to quickly generate force and appropriately attenuate landing forces, exacerbating poor landing and movement strategies commonly seen after anterior cruciate ligament reconstruction (ACLR). The purpose was to evaluate if electromyographic (EMG) activity and knee biomechanics during a single-limb forward hop task are influenced by a history of ACLR.

Protracted alterations in muscle activation strategies and knee mechanics in patients after Anterior Cruciate Ligament Reconstruction.

The balance of published data have largely focused on adaptations in muscle and fiber size after anterior cruciate ligament reconstruction (ACLR), failing to account for the dynamic changes in the behavior of the muscles' contractile elements that strongly contribute to force production. To better understand the sources of quadriceps dysfunction, the purpose of our research was to determine if alterations in fascicle behavior are present after ACLR. Unilateral ACLR individuals (9 m/9f; 21 ± 3 yrs; 1.74 ± 0.12 m;71.58 ± 13.31 kg; months from surgery:38 ± 36) and healthy controls (3 m/6f; 23 ± 2 yrs; 1.67 ± 0.10 m; 63.51 ± 10.11 kg) participated. In-vivo vastus lateralis fascicle behavior was recorded using ultrasonography during three maximal isokinetic knee extensions (60°·s). Fascicle length, angle, and shortening velocity were calculated and analyzed from rest to peak torque. Peak knee extension torque was averaged between isokinetic trials (Nm·kg). Group by limb interactions were assessed using separate two-way analyses of variance and were further evaluated by comparing 95% confidence intervals where appropriate. Significant interactions were present for fascicle angle at peak torque (P = 0.01), fascicle length excursion (P = 0.05), fascicle angle excursion (P < 0.01), fascicle shortening velocity (P = 0.05) and strength (P = 0.03). Upon post-hoc evaluation, the surgical limb displayed altered in-vivo fascicle behavior compared to all limbs (P < 0.05) and reduced strength compared to the contralateral and right control limbs (P < 0.05). No other significant interactions were present (P > 0.05). Our data show that those with a history of ACLR have fascicles that are slower, lengthen less and operate with lower angles relative to the axis of force production. Altered fascicle behavior after ACLR may be an important underlying factor to explaining the protracted quadriceps dysfunction.

Article	Year
No shortage of disagreement between biomechanical and clinical hop symmetry after anterior cruciate ligament reconstruction. Clinical biomechanics (Bristol, Avon)\| PubMed ID: 31212209	2019
Alterations in physical and neurocognitive wellness across recovery after ACLR: A preliminary look into learned helplessness. Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine\| PubMed ID: 31590123	2019
Protracted alterations in muscle activation strategies and knee mechanics in patients after Anterior Cruciate Ligament Reconstruction. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA\| PubMed ID: 31897547	2020
Suppressed quadriceps fascicle behavior is present in the surgical limbs of those with a history of ACL reconstruction. Journal of biomechanics\| PubMed ID: 34666248	2021

Lindsey K. Lepley

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