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Background: Antagonist activation may contribute to fatigue-induced decreases in torque while assisting in the maintenance of joint stability. This study utilized a reciprocal, slow velocity (60°·s) forearm flexion and extension fatiguing task to examine the contributions of coactivation to torque production at slow and moderate (180°·s) velocities, as well as during a maximal voluntary isometric contraction (MVIC).
Methods: Twelve recreationally active men (mean ± SD: age = 21.7 ± 1.6 years; body mass = 83.5 ± 8.8 kg; height = 179.4 ± 5.2 cm) completed isokinetic (60 and 180°·s) and isometric pre-testing of forearm flexion and extension, followed by 50 maximal, reciprocal, isokinetic muscle actions at 60°·s, followed by post-testing. The amplitude (AMP) of the electromyographic (EMG) signals from the biceps and triceps brachii were simultaneously recorded. Torque and EMG AMP were normalized to the corresponding values from the pre-testing peak torque movements. Repeated measures ANOVAs and pairwise comparisons were used to identify mean changes in torque, EMG AMP, and coactivation ratios.
Results: The torque analyses indicated greater (p < 0.03) decreases for 180°·s (24%) and MVIC (23%) than 60°·s (14%) for forearm flexion. For forearm extension, there were no differences (p > 0.05) in fatigability between velocities. For EMG AMP there were no changes (p > 0.05) from pre- to post-testing for any velocity or movement. There were no changes (p > 0.05) in the coactivation ratio for forearm flexion, but significant increases (13.6 ± 6.6 to 16.9 ± 6.0; p = 0.003) for forearm extension, collapsed across Velocity.
Conclusions: There was velocity- and movement-specific fatigability for forearm flexion and extension. The parallel, fatigue-induced EMG AMP responses indicated that coactivation did not contribute to the decreases in torque and would not affect elbow joint stability.
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http://dx.doi.org/10.1016/j.humov.2022.103002 | DOI Listing |
Orthop Traumatol Surg Res
September 2025
Department of Orthopaedic Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan. Electronic address:
Objective: The treatment of severe post-traumatic elbow stiffness is extremely complex. Complete open release of the elbow joint and reconstruction of stiffness-related injuries are considered crucial; however, these procedures may lead to elbow instability, particularly chronic instability due to underlying conditions. This retrospective study aimed to assess the outcomes of using an internal joint stabilizer (IJS) to ensure post-release stability in these complex cases.
View Article and Find Full Text PDFFront Surg
August 2025
Department of Orthopedics, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Objective: Dislocations of the elbow are not common in skeletally immature patients. Herein, we present a case report on a rare pediatric posterior trans-olecranon fracture dislocation of the elbow, a type of dislocation that has never been reported in children. We aim to discuss the injury mechanism and introduce our treatment approach for this specific condition.
View Article and Find Full Text PDFBMC Sports Sci Med Rehabil
August 2025
Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Room 2210, No. 2209 XingGuang Rd, SongJiang Disc, 201619, Shanghai, China.
Background: Therapeutic climbing (TC) is an emerging physical therapy with demonstrated benefits for musculoskeletal rehabilitation, but its impact on upper-limb muscle activity remains unclear. Existing research predominantly focuses on healthy individuals, leaving muscle recruitment strategies in patients with upper-limb injuries largely unexplored. This study aims to investigate upper-limb muscle activity in patients with unilateral upper-limb injuries and healthy individuals across six TC exercises.
View Article and Find Full Text PDFInjury
August 2025
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA. Electronic address:
Background: Indications for stabilization of the medial collateral ligament (MCL) after repair of the lateral ulnar collateral ligament (LUCL) remain controversial. Here, we propose a standardized fluoroscopic sequence to reveal residual medial elbow instability to facilitate intraoperative decision-making.
Methods: Eight matched cadaveric upper extremity pairs (N = 16) were mounted to simulate intraoperative positioning.
Cureus
July 2025
Medicine and Surgery, Jawaharlal Nehru Medical College, Aligarh, IND.
Background Giant cell tumors (GCTs) of the distal radius present significant reconstructive challenges following wide resection. Proximal fibular autograft reconstruction has been a biologically compatible solution, particularly valuable in resource-limited settings. This study evaluates clinical and functional outcomes of this technique.
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