Article

The objective of this study was to investigate voluntary activation of
the quadriceps muscle during one set of knee extensions performed until
contraction failure in patients shortly after total knee arthroplasty. DESIGN:
This was a cross-sectional study of 24 patients with total knee arthroplasty. One
set of knee extensions was performed until contraction failure, using a
predetermined 10 repetition maximum loading. In the operated leg,
electromyographic (EMG) activity of the lateral and medial vastus,
semitendinosus, and biceps femoris muscles was recorded during the set. Muscle
activity (%EMGmax) and median power frequency of the EMG power spectrum were
calculated for each repetition decile (10%-100% contraction failure). RESULTS:
Muscle activity increased significantly over contractions from a mean of 90.0 and
93.6 %EMGmax (lateral vastus and medial vastus, respectively) at 10% contraction
failure to 99.3 and 105.5 %EMGmax at 100% contraction failure (P = 0.009 and
0.004). Median power frequency decreased significantly over contractions from a
mean of 66.8 and 64.2 Hz (lateral vastus and medial vastus, respectively) at 10%
contraction failure to 59.9 and 60.1 Hz at 100% contraction failure (P = 0.0006
and 0.0187). CONCLUSION: In patients shortly after total knee arthroplasty, 10
repetition maximum-loaded knee extensions performed in one set until contraction
failure increases voluntary activation of the quadriceps muscle during the set.
CLINICAL TRIALS: Gov-identifier: NCT01713140 to the abstract to increase trial
transparency.

Langue : ANGLAIS