Measuring Voluntary Activation of the Quadriceps Femoris During Isokinetic Concentric Contractions with the Interpolated Twitch Technique (ITT) in Subjects with Neuromotor Disorders

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Activation is the amount of voluntary recruitment of a muscle during voluntary contraction. Full activation implies the recruitment of all muscle fibres at their tetanic frequency. In healthy subjects, and even in sports performances, full activation may be rarely achieved despite a subjectively maximal effort. Highly decreased activation has been observed in patients affected by various orthopaedic and neurological disorders. In these subjects, paresis may be caused or aggravated by primitive impairments of the central nervous system and/or, by stimuli arising from peripheral damaged tissues that inhibit the corticospinal or the intraspinal recruitment of motoneurones (arthrogenous muscle weakness). There are numerous investigations in the literature on activation measured during isometric contractions, while they are substantially missing as far as isokinetic concentric contractions are concerned. There are reasons to suppose that, contrary to what has been demonstrated for healthy subjects, in patients with various motor impairments the activation is diminished the more, the higher is the joint rotation speed. The present study aims to investigate the amount of activation of the quadriceps femoris during subjectively maximal isometric contractions at 40° knee flexion (0°=complete extension) and isokinetic concentric contractions at an angular velocity of 100°/s in patients with various orthopaedic and neurologic conditions. Activation will be measured on an isokinetic dynamometer, through the interpolated twitch technique. This consists of stimulating a representative sample of the muscle belly through an electric shock. If the shock does not generate an extra force during contraction, all muscle fibres belonging to the sample reached by the electric shock can be claimed to be recruited at their tetanic frequency. Otherwise, following the stimulus, a twitch can be observed revealing submaximal voluntary recruitment of the muscle.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• age between 18 and 70 years old;

• ability to sign the informed consent form;

• ability to understand the instructions and to complete the motor task;

• voluntary knee flexion-extension range of at least 70°;

• maximal extension of angle \< 30° (0°=full extension, 180° sagittal tibio-femural angle).

Locations
Other Locations
Italy
Istituto Auxologico Italiano
RECRUITING
Milan
Contact Information
Primary
Luigi Tesio, MD, Full Professor
l.tesio@auxologico.it
02 58218717
Backup
Stefano Scarano, MD, Research Fellow
s.scarano@auxologico.it
+39 02 58218717
Time Frame
Start Date: 2020-10-07
Estimated Completion Date: 2024-12-31
Participants
Target number of participants: 20
Treatments
Other: Pathologic group
At least 20 participants with various neurologic or orthopaedic conditions (for example, hemiparesis post-stroke, multiple sclerosis, traumatic knee injuries, knee osteoarthritis) will be enrolled.
Sponsors
Leads: Istituto Auxologico Italiano

This content was sourced from clinicaltrials.gov