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Bilateral spontaneous patellar tendon rupture in the absence of concomitant systemic disease or steroid use.

A case of bilateral patellar tendon rupture in an otherwise healthy 41-year-old man is presented. This is the 15th case reported in the literature. The mechanism of injury is attributed to a flexion moment coupled with a contraction of the quadriceps muscle in nearly all reported cases. Surgical repair produces excellent results.

EMG comparison of quadriceps femoris activity during knee extension and straight leg raises.

Both knee extension and straight leg raises have been used to rehabilitate atrophied quadriceps musculature following knee immobilization. A comparison of the tension developed during these two exercises was made in each of the three surface quadriceps muscles (quadriceps femoris, vastus lateralis, vastus medialis) at three different levels of activity (20%, 50%, and 80% of 1RM). Integrated EMG (m Volt-seconds) was used to measure tension developed during a seven second contraction. Tension developed was significantly greater during a seven second contraction. Tension developed was significant…

Перепрофилированный активатор Nrf2 диметилфумарат спасает мышцы воспаление и фиброз в отягченной мышиной модели мышечной дистрофии Дученна.

В унаследованных нейромускульных болезнях мышечная дистрофия Дюченна (ДМД) глюкокортикоиды значительно медленнее прогрессируют, но в то же время создают достаточно серьезные побочные эффекты, исключающие применение в значительной части пациентов. Распространяя наши выводы о том, что в результате острого лечения с УЛХ были одобрены многочисленные склерозные препараты, диметилфумарат (ДМФ), спасающая мышечную патологию у молодых мышей Mdx, мы намеревались провести доклиническое тестирование на перевод. Чтобы усилить фенотип болезни у взрослых мышц mdx, у которых обычно нет эквивалентной человече

Совпадение в полном тексте источника
… DMF moderates the immune response in mdx quadriceps muscle Persistent activation of the innate immune system leads to hyperinflammation, oxidative stress and tissue damage in dystrophic muscles [ 7 ]. … DMF treatment was effective at reducing Timp1 (inhibitor of matrix metalloproteinases (MMPs)) gene expression ( Fig. 4 A) and histological fibrosis of quadriceps muscle ( Fig. 4 C and E). …

Motor evoked potentials for femoral nerve protection in transpsoas lateral access surgery of the spine.

Detecting potential intraoperative injuries to the femoral nerve should be the main goal of neuromonitoring of lateral lumber interbody fusi … e the trunk of the femoral nerve, there is no longer any alternative overlapping innervation to the quadriceps muscles. Insult to the fully formed femoral nerve, which completely blocks conduction in motor axons, should theoretically abolish all MEP responses to the quadriceps muscles. On multiple occasions over the past year, our neuro-monitoring groups have obser …

Exercise capacity, muscle strength, and fatigue in sarcoidosis: a follow-up study.

PURPOSE: The purpose of this study was to examine changes in the prevalence of exercise intolerance, reduced muscle strength, and fatigue and the changes in these parameters in individual patients during a 2-year follow-up study. METHODS: Ninety sarcoidosis patients (62 males and 28 females; mean age: 46.0 ± 10.2 years) participated in a 2-year follow-up study. At the baseline and follow-up measurements, patients performed a 6-min walk test and elbow flexor muscle strength, quadriceps peak torque, and hamstrings peak torque tests. Maximal inspiratory pressure was recorded. All patients comple

A greater reduction of anterior cruciate ligament elasticity in women compared to men as a result of delayed onset muscle soreness.

Women have a higher risk for anterior cruciate ligament (ACL) injuries compared to men. ACL elasticity and muscle flexibility are major risk factors for knee injuries. The presence of estrogen receptors in connective tissue allows estrogen to change the mechanical properties of muscles and ligaments. Delayed onset muscle soreness (DOMS) happened when begin unaccustomed levels of exercise. Thus, the purpose of this study was to examine ACL elasticity after exercise meant to produce DOMS. As a measure of DOMS, visual analog pain scale and quadriceps strength were measured. One hundred forty heal

Acute femoral neuropathy: a rare complication after renal transplantation.

OBJECTIVE: Femoral neuropathy is a rare but disabling complication following renal transplantation and pelvic surgery in general. In a retro … l of these patients presented with a weakness of hip flexion (iliopsoas muscle) and knee extension (quadriceps muscle) starting immediately after surgery. Atrophy of the quadriceps became apparent in severe and prolonged cases. In addition, numbness and paresthesia located in the anteromedial part of the thigh were present in 3 patients. CONCLUSION: Isolated neuro …

Training-induced changes in structural and mechanical properties of the patellar tendon are related to muscle hypertrophy but not to strength gains.

To obtain a better understanding of the adaptations of human tendon to chronic overloading, we examined the relationships between these adaptations and the changes in muscle structure and function. Fifteen healthy male subjects (20+/-2 yr) underwent 9 wk of knee extension resistance training. Patellar tendon stiffness and modulus were assessed with ultrasonography, and cross-sectional area (CSA) was determined along the entire length of the tendon by using magnetic resonance imaging. In the quadriceps muscles, architecture and volume measurements were combined to obtain physiological CSA (PCSA…

Stride-to-Stride Fluctuations and Temporal Patterns of Muscle Activity Exhibit a Stronger Relationship in Running-Induced Fatigue.

During gait, the temporal patterns of stride-to-stride fluctuations and muscle activation exhibit similar responses. This study examined if increasing task demands such as fatigued high intensity running affects this relationship. Eleven experienced runners completed two 400-m runs (R1, R2) with a 3-min break to induce fatigue. Stride Time Intervals (STI) were measured using inertial sensors (IMUs), while Inter-Muscle Peak Intervals (IMPI) were derived from the electromyographic (EMG) activity of the Vastus Lateralis and Gastrocnemius Medialis. We calculated the Hurst exponent and coefficient

Downhill running increases markers of muscle damage and impairs the maximal voluntary force production as well as the late phase of the rate of voluntary force development.

PURPOSE: To examined the time-course of the early and late phase of the rate of voluntary force development (RVFD) and muscle damage markers after downhill running. METHODS: Ten recreational runners performed a 30-min downhill run at 10 km h-1 and -20% (-11.3°) on a motorized treadmill. At baseline and each day up to 4 days RVFD, knee extensors maximum voluntary isometric force (MVIC), serum creatine kinase (CK) concentration, quadriceps swelling, and soreness were assessed. The early (0-50 ms) and late (100-200 ms) phase of the RVFD, as well as the force developed at 50 and 200 ms, were also

Discrete Hamstring: Quadriceps Strength Ratios Do Not Represent Angle-Specific Ratios in Premier League Soccer Players.

Lunn, DE, Nicholson, G, Cooke, M, Crespo, R, Robinson, T, Price, RJ, and Walker, J. Discrete hamstring: quadriceps strength ratios do not represent angle-specific ratios in Premier League soccer players. J Strength Cond Res 37(12): 2417-2422, 2023-This study compared angle-specific hamstring:quadriceps (H:Q) ratios with their discrete counterparts during strength testing in professional male soccer players. Twenty-seven professional English Premier League soccer players were recruited for this study (age: 22 ± 4 years; stature: 1.81 ± 0.08 m; body mass: 74.7 ± 6.5 kg). Isokinetic testing of th

Comparisons of muscle thicknesses, echo intensities, and motor functions between community-dwelling older Japanese adults with and without diabetes.

BACKGROUND: Individuals with diabetes tend to show decreased muscle volume and motor function compared to those without diabetes. Ultrasound is a non-invasive and potentially safe method to assess muscle function in patients with diabetes; however, the characteristics of muscle thickness and quality, measured by ultrasound, in individuals with diabetes are unclear. METHODS: This study included 825 community-dwelling older individuals who underwent the Otassha Study comprehensive health survey. We measured the muscle thicknesses and echo intensities of rectus femoris and vastus intermedius; mo

A profile of reference data for shear modulus for lower limb muscles in typically developing children.

BACKGROUND: Shear wave elastography can measure shear wave speed in muscles, which is used to estimate shear modulus. Normative values and standardized methodology are needed for children. Study aims were to: estimate shear modulus behavior of lower limb muscles of typically developing children; and establish a profile of reference data and recommendations for clinical assessment. METHODS: Forty-one typically developing children (mean 9.7 y, SD 1.9 y) completed assessment of resting shear modulus of rectus femoris, biceps femoris, gastrocnemius lateralis and tibialis anterior at short and lon

Quadriceps femoris spasticity in children with cerebral palsy: measurement with the pendulum test and relationship with gait abnormalities.

BACKGROUND: Development of a reliable and objective test of spasticity is important for assessment and treatment of children with cerebral palsy. The pendulum test has been reported to yield reliable measurements of spasticity and to be sensitive to variations in spasticity in these children. However, the relationship between the pendulum test scores and other objective measures of spasticity has not been studied. The present study aimed to assess the effectiveness of an accelerometer-based pendulum test as a measurement of spasticity in CP, and to explore the correlation between the measureme

Lack of efficacy of neuromuscular electrical stimulation of the lower limbs in chronic obstructive pulmonary disease patients: a meta-analysis.

Randomized controlled trials (RCT) were carried out to investigate the role of neuromuscular electrical stimulation (NMES) in patients with chronic obstructive pulmonary disease (COPD). However, these studies have small sample size and different measures for evaluating outcomes, and convey inconclusive results. We carried out a meta-analysis to assess the effects of NMES to COPD patients. A computerized search was performed through PubMed and Embase databases (up to December 2012) for relevant RCT. Two investigators independently screened the articles. The primary outcome measures were quadric

Vastus Lateralis Muscle Size Is Differently Associated With the Different Regions of the Squat Force-Velocity and Load-Velocity Relationships, Rate of Force Development, and Physical Performance Young Men.

Cornejo-Daza, PJ, Sánchez-Valdepeñas, J, Rodiles-Guerrero, L, Páez-Maldonado, JA, Ara, I, León-Prados, JA, Alegre, LM, Pareja-Blanco, F, and Alcazar, J. Vastus lateralis muscle size is differently associated with the different regions of the squat force-velocity and load-velocity relationships, rate of force development, and physical performance young men. J Strength Cond Res 38(3): 450-458, 2024-The influence that regional muscle size and muscle volume may have on different portions of the force-velocity (F-V) and load-velocity (L-V) relationships, explosive force, and muscle function of the

Muscle shape changes in Parkinson's disease impair function during rapid contractions.

AIM: Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized, among the others, by muscle weakness. PD patients reach lower values of peak torque during maximal voluntary contractions but also slower rates of torque development (RTD) during explosive contractions. The aim of this study was to better understand how an impairment in structural/mechanical (peripheral) factors could explain the difficulty of PD patients to raise torque rapidly. METHODS: Participants (PD patients and healthy matched controls) performed maximum voluntary explosive fixed-end contraction of

Extreme Variations in Muscle Fiber Composition Enable Detection of Insulin Resistance and Excessive Insulin Secretion.

CONTEXT: Muscle fiber composition is associated with peripheral insulin action. OBJECTIVE: We investigated whether extreme differences in muscle fiber composition are associated with alterations in peripheral insulin action and secretion in young, healthy subjects who exhibit normal fasting glycemia and insulinemia. METHODS: Relaxation time following a tetanic contraction was used to identify subjects with a high or low expression of type I muscle fibers: group 1 (n = 11), area occupied by type I muscle fibers = 61.0 ± 11.8%, and group 2 (n = 8), type I area = 36.0 ± 4.9% (P < 0.001). Biopsi

Effects of Running Exercise Combined With Blood Flow Restriction on Strength and Sprint Performance.

Chen, YT, Hsieh, YY, Ho, JY, and Lin, JC. Effects of running exercise combined with blood flow restriction on strength and sprint performance. J Strength Cond Res 35(11): 3090-3096, 2021-We investigated muscle strength and sprint performance after combining running exercise (RE) with blood flow restriction (BFR). Twelve male sprinters received 2 experimental warm-ups: (a) RE (50% heart rate reserve, 2 minutes × 5 sets, 1-minute rest interval) with BFR (occlusion pressure: 1.3 × resting systolic blood pressure) warm-up, namely RE-BFR; and (b) RE without BFR warm-up, namely RE. Isokinetic streng

Muscle pain from an intramuscular injection of hypertonic saline increases variability in knee extensor torque reproduction.

The intensity of exercise-induced pain (EIP) reflects the metabolic environment in the exercising muscle, so during endurance exercise, this … . The novelty of our study is in the application of the hypertonic saline experimental model into a quadriceps muscle during short, submaximal isometric contractions at an intensity that provides a more translatable assessment of the impact of exercise-induced pain on work-rate regulation during whole body exercise.