Document Detail

Altered neuromuscular control in individuals with exercise-related leg pain.
MedLine Citation:
PMID:  19952827     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To compare neuromuscular control ofthe lower limb during gait between individuals with and without a history of exercise-related leg pain (ERLP). METHODS: Fourteen females with a history of ERLP and 14 age-, height-, and weight-matched asymptomatic female controls participated in the study.Electromyographic activity, normalized to maximum voluntary contraction (MVC), from 12 lower limb muscles during walking gait was the primary outcome. Secondary outcomes were three-dimensional kinematics of the lower limb during gait, measurements of static foot posture (arch height and midfoot width in weight bearing and non-weight bearing), and foot mobility (difference in arch height and midfoot width from non-weight bearing to weight bearing and foot mobility magnitude). RESULTS: Individuals with a history of ERLP demonstrated lower peak activation (13.7% MVC, 95% confidence interval (CI) = 3.2%-24.3% MVC) and lower average activation of gluteus medius (2.3% MVC, 95% CI = 0.3%-4.3% MVC) when compared with controls (P G 0.05). This reduction in gluteus medius activation was moderately determined (57.1%, P = 0.01) by the duration (beta = 0.555) and severity of pain (beta = -0.516). Peak and average activation of lateral gastrocnemius were also lower than controls (20.5% MVC, 95% CI = 0.6%-40.5% MVC and 1.7% MVC, 95% CI = 0.2%-3.1% MVC, respectively) but were not explained by pain duration or severity. No differences in kinematics at the ankle, knee, hip and pelvis, or differences in static foot posture and mobility were observed between groups (P > 0.05). CONCLUSIONS: This study provides evidence of altered neuromuscular control of gait in females with a history of ERLP. Further work is required to discern the clinical relevance of this finding.
Melinda Franettovich; Andrew R Chapman; Peter Blanch; Bill Vicenzino
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  42     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-02     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  546-55     Citation Subset:  IM; S    
The University of Queensland, Brisbane, Australia.
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MeSH Terms
Exercise / physiology*
Exercise Test
Gait / physiology*
Leg / physiopathology*
Muscle Contraction / physiology
Pain / etiology*
Psychomotor Performance / physiology*
Young Adult

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