Neuromuscular control is believed to play an essential role during dynamic knee joint stabilisation. Evaluation of voluntary muscle action can be delineated as support strategies against external loading moments (Lloyd & Buchanan, 2001). The aim of this study was to determine if males and females exhibit differences in knee muscle action and cocontraction during voluntary isometric closed kinetic chain force generation in various directions in the horizontal plane representative of applied loads transverse to the long axis of the shank. Twenty-six healthy young adults (13 male, 13 female) stood with their dominant leg in a boot fixed to a force platform. A force target matching protocol required subjects to position a cursor (projected on a video screen) over a target and maintain the position for one second. To control the cursor, loads were applied against the force platform with their dominant leg to produce various combinations of anterior-posterior, medial-lateral loads while maintaining constant inferior-superior loads. A successful target match required a normalised force magnitude of equal effort for each subject and target location which triggered the recording of electromyography (EMG) for eight muscles crossing the knee joint. EMG was normalised to percent maximum voluntary isometric contraction. A mean magnitude of muscle activation, mean direction of muscle activation and a muscle specificity index was determined using EMG vectors. In addition, cocontraction indices were also computed for antagonist muscle pairs. Based on similar previous research, it was hypothesised that females would have greater quadriceps and hamstrings coactivation, greater muscle activation magnitudes, lower specificity for the quadriceps than males and no difference in hamstring characteristics. In our study, females significantly cocontracted their vastus lateralis and lateral gastrocnemius muscles to a greater degree than males (p=0.001). No significant differences were observed across sexes for the cocontraction of quadriceps and hamstrings or the lateral quadriceps and gastrocnemius muscles. Females displayed significantly lower specificity than males in their semitendinosus (p=0.025) and tensor fascia lata (p=0.012) activity patterns, greater magnitude of muscle activation in their lateral gastrocnemius (p=0.002) and tensor fascia lata (p<0.003) and no statistical difference in the other muscles. Furthermore, the activation patterns in our study grossly differed from previous open kinetic chain force target matching. These findings indicate that healthy young males and females have differences in their knee muscle control strategies and that knee muscle recruitment patterns differ during weight bearing and non-weight bearing tasks.

Neuromuscular control is believed to play an essential role during dynamic knee joint stabilisation. Evaluation of voluntary muscle action can be delineated as support strategies against external loading moments (Lloyd & Buchanan, 2001). The aim of this study was to determine if males and females exhibit differences in knee muscle action and cocontraction during voluntary isometric closed kinetic chain force generation in various directions in the horizontal plane representative of applied loads transverse to the long axis of the shank. Twenty-six healthy young adults (13 male, 13 female) stood with their dominant leg in a boot fixed to a force platform. A force target matching protocol required subjects to position a cursor (projected on a video screen) over a target and maintain the position for one second. To control the cursor, loads were applied against the force platform with their dominant leg to produce various combinations of anterior-posterior, medial-lateral loads while maintaining constant inferior-superior loads. A successful target match required a normalised force magnitude of equal effort for each subject and target location which triggered the recording of electromyography (EMG) for eight muscles crossing the knee joint. EMG was normalised to percent maximum voluntary isometric contraction. A mean magnitude of muscle activation, mean direction of muscle activation and a muscle specificity index was determined using EMG vectors. In addition, cocontraction indices were also computed for antagonist muscle pairs. Based on similar previous research, it was hypothesised that females would have greater quadriceps and hamstrings coactivation, greater muscle activation magnitudes, lower specificity for the quadriceps than males and no difference in hamstring characteristics. In our study, females significantly cocontracted their vastus lateralis and lateral gastrocnemius muscles to a greater degree than males (p=0.001). No significant differences were observed across sexes for the cocontraction of quadriceps and hamstrings or the lateral quadriceps and gastrocnemius muscles. Females displayed significantly lower specificity than males in their semitendinosus (p=0.025) and tensor fascia lata (p=0.012) activity patterns, greater magnitude of muscle activation in their lateral gastrocnemius (p=0.002) and tensor fascia lata (p<0.003) and no statistical difference in the other muscles. Furthermore, the activation patterns in our study grossly differed from previous open kinetic chain force target matching. These findings indicate that healthy young males and females have differences in their knee muscle control strategies and that knee muscle recruitment patterns differ during weight bearing and non-weight bearing tasks.

Neuromuscular control is believed to play an essential role during dynamic knee joint stabilisation. Evaluation of voluntary muscle action can be delineated as support strategies against external loading moments (Lloyd & Buchanan, 2001). The aim of this study was to determine if males and females exhibit differences in knee muscle action and cocontraction during voluntary isometric closed kinetic chain force generation in various directions in the horizontal plane representative of applied loads transverse to the long axis of the shank. Twenty-six healthy young adults (13 male, 13 female) stood with their dominant leg in a boot fixed to a force platform. A force target matching protocol required subjects to position a cursor (projected on a video screen) over a target and maintain the position for one second. To control the cursor, loads were applied against the force platform with their dominant leg to produce various combinations of anterior-posterior, medial-lateral loads while maintaining constant inferior-superior loads. A successful target match required a normalised force magnitude of equal effort for each subject and target location which triggered the recording of electromyography (EMG) for eight muscles crossing the knee joint. EMG was normalised to percent maximum voluntary isometric contraction. A mean magnitude of muscle activation, mean direction of muscle activation and a muscle specificity index was determined using EMG vectors. In addition, cocontraction indices were also computed for antagonist muscle pairs. Based on similar previous research, it was hypothesised that females would have greater quadriceps and hamstrings coactivation, greater muscle activation magnitudes, lower specificity for the quadriceps than males and no difference in hamstring characteristics. In our study, females significantly cocontracted their vastus lateralis and lateral gastrocnemius muscles to a greater degree than males (p=0.001). No significant differences were observed across sexes for the cocontraction of quadriceps and hamstrings or the lateral quadriceps and gastrocnemius muscles. Females displayed significantly lower specificity than males in their semitendinosus (p=0.025) and tensor fascia lata (p=0.012) activity patterns, greater magnitude of muscle activation in their lateral gastrocnemius (p=0.002) and tensor fascia lata (p<0.003) and no statistical difference in the other muscles. Furthermore, the activation patterns in our study grossly differed from previous open kinetic chain force target matching. These findings indicate that healthy young males and females have differences in their knee muscle control strategies and that knee muscle recruitment patterns differ during weight bearing and non-weight bearing tasks.

Neuromuscular control is believed to play an essential role during dynamic knee joint stabilisation. Evaluation of voluntary muscle action can be delineated as support strategies against external loading moments (Lloyd & Buchanan, 2001). The aim of this study was to determine if males and females exhibit differences in knee muscle action and cocontraction during voluntary isometric closed kinetic chain force generation in various directions in the horizontal plane representative of applied loads transverse to the long axis of the shank. Twenty-six healthy young adults (13 male, 13 female) stood with their dominant leg in a boot fixed to a force platform. A force target matching protocol required subjects to position a cursor (projected on a video screen) over a target and maintain the position for one second. To control the cursor, loads were applied against the force platform with their dominant leg to produce various combinations of anterior-posterior, medial-lateral loads while maintaining constant inferior-superior loads. A successful target match required a normalised force magnitude of equal effort for each subject and target location which triggered the recording of electromyography (EMG) for eight muscles crossing the knee joint. EMG was normalised to percent maximum voluntary isometric contraction. A mean magnitude of muscle activation, mean direction of muscle activation and a muscle specificity index was determined using EMG vectors. In addition, cocontraction indices were also computed for antagonist muscle pairs. Based on similar previous research, it was hypothesised that females would have greater quadriceps and hamstrings coactivation, greater muscle activation magnitudes, lower specificity for the quadriceps than males and no difference in hamstring characteristics. In our study, females significantly cocontracted their vastus lateralis and lateral gastrocnemius muscles to a greater degree than males (p=0.001). No significant differences were observed across sexes for the cocontraction of quadriceps and hamstrings or the lateral quadriceps and gastrocnemius muscles. Females displayed significantly lower specificity than males in their semitendinosus (p=0.025) and tensor fascia lata (p=0.012) activity patterns, greater magnitude of muscle activation in their lateral gastrocnemius (p=0.002) and tensor fascia lata (p<0.003) and no statistical difference in the other muscles. Furthermore, the activation patterns in our study grossly differed from previous open kinetic chain force target matching. These findings indicate that healthy young males and females have differences in their knee muscle control strategies and that knee muscle recruitment patterns differ during weight bearing and non-weight bearing tasks.

Aim and research questions: The aim of this master thesis was to test for test-retest reliability for a newly developed force instrument (FI) and determine if a combined effect of trial, speed and resistance exist on the variable fraction effective force (FEF) for a group of athletes with cerebral palsy (CP-group) and a reference group (AB-group).  1. What is the intraclass correlation coefficient on maximum velocity measured on two occasions with the FI for a CP-group and an AB-group? 2. What is the intraclass correlation coefficient on FEF for a flexion movement measured on two occasions for an AB-group? 3. Is there an interaction effect of; a) trial and group, b) trial, speed and group, c) trial, resistance and group and d) trial, speed, resistance and group, on the variable FEF for a flexion movement for a CP-group and an AB-group?   Method: This master thesis was an experimental cross-sectional study with a test-retest design. Data collection took place in Stockholm and in Elche (Spain), 2022. Participants visited the BMC laboratory at two occasions. Participants completed tasks with their least impaired arm (CP-group) or dominant arm (AB-group) in a horizonal movement at different resistances and speeds on the FI. Maximum velocity together with force in 3 directions was registered. FEF was calculated from the three forces. ICC on Vmax for both groups and FEF for the AB-group was conducted together with a mixed-design ANOVA on de independent variables trial, group, speed and resistance on the dependent variable FEF.    Results: 18 participants in the CP-group and 20 participants in the AB-group was included for statistical analysis. The ICC on Vmax was .944 for the CP-group and .804 for the AB-group. The mean ICC for FEF was .644 for the AB-group. Using a mixed-design ANOVA concluded that there was no significant interaction effect on trial, group, speed and resistance, F(4) =2.069, p=.088, nor in any of the other combinations.    Conclusion: The newly developed FI shows good test-retest reliability for both groups and could be used for measurements of arm coordination. Further studies are needed to further evaluate reliability of the instrument. / Syfte och frågeställningar: Syftet med detta examensarbete var att testa för test-retest reliabilitet för ett nyutvecklat kraftinstrument (FI) och avgöra om det finns en kombinerad effekt av testtillfälle, hastighet och motstånd på variabeln fraction effective force (FEF) för en grupp idrottare med cerebral pares (CP-grupp) och en referensgrupp (AB-grupp). 1. Vad är intraclass correlation coefficient för maximal hastighet mätt vid två tillfällen med för en CP-grupp och AB-grupp? 2. Vad är intraclass correlation coefficient för FEF för en flexionsrörelse mätt vid två tillfällen för en AB-grupp? 3. Finns det en interaktionseffekt mellan; a) testtillfälle och grupp, b) testtillfälle, hastighet och grupp, c) testtillfälle, motstånd och grupp och d) testtillfälle, hastighet, motstånd och grupp, på variabeln FEF för en flexionsrörelse för en grupp med CP och AB-grupp?   Metod: Denna masteruppsats en experimentell tvärsnittsstudie med test-retest design. Datainsamlingen genomfördes i Stockholm och Elche (Spanien), 2022. Deltagarna besökte BMC laboratoriet vid två tillfällen och genomförde rörelser i horisontalplan i olika hastigheter, mot olika motstånd med sin minst funktionsnedsatta arm (CP-gruppen) eller dominanta arm (AB-gruppen) på FI. Den maximala hastigheten tillsammans med kraft i tre riktningar samlades in. FEF beräknades utifrån de tre krafterna. Den statistiska analysen innehöll ICC som genomfördes för Vmax för båda grupperna samt för FEF för AB-gruppen. En mixed-design ANOVA genomfördes med de oberoende variablerna testtillfälle, grupp, motstånd och hastighet på den beroende variabeln FEF.   Resultat: 18 deltagare i CP-gruppen och 20 deltagare i AB-gruppen inkluderades i den statistiska analysen. ICC på Vmax för CP-gruppen var .944 och .804 för AB-gruppen. Ett medelvärde på ICC för FEF i en flexionsrörelse var .644 för AB-gruppen. Det fanns ingen signifikant interaktionseffekt på testtillfälle, grupp, hastighet och motstånd, F (4) = 2.069, p = .088, och inte heller för de andra kombinationerna.    Konklusion: Den nyutvecklade instrumentet visar på god reliabilitet vid upprepade mätningar för båda grupperna och kan användas i framtida för mätningar av arm-koordination hos de två grupperna. Men fortsatta studier behövs för att vidare utvärdera reliabilitet för instrumentet.

Musculoskeletal injuries are commonly associated with muscle atrophy as a function of immobilization or change of normal function. For example, injuries to the anterior cruciate ligament (ACL) which may involve ligament reconstruction, results in the "quadriceps avoidance" gait which leads to atrophy of the knee extensormuscles. In these situations it is not clear whether or not the atrophy is associated with loss of specific muscle fibre types with accompanying functional deficits. Such knowledge would be helpful in implementing exercise regimes designed to compensate for loss of particular fibre types. It is believed that isokinetic exercise performed at speeds below 180° per second strengthens type I muscle fibres, and type II fibres at fast speeds. However, there is no evidence to indicate the specific muscle fibre response to different rates of muscle contraction. Identification of muscle fibre type is most directly determined by biopsy technique but is too invasive for a routine measurement. Electromyography median frequency has been used as a non-invasive measure to infer muscle fibre composition in various studies. However, the reliability and accuracy of this technique has been questioned and improvement is necessary. This research was designed to provide a more accurate and reliable protocol for the determination of EMG median frequency which may be used, after validation against more direct biopsy techniques, as a routine method for inferring muscle fibre composition. The investigation also explored the muscular response as measured by EMG median frequency to varying speeds of muscle contraction, fatiguing exercise and atrophy following ACL reconstruction. The ultimate aim of this research was to improve the reliability of the determination of EMG median frequency to enhance its application as a predictor of muscle fibre composition. This provides information which may improve ACL rehabilitation programs designed to restore and prevent specific muscle fibre types loss that have not previously been targeted by current rehabilitation programs. This research was conducted in three studies. Study one determined the stability of the EMG median frequency bilaterally for the quadriceps and hamstrings muscles and identified the mode of contraction associated with the greatest reliability. The strength and EMG median frequency of the vastus lateralis, medial hamstrings and vastus medialis of 55 subjects was determined across 5 speeds from 0° to 240° per second using a Kin-Com isokinetic dynamometer and an EMG data acquisition system. Isometric contraction was found to have the least bilateral discrepancy (4.01% ±3.06) and between trials standard deviation (4.50) in the vastus lateralis, medial hamstrings and vastus medialis. Study two investigated the EMG median frequency changes in the vastus lateralis which occur immediately following different speeds of isokinetic exercise to the point of fatigue in normal subjects. Thirty-four subjects participated in the study, and performed a 90-second period of isokinetic exercise to activate the knee extensors at either 30° or 300° per second. EMG median frequency of the vastus lateralis was determined before, immediately after and 7 minutes after the fatiguing exercise. The percentage drop in EMG median frequency of the vastus medialis was gnificantly (p<0.05) greater after slow speed (27.9%) than fast speed (20.25%) exercise, while no significant difference was found for the percentage drop in extension torque. Full recovery was found 7 minutes after the fatiguing exercise. By reference to previous research showing a relationship between EMG median frequency and muscle fibre type, an increase in activation of type I muscle fibres with slow speed exercise and an increase in type II muscle fibres with fast speed exercise was observed. Study three identified the changes in EMG median frequency following ACL reconstruction and evaluated the bilateral differences in EMG median frequency of the knee muscles. The relationships between EMG median frequency and the measures of knee functional ability, knee muscle strength, age and time since surgery were also investigated. Twelve subjects who had undergone ACL reconstruction using a semitendinosus and gracilis graft 6 to 12 months earlier, participated in the study. EMG median frequency was determined from an 8-second isometric contraction and knee functional ability was assessed using the Cincinnati Rating Scale. Bilateral EMG median frequency shifts were inconsistent among subjects. On the basis of previous research which indicated a relationship between EMG median frequency and fibre type, no consistent pattern of muscular fibre type atrophy subsequent to ACL reconstruction occurred within 6 to 12 months (ranged from -43 to 57 Hz). Additionally, no significant correlations were found between the EMG median frequency and the knee functional score and knee extension and flexion torques, age, time since operation and the bilateral differences in EMG median frequency. The results of this investigation will serve to improve the reliability of EMG median frequency across a range of conditions in which it has been evaluated. Further research is needed to confirm the relationship between EMG median frequency and direct observations of muscle fibre composition to improve the predictive value of this measure. Following this validation it will be possible to evaluate the bilateral EMG median frequency shift to infer the type of muscle fibre atrophy, and use this measure in determining the efficacy of specific rehabilitation programs. In conclusion * An 8-second isometric contraction is recommended for determining EMG median frequency. * EMG median frequency of a muscle decreases significantly more after slow fatiguing exercise than after fast speed fatiguing exercise. * There was no generalised bilateral EMG median frequency shift found in a group of subjects 6 to 12 months following semitendinosus and gracilis graft ACL reconstruction. * The results of this study will serve to improve the reliability of procedures used to determine EMG median frequency under a range of different contractile conditions. The EMG median frequency changes in response to these conditions require further validations with muscle biopsy in future.