Effect of Trunk-Muscle Fatigue and Lactic Acid Accumulation on Balance in Healthy Subjects

Objective: This study sought to determine the effects of trunk-muscle fatigue and blood lactic acid elevation on static and dynamic balance. Intervention: Fatigue was induced by an isokinetic protocol, and static and dynamic balance were assessed during bilateral stance using a Kinesthetic Ability Trainer. Subjects participated in a fatigue protocol in which continuous concentric movements at 60°/s were performed until the torque output for both trunk flexion and extension dropped below 25% of the calculated peak torque for 3 consecutive movements. Measures: Before and immediately after the fatigue protocol, blood lactic acid measurements and static- and dynamic-balance measurements were recorded. Results: An increase in lactic acid levels was detected in all subjects. According to a dependent-samples t test, significant differences in balance and lactic acid values were found after the fatigue protocol. There was no correlation between lactic acid accumulation (change between prefatigue and postfatigue l...

[1]  Romuald Lepers,et al.  Posture control after prolonged exercise , 1997, European Journal of Applied Physiology and Occupational Physiology.

[2]  Marco Schieppati,et al.  Trunk muscle proprioceptive input assists steering of locomotion , 2005, Neuroscience Letters.

[3]  J. Yaggie,et al.  Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. , 2002, Archives of physical medicine and rehabilitation.

[4]  L. Gladden Lactate metabolism: a new paradigm for the third millennium , 2004, The Journal of physiology.

[5]  M Schieppati,et al.  Time course of stabilometric changes after a strenuous treadmill exercise. , 1998, Archives of physical medicine and rehabilitation.

[6]  A. Bird,et al.  Localized Muscle Fatigue and Dynamic Balance , 1976, Perceptual and motor skills.

[7]  L. Bardin Physiotherapy management of accelerated spinal rehabilitation in an elite level athlete following L4-S1 instrumented spinal fusion , 2003 .

[8]  G. Allison,et al.  Effects of abdominal muscle fatigue on anticipatory postural adjustments associated with arm raising. , 2006, Gait & posture.

[9]  S M Lephart,et al.  Effects of muscular fatigue on knee joint laxity and neuromuscular characteristics of male and female athletes. , 1999, Journal of athletic training.

[10]  D. Allen,et al.  Mechanisms underlying the reduction of isometric force in skeletal muscle fatigue. , 1998, Acta physiologica Scandinavica.

[11]  G. Myklebust,et al.  Effect of Neuromuscular Training on Proprioception, Balance, Muscle Strength, and Lower Limb Function in Female Team Handball Players , 2004, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[12]  Torbjörn Ledin,et al.  Effects of postural disturbances with fatigued triceps surae muscles or with 20% additional body weight. , 2004, Gait & posture.

[13]  M. Hulse,et al.  The Football Association medical research programme: an audit of injuries in academy youth football , 2004, British Journal of Sports Medicine.

[14]  A. Dirix,et al.  The Olympic Book of Sports Medicine , 1991 .

[15]  J. Kennedy,et al.  Nerve supply of the human knee and its functional importance , 1982, The American journal of sports medicine.

[16]  Jay Hertel,et al.  Effect of lower-extremity muscle fatigue on postural control. , 2002, Archives of physical medicine and rehabilitation.

[17]  H. Tropp Pronator Muscle Weakness in Functional Instability of the Ankle Joint , 1986, International journal of sports medicine.

[18]  Normand Teasdale,et al.  Alteration of the position sense at the ankle induced by muscular fatigue in humans. , 2002, Medicine and science in sports and exercise.

[19]  S. Henry,et al.  The influence of fatigue on trunk muscle responses to sudden arm movements, a pilot study. , 2002, Clinical biomechanics.

[20]  S. McGill,et al.  Postural control of the lumbar spine in unstable sitting. , 2005, Archives of physical medicine and rehabilitation.

[21]  Nicolas Vuillerme,et al.  Postural control during quiet standing following cervical muscular fatigue: effects of changes in sensory inputs , 2005, Neuroscience Letters.

[22]  H. Johansson,et al.  Alterations in information transmission in ensembles of primary muscle spindle afferents after muscle fatigue in heteronymous muscle , 1998, Neuroscience.

[23]  Richard C. Nelson,et al.  Biochemistry of exercise , 1983 .

[24]  J. Potvin,et al.  Effects of Trunk Muscle Fatigue on Spine Mechanics during Repetitive Asymmetrical Lifting , 2000 .

[25]  H. Groeller,et al.  Short-duration fatigue alters neuromuscular coordination of trunk musculature: implications for injury. , 2003, Applied ergonomics.

[26]  Richard B. Stein,et al.  Muscle fatigue in axial rotation of the trunk , 2001 .

[27]  Edward T. Howley,et al.  Exercise Physiology: Theory and Application to Fitness and Performance , 1995 .

[28]  A. K. Aune,et al.  Hamstrings and gastrocnemius co‐contraction protects the anterior cruciate ligament against failure: An in vivo study in the rat , 1995, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[29]  S. C. Gandevia,et al.  Changes in muscle afferents, motoneurons and motor drive during muscle fatigue , 2000, European Journal of Applied Physiology.

[30]  J. Gerber,et al.  Postural control after a 2-mile run. , 2003, Military medicine.

[31]  Mark D. Grabiner,et al.  Effect of Plantar Flexor and Dorsiflexor Fatigue on Unilateral Postural Control , 1993 .

[32]  A. McGregor,et al.  Establishment of a protocol to test fatigue of the trunk muscles , 2005, British Journal of Sports Medicine.

[33]  E. Ribot-Ciscar,et al.  Ago-antagonist muscle spindle inputs contribute together to joint movement coding in man , 1998, Brain Research.

[34]  M Nordin,et al.  Reduced servo‐control of fatigued human finger extensor and flexor muscles. , 1995, The Journal of physiology.

[35]  David G. Behm,et al.  TRUNK MUSCLE ELECTROMYOGRAPHIC ACTIVITY WITH UNSTABLE AND UNILATERAL EXERCISES , 2005, Journal of strength and conditioning research.

[36]  B. Jakobsen,et al.  The reliability of balance tests performed on the kinesthetic ability trainer (KAT 2000) , 2000, Knee Surgery, Sports Traumatology, Arthroscopy.

[37]  R. B. Johnston,et al.  Effect of lower extremity muscular fatigue on motor control performance. , 1998, Medicine and science in sports and exercise.

[38]  M Schieppati,et al.  Fatigue effects on body balance. , 1997, Electroencephalography and clinical neurophysiology.

[39]  H. Kohl,et al.  Does Proprioceptive Training During Knee and Ankle Rehabilitation Improve Outcome? , 2003 .

[40]  M. Bergenheim,et al.  The role of the γ-system for improving information transmission in populations of Ia afferents , 1995, Neuroscience Research.

[41]  Håkan Westerblad,et al.  Muscle fatigue: lactic acid or inorganic phosphate the major cause? , 2002, News in physiological sciences : an international journal of physiology produced jointly by the International Union of Physiological Sciences and the American Physiological Society.