A COMPARISON OF MAXIMAL KNEE MOMENTS GENERATED DURING SINGLE JOINT KNEE EXTENSION AND LEG PRESS TASKS 1 Mark T. Gordon, 2Brian W. Schulz, and 1James A. Ashton-Miller 1 University of Michigan, Ann Arbor, MI, USA 2 VA HSR&D/RR&D Center of Excellence, Maximizing Rehabilitation Outcomes, James A. Haley VA Hospital, Tampa, FL, USA email: [email protected], web: http://me.engin.umich.edu/brl INTRODUCTION The peak knee extensor moment developed during an isolated knee extension exercise and a leg press exercise are often recorded under isotonic and/or quasi-isometric conditions [1,2]. From a training perspective it is important to know how those moments compare during the shortening and lengthening phases of exercises on such machines. So the present study compares the peak knee moment generated using a Biodex (‘single joint’) dynamometer with that on servo-controlled (‘multijoint’) leg press machine (BLAST!, BioLogic Engineering, Inc., Dexter, MI) during the shortening and lengthening phases of quadriceps contraction. METHODS Seven male and seven female healthy younger adults (ages 20-35 years) were recruited to be part of the study. The average body mass was 74 (14) kg and the average height was 173 (11) cm. The data from one male subject was excluded from the study due to the subject stopping the Biodex machine during the trials. The data from the 90°/s and 120°/s trials shortening contraction of five additional subjects (2 male and 3 female) were excluded due to data recording errors. started with the subject’s knee at flexed at ~90°. The subject first exerted maximal knee moment using a shortening quadriceps contraction to extend the knee, then exerted a maximal knee extensor moment while the dynamometer flexed the knee back to ~90° with a lengthening quadriceps contraction. The leg press task was performed at three different knee angle velocities (15°/s, 25°/s, and 35°/s). The subject again started the trial with the knee at ~90° flexion. The subject then pushed on the foot plate with maximal force while the plate was driven distally at a prescribed rate, resulting in a quadriceps shortening contraction. Foot force was recorded normal to the foot plate. After 1-5 sec. rest, the subject pushed maximally against the foot plate as it returned towards them using a lengthening quadriceps contraction. The trials were randomized in the same manner as the knee extension trials. Single joint testing was completed one or more days prior to the leg press testing. Kinematic data were collected at 120 Hz using a Vicon camera system and 36 markers and were low pass filtered at 6 Hz. Force data were collected at 80 Hz from the BLAST! machine. A subject-specific 3-D biomechanical model was generated in OpenSim. Positional data were used to scale a torso and leg musculoskeletal model and generate the kinematics of the leg press exercise. The force data was then combined with the kinematic data and inverse dynamics was used to solve for the knee joint moment. Knee joint moment data were normalized by dividing the joint moment by the subject’s weight (N) and height (m) for both the knee extension and the leg press tasks. The knee extension exercise was performed on a ‘single joint’ BIODEX dynamometer. Trials were performed at three different velocities (60°/s, 90°/s, and 120°/s). The order of the velocities was randomized and the subjects completed the order three times for a total of nine trials. Each trial Since there was a difference in knee joint rotational velocities on the BIODEX and leg press machines, the data could not be directly compared across machines at the same velocity. Instead the values were averaged to provide a peak knee extension moment for each apparatus during the quadriceps On both machines, the quadriceps shortening phase peak knee moment could be used to predict the peak moment developed during the quadriceps lengthening phase (Figure 3). Two limitations of this study include the modest sample size (n=13) and the leg press machine only recording the normal foot plate force. The latter is a relatively minor source of error based on unpublished data gathered on an earlier version of the machine equipped with a 6-axis force plate. CONCLUSION The peak knee joint extensor moment generated in a leg press task was significantly greater than the maximal knee extensor moment developed in the ‘single joint’ task. This has implications for the training and rehabilitation of the knee extensor muscles. REFERENCES Leg Press Peak Normalized Knee Moment The peak ‘single joint’ knee extensor moment was not a reliable predictor of the peak ‘leg press’ knee extensor moment in quadriceps shortening (Figure 1) or lengthening (Figure 2) contraction phases. This was surprising since each task involved a maximal exertion involving the knee joint. The bilateral deficit for the peak force during a leg press task is known to be approximately 80% [4] (dotted line in Figures 1 and 2). The data from the present study fall above that line and the peak knee extensor moment generated during the ‘leg press’ exercise proved significantly greater than during the ‘single joint’ knee extension exercise (p≤0.05). This study was supported by a VA RR&D Career Development Award (E2964F) and Research Award Enhancement Program. 0.30 0.25 y = 0.9497x + 0.045 R² = 0.6012 0.20 0.15 0.10 Line of Unity 0.05 Assumed Bilateral Deficit 0.00 0.00 0.05 0.10 0.15 0.20 0.25 Single Joint Peak Normalized Knee Moment Figure 1: Comparison of peak knee moment data from both the ‘single joint’ and leg press machines during the quadriceps shortening contraction phase. Leg Press Peak Normalized Knee Moment RESULTS AND DISCUSSION ACKNOWLEDGEMENTS 0.40 0.35 y = 0.5219x + 0.1143 R² = 0.3249 0.30 0.25 0.20 0.15 Series2 0.10 0.05 Series3 0.00 0.00 0.05 0.10 0.15 0.20 0.25 0.30 0.35 0.40 Single Joint Peak Normalized Knee Moment Figure 2: Comparison of peak knee moment data from both the ‘single joint’ and leg press machines during the quadriceps lengthening contraction phase. 0.40 Quadriceps Lengthening Phase Peak Normalized Knee Moment shortening and lengthening phases. The peak ‘leg press’ knee moment was averaged across both knees to compare with the ‘single joint’ knee moment value after a 13% adjustment for the difference in knee joint velocities [3]. 0.35 0.30 0.25 y = 1.0987x + 0.0484 R² = 0.8248 y = 1.3266x + 0.0343 R² = 0.6721 0.20 Single Joint 0.15 Leg Press 0.10 0.05 0.00 1. Escamilla RF, et al. Med&Sci in Sports Exercise 39:4, 556-569, 1998. 2. Wilk KE, et al. Am J Sport Med 24, 518-527, 1996. 3.Tihanyi J, et al. European J Appl Phys 48, 331343, 1982. 4. Vandervoort AA, et al. Phys Soc 46-51, 1983. 0.00 0.05 0.10 0.15 0.20 0.25 0.30 Quadriceps Shortening Phase Peak Normalized Knee Moment Figure 3: Peak knee extension moment during the quadriceps shortening and lengthening contraction phases for the knee extension and leg press tasks.
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