|
ANALYSIS OF ISOKINETIC KNEE EXTENSION / FLEXION IN MALE ELITE ADOLESCENT
WRESTLERS
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1University of Cukurova, Faculty of Medicine, Department of Physiology
and 2Department of Physical Education and Sports College, Adana, Turkey
| Received |
|
05 July 2005 |
| Accepted |
|
20
September 2005 |
| Published |
|
01
December 2005 |
©
Journal of Sports Science and Medicine (2005) 4, 489
- 498
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| ABSTRACT |
| Wrestling
requires strength of the upper and lower body musculature which is
critical for the athletic performance. Evaluation of the adolescent's
skeletal muscle is important to understand body movement, especially
including those involved in sports. Strength, power and endurance
capacity are defined as parameters of skeletal muscle biomechanical
properties. The isokinetic dynamometer is an important toll for making
this type of evaluation. However, load range phase of range of motion
has to be considered to interpret the data correctly. With this in
mind we aimed to investigate the lover body musculature contractile
characteristics of adolescent wrestlers together with detailed analyses
of load range phase of motion. Thirteen boys aged 12 - 14 years participated
to this study. Concentric load range torque, work and power of knee
extension and flexion were measured by a Cybex Norm dynamometer at
angular velocities from 450°/sec to 30°/sec with 30°/sec decrements
for each set. None of the wrestlers were able to attain load range
for angular velocities above 390°/sec and 420°/sec for extension and
flexion respectively. Detailed analyses of the load range resulted
in statistically significant differences in the normalized load range
peak torque for extension at 270°/sec (1.44 ± 0.28 Nm·kg-1
and 1.14 ± 0.28 Nm·kg-1 for total and load range peak torque
respectively, p < 0.05), and for flexion at 300°/sec (1.26 ± 0.28
Nm·kg-1 and 1.03 ± 0.23 Nm·kg-1 for total and
load range peak torque respectively, p < 0.05), compared to total
peak torque data. Similarly, the significant difference was found
for the work values at 90°/sec (1.91 ± 0.23 Nm·kg-1 and
1.59 ± 0.24 Nm·kg-1 for total and load range work respectively
for extension and 1.73 ± 0.21 Nm·kg-1 and 1.49 ± 0.19 Nm·kg-1
for total and load range work respectively for flexion, p < 0.05),
and was evident at higher angular velocities (p < 0.001) for both
extension and flexion. At extension, load range power values were
significantly smaller than total power for all angular velocities
except 150°/sec (p < 0.05 for 120 and 180°/sec, p < 0.001 for
others). Finally, load range flexion power was found to be higher
than total power with statistically significance (p < 0.05 for
60, 120, 150, 180, 210, 270 and 300°/sec, p < 0.001 for 240 °/sec).
Extra caution is required for correct interpretation of load range
data in terms of considering the load range during limb movement.
Evaluation of muscle performance of these adolescent wrestlers at
regular intervals may give us an opportunity to obtain a healthy maturation
profile of these adolescent wrestlers.
KEY
WORDS: Wrestling, adolescent, isokinetic dynamometer, muscle,
load range.
|
| INTRODUCTION |
|
Wrestling
is one of the most important and prestigious sports in Turkey and
numerous specially designed training schools exist to train and
educate talented young wrestlers. The main goal of these organizations
is to build up a group of wrestlers who are internationally competitive.
Scientific evaluations of physical capacity, preparation of training
schedule together with healthy maturation are critically important
for improving the performance of these athletes.
Strength is essential in modern wrestling and wrestling falls in
the category of sports defined as "strength-dependent"
by Wrigley (2000).
Wrestling events performed in a tournament setting and thus require
multiple matches within a single day and on successive days. Therefore,
wrestling tournaments present various physiological stresses (Horswill,
1992;
Morgan, 1970).
Because a wrestling match requires strength of the upper and lower
body musculature for various wrestling techniques, evaluation of
these variables may be important to determine athletic performance
capacity (Horswill, 1992).
Knowing about the biochemical properties of an individual's skeletal
muscle is important to understand body movement, including those
involved in sports and resistance exercise (Horman, 2000).
Biomechanical studies are focused on the mechanisms through which
the interacting body parts create movement. Strength, power and
endurance capacity are defined important quantities among biomechanical
properties. With the introduction of isokinetic dynamometer by Hislop
and Perrine (1967),
it has been possible to obtain objective and standardized measurements
of strength produced by intact human muscle during different velocities
of muscle shortening (Davies, et al., 2000;
Thorstensson et al., 1976).
Beside that measurements performed with dynamometer allows to study
fiber type properties in the contraction muscle (Coyle et al., 1979;
Gür et al., 2003).
Since correlation between strength and athletic performance was
demonstrated for strength-dependent sports, evaluation of muscle
performance using the isokinetic dynamometer appears to be significant
(Wrigley, 2000).
Isokinetic exercise involves three phases of movement; acceleration,
constant velocity and deceleration (Brown and Whitehurst, 2000).
The acceleration phase, rate of velocity development, represents
the beginning part of the motion and is performed without resistance
(Brown et al, 2005).
Constant velocity phase follows the acceleration phase of movement
and corresponds to the matching between mechanically imposed velocity
and subject's movement. By definition, the constant velocity portion
of range of motion (ROM) represents load range. The third phase
of motion, deceleration phase represents slowing down of the device
prior to contacting the end stop (Brown and Whitehurst, 2000).
Increased angular velocity results in a reduction in load range,
thus data from the measurements that were performed at high angular
velocities may not reflect load range values. From the classical
force - velocity curve, there is an inverse exponential relationship
between skeletal muscle contraction velocity and torque production
(Widrick et al., 1996),
and extra caution is required to make correct interpretation (Brown
and Whitehurst, 2000).
With this in mind, we aimed to investigate: 1) The lower body musculature
contractile characteristics of adolescent wrestlers by performing
concentric extension and flexion of knee at different angular velocities,
2) evaluate the load range data by separating the load range phase
from the acceleration and deceleration phases.
|
| METHODS |
|
Thirteen
boys, competitive wrestlers between the ages of 12 and 14, participated
in this study. They trained regularly about 12 hours per week throughout
the year, under a common training program. The subjects avoided
any systematic strength training two days before the testing day
and none declared musculoskeletal problems. All athletes were accompanied
by their coaches who gave their consent before engaging in the investigation.
Body weight and height were measured with standard techniques. Skinfold
thickness at sites of abdomen (ABD), triceps (TSF), subscapular
(SSF) and suprailiac (HSF) were measured on the right side of the
body using a Holtain caliper (Holtain Ltd, Crymych, UK) and for
each subject; the average of two measurements was recorded. Percentage
of body fat (%BF) was estimated using the equation of Yuhasz (Wilmore
and Benhke, 1969).
The subjects' lean body mass (LBM) was calculated by subtracting
fat tissue from the total body mass (Mameletzi and Siatras, 2003).
Concentric peak torque was measured using a Cybex Norm dynamometer
(Computerized Sports Medicine Inc. USA). Subjects were seated for
testing in the dynamometer's chair with the backrest angle at 90°.
The axis of rotation of the right knee was aligned with the axis
of rotation of the dynamometer's armature and the ankle cuff was
attached approximately 3 cm above the dorsal surface of the foot.
Gravity correction was performed throughout the testing duration.
Stabilization straps were placed over the pelvis and chest, and
participants positioned their arms across their chests during the
familiarization and testing. Immediately before familiarization
a standard cycling warm-up protocol was performed (Parcell et al.,
2002).
Subjects exercised on a cycle ergometer for 5 min with 55 ± 5 rpm.
The load was adjusted according to the subject's heart beats. Heart
beats were recorded continuously with a telemetric heart rate monitor
(S810, Polar, Finland). During the cycling the subject's heart beats
were kept between 100 - 120 beats·min-1. For familiarization with
isokinetic contraction velocities, subjects performed four maximal
repetitions at 90, 240 and 390°/sec with 1-min rest between sets.
For all testing sessions, subjects performed maximal isokinetic
contractions with a protocol from fast to slow velocity (from 450°/sec
to 30°/sec with 30°/sec decrements) with 3 repetitions. Although
most investigators are administered these velocities in ascending
order (Parcell, 2002),
subjects of this study verbally confirmed the convenience for descending
order. The range of motion for the contractions was performed from
full extension (0 degree) to full flexion (103.63 ± 6.37 degrees).
Subjects began each set with maximal flexion. They were instructed
to contract maximally over the complete range of motion and rested
for 1 minute between each set. During testing session the subjects
were given verbal encouragement to help to ensure that a maximal
effort was being put forth.
The torque, range of motion and velocity data was used for calculations.
The data collected directly from the dynamometer and no accessory
equipment used to increase the sampling frequency. Among the three
repetitions, the one that had the highest torque was accepted and
calculations were performed in this data set. The calculations mentioned
below were performed for all velocities both for flexion and extension.
Torque data were normalized with respect to body weight.
The range of motion - velocity graph was plotted and the acceleration
was calculated by taking the first derivative of velocity with respect
to range of motion as shown in Figure
1. The data points near to zero value (fluctuations equal to
0 ± 0.2) in the first derivative curve were accepted as isokinetic
(load range). The ratio of load range to total range of motion was
defined as load range percentage of motion and used to calculate
load range peak torque, work and power.
Total work done during both extension and flexion was calculated
by integrating the range of motion - torque graph. The area below
the total plot is the work done during the range of motion. Load
range work was calculated from the isokinetic range of motion -
torque graph as well.
Peak torque and the joint angle at peak torque were determined for
both flexion and extension of total and load range of motions. The
flexion - extension (F/E) ratio was calculated for both peak toque
and power values.
Load range - peak torque ratio for 240°/sec : 30°/sec torque ratio
was used to predict muscle fiber type distribution as described
by Gür et al. (2003).
Statistics
Values were expressed as mean ± SD. Repeated measures analyses was
used to analyze the data within and between groups. Student t-test
was used to compare the difference between groups at each angular
velocity. Paired t test was used within groups to compare the baseline
data (at 30°/sec) with each angular velocity. Significance was defined
as p < 0.05.
|
| RESULTS |
|
The
descriptive characteristics of the young wrestlers aged 12 - 14
are presented in Table 1.
The
load range percent of the total ROM for extension and flexion at
increasing angular velocities are represented in Figure
2A and 2B respectively.
Increased angular velocity resulted in a reduction in the load range
percentage from 94.02 ± 0.71 % (30°/sec) to 4.12 ± 1.83 % (390°/sec)
for extension and from 94.50 ± 0.73 % (30°/sec) to 6.56 ± 1.48 %
(420°/sec) for flexion. The subjects could not attain the load range
at higher velocities above 390°/sec for extension and 420°/sec for
flexion.
The measured load range peak torque joint angles for extension decreased
from 89.95° ± 10.45 to 38.81° ± 1.17 for 30°/sec to 390°/sec respectively
(Figure 3). Similarly peak
torque joint angles increased for flexion from 23.41 ± 8.11 to 72.83
± 1.09 for 30°/sec to 420°/sec respectively (Figure
3). These data is in agreement with the values that Osternig
(2000)
presented.
Normalized peak torque values for the total contraction and the
load range phase at different angular velocities for extension and
flexion are given in Figure 4A
and B respectively. In Figure
4A peak torque decreased in both total contraction and load
range phases at higher angular velocities. At 30°/sec and 60°/sec
angular velocities, peak torques of total contraction and load range
phases are identical (p = 1.00). At increased angular velocities,
an insignificant change occurred and became statistically significant
above 270°/sec (1.44 ± 0.28 Nm·kg-1 body weight for total
peak torque and 1.14 ± 0.28 Nm·kg-1 body weight for load
range peak torque; p < 0.05). A similar relationship was observed
in the flexion part of the motion. For 30°/sec, 60°/sec, 90°/sec
and 120°/sec velocities, peak torques of total contraction and load
range phases were identical as well (p = 1.00). This similarity
began to change at velocities higher than 120°/sec and statistically
significant difference was observed above 300°/sec (1.26 ± 0.28
Nm·kg-1 body weight for total peak torque and 1.03 ±
0.23 Nm·kg-1 body weight for load range peak torque;
p < 0.05).
Normalized
load range peak torque ratio of 240°/sec : 30°/sec was calculated
as 0.47 ± 0.06. This value corresponds to nearly 30% of relative
type II fiber area (Gür et al., 2003).
Calculated normalized work values (Nm·kg-1 body weight)
for different angular velocities are given in Figure
5A and 5B for extension
and flexion respectively. Total and load range work values decreased
at higher angular velocities and showed similar reduction pattern
for extension and flexion. For extension phase calculated load range
work is statistically different than the total work in angular velocities
above 90°/sec (1.91 ± 0.23 for total normalized work and 1.59 ±
0.24 for load range normalized work; p < 0.05). In the flexion
phase the statistically significant difference between total and
calculated load range work was determined at 90°/sec as well (1.73
± 0.21 for total normalized work and 1.49 ± 0.19 for load range
normalized work; p < 0.05). The difference for the angular velocities
above 90°/sec was also significant (p < 0.001).
The
extension and flexion data of the power - angular velocity plots
are presented in Figure 6A
and 6B respectively. As shown
in Figure 6A, both total and
load range power (Watt·kg-1 body weight) reached peak
values 210°/sec (2.6 ± 0.41 for load range power and 3.27 ± 0.31
for total power). On the other hand, at higher angular velocities
load range power values decreased to 1.13 ± 0.38 at 390°/sec, whereas
total power was calculated as 3.17 ± 0.44. The differences between
total and load range power for angular velocities from 30°/sec to
390°/sec are statistically significant except at 150°/sec (p <
0.05 for 120 - 180°/sec and p<0.001 for rest of the angular velocities).
In the flexion part of the motion the calculated load range power
values were significantly higher than total power values between
60 - 300°/sec except at 90°/sec (p < 0.001 for 240°/sec and p
< 0.05 for the rest of the angular velocities).
Peak torque flexion - extension ratio (F/E) is presented in Figure
7. The ratio increased significantly after 180°/sec (0.81 ±
0.08). There was also a significant difference between 30°/sec and
120°/sec (0.71 ± 0.06 and 0.80 ± 0.08 respectively).
Similarly, F/E for muscle power is increased significantly beginning
at 120 /sec (0.93 ± 0.15) compared to 30 /sec (0.87 ± 0.09) (Figure
8).
|
| DISCUSSION |
|
The
results of our study support the argument that load range is reduced
with increased angular speed of knee extension and flexion. Adolescent
wrestlers could not reach the load range phase of motion over the
angular velocities of 390°/sec for extension and 420°/sec for flexion.
In fact isokinetic dynamometers provide an upper limit for angular
velocity and it is a possibility for individuals to complete contractions
without reaching predetermined velocity. Consideration of load range
for peak torque, work and power calculation resulted significant
differences in the data presented by isokinetic dynamometer. Since
the athlete received an external load through the smaller portion
of the full ROM as angular velocity of motion increased (Brown et
al., 1995),
it was necessary to take this into account in analyzing the data.
As underlined by Brown and Whitehusrt (2000),
to ignore this situation may cause incorrect interpretation of the
load range data.
Detection
of the load range
Discrimination of acceleration and deceleration phases had been
possible by using the derivative analyses of ROM - velocity curve
for each angular velocity. As shown by Lanza et al (2003),
constant velocity part of the angular velocity trace during knee
extension and flexion represents the load range phase of the ROM.
Plotting the derivative values of this curve made it possible to
identify clearly the acceleration and deceleration phases. The middle
portion of this curve was very close to zero (fluctuations 0 ± 0.2,
Figure 1) and defined as the
load range. By performing this mathematical evaluation for every
individual data set, we claim that the detection of load range has
been objective and accurate. At this point we do not have enough
data to explain the very small differential fluctuations in the
load range, but this may represent the instability between the lever
arm and moving limb.
Attaining load range
Decreased load range percentage of the ROM at increased angular
velocities showed significant changes between the total and load
range peak torque values at slow contraction velocities (Figure
4A and Figure 4B). However
work (Figure 5A and Figure
5B) and power values (Figure
6A and Figure 6B) have
also been significant at lower angular velocities. These data are
in agreement with the data presented by Lanza et al (2003).
Contraction velocity has critical importance in determining the
load range attaining ability for a moving limb during load range
evaluation. In fact alterations in contraction speed may be due
to a number of changes in muscle morphology, subjects' age and the
ratio between type I and type II muscle fiber area (Larsson, 1995;
Lexell and Downham, 1992;
Thorstensson et al., 1976).
The ability to generate high motor unit discharge rate is another
important parameter affecting the changes in muscle contraction
velocity (Connelly et al., 1999;
Kamel et al., 1995).
The presence of this multifactorial variability may explain the
interindividual muscle contractility differences that we observed
in our study.
Evaluation
of the athletic performance
Even though some data related to isokinetic evaluation of adolescent
wrestlers have been published before, to the best of our knowledge
no detailed studies of the subject have been previously reported.
For a sport such as wrestling, muscle strength, power and velocity
are the main determinants for success. Therefore percentage of type
II fibers is an important determinant of athletic achievement. Detecting
the differences in myosine isoform may be possible by performing
dynamic contractions at different angular velocities with an isokinetic
dynamometer (Gür et al., 2003).
Considering the previously published regression equations by Gür
et al (2003),
we estimated the relative type II muscle fiber area of knee extensors
as nearly 30%. However, the ratio that we calculated shows that
subjects of this study had smaller portion of fast twitch muscle
fibers. As reported previously, age may be an important factor for
determination of isokinetic strength. The increase in strength with
maturation, the age effect, may be attributed to increase in body
size (Housh et al., 1996;
Thorland et al., 1990),
alterations in fat free mass, neuromuscular maturation (Malmstorm
and Lindstrom, 1997)
and changes in muscle tissue itself (Cooper et al., 1984;
Welsman et al, 1996).
It should be noted that Costill et al. (1979)
observed a selective hypertrophy of fast twitch muscles with strength
training. A child's performance and adaptation to training should
not be directly compared to that of an adult as significant differences
exist, especially during the accelerated growth with puberty (Bailey
and Martin, 1988).
It will be very important to evaluate changes in contractile properties
during these wrestlers' maturation.
The
peak torque and power values in the present study are slightly higher
than the adolescent with low level physical activity (Larsson et
al., 1979).
On the other hand peak torque values for extension and flexion together
with flexion power data are in agreement with the data published
by Mameletzi and Siatras (2003).
However relative power values for knee extension were lower than
the data presented by these investigators. Taking the load range
into consideration may explain the disparity for knee extension.
Since, prepubertal growth and bioenergetic characteristics of adolescent
may not be dependent on regular athletic activity (Damsgaard et
al., 2000),
the values that we measured may reflect the genetic characteristics
of the adolescent (Bailey and Martin, 1988).
On the other hand, normalized peak torque values tended to be higher
in Olympic level competitive wrestlers (Kraemer et al., 2001).
Training history as well as differences in age groups may explain
this disparity. Age is an important factor in determining torque,
velocity and power characteristics of skeletal muscle (Lanza et
al, 2003)
and dynamic strength reaches the peak values at the age group of
(Larsson et al., 1979;
Lindle, 1997)
20 - 30 years. Endocrinological changes with puberty, training history
and related physiological alterations may explain the difference
of load range contraction characteristics of our study, as compared
to elite adult wrestlers.
Concerning the comparison of knee flexion and extension ratio (F/E),
significant differences were observed at angular velocities over
180°/sec for peak torque, and 120°/sec for muscle power values.
Weir et al. (1999)
reported similar ratios for muscle peak torque in wrestlers in the
same age group for the angular velocities at 30°/sec and 180°/sec.
However previously reported F/E for peak torque ratio at 300°/sec
was lower than the ratio presented in the present study. The disparity
between these two studies for the high angular velocities may be
due to the difference in isokinetic testing mode. On the other hand,
F/E peak torque ratio was found to be higher than the adolescent
swimmers studied by Mameletzi and Siatras (2003).
By training in the aquatic environment, swimmers have to perform
isokinetic exercise continuously (Åstrand and Rodahl, 1977).
On the other hand wrestlers had to train against gravity. Difference
in the physical training environment may explain the disparity between
these two types of athletes. F/E ratio of peak torque and power
may provide important information about knee joint stability. The
calculated F/E ratio for the angular velocities above 120°/sec had
shown a significantly differences compare to the values of 30°/sec.
Explaining this imbalance for high angular velocities is not possible
with the present data but may be interpreted as a risk factor for
muscle injury occurrence.
|
| CONCLUSIONS |
| Evaluation
of the dynamometer data required consideration of the load range for
correct analysis and interpretation. The presence of statistically
significant differences at lower angular velocities demonstrates the
importance of load range determination. The athletic performance of
adolescent wrestlers is in agreement with the data published with
different investigators. Repeating muscle performance evaluation in
regular intervals may give us an opportunity to prepare the maturation
profile of these adolescent wrestlers. |
| ACKNOWLEDGEMENT |
| We
would like to thank Ismet Atli, Ali Gökdogan and Ismet Atli Wrestling
School staff for their kindly contribution. Also we would like to
thank Dr. Gülsah Seydaoglu for statistical review and Dr. Cagliyan
Kurdak and Dr. Nadine Wang for improving English. |
| KEY
POINTS |
- Consideration
of load range for peak torque, work and power calculation resulted
significant differences in the data presented by isokinetic dynamometer.
Therefore evaluation of the dynamometer data required consideration
of the load range for correct analysis and interpretation.
- Contraction
velocity has critical importance in determining the load range
attaining ability for a moving limb during load range evaluation.
In fact alterations in contraction speed may be due to a number
of changes in muscle morphology, subjects' age and the ratio between
type I and type II muscle fiber area.
|
| AUTHORS
BIOGRAPHY |
Sanlı Sadi KURDAK
Employment: Prof., University of Cukurova, Medical Faculty,
Department of Physiology, Adana.
Degree: MD, PhD.
Research interests: Exercise physiology.
E-mail: sskurdak@cu.edu.tr
|
|
|
Kerem ÖZGÜNEN
Employment: University of Cukurova, Medical Faculty, Department
of Physiology, Adana.
Degree: PhD.
Research interests: Exercise physiology.
E-mail: kozgunen@cu.edu.tr
|
|
|
Ümüt
ADAS
Employment: Research Assistant, University of Cukurova,
Department of PE, Adana.
Degree: BSc.
Research interests: Exercise physiology.
E-mail: uadas@cu.edu.tr
|
|
Cigdem ZEREN
Employment: University of Cukurova, Medical Faculty, Department
of Physiology, Adana.
Degree: MD.
Research interests: Exercise physiology
E-mail: cigdemzeren@mynet.com |
|
Banu ASLANGIRAY
Employment: University of Cukurova, Department of PE, Adana.
Degree: Graduate student.
Research interests: Exercise physiology
E-mail: baslangiray@mynet.com |
|
Zübeyde YAZICI
Employment: Research Assistant, University of Cukurova,
Department of PE, Adana.
Degree: MS.
Research interests: Exercise physiology
E-mail: zubeydeyaz@yahoo.com
|
|
Selcen
KORKMAZ
Employment: Research Assistant, University of Cukurova,
Department of PE, Adana.
Degree: MS.
Research interests: Exercise physiology
E-mail: selcen_korkmaz@yahoo.com |
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