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Article type: Research Article
Authors: Allison, Katelyn Fleishmana; * | Abt, John P.b | Beals, Kima | Nagle, Elizabeth F.c | Lovalekar, Mita T.a | Lephart, Scott M.b | Sell, Timothy C.d
Affiliations: [a] Neuromuscular Research Laboratory, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA | [b] College of Health Sciences, University of Kentucky, Lexington, KY, USA | [c] Department of Health and Physical Activity, School of Education, University of Pittsburgh, Pittsburgh, PA, USA | [d] Michael W. Krzyzewski Human Performance Laboratory (K-Lab), Department of Orthopaedic Surgery, School of Medicine, Duke University, Durham, NC, USA
Correspondence: [*] Corresponding author: Katelyn F. Allison, Neuromuscular Research Laboratory, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water Street, Pittsburgh, PA 15203, USA. Tel.: +1 412 246 0460; Fax: +1 412 246 0461; E-mail:kaf14@pitt.edu
Abstract: BACKGROUND: Fatiguing exercise may impair functional joint stability and increase injury risk. Musculoskeletal and physiological characteristics are related to fatigue, but their relationship with proprioceptive changes following fatigue is unknown. OBJECTIVE: To establish the relationship between strength and physiological characteristics and changes in knee proprioception following fatigue. METHODS: Physically active women (N = 20, 28.7 ± 5.6 years, 165.6 ± 4.3 cm, 61.8 ± 8.0 kg) underwent isokinetic knee strength and peak oxygen uptake (VO2peak)/lactate threshold (LT) testing during Visit 1, and threshold to detect passive motion (TTDPM) and isometric knee strength testing before and after fatiguing exercise during Visit 2. RESULTS: Fatigue demonstrated no effect on TTDPM despite a decrease in isometric knee flexion strength (P< 0.05). Strength and physiological variables were not significantly correlated with changes in TTDPM. VO2peak was correlated with pre-fatigue (r= -0.50) and post-fatigue (r= -0.52) TTDPM into extension (P< 0.05), and further analyses demonstrated that post-fatigue changes in isometric knee flexion strength and strength ratio were related to post-fatigue changes in proprioception (r= -0.62 and -0.40, P< 0.05). CONCLUSIONS: Physically active women with higher aerobic capacity exhibit enhanced knee proprioception, and may benefit from training to strengthen and reduce the fatigability of the knee flexors following intense exercise, as these changes were associated with reduced proprioception.
Keywords: Proprioception, fatigue, kinesthesia, aerobic capacity, knee injury, strength
DOI: 10.3233/IES-160638
Journal: Isokinetics and Exercise Science, vol. 24, no. 4, pp. 357-365, 2016
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