Electromyographic activity of the rectus femoris muscles following the knee joint cooling with different cooling agents
Abstract
Materials and methods: The study population consisted of 12 healthy women (mean age: 25.33 years) and 11 healthy men (mean age: 28 years). Each participant reported to the study center 3 times. Study procedures included a one-time body composition analysis, measurement of skinfold thickness above the knee, completion of the International Physical Activity Questionnaire (IPAQ), and 3 LC sessions. Each visit began with sEMG recordings of the right and left rectus femoris muscles in a free-standing position. One of the 3 cooling agents was then applied to the right knee joint only (for 3 min), and sEMG was repeated after 20 min. The rectus femoris muscle of both the exposed and unexposed lower limbs was evaluated.
Results: There was no significant effect of the LC procedure on the root mean square amplitude (ARMS) of the sEMG signal after LN (p = 0.887), CA (p = 0.559), or IB (p = 0.999) stimulation. There was also no significant change in the ARMS value of the rectus femoris muscle in the unstimulated limb.
Conclusion: Regardless of the cooling agent used, cooling the knee joint does not significantly affect the spontaneous bioelectric activity of the rectus femoris muscle in either the treated or the contralateral limb.
Keywords
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Bayındır SK, Çürük GN, Oguzhan A. Effect of ice bag application to femoral region on pain in patients undergoing percutaneous coronary intervention. Pain Res Manag 2017;2017:6594782. doi: 10.1155/2017/6594782.
Guillot X, Tordi N, Mourot L, Demougeot C, Dugué B, Prati C, et al. Cryotherapy in inflammatory rheumatic diseases: a systematic review. Expert Rev Clin Immunol 2014;10(2):281-94. doi: 10.1586/1744666X.2014.870036.
Guillot X, Tordi N, Prati C, Verhoeven F, Pazart L, Wendling D. Cryotherapy decreases synovial Doppler activity and pain in knee arthritis: A randomized-controlled trial. Joint Bone Spine 2017;84(4):477-83. doi: 10.1016/j.jbspin.2016.09.004.
Korman P, Straburzyńska-Lupa A, Romanowski W, Trafarski A. Temperature changes in rheumatoid hand treated with nitrogen vapors and cold air. Rheumatol Int 2012;32(10):2987-92. doi: 10.1007/s00296-011-2078-5.
Kunkle BF, Kothandaraman V, Goodloe JB, Curry EJ, Friedman RJ, Li X, et al. Orthopaedic application of cryotherapy: a comprehensive review of the history, basic science, methods, and clinical effectiveness. JBJS Rev 2021;9(1):e20.00016. doi: 10.2106/JBJS.RVW.20.00016.
Radecka A, Pluta W, Lubkowska A. Assessment of the dynamics of temperature changes in the knee joint area in response to selected cooling agents in thermographic tests. Int J Environ Res Public Health 2021;18(10):5326. doi: 10.3390/ijerph18105326.
Castro PATS, Barbosa GM, Machanocker DH, Peres RS, Cunha TM, Cunha JE, et al. Clinical-like cryotherapy in acute knee arthritis of the knee improves inflammation signs, pain, joint swelling, and motor performance in mice. PLoS One 2022;17(1):e0261667. doi: 10.1371/journal.pone.0261667.
Douzi W, Guillot X, Bon D, Seguin F, Boildeu N, Wendling D, et al. 1H-NMR-based analysis for exploring knee synovial fluid metabolite changes after local cryotherapy in knee arthritis patients. Metabolites 2020;10(11):460. doi: 10.3390/metabo10110460.
Kinugasa R, Yoshida K, Watanabe T, Kuchiki K, Horii A. Skin cooling alters the activation patterns of different heads of the quadriceps. Can J Appl Physiol 2005;30(2):127-39. doi: 10.1139/h05-110.
Kim JS, Mettler JA, McCurdy K, Kim KM. Effects of focal knee joint cooling on static and dynamic strength of the quadriceps: innovative approach to muscle conditioning. Int J Environ Res Public Health 2021;18(9):4890. doi: 10.3390/ijerph18094890.
Maasri RE, Jarvie JR, Karski JS, Smith LJ, Malek MH. The influence of cold therapy on the physical working capacity at the electromyographic threshold for consecutive exercise sessions. Bioengineering (Basel) 2024;11(3):292. doi: 10.3390/bioengineering11030292.
Loro WA, Thelen MD, Rosenthal MD, Stoneman PD, Ross MD. The effects of cryotherapy on quadriceps electromyographic activity and isometric strength in patient in the early phases following knee surgery. J Orthop Surg (Hong Kong) 2019;27(1):2309499019831454. doi: 10.1177/2309499019831454.
Kwon S, Bruening DA, Morrin SJ, Kunz DM, Hopkins JT, Seeley MK. Simultaneous ice and transcutaneous electrical nerve stimulation decrease anterior knee pain during running but do not affect running kinematics or associated muscle inhibition. Clin Biomech (Bristol) 2020;72:1-7. doi: 10.1016/j.clinbiomech.2019.11.011.
McManus L, De Vito G, Lowery MM. Analysis and biophysics of surface EMG for physiotherapists and kinesiologists: toward a common language with rehabilitation engineers. Front Neurol 2020;11:576729. doi: 10.3389/fneur.2020.576729.
Vigotsky AD, Halperin I, Lehman GJ, Trajano GS, Vieira TM. Interpreting signal amplitudes in surface electromyography studies in sport and rehabilitation sciences. Front Physiol 2018;8:985. doi: 10.3389/fphys.2017.00985.
Farina D, Merletti R, Enoka RM. The extraction of neural strategies from the surface EMG: an update. J Appl Physiol (1985) 2014;117(11):1215-30. doi: 10.1152/japplphysiol.00162.2014.
Farina D, Enoka RM. Evolution of surface electromyography: From muscle electrophysiology towards neural recording and interfacing. J Electromyogr Kinesiol 2023;71:102796. doi: 10.1016/j.jelekin.2023.102796.
Wu F, Zhang J, Yang K, Li Y, Li Z, Li T, et al. Surface electromyography analysis of ankle flexor and extensor activity under different standing stability levels. J Orthop Surg (Hong Kong) 2024;32(2):10225536241258336. doi: 10.1177/10225536241258336.
Alcan V, Zinnuroğlu M. Current developments in surface electromyography. Turk J Med Sci 2023;53(5):1019-31. doi: 10.55730/1300-0144.5667.
Yamanaka E, Goto R, Kawakami M, Tateishi T, Kondo K, Nojima I. Intermuscular coherence during quiet standing in sub-acute patients after stroke: an exploratory study. Brain Sci 2023;13(12):1640. doi: 10.3390/brainsci13121640.
Krause KH, Magyarosy I, Gall H, Ernst E, Pongratz D, Schoeps P. Effects of heat and cold application on turns and amplitude in surface EMG. Electromyogr Clin Neurophysiol 2001;41(2):67-70.
Tassignon B, Serrien B, De Pauw K, Baeyens JP, Meeusen R. Continuous knee cooling affects functional hop performance – a randomized controlled trial. J Sports Sci Med 2018;17(2):322-9.
Anaya-Terroba L, Arroyo-Morales M, Fernández-de-Las-Peñas C, Díaz-Rodríguez L, Cleland JA. Effects of ice massage on pressure pain thresholds and electromyography activity postexercise: a randomized controlled crossover study. J Manipulative Physiol Ther 2010;33(3):212-9. doi: 10.1016/j.jmpt.2010.01.015.
Radecka A, Lubkowska A. Direct effect of local cryotherapy on muscle stimulation, pain and strength in male office workers with lateral epicondylitis, non-randomized clinical trial study. Healthcare (Basel) 2022;10(5):879. doi: 10.3390/healthcare10050879.
Biernat E, Stupnicki R, Gajewski AK. Międzynarodowy Kwestionariusz Aktywności Fizycznej (IPAQ) – wersja polska. Wychow Fiz Sport 2007;51(1):47-54.
Huber J, Torlińska T, Skoracka J, Witkowska A, Szukała A, Bryl A. Zmienność dobowa sprawności jednostek ruchowych w mięśniu zdrowego człowieka w badaniach elektromiograficznych. Now Lek 2007;76(5):390-7.
Huber J, Lisiński P, Polowczyk A. Reinvestigation of the dysfunction in neck and shoulder girdle muscles as the reason of cervicogenic headache among office workers. Disabil Rehabil 2013;35(10):793-802. doi: 10.3109/09638288.2012.709306.
Lee N. Does the relative muscle activation of the vastus medialis, rectus femoris, and vastus lateralis, during the various activities, change in relation to the quadriceps angle? J Phys Ther Sci 2018;30(4):540-3. doi: 10.1589/jpts.30.540.
Bleakley CM. Is it possible to achieve optimal levels of tissue cooling in cryotherapy? Phys Ther Rev 2010;15(4):344-50. doi: 10.1179/174328810X12786297204873.
Wytrążek M, Huber J, Lipiec J, Kulczyk A. Evaluation of palpation, pressure algometry, and electromyography for monitoring trigger points in young participants. J Manipulative Physiol Ther 2015;38(3):232-43. doi: 10.1016/j.jmpt.2014.12.005.
Colloca CJ, Keller TS. Electromyographic reflex responses to mechanical force, manually assisted spinal manipulative therapy. Spine (Phila Pa 1976) 2001;26(10):1117-24. doi: 10.1097/00007632-200105150-00005.
Akehi K, Long BC, Warren AJ, Goad CL. Ankle joint angle and lower leg musculotendinous unit responses to cryotherapy. J Strength Cond Res 2016;30(9):2482-92. doi: 10.1519/JSC.0000000000001357.
Wakabayashi H, Wijayanto T, Tochihara Y. Neuromuscular function during knee extension exercise after cold water immersion. J Physiol Anthropol 2017;36(1):28. doi: 10.1186/s40101-017-0144-8.
Winkel J, Jørgensen K. Significance of skin temperature changes in surface electromyography. Eur J Appl Physiol Occup Physiol 1991;63(5):345-8. doi: 10.1007/BF00364460.
Drinkwater EJ, Behm DG. Effects of 22 degrees C muscle temperature on voluntary and evoked muscle properties during and after high-intensity exercise. Appl Physiol Nutr Metab 2007;32(6):1043-51. doi: 10.1139/H07-069.
Carroll TJ, Herbert RD, Munn J, Lee M, Gandevia SC. Contralateral effects of unilateral strength training: evidence and possible mechanisms. J Appl Physiol (1985) 2006;101(5):1514-22. doi: 10.1152/japplphysiol.00531.2006.
Munn J, Herbert RD, Gandevia SC. Contralateral effects of unilateral resistance training: a meta-analysis. J Appl Physiol (1985) 2004;96(5):1861-6. doi: 10.1152/japplphysiol.00541.2003.
Bezerra P, Zhou S, Crowley Z, Brooks L, Hooper A. Effects of unilateral electromyostimulation superimposed on voluntary training on strength and cross-sectional area. Muscle Nerve 2009;40(3):430-7. doi: 10.1002/mus.21329.
Hortobágyi T, Richardson SP, Lomarev M, Shamim E, Meunier S, Russman H, et al. Interhemispheric plasticity in humans. Med Sci Sports Exerc 2011;43(7):1188-99. doi: 10.1249/MSS.0b013e31820a94b8.
Lee M, Carroll TJ. Cross education: possible mechanisms for the contralateral effects of unilateral resistance training. Sports Med 2007;37(1):1-14. doi: 10.2165/00007256-200737010-00001.
DOI: https://doi.org/10.21164/pomjlifesci.1137
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