La fatiga de los músculos extensores de muñeca disminuye la fuerza de prensión palmar
DOI:
https://doi.org/10.1590/1809-2950/17328524012017Palabras clave:
Fuerza de la Mano, Fuerza de Pellizco, Fatiga, ElectromiografíaResumen
En este estudio se evalúa los resultados de un protocolo de fatiga de los músculos extensores de muñeca en la fuerza de presión y de pinza empleando la dinamometría y la electromiografía de superficie (EMG). Se eligieron a cuarenta hombres, los cuales fueron divididos en dos grupos: el de presión y el de pinza lateral. Se basó el protocolo de fatiga en la prueba de 1 Repetición Máxima (1RM), y se realizó el movimiento de extensión de muñeca muchas veces con carga del 75% de la 1RM. Los participantes realizaron la tarea de prensión o de pinza lateral asociada a la de dinamometría. La EMG fue realizada por ambos grupos, en los que se evaluó el comportamiento ante el protocolo de la frecuencia mediana (Fm) del extensor radial del carpo (ERC), del extensor cubital del carpo (ECC) y del flexor superficial de los dedos (FD). Se realizaron la dinamometría de presión o de pinza lateral y la EMG antes y después del protocolo de fatiga en ambos grupos. El protocolo de fatiga fue eficaz en la disminución de la fuerza de presión palmar (43,5±3,85 kgf inicial y 36,50±5,1 kgffinal) y de pinza lateral (10,26±1,01 kgf inicial y 8,54±0,86 kgf final), así como en la disminución de la Fm, lo que demuestra una condición de fatiga del ECC en el grupo de presión. Los resultados de este estudio permiten relacionar la fatiga de los extensores de muñeca a la disminución de fuerza en las actividades funcionales, lo que puede causar trastornos musculoesqueléticos del miembro superior.Descargas
Referencias
Avery DM, Rodner CM, Edgar CM. Sports-related wrist and
hand injuries: a review. J Orthop Surg Res. 2016;11:99. doi:
1186/s13018-016-0432-8.
Rubin G, Peleg K, Givon A; Israel Trauma Group, Rozen N.
Upper extremity fractures among hospitalized road traffic
accident adult. Am J Emerg Med. 2015;33:250-3. doi: 10.1016/j.
ajem.2014.11.048.
Henderson CJ, Kobayashi KM. Ulnar-sided wrist pain in
the athlete. Orthop Clin North Am. 2016;47(4):789-98. doi:
1016/j.ocl.2016.05.017.
Dimitrios S. Exercise for tendinopathy. World J Methodol.
;5(2):51-4. doi: 10.5662/wjm.v5.i2.51.
Chourasia AO, Buhr KA, Rabago DP, Kijowski R, Irwin CB,
Sesto ME. Effect of lateral epicondylosis on grip force
development. J Hand Ther. 2012;25(1):27-36. doi: 10.1016/j.
jht.2011.09.003.
Fain E, Weatherford C. Comparative study of millennials’
(age 20-34 years) grip and lateral pinch with the norms. J
Hand Ther. 2016;29(4):1-5. doi: 10.1016/j.jht.2015.12.006.
Vinjamuri R, Mao ZH, Sclabassi R, Sun M. Limitations of
surface EMG signals of extrinsic muscles in predicting
postures of human hand. Conf Proc IEEE Eng Med Biol Soc.
;1:5491-4. doi: 10.1109/IEMBS.2006.260329.
Krischak A, Krasteva F, Schneider D, Gulkin F, Gebhard
M. Physiotherapy after volar plating of wrist fractures is
effective using a home exercise program. Arch Phys Med
Rehabil. 2009;90(4):537-44.
Hoozemans MJM, Van Dieën JH. Prediction of handgrip
forces using surface EMG of forearm muscles. J Electrrmyogr
Kinesiol. 2005;15(4):358-66. doi: 10.1016/j.jelekin.2004.09.001.
Finneran A, O’sullivan L. Effects of grip type and wrist posture
on forearm EMG activity, endurance time and movement
accuracy. Int J Industr Ergon. 2013;43(1):91-9. http://dx.doi.
org/10.1016/j.ergon.2012.11.012.
Shimose R, Matsunaga A, Muro M. Effect of submaximal
isometric wrist extension training on grip strength. Eur J Appl
Physiol. 2011;111(3):557-65. doi: 10.1007/s00421-010-1675-4.
Fisioter Pesqui. 2017;24(1):100-106
Bawa P, Chalmers GR, Jones KE, Segaard K, Walsh MI.
Control of the wrist joint in humans. Eur J Appl Physiol.
;83(2):116-27.
Coombes BK, Bisset L, Vicenzino B. Management of lateral
elbow tendinopathy: one size does not fit all. J Orthop Sports
Phys Ther. 2015;45(11):938-49. doi: 10.2519/jospt.2015.5841.
Caporrino FA, Faloppa F, Santos JBG, Réssio C, Soares
FHC, Couto FH, et al. Estudo populacional da força de
preensão palmar com dinamômetro Jamar®. Rev Bras Ortop.
;33(2):150-4.
Araújo MP, Pola MP, Caporrino FA, Faloppa F, Albertoni M.
Estudo populacional das forças das pinças polpa-a-polpa,
trípode e lateral. Rev Bras Ortop. 2002;37(11/12):496-504.
Steiber N. Strong or weak handgrip? Normative reference
values for the german population across the life course
stratified by sex, age, and body height. PLoS ONE.
;11(10):e0163917.
Tang JB, Ryu J, Han J, Omokawa S, Kish V, Wearden S.
Biomechanical changes of the wrist flexor and extensor
tendons following loss of scaphoid integrity. J Orthop Res.
;15(1):69-75. doi: 10.1002/jor.1100150111.
Alizadehkhaiyat O, Fisher AC, Kemp GJ, Vishwanathan K,
Frostick SP. Upper limb muscle imbalance in tennis elbow: a
functional and electromyographic assessment. J Orthop Res.
;25:1651-7. doi: 10.1002/jor.20458.
Allen DG, Lamb GD, Westerblad H. Skeletal muscle fatigue:
cellular mechanisms. Physiol Rev. 2008;88:287-332. doi:
1152/physrev.00015.2007.
Reaz MBI, Hussain MS, Mohd-yasin F. Techniques of EMG signal
analysis: detection, processing, classification and applications.
Biol Proced Online. 2006;8(1):11-35. doi: 10.1251/bpo115.
Pinter IJ, Bobbert MF, Soest AJKV, Smeets JBJ. Isometric
torque–angle relationships of the elbow flexors and
extensors in the transverse plane. J Electromyogr Kinesiol.
;20(5):923-31. doi: 10.1016/j.jelekin.2010.05.001.
Keir PJ, Brow MM. Force, frequency and gripping alter upper
extremity muscle activity during a cyclic push task. Ergonomics.
;55(7):813-24. doi: 10.1080/00140139.2012.668947
Bonato P, Roy SH, Knaflitz M, De Luca CJ.. Time-frequency
parameters of the surface myoelectric signal for assessing
muscle fatigue during cyclic dynamic contractions. IEEE Trans
Biomed Eng. 2001 Jul;48(7):745-53. doi: 10.1109/10.930899.
De luca CJ. The use of surface electromyography in
biomechanics. Journal Applied Biomechanics. 1997;13:135-163.
Silva RA et al. Back muscle fatigue of younger and older
adults with and without chronic low back pain using two
protocols: a case-control study. Journal of Electromyography
and Kinesiology. 2015;25(6):928-936.
Mogk JPM, Keir PJ. The effects of posture on forearm muscle
loading during gripping. Ergonomics. 2003;46(9):956-975.
Kong Y, Hallbeck MS, Jung M. Crosstalk effect on surface
electromyogram of the forearm flexors during a static
grip task. J Electromyogr Kinesiol. 2010;20:1223-1229. doi:
1016/j.jelekin.2010.08.001.
Rota S, Morel B, Saboul D, Rogowski I, Hautier C. Influence
of fatigue on upper limb muscle activity and performance in
tennis. J Electromyogr Kinesiol. 2014;24: 90-7. doi: 10.1016/j.
jelekin.2013.10.007.
Bruniera CAV, Rogério FRPG, Rodacki ALF. Stabilometric
response during single-leg stance after lower limb muscle
fatigue. Braz J Phys Ther. 2013;17(5):464-9. doi: 10.1590/
S1413-35552012005000119.
Leal Junior EC, Lopes-Martins RA, Dalan F, Ferrari M,
Sbabo FM, Generosi RA, et al. Effect of 655-nm low-level
laser therapy on exercise-induced skeletal musclefatigue
in humans. Photomed Laser Surg. 2008;26:419-424. doi:
1089/pho.2007.2160.
Mathiowetz V, Wiemer DM, Federman SM. Grip and pinch
strength:norms for 6- to 19-year-olds. Am J Occup Ther.
;40(10):705-11.
Marcolino AM, Barbosa RI, Rodrigues E, Tamanini G, Colombari
F, Fonseca MC. Influence of volar and dorsal static orthoses
in different wrist positions on muscle activation and grip
strength in healthy subjects. Hand Ther. 2014;19(4):114-25.
Sayer, AA, Kirkwood TB. Grip strength and mortality: a
biomarker of ageing? Lancet. 2015;386:226-7. DOI: 10.1016/
S0140-6736(14)62349-7.
Tanaka DM, Ferreira, Aline Miranda, Colombari F, Barbosa RI,
Marcolino AM, Mazzer N, Fonseca MC. Muscles co-activation
and wrist position during sustained grip in healthy subjects.
Revista do Instituto de Ciências da Saúde. 2014;32:194-197.
Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H,
Cooper C, Sayer AA. A review of the measurement of grip
strength in clinical and epidemiological studies: towards a
standardised approach. Age Ageing. 2011;40(4):423-9. doi:
1093/ageing/afr051.
Danna-Dos Santos A, Poston B, Jesunathadas M, Bobich LR,
Hamm TM, Santello M. Influence of fatigue on hand muscle
coordination and EMG-EMG coherence during three-digit
grasping. J Neurophysiol. 2010;104(6):3576-87. doi: 10.1152/
jn.00583.2010.
Alizadehkhaiyat O, Frostick SP. Electromyographic
assessment of forearm muscle function in tennis players with
and without Lateral Epicondylitis. J Electromyogr Kinesiol.
;25:876-86. doi: 10.1016/j.jelekin.2015.10.013.
Ferreira AM, Fonseca MCR, Tanaka DM, Barbosa RI, Marcolino
AM, Elui VMC, Mazzer N. Should we think about wrist extensor
after flexor tendon repair? SAGE Open Med. 2013;1:1-6. doi:
1177/2050312113494974.
Coldham F, Lewis J, Lee H. The reliability of one vs. three grip
trials in symptomatic and asymptomatic subjects. J Hand
Ther. 2006;19:318-27. DOI: 10.1197/j.jht.2006.04.002.
Larivière C, Da Silva RA, Arsenault AB, Nadeau S, Plamondon
A, Vadeboncoeur R. Specificity of a back muscle roman chair
exercise in healthy and back pain subjects. Med Sci Sports
Exerc. 2011;43(1):157-64. doi: 10.1249/MSS.0b013e3181e96388.
Silva CR, Geres BS, Kuriki HU, Negrão Filho RF, Alves N, Azevedo
FM. Análise da reprodutibilidade de parâmetros no domínio
da frequência do sinal EMG utilizados na caracterização da
fadiga muscular localizada. Motriz. 2012;18(3):456-64. http://
dx.doi.org/10.1590/S1980-65742012000300006.
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