PMID- 23810336 OWN - NLM STAT- MEDLINE DCOM- 20140530 LR - 20131009 IS - 1879-2219 (Electronic) IS - 0966-6362 (Linking) VI - 38 IP - 4 DP - 2013 Sep TI - Muscle fatigue during repetitive voluntary contractions: a comparison between children with cerebral palsy, typically developing children and young healthy adults. PG - 962-7 LID - S0966-6362(13)00234-8 [pii] LID - 10.1016/j.gaitpost.2013.05.004 [doi] AB - AIM: To combine peak torque and EMG analyses to investigate the hypothesis that 1) children with cerebral palsy (CP) have lower muscle fatigability than typically developing children (TD) and whether 2) muscle fatigue correlates with muscle strength. METHODS: Seven CP children, eight TD children and ten young healthy adults (YHA) performed an all-out fatigue test of 35 maximal concentric knee extension and flexion contractions on an isokinetic dynamometer. Angular velocity was set at 60 degrees /s. Peak torque (PT) was determined per repetition and either normalized to bodyweight or maximum voluntary torque. Surface-EMG of quadriceps and hamstring muscles was measured to obtain changes in median frequency (EMG-mf) and smooth rectified EMG amplitude per contraction. RESULTS: Decline in PT differed between all groups for extensors and flexors, where YHA showed the largest decline and CP children the smallest decline over the course of the test. YHA showed a larger decline in EMG-mf of all quadriceps and hamstrings than TD and CP children, while TD children showed a larger decline in EMG-mf of m.rectus femoris and m.vastus lateralis than CP children. INTERPRETATION: Results confirm that children with CP show lower fatigability than TD children and that the lower fatigability coincides with lower maximal muscle strength. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Eken, M M AU - Eken MM AD - Department of Rehabilitation Medicine, MOVE Research Institute, VU University Medical Centre, Amsterdam, The Netherlands; Department of Research and Development, Rehabilitation Centre Heliomare, Wijk aan Zee, The Netherlands. Electronic address: m.eken@vumc.nl. FAU - Dallmeijer, A J AU - Dallmeijer AJ FAU - Houdijk, H AU - Houdijk H FAU - Doorenbosch, C A M AU - Doorenbosch CA LA - eng PT - Journal Article DEP - 20130627 PL - England TA - Gait Posture JT - Gait & posture JID - 9416830 SB - IM MH - Adolescent MH - Adult MH - Case-Control Studies MH - Cerebral Palsy/*physiopathology MH - Child MH - Child Development/physiology MH - Cross-Sectional Studies MH - Electromyography MH - Female MH - Humans MH - Knee Joint/physiology MH - Male MH - Muscle Contraction/*physiology MH - Muscle Development/physiology MH - Muscle Fatigue/*physiology MH - Muscle Strength/*physiology MH - Muscle Strength Dynamometer MH - Muscle, Skeletal/physiology/physiopathology MH - Quadriceps Muscle/physiology/*physiopathology MH - Thigh MH - Torque MH - Young Adult OTO - NOTNLM OT - Cerebral palsy OT - Dynamometer OT - Electromyography OT - Muscle fatigue OT - Muscle strength EDAT- 2013/07/03 06:00 MHDA- 2014/05/31 06:00 CRDT- 2013/07/02 06:00 PHST- 2012/11/29 00:00 [received] PHST- 2013/05/03 00:00 [revised] PHST- 2013/05/15 00:00 [accepted] PHST- 2013/07/02 06:00 [entrez] PHST- 2013/07/03 06:00 [pubmed] PHST- 2014/05/31 06:00 [medline] AID - S0966-6362(13)00234-8 [pii] AID - 10.1016/j.gaitpost.2013.05.004 [doi] PST - ppublish SO - Gait Posture. 2013 Sep;38(4):962-7. doi: 10.1016/j.gaitpost.2013.05.004. Epub 2013 Jun 27.