Effects of deficit of strength in the sit-to-stand task in people with multiple sclerosis

  1. Carmen Gutiérrez Cruz 1
  2. Juan Carlos de la Cruz Márquez 1
  3. Francisco Javier Rojas Ruiz 1
  4. Marcos Gutiérrez Dávila 1
  1. 1 Department of Physical Education and Sports. University of Granada, Spain
Revista:
European Journal of Human Movement

ISSN: 0214-0071 2386-4095

Ano de publicación: 2019

Número: 42

Páxinas: 1-14

Tipo: Artigo

Outras publicacións en: European Journal of Human Movement

Resumo

To assess how the deficit of static strength associated with neurological and functional alterations caused by multiple sclerosis (MS) affects sit-to-stand (STS) performance. A comparative analysis of STS performance was conducted in four groups. 20 persons with MS, with an EDSS score <6.5, were divided into two groups based on sex and static strength of leg extensor muscles. Twenty healthy controls were allocated to another two groups based on the same criteria. STS performance was assessed by measuring ground reaction forces and 2D photogammetry. Participants with MS exhibited similar static strength that control groups, only in those persons with higher Expanded Disability Status Scale the deficit was higher. However, MS groups show lower dynamic strength during muscle extension in the STS task. This effect could be related to other alterations associated with MS such as postural control and coordination impairment. The MS sample with deficit of static strength took longer to perform the STS task (p<0.001), being the deceleration period the one that most contributed to delay (p<0.001). Although the static force is similar between groups with MS vs Controls groups, performance of the STS task is altered by dynamic strenght weakness and postural control and coordination factors that are related with the level of disability reported by MS through the EDSS scale.

Información de financiamento

This work Project DEP2016-75460-R has been supported by the State Research Agency (SRA) and European Regional Development Fund (ERDF)

Financiadores

Referencias bibliográficas

  • Bowser B, O'Rourke S, Brown CN, White L, Simpson KJ. Sit-to-stand biomechanics of individuals with multiple sclerosis. Clin Biomech (Bristol, Avon). 2015 Oct;30(8):788-94
  • Broekmans T, Gijbels D, Eijnde BO, Aldersl G, Lamers I, Roelants M, Feys P. The relationship between upper leg muscle strength and walking capacity in persons with multiple sclerosis. Mult Scler. 2013 Jan;19(1):112-119.
  • Doorenbosch CA, Harlaar J, Roebroeck ME, Lankhorst GJ. Two strategies of transferring from sit-to-stand; the activation of monoarticular and biarticular muscles. J Biomech. 1994; 27(11): 1299-307.
  • Feltner ME, Bishop EJ, Perez CM. Segmental and kinetic contributions in vertical jumps performed with and without an arm swing. Res Q Exerc Sport. 2004 Sep;75(3):216-230.
  • Fimland MS, Helgerud J, Gruber M, Leivseth G, Joff J. Enhanced neural drive after maximal strength training in multiple sclerosis patients. Eur J Appl Physiol. 2010 Sep;110(2):435-443.
  • Fujimoto M, Chou L. Dynamic balance control during sit-to-stand movement: An examination with the center of mass acceleration. J Biomech 2012; 45: 543-548.
  • Gutiérrez-Dávila M, Dapena J, Campos J. The effect of muscular pre-tensing on the sprint start. J Appl Biomech.2006; 22(3): 194-201.
  • Jørgensen MLK, Dalgas U, Wens I. Hvid LG. Muscle strength and power in persons with multiple sclerosis –A systematic review and meta-analysis. J Neurol Sci. 2017 May 15;376:225-241
  • Kjølhede T, Vissing K, Langeskov-Christensen D, Stenager E, Petersen T, Dalgas U. Relationship between muscle strength parameters and functional capacity in persons with mild to moderate degree multiple sclerosis. Mult Scler Relat Disord. 2015 Mar;4(2):151-158
  • Lambert C P, Archer RL, Evans W J. Muscle strength and fatigue during isokinetic exercise in individuals with multiple sclerosis. Med Sci Sports Exerc. 2001 Oct;33(10):1613-19
  • Medina-Pérez C, de Souza-Teixeira F, Fernández-Gonzalo R, de Paz-Fernández JA. Effects of a resistance training program and subsequent detraining on muscle strength and muscle power in multiple sclerosis patients. NeuroRehabilitation. 2014;34(3):523-30
  • Noseworthy JH, Lucchinetti C, Rodriguez M, Weinshenker BG. Multiple sclerosis, New England Journal of Medicine 2000; 343(13): 938-952.
  • Papa E, Cappozzo A. A telescopic inverted-pendulum model of the musculo-squeletal system and its use for the analysis of the sit-to-stand motor task. J Biomech 1999; 32: 1205-1212.
  • Papa E, Cappozzo A. Sit-to-stand motor strategies investigated in able-bodied young and elderly subjects. J Biomech 2000; 33: 1113-1122.
  • Sibella F, Galli M, Romei M, Montesano A, Crivellini M. Biomechanical analysis of sit-to-stand movement in normal and obese subjects. Clin Biomech (Bristol, Avon). 2003 Oct;18(8):745-750
  • Stevermer CA, Gillette JC. Kinematic and kinetic indicators of sit-to-stand. J Appl Biomech. 2016 Feb;32(1):7-15
  • Wens I, Dalgas U, Vandemabeele F, Krekels M, Grevendonk L, Eijnde BO. Multiple sclerosis affects skeletal muscle characteristics. Plos One 2014; 9(9): 1-5.
  • White LJ, Dressendorfer RH. Exercise and multiple sclerosis. Sports Med. 2004; 34 (15): 1077-100
  • Wood GA, Jenning SL. On the use of spline functions for data smoothing. J Biomech, 1979; 12: 477–479.
  • Yahia A, Ghroubi S, Mhiri C, Elleuch MH. Relationship between muscular strength, gait and postural parameters in multiple sclerosis. Ann Phys Rehabil Med. 2011 May;54(3):144-155.