Muscle volume as a predictor of maximum force generating ability in the plantar flexors post-stroke

ABSTRACT Introduction: Post‐stroke muscle weakness is commonly thought to be the result of a combination of decreased voluntary activation and decreased maximum force generating ability (MFGA). We assessed the ability of muscle volumes obtained using MRI to estimate the MFGA of the plantar flexor mu...

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Veröffentlicht in:Muscle & nerve 2013-12, Vol.48 (6), p.971-976
Hauptverfasser: Knarr, Brian A., Ramsay, John W., Buchanan, Thomas S., Higginson, Jill S., Binder-Macleod, Stuart A.
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container_end_page 976
container_issue 6
container_start_page 971
container_title Muscle & nerve
container_volume 48
creator Knarr, Brian A.
Ramsay, John W.
Buchanan, Thomas S.
Higginson, Jill S.
Binder-Macleod, Stuart A.
description ABSTRACT Introduction: Post‐stroke muscle weakness is commonly thought to be the result of a combination of decreased voluntary activation and decreased maximum force generating ability (MFGA). We assessed the ability of muscle volumes obtained using MRI to estimate the MFGA of the plantar flexor muscle group in individuals post‐stroke. Methods: MRI was used to measure muscle volume of the plantar flexor muscle group in 17 individuals with post‐stroke hemiparesis. A modified burst superimposition test was used to measure force of volitional contraction and predict the MFGA of the plantar flexors. Results: While muscle volume obtained by means of MRI provided information on the overall size of muscle, it overestimated the force generating ability of the paretic plantar flexors. Conclusions: Results suggest that MRI‐derived muscle volume underestimates the functional impairment in individuals post‐stroke. Interestingly, the central activation ratio had a strong relationship with the maximum volitional force of contraction. Muscle Nerve 48: 971–976, 2013
doi_str_mv 10.1002/mus.23835
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We assessed the ability of muscle volumes obtained using MRI to estimate the MFGA of the plantar flexor muscle group in individuals post‐stroke. Methods: MRI was used to measure muscle volume of the plantar flexor muscle group in 17 individuals with post‐stroke hemiparesis. A modified burst superimposition test was used to measure force of volitional contraction and predict the MFGA of the plantar flexors. Results: While muscle volume obtained by means of MRI provided information on the overall size of muscle, it overestimated the force generating ability of the paretic plantar flexors. Conclusions: Results suggest that MRI‐derived muscle volume underestimates the functional impairment in individuals post‐stroke. Interestingly, the central activation ratio had a strong relationship with the maximum volitional force of contraction. Muscle Nerve 48: 971–976, 2013</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.23835</identifier><identifier>PMID: 23494851</identifier><identifier>CODEN: MUNEDE</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; electrical stimulation ; Electromyography ; Female ; Foot - innervation ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Muscle Contraction - physiology ; muscle strength ; Muscle Strength - physiology ; Muscle Weakness - diagnosis ; Muscle Weakness - etiology ; Muscle, Skeletal - pathology ; Muscle, Skeletal - physiopathology ; plantar flexors ; Predictive Value of Tests ; Regression Analysis ; stroke ; Stroke - complications ; Weightlifting</subject><ispartof>Muscle &amp; nerve, 2013-12, Vol.48 (6), p.971-976</ispartof><rights>Copyright © 2013 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5515-921f6e3a0407565620a16174af026bd354c2bd700d9e9e1932fd1e4a32f6fee3</citedby><cites>FETCH-LOGICAL-c5515-921f6e3a0407565620a16174af026bd354c2bd700d9e9e1932fd1e4a32f6fee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmus.23835$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmus.23835$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23494851$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Knarr, Brian A.</creatorcontrib><creatorcontrib>Ramsay, John W.</creatorcontrib><creatorcontrib>Buchanan, Thomas S.</creatorcontrib><creatorcontrib>Higginson, Jill S.</creatorcontrib><creatorcontrib>Binder-Macleod, Stuart A.</creatorcontrib><title>Muscle volume as a predictor of maximum force generating ability in the plantar flexors post-stroke</title><title>Muscle &amp; nerve</title><addtitle>Muscle Nerve</addtitle><description>ABSTRACT Introduction: Post‐stroke muscle weakness is commonly thought to be the result of a combination of decreased voluntary activation and decreased maximum force generating ability (MFGA). We assessed the ability of muscle volumes obtained using MRI to estimate the MFGA of the plantar flexor muscle group in individuals post‐stroke. Methods: MRI was used to measure muscle volume of the plantar flexor muscle group in 17 individuals with post‐stroke hemiparesis. A modified burst superimposition test was used to measure force of volitional contraction and predict the MFGA of the plantar flexors. Results: While muscle volume obtained by means of MRI provided information on the overall size of muscle, it overestimated the force generating ability of the paretic plantar flexors. Conclusions: Results suggest that MRI‐derived muscle volume underestimates the functional impairment in individuals post‐stroke. Interestingly, the central activation ratio had a strong relationship with the maximum volitional force of contraction. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Muscle &amp; nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knarr, Brian A.</au><au>Ramsay, John W.</au><au>Buchanan, Thomas S.</au><au>Higginson, Jill S.</au><au>Binder-Macleod, Stuart A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Muscle volume as a predictor of maximum force generating ability in the plantar flexors post-stroke</atitle><jtitle>Muscle &amp; nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2013-12</date><risdate>2013</risdate><volume>48</volume><issue>6</issue><spage>971</spage><epage>976</epage><pages>971-976</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><coden>MUNEDE</coden><abstract>ABSTRACT Introduction: Post‐stroke muscle weakness is commonly thought to be the result of a combination of decreased voluntary activation and decreased maximum force generating ability (MFGA). 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subjects Aged
electrical stimulation
Electromyography
Female
Foot - innervation
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Muscle Contraction - physiology
muscle strength
Muscle Strength - physiology
Muscle Weakness - diagnosis
Muscle Weakness - etiology
Muscle, Skeletal - pathology
Muscle, Skeletal - physiopathology
plantar flexors
Predictive Value of Tests
Regression Analysis
stroke
Stroke - complications
Weightlifting
title Muscle volume as a predictor of maximum force generating ability in the plantar flexors post-stroke
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