Abstract
The purposes of this study were to investigate the effects of fatigue location and age on changes in postural control induced by localized muscle fatigue, as well as the patterns of recovery post-fatigue. Groups of 16 younger (18–25 years) and 16 older (55–65 years) participants performed submaximal isotonic fatiguing exercises involving the unilateral ankle plantar flexors, knee extensors, and shoulder flexors, and bilateral lumbar extensors. Postural control was assessed during quiet upright stance, from center-of-pressure and center-of-mass time series obtained before and after the fatiguing exercises. Acute effects of fatigue differed between joints, with the most substantial effects evident at the lower back, followed by the ankle. Neither knee nor shoulder fatigue resulted in significant effects on postural control. Significant acute effects of fatigue were found only among the younger group. Recovery of postural control post-fatigue was influenced by age, being more rapid in the younger group, but not by fatigue location. Along with existing evidence, these results may facilitate the development of strategies to prevent occupational falls.
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References
Allum JHJ, Bloem BR, Carpenter MG, Hulliger M, Hadders-Algra M (1998) Proprioceptive control of posture: a review of new concepts. Gait Posture 8:214–242. doi:10.1016/S0966-6362(98)00027-7
Amiridis IG, Hatzitaki V, Arabatzi F (2003) Age-induced modifications of static postural control in humans. Neurosci Lett 350:137–140. doi:10.1016/S0304-3940(03)00878-4
Baloh RW, Spain S, Socotch TM, Jacobson K, Bell T (1995) Posturography and balance problems in older people. J Am Geriatr Soc 43:638–644
Bellew JW, Fenter PC (2006) Control of balance differs after knee or ankle fatigue in older women. Arch Phys Med Rehabil 87:1486–1489. doi:10.1016/j.apmr.2006.08.020
Berg WP, Alessio HM, Mills EM, Tong C (1997) Circumstances and consequences of falls in independent community-dwelling older adults. Age Ageing 26:261–268. doi:10.1093/ageing/26.4.261
Bergland A, Wyller TB (2004) Risk factors for serious fall related injury in elderly women living at home. Inj Prev 10:308–313. doi:10.1136/ip.2003.004721
Bilodeau M, Henderson TK, Nolta BW, Pursley PJ, Sandfort GL (2001) Effects of aging on fatigue characteristics of elbow flexor muscles during sustained submaximal contraction. J Appl Physiol 91:2654–2664
BLS (2007a) Number of nonfatal occupational injuries and illnesses involving days away from work by event or exposure leading to injury or illness and industry sector, 2006. US Department of Labor. Bureau of Labor Statistics, Washington, DC
BLS (2007b) Census of fatal occupational injuries charts, 1992–2006. US Department of Labor, Bureau of Labor Statistics, Washington, DC
Corbeil P, Blouin J, Bégin F, Nougier V, Teasdale N (2003) Perturbation of the postural control system induced by muscular fatigue. Gait Posture 18:92–100. doi:10.1016/S0966-6362(02)00198-4
Corriveau H, Hébert R, Prince F, Raîche M (2001) Postural control in the elderly: an analysis of test–retest and interrater reliability of the COP–COM variable. Arch Phys Med Rehabil 82:80–85. doi:10.1053/apmr.2001.18678
Davidson BS, Madigan ML, Nussbaum MA (2004) Effects of lumbar extensor fatigue and fatigue rate on postural sway. Eur J Appl Physiol 93:183–189. doi:10.1007/s00421-004-1195-1
de Leva P (1996) Adjustments to Zatsiorsky-Seluyanov’s segment inertia parameters. J Biomech 29:1223–1230. doi:10.1016/0021-9290(95)00178-6
Delignières D, Deschamps T, Legros A, Caillou N (2003) A methodological note on nonlinear time series analysis: is the open- and closed-loop model of Collins and De Luca (1993) a statistical artifact? J Mot Behav 35:86–96
Du Pasquier RA, Blanc Y, Sinnreich M, Landis T, Burkhard P, Vingerhoets F (2003) The effect of aging on postural stability: a cross sectional and longitudinal study. Clin Neurophysiol 33:213–218. doi:10.1016/j.neucli.2003.09.001
Fernie GR, Gryfe CI, Holliday PJ, Llewellyn A (1982) The relationship of postural sway in standing to the incidence of falls in geriatric subjects. Age Ageing 11:11–16. doi:10.1093/ageing/11.1.11
Gatev P, Thomas S, Kepple T, Hallett M (1999) Feedforward ankle strategy of balance during quiet stance in adults. J Physiol 514:915–928. doi:10.1111/j.1469-7793.1999.915ad.x
Gosselin G, Rassoulian H, Brown I (2004) Effects of neck extensor muscles fatigue on balance. Clin Biomech (Bristol, Avon) 19:473–479. doi:10.1016/j.clinbiomech.2004.02.001
Gribble PA, Hertel J (2004a) Effect of Lower-extremity muscle fatigue on postural control. Arch Phys Med Rehabil 85:589–592. doi:10.1016/j.apmr.2003.06.031
Gribble PA, Hertel J (2004b) Effect of hip and ankle muscle fatigue on unipedal postural control. J Electromyogr Kinesiol 14:641–646. doi:10.1016/j.jelekin.2004.05.001
Hara Y, Findley TW, Sugimoto A, Hanayam K (1998) Muscle fiber conduction velocity (MFVC) after fatigue in elderly subjects. Electromyogr Clin Neurophysiol 38:427–435
Hertel J, Olmsted-Kramer LC, Challis JH (2006) Time-to-boundary measures of postural control during single leg quiet standing. J Appl Biomech 22:67–73
Horak FB (2006) Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing 35(suppl 2):ii7–ii11
Hsiao H, Simeonov P (2001) Preventing falls from roofs: a critical review. Ergonomics 44:537–561. doi:10.1080/00140130110034480
Johnston RB, Howard ME, Cawley PW, Losse GM (1998) Effect of lower extremity muscular fatigue on motor control performance. Med Sci Sports Exerc 30:1703–1707. doi:10.1097/00005768-199812000-00008
Klein C, Cunningham DA, Paterson DH, Taylor AW (1988) Fatigue and recovery contractile properties of young and elderly men. Eur J Appl Physiol 57:684–690. doi:10.1007/BF01075989
Kwon O, Choi H, Yi C, Kwon H (1998) The effects of knee and ankle muscles surrounding the knee and ankle joints on one-leg static standing balance. J Phys Ther Sci 10:7–12. doi:10.1589/jpts.10.7
Lafond D, Corriveau H, Hébert R, Prince F (2004) Intrasession reliability of the center of pressure measures of postural steadiness in healthy elderly people. Arch Phys Med Rehabil 85:896–901. doi:10.1016/j.apmr.2003.08.089
Lanza IR, Russ DW, Kent-Braun JA (2004) Age-related enhancement of fatigue resistance is evident in men during both isometric and dynamic tasks. J Appl Physiol 97:967–975. doi:10.1152/japplphysiol.01351.2003
Lattanzio P, Petrella RJ, Sproule JR, Fowler PJ (1997) Effects of fatigue on knee proprioception. Clin J Sport Med 7:22–27
Lentell GL, Katzman LL, Walters MR (1990) The relationship between muscle function and ankle stability. J Orthop Sports Phys Ther 11:605–611
Lichtenstein MJ, Shields SL, Shiavi RG, Burger MC (1988) Clinical determinants of biomechanics platform measures of balance in aged women. J Am Geriatr Soc 36:996–1002
Lin D, Seol H, Nussbaum MA, Madigan ML (2008) Reliability of COP-based postural sway measures and age-related differences. Gait Posture 28:337–342. doi:10.1016/j.gaitpost.2008.01.005
Lundin TM, Feuerback JW, Grabiner MD (1993) Effect of plantar flexor and dorsiflexor fatigue on unilateral postural control. J Appl Biomech 9:191–201
Mackey DC, Robinovitch SN (2005) Postural steadiness during quiet stance does not associate with ability to recover balance in older women. Clin Biomech (Bristol, Avon) 20:776–783. doi:10.1016/j.clinbiomech.2005.05.002
Mademli L, Arampatzis A, Karamanidis K (2008) Dynamic stability control in forward falls: postural corrections after muscle fatigue in young and older adults. Eur J Appl Physiol 103:295–306. doi:10.1007/s00421-008-0704-z
Maki BE, Holliday PJ, Fernie GR (1990) Aging and postural control. A comparison of spontaneous- and induced-sway balance tests. J Am Geriatr Soc 38:1–9
Merletti R, Farina D, Gazzoni M, Schieroni MP (2002) Effect of age on muscle functions investigated with surface electromyography. Muscle Nerve 25:65–76. doi:10.1002/mus.10014
Norris JA, Marsh AP, Smith IJ, Kohut RI, Miller ME (2005) Ability of static and statistical mechanics posturographic measures to distinguish between age and fall risk. J Biomech 38:1263–1272. doi:10.1016/j.jbiomech.2004.06.014
Nussbaum M (2003) Postural stability is compromised by fatiguing overhead work. Am Ind Hyg Assoc J 64:56–61
Ochsendorf DT, Mattacola CG, Arnold BL (2000) Effect of orthotics on postural sway after fatigue of the plantar flexors and dorsiflexors. J Athl Train 35:26–30
Okada S, Hirakawa K, Takada Y, Kinoshita H (2001) Age-related differences in postural control in humans in response to a sudden deceleration generated by postural disturbance. Eur J Appl Physiol 85:10–18. doi:10.1007/s004210100423
Owings TM, Pavol MJ, Foley KT, Grabiner MD (2000) Measures of postural stability are not predictors of recovery from large postural disturbances in healthy older adults. J Am Geriatr Soc 48:42–50
Pajala S, Era P, Koskenvuo M, Kaprio J, Törmäkangas T, Rantanen T (2008) Force platform balance measures as predictors of indoor and outdoor falls in community-dwelling women aged 63–76 years. J Gerontol A Biol Sci Med Sci 63:171–178
Pedersen J, Lönn J, Hellström F, Djupsjöbacka M, Johansson H (1999) Localized muscle fatigue decreases the acuity of the movement sense in the human shoulder. Med Sci Sports Exerc 31:1047–1052. doi:10.1097/00005768-199907000-00019
Pline KM, Madigan ML, Nussbaum MA, Grange RW (2005) Lumber extensor fatigue and circumferential ankle pressure impair ankle joint motion sense. Neurosci Lett 390:9–14. doi:10.1016/j.neulet.2005.07.047
Pline KM, Madigan ML, Nussbaum MA (2006) Influence of fatigue time and level on increases in postural sway. Ergonomics 49:1639–1648. doi:10.1080/00140130600901678
Prieto TE, Myklebust JB, Hoffmann RG, Lovett EG, Myklebust BM (1996) Measures of postural steadiness: differences between healthy young and elderly adults. IEEE Trans Biomed Eng 43:956–966. doi:10.1109/10.532130
Punakallio A (2005) Balance abilities of workers in physically demanding jobs: with special reference to firefighters of different ages. J Sports Sci Med 4(Suppl. 8):1–47
Rubenstein L (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Aging 35(suppl 2):ii37–ii41
Salavati M, Moghadam M, Ebrahimi I, Arab AM (2007) Changes in postural stability with fatigue of lower extremity frontal and sagittal plane movers. Gait Posture 26:214–218. doi:10.1016/j.gaitpost.2006.09.001
Schieppati M, Nardone A, Schimid M (2003) Neck muscle fatigue affects postural control in man. Neuroscience 121:277–285. doi:10.1016/S0306-4522(03)00439-1
Stel VS, Smit JH, Pluijm SMF, Lips P (2003) Balance and mobility performance as treatable risk factors for recurrent falling in older persons. J Clin Epidemiol 56:659–668. doi:10.1016/S0895-4356(03)00082-9
Taimela S, Kankaanpää M, Luoto S (1999) The effect of lumbar fatigue on the ability to sense a change in lumbar position. Spine 24:1322–1327. doi:10.1097/00007632-199907010-00009
Toossi M (2005) Labor force projections to 2014: retiring boomers. Mon Labor Rev 128:25–44
Tropp H (1986) Pronator muscle weakness in functional instability of the ankle joint. Int J Sports Med 7:291–294. doi:10.1055/s-2008-1025777
van Wegen EEH, van Emmerik REA, Riccio GE (2002) Postural orientation: age-related changes in variability and time-to-boundary. Hum Mov Sci 21:61–84. doi:10.1016/S0167-9457(02)00077-5
Voight ML, Hardin JA, Blackburn TA, Tippett S, Canner GC (1996) The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther 23:348–352
Vuillerme N, Nougier V, Prieur J (2001) Can vision compensate for a lower limbs muscular fatigue for controlling posture in humans? Neurosci Lett 308:103–106. doi:10.1016/S0304-3940(01)01987-5
Vuillerme N, Pinsault N, Vaillant J (2005) Postural control during quiet standing following cervical muscular fatigue: effects of changes in sensory inputs. Neurosci Lett 378:135–139. doi:10.1016/j.neulet.2004.12.024
Vuillerme N, Anziani B, Rougier P (2007) Trunk extensor muscles fatigue affects undisturbed postural control in young healthy adults. Clin Biomech (Bristol, Avon) 22:489–494. doi:10.1016/j.clinbiomech.2007.01.007
Winter DA (2004) Biomechanics and motor control of human movement, 3rd edn. Wiley, New Jersey
Winter DA, Prince F, Frank JS, Powell C, Zabjek KF (1996) Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiol 75:2334–2343
Winter DA, Patla AE, Rietdyk S, Ishac MG (2001) Ankle muscle stiffness in the control of balance during quiet standing. J Neurophysiol 85:2630–2633
Yaggie JA, McGregor SJ (2002) Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Arch Phys Med Rehabil 83:224–228. doi:10.1053/apmr.2002.28032
Yamada H, Okada M, Nemoto S, Shiozaki T, Kizuka T, Kuno S, Masuda T (2000) Effects of aging on EMG variables during fatiguing isometric contractions. J Hum Ergol (Tokyo) 29:7–14
Yassierli, Nussbaum MA (2007) Muscle fatigue during intermittent isokinetic shoulder abduction: age effects and utility of electromyographic measures. Ergonomics 50:1110–1126
Yassierli NussbaumMA, Iridiastadi H, Wojcik LA (2007) The influence of age on isometric endurance and fatigue is muscle dependent: a study of shoulder abduction and torso extension. Ergonomics 50:26–45
Acknowledgments
This work was supported in part by Cooperative Agreement Number R01 OH0078802 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC. The authors thank Mr. Nathan P. Fleming for his assistance in data collection.
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Lin, D., Nussbaum, M.A., Seol, H. et al. Acute effects of localized muscle fatigue on postural control and patterns of recovery during upright stance: influence of fatigue location and age. Eur J Appl Physiol 106, 425–434 (2009). https://doi.org/10.1007/s00421-009-1026-5
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DOI: https://doi.org/10.1007/s00421-009-1026-5