Identifying and Qualifying Musculoskeletal Therapies by Mel Siff

Posted by: Mel Siff Blog  :  Category: Electrostim/EMS, Training Theory, recovery

If any one thing that characterises the resolution of musculoskeletal pain
and dysfunction, it is the large number of different approaches which enjoy
some measure of success. It has never been established that there is
definitely one best method of treating problems of the back, shoulder, legs,
arms, yet the claims of many qualified and ‘informal’ therapists suggest that
they alone have developed methods that are far better than any others. In
fact, some of these therapists use such a mixture of different methods, that,
given sufficient time, effort and psychological stroking, they have to
produce some progress.

Some of these therapists, especially those with informal or self-awarded
‘credentials’, spend an inordinate amount of time applying an extensive Read more…

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • YahooMyWeb
  • Google Bookmarks
  • Yahoo! Buzz
  • TwitThis
  • Live
  • LinkedIn
  • Pownce
  • MySpace

Defining, Assessing and Implementing Core Stability by Mel Siff

Posted by: Mel Siff Blog  :  Category: Biomechanics, Disease and Injury, Mel Siff and the Core, Mel Siff on Anatomy/Physiology, Training Theory

The following letter was sent to one of the professional physical therapy
groups. Since it focused on the rather trendy cuurent fad of “core
stabilisation”, I thought that this discussion would also be of value here.
Far too many self-proclaimed authorities on back pain, trunk stabilisation
and core stabilisation are proliferating some rather dubious beliefs about
these topics and it about time that some far more cautious science were
applied to them.

Here is the original letter:

<< I’ve just been awarded a research bursary and am planning to investigate
the possible link between hamstring strength and core trunk stability. I’m
planning to measure concentric/eccentric hams strength intially, send
subjects off to do hams strength work, transversus abdominus strength work
and placebo exercises. I’ve been able to get lots of literature re hams
strength, transversus abdominus (mainly Hodges, Jull and Richardson) and hams
injury prevention. What I haven’t been able to get is much information on
hamstring/muscular trunk control interaction. Anybody out there able to point
me in the right direction? >>

Here is my response:

***Just a small point about which I have written before – how does one assess
“core stability” statically or dynamically under conditions in which
peripheral stabilisation does not play a significant role in the overall
stabilisation process or confound the results? For instance, if one wishes
to assess “core stability” in a standing position, then how do we rule out
the major role played by the lower extremity musculature in the process?

Moreover, stability is not necessarily a result of adequate strength, but the
amount of “strength”, force or torque exerted at crucial stages of joint
action throughout any given movement. If someone produces inappropriate
patterns or timings of motion, then, no matter how strong a given muscle may
be, then stability will be severely compromised. This point often seems to
be forgotten in many studies of relationship between injuries and muscle
strength. Though the intrinsic strength of a muscle may be adequate in the
execution of a given task, it may not be utilised efficiently in that or
other tasks.

Moreover, if strength is adjudged to be adequate as estimated by static or
isokinetic tests in a given action, this does not imply that strength under
other conditions will be adequate. We simply cannot ignore the vital fact
that strength is not only the result of muscle action, but of neuromuscular
facilitation in response to specific stimulation in a given motor task. It
is not valid to extrapolate findings from isolated joint testing to a process
as multifactorial as dynamic stabilisation.

In this regard, articles such as the following can be very revealing:

Zajac FE & Gordon MF(1989) Determining muscle’s force and action in
multi-articular movement Exerc Sport Sci Revs 17: 187-230

Andrews JG (1985) A general method for determining the functional role of a
muscle J Biomech Eng 107: 348-353

Andrews JG (1982) On the relationship between resultant joint torques and
muscular activity Med Sci Sports Exerc 14: 361-7

What does all of this imply for the researcher? Well, it means that the
research protocol, and possibly the title of the project, needs to be devised
very carefully to take these problems into account. One has to be especially
careful as to how one defines and measures “stability”, especially the
“stability” of a portion of a dynamically linked system. So far, I am not
very convinced that many researchers are adequately addressing this problem -
maybe you could take a significant step forward to rise above the
perpetuation of some dubious traditional and relatively unchallenged
hypotheses. Best wishes in your task!

Mel Siff
Denver, USA

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • YahooMyWeb
  • Google Bookmarks
  • Yahoo! Buzz
  • TwitThis
  • Live
  • LinkedIn
  • Pownce
  • MySpace

Muscle Contraction or Action? By Mel Siff

Posted by: Mel Siff Blog  :  Category: Biomechanics, Mel Sif vs ......, Training Theory

Here we are witnessing a discussion bwteen Mel Siff and another distinguished member on the Supertraining Forums

Member<< I might take issue with some of this and ask for greater clarification.
While it is true that for general purposes a muscle is “measured relative to
its resting, unactivated length”, the relationship between lengthening and
shortening is relative to the extremes of the specific action being examined
and would seem to have nothing to do with “resting, unactivated length”….

While it is true, that the “attempt” to contract against opposing force
provides tension to the muscle in all three muscle action/contractions, true
contraction “only” occurs when the filaments actually “slide”, providing
a “shortening”. So even though we might be able to loosely term the act of
tensioning, “contracting”, we would be acknowledging that the “attempt to
contract” is “understood”. >>

Mel Siff:

***I was clarifying the definitions and analysis of muscle action according
to what is accepted in standard high level texts and was not trying to create
a new body of knowledge, because literature that I came across did not
reflect an adequate degree of accuracy on the topic. You have offered
comments which apply to muscles in different states of excitation, including
altered cognitive states, which intentionally have been excluded from the
accepted definitions because they are acknowledged not to be true resting
states. It would also help if you provided some references to support any
opinions, so that we don’t simply end up having a jolly good rumble in the
playground of speculation.

Member:

<<It is also true that due to the elastic nature of the “muscle complex” that
it is possible to have a small amount of “shortening” during an isometric or
eccentric action, this action is limited to the elastic properties and “is
not” representitive of the total action in these cases.>>

Mel Siff:

***This is not exactly correct, since the sliding filament model of muscle
and photomicrographs of muscle action show clearly that the actin-myosin
units shorten and thereby tension the other non-contractile elements in the
muscle complex. Also, there are elastic and viscoelastic components in the
muscle complex, so that the issue is not one of simple elastic extension.

Member:

<<I think we more accurately would say during a “forced lengthening” eccentric
action, the muscle “attempts” to contract. >>

Mel Siff:

***No, whether the action is “forced” by a heavy load or allowed to happen
voluntarily when a person lowers a light load, the muscle will contract. It
does not “attempt” to contract – it contracts. Muscle contraction is not a
matter of ‘half-hearted’, semi-committed action, but the result of all or
nothing excitation of muscle fibres. If there are any “attempts” to initiate
a motor action, then this process happens at a neural level, not at a
muscular level.

Member:

<<I am pressed to see that a true contraction (shortening) can happen under
these conditions. Even though, as I have stated, a muscle has a degree of
elasticity that may allow a small amount of actual contracting (within the
limits of structural integrity), I think somehow we are confusing the
“attempt to contract” with the actual “act of contracting”. The resistive
action in the muscle to a “forced lengthening” is not called an eccentric
contraction. It is called an eccentric action (or attempt to contract
against an active/superior force)>>

Member:

*** How can elasticity allow for contraction? Elasticity is always
associated with lengthening in extensible tissues such as the muscles and
elastic bands. This elasticity and possibly some ’sliding’ within the muscle
complex contribute to the electromechanical delay associated with the
activation of a muscle from its relaxed to its contracting state.

You will notice that I referred to eccentric “action” throughout my post, so
that this comment has no bearing on what I wrote. I take great care not to
confuse action with contraction, as do any biomechanists working in the same
field. As noted above, the concept of “attempting” to contract is not a
local muscular process or even one of spinal motor reflex action.

In one of my recent posts I even mentioned that the resting length in some
cases (as in individuals suffering measurement of muscle length is a relative
one. I simply emphasized that there happens to be a well-accepted definition
of resting (unexcited) muscle length in every individual.

Member:

<<Biomechanically, the two actions (concentric-eccentric) are distinct and
different. You might simply say that one acts as a brake and the other acts
as a motor.>>

Mel Siff:

***Interestingly, though research has shown that isometric action is
controlled by different brain mechanisms from dynamic action, no such
difference has been found between concentric and eccentric muscle action (we
discuss this point in Ch 1 of “Supertraining”). During all forms of JOINT
action, the underlying process of muscle CONTRACTION is the same, though
there are differences in the utilisation of deformable passive tissues and
the various reflexes.

I can anticipate your possibly detouring into some lengthy semantic arguments
about what we are discussing, and that will simply induce me to summarise
even more information on this topic from some very competent authorities.
So, to fill the gaps in your interpretation of muscle structure and function,
first please read the summaries of current muscle research such as that in
“Supertraining” (1999, pages 38-39) and go to the references cited. Other
relevant texts are:

Fung Y Biomechanics: Mechanical Properties of Living Tissue 1981
Frankel V & Nordin M Basic Biomechanics of the Skeletal System 1980

Scientific American has also featured more recent work on this topic, plus a
Medline search will also yield a huge amount of useful information.

Mel Siff
Denver, USA

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • YahooMyWeb
  • Google Bookmarks
  • Yahoo! Buzz
  • TwitThis
  • Live
  • LinkedIn
  • Pownce
  • MySpace

Making Medicine & Balancing Balls by Mel Siff

Posted by: Mel Siff Blog  :  Category: Mel Siff Conditioning/Fitness, Mel Siff Suggested Resources, Plyo/Power-metrics, Training Theory

Someone on another user group responded to my letter on making medicine balls
like this:

<< Someone posted before and I have tried with success a way to make your own
medicine balls. Take a kickball or soccer ball. Carefully pull out the
piece where the air goes in. It is just a rubber seal. Fill the ball with
sand or water and put the rubber seal back in. It really works! I filled a
small one with water and it doesn’t leak, it can bounce and it only costs a
few bucks! >>

Mel Siff:

***Yes, I posted that information a while ago. I have been making my own
medicine and “plyo” balls for many years from old basketball, water polo,
volleyball, soccer and other used balls and saved a fortune in the process.
When I used sand for making heavier medicine balls, I filled the balls with
very fine (river type) sand from the gold mines in South Africa (where I used
to live), so it was very easy to pour through an enlarged hole made in the
ball or even into the original bladder of the ball. In the USA, you can buy
some of the very fine construction sand to serve the same purpose. If I had
to make a larger hole instead of using the existing hole, I simply covered
the enlarged hole with a rubber patch.

To make balancing devices, I simply used a variety of used inner tubes from
cars, trucks and tractors inflated to a suitable pressure – again the cost is
little or nothing and one does not have stabilise the base, as one has to for
some physio ball routines. In using them as an unstable surface for standing
exercises, I simply place a large wood rectangular piece across the top of
the tube. Just another cash saving device for you! If you visit my gym in
Denver, you will come across many other such home-made training devices.

Mel Siff
Denver, USA

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • YahooMyWeb
  • Google Bookmarks
  • Yahoo! Buzz
  • TwitThis
  • Live
  • LinkedIn
  • Pownce
  • MySpace

Is there a Benefit to Muscle Testing? asks Mel Siff

Posted by: Mel Siff Blog  :  Category: Mel Siff Suggested Resources, Mel Siff on Science and Scientific Method, Supertraining Extracts, Training Theory

.

Here is an extract from “Supertraining” that we discussed on some clinically
oriented groups a while ago. I felt it appropriate to repeat here, because
we often encounter spectacular claims about the magical power of some rather
dogmatic methods of ‘muscle testing’.

MUSCLE TESTING

Standard anatomical textbook approaches describing the action of certain
muscle groups in controlling isolated joint actions, such as flexion,
extension and rotation, frequently are used to identify which muscles should
be trained to enhance performance in sport. Virtually every bodybuilding
and sports training publication invokes this approach in describing how a
given exercise or machine ‘works’ a given muscle group, as do most of the
clinical texts on muscle testing and rehabilitation.

The appropriateness of this tradition, however, recently has been questioned
on the basis of biomechanical analysis of multi-articular joint actions
(Zajac & Gordon, 1989). This classical method of functional anatomy defines
a given muscle, for instance, as a flexor or extensor, on the basis of the
torque that it produces around a single joint, but the nature of the body as
a linked system of many joints means that muscles which do not span other
joints can still produce acceleration about those joints.

The anatomical approach implies that complex multi-articular movement is
simply the linear superimposition of the actions of the individual joints
which are involved in that movement. However, the mechanical systems of the
body are nonlinear and superposition does not apply, since there is no
simple relationship between velocity, angle and torque about a single joint
in a complex sporting movement. Besides the fact that a single muscle group
can simultaneously perform several different stabilising and moving actions
about one joint, there is also a fundamental difference between the dynamics
of single and multiple joint movements, namely that forces on one segment can
be caused by motion of other segments. In the case of uniarticular muscles
or even biarticular muscles (like the biceps or triceps), where only one of
the joints is constrained to move, the standard approach is acceptable, but not
if several joints are free to move concurrently.

Because joint acceleration and individual joint torque are linearly related,
Zajac and Gordon (1989) consider it more accurate to rephrase a statement
such as “muscle X flexes joint A” as “muscle X acts to accelerate joint A
into flexion”. Superficially, this may seem a matter of trivial semantics,
but the fact that muscles certainly do act to accelerate all joints has
profound implications for the analysis of movement. For instance, muscles
which cross the ankle joint can extend and flex the knee joint much more
than they do the ankle.

Biomechanical analysis reveals that multiarticular muscles may even
accelerate a spanned joint in a direction opposite to that of the joint to
which it is applying torque.

In the apparently simple action of standing, soleus, usually labelled as an
extensor of the ankle, accelerates the knee (which it does not span) into
extension twice as much as it acts to accelerate the ankle (which it spans)
into extension for positions near upright posture (Zajac & Gordon, 1989).
In work derived from “Lombard’s Paradox” (‘Antagonist muscles can act in the
same contraction mode as their agonists’), Andrews (1985, 1987) found that
the rectus femoris of the quadriceps and all the hamstrings act in three
different ways during cycling, emphasizing that biarticular muscles are
considered enigmatic.

This paradox originally became apparent when it was noticed that in actions
such as cycling and squatting, extension of the knee and the hip occurs
simultaneously, so that the quadriceps and hamstrings are both operating
concentrically at the same time. Theoretically, according to the concept of
concurrent muscle antagonism, the hamstrings should contract eccentrically
while the quadriceps are contracting concentrically, and vice versa, since
they are regarded as opposing muscles.

Others have shown that a muscle which is capable of carrying out several
different joint actions, does not necessarily do so in every movement
(Andrews, 1982, 1985). For instance, gluteus maximus, which can extend and
abduct the hip, will not necessarily accelerate the hip simultaneously into
extension and abduction, but its extensor torque may even accelerate the hip
into adduction (Mansour & Pereira, 1987).

Gastrocnemius, which is generally recognised as a flexor of the knee and an
extensor of the ankle, actually can carry out the following complex tasks:

(a) flex the knee and extend the ankle
(b) flex the knee and flex the ankle
(c) extend the knee and extend the ankle

During the standing press, which used to be part of Olympic Weightlifting,
the back bending action of the trunk is due not only to a Newton III
reaction to the overhead pressing action, but also due to acceleration
caused by the thrusting backwards of the triceps muscle which crosses the
shoulder joint, as well as the elbow joint. This same action of the triceps
also occurs during several gymnastic moves on the parallel, horizontal and
uneven bars.

This back extending action of the triceps is counteracted by the expected
trunk flexing action of rectus abdominis and the hip exension action of the
hip flexors, accompanied by acceleration of the trunk by the hip flexors.

Appreciation of this frequently ignored type of action by many
multiarticular muscles enables us to select and use resistance training
exercises far more effectively to meet an athlete’s specific sporting needs
and to offer superior rehabilitation of the injured athlete.

Finally, because of this multiplicity of actions associated with
multiarticular complex movement, Zajac and Gordon stress a point made by
Basmajian (1978), namely that it may be more useful to examine muscle action
in terms of synergism rather than agonism and antagonism. This is especially
important, since a generalised approach to understanding human movement on
the basis of breaking down all movement into a series of single joint
actions fails to take into account that muscle action is task dependent.

References:

Andrews J G (1982) On the relationship between resultant joint torques and
muscular activity Med Sci Sports Exerc 14: 361-367

Andrews J G (1985) A general method for determining the functional role of
a muscle J Biomech Eng 107: 348-353

Andrews J G (1987) The functional role of the hamstrings and quadriceps
during cycling: Lombard’s paradox revisited J Biomech 20: 565-575

Basmajian J (1978) Muscles Alive Williams & Wilkins Co, Baltimore

Mansour J M & Pereira J M (1987) Quantitative functional anatomy of the
lower limb with application to human gait J Biomech 20: 51-58

Zajac F E & Gordon M F (1989) Determining muscle’s force and action in
multi-articular movement Exerc Sport Sci Revs 17: 187-230

Mel Siff
Denver, USA

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • YahooMyWeb
  • Google Bookmarks
  • Yahoo! Buzz
  • TwitThis
  • Live
  • LinkedIn
  • Pownce
  • MySpace