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		<title>Is there a Benefit to Muscle Testing? asks Mel Siff</title>
		<link>http://www.melsiff.com/12398/is-there-a-benefit-to-muscle-testing-asks-mel-siff/</link>
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		<pubDate>Sat, 30 Jan 2010 03:03:02 +0000</pubDate>
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		<guid isPermaLink="false">http://www.melsiff.com/?p=12398</guid>
		<description><![CDATA[.
Here is an extract from &#8220;Supertraining&#8221; 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 &#8216;muscle testing&#8217;.
MUSCLE TESTING
Standard anatomical textbook approaches describing the action of certain
muscle groups in controlling isolated joint actions, such [...]]]></description>
			<content:encoded><![CDATA[<p>.</p>
<p>Here is an extract from &#8220;Supertraining&#8221; that we discussed on some clinically<br />
oriented groups a while ago. I felt it appropriate to repeat here, because<br />
we often encounter spectacular claims about the magical power of some rather<br />
dogmatic methods of &#8216;muscle testing&#8217;.</p>
<p>MUSCLE TESTING</p>
<p>Standard anatomical textbook approaches describing the action of certain<br />
muscle groups in controlling isolated joint actions, such as flexion,<br />
extension and rotation, frequently are used to identify which muscles should<br />
be trained to enhance performance in sport. Virtually every bodybuilding<br />
and sports training publication invokes this approach in describing how a<br />
given exercise or machine &#8216;works&#8217; a given muscle group, as do most of the<br />
clinical texts on muscle testing and rehabilitation.</p>
<p>The appropriateness of this tradition, however, recently has been questioned<span id="more-12398"></span><br />
on the basis of biomechanical analysis of multi-articular joint actions<br />
(Zajac &amp; Gordon, 1989). This classical method of functional anatomy defines<br />
a given muscle, for instance, as a flexor or extensor, on the basis of the<br />
torque that it produces around a single joint, but the nature of the body as<br />
a linked system of many joints means that muscles which do not span other<br />
joints can still produce acceleration about those joints.</p>
<p>The anatomical approach implies that complex multi-articular movement is<br />
simply the linear superimposition of the actions of the individual joints<br />
which are involved in that movement. However, the mechanical systems of the<br />
body are nonlinear and superposition does not apply, since there is no<br />
simple relationship between velocity, angle and torque about a single joint<br />
in a complex sporting movement. Besides the fact that a single muscle group<br />
can simultaneously perform several different stabilising and moving actions<br />
about one joint, there is also a fundamental difference between the dynamics<br />
of single and multiple joint movements, namely that forces on one segment can<br />
be caused by motion of other segments. In the case of uniarticular muscles<br />
or even biarticular muscles (like the biceps or triceps), where only one of<br />
the joints is constrained to move, the standard approach is acceptable, but not<br />
if several joints are free to move concurrently.</p>
<p>Because joint acceleration and individual joint torque are linearly related,<br />
Zajac and Gordon (1989) consider it more accurate to rephrase a statement<br />
such as &#8220;muscle X flexes joint A&#8221; as &#8220;muscle X acts to accelerate joint A<br />
into flexion&#8221;. Superficially, this may seem a matter of trivial semantics,<br />
but the fact that muscles certainly do act to accelerate all joints has<br />
profound implications for the analysis of movement. For instance, muscles<br />
which cross the ankle joint can extend and flex the knee joint much more<br />
than they do the ankle.</p>
<p>Biomechanical analysis reveals that multiarticular muscles may even<br />
accelerate a spanned joint in a direction opposite to that of the joint to<br />
which it is applying torque.</p>
<p>In the apparently simple action of standing, soleus, usually labelled as an<br />
extensor of the ankle, accelerates the knee (which it does not span) into<br />
extension twice as much as it acts to accelerate the ankle (which it spans)<br />
into extension for positions near upright posture (Zajac &amp; Gordon, 1989).<br />
In work derived from &#8220;Lombard&#8217;s Paradox&#8221; (&#8216;Antagonist muscles can act in the<br />
same contraction mode as their agonists&#8217;), Andrews (1985, 1987) found that<br />
the rectus femoris of the quadriceps and all the hamstrings act in three<br />
different ways during cycling, emphasizing that biarticular muscles are<br />
considered enigmatic.</p>
<p>This paradox originally became apparent when it was noticed that in actions<br />
such as cycling and squatting, extension of the knee and the hip occurs<br />
simultaneously, so that the quadriceps and hamstrings are both operating<br />
concentrically at the same time. Theoretically, according to the concept of<br />
concurrent muscle antagonism, the hamstrings should contract eccentrically<br />
while the quadriceps are contracting concentrically, and vice versa, since<br />
they are regarded as opposing muscles.</p>
<p>Others have shown that a muscle which is capable of carrying out several<br />
different joint actions, does not necessarily do so in every movement<br />
(Andrews, 1982, 1985). For instance, gluteus maximus, which can extend and<br />
abduct the hip, will not necessarily accelerate the hip simultaneously into<br />
extension and abduction, but its extensor torque may even accelerate the hip<br />
into adduction (Mansour &amp; Pereira, 1987).</p>
<p>Gastrocnemius, which is generally recognised as a flexor of the knee and an<br />
extensor of the ankle, actually can carry out the following complex tasks:</p>
<p>(a) flex the knee and extend the ankle<br />
(b) flex the knee and flex the ankle<br />
(c) extend the knee and extend the ankle</p>
<p>During the standing press, which used to be part of Olympic Weightlifting,<br />
the back bending action of the trunk is due not only to a Newton III<br />
reaction to the overhead pressing action, but also due to acceleration<br />
caused by the thrusting backwards of the triceps muscle which crosses the<br />
shoulder joint, as well as the elbow joint. This same action of the triceps<br />
also occurs during several gymnastic moves on the parallel, horizontal and<br />
uneven bars.</p>
<p>This back extending action of the triceps is counteracted by the expected<br />
trunk flexing action of rectus abdominis and the hip exension action of the<br />
hip flexors, accompanied by acceleration of the trunk by the hip flexors.</p>
<p>Appreciation of this frequently ignored type of action by many<br />
multiarticular muscles enables us to select and use resistance training<br />
exercises far more effectively to meet an athlete&#8217;s specific sporting needs<br />
and to offer superior rehabilitation of the injured athlete.</p>
<p>Finally, because of this multiplicity of actions associated with<br />
multiarticular complex movement, Zajac and Gordon stress a point made by<br />
Basmajian (1978), namely that it may be more useful to examine muscle action<br />
in terms of synergism rather than agonism and antagonism. This is especially<br />
important, since a generalised approach to understanding human movement on<br />
the basis of breaking down all movement into a series of single joint<br />
actions fails to take into account that muscle action is task dependent.</p>
<p>References:</p>
<p>Andrews J G (1982) On the relationship between resultant joint torques and<br />
muscular activity Med Sci Sports Exerc 14: 361-367</p>
<p>Andrews J G (1985) A general method for determining the functional role of<br />
a muscle J Biomech Eng 107: 348-353</p>
<p>Andrews J G (1987) The functional role of the hamstrings and quadriceps<br />
during cycling: Lombard&#8217;s paradox revisited J Biomech 20: 565-575</p>
<p>Basmajian J (1978) Muscles Alive Williams &amp; Wilkins Co, Baltimore</p>
<p>Mansour J M &amp; Pereira J M (1987) Quantitative functional anatomy of the<br />
lower limb with application to human gait J Biomech 20: 51-58</p>
<p>Zajac F E &amp; Gordon M F (1989) Determining muscle&#8217;s force and action in<br />
multi-articular movement Exerc Sport Sci Revs 17: 187-230</p>
<p>Mel Siff<br />
Denver, USA<br />
<a title="Mel Siff Dot Com" href="../" target="_blank">Mel Siff Dot Com</a><br />
<a title="Supertraining Twitter Feed" href="http://www.twitter.com/supertraining_1" target="_blank">Supertraining  Twitter Feed</a></p>

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