Neuromusculoskeletal Mechanics Research Program, …download.xuebalib.com/94tM2mvDYpH.pdf · 11...
Transcript of Neuromusculoskeletal Mechanics Research Program, …download.xuebalib.com/94tM2mvDYpH.pdf · 11...
Journal of Strength and Conditioning Research Publish Ahead of PrintDOI: 10.1519/JSC.0000000000002330
Biomechanical Methods to Quantify Muscle Effort During Resistance Exercise
Loren Z.F. Chiu, PhD, CSCS
Neuromusculoskeletal Mechanics Research Program, Faculty of Physical Education and Recreation,
University of Alberta, Edmonton, AB, Canada
Address for Correspondence:
Loren Z.F. Chiu, PhD, CSCS
3-413 Van Vliet Complex
Faculty of Physical Education and Recreation
University of Alberta
Edmonton, AB Canada T6G 2H9
Phone: 780-248-1263
Fax: 780-248-1891
E-Mail: [email protected]
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
1
ABSTRACT 1
Muscle hypertrophy and strength adaptations elicited by resistance training dependent on the 2
force exerted by active muscles. As an exercise may use many muscles, determining force for individual 3
muscles or muscle groupings is important to understand the relation between an exercise and these 4
adaptations. Muscle effort – the amount of force or a surrogate measure related to the amount of force 5
exerted during a task – can be quantified using biomechanical methods. The purpose of this review was 6
to summarize the biomechanical methods used to estimate muscle effort in movements, particularly 7
resistance training exercises. These approaches include: 1) inverse dynamics with rigid body models, 2) 8
forward dynamics and EMG-driven models, 3) normalized EMG, and 4) inverse dynamics with point 9
mass models. Rigid body models quantify muscle effort as net joint moments. Forward dynamics and 10
EMG-driven models estimate muscle force as well as determine the effect of a muscle’s action 11
throughout the body. Non-linear relations between EMG and muscle force, and normalization reference 12
action selection affect the usefulness of EMG as a measure of muscle effort. Point mass models include 13
kinetics calculated from barbell (or other implement) kinematics recorded using electromechanical 14
transducers or measured using force platforms. Point mass models only allow net force exerted on the 15
barbell or lifter-barbell system to be determined so they cannot be used to estimate muscle effort. Data 16
from studies employing rigid body models, normalized EMG, and musculoskeletal modelling should be 17
combined to develop hypotheses regarding muscle effort; these hypotheses should be verified by 18
training interventions. 19
20
Keywords: motion analysis; force; hypertrophy; muscle strength 21
22
Word Count: 6,418 23
24
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
2
INTRODUCTION 25
Resistance exercise is used to improve physical fitness; investigations employing resistance 26
exercise have found increases in muscle size, strength, and endurance, as well as the ability to generate 27
muscle force rapidly (88, 89). Ultimately, these improvements in physical fitness are associated with 28
enhanced physical function in activities of daily living, occupation, recreation, and sport (7, 63, 92, 98, 29
103). Resistance exercise requires muscles to actively generate force; forces acting on a muscle can 30
stimulate physiological processes that elicit adaptations. These adaptations include increases in muscle 31
fiber size, and metabolic enzyme and neural substrate concentrations and activities (44, 88, 93), which 32
increase the ability of a muscle to generate force, as well as the ability to generate force repetitively or 33
for a sustained duration (14). Training adaptations may be dependent on resistance exercise intensity 34
(14, 44, 56). The term intensity as used for exercise is rarely defined and there is debate as to whether 35
intensity refers to a physical or psychological measure (94). In practice, resistance exercise intensity is 36
typically quantified as the load or amount of weight lifted (38). The load lifted can be expressed as a 37
percentage of the maximum amount of weight that can be lifted for one repetition (1 RM), which is the 38
relative intensity (38). 39
Muscles are required to exert force during resistance exercise. The amount of force required 40
from a muscle affects the number and type of motor units and muscle fibers activated (64, 96). As 41
muscle force is an important parameter determining the adaptations elicited, quantifying how much 42
force is required for an exercise is an important objective in resistance exercise research. The load lifted 43
is only one factor affecting the amount of force required from a muscle during an exercise. Other 44
factors include the orientation of bony segments in relation to resistance force vectors, the actions of 45
synergist and antagonist muscles during the exercise, and musculoskeletal geometry (11, 36, 54, 81). 46
Biomechanical methods are commonly used as they are capable of estimating muscle force or providing 47
surrogate measures of muscle force. Technologies for biomechanical analyses are increasingly 48
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
3
accessible, in terms of availability, cost, and ease of use; however, correct use and data interpretation 49
still require understanding of the terms and modelling used. Consequently, there are numerous 50
investigations that have used biomechanical methods to estimate either the force exerted by a muscle 51
or parameters related to the force exerted. Incorrect beliefs may be developed from research if the 52
correct understanding of terms and limitations of these biomechanical methods are not understood. 53
The purpose of this review is to examine and discuss the utility of the biomechanical methods used to 54
investigate muscle effort during resistance exercise. This review will: 1) reflect on the confusing 55
terminology used relating to resistance exercise intensity, 2) propose terminology based on 56
biomechanical measures, and 3) discuss the major biomechanical methods used in resistance exercise 57
research so that strength and conditioning professionals can understand and apply this research. These 58
biomechanical methods include: 1) inverse dynamics with rigid body models, 2) forward dynamics and 59
EMG-driven models, 3) normalized electromyography (EMG), and 4) inverse dynamics with point mass 60
models. The information that these methods can provide is illustrated using barbell squats as an 61
example. 62
63
TERMINOLOGY 64
While the amount of weight lifted – either absolute weight or percentage of 1 RM – is practical 65
to quantify resistance exercise intensity, this measure provides limited information regarding muscle 66
effort (82). For example, consider a single-joint exercise such as an arm curl, which employs the biceps 67
brachii, brachialis, and brachioradialis. If an 80% 1 RM load were used, it could be expected that each 68
muscle would exert 80% of its maximum force generating capacity. However, this expectation assumes 69
that the load sharing or relative contribution of each muscle is equal, which is not the case. These 70
muscles are activated in a hierarchical manner during an arm curl, where the brachialis is preferentially 71
activated at low resistance force (5). As resistance increases, biceps brachii and brachioradialis are 72
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
4
additionally activated. Similar hierarchical activation of muscles has been found for tasks involving the 73
triceps brachii and anconeus, and quadriceps (97, 109). This supports a hypothesis that there is a force 74
threshold for synergistic muscles at joints, some muscles are maximally activated while others are sub-75
maximally activated, with individual muscle contribution to external force and movement production a 76
complex result of biomechanical and neuromuscular factors. 77
In multi-joint tasks, an external resistance moment of force acts at each joint; the external 78
moment at each joint may vary depending on range of motion and external load (12, 36, 59). Taking 79
into consideration potential hierarchical activation of muscles crossing the same joint and the variation 80
in external resistance moment across multiple joints, each muscle involved in a multi-joint exercise may 81
be required to exert force at different percentages of their maximum force generating ability (12). Thus, 82
in biomechanical studies investigating resistance exercise intensity, the muscles involved should be 83
identified and each muscles’ force quantified. Furthermore, the muscle force required depends on the 84
moment arms of the various muscles involved and the moment arm of the external resistance force (11, 85
34, 36, 82). These moment arms vary with segment and joint angles (76, 104), therefore, muscle force 86
should also be described throughout the exercise’s range of motion. 87
In principle, the most accurate method to quantify a muscle’s force is to measure it directly. 88
Force-sensing transducers, typically implanted during surgical procedures, have been used to directly 89
measure muscle force (37, 39, 46). Fiber optic cables have also been inserted into tendons to measure 90
the force exerted on the tendon by the muscle (35, 40). Both methods are invasive, limited to certain 91
muscles with distinct tendons, and are rarely used in humans. More commonly, indirect methods are 92
employed to estimate or provide surrogate estimates of muscle force. For the purposes of this review, 93
muscle effort is used to describe the force a muscle exerts during a task, or a surrogate estimate that is 94
mechanically (i.e. moment) or statistically (i.e. normalized EMG) related to muscle force. Each indirect 95
method has limitations and assumptions that affect their utility. For example, not all indirect methods 96
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
5
provide the information required to determine all the muscles employed and the force in each of these 97
muscles. 98
99
RIGID BODY MODELS 100
Net Joint Moment 101
Perhaps the most common biomechanical measure of muscle force or effort in multi-joint tasks 102
is the net joint moment (NJM) (16, 36). NJM is calculated using rigid body modelling and inverse 103
dynamics. A typical investigation calculating NJMs will include two- or three-dimensional motion 104
analysis. Force platforms or other force transducers are commonly employed when substantial external 105
forces act on the body, however, are not always necessary (41). Motion analysis data are used to define 106
the body’s segments with the assumptions that segments are rigid bodies, rotating about a frictionless 107
fixed axis, with fixed mass center and moments of inertia. Forces, inertial parameters, and accelerations 108
are entered into equations based on Newton’s Second Law of Motion as shown in the two-dimensional 109
example in Figure 1. Three-dimensional versions of the equations of motion include additional terms. 110
Comparisons of net forces and moments calculated using these methods to measured external forces 111
are quite accurate (<5% error) (8, 25, 86). Briefly, reaction forces acting on the proximal and distal ends 112
of the segment will create a moment that has a tendency to rotate the rigid body. This moment is 113
considered the net external moment, which is countered by moments applied by muscles, ligaments, 114
and bony contact forces. The sum of these moments acting at a joint is the net internal moment or 115
NJM. It should be noted that the NJM and net external moments have equal magnitude but opposite 116
sense. For example, the net external moment at the knee joint, as depicted in Figure 1, has tendency to 117
rotate the leg segment clockwise, while the NJM has a tendency to rotate the leg segment counter-118
clockwise. In many circumstances for the human body, the net muscular moments are the primary 119
contributor to the NJM, therefore, the NJM can be interpreted as net muscular effort for muscle groups 120
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
6
at the joint (87). It is also important for strength and conditioning professionals to remember that the 121
NJM is the resultant from forces of all agonist and antagonist muscles, ligaments, and joint forces; and 122
should not be interpreted as moment solely from a particular muscle group. 123
If a single muscle acts at a joint and this muscle’s moment arm is known, muscular moment can 124
be used to estimate muscle force. While the moment arm is typically not known, normative estimates 125
for moment arms of various muscles are available (76, 100, 104). However, multiple synergist muscles 126
may contribute to the NJM (11, 81, 83). For example, if there is a knee flexor NJM, the biceps femoris 127
long and short heads, semitendinosus, semimembranosus, and gastrocnemius may be involved. As each 128
of these muscles have different moment arms, the relative contribution of each muscle to the knee 129
flexor NJM needs to be known to calculate the force in each muscle (assuming the moment arms are 130
known). Moreover, it is possible that antagonistic muscles are co-contracting. In the case of a knee 131
flexor NJM, quadriceps co-contraction would generate a knee extensor moment. The muscles 132
contributing to the knee NJM can be described mathematically (equation 1), given the previously noted 133
limitations of interpreting a NJM exclusively due to muscle. 134
Equation 1: NJMKnee = MQuadriceps + MHamstrings + MBiceps Femoris Short Head + MGastrocnemius 135
Note that this equation has been simplified by grouping muscles together, even if muscles within a 136
group have different moment arms. If antagonist co-contraction is present, a knee flexor NJM would 137
underestimate the moment generated by the knee flexor muscles. Similarly, a knee extensor NJM 138
would underestimate the quadriceps moment if any knee flexor muscles are co-contracting. 139
Therefore, while the NJM can be used to estimate net muscle effort during single- and multi-140
joint resistance exercise, two limitations inherent to the NJM must be considered when interpreting this 141
parameter. First, the NJM does not provide information about muscular effort for individual muscles. 142
Consequently, assuming no co-contraction occurs, the NJM describes muscular effort for the agonist 143
muscle group acting at a joint. Second, if antagonist co-contraction is present, the NJM describes the 144
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
7
minimum net muscular effort for the agonist muscle group. The actual muscular effort for the agonist 145
muscle group is higher when antagonist muscles co-contract (11, 81). 146
For this reason, NJM are rarely used to directly estimate muscle force, although they have been 147
used in special situations. Some biomechanical studies have captured biomechanical data during an 148
injury. For example, Zernicke et al. (108) recorded a patellar ligament rupture during weightlifting and 149
estimated the force using knee extensor NJM and estimated moment arm. These case studies provide 150
valuable ultimate tissue strength estimates from young or athletic individuals that supplements tissue 151
strength studies conducted on cadaver material, which are usually from elderly donors. 152
In summary, NJM indicates the agonist muscle group involved at a joint during a task and 153
estimates the grouping’s minimum net muscle effort. Additional data, such as EMG, are required to 154
determine if antagonist muscles are co-contracting, which would increase the agonist muscles’ effort. 155
Further, NJM is an absolute indicator of muscle effort and the maximum moment a muscle group can 156
generate will provide context to better interpret NJM. 157
158
Forward Dynamics and EMG-Driven Models 159
Anatomical data can be combined with measured kinematic and kinetic data using 160
musculoskeletal modelling to estimate forces acting on anatomical structures. The use of 161
musculoskeletal modelling in resistance exercise research is increasing, particularly as anatomical data 162
and models are being made available in the public domain (19, 20). Inverse and forward dynamics 163
approaches can be used for musculoskeletal modelling. Inverse dynamics modelling is an extension of 164
NJM analysis (20, 21), which uses assumptions to determine the muscle strategy employed during an 165
exercise (2, 80). A muscle strategy specifies the combination of muscles involved in the NJM (as an 166
example, see equation 1), which, if known allows the moment from each muscle to be estimated. 167
Muscle force can then be estimated by dividing each muscle’s moment by that muscle’s moment arm 168
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
8
given some force sharing assumptions. Muscle electrical activity measured as normalized EMG may be 169
used as inputs to an inverse dynamics model that includes parameters describing mechanical force 170
rise/decay times, muscle force-length and force-velocity relations, and muscle and tendon architectural 171
properties (2, 81, 106). 172
Forward dynamics modelling combines muscle activation dynamics and musculoskeletal 173
geometry to compute muscle forces first, and secondly determine their influence on segment, joint, or 174
whole-body kinematics (27, 107). In addition to estimating muscle forces, this approach may be used to 175
determine a muscle’s role in performing a multi-joint task (45). From an anatomical perspective, muscle 176
actions are described based on the segments to which they attach or the joints they cross. However, 177
muscle actions also result in joint reaction forces that are transferred between segments which can: 1) 178
elicit paradoxical muscle actions and 2) affect motion elsewhere in the body. An example of paradoxical 179
muscle action is the gastrocnemius which is considered an ankle plantar flexor; through joint reaction 180
forces, gastrocnemius may cause ankle dorsiflexion during multi-joint tasks (22, 67). An example of a 181
muscle influencing motion elsewhere in the body is the soleus, which is the primary contributor to 182
accelerating the body upwards and forwards during walking and running, despite this muscle only 183
attaching to the leg and foot segments (49). 184
Estimating muscle forces using musculoskeletal modelling accomplishes the objectives of 185
identifying the muscles involved and quantifying each muscle’s force patterns given various 186
assumptions. However, the assumptions made in modelling procedures are important to consider when 187
interpreting these muscle forces. For muscle effort in resistance exercise, there are two important 188
considerations that may influence the accuracy of estimates. The first is the assumptions made to 189
determine muscle strategy and the second in the accuracy of the anatomical data employed in the 190
model. These assumptions will be introduced here, however, it is beyond the scope of this paper to 191
explore the validity of these assumptions in detail. 192
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
9
Normalized EMG is often used to aid in determining muscle strategy (81). EMG is measured 193
during the tasks itself as well as during a reference task, typically a maximal voluntary isometric action. 194
Task EMG is expressed as a percentage of the EMG during the reference task. These data are used 195
under the premise that there is a positive linear relation between EMG and muscle force (this inaccurate 196
assumption is discussed further later). EMG data from multiple muscles are combined to estimate how 197
much each muscle contributes to the NJM, however, it is not usually possible to obtain EMG from all 198
muscles for these models. Most of these models are driven with the major agonist and antagonist 199
muscles that can be recorded with surface EMG. Another method to determine muscle strategy in 200
modelling is the use of optimization criteria. As show in equation 1, there are multiple combinations of 201
muscle moments that will add up to the NJM. An optimization criterion sets a defined objective, such as 202
minimizing energy expenditure or muscle stress (68, 80). A software program is tasked to find the 203
combination that meets this objective. Certain activities allow for specific optimization criteria to be 204
used. In vertical jumping studies, a model may be optimized to find the muscle strategy that allows the 205
greatest vertical jump height to be achieved (9, 10). 206
A relatively new method to determine muscle strategy is to rule out strategies where one or 207
more muscles require forces greater than their maximum strength. This approach has been employed in 208
gait studies, where it has been found that many strategies are possible as few muscles operate near 209
their maximum force capacity (89, 91). This is not surprising as, in healthy adults, gait is a low intensity 210
activity. The same premise was employed by Bryanton et al. (11) to study barbell squats. The major 211
muscles contributing to the hip extensor NJM during squats are the gluteus maximus and hamstrings. 212
As the hamstrings generate both hip extensor and knee flexor moments, the hamstrings are antagonists 213
to the quadriceps at the knee. Greater hamstrings contribution to the hip extensor NJM would result in 214
a larger knee flexor moment, requiring larger quadriceps moment. Different combinations of gluteus 215
maximus and hamstrings contributions to the hip extensor NJM were considered by examining their 216
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
10
effect on the quadriceps moment. Bryanton et al. (11) found that the only hip extensor strategy where 217
quadriceps moment did not exceed quadriceps maximum strength was one were gluteus maximus was 218
near-maximally active and hamstrings were less active. These results were consistent with EMG studies 219
reporting low hamstring activation in weighted back squats, where biceps femoris and semitendinosus 220
EMG are approximately one half of that during leg curls and stiff-leg deadlifts (105). 221
Anatomical data used in musculoskeletal modelling studies may be from normative data sets or 222
directly measured in participants (3, 19). As it is economically costly and time-intensive to measure 223
anatomical information, most musculoskeletal modelling studies use normative data sets. The 224
anatomical information used in musculoskeletal modelling may include – depending on model 225
complexity – muscle moment arms, muscle attachment site coordinates, and muscle architectural 226
properties. These parameters are not constant; they vary depending on the orientation of body 227
segments. Accordingly, it is important to determine these parameters with segments oriented in 228
various positions (76, 104). This may be an issue for resistance exercise modelling, due to the large 229
range of motion that occurs for many segments (18). In contrast, range of motion is muscle smaller 230
during gait, which is the most commonly modelled task (89, 91). As an example, anatomical parameters 231
are available for the hip and knee up to 90⁰ of flexion (where 0⁰ is anatomical position for each joint) 232
(76, 104). Hip and knee flexion angles during squats are reported to exceed 100⁰ and 130⁰, respectively. 233
For accurate modelling, it will be necessary to obtain anatomical data throughout the range of motion in 234
which resistance exercise tasks are performed (101). 235
236
Relative Muscular Effort 237
Both NJM and muscle force determined using musculoskeletal models provide absolute muscle 238
effort estimates. However, further information is required to interpret these estimates in regards to 239
potential strength training effects. Specifically, knowledge of the maximum muscular effort is required. 240
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
11
For example, resistance exercise intensity is typically described as a percentage of 1 RM in practice. 241
Absolute muscle effort can be related to maximum muscle strength. This parameter has been called 242
relative muscular effort (RME), functional demand, and muscular utilization ratio (6, 12, 72, 85). To 243
determine RME, NJM are estimated as previously described and expressed relative to the maximum 244
moment measured during maximal voluntary strength testing using isokinetic dynamometry. 245
Muscle strength is the maximum force or moment that can be exerted by a muscle group under 246
specified conditions (61, 65). These conditions include muscle length, action type (eccentric, isometric, 247
or concentric), and velocity; ideally, these conditions should be matched between the exercise studied 248
and the maximum strength test (6). Single-joint isometric and isokinetic dynamometry have been used 249
to estimate muscle strength (6, 12), however, the moment measured in these tests may underestimate 250
the true maximum moment-generating ability (48). One limitation of single-joint dynamometry is that 251
individual muscles cannot be isolated; this is the same limitation present in calculating the NJM. Since 252
antagonist co-contraction is often present in movement and maximal strength expression, the moment 253
measured will be less than the moment generated by the agonist muscles. A second limitation is that 254
muscle activation may not be maximal, either because not all motor units are activated or motor unit 255
firing frequency is too low (53). When a muscle or muscle group is not maximally activated, the 256
measured moment will be less than the maximum those muscles could generate. In healthy adults, the 257
amount of inactivation is approximately 2-7% (32, 62, 77), although it is important to recognize that this 258
does not correspond directly to the force deficit from inactivation (53). Due to some muscle 259
inactivation, the moment measured using single-joint dynamometry may underestimate the true 260
maximum strength potential for the muscle group of interest. This is demonstrated in investigations 261
where the moment measured during single-joint dynamometry is less than the NJM during the task, 262
resulting in an RME greater than 100% (85). Thus, RME may overestimate the actual amount of muscle 263
group strength used during a task. 264
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
12
Consequently, RME should not be interpreted as an exact value. An RME of 80% indicates that 265
approximately 80% of the muscle group’s maximum strength is required, however, the true amount is 266
likely lower due to underestimation of the muscle group’s actual maximum strength. The value of RME 267
is to provide context to evaluate NJM or muscle force estimates. For example, two muscles may have 268
different NJM during an exercise. However, each muscle may have the same RME if the muscles have 269
different maximum strength capacities; the exercise would be equally challenging for both muscles. As 270
maximum strength varies across muscle groups, RME provides greater detail as to how hard a muscle 271
group operates during a task than absolute muscular effort (11, 12, 73). 272
273
Application to Barbell Squats 274
Barbell squats are a common multi-joint resistance exercise and numerous biomechanical 275
studies have been conducted on variations of squat exercise. There are several controversies regarding 276
squats, such as to what depth (knee flexion angle) should squats be performed, where should the 277
barbell be placed, and how should the feet be positioned. As primary objectives of resistance exercise 278
include increasing muscle size and strength, the best evidence for the effectiveness of an exercise is a 279
training study. Two investigations have compared the effectiveness of partial versus full squats, where 280
squats were performed to 60⁰ and 120⁰ knee flexion, respectively (where 0⁰ is knee extension) (7, 51). 281
Collectively, these studies found that full squats elicited greater increases in lower extremity strength, 282
knee extensor strength, quadriceps size and vertical jump height than partial squats. Moreover, 283
investigations where training was performed with squats to 90⁰ knee flexion found minimal increases in 284
quadriceps size (69, 99). Thus, to increase quadriceps size and strength, as well as vertical jump height, 285
squats should be performed to a minimum depth of 120⁰ knee flexion. 286
287
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
13
Biomechanical investigation of barbell squats can provide insight into why this squat depth may 288
be required. Several studies have established that the major muscle groups involved in barbell squats 289
are the hip extensors, knee extensors, and ankle plantar flexors (16, 34, 36). Moreover, squat depth and 290
barbell load have been reported to influence the NJM required from each of these muscle groups, 291
although the effect of each varies depending on muscle group (36). Bryanton et al. (12), using 3D 292
motion analysis and isometric dynamometry, determined hip extensor, knee extensor, and ankle plantar 293
flexor RME during squats at different depths with varying barbell loads. Ankle plantar flexor RME was 294
invariant to squat depth but increased with barbell load, reaching 71% of maximum strength at 90% 1 295
RM. Knee extensor RME increased primarily as a function of squat depth, reaching 57% of maximum 296
strength at 105⁰-119⁰ knee flexion (0⁰ is knee extension) with 90% 1 RM. Hip extensor RME increased 297
both with barbell load and squat depth, reaching 76% of maximum strength at 105⁰-119⁰ knee flexion 298
with 90% 1 RM. From these data, it was hypothesized that while using heavy loads may be effective to 299
train the ankle plantar flexors and hip extensors, the knee extensors would be best trained during squat 300
exercise by using greater squat depths as described by knee flexion angle. 301
A follow-up report estimated the actual quadriceps RME, as hamstrings co-contraction at the 302
knee would result in the knee extensor NJM being an underestimate of the quadriceps moment 303
required (11). Using a musculoskeletal model, quadriceps moment and RME were estimated under the 304
assumptions that either: 1) gluteus maximus and hamstrings activation were equal or 2) gluteus 305
maximum activation was maximal and hamstrings activation was minimized. Quadriceps RME increased 306
with both squat depth and barbell load, reaching 120% of maximum strength using the first assumption 307
and 87% of maximum strength using the second assumption for squats to 105⁰-119⁰ knee flexion at 90% 308
1 RM; the first assumption was deemed to be not feasible. Collectively, these findings indicate that 309
gluteus maximus and quadriceps RME increase as a function of both squat depth and barbell load. 310
Based on these results, it could be hypothesized that squats to at least 105⁰-119⁰ knee flexion would be 311
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
14
better to elicit gluteus maximus and quadriceps size and strength adaptations compared to squats 312
where less knee flexion is achieved. This hypothesis, at least in regards to quadriceps cross-sectional 313
area and isometric knee extensor strength, has been confirmed (7). 314
The association between squat depth and likely knee extensor muscular effort is consistent with 315
other studies where weighted squats were performed. In the clean and power clean, the barbell is 316
caught on the shoulders in a front squat. Moolyk et al. (74) observed greater knee extensor NJM in 317
cleans, which had 131⁰ knee flexion (0⁰ is knee extension), versus power cleans, which had 90⁰ knee 318
flexion. A recent study of squat exercise biomechanics reported knee extensor NJM was greater at 319
120⁰-134⁰ and 135-149⁰ knee flexion than at 105⁰-119⁰ knee flexion (18). Although these studies did 320
not investigate RME, maximal knee extensor moment is generated at knee flexion angles between 60⁰ 321
and 90⁰. Maximal knee extensor moment decreases with knee flexion angles greater than 60⁰-75⁰ (54); 322
thus, it can be hypothesized that the larger knee extensor NJM with increasing squat depth would result 323
in greater knee extensor RME with these greater squat depths. 324
325
EMG 326
In addition to NJM, EMG is commonly assumed to be a good estimate of muscle effort. The 327
physiologic principles of EMG analysis, as well as the general assumptions and limitations associated 328
with EMG have been discussed at length (55, 57). For this review, the issues most pertinent to using 329
EMG as a measure of muscle effort during resistance exercise are considered. EMG amplitude is the 330
electrical potential difference measured from activated motor units near the surface or fine-wire 331
electrodes recording electrodes. Surface electrodes are non-invasive and have a larger recording area 332
than fine-wire electrodes, at the expense of greater potential for crosstalk and electrode movement 333
relative to the underlying muscle (57). Fine-wire electrodes are better for selectively recording the same 334
motor units within a single muscle, however, can record fewer total motor units (57). 335
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
15
The measured electrical potential difference is specific to the muscle and the impedance 336
between the recording electrodes and the muscle (57). This impedance varies based on the distance 337
between the muscle and the electrodes, the distance between the electrodes, electrode size, biological 338
tissue composition, and several other factors (26, 43, 57). While some factors can be controlled for, 339
others cannot. Therefore, the electrical potential difference may be valid only for a specific muscle on a 340
specific day. This means that the EMG signal cannot be compared between different muscles, to the 341
same muscle on different days, or between different persons. To permit these comparisons, rectified 342
and processed EMG amplitude during an activity is normalized to EMG amplitude during a reference 343
action (4, 28). When the reference action is a maximal voluntary effort, this is interpreted the same as 344
NJM normalized to moment during maximum strength testing or RME. Normalized EMG should not be 345
interpreted, as has been discussed for RME, as an exact percentage of maximum muscle strength. One 346
study has directly compared these electrophysiological versus mechanical methods. For a bodyweight 347
squat at 90⁰ knee flexion, normalized EMG underestimated muscle effort compared to normalized NJM 348
(i.e. RME) (52). Thus, there may not be direct correspondence between EMG normalized to a maximal 349
voluntary effort and RME. 350
A further benefit of normalizing EMG is that it reduces the effect of amplitude cancellation (58). 351
Motor unit action potentials include both positive and negative phases. The action potentials from 352
motor units sum, increasing or decreasing (when negative voltages cancel positive voltages) EMG 353
amplitude. As muscle activation and muscle force exerted increase, EMG amplitude cancellation also 354
increases. Mathematical simulations predict that absolute EMG amplitude may be reduced by as much 355
as 62% at maximum muscle force (58). Normalizing EMG reduces the effect of amplitude cancellation to 356
less than five percent (58). 357
358
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
16
The premise behind interpreting normalized EMG is that a linear relation exists between EMG 359
and mechanical measures of muscle effort (55, 79). However, linear and curvilinear relations between 360
normalized EMG and mechanical measures of muscle effort have been reported (28, 71, 110). For 361
purposes of normalization, most investigations record the reference EMG at a single effort level, which 362
is insufficient to establish the relation with muscle effort. Consequently, muscle effort may be 363
incorrectly estimated from normalized EMG. 364
An additional problem for interpreting normalized EMG is the reference action selected. To 365
estimate muscle effort as a percentage of maximum, maximal voluntary isometric efforts have been 366
recommended (90). However, maximum EMG amplitude may not occur during these tasks as maximum 367
muscle activation may not occur and amplitude cancellation is high (58). Normalized EMG values much 368
greater than 100% have been reported (47), which may be explained by a reference task that does not 369
allow maximum EMG amplitude to be obtained. The use of dynamic tasks, such as sprint running or 370
jumping, has been proposed for EMG normalization as absolute EMG amplitudes are higher compared 371
to single-joint isometric actions (95). However, this is problematic for interpretation as NJM and 372
estimated muscle forces during sprint running and jumping may also be sub-maximal (31, 75), therefore, 373
these tasks do not provide an adequate reference point for maximum muscle effort. An ideal reference 374
task would involve both maximum muscle effort and maximum EMG amplitude. 375
A final potential problem is EMG variation as a function of joint angle. Some research has 376
reported that EMG amplitude is dependent on joint angle (1, 33), while others have found that EMG 377
amplitude does not change with joint angle (13, 66). If there is a relation between EMG amplitude and 378
joint angle, joint angle specific EMG normalization is required (33). The conflicting results between 379
investigations may be a result of how data are analyzed. In general, studies assessing the relation 380
between EMG amplitude and joint angle have averaged data across multiple subjects before 381
determining the relation (1, 33, 66). This ignores that the relation may be different for each subject (60). 382
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
17
Additionally, there is large variability in EMG amplitude for actions performed both within and between 383
days (13, 60, 90). EMG amplitudes from a single effort, or the average of multiple efforts, will not reflect 384
the range of possible EMG amplitudes. By ignoring this range, incorrect relations between EMG 385
amplitude and joint angle may be established. 386
The utility of EMG as an estimate of muscle effort requires the actual relation between 387
normalized EMG and mechanical measures of muscle effort should be established. Moreover, a 388
reference task for normalization should be selected that requires maximum muscle effort and results in 389
maximum EMG amplitude. 390
391
POINT MASS MODELS 392
Barbell Kinematics & Kinetics 393
Mechanical systems can be idealized as point mass or rigid body models. Point mass models 394
idealize an object to have mass but no geometry; the forces exerted on an object act at the center of 395
mass. An individual performing an exercise can be represented using a point mass model by examining 396
the forces exerted on the individual or on a manipulated object like a barbell. Free body diagrams 397
illustrating the forces exerted on an individual performing a barbell squat and the forces exerted on the 398
lifter-barbell system using a point mass model are shown in Figure 2. In a barbell squat, three external 399
forces – gravitational attraction on the lifter’s mass, force from the barbell and the ground reaction 400
force – act on the lifter. The sum of these forces is proportional to the acceleration of the lifter’s center 401
of mass along the same axis. Both the forces exerted by the barbell and the ground can be measured. 402
For simplicity, only the vertical forces are shown, however, horizontal forces may also be exerted. This 403
example is not specific to barbell squats and can be used to represent any exercise where an external 404
resistance exerts vertical force on an individual. 405
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
18
Based on Newton’s third law, the force exerted by the barbell on the lifter is equal in magnitude 406
but opposite in sense (or direction along the axis) to the force exerted by the lifter on the barbell. The 407
vertical force exerted on the barbell is calculated using equation 2. 408
Equation 2: FY = m*g + m*aY; where FY: vertical force, m: mass, g: gravitational acceleration, a: 409
vertical acceleration 410
Mass multiplied by gravitational acceleration is weight, which is used in practice to quantify resistance 411
exercise intensity. However, in dynamic exercise, vertical barbell acceleration is not zero, and vertical 412
force exerted on the barbell is greater and lower than the barbell’s weight as the barbell has positive 413
and negative vertical acceleration, respectively. Acceleration can be directly measured using 414
accelerometers or calculated from displacement. Displacement has been measured using two- or three-415
dimensional motion analysis, or electromechanical transducers, such as linear position transducers and 416
optical encoders. 417
Electromechanical transducers are relatively inexpensive and are commonly employed to 418
quantify resistance exercise intensity. Methods for accurate kinetic calculations using these 419
technologies have been discussed in previous papers (23, 24); one key consideration is relevant for this 420
review. Specifically, it is important to recognize that the kinematics measured by these devices are 421
representative of the barbell (or implement the device is attached to) and may not be representative of 422
the lifter-barbell system (17). These technologies only permit measurement of the barbell kinematics 423
and not the lifter-barbell kinematics. In some cases, such as for a bench press, the primary resistance is 424
provided by the barbell and the mass of the upper extremity is relatively small and can be ignored (42). 425
In contrast, for exercises such as squats or cleans, both the barbell and the lifter’s mass provide 426
considerable resistance to movement (17, 42). Some studies have calculated force – and other kinetic 427
parameters – using barbell kinematics and the mass of the lifter-barbell system (17, 50). This approach 428
is only accurate if the barbell kinematics and the lifter-barbell system are identical (17). Any 429
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
19
discrepancies between barbell versus lifter-barbell system kinematics would create error when 430
calculating force in this manner (17). 431
Even if the force for the lifter-barbell system can be calculated using these kinematic methods, 432
this force would be the same as that obtained from a force platform (17). This is illustrated in Figure 2. 433
Thus, using parameters derived from barbell or barbell-lifter system kinematics has the same utility as 434
measuring force platform data, which is discussed in the next section. 435
436
Force Platforms 437
Typically, force platforms are used to measure ground reaction forces and moments during tasks 438
where an individual stands, walks, or runs over the platform (15, 78). However, other configurations 439
have been employed, such as placing the hands on the platform during a push up or mounting a bench 440
press on the platform (30, 102). Force platforms are a convenient method to obtain biomechanical 441
parameters due to their relatively low cost and ease of use, which includes data processing. For 442
biomechanics research, multi-component force platforms that measure forces along and moments 443
about three axes are typically used. Single-component force platforms marketed for physics classes that 444
measure vertical ground reaction force are also available and at a much lower cost than multi-445
component force platforms. 446
In addition to force, impulse can be calculated by integrating the force data with respect to 447
time. Forward dynamics equations can be used to calculate acceleration, change in velocity, and change 448
in position. Work is calculated by integrating force with respect to displacement, while power is 449
calculated by multiplying force and velocity. However, these parameters only describe the kinematics 450
and kinetics of the body’s or system’s center of mass as a point mass model interacting with the force 451
platform. It is questionable whether these parameters are useful measures of muscle effort. 452
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
20
The force measured by a force platform is the net force exerted on the platform by an 453
individual. The net force exerted increases when forces sum and decreases when forces cancel, 454
therefore, high muscle efforts may not result in high forces exerted on the force platform. Using 455
musculoskeletal modelling, Mills et al. (70) found that ground reaction forces could be reduced during 456
jump landings if hip extensor, knee extensor, and ankle plantar flexor muscle forces increased. Changing 457
countermovement depth in vertical jumps changes the peak vertical ground reaction force, but did not 458
affect peak hip extensor, knee extensor, and ankle plantar flexor NJM (29). Salem et al. (84) reported 459
that knee peak extensor NJM was lower and peak hip extensor NJM was higher in the involved versus 460
non-involved limb of individuals who had had anterior cruciate ligament reconstructive surgery within 461
the past year. However, there were no differences in the peak vertical ground reaction force between 462
limbs. 463
Taken together, these scenarios demonstrate that ground reaction force alone cannot be used 464
to infer hip extensor, knee extensor, and ankle plantar flexor muscle efforts. As ground reaction force is 465
directly proportional to a system’s center of mass acceleration along the same axis, any methodologies 466
based on center of mass kinematics are also not appropriate to quantify muscle effort. 467
468
SUMMARY 469
An understanding of how resistance exercise acts as a stimulus to elicit neural and muscular 470
adaptations requires knowledge of muscle forces or related estimates of muscle effort, such as 471
moments and normalized EMG. Currently, only indirect methods have been used to estimate muscle 472
effort as opposed to direct measurement of muscle force in vivo. Several biomechanical methods have 473
been employed, however, only some of these methods estimate muscle effort. Point mass models, such 474
as using force platforms and linear position transducers, are commonly employed due to the relatively 475
low cost and ease of use of the methodology involved. However, point mass models only quantify the 476
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
21
net force exerted on the lifter, barbell, or lifter-barbell system; this parameter is inadequate for 477
quantifying muscle effort. Inverse dynamics using a rigid body model can be used to calculate the NJMs 478
during exercises that may be interpreted as muscle group effort using RME. Musculoskeletal modelling, 479
some driven with normalized EMG as inputs to estimate load sharing between specific muscles, can 480
estimate muscle forces. RME can also be determined using NJM or muscle force by normalizing to 481
maximum muscle strength. Considering limitations of NJM, musculoskeletal modelling, and normalized 482
EMG, muscle effort estimates can be used to hypothesize application in resistance training. These 483
hypotheses, however, should be verified through training studies. 484
485
ACKNOWLEDGEMENTS 486
The author would like to express his appreciation to two anonymous reviewers who provided 487
important insight and feedback in the review process. 488
489
REFERENCES 490
1. Altenburg TM, de Haan A, Verdijk PWL, van Mechelen W, and de Ruiter CJ. Vastus lateralist 491
single motor unit EMG at the same absolute torque production at different knee angles. Journal 492
of Applied Physiology 107: 80-89, 2009. 493
2. Amarantini D, Rao G, and Berton E. A two-step EMG-and-optimization process to estimate 494
muscle force during dynamic movement. Journal of Biomechanics 43: 1827-1830, 2010. 495
3. Arnold AS, Salinas S, Asakawa DJ, and Delp SL. Accuracy of muscle moment arms estimated from 496
MRI-based musculoskeletal models of the lower extremity. Computer Aided Surgery 5: 108-119, 497
2000. 498
4. Balshaw TG and Hunter AM. Evaluation of electromyography normallisation methods for the 499
back squat. Journal of Electromyography and Kinesiology 22: 308-319, 2012. 500
5. Basmajian JV and Latif A. Integrated actions and functions of the chief flexors of the elbow: a 501
detailed electromyographic analysis. Journal of Bone and Joint Surgery American Volume 39A: 502
1106-1118, 1957. 503
6. Bieryla KA, Anderson DE, and Madigan ML. Estimations of relative effort during sit-to-stand 504
increase when accounting for variations in maximum voluntary torque with joint angle and 505
angular velocity. Journal of Electromyography and Kinesiology 19: 139-144, 2009. 506
7. Bloomquist K, Langberg H, Karlsen S, Madsgaard S, Boesen M, and Raastad T. Effect of range of 507
motion in heavy load squatting on muscle and tendon adaptations. European Journal of Applied 508
Physiology 113: 2133-2142, 2013. 509
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
22
8. Bobbert MF, Schamhardt HC, and Nigg BM. Calculation of vertical ground reaction force 510
estimates during running from positional data. Journal of Biomechanics 24: 1095-1105, 1991. 511
9. Bobbert MF and van Ingen Schenau GJ. Coordination in vertical jumping. Journal of 512
Biomechanics 21: 249-262, 1988. 513
10. Bobbert MF and van Soest AJ. Effects of muscle strengthening on vertical jump height: a 514
simulation study. Medicine and Science in Sports and Exercise 26: 1012-1020, 1994. 515
11. Bryanton MA, Carey JP, Kennedy MD, and Chiu LZF. Quadriceps effort during squat exercise 516
depends on hip extensor muscle strategy. Sports Biomechanics 14: 122-138, 2015. 517
12. Bryanton MA, Kennedy MD, Carey JP, and Chiu LZF. Effect of squat depth and barbell load on 518
relative muscular effort in squatting. Journal of Strength and Conditioning Research 26: 2820-519
2828, 2012. 520
13. Burden A and Bartlett R. Normalisation of EMG amplitude: an evaluation and comparison of old 521
and new methdos. Medical Engineering & Physics 21: 247-257, 1999. 522
14. Campos GE, Luecke TJ, Wendeln HK, Toma K, Hagerman FC, Murray TF, Ragg KE, Ratamess NA, 523
Kraemer WJ, and Staron RS. Muscular adaptations in response to three different resistance-524
training regimens: specificity of repetition maximum training zones. European Journal of Applied 525
Physiology 88: 50-60, 2002. 526
15. Cavagna GA. Force platforms as ergometers. Journal of Applied Physiology 39: 174-179, 1975. 527
16. Chiu LZF and Salem GJ. Comparison of joint kinetics during free weight and flywheel resistance 528
exercise. Journal of Strength and Conditioning Research 20: 555-562, 2006. 529
17. Chiu LZF, Schilling BK, Fry AC, and Weiss LW. Measurement of resistance exercise force 530
expression. Journal of Applied Biomechanics 20: 204-212, 2004. 531
18. Chiu LZF, vonGaza GL, and Jean LMY. Net joint moments and muscle activation in barbell squats 532
without and with restricted anterior leg rotation. Journal of Sports Sciences 1: 35-43, 2017. 533
19. Cleather DJ and Bull AMJ. The development of lower limb musculoskeletal models with clinical 534
relevance is dependent upon the fidelity of the mathematical description of the lower limb. Part 535
2: patient-specific geometry. Proceedings of the Institution of Mechanical Engineers Part H 226: 536
133-145, 2012. 537
20. Cleather DJ and Bull AMJ. The development of lower limb musculoskeletal models with clinical 538
relevance is dependent upon the fidelity of the mathematical description of the lower limb. Part 539
I: equations of motion. Proceedings of the Institution of Mechanical Engineers Part H 226: 120-540
132, 2012. 541
21. Cleather DJ, Goodwin JE, and Bull AMJ. An optimization approach to inverse dynamics provides 542
insight as to the function of the biarticular muscles during vertical jumping. Annals of Biomedical 543
Engineering 39: 147-160, 2010. 544
22. Cleather DJ, Southgate DFL, and Bull AMJ. The role of biarticular hamstrings and gastrocnemius 545
muscles in closed chain lower limb extension. Journal of Theoretical Biology 365: 217-225, 2015. 546
23. Cormie P, Deane R, and McBride JM. Methodological concerns for determining power output in 547
the jump squat. Journal of Strength and Conditioning Research 21: 424-430, 2007. 548
24. Cormie P, McBride JM, and McCaulley GO. Validation of power measurement techniques in 549
dynamic lower body resistance exercises. Journal of Applied Biomechanics 23: 103-118, 2007. 550
25. de Looze MP, Kingma I, Bussmann JBJ, and Toussaint HM. Validation of a dynamic linked 551
segment model to calculate joint moments in lifting. Clinical Biomechanics 7: 161-169, 1992. 552
26. De Vito G, McHugh D, Macaluso A, and Riches PE. Is the coactivation of biceps femoris during 553
isometric knee extension affected by adiposity in healthy young humans. Journal of 554
Electromyography and Kinesiology 13: 425-431, 2003. 555
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
23
27. Delp SL, Loan JP, Hoy MG, Zajac FE, Topp EL, and Rosen JM. An interactive graphics-based model 556
of the lower extremity to study orthopaedic surgical procedures. IEEE Transactions on 557
Biomedical Engineering 37: 757-767, 1990. 558
28. Doheny EP, Lowery MM, FitzPatrick DP, and O'Malley MJ. Effect of elbow joint angle on force-559
EMG relationships in human elbow flexor and extensor muscles. Journal of Electromyography 560
and Kinesiology 18: 760-770, 2008. 561
29. Domire ZJ and Challis JH. The influence of squat depth on maximal vertical jump performance. 562
Journal of Sports Sciences 25: 193-200, 2007. 563
30. Donkers MJ, An K-N, Chao EYS, and Morrey BF. Hand position affects elbow joint load during 564
push-up exercise. Journal of Biomechanics 26: 625-632, 1993. 565
31. Dorn TW, Schache AG, and Pandy MG. Muscular strategy shift in human running: dependence of 566
running speed on hip and ankle muscle performance. Journal of Experimental Biology 215: 1944-567
1956, 2012. 568
32. Dowling JJ, Konert E, Ljucovic P, and Andrews DM. Are humans able to voluntarily elicit 569
maximum muscle force. Neuroscience Letters 179: 25-28, 1994. 570
33. Earp JE, Newton RU, Cormie P, and Blazevich AJ. Knee angle-specific EMG normalization: The use 571
of polynomial based EMG-angle relationships. Journal of Electromyography and Kinesiology 23: 572
238-244, 2013. 573
34. Escamilla RF, Fleisig GS, Zheng N, Lander JE, Barrentine SW, Andrews JR, Bergemann BW, and 574
Moorman I, C T. Effects of technique variations on knee biomechanics during the squat and leg 575
press. Medicine & Science in Sports & Exercise 33: 1552-1566, 2001. 576
35. Finni T, Komi PV, and Lukkariniemi J. Achilles tendon loading during walking: application of a 577
novel optic fiber technique. European Journal of Applied Physiology 77: 289-291, 1998. 578
36. Flanagan SP and Salem GJ. Lower extremity joint kinetic response to external resistance 579
variations. Journal of Applied Biomechanics 24: 58-68, 2008. 580
37. Flemming BC and Beynnon BD. In vivo measurement of ligament/tendon strains and forces: A 581
review. Annals of Biomedical Engineering 32: 318-328, 2004. 582
38. Fry AC. The role of resistance exercise intensity on muscle fibre adaptations. Sports Medicine 34: 583
663-669, 2004. 584
39. Fukashiro S, Komi PV, Järvinen M, and Miyashita M. Comparison between the directly measured 585
achilles tendon force and the tendon force calculated from the ankle joint moment during 586
vertical jumps. Clinical Biomechanics 8: 25-30, 1993. 587
40. Fukashiro S, Komi PV, Järvinen M, and Miyashita M. In vivo achilles tendon loading during 588
jumping in humans. European Journal of Applied Physiology 71: 453-458, 1995. 589
41. Garhammer J. Biomechanical analysis of selected snatch lifts at the U.S. Senior National 590
Weightlifting Championships, in: Biomechanics of Sport and Kinanthropometry. F Landry, W 591
Orban, eds. Miami, FL: Symposia Specialsits, 1978, pp 475-484. 592
42. Garhammer J. A review of power output studies of Olympic and powerlifting: Methodology, 593
performance prediction, and evaluation tests. Journal of Strength and Conditioning Research 7: 594
76-89, 1993. 595
43. Gielen FLH, Wallinga-de Jonge W, and Boon KL. Electrical conductivity of skeletal muscle tissue: 596
experimental results from different muscles in vivo. Medical & Biological Engineering & 597
Computing 22: 569-577, 1984. 598
44. Gjøvaag TF and Dahl HA. Effect of training with different intensities and volumes on muscle fibre 599
enzyme activity and cross sectional area in the m. triceps brachii. European Journal of Applied 600
Physiology 103: 399-409, 2008. 601
45. Goldberg SR and Kepple TM. Muscle-induced acceleraton at maximum activation to assess 602
individual muscle capacity during movement. Journal of Biomechanics 42: 952-955, 2009. 603
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
24
46. Gregor RJ, Komi PV, Browning RC, and Järvinen M. A comparison of the triceps surae and 604
residual muscle moments at the ankle during cycling. Journal of Biomechanics 24: 287-297, 605
1991. 606
47. Gullet JC, Tillman MD, Gutierrrez GM, and Chow JW. A biomechanical comparison of back and 607
front squats in healthy trained individuals. Journal of Strength and Conditioning Research 23: 608
284-292, 2008. 609
48. Hahn D, Olvermann M, Richtberg J, Seiberl W, and Schwirtz A. Knee and ankle joint torque-angle 610
relationships of multi-joint leg extension. Journal of Biomechanics 44: 2059-2065, 2011. 611
49. Hamner SR and Delp SL. Muscle contributions to fore-aft and vertical body mass center 612
accelerations over a range of running speeds. Journal of Biomechanics 46: 780-787, 2013. 613
50. Hansen KT, Cronin JB, and Newton MJ. The reliability of linear position transducer, force plate 614
and combined measurement of explosive power-time variables during a loaded jump squat in 615
elite athletes. Sports Biomechanics 10: 46-58, 2011. 616
51. Hartmann H, Wirth K, Klusemann M, Dalic J, Matuschek C, and Schmidtbleicher D. Influence of 617
squatting depth on jumping performance. Journal of Strength and Conditioning Research 26: 618
3243-3261, 2012. 619
52. Hébert LJ, Gravel D, and Arsenault B. Comparisons of mechanical and electromyographical 620
muscular utilization ratios. Scandinavian Journal of Rehabilitation Medicine 27: 83-88, 1995. 621
53. Herbert RD and Gandevia SC. Twitch interpolation in human muscles: mechanisms and 622
implications for measurement of voluntary activation. Journal of Neurophysiology 82: 2271-623
2283, 1999. 624
54. Herzog W, Halser E, and Abrahamse SK. A comparison of knee extensor strength curves 625
obtained theoretically and experimentally. Medicine & Science in Sports & Exercise 23: 108-114, 626
1991. 627
55. Hof AL. EMG and muscle force: an introduction. Human Movement Science 3: 119-153, 1984. 628
56. Holm L, Reitelseder S, Pedersen TG, Doessing S, Petersen SG, Flyvbjerg A, Andersen JL, Aagaard 629
P, and Kjaer M. Changes in muscle size and MHC composition in response to resistance exercise 630
with heavy and light loading intensity. Journal of Applied Physiology 105: 1454-1461, 2008. 631
57. Kamen G and Gabriel D. Essentials of Electromyography. Champaign, IL: Human Kinetics, 2010. 632
58. Keenan KG, Farina D, Maluf KS, Merletti R, and Enoka RM. Influence of amplitude cancellation 633
on the simulated surface electromyogram. Journal of Applied Physiology 98: 120-131, 2005. 634
59. Kipp K, Harris C, and Sabick MB. Lower extremity biomechanics during weightlifting exercise vary 635
across joint and load. Journal of Strength and Conditioning Research 25: 1229-1234, 2011. 636
60. Knudson DV and Johnston D. Comparison of EMG normalization methods in a sit-to-stand 637
movement. Journal of Human Movement Studies 25: 39-50, 1993. 638
61. Knuttgen HG and Kraemer WJ. Terminology and measurement in exercise performance. Journal 639
of Applied Sport Science Research 1: 1-10, 1987. 640
62. Krishnan C and Williams GN. Quantification method affects estimates of voluntary quadriceps 641
activation. Muscle & Nerve 41: 868-874, 2010. 642
63. Krüger K, Petermann C, Pilat C, Schubert E, Pons-Kühnemann J, and Mooren FC. Preventive 643
strength training improves working ergonomics during welding. International Journal of 644
Occupational Safey and Ergonomics 21: 150-157, 2015. 645
64. Kukulka CG and Clamann HP. Comparison of the recruitment and discharge properties of motor 646
units in human brachial biceps and adductor pollicis during isometric contractions. Brain 647
Research 219: 45-55, 1981. 648
65. Kulig K, Andrews JG, and Hay JG. Human Strength Curves. Exercise and Sport Sciences Reviews 649
12: 417-466, 1984. 650
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
25
66. Leedham JS and Dowling JJ. Force-length, torque-angle and EMG-joint angle relationships of the 651
human in vivo biceps brachii. European Journal of Applied Physiology 70: 421-426, 1995. 652
67. Lenhart RL, Francis CA, Lenz AL, and Thelan DG. Empirical evaluationa of gastrocnemius and 653
soleus function during walking. Journal of Biomechanics 47: 2969-2974, 2014. 654
68. Lin Y-C, Dorn TW, Schache AG, and Pandy MG. Comparison of different methods for estimating 655
muscle forces in human movement. Journal of Engineering in Medicine 226, 2011. 656
69. Losnegard T, Mikkelsen K, Rønnestad BR, Hallén J, Rud B, and Raastad T. The effect of heavy 657
strength training on muscle mass and physical performance in elite cross country skiers. 658
Scandinavian Journal of Medicine & Science in Sports 21: 389-401, 2011. 659
70. Mills CM, Pain MTG, and Yeadon MR. Reducing ground reaction forces in gymnastics' landings 660
may increase internal loading. Journal of Biomechanics 42: 671-678, 2009. 661
71. Milner-Brown HS and Stein RB. The relation between the surface electromyogram and muscular 662
force. Journal of Physiology 246: 549-569, 1975. 663
72. Milot M-H, Nadeau S, and Gravel D. Muscular utilization of the plantarflexors, hip flexors and 664
extensors in persons with hemiparesis walking at self-selected and maximal speeds. Journal of 665
Electromyography and Kinesiology 17: 184-193, 2007. 666
73. Milot M-H, Nadeau S, Gravel D, and Bourbonnais D. Effect of increases in plantarflexor and hip 667
flexor muscle strength on the levels of effort during gait in individuals with hemiparesis. Clinical 668
Biomechanics 23: 415-423, 2008. 669
74. Moolyk AN, Carey JP, and Chiu LZF. Characteristics of lower extremity work during the impact 670
phase of jumping and weightlifting. Journal of Strength and Conditioning Research 27: 3225-671
3232, 2013. 672
75. Nagano A and Gerritsen KGM. Effects of neuromuscular strength training on vertical jumping 673
performance-A computer simulation study. Journal of Applied Biomechanics 17: 113-128, 2001. 674
76. Németh G and Ohlsén H. In vivo moment arm lengths for hip extensor muscles at different 675
angles of hip flexion. Journal of Biomechanics 18: 129-140, 1985. 676
77. Newman SA, Jones G, and Newham DJ. Quadriceps voluntary activation at different joint angles 677
measured by two stimulation techniques. European Journal of Applied Physiology 89: 496-499, 678
2003. 679
78. Payne AH, Slater WJ, and Telford T. The use of a force platform in the study of athletic activities. 680
A preliminary investigation. Ergonomics 11: 123-143, 1968. 681
79. Perry J and Bekey GA. EMG-force relationships in skeletal muscle. Critical Reviews in Biomedical 682
Engineering 7: 1-22, 1981. 683
80. Prilutsky BI and Zatsiorsky VM. Optimization-based models of muscle coordination. Exercise and 684
Sport Sciences Reviews 30: 32-38, 2002. 685
81. Rao G, Amarantini D, and Berton E. Influence of additional load on the moments of the agonist 686
and antagonist muscle groups at the knee joint during closed chain exercise. Journal of 687
Electromyography and Kinesiology 19: 459-466, 2009. 688
82. Reiser II RF, Mackey DT, and Overman JW. Between the beginning and end of a repetition: How 689
intrinsic and extrinsic factors influence the intensity of a biceps curl. Strength and Conditioning 690
Journal 29: 64-76, 2007. 691
83. Robertson DE, Wilson JJ, and Pierre TS. Lower extremity muscle functions during full squats. 692
Journal of Applied Biomechanics 24: 333-339, 2008. 693
84. Salem GJ, Salinas R, and Harding F. Bilateral kinematic and kinetic analysis of the squat exercise 694
after anterior cruciate ligament reconstruction. Archives of Physical Medicine and Rehabilitation 695
84: 1211-1216, 2003. 696
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
26
85. Samuel D, Rowe P, Hood V, and Nicol A. The biomechanical functional demand placed on knee 697
and hip muscles of older adults during stair ascent and descent. Gait & Posture 34: 239-244, 698
2011. 699
86. Sanders RH, Wilson BD, and Jensen RK. Accuracy of derived ground reaction force curves for a 700
rigid link human body model. International Journal of Sport Biomechanics 7: 330-343, 1991. 701
87. Selbie WS, Hamill J, and Kepple T. Three-dimensional kinetics, in: Research Methods in 702
Biomechanics. DGE Robertson, GE Caldwell, J Hamill, G Kamen, SN Whittlesey, eds. Champaign, 703
IL: Human Kinetics, 2014, pp 151-176. 704
88. Seynnes OR, de Boer M, and Narici MV. Early skeletal muscle hypertrophy and architectural 705
changes in response to high-intensity resistance training. Journal of Applied Physiology 102: 368-706
373, 2007. 707
89. Simpson CS, Sohn MH, Allen JL, and Ting LH. Feasible activation ranges based on inverse 708
dynamics analyses of human walking. Journal of Biomechanics 48: 2990-2997, 2015. 709
90. Soderberg GL and Knutson LM. A guide for use and interpretation of kinesiologic 710
electromyographic data. Physical Therapy 80: 485-498, 2000. 711
91. Sohn MH, McKay JL, and Ting LH. Defining feasible bounds on muscle activation in a redundant 712
biomechanical task: practical implications for redundancy. Journal of Biomechanics 46: 1363-713
1368, 2013. 714
92. Sousa N, Mendes R, Abrantes C, Sampaio J, and Oliveira J. Effectiveness of combined exercise 715
training to improve functional fitness in older adults: A randomized controlled trial. Geriatrics & 716
Gerontology International 14: 892-898, 2014. 717
93. Staron RS, Karapondo DL, Kraemer WJ, Fry AC, Gordon SE, Falkel JE, Hagerman FC, and Hikida 718
RS. Skeletal muscle adaptations during early phase of heavy-resistance training in men and 719
women. Journal of Applied Physiology 76: 1247-1255, 1994. 720
94. Steele J. Intensity; in-ten-si-ty; noun. 1. OFten used ambiguosly within resistance training. 2. Is it 721
time to drop the term altogether? British Journal of Sports Medicine 48: 1586-1588, 2014. 722
95. Suydam SM, Manal K, and Buchanan TS. The advantages of normalizing electromyography to 723
ballistic rather than isometric or isokinetic tasks. Journal of Applied Biomechanics, In Press. 724
96. Tesch PA, Ploutz-Snyder LL, Yström L, Castro MJ, and Dudley GA. Skeletal muscle glycogen loss 725
evoked by resistance exercise. Journal of Strength and Conditioning Research 12: 67-73, 1998. 726
97. Travill AA. Electromyographic study of the extensor apparatus of the forearm. The Anatomical 727
Record 144: 373-376, 1962. 728
98. Tricoli V, Lamas L, Carnevale R, and Ugrinowitsch C. Short-term effects on lower-body functional 729
power development: Weightlifting vs. vertical jump training programs. Journal of Strength and 730
Conditioning Research 19: 433-437, 2005. 731
99. Usui S, Maeo S, Tayashiki K, Nakatani M, and Kanehisa H. Low-load slow movement training 732
increases muscle size and strength but not power. International Journal of Sports Medicine 37: 733
305-312, 2016. 734
100. Visser JJ, Hoogkamer JE, Bobbert MF, and Huijing PA. Length and moment arm of human leg 735
muscles as a function of knee and hip-joint angles. European Journal of Applied Physiology 61: 736
453-460, 1990. 737
101. Wagner DW, Stepanyan V, Shippen JM, DeMers MS, Gibbons RS, Andrews BJ, Creasey GH, and 738
Beaupre GS. Consistency among musculoskeletal models: caveat utilitor. Annals of Biomedical 739
Engineering 41: 1787-1799, 2013. 740
102. Wilson GJ, Elliott BC, and Wood GA. The effect on performance of imposing a delay during a 741
stretch-shorten cycle movement. Medicine & Science in Sports & Exercise 23: 364-370, 1991. 742
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
27
103. Wilson GJ, Newton RU, Murphy AJ, and Humphries BJ. The optimal training load for the 743
development of dynamic athletic performance. Medicine and Science in Sports and Exercise 25: 744
1279-1286, 1993. 745
104. Wretenberg P, Németh G, Lamontagne M, and Lundin B. Passive knee muscle moment arms 746
measured in vivo with MRI. Clinical Biomechanics 11: 439-446, 1996. 747
105. Wright GA, Delong TH, and Gehlsen G. Electromyographic activity of the hamstrings during 748
performance of the leg curl, stiff-leg deadlift, and back squat movements. Journal of Strength 749
and Conditioning Research 13: 168-174, 1999. 750
106. Zajac FE. Muscle and tendon: properties, models, scaling, and application to biomechanics and 751
motor control. Critical Reviews in Biomedical Engineering 17: 359-411, 1989. 752
107. Zajac FE and Gordon ME. Determining muscle's force and action in multi-articular movement. 753
Exercise and Sport Sciences Reviews 17: 187-230, 1989. 754
108. Zernicke RF, Garhammer J, and Jobe FW. Human patellar-tendon rupture. Journal of Bone and 755
Joint Surgery American Volume 59A: 179-183, 1977. 756
109. Zhang L-Q, Wang G, Nuber GW, Press LM, and Koh JL. In vivo load sharing among the quadriceps 757
components. Journal of Orthopaedic Research 21: 565-571, 2003. 758
110. Zuniga EN and Simons DG. Nonlinear relationship between averaged electromyogram potential 759
and muscle tension in normal subjects. Archives of Physical Medicine and Rehabilitation 50: 613-760
620, 1969. 761
762
763
764
List of Figures and Figure Footnotes 765
766
Figure 1: Free body diagrams for rigid body modelling to calculate net joint moments acting on the thigh 767
leg and foot segments. Dynamics equations are shown for the leg segment only. F – force; M – 768
moment; m – mass; a – acceleration; g – gravitational acceleration; α – angular acceleration; I – moment 769
of inertia; X – X-axis; Y – Y-axis; Z – Z-axis; T – thigh; L – leg; Ft – foot; H – hip; K – knee; A – ankle; G – 770
ground. 771
772
Figure 2: Point mass model free body diagrams showing the lifter and barbell (left) and lifter-barbell 773
system (right) during squat exercise. F – force; m – mass; a – acceleration; g – gravitational acceleration; 774
X – X-axis; Y – Y-axis; Z – Z-axis. 775
ACCEPTED
Copyright ª 2017 National Strength and Conditioning Association
本文献由“学霸图书馆-文献云下载”收集自网络,仅供学习交流使用。
学霸图书馆(www.xuebalib.com)是一个“整合众多图书馆数据库资源,
提供一站式文献检索和下载服务”的24 小时在线不限IP
图书馆。
图书馆致力于便利、促进学习与科研,提供最强文献下载服务。
图书馆导航:
图书馆首页 文献云下载 图书馆入口 外文数据库大全 疑难文献辅助工具