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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

Alterations in neuromuscular function in girls with generalized joint hypermobility

Authors: Bente Rona Jensen, Jesper Sandfeld, Pia Sandfeld Melcher, Katrine Lyders Johansen, Peter Hendriksen, Birgit Juul-Kristensen

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

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Abstract

Background

Generalized Joint Hypermobility (GJH) is associated with increased risk of musculoskeletal joint pain. We investigated neuromuscular performance and muscle activation strategy.

Methods

Girls with GJH and non-GJH (NGJH) performed isometric knee flexions (90°,110°,130°), and extensions (90°) at 20 % Maximum Voluntary Contraction, and explosive isometric knee flexions while sitting. EMG was recorded from knee flexor and extensor muscles.

Results

Early rate of torque development was 53 % faster for GJH. Reduced hamstring muscle activation in girls with GJH was found while knee extensor and calf muscle activation did not differ between groups. Flexion-extension and medial-lateral co-activation ratio during flexions were higher for girls with GJH than NGJH girls.

Conclusions

Girls with GJH had higher capacity to rapidly generate force than NGJH girls which may reflect motor adaptation to compensate for hypermobility. Higher medial muscle activation indicated higher levels of medial knee joint compression in girls with GJH. Increased flexion-extension co-activation ratios in GJH were explained by decreased agonist drive to the hamstrings.
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Metadata
Title
Alterations in neuromuscular function in girls with generalized joint hypermobility
Authors
Bente Rona Jensen
Jesper Sandfeld
Pia Sandfeld Melcher
Katrine Lyders Johansen
Peter Hendriksen
Birgit Juul-Kristensen
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-1267-5

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