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      Effects of Kinesio taping on forearm supination/pronation performance fatigability

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          Abstract

          Background

          Repetitive exertion in supination/pronation could increase the risk of forearm diseases due to fatigue. Kinesio taping (KT) is a physical therapy technique that decreases muscle tone and musculoskeletal disorders (MSDs) risk. Many assumptions about taping have been made and several studies have considered the taping applications; however, the effect of KT on strength and fatigue of the forearm supination/pronation remains unclear. The purpose of this study was to evaluate the effect of KT on forearm performance fatigability.

          Methods

          A screwing test was constructed to measure the forearm force loss and screwing efficiency during repetitive supination/pronation. Data from 18 healthy adults who underwent both KT and no taping (NT) sessions were used to investigate the forearm strength change in terms of grip force (GF), driving torque (DT), and push force (PF). The maximal isometric forces before and after the screwing test and force decreasing rate (efficiency) during screwing were evaluated to assess the performance fatigability in KT and NT conditions.

          Results

          A statistically significant force loss (FL) in maximal isometric GF ( p = 0.039) and maximal isometric DT ( p = 0.044); however, no significant difference was observed in maximal isometric PF ( p = 0.426) between NT and KT. KT provides greater screwing efficiency than NT.

          Conclusions

          KT could not improve FL in the maximal muscle strength of the forearm in healthy subjects. KT on the forearm was associated with a lesser decline in DT efficiency than NT, implying that KT could decrease the loss rate of muscle strength and delay the development of fatigue; however, the KT did not yield improvements in PF while performing screwing tasks.

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          Most cited references48

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          Muscle fatigue: what, why and how it influences muscle function.

          Much is known about the physiological impairments that can cause muscle fatigue. It is known that fatigue can be caused by many different mechanisms, ranging from the accumulation of metabolites within muscle fibres to the generation of an inadequate motor command in the motor cortex, and that there is no global mechanism responsible for muscle fatigue. Rather, the mechanisms that cause fatigue are specific to the task being performed. The development of muscle fatigue is typically quantified as a decline in the maximal force or power capacity of muscle, which means that submaximal contractions can be sustained after the onset of muscle fatigue. There is even evidence that the duration of some sustained tasks is not limited by fatigue of the principal muscles. Here we review experimental approaches that focus on identifying the mechanisms that limit task failure rather than those that cause muscle fatigue. Selected comparisons of tasks, groups of individuals and interventions with the task-failure approach can provide insight into the rate-limiting adjustments that constrain muscle function during fatiguing contractions.
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            Skeletal muscle fatigue: cellular mechanisms.

            Repeated, intense use of muscles leads to a decline in performance known as muscle fatigue. Many muscle properties change during fatigue including the action potential, extracellular and intracellular ions, and many intracellular metabolites. A range of mechanisms have been identified that contribute to the decline of performance. The traditional explanation, accumulation of intracellular lactate and hydrogen ions causing impaired function of the contractile proteins, is probably of limited importance in mammals. Alternative explanations that will be considered are the effects of ionic changes on the action potential, failure of SR Ca2+ release by various mechanisms, and the effects of reactive oxygen species. Many different activities lead to fatigue, and an important challenge is to identify the various mechanisms that contribute under different circumstances. Most of the mechanistic studies of fatigue are on isolated animal tissues, and another major challenge is to use the knowledge generated in these studies to identify the mechanisms of fatigue in intact animals and particularly in human diseases.
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              Neural Contributions to Muscle Fatigue: From the Brain to the Muscle and Back Again.

              During exercise, there is a progressive reduction in the ability to produce muscle forces. Processes within the nervous system, as well as within the muscles contribute to this fatigue. In addition to impaired function of the motor system, sensations associated with fatigue, and impairment of homeostasis can contribute to impairment of performance during exercise. This review discusses some of the neural changes that accompany exercise and the development of fatigue. The role of brain monoaminergic neurotransmitter systems in whole-body endurance performance is discussed, particularly with regard to exercise in hot environments. Next, fatigue-related alterations in the neuromuscular pathway are discussed in terms of changes in motor unit firing, motoneuron excitability and motor cortical excitability. These changes have mostly been investigated during single-limb isometric contractions. Finally, the small-diameter muscle afferents that increase firing with exercise and fatigue are discussed. These afferents have roles in cardiovascular and respiratory responses to exercise, and in impairment of exercise performance through interaction with the motor pathway, as well as providing sensations of muscle discomfort. Thus, changes at all levels of the nervous system including the brain, spinal cord, motor output, sensory input and autonomic function occur during exercise and fatigue. The mix of influences and the importance of their contribution varies with the type of exercise being performed.
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                Author and article information

                Contributors
                shiaujk@gmail.com
                iyung.tsai@gmail.com
                luchihwei66@gmail.com
                2909@gcloud.csu.edu.tw
                m8571409@yahoo.com.tw
                chuan@mail.npust.edu.tw , ed106010@edah.org.tw
                ed100130@edah.org.tw
                Journal
                BMC Musculoskelet Disord
                BMC Musculoskelet Disord
                BMC Musculoskeletal Disorders
                BioMed Central (London )
                1471-2474
                9 February 2022
                9 February 2022
                2022
                : 23
                : 131
                Affiliations
                [1 ]GRID grid.414686.9, ISNI 0000 0004 1797 2180, Department of Orthopedics, , E-Da Hospital, ; No. 1 E-Da Rd, Yuan-Chau District, Kaohsiung, Taiwan
                [2 ]GRID grid.411649.f, ISNI 0000 0004 0532 2121, Department of Industrial and Systems Engineering, , Chung Yuan Christian University, ; Chung Li, Taiwan
                [3 ]GRID grid.411282.c, ISNI 0000 0004 1797 2113, Department of Mechanical Engineering, , Cheng Shiu University, ; No.840, Chengcing Rd., Niaosong Dist, Kaohsiung City, Taiwan
                [4 ]GRID grid.412083.c, ISNI 0000 0000 9767 1257, Department of Vehicle Engineering, , National Pingtung University of Science and Technology, ; No. 1, Shuefu Road, Neipu, Pingtung 91201 Taiwan
                Article
                5068
                10.1186/s12891-022-05068-4
                8826704
                9dabe1f3-d06c-431f-aab8-2192659c8995
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 6 September 2021
                : 24 January 2022
                Categories
                Research
                Custom metadata
                © The Author(s) 2022

                Orthopedics
                kinesio taping,performance fatigability,force loss,supination/pronation
                Orthopedics
                kinesio taping, performance fatigability, force loss, supination/pronation

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