Pethick, Jamie and Clark, Nicholas C and Liew, Bernard (2022) Alterations in peripheral joint muscle force control in adults with musculoskeletal disease, injury, surgery, or arthroplasty: A systematic review and meta-analysis. Journal of Electromyography and Kinesiology, 66. p. 102696. DOI https://doi.org/10.1016/j.jelekin.2022.102696
Pethick, Jamie and Clark, Nicholas C and Liew, Bernard (2022) Alterations in peripheral joint muscle force control in adults with musculoskeletal disease, injury, surgery, or arthroplasty: A systematic review and meta-analysis. Journal of Electromyography and Kinesiology, 66. p. 102696. DOI https://doi.org/10.1016/j.jelekin.2022.102696
Pethick, Jamie and Clark, Nicholas C and Liew, Bernard (2022) Alterations in peripheral joint muscle force control in adults with musculoskeletal disease, injury, surgery, or arthroplasty: A systematic review and meta-analysis. Journal of Electromyography and Kinesiology, 66. p. 102696. DOI https://doi.org/10.1016/j.jelekin.2022.102696
Abstract
Purpose To systematically review and analyse whether musculoskeletal conditions affect peripheral joint muscle force control (i.e. magnitude and/or complexity of force fluctuations). Methods A literature search was conducted using MEDLINE, CINAHL and SPORTDiscus databases (from inception-8th April 2021) for studies involving: 1) participants with musculoskeletal disease, injury, surgery, or arthroplasty in the peripheral joints of the upper/lower limb; 2) comparison with an unaffected control group or unaffected contralateral limb; and 3) measures of the magnitude and/or complexity of force fluctuations during targeted isometric contractions. The methodological quality of studies was evaluated using a modified Downs and Black Quality Index. Studies were combined using the standardized mean difference (SMD) in a random-effects model. Results 14 studies (investigating 694 participants) were included in the meta-analysis. There was a significant effect of musculoskeletal conditions on peripheral joint muscle force coefficient of variation (CV; SMD = 0.19 [95 % CI 0.06, 0.32]), whereby individuals with musculoskeletal conditions exhibited greater CV than controls. Subgroup analyses revealed that CV was only greater: 1) when comparison was made between symptomatic and asymptomatic individuals (rather than between affected and contralateral limbs; SMD = 0.22 [95 % CI 0.07, 0.38]); 2) for conditions of the knee (SMD = 0.29 [95 % CI 0.14, 0.44]); and 3) for ACL injury post-surgery (SMD = 0.56 [95 % CI 0.36, 0.75]). Conclusion Musculoskeletal conditions result in an increase in peripheral joint muscle force CV, with this effect dependent on study design, peripheral joint, and surgical status. The greater force CV is indicative of decreased force steadiness and could have implications for long-term tissue health/day-to-day function.
Item Type: | Article |
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Uncontrolled Keywords: | Force control; Variability; Complexity; Musculoskeletal conditions |
Divisions: | Faculty of Science and Health Faculty of Science and Health > Sport, Rehabilitation and Exercise Sciences, School of |
SWORD Depositor: | Unnamed user with email elements@essex.ac.uk |
Depositing User: | Unnamed user with email elements@essex.ac.uk |
Date Deposited: | 19 Aug 2022 12:15 |
Last Modified: | 30 Oct 2024 20:52 |
URI: | http://repository.essex.ac.uk/id/eprint/33285 |
Available files
Filename: Pethick J et al 2022_JEK_Alterations peripheral joint force control.pdf
Licence: Creative Commons: Attribution 3.0