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Functional resistance training during walking: do biomechanical and neural effects differ based on targeted joints?

IEEE transactions on medical robotics and bionics
May 1, 2024
Edward P Washabaugh et al. (2 authors)
Journal ArticleMolecular Study
Study Details

Study Goal

The researchers aimed to compare the effects of functional resistance training (FRT) during walking when resistance was applied to the knee alone versus both the hip and knee joints.

Results Summary

Adding resistance to the hip increased hip flexion moment and concentric power during swing phase but did not significantly differ from knee-only resistance in muscle activation, aftereffects, peripheral fatigue, or corticospinal excitability. Both configurations produced similar changes in these variables.

Population

Fourteen non-disabled individuals.

Effective Dosage

Not specified.

Duration

Separate visits (acute setting).

Interactions

None mentioned.

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
functional resistance training (FRT) during walking configured to resist the hip and knee
increase
hip flexion moment
non-disabled individuals
-
increased
#1
functional resistance training (FRT) during walking configured to resist the hip and knee
increase
hip concentric power during the swing phase
non-disabled individuals
-
increased
#2
functional resistance training (FRT) during walking configured to resist the hip and knee
no change
muscle activation
non-disabled individuals
-
did not result in significant differences
#3
functional resistance training (FRT) during walking configured to resist the hip and knee
no change
kinematic aftereffects
non-disabled individuals
-
did not result in significant differences
#4
functional resistance training (FRT) during walking configured to resist the hip and knee
no change
peripheral fatigue
non-disabled individuals
-
did not result in significant differences
#5
functional resistance training (FRT) during walking configured to resist the hip and knee
no change
corticospinal excitability
non-disabled individuals
-
did not result in significant differences
#6
functional resistance training (FRT) during walking configured to resist the knee
no change
muscle activation
non-disabled individuals
-
did not result in significant differences
#7
functional resistance training (FRT) during walking configured to resist the knee
no change
kinematic aftereffects
non-disabled individuals
-
did not result in significant differences
#8
functional resistance training (FRT) during walking configured to resist the knee
no change
peripheral fatigue
non-disabled individuals
-
did not result in significant differences
#9
functional resistance training (FRT) during walking configured to resist the knee
no change
corticospinal excitability
non-disabled individuals
-
did not result in significant differences
#10
functional resistance training (FRT) during walking configured to resist the hip and knee
no change
walking with resistance
non-disabled individuals
-
was not different from resisting the knee
#11
Abstract

Devices for functional resistance training (FRT) during walking are often configured to resist the knee or both the hip and knee joints. Adding resistance to the hip in addition to the knee should alter the effects of training; however, these configurations have not been directly compared. We examined how FRT during walking differs during the knee or hip and knee conditions. Fourteen non-disabled individuals received FRT during treadmill walking with a device configured to provide a viscous resistance to the knee or the hip and knee during separate visits. Between these configurations, we compared gait kinetics, muscle activation, kinematic aftereffects, peripheral fatigue, and corticospinal excitability. Adding resistance to the hip increased hip flexion moment and concentric power during the swing phase. However, this did not result in significant differences in muscle activation, aftereffects, peripheral fatigue, or corticospinal excitability between the configurations. Instead, both configurations produced similar changes in these variables. These results indicate that, aside from kinetics, walking with resistance at the hip and knee was not different from resisting the knee in the acute setting. However, further research is needed to determine if long-term training with resistance at the hip induces differential effects than resisting the knee alone.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations1
Citations/Year1.0
Research Impact Scores
APT Score0.05
Weight Score1.50
Normalized Score0.61
Related Supplements
Functional resistance training during walking: do biomechani... | Panacea Index