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European Journal of Applied Physiology

, Volume 119, Issue 9, pp 2065–2073 | Cite as

Experimental knee pain impairs joint torque and rate of force development in isometric and isokinetic muscle activation

  • David A. Rice
  • Jamie Mannion
  • Gwyn N. LewisEmail author
  • Peter J. McNair
  • Lana Fort
Original Article

Abstract

Purpose

To investigate the effects of acute experimental knee joint pain on maximum force generation and rate of force development (RFD) of the quadriceps muscle during isometric and dynamic muscle activations.

Methods

The right knee of 20 healthy people was injected with hypertonic saline to create an acute pain experience. Measurements of maximum knee extensor torque during isometric, concentric, and eccentric contractions were undertaken using a Biodex dynamometer. The RFD was also examined during the isometric contractions. Quadriceps muscle activity was obtained using electromyography (EMG). The outcome measures were obtained at baseline, during pain, and after knee pain had resolved.

Results

Maximum joint torque and peak EMG were significantly reduced during pain, but there were no differences across the three types of contraction. The maximum RFD and rate of EMG rise were also reduced during pain, primarily at 50–100 ms post-contraction onset. The RFD and EMG rise were largely unaffected at later time periods following contraction onset (150–200 ms).

Conclusions

Acute joint pain has a similar impact on isometric and isokinetic contractions despite differences in neural control strategies. Joint pain also impairs rapid muscle activation and the RFD. These findings are important for people with musculoskeletal pain as it likely contributes to impairments in joint function in these populations.

Keywords

Acute pain Knee extensors Maximum voluntary contraction Rate of force development 

Abbreviations

ANOVA

Analysis of variance

EMG

Electromyography

MVC

Maximum voluntary contraction

RFD

Rate of force development

Notes

Author contributions

DR, PM, and JM conceived and designed the research. LF and DR collected the data. LF and GL analyzed the data. GL and LF wrote the manuscript. All the authors read and approved the manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Health and Rehabilitation Research InstituteAuckland University of TechnologyAucklandNew Zealand
  2. 2.Waitemata Pain Service, Department of Anaesthesia and Perioperative MedicineNorth Shore HospitalAucklandNew Zealand
  3. 3.Unitec Institute of TechnologyAucklandNew Zealand

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