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A below-knee compression garment reduces fatigue-induced strength loss but not knee joint position sense errors

Abstract

Purpose

We examined the possibility that wearing a below-knee compression garment (CG) reduces fatigue-induced strength loss and joint position sense (JPS) errors in healthy adults.

Methods

Subjects (n = 24, age = 25.5 ± 4 years) were allocated to either one of the treatment groups that performed 100 maximal isokinetic eccentric contractions at 30°−1 with the right-dominant knee extensors: (1) with (EXPCG) or (2) without CG (EXP) or to (3) a control group (CONCG: CG, no exercise). Changes in JPS errors, and maximal voluntary isometric contraction (MVIC) torque were measured immediately post-, 24 h post-, and 1 week post-intervention in each leg. All testing was done without the CG.

Results

CG afforded no protection against JPS errors. Mixed analysis of variance (ANOVA) revealed that absolute JPS errors increased post-intervention in EXPCG and EXP not only in the right-exercised (52%, p = 0.013; 57%, p = 0.007, respectively) but also in the left non-exercised (55%, p = 0.001; 58%, p = 0.040, respectively) leg. Subjects tended to underestimate the target position more in the flexed vs. extended knee positions (7561°: − 4.6 ± 3.6°, 6050°: − 4.2 ± 4.3°, 5025°: − 2.9 ± 4.2°), irrespective of group and time. Moreover, MVIC decreased in EXP but not in EXPCG and CONCG at immediately post-intervention (p = 0.026, d = 0.52) and 24 h post-intervention (p = 0.013, d = 0.45) compared to baseline.

Conclusion

Altogether, a below-knee CG reduced fatigue-induced strength loss at 80° knee joint position but not JPS errors in healthy younger adults.

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Abbreviations

ANOVA:

Analysis of variance

CG:

Compression garment

CONCG:

Control group, receiving CG

EXPCG:

Treatment group #1, performing isokinetic training with below-knee CG

EXP:

Treatment group #2, performing isokinetic training without below-knee CG

JPS:

Joint position sense

M:

Peak torque

MVIC:

Maximal voluntary isometric contraction

MVIC60 :

MVIC test trials at 60°

MVIC80 :

MVIC test trials at 80°

ROM:

Range of motion

SD:

Standard deviation

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Funding

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Authors

Contributions

JN and RN designed the research. JN, LYZ and RN performed the research. JN analyzed the results. JN directed the research. JN, TH and RN wrote the manuscript and all the authors have read and approved the final version.

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Correspondence to János Négyesi.

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Communicated by Lori Ann Vallis.

Electronic supplementary material

Below is the link to the electronic supplementary material.

421_2020_4507_MOESM1_ESM.xlsx

S1_Data_JPS. Supporting data for joint position sense errors in both the right exercised and the left non-exercised leg in each group, time point, and range of motion (XLSX 25 kb)

421_2020_4507_MOESM2_ESM.xlsx

S2_Data_MVIC. Supporting data for maximal voluntary isometric contraction torque in both the right exercised and the left non-exercised leg in each group and time point (XLSX 12 kb)

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Cite this article

Négyesi, J., Zhang, L.Y., Jin, R.N. et al. A below-knee compression garment reduces fatigue-induced strength loss but not knee joint position sense errors. Eur J Appl Physiol 121, 219–229 (2021). https://doi.org/10.1007/s00421-020-04507-1

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Keywords

  • Isokinetic exercise
  • Eccentric contractions
  • Proprioception
  • Target-matching
  • Healthy