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  • MakaleAçık Erişim2026Scopus SJRQ2
    Neuromuscular and Kinetic Adaptations to Symmetric and Asymmetric Load Carriage During Walking in Individuals with Chronic Low Back Pain

    Tajik, Raheleh; Dhahbi, Wissem; Mimar, Raghad; Khaleghi Tazji, Mehdi; Ceylan, Halil İbrahim; Bayrakdaroğlu, Serdar; Stefanica, Valentina; Hammami, Nadhir

    Aim: This study examined how load size and symmetry affect trunk muscle activation patterns, vertical ground reaction forces, and estimated lumbar spine compression during overground walking in individuals with chronic low back pain (CLBP) and those without symptoms. Methods: Thirty male participants (15 with CLBP, 15 controls; ages 23–28 years) performed walking tests under four load conditions: symmetric and asymmetric carriage at 10% and 20% of body weight. Bilateral surface electromyography measured activation from seven trunk muscles (rectus abdominis, external oblique, internal oblique, latissimus dorsi, lumbar erector spinae, multifidus) and the thoracolumbar fascia region, normalized to maximum voluntary isometric contractions (%MVIC). Force plates recorded vertical ground reaction forces synchronized with heel-strike events. A repeated-measures ANOVA with Bonferroni corrections was used to analyze the effects of load configuration and magnitude. Results: Asymmetric loading at 20% body weight caused significantly higher peak vertical ground reaction forces compared to symmetric loading (mean difference = 47.3 N, p < 0.001), with a significant interaction between load magnitude and configuration (p = 0.004, ηp2 = 0.26). Participants with CLBP showed consistently higher trunk muscle activation throughout the gait cycle (peak: 37% MVIC vs. 30% MVIC in controls; p < 0.001, d = 1.68), with maximum recruitment at shorter muscle lengths and 24% less activation at optimal length (95% CI: 18.2–29.8%). The lumbar erector spinae and multifidus muscles exhibited the highest activation during asymmetric 20% loading in CLBP participants (0.282 and 0.263%MVIC, respectively), indicating compensatory neuromuscular strategies. Conclusion: Asymmetric load carriage creates disproportionately high mechanical and neuromuscular demands, effects that are greatly amplified in individuals with CLBP. These findings support rehabilitation strategies that improve load distribution and restore motor control, thereby reducing compensatory strain and enhancing trunk stability.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus5WoS5OpenAlex5
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2026Scopus SJRQ2
    Multi-joint isokinetic strength profiling as a predictor of vertical jump performance in elite freestyle wrestlers A cross-sectional principal component analysis

    Sever, Ozan; Ceylan, Halil Ibrahim; Dhahbi, Wissem; Yilmaz, Hasan Huseyin; Özdemir, Kubra; Yazici, Ahmet Gokhan; Jalalov, Ferhad; Günay, Ahmet Rahmi; Bayrakdaroglu, Serdar; Stefanica, Valentina

    Wrestling requires coordinated lower-limb strength for explosive techniques. While isokinetic testing isolates joint-specific strength and countermovement jumps assess functional power, comprehensive multi-joint assessments with advanced factor analysis remain unexplored in elite wrestlers. Twenty-one national-level male freestyle wrestlers (22.3 +/- 2.8 years; 76.2 +/- 14.7 kg) completed cross-sectional neuromuscular assessments. Isokinetic concentric strength testing at 60 degrees/s evaluated hip, knee, and ankle joint functions bilaterally using an Isomed 2000 dynamometer. Vertical jump power was assessed through countermovement jumps under bilateral and unilateral conditions using the Optojump system. All strength and power variables were normalized to fat-free mass determined via air displacement plethysmography. Statistical analyses included Pearson correlations with Benjamini-Hochberg correction, stepwise multiple regression, and principal component analysis. Bilateral jump performance correlated strongly with knee extension (R = 0.798, P <.001) and hip extension strength (R = 0.664, P =.001), with combined predictors explaining 68.8% of variance (F-2,F-18 = 19.8, P <.001). Principal component analysis identified a primary extensor factor (hip and knee extension, 52.6% variance) and an auxiliary factor (ankle plantar flexion and hip adduction, 19.0% variance). Unilateral jump models demonstrated lower explanatory power (dominant: 39.8%, non-dominant: 25.7%). Multi-joint isokinetic strength assessment, particularly hip and knee extension capacity, provides a robust prediction of vertical jump performance in elite wrestlers. The identified primary extensor strength factor represents a fundamental neuromuscular capacity underlying explosive lower-limb function, supporting targeted strength development strategies for wrestling-specific performance enhancement.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus12WoS12OpenAlex11
    ScopusWeb of SciencePubMedİncele