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School of Physical and Occupational Therapy, McGill University, Montreal, Quebec H3G 1Y5, Canada
Received 29 September 1995; accepted in final form 31 May 1996.
Behm, D. G., D. M. M. St-Pierre, and D. Perez. Muscle
inactivation: assessment of interpolated twitch technique.
J. Appl. Physiol. 81(5):
2267-2273, 1996.
The validity, reliability, and protocol for the
interpolated twitch technique (ITT) were investigated with isometric
plantar flexor and leg extension contractions. Estimates of muscle
inactivation were attempted by comparing a variety of superimposed with
potentiated evoked torques with submaximal and maximal voluntary
contraction (MVC) torques or forces. The use of nerve and surface
stimulation to elicit ITT was reliable, except for problems in
maintaining maximal stimulation with nerve stimulation at 20°
plantar flexion and during leg extension. The interpolated twitch
ratio-force relationship was best described by a shallow hyperbolic
curve resulting in insignificant MVC prediction errors with
second-order polynomials (1.1-6.9%). The prediction error under
40% MVC was approximately double that over 60% MVC, contributing to
poor estimations of MVC in non-weight-bearing postimmobilized ankle
fracture patients. There was no significant difference in the ITT
sensitivity when twitches, doublets, or quintuplets were used.
The ITT was valid and reliable when high-intensity contractions were
analyzed with a second-order polynomial.
electrical stimulation; muscle activation
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