Coordination des muscles ischio-jambiers : de la performance à la blessure

Abstract : The understanding of hamstrings coordination is a trending topic in human movement science because of their potential involvement in both performance and injury. However, current experimental methods based on muscle activation recording or musculoskeletal modeling do not enable the identification of the factors that influencing muscle coordination for each individual. Addressing this issue is fundamental to understand how the central nervous system explores and exploits a set of many feasible coordination to adopt a good enough solution that enables producing a given motor task. This manuscript aims at describing hamstring coordination with in vivo data. The experimental part of this work is based on three studies that explored the coupling between muscle activation and the hamstrings mechanical properties. Also, this work aims at understanding the factors that influence muscle coordination of each individual, the effect of muscle coordination on their performance and their adaptation after a muscle injury.Our results show that hamstrings coordination varies substantially among active and elite athletes. We have shown that hamstrings coordination was not determined by the mechanical properties of each muscle, i.e. the imbalance of activation between hamstrings is not related to the imbalance of force production capacity. In addition, hamstrings coordination appears more or less advantageous in order to perform during a time to exhaustion task. Finally, muscle coordination differs between injured and uninjured legs, even after the completion of rehabilitation. Specifically, the injured muscle contributes in a lower extent to hamstring total torque in comparison with the same muscle of the opposite leg. These differences could have negative consequences in the short term (for performance) and in the long term, which could hypothetically increase the risk of reinjury.
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Simon Avrillon. Coordination des muscles ischio-jambiers : de la performance à la blessure. Biomécanique [physics.med-ph]. Université Paris-Saclay, 2019. Français. ⟨NNT : 2019SACLS081⟩. ⟨tel-02155612⟩

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