Abstract: Prolonged immobilization leads to significant
weakness and atrophy of the skeletal muscle and can also impair the
recovery of muscle strength following injury. Therefore, it is
important to minimize the period under immobilization and accelerate
the return to normal activity. This study examined the effects of heat
treatment and rest-inserted exercise on the muscle activity of the lower
limb during knee flexion/extension. Twelve healthy subjects were
assigned to 4 groups that included: (1) heat treatment + rest-inserted
exercise; (2) heat + continuous exercise; (3) no heat + rest-inserted
exercise; and (4) no heat + continuous exercise. Heat treatment was
applied for 15 mins prior to exercise. Continuous exercise groups
performed knee flexion/extension at 0.5 Hz for 300 cycles without rest
whereas rest-inserted exercise groups performed the same exercise but
with 2 mins rest inserted every 60 cycles of continuous exercise.
Changes in the rectus femoris and hamstring muscle activities were
assessed at 0, 1, and 2 weeks of treatment by measuring the
electromyography signals of isokinetic maximum voluntary
contraction. Significant increases in both the rectus femoris and
hamstring muscles were observed after 2 weeks of treatment only
when both heat treatment and rest-inserted exercise were performed.
These results suggest that combination of various treatment techniques,
such as heat treatment and rest-inserted exercise, may expedite the
recovery of muscle strength following immobilization.