Reactive knee stiffening strategies between various conditioning histories

Optimizing joint stiffness through appropriate muscular activation is crucial for maintaining stability and preventing injury. Conditioning techniques may affect joint stability by increasing joint stiffness and altering neuromuscular control; however no studies have assessed this in a controlled setting. Fifteen endurance athletes, 12 power athletes, and 15 control subjects sat on a stiffness device that generated a rapid knee flexion perturbation and were instructed to react to the perturbation. Main outcome measures included short-range (0-4°) and long range (0-40°) stiffness and muscle activation from quadriceps and hamstring muscles. Stiffness results revealed greater short-range stiffness in endurance athletes (0.057 ± 0.012 Nm/deg/kg) than controls (0.047 ± 0.008 Nm/deg/kg, p = 0.021); while passive long-range stiffness was greater in power (0.0020 ± 0.001 nm/deg/kg) than endurance athletes (0.0016 ± 0.001 nm/deg/kg, p = 0.016). Endurance athletes had greater reactive stiffness (0.051 ± 0.017 nm/deg/kg) than control (0.033 ± 0.011 nm/deg/kg, p = 0.001) and power (0.037 ± 0.015 nm/deg/kg, p = 0.044) groups. Endurance athletes also displayed greater quadriceps activity during passive and reactive conditions (p < 0.050) compared to power athletes and controls. These findings suggest that power-based training history may be associated with greater passive joint stiffness across the full range of motion, while endurance-based training could positively influence reactive muscular characteristics, as well as resting muscle tone. These unique variations in stiffness regulation could be beneficial to programmes for prevention and rehabilitation of joint injury.