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Effects of Shoes That Can Be Tightened Using Wire and Dial on the Dynamic Balance Following Ankle Muscle Fatigue: A Crossover Study. Healthcare (Basel) 2021; 9:healthcare9050578. [PMID: 34068149 PMCID: PMC8153005 DOI: 10.3390/healthcare9050578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 05/09/2021] [Accepted: 05/11/2021] [Indexed: 12/03/2022] Open
Abstract
Ankle muscle fatigue causes joint instability and increased postural sway, which triggers imbalance, leading to injury. The purpose of this study was to investigate the immediate effects of wearing shoes that can be tightened using wire and dial (SWD) compared to being barefoot and wearing lace shoes of the slip-on type (LSS) on the dynamic balance of the ankle after muscle fatigue. Twenty-two healthy individuals were enrolled in this study. Muscle fatigue in the ankle was induced using Biodex, an isokinetic equipment. The participants were randomly allocated to the barefoot, LSS, and SWD groups, and the dynamic balance immediately after inducing muscle fatigue in each participant was measured using BIORescue, the Y-Balance test, and the side-hop test. The results showed that after inducing ankle muscle fatigue, wearing SWD leads to a more significant increase in dynamic balance than barefoot and wearing LSS (p < 0.05). Hence, to improve the dynamic balance of the ankle after muscle fatigue, wearing SWD is suggested as it allows the tightening of the ankle and dorsum of the foot using the wire and dial.
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202
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Willer J, Allen SJ, Burden RJ, Folland JP. Neuromechanics of Middle-Distance Running Fatigue: A Key Role of the Plantarflexors? Med Sci Sports Exerc 2021; 53:2119-2130. [PMID: 33935231 DOI: 10.1249/mss.0000000000002695] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE This study aimed to investigate the changes in lower limb kinematics, kinetics, and muscle activation during a high-intensity run to fatigue (HIRF). METHODS Eighteen male and female competitive middle-distance runners performed a HIRF on an instrumented treadmill at a constant but unsustainable middle-distance speed (~3 min) based on a preceding maximum oxygen uptake (V˙O2max) test. Three-dimensional kinematics and kinetics were collected and compared between the start, 33%, 67%, and the end of the HIRF. In addition, the activation of eight lower limb muscles of each leg was measured with surface EMG (sEMG). RESULTS Time to exhaustion was 181 ± 42 s. By the end of the HIRF (i.e., vs the start), ground contact time increased (+4.0%), whereas flight time (-3.2%), peak vertical ground reaction force (-6.1%), and vertical impulse (-4.1%) decreased (all P < 0.05), and joint angles at initial contact became more (dorsi)flexed (ankle, +1.9°; knee, +2.1°; hip, +3.6°; all P < 0.05). During stance, by the end of the HIRF: peak ankle plantarflexion moment decreased by 0.4 N·m·kg-1 (-9.0%), whereas peak knee extension moment increased by 0.24 N·m·kg-1 (+10.3%); similarly, positive ankle plantarflexion work decreased by 0.19 J·kg-1 (-13.9%), whereas positive knee extension work increased by 0.09 J·kg-1 (+33.3%; both P < 0.05) with no change in positive hip extension work. Hip extensor surface EMG amplitude increased during the late swing phase (+20.9-37.3%; P < 0.05). CONCLUSION Running at a constant middle-distance pace led primarily to the fatigue of the plantarflexors with a compensatory increase in positive work done at the knee. Improving the fatigue resistance of the plantarflexors might be beneficial for middle-distance running performance.
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Affiliation(s)
| | - Sam J Allen
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, UNITED KINGDOM
| | - Richard J Burden
- English Institute of Sport, EIS Performance Centre, Loughborough University, Loughborough, UNITED KINGDOM
| | - Jonathan P Folland
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, UNITED KINGDOM
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203
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Jackson KM, Cole CL, Dunne RF. From bench to bedside: updates in basic science, translational and clinical research on muscle fatigue in cancer cachexia. Curr Opin Clin Nutr Metab Care 2021; 24:216-222. [PMID: 33560743 PMCID: PMC8018541 DOI: 10.1097/mco.0000000000000738] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
PURPOSE OF REVIEW Cancer cachexia is a syndrome of loss of weight and muscle mass that leads to reduced strength, poor physical performance and functional impairment. Muscular fatigue is a distressing syndrome that patients with cachexia suffer from and can impair quality of life. Here, we review recent updates in muscular fatigue in cancer cachexia research with a focus on mechanisms, biomarkers and potential therapies. RECENT FINDINGS Both in mice and humans, research has shown that muscle fatigue can be independent of muscular atrophy and can happen early in cancer development or in precachexia. Inflammatory pathways, mitochondrial dysfunction and gut microbiota have recently been studied to play an important role in muscle fatigue in preclinical models. Exercise can target these pathways and has been studied as a therapeutic intervention to improve muscle fatigue. SUMMARY Heightened inflammation within muscle, altered muscle function and muscle fatigue can begin prior to clinical evidence of cachexia, making early recognition and intervention challenging. The emergence of cachexia mouse models and translational and clinical research studying muscle fatigue will hopefully lead to new therapies targeting the underlying mechanisms of cancer cachexia. Exercise will need to be tested in larger randomized studies before entering into daily practice.
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Affiliation(s)
| | - Calvin L. Cole
- Department of Surgery, University of Rochester Medical Center, Rochester, NY
- Department of Orthopedics, University of Rochester Medical Center, Rochester, NY
| | - Richard F. Dunne
- Department of Medicine, University of Rochester Medical Center, Rochester, NY
- Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY
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204
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Schlink BR, Nordin AD, Brooks CN, Ferris DP. Fatigue induces altered spatial myoelectric activation patterns in the medial gastrocnemius during locomotion. J Neurophysiol 2021; 125:2013-2023. [PMID: 33909489 DOI: 10.1152/jn.00602.2020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
This research investigates the effects of muscle fatigue on spatial myoelectric patterns in the lower limb during locomotion. Both spatial and frequency aspects of neuromuscular recruitment in the medial gastrocnemius change in response to fatigue, resulting in altered myoelectric patterns during walking and running. These data may help us better understand the adaptations that occur in lower limb muscles to avoid overuse injuries caused by fatigue.
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Affiliation(s)
- Bryan R Schlink
- J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, Florida
| | - Andrew D Nordin
- Department of Health and Kinesiology, Texas A&M University, College Station, Texas
| | - Christina N Brooks
- J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, Florida
| | - Daniel P Ferris
- J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, Florida
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205
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García-De Frutos JM, Orquín-Castrillón FJ, Marcos-Pardo PJ, Rubio-Arias JÁ, Martínez-Rodríguez A. Acute Effects of Work Rest Interval Duration of 3 HIIT Protocols on Cycling Power in Trained Young Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18084225. [PMID: 33923545 PMCID: PMC8073758 DOI: 10.3390/ijerph18084225] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 04/10/2021] [Accepted: 04/13/2021] [Indexed: 01/09/2023]
Abstract
High-Intensity Interval Training (HIIT) is described as a succession of short duration and maximum or near-maximum intensity efforts, alternated by recovery periods during which exercise continues at a lower intensity (active recovery) or is interrupted (passive recovery). Our objective was to evaluate the acute responses of three HIIT protocols of different work/rest interval times over the total time of the session, with self-selectable load and up to exhaustion, “all out”.The sample was composed of 22 male participants (n = 22) between 19 and 24 years old. The HIIT protocol consisted of one of the three HIIT protocols, of 30, 60 and 90 s density ratio 1:1 and with passive rest, with a total exercise duration of 10 min. The test was performed in a cycloergometer set in workload mode independent of the pedaling frequency. The comparison of the three HIIT protocols shows that the duration of the work/rest intervals, starting from 30 s of work, in the cycloergometer, there are no significant differences in the levels of lactate concentration in the blood, nor in the heart rate, since a similar amount is obtained in the three protocols. The percentage of maximum power developed reached in each HIIT protocol is related to the duration of the working intervals.
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Affiliation(s)
- José Manuel García-De Frutos
- Physical Activity and Sport Sciences Department, Faculty of Sport, Catholic University San Antonio of Murcia, 30107 Murcia, Spain; (J.M.G.-D.F.); (F.J.O.-C.)
| | - Fco. Javier Orquín-Castrillón
- Physical Activity and Sport Sciences Department, Faculty of Sport, Catholic University San Antonio of Murcia, 30107 Murcia, Spain; (J.M.G.-D.F.); (F.J.O.-C.)
| | - Pablo Jorge Marcos-Pardo
- Department of Education, Faculty of Education Sciences, University of Almería, 04120 Almería, Spain; (P.J.M.-P.); (J.Á.R.-A.)
- SPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, 04120 Almería, Spain
| | - Jacobo Á. Rubio-Arias
- Department of Education, Faculty of Education Sciences, University of Almería, 04120 Almería, Spain; (P.J.M.-P.); (J.Á.R.-A.)
| | - Alejandro Martínez-Rodríguez
- Department of Analytical Chemistry, Nutrition and Food Sciences, Faculty of Science, Universidad de Alicante, 03690 Alicante, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL Foundation), 03010 Alicante, Spain
- Correspondence:
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206
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Goubault E, Verdugo F, Pelletier J, Traube C, Begon M, Dal Maso F. Exhausting repetitive piano tasks lead to local forearm manifestation of muscle fatigue and negatively affect musical parameters. Sci Rep 2021; 11:8117. [PMID: 33854088 PMCID: PMC8047012 DOI: 10.1038/s41598-021-87403-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 03/23/2021] [Indexed: 02/02/2023] Open
Abstract
Muscle fatigue is considered as a risk factor for developing playing-related muscular disorders among professional pianists and could affect musical performance. This study investigated in 50 pianists the effect of fatiguing repetitive piano sequences on the development of forearm muscle fatigue and on piano performance parameters. Results showed signs of myoelectric manifestation of fatigue in the 42-electromyographic bipolar electrodes positioned on the forearm to record finger and wrist flexor and extensor muscles, through a significant non-constant decrease of instantaneous median frequency during two repetitive Digital (right-hand 16-tones sequence) and Chord (right-hand chords sequence) excerpts, with extensor muscles showing greater signs of fatigue than flexor muscles. In addition, muscle fatigue negatively affected key velocity, a central feature of piano sound intensity, in both Digital and Chord excerpts, and note-events, a fundamental aspect of musicians' performance parameter, in the Chord excerpt only. This result highlights that muscle fatigue may alter differently pianists' musical performance according to the characteristics of the piece played.
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Affiliation(s)
- Etienne Goubault
- grid.14848.310000 0001 2292 3357Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des Sciences de l’activité Physique, Université de Montréal, 1700 Rue Jacques-Tétreault, Laval, QC Canada
| | - Felipe Verdugo
- grid.14709.3b0000 0004 1936 8649Input Devices and Music Interaction Laboratory, Centre for Interdisciplinary Research in Music Media and Technology, Schulich School of Music, McGill University, Montreal, QC Canada ,grid.267180.a0000 0001 2168 0285EXPRESSION Team, Université Bretagne-Sud, Vannes, France
| | - Justine Pelletier
- grid.38678.320000 0001 2181 0211Laboratoire Arts vivants et interdisciplinarité, Département de danse, Université du Québec à Montréal, Montreal, QC Canada
| | - Caroline Traube
- grid.14848.310000 0001 2292 3357Laboratoire de recherche sur le geste musicien, Faculté de musique, Université de Montréal, Montreal, QC Canada
| | - Mickaël Begon
- grid.14848.310000 0001 2292 3357Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des Sciences de l’activité Physique, Université de Montréal, 1700 Rue Jacques-Tétreault, Laval, QC Canada ,grid.411418.90000 0001 2173 6322Sainte-Justine Hospital Research Center, Montreal, QC Canada
| | - Fabien Dal Maso
- grid.14848.310000 0001 2292 3357Laboratoire de Simulation et Modélisation du Mouvement, École de Kinésiologie et des Sciences de l’activité Physique, Université de Montréal, 1700 Rue Jacques-Tétreault, Laval, QC Canada ,Centre interdisciplinaire de recherche sur le cerveau et l’apprentissage, Montréal, QC Canada
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207
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Takahashi R, Fujita K, Kobayashi Y, Ogawa T, Teranishi M, Kawamura M. Effect of muscle fatigue on brain activity in healthy individuals. Brain Res 2021; 1764:147469. [PMID: 33838129 DOI: 10.1016/j.brainres.2021.147469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 03/23/2021] [Accepted: 04/04/2021] [Indexed: 11/20/2022]
Abstract
Fatigue is affected by both peripheral and central factors. However, the interrelationship between muscle fatigue and brain activity has not yet been clarified. This study aimed to clarify the effect of muscle fatigue due to sustained pinch movement on brain activity in healthy individuals using functional near-infrared spectroscopy (fNIRS). Ten healthy adults participated in the study. Pinch movement of isometric contraction was the task to be performed, and electromyogram of the first dorsal interosseous muscle and brain activity by fNIRS were measured in this period. The median power frequency (MdPF) was calculated as an index of muscle fatigue and the oxygen-Hb value in the bilateral premotor and motor areas was calculated as an index of brain activity. As a result, MdPF showed a significant decrease in the middle and later phases compared with that in the early phase (p < 0.05, p < 0.001, respectively) and a significant decrease in the later phase compared with that in the middle phase (p < 0.05). The oxygen-Hb values in the motor cortex were not significantly different between the analysis sections. The oxygen-Hb values in the premotor cortex was significantly increased in the later phase (p < 0.05) compared with that in the early phase. The premotor cortex was found to be specifically activated during muscle fatigue.
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Affiliation(s)
- Ryo Takahashi
- Department of Physical Therapy Rehabilitation, Fukui General Hospital, Fukui-city, Fukui, Japan.
| | - Kazuki Fujita
- Department of Rehabilitation, Faculty of Health Science, Fukui Health Science University, Fukui-city, Fukui, Japan
| | - Yasutaka Kobayashi
- Department of Rehabilitation, Faculty of Health Science, Fukui Health Science University, Fukui-city, Fukui, Japan
| | - Tomoki Ogawa
- Department of Physical Therapy Rehabilitation, Fukui General Hospital, Fukui-city, Fukui, Japan
| | - Masanobu Teranishi
- Department of Physical Therapy Rehabilitation, Fukui General Hospital, Fukui-city, Fukui, Japan
| | - Mimpei Kawamura
- Department of Medical and Social, Faculty of Health Science, Kyoto Koka Women's University, Japan
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208
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Naeem J, Hamzaid NA, Azman AW, Bijak M. Electrical stimulator with mechanomyography-based real-time monitoring, muscle fatigue detection, and safety shut-off: a pilot study. ACTA ACUST UNITED AC 2021; 65:461-468. [PMID: 32304295 DOI: 10.1515/bmt-2019-0191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Accepted: 01/07/2020] [Indexed: 11/15/2022]
Abstract
Functional electrical stimulation (FES) has been used to produce force-related activities on the paralyzed muscle among spinal cord injury (SCI) individuals. Early muscle fatigue is an issue in all FES applications. If not properly monitored, overstimulation can occur, which can lead to muscle damage. A real-time mechanomyography (MMG)-based FES system was implemented on the quadriceps muscles of three individuals with SCI to generate an isometric force on both legs. Three threshold drop levels of MMG-root mean square (MMG-RMS) feature (thr50, thr60, and thr70; representing 50%, 60%, and 70% drop from initial MMG-RMS values, respectively) were used to terminate the stimulation session. The mean stimulation time increased when the MMG-RMS drop threshold increased (thr50: 22.7 s, thr60: 25.7 s, and thr70: 27.3 s), indicating longer sessions when lower performance drop was allowed. Moreover, at thr70, the torque dropped below 50% from the initial value in 14 trials, more than at thr50 and thr60. This is a clear indication of muscle fatigue detection using the MMG-RMS value. The stimulation time at thr70 was significantly longer (p = 0.013) than that at thr50. The results demonstrated that a real-time MMG-based FES monitoring system has the potential to prevent the onset of critical muscle fatigue in individuals with SCI in prolonged FES sessions.
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Affiliation(s)
- Jannatul Naeem
- Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur 50603, Malaysia
| | - Nur Azah Hamzaid
- Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur 50603, Malaysia
| | - Amelia Wong Azman
- Department of Electrical and Computer Engineering, Faculty of Engineering, International Islamic University Malaysia, Kuala Lumpur 53100, Malaysia
| | - Manfred Bijak
- Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur 50603, Malaysia
- Medical University Vienna, Center for Medical Physics and Biomedical Engineering, Vienna, Austria
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209
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Orejel Bustos A, Belluscio V, Camomilla V, Lucangeli L, Rizzo F, Sciarra T, Martelli F, Giacomozzi C. Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques. SENSORS (BASEL, SWITZERLAND) 2021; 21:2438. [PMID: 33916269 PMCID: PMC8037357 DOI: 10.3390/s21072438] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 03/24/2021] [Accepted: 03/30/2021] [Indexed: 12/19/2022]
Abstract
Overuse-related musculoskeletal injuries mostly affect athletes, especially if involved in preseason conditioning, and military populations; they may also occur, however, when pathological or biological conditions render the musculoskeletal system inadequate to cope with a mechanical load, even if moderate. Within the MOVIDA (Motor function and Vitamin D: toolkit for risk Assessment and prediction) Project, funded by the Italian Ministry of Defence, a systematic review of the literature was conducted to support the development of a transportable toolkit (instrumentation, protocols and reference/risk thresholds) to help characterize the risk of overuse-related musculoskeletal injury. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach was used to analyze Review papers indexed in PubMed and published in the period 2010 to 2020. The search focused on stress (overuse) fracture or injuries, and muscle fatigue in the lower limbs in association with functional (biomechanical) or biological biomarkers. A total of 225 Review papers were retrieved: 115 were found eligible for full text analysis and led to another 141 research papers derived from a second-level search. A total of 183 papers were finally chosen for analysis: 74 were classified as introductory to the topics, 109 were analyzed in depth. Qualitative and, wherever possible, quantitative syntheses were carried out with respect to the literature review process and quality, injury epidemiology (type and location of injuries, and investigated populations), risk factors, assessment techniques and assessment protocols.
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Affiliation(s)
- Amaranta Orejel Bustos
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (A.O.B.); (V.B.); (V.C.); (L.L.)
| | - Valeria Belluscio
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (A.O.B.); (V.B.); (V.C.); (L.L.)
| | - Valentina Camomilla
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (A.O.B.); (V.B.); (V.C.); (L.L.)
| | - Leandro Lucangeli
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (A.O.B.); (V.B.); (V.C.); (L.L.)
| | - Francesco Rizzo
- Joint Veterans Defence Center, Army Medical Center, 00184 Rome, Italy; (F.R.); (T.S.)
| | - Tommaso Sciarra
- Joint Veterans Defence Center, Army Medical Center, 00184 Rome, Italy; (F.R.); (T.S.)
| | - Francesco Martelli
- Department of Cardiovascular and Endocrine-Metabolic Diseases and Aging, Italian National Institute of Health, 00161 Rome, Italy;
| | - Claudia Giacomozzi
- Department of Cardiovascular and Endocrine-Metabolic Diseases and Aging, Italian National Institute of Health, 00161 Rome, Italy;
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210
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Luu MJ, Jones KE, Collins DF. Decreased excitability of motor axons contributes substantially to contraction fatigability during neuromuscular electrical stimulation. Appl Physiol Nutr Metab 2021; 46:346-355. [DOI: 10.1139/apnm-2020-0366] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The present study was designed to (i) determine the time course of changes in motor axon excitability during and after neuromuscular electrical stimulation (NMES); and (ii) characterize the relationship between contraction fatigability, NMES frequency, and changes at the axon, neuromuscular junction, and muscle. Eight neurologically intact participants attended 3 sessions. NMES was delivered over the common peroneal nerve at 20, 40, or 60 Hz for 8 min (0.3 s “on”, 0.7 s “off”). Threshold tracking was used to measure changes in axonal excitability. Supramaximal stimuli were used to assess neuromuscular transmission and force-generating capacity of the tibialis anterior muscle. Torque decreased by 49% and 62% during 8 min of 40 and 60 Hz NMES, respectively. Maximal twitch torque decreased only during 60 Hz NMES. Motor axon excitability decreased by 14%, 27%, and 35% during 20, 40, and 60 Hz NMES, respectively. Excitability recovered to baseline immediately (20 Hz) and at 2 min (40 Hz) and 4 min (60 Hz) following NMES. Overall, decreases in axonal excitability best predicted how torque declined over 8 min of NMES. During NMES, motor axons become less excitable and motor units “drop out” of the contraction, contributing substantially to contraction fatigability and its dependence on NMES frequency. Novelty: The excitability of motor axons decreased during NMES in a frequency-dependent manner. As excitability decreased, axons failed to reach threshold and motor units dropped out of the contraction. Overall, decreased excitability best predicted how torque declined and thus is a key contributor to fatigability during NMES.
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Affiliation(s)
- M. John Luu
- Faculty of Kinesiology, Sport, and Recreation, Neuroscience and Mental Health Institute, Sensorimotor Rehabilitation Neuroscience Group, University of Alberta, Edmonton, AB T6G 2H9, Canada
- Faculty of Kinesiology, Sport, and Recreation, Neuroscience and Mental Health Institute, Sensorimotor Rehabilitation Neuroscience Group, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Kelvin E. Jones
- Faculty of Kinesiology, Sport, and Recreation, Neuroscience and Mental Health Institute, Sensorimotor Rehabilitation Neuroscience Group, University of Alberta, Edmonton, AB T6G 2H9, Canada
- Faculty of Kinesiology, Sport, and Recreation, Neuroscience and Mental Health Institute, Sensorimotor Rehabilitation Neuroscience Group, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - David F. Collins
- Faculty of Kinesiology, Sport, and Recreation, Neuroscience and Mental Health Institute, Sensorimotor Rehabilitation Neuroscience Group, University of Alberta, Edmonton, AB T6G 2H9, Canada
- Faculty of Kinesiology, Sport, and Recreation, Neuroscience and Mental Health Institute, Sensorimotor Rehabilitation Neuroscience Group, University of Alberta, Edmonton, AB T6G 2H9, Canada
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211
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Verschueren J, Tassignon B, Verhagen E, Meeusen R. The interaction of acute physical fatigue with three traditional functional performance tests and the reactive balance test. Phys Ther Sport 2021; 49:188-195. [PMID: 33756239 DOI: 10.1016/j.ptsp.2021.03.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 03/03/2021] [Accepted: 03/05/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To assess the impact of acute physical fatigue on traditional and neurocognitive functional performance tests in recreational athletes. DESIGN randomized counterbalanced cross-over study, pre-post design SETTING: laboratory PARTICIPANTS: Twenty recreational athletes (age = 24 ± 3 years) MAIN OUTCOME MEASURES: We evaluated fatigue impairments following a 30 s all-out effort in three traditional and one neurocognitive functional performance test. The traditional functional performance tests encompassed the single leg hop for distance (SLH), countermovement jump (CMJ) and Y-balance test (YBT). The neurocognitive functional performance test encompassed the reactive balance test (RBT). A 30 s modified Wingate was used to induce acute physical fatigue. RESULTS Acute physical fatigue was successfully induced as indicated by a significant increase in heart rate, systolic blood pressure, blood lactate levels and rating of perceived exertion (p < 0.001). Acute physical fatigue induced significant decreases in RBT accuracy (p = 0.004) and SLH performance (p < 0.001). YBT, CMJ and RBT visuomotor reaction time remained unaffected by acute physical fatigue. CONCLUSIONS Acute physical fatigue impairs SLH performance and decreases accuracy in the RBT. YBT and CMJ performance remained unaffected by acute physical fatigue. Clinicians should be aware of this divergent neurocognitive functional impairments caused by one all-out effort to allow well-informed selection of functional performance tests.
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Affiliation(s)
- Jo Verschueren
- Faculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, Belgium.
| | - Bruno Tassignon
- Faculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, Belgium
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam, the Netherlands
| | - Romain Meeusen
- Faculty of Physical Education and Physiotherapy, Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, Belgium; Strategic Research Program 'Exercise and the Brain in Health & Disease: the added value of Human-Centered Robotics', Vrije Universiteit Brussel, Brussels, Belgium
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212
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Penedo T, Polastri PF, Rodrigues ST, Santinelli FB, Costa EDC, Imaizumi LFI, Barbieri RA, Barbieri FA. Motor strategy during postural control is not muscle fatigue joint-dependent, but muscle fatigue increases postural asymmetry. PLoS One 2021; 16:e0247395. [PMID: 33630950 PMCID: PMC7906473 DOI: 10.1371/journal.pone.0247395] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Accepted: 02/06/2021] [Indexed: 11/29/2022] Open
Abstract
The aim of this study was to investigate the effects of ankle and hip muscle fatigue on motor adjustments (experiment 1) and symmetry (experiment 2) of postural control during a quiet standing task. Twenty-three young adults performed a bipedal postural task on separate force platforms, before and after a bilateral ankle and hip muscle fatigue protocol (randomized). Ankle and hip muscles were fatigued separately using a standing calf raise protocol (ankle fatigue) on a step and flexion and extension of the hip (hip fatigue) sitting on a chair, at a controlled movement frequency (0.5Hz), respectively. In both experiments, force, center of pressure, and electromyography parameters were measured. The symmetry index was used in experiment 2 to analyze the postural asymmetry in the parameters. Our main findings showed that muscle fatigue impaired postural stability, regardless of the fatigued muscle region (i.e., ankle or hip). In addition, young adults used an ankle motor strategy (experiment 1) before and after both the ankle and hip muscle fatigue protocols. Moreover, we found increased asymmetry between the lower limbs (experiment 2) during the quiet standing task after muscle fatigue. Thus, we can conclude that the postural motor strategy is not muscle fatigue joint-dependent and a fatigue task increases postural asymmetry, regardless of the fatigued region (hip or ankle). These findings could be applied in sports training and rehabilitation programs with the objective of reducing the fatigue effects on asymmetry and improving balance.
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Affiliation(s)
- Tiago Penedo
- Department of Physical Education, Human Movement Research Laboratory (MOVI-LAB), Graduate Program in Human Movement, School of Sciences, São Paulo State University (UNESP), Bauru, São Paulo, Brazil
| | - Paula Favaro Polastri
- Department of Physical Education, Laboratory of Information, Vision and Action (LIVIA), Graduate Program in Human Movement, School of Sciences, São Paulo State University (UNESP), Bauru, São Paulo, Brazil
| | - Sérgio Tosi Rodrigues
- Department of Physical Education, Laboratory of Information, Vision and Action (LIVIA), Graduate Program in Human Movement, School of Sciences, São Paulo State University (UNESP), Bauru, São Paulo, Brazil
| | - Felipe Balistieri Santinelli
- Department of Physical Education, Human Movement Research Laboratory (MOVI-LAB), Graduate Program in Human Movement, School of Sciences, São Paulo State University (UNESP), Bauru, São Paulo, Brazil
| | - Elisa de Carvalho Costa
- Department of Physical Education, Human Movement Research Laboratory (MOVI-LAB), Graduate Program in Human Movement, School of Sciences, São Paulo State University (UNESP), Bauru, São Paulo, Brazil
| | - Luis Felipe Itikawa Imaizumi
- Department of Physical Education, Human Movement Research Laboratory (MOVI-LAB), Graduate Program in Human Movement, School of Sciences, São Paulo State University (UNESP), Bauru, São Paulo, Brazil
| | - Ricardo Augusto Barbieri
- Centro Universitário Estácio de Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
- Graduate Program in Physical Education and Sport at School of Physical Education and Sport of Ribeirao Preto (EEFERP), University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil
| | - Fabio Augusto Barbieri
- Department of Physical Education, Human Movement Research Laboratory (MOVI-LAB), Graduate Program in Human Movement, School of Sciences, São Paulo State University (UNESP), Bauru, São Paulo, Brazil
- * E-mail:
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213
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Berardi G, Senefeld JW, Hunter SK, Bement MKH. Impact of isometric and concentric resistance exercise on pain and fatigue in fibromyalgia. Eur J Appl Physiol 2021; 121:1389-1404. [PMID: 33616753 DOI: 10.1007/s00421-021-04600-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 01/10/2021] [Indexed: 10/22/2022]
Abstract
PURPOSE The aim of this study was to determine the local and systemic effects of isometric and concentric muscle contractions on experimental pain and performance fatigability in people with and without fibromyalgia. METHODS Forty-seven fibromyalgia (FM: 51.3 ± 12.3 year) and 47 control (CON: 52.5 ± 14.7 year) participants performed submaximal isometric and concentric exercise for 10 min with the right elbow flexors. Assessments before and after exercise included pressure pain thresholds (PPT) of the biceps and quadriceps, central pain summation, self-reported exercising arm and whole-body pain, and maximal voluntary isometric contraction (MVIC) of the right elbow flexors and left handgrip. RESULTS People with FM experienced greater reductions in local fatigue (right elbow flexor MVIC: CON: - 4.0 ± 6.7%, FM: - 9.8 ± 13.8%; p = 0.013) and similar reductions in systemic fatigue (left handgrip MVIC: - 6.5 ± 10.2%; p < 0.001) as CON participants, which were not different by contraction type nor related to baseline clinical pain, perceived fatigue, or reported pain with exercise. Following exercise both groups reported an increase in PPTs at the biceps (pre: 205.5 ± 100.3 kPa, post: 219.0 ± 109.3 kPa, p = 0.004) only and a decrease in central pain summation (pre: 6.8 ± 2.9, post: 6.5 ± 2.9; p = 0.013). FM reported greater exercising arm pain following exercise (CON: 0.7 ± 1.3, FM: 2.9 ± 2.3; p < 0.001), and both groups reported greater arm pain following concentric (isometric: 1.4 ± 2.0, concentric: 2.2 ± 2.9; p = 0.001) than isometric exercise. Neither group reported an increase in whole-body pain following exercise. CONCLUSION People with FM experienced greater performance fatigability in the exercising muscle compared to CON that was not related to central mechanisms of fatigue or pain. These results suggest changes in performance fatigability in FM may be due to differences occurring at the muscular level. TRIAL REGISTRATION #: NCT #: NCT03778385, December 19, 2018, retrospectively registered. IRB#: HR-3035.
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Affiliation(s)
- Giovanni Berardi
- Department of Physical Therapy, Marquette University, 561 N 15 St, Milwaukee, WI, 53233, USA.
| | - Jonathon W Senefeld
- Department of Physical Therapy, Marquette University, 561 N 15 St, Milwaukee, WI, 53233, USA.,Exercise Science Program, Marquette University, Milwaukee, WI, USA.,Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA
| | - Sandra K Hunter
- Department of Physical Therapy, Marquette University, 561 N 15 St, Milwaukee, WI, 53233, USA.,Exercise Science Program, Marquette University, Milwaukee, WI, USA
| | - Marie K Hoeger Bement
- Department of Physical Therapy, Marquette University, 561 N 15 St, Milwaukee, WI, 53233, USA
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214
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Viggiani D, Callaghan JP. Interrelated hypoalgesia, creep, and muscle fatigue following a repetitive trunk flexion exposure. J Electromyogr Kinesiol 2021; 57:102531. [PMID: 33607359 DOI: 10.1016/j.jelekin.2021.102531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 12/31/2020] [Accepted: 02/05/2021] [Indexed: 11/29/2022] Open
Abstract
Repetitive trunk flexion can damage spinal tissues, however its association with low back pain in the workplace may be confounded by factors related to pain sensitivity. Muscle fatigue, exercise-induced hypoalgesia, and creep-induced neuromuscular changes following repetitive trunk flexion may all affect this assumed exposure-pain relationship. This study's purpose was to determine how mechanical pain sensitivity in the low back is affected by a repetitive trunk flexion exposure and identify factors associated with changes in low back pain sensitivity. Pressure pain thresholds, perceptions of sub-threshold stimuli, and muscle fatigue in the trunk and tibia, as well as lumbar spine creep were tracked in 37 young healthy adults before and up to 40 min after a 10-min repetitive trunk flexion exposure. Pressure pain thresholds (p = 0.033), but not perceptions of sub-threshold stimuli (p > 0.102) were associated with approximately a 12.5% reduction in pain sensitivity 10 min after completing the exposure, while creep and local muscle fatigue effects were only observed immediately following the exposure. Creep and fatigue interactions and the corresponding tibial measure co-varied with individual low back pressure pain thresholds. The net hypoalgesic effects of repetitive trunk flexion have the potential to partially mask possibly injurious loads, which could contribute to the severity or incidence of lower back injuries related to these exposures.
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Affiliation(s)
- Daniel Viggiani
- Department of Kinesiology, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada
| | - Jack P Callaghan
- Department of Kinesiology, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada.
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Marina M, Torrado P, Baudry S, Duchateau J. Forearm muscles fatigue induced by repetitive braking on a motorcycle is best discriminated by specific kinetic parameters. PLoS One 2021; 16:e0246242. [PMID: 33544741 PMCID: PMC7864446 DOI: 10.1371/journal.pone.0246242] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Accepted: 01/16/2021] [Indexed: 01/02/2023] Open
Abstract
Maneuvering a motorcycle in racing conditions or for prolonged time is sufficiently demanding that on many occasions forearm muscles reach a state of functional failure when riders cannot properly brake or operate the throttle. This study intends to discriminate which ones of the several dynamometric parameters used in the literature to characterize the Force-time (F-t) curve during voluntary contractions are more sensitive to neuromuscular fatigue in simulated motorcycle-riding conditions. Thirty-three adults performed an intermittent fatiguing protocol (IFP) that simulated the brake-pulling and throttle-twisting actions, by using a hydraulic system equipped with a pressure sensor. Sixty pressure-time (P-t) curve parameters, including the rate of pressure development (RPD) and area under the curve were measured to characterize the time course of the braking maximal voluntary contraction (MVC). Two types of variables were used to analyze the P-t curve: 1) Times interval (from 0 to 30-50-100-500-1000 and 2000 ms); 2) Percentages of MVC (10-30-60-90%MVC). Overall significant (p ≤ 0.05) fatigue-related declines were observed only at time intervals longer than 100 ms and contraction intensities higher than 30%MVC. Strong and significant linear declines (p < 0.001) were observed at 500 ms and 1 s for normalized pressures, as well as for the ratio RPD60%MVC/MVC (p < 0.003) throughout the IFP. Our results suggest considering RPD at time windows of 0–500 ms and 0–1 s, and contraction intensities comprised between 30% and 60% of MVC, as more suitable criteria to study fatigue-related decrements in performance rather than the classical MVC force.
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Affiliation(s)
- Michel Marina
- Research Group in Physical Activity and Health (GRAFiS), Institut National d’Educació Física de Catalunya–University of Barcelona, Barcelona, Spain
- * E-mail:
| | - Priscila Torrado
- Research Group in Physical Activity and Health (GRAFiS), Institut National d’Educació Física de Catalunya–University of Barcelona, Barcelona, Spain
- School of Health Sciences, TecnoCampus Mataró–Universitat Pompeu Fabra, Mataró, Spain
| | - Stéphane Baudry
- Laboratory of Applied Biology and Neurophysiology, Université Libre de Bruxelles, Bruxelles, Belgium
| | - Jacques Duchateau
- Laboratory of Applied Biology and Neurophysiology, Université Libre de Bruxelles, Bruxelles, Belgium
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Effect of Carbohydrate-Electrolyte Solution Including Bicarbonate Ion Ad Libitum Ingestion on Urine Bicarbonate Retention during Mountain Trekking: A Randomized, Controlled Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041441. [PMID: 33557035 PMCID: PMC7913653 DOI: 10.3390/ijerph18041441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Revised: 01/28/2021] [Accepted: 02/01/2021] [Indexed: 11/16/2022]
Abstract
We investigated whether bicarbonate ion (HCO3−) in a carbohydrate-electrolyte solution (CE+HCO3) ingested during climbing to 3000 m on Mount Fuji could increase urine HCO3− retention. This study was a randomized, controlled pilot study. Sixteen healthy lowlander adults were divided into two groups (six males and two females for each): a tap water (TW) group (0 kcal with no energy) and a CE+HCO3 group. The allocation to TW or CE+HCO3 was double blind. The CE solution contains 10 kcal energy, including Na+ (115 mg), K+ (78 mg), HCO3− (51 mg) per 100 mL. After collecting baseline urine and measuring body weight, participants started climbing while energy expenditure (EE) and heart rate (HR) were recorded every min with a portable calorimeter. After reaching a hut at approximately 3000 m, we collected urine and measured body weight again. The HCO3− balance during climbing, measured by subtracting the amount of urine excreted from the amount of fluid ingested, was −0.37 ± 0.77 mmol in the CE+HCO3, which was significantly higher than in the TW (−2.23 ± 0.96 mmol, p < 0.001). These results indicate that CE containing HCO3− supplementation may increase the bicarbonate buffering system during mountain trekking up to ~3000 m, suggesting a useful solution, at least, in the population of the present study on Mount Fuji.
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217
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McKenzie AK, Crowley-McHattan ZJ, Meir R, Whitting JW, Volschenk W. Glenohumeral Extension and the Dip: Considerations for the Strength and Conditioning Professional. Strength Cond J 2021. [DOI: 10.1519/ssc.0000000000000579] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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218
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A comparison of muscle activity of the dominant and non-dominant side of the body during low versus high loaded bench press exercise performed to muscular failure. J Electromyogr Kinesiol 2021; 56:102513. [DOI: 10.1016/j.jelekin.2020.102513] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 12/04/2020] [Accepted: 12/30/2020] [Indexed: 11/17/2022] Open
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219
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Florencio LL, de Oliveira AS, Will-Lemos T, Pinheiro CF, Marçal JCDS, Dach F, Fernández-de-Las-Peñas C, Bevilaqua-Grossi D. Muscle endurance and cervical electromyographic activity during submaximal efforts in women with and without migraine. Clin Biomech (Bristol, Avon) 2021; 82:105276. [PMID: 33561677 DOI: 10.1016/j.clinbiomech.2021.105276] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 01/12/2021] [Accepted: 01/13/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Despite previous reports supporting cervical muscle weakness and altered motor control in migraine, the endurance under standardized submaximal loads has not been investigated. Therefore, this study aimed to assess the endurance and muscle activity of the cervical musculature during submaximal isometric contractions in women with migraine and those without headache. METHODS Cervical muscle endurance tests were performed for flexors and extensors at 25%, 50%, and 75% of the output force during maximal isometric contraction using the Multi-Cervical Rehabilitation Unit with customized biofeedback. Initial values and relative rates of changes in root mean square and median frequency were calculated using cervical muscle superficial electromyography. FINDINGS Women with chronic migraine presented significantly shorter flexor endurance time in all load tests than controls (25%, P = .001, 50%, P = .005; 75%, P = .013), while episodic migraine only differed from controls at 75% (P = .018). The frequency of neck pain and/or pain referred to the head after the endurance test was up 12% in the control group, 40% in the episodic migraine group and 68% of the chronic migraine group. Few differences between groups were observed in the electromyographic variables and none of them was related to a worse performance in the endurance tests. INTERPRETATION Cervical flexor endurance was reduced in women with chronic migraine when independent of the load, whereas it was reduced to 75% of the maximal force in those with episodic migraine. No difference in the electromyographic variables could be related to this reduced flexor endurance. Also, no differences were detected in extensors endurance.
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Affiliation(s)
- Lidiane Lima Florencio
- Department of Health Sciences -Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
| | - Anamaria Siriani de Oliveira
- Department of Health Sciences -Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Tenysson Will-Lemos
- Department of Health Sciences -Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Carina Ferreira Pinheiro
- Department of Health Sciences -Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | | | - Fabiola Dach
- Department of Neurosciences and Behavioral Sciences - Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - César Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain
| | - Débora Bevilaqua-Grossi
- Department of Health Sciences -Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
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220
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Rodríguez-Rosell D, Yáñez-García JM, Sánchez-Medina L, Mora-Custodio R, González-Badillo JJ. Relationship Between Velocity Loss and Repetitions in Reserve in the Bench Press and Back Squat Exercises. J Strength Cond Res 2021; 34:2537-2547. [PMID: 31045753 DOI: 10.1519/jsc.0000000000002881] [Citation(s) in RCA: 61] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Rodríguez-Rosell, D, Yáñez-García, JM, Sánchez-Medina, L, Mora-Custodio, R, and González-Badillo, JJ. Relationship between velocity loss and repetitions in reserve in the bench press and back squat exercises. J Strength Cond Res 34(9): 2537-2547, 2020-This study aimed to compare the pattern of repetition velocity decline during a single set to failure performed against 4 relative loads in the bench press (BP) and full back squat (SQ) exercises. After an initial test to determine 1 repetition maximum (1RM) strength and load-velocity relationships, 20 men performed one set of repetitions to failure (MNR test) against loads of 50, 60, 70, and 80% 1RM in BP and SQ, on 8 random order sessions performed every 6-7 days. Velocity against the load that elicited a ∼1.00 m·s (V1 m·s load) was measured before and immediately after each MNR test, and it was considered a measure of acute muscle fatigue. The number of repetitions completed against each relative load showed high interindividual variability in both BP (coefficient of variation [CV]: 15-22%) and SQ (CV: 26-34%). Strong relationships were found between the relative loss of velocity in the set and the percentage of performed repetitions in both exercises (R = 0.97 and 0.93 for BP and SQ, respectively). Equations to predict repetitions left in reserve from velocity loss are provided. For a given magnitude of velocity loss within the set (15-65%), the percentages of performed repetitions were lower for the BP compared with the SQ for all loads analyzed. Acute fatigue after each set to failure was found dependent on the magnitude of velocity loss (r = 0.97 and 0.99 for BP and SQ, respectively) but independent of the number of repetitions completed by each participant (p > 0.05) for both exercises. The percentage of velocity loss against the V1 m·s load decreased as relative load increased, being greater for BP than SQ. These findings indicate that monitoring repetition velocity can be used to provide a very good estimate of the number (or percentage) of repetitions actually performed and those left in reserve in each exercise set, and thus to more objectively quantify the level of effort incurred during resistance training.
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Affiliation(s)
- David Rodríguez-Rosell
- Physical Performance and Sports Research Center, Pablo de Olavide University, Seville, Spain; and
| | - Juan Manuel Yáñez-García
- Physical Performance and Sports Research Center, Pablo de Olavide University, Seville, Spain; and
| | - Luis Sánchez-Medina
- Studies, Research and Sports Medicine Center, Government of Navarre, Pamplona, Spain
| | - Ricardo Mora-Custodio
- Physical Performance and Sports Research Center, Pablo de Olavide University, Seville, Spain; and
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Towards Detecting Biceps Muscle Fatigue in Gym Activity Using Wearables. SENSORS 2021; 21:s21030759. [PMID: 33498702 PMCID: PMC7865622 DOI: 10.3390/s21030759] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 01/18/2021] [Accepted: 01/19/2021] [Indexed: 11/17/2022]
Abstract
Fatigue is a naturally occurring phenomenon during human activities, but it poses a bigger risk for injuries during physically demanding activities, such as gym activities and athletics. Several studies show that bicep muscle fatigue can lead to various injuries that may require up to 22 weeks of treatment. In this work, we adopt a wearable approach to detect biceps muscle fatigue during a bicep concentration curl exercise as an example of a gym activity. Our dataset consists of 3000 bicep curls from twenty middle-aged volunteers at ages between 27 to 30 and Body Mass Index (BMI) ranging between 18 to 28. All volunteers have been gym-goers for at least 1 year with no records of chronic diseases, muscle, or bone surgeries. We encountered two main challenges while collecting our dataset. The first challenge was the dumbbell's suitability, where we found that a dumbbell weight (4.5 kg) provides the best tradeoff between longer recording sessions and the occurrence of fatigue on exercises. The second challenge is the subjectivity of RPE, where we average the reported RPE with the measured heart rate converted to RPE. We observed from our data that fatigue reduces the biceps' angular velocity; therefore, it increases the completion time for later sets. We extracted a total of 33 features from our dataset, which have been reduced to 16 features. These features are the most overall representative and correlated with bicep curl movement, yet they are fatigue-specific features. We utilized these features in five machine learning models, which are Generalized Linear Models (GLM), Logistic Regression (LR), Random Forests (RF), Decision Trees (DT), and Feedforward Neural Networks (FNN). We found that using a two-layer FNN achieves an accuracy of 98% and 88% for subject-specific and cross-subject models, respectively. The results presented in this work are useful and represent a solid start for moving into a real-world application for detecting the fatigue level in bicep muscles using wearable sensors as we advise athletes to take fatigue into consideration to avoid fatigue-induced injuries.
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222
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Tsang SM, Chan KT, Ho PL, Kwok JC, Tse DH, Tsoi HH. Comparison between velocity-specific exercise and isometric exercise on neck muscle functions and performance: a randomised clinical trial. BMC Musculoskelet Disord 2021; 22:81. [PMID: 33446159 PMCID: PMC7809848 DOI: 10.1186/s12891-021-03943-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Accepted: 01/02/2021] [Indexed: 11/24/2022] Open
Abstract
Background Evidence has shown that velocity-specific exercise results in additional benefits for peripheral joint muscles by promoting their functions, however, its effects on spinal muscles are yet to be investigated. This study aimed to examine the feasibility and effects of velocity-specific exercise compared to isometric exercise on cervical muscle functions and performance in healthy individuals. Methods Thirty healthy adults were randomised to practise either the velocity-specific exercise (VSE, n = 15) or isometric exercise (IE, n = 15) for 6 weeks. Functions and performance of the cervical extensors and flexors were assessed pre- and post-program, by analyzing the peak torque and electromyography during the isokinetic testing, and cross-sectional area of the deep cervical muscles at rest. The self-reported level of difficulty and post-exercise soreness during the exercise were recorded to evaluate the feasibility and safety of the two exercise programs. Results Both VSE and IE exercises resulted in significant improvement of the muscle functions and performance while there were no between-group differences at reassessment of the (a) cross-sectional area of longus colli and semispinalis capitis; (b) EMG amplitude in sternocleidomastoid and cervical erector spinae, and (c) peak torque values. Further analysis revealed that degree of correlation between extension torque and EMG amplitude of cervical erector spinae increased in both groups. However, significant correlation was found only in VSE group post-program. There were no significant differences for the level of difficulty and post-exercise soreness found between two groups. Conclusions Both velocity-specific and isometric exercises significantly promoted cervical muscle functions and performance. The present study confirms that velocity-specific exercise can be practised safely and it also contributes to a greater enhancement in neuromuscular efficiency of the cervical extensors. These findings indicate that the velocity-specific exercise can be considered as a safe alternative for training of the cervical muscles. Further study is recommended to examine its benefit and application for promoting the muscle functions and recovery in symptomatic individuals.
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Affiliation(s)
- Sharon Mh Tsang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China.
| | - Kenneth Tk Chan
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China
| | - Parco Lt Ho
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China
| | - Jacky Cy Kwok
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China
| | - Daniel Ht Tse
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China
| | - Henry Ht Tsoi
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China
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Wilcox M, Laranjeira S, Brown H, Quick T. How to assess the recovery of muscular function following nerve injury: A view from surgeons and patients. J Plast Reconstr Aesthet Surg 2021; 74:1594-1601. [PMID: 33422494 DOI: 10.1016/j.bjps.2020.11.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Revised: 08/19/2020] [Accepted: 11/22/2020] [Indexed: 10/22/2022]
Abstract
Patient experience of motor recovery from denervation paralysis is complex and textured. The Medical Research Council (MRC) system of grading muscle peak volitional force is widely used as a single measure of assessment. However, it is becoming clear that current motor function assessments are not reflecting the patient lived experience of muscle reinnervation. Therefore, this study aimed to engage international expert nerve surgeons in a classical Delphi process to achieve a consensus of opinion on the ideal clinical assessment of motor function. This was compared with patient-reported impairments of reinnervated muscle. Invitations to engage in the Delphi process were extended to expert peripheral nerve surgeons across two international specialist meetings. For comparison, patients who attended a "Nerve Injury Community Day" were invited to complete a questionnaire on patient-reported impairments of reinnervated muscle. Questions were designed on the basis of a literature review and the clinical experiences of a specialist nerve injury unit. A combination of direct yes/no, multiple choice, open-ended and Likert questions were employed throughout the questionnaires. Eighteen surgeons engaged with the Delphi process; 18 and 11 responded to the first and second rounds respectively. Thirty-one patients responded to the questionnaire. It was found that clinicians were strongly biased towards efferent assessments of muscular function, while patients strongly favoured muscular fatigue, co-contraction and pain when monitoring their own recovery. The findings suggest that current clinical assessments of muscular function are inadequate and should embody measurements of afferent muscular function to better reflect the lived experience of muscle reinnervation.
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Affiliation(s)
- Matthew Wilcox
- Peripheral Nerve Injury Research Unit, Royal National Orthopaedic Hospital, Stanmore, United Kingdom; UCL Centre for Nerve Engineering, University College London, London, United Kingdom; Department of Pharmacology, UCL School of Pharmacy, London, United Kingdom
| | - Simão Laranjeira
- UCL Centre for Nerve Engineering, University College London, London, United Kingdom; Department of Mechanical Engineering, University College London, London, United Kingdom
| | - Hazel Brown
- Peripheral Nerve Injury Research Unit, Royal National Orthopaedic Hospital, Stanmore, United Kingdom; UCL Centre for Nerve Engineering, University College London, London, United Kingdom
| | - Tom Quick
- Peripheral Nerve Injury Research Unit, Royal National Orthopaedic Hospital, Stanmore, United Kingdom; UCL Centre for Nerve Engineering, University College London, London, United Kingdom.
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Peternel L, Schøn DT, Fang C. Binary and Hybrid Work-Condition Maps for Interactive Exploration of Ergonomic Human Arm Postures. Front Neurorobot 2021; 14:590241. [PMID: 33488376 PMCID: PMC7819876 DOI: 10.3389/fnbot.2020.590241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 12/09/2020] [Indexed: 11/18/2022] Open
Abstract
Ergonomics of human workers is one of the key elements in design and evaluation of production processes. Human ergonomics have a major impact on productivity as well as chronic health risks incurred by inappropriate working postures and conditions. In this paper we propose a novel method for estimating and communicating the ergonomic work condition called Binary Work-Condition Map, which provides a visualized feedback about work conditions of different configurations of an arm. The map is of binary nature and is derived by imposing the desired thresholds on considered ergonomic and safety related criteria. Therefore, the suggested arm postures in the map guarantee that all considered criteria are satisfied. This eliminates the ambiguity compared to state-of-the-art maps that uses continuous scales derived from weighted sum of multiple ergonomics criteria. In addition, to combine the advantages of both the binary map and the continuous map, we additionally propose a Hybrid Work-Condition Map that rules out unsuitable workspace with the binary map approach and renders the suitable workspace with the continuous map approach. The proposed approach was tested in simulation for various tasks and conditions. In addition, we conducted subjective evaluation experiments to compare the proposed methods with the state-of-the art method regarding the usability. The results indicated that the binary map is simpler to use, while the hybrid map is a good tradeoff between the binary and the continuous map. In selecting the map, strong points of each map should be considered with respect to the requirements of a specific application and task.
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Affiliation(s)
- Luka Peternel
- Delft Haptics Lab, Department of Cognitive Robotics, Delft University of Technology, Delft, Netherlands
| | - Daniel Tofte Schøn
- SDU Robotics, The Maersk Mc-Kinney Moller Institute, University of Southern Denmark, Odense, Denmark
| | - Cheng Fang
- SDU Robotics, The Maersk Mc-Kinney Moller Institute, University of Southern Denmark, Odense, Denmark
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225
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Bodkin SG, Weltman AL, Hart JM. ISB clinical biomechanics award winner 2019: Knee extensor fatigue resistance in individuals following anterior cruciate ligament reconstruction. Clin Biomech (Bristol, Avon) 2021; 81:105242. [PMID: 33309931 DOI: 10.1016/j.clinbiomech.2020.105242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 11/25/2020] [Accepted: 11/30/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND Individuals following anterior cruciate ligament reconstruction demonstrate quadriceps weakness throughout the post-operative recovery and at the time of returning to sport. This is often accompanied with patterns of quadriceps fatigue resistance. As such, fatigue may be an identifier of individuals with delayed recovery. The purpose was to assess quadriceps fatigue in anterior cruciate ligament reconstructed patients at the time of return to sport in comparison to healthy controls. METHODS A total of 215 individuals, 120 following anterior cruciate ligament reconstruction (21.0 (2.9) years, 63 Female, 5.96 (0.48) months post-surgery) and 95 healthy controls (21.5 (8.4) years, 49 Female), participated in this study. All participants completed a 30-s knee extensor maximum voluntary isometric contraction. Knee extensor strength, limb symmetry index, and fatigue (%) were compared between groups. Between-limb fatigue comparisons were made through the Fatigue Index Limb Difference = [(Involved Limb Fatigue Index) - (Uninvolved Limb Fatigue Index)]. FINDINGS Individuals following anterior cruciate ligament reconstruction (18.7 (10.9)%, -5.6 (11.2)) demonstrated lower values of unilateral fatigue and Fatigue Index Limb Difference compared to healthy participants (22.5 (8.2)%, P = .002; 2.2 (7.9), P < .001). For anterior cruciate ligament reconstructed patients, there was a weak, negative, significant relationship between the involved limb strength and fatigue (r = -0.184, P = .048). There was no relationship between limb symmetry and Fatigue Index Limb Difference (r = 0.137, P = .142). For Healthy individuals, there was a positive, moderate relationship between limb symmetry and Fatigue Index Limb Difference (r = 0.400, P < .001). INTERPRETATION Individuals following anterior cruciate ligament reconstruction demonstrate fatigue resistance compared to healthy active controls and greater resistance to fatigue in their involved limb compared to their contralateral limb.
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Affiliation(s)
- Stephan G Bodkin
- Department of Physical Medicine and Rehabilitation, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
| | - Arthur L Weltman
- Department of Kinesiology, University of Virginia, Charlottesville, VA, USA
| | - Joe M Hart
- Department of Kinesiology, University of Virginia, Charlottesville, VA, USA
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226
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Spatial distribution of lumbar erector spinae muscle activity in individuals with and without chronic low back pain during a dynamic isokinetic fatiguing task. Clin Biomech (Bristol, Avon) 2021; 81:105214. [PMID: 33189454 DOI: 10.1016/j.clinbiomech.2020.105214] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 10/20/2020] [Accepted: 11/02/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND Individuals with chronic low back pain (CLBP) commonly present with increased trunk muscle fatigability; typically assessed as reduced time to task failure during non-functional isometric contractions. Less is known about the specific neuromuscular responses of individuals with CLBP during dynamic fatiguing tasks. We investigate the regional alteration in muscle activation and peak torque exertion during a dynamic isokinetic fatiguing task in individuals with and without CLBP. METHODS Electromyography (EMG) was acquired from the lumbar erector spinae unilaterally of 11 asymptomatic controls and 12 individuals with CLBP, using high-density EMG (13 × 5 grid of electrodes). Seated in an isokinetic dynamometer, participants performed continuous cyclic trunk flexion-extension at 60o/s until volitional exhaustion. FINDINGS Similar levels of muscle activation and number of repetitions were observed for both groups (p > 0.05). However, the CLBP group exerted lower levels of peak torque for both flexion and extension moments (p < 0.05). The centre of lumbar erector spinae activity was shifted cranially in the CLBP group throughout the task (p < 0.05), while the control participants showed a more homogenous distribution of muscle activity. INTERPRETATION People with CLBP displayed altered and potentially less efficient activation of their lumbar erector spinae during a dynamic fatiguing task. Future studies should consider using high-density EMG biofeedback to optimise the spatial activation of the paraspinal musculature in people with low back pain (LBP).
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227
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Vassão PG, Baldini GS, Vieira KVSG, Balão AB, Pinfildi CE, Campos RMDS, Tucci HT, Renno ACM. Acute Photobiomodulation Effects Through a Cluster Device on Skeletal Muscle Fatigue of Biceps Brachii in Young and Healthy Males: A Randomized Double-Blind Session. PHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY 2020; 38:773-779. [PMID: 33332234 DOI: 10.1089/photob.2019.4786] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Objective: The aim of this study was to investigate and compare the acute effects of red and infrared photobiomodulation (PBM) using a cluster device on biceps brachii muscle fatigue in young and healthy males. Background: Vigorous physical activity could lead to muscle fatigue, which compromises motor control and muscle strength and consequently impairs performance. The positive effects of PBM in reducing fatigue onset have been highlighted. However, the better wavelength with cluster devices is not yet established. Methods: A randomized double-blind session was used. Thirty-two young and healthy males were randomized into the control group (CG), red PBM group (RPG), and infrared PBM group (IPG). A PBM cluster device [7 visible diodes (630 nm), 7 infrared diodes (850 nm), 100 mW/diode, 2 W/cm2 power density, 91 J/cm2 energy density, 4 J per point, 28 J total energy, and 40 sec] was applied after muscle fatigue. Muscle fatigue was analyzed by surface electromyography (EMG) recorded from the long head of biceps brachii, blood lactate concentration, and evaluation of the rate of perceived exertion (RPE) using the Borg Scale. The fatigue protocol consisted of a maximum voluntary isotonic contraction of elbow flexion-extension with 75% of one-repetition maximum until exhaustion. The Borg Scale was applied before and at the end of the experiment to measure the RPE. The electromyography fatigue index (EMGFI) was calculated by windows of median frequency from EMG data. Results: EMGFI, blood lactate concentration, and RPE showed no intergroup statistical difference, except the EMGFI delta value that showed a difference between IPG and CG, with a greater value in the CG. However, intragroup comparisons showed that EMGFI decreased in the CG and RPE and lactate concentration increased significantly in all groups. Conclusions: There was no difference between red and infrared PBM in reduction of biceps brachii fatigue. However, the EMGFI delta value was greater in the IPG compared with the CG, suggesting that infrared can be more effective in reducing biceps brachii fatigue.
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Affiliation(s)
- Patrícia Gabrielli Vassão
- Department of Biosciences, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil
| | - Gabriel Sobrinho Baldini
- Department of Biosciences, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil
| | - Kamila Verlene S G Vieira
- Department of Human Movement Science, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil
| | - Ana Beatriz Balão
- Department of Biosciences, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil
| | - Carlos Eduardo Pinfildi
- Department of Human Movement Science, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil
| | - Raquel Munhoz da Silveira Campos
- Department of Biosciences, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil.,Post Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil
| | - Helga Tatiana Tucci
- Department of Human Movement Science, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil
| | - Ana Claudia Muniz Renno
- Department of Biosciences, Federal University of São Paulo (UNIFESP), Campus Baixada Santista, Santos, Brazil
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228
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Niazi IK, Kamavuako EN, Holt K, Janjua TAM, Kumari N, Amjad I, Haavik H. The Effect of Spinal Manipulation on the Electrophysiological and Metabolic Properties of the Tibialis Anterior Muscle. Healthcare (Basel) 2020; 8:healthcare8040548. [PMID: 33321904 PMCID: PMC7764559 DOI: 10.3390/healthcare8040548] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 12/07/2020] [Accepted: 12/07/2020] [Indexed: 12/31/2022] Open
Abstract
There is growing evidence showing that spinal manipulation increases muscle strength in healthy individuals as well as in people with some musculoskeletal and neurological disorders. However, the underlying mechanism by which spinal manipulation changes muscle strength is less clear. This study aimed to assess the effects of a single spinal manipulation session on the electrophysiological and metabolic properties of the tibialis anterior (TA) muscle. Maximum voluntary contractions (MVC) of the ankle dorsiflexors, high-density electromyography (HDsEMG), intramuscular EMG, and near-infrared spectroscopy (NIRS) were recorded from the TA muscle in 25 participants with low level recurring spinal dysfunction using a randomized controlled crossover design. The following outcomes: motor unit discharge rate (MUDR), strength (force at MVC), muscle conduction velocity (CV), relative changes in oxy- and deoxyhemoglobin were assessed pre and post a spinal manipulation intervention and passive movement control. Repeated measures ANOVA was used to assess within and between-group differences. Following the spinal manipulation intervention, there was a significant increase in MVC (p = 0.02; avg 18.87 ± 28.35%) and a significant increase in CV in both the isometric steady-state (10% of MVC) contractions (p < 0.01; avg 22.11 ± 11.69%) and during the isometric ramp (10% of MVC) contractions (p < 0.01; avg 4.52 ± 4.58%) compared to the control intervention. There were no other significant findings. The observed TA strength and CV increase, without changes in MUDR, suggests that the strength changes observed following spinal manipulation are, in part, due to increased recruitment of larger, higher threshold motor units. Further research needs to investigate the longer term and potential functional effects of spinal manipulation in various patients who may benefit from improved muscle function and greater motor unit recruitment.
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Affiliation(s)
- Imran Khan Niazi
- Centre for Chiropractic Research, New Zealand College of Chiropractic, Auckland 1060, New Zealand; (K.H.); (N.K.); (I.A.)
- Faculty of Health & Environmental Sciences, Health & Rehabilitation Research Institute, AUT University, Auckland 0627, New Zealand
- Department of Health Science and Technology, Aalborg University, Aalborg 9220, Denmark;
- Correspondence: (I.K.N.); (H.H.)
| | - Ernest Nlandu Kamavuako
- Department of Informatics, King’s College London, London WC2R 2LS, UK;
- Faculté de Médecine, Université de Kindu, Kindu, Congo
| | - Kelly Holt
- Centre for Chiropractic Research, New Zealand College of Chiropractic, Auckland 1060, New Zealand; (K.H.); (N.K.); (I.A.)
| | | | - Nitika Kumari
- Centre for Chiropractic Research, New Zealand College of Chiropractic, Auckland 1060, New Zealand; (K.H.); (N.K.); (I.A.)
- Faculty of Health & Environmental Sciences, Health & Rehabilitation Research Institute, AUT University, Auckland 0627, New Zealand
| | - Imran Amjad
- Centre for Chiropractic Research, New Zealand College of Chiropractic, Auckland 1060, New Zealand; (K.H.); (N.K.); (I.A.)
- Faculty of Rehabilitation and Allied Sciences, Riphah International University, Islamabad 46000, Pakistan
| | - Heidi Haavik
- Centre for Chiropractic Research, New Zealand College of Chiropractic, Auckland 1060, New Zealand; (K.H.); (N.K.); (I.A.)
- Correspondence: (I.K.N.); (H.H.)
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229
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Hupfeld KE, Swanson CW, Fling BW, Seidler RD. TMS-induced silent periods: A review of methods and call for consistency. J Neurosci Methods 2020; 346:108950. [PMID: 32971133 PMCID: PMC8276277 DOI: 10.1016/j.jneumeth.2020.108950] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 08/24/2020] [Accepted: 09/15/2020] [Indexed: 12/31/2022]
Abstract
Transcranial magnetic stimulation (TMS)-induced silent periods provide an in vivo measure of human motor cortical inhibitory function. Cortical silent periods (cSP, also sometimes referred to as contralateral silent periods) and ipsilateral silent periods (iSP) may change with advancing age and disease and can provide insight into cortical control of the motor system. The majority of past silent period work has implemented largely varying methodology, sometimes including subjective analyses and incomplete methods descriptions. This limits reproducibility of silent period work and hampers comparisons of silent period measures across studies. Here, we discuss methodological differences in past silent period work, highlighting how these choices affect silent period outcome measures. We also outline challenges and possible solutions for measuring silent periods in the unique case of the lower limbs. Finally, we provide comprehensive recommendations for collection, analysis, and reporting of future silent period studies.
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Affiliation(s)
- K E Hupfeld
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA
| | - C W Swanson
- Department of Health & Exercise Science, Colorado State University, Fort Collins, CO, USA
| | - B W Fling
- Department of Health & Exercise Science, Colorado State University, Fort Collins, CO, USA; Molecular, Cellular, and Integrative Neuroscience Program, Colorado State University, Fort Collins, CO, USA
| | - R D Seidler
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA; Department of Neurology, University of Florida, Gainesville, FL, USA.
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230
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Lyu H, Fan Y, Hao Z, Wang J. Effect of local and general fatiguing exercises on disturbed and static postural control. J Electromyogr Kinesiol 2020; 56:102487. [PMID: 33221599 DOI: 10.1016/j.jelekin.2020.102487] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 10/16/2020] [Accepted: 10/30/2020] [Indexed: 11/24/2022] Open
Abstract
This study compared the effect of local and general fatiguing exercise on disturbed and static postural control performances. Surface electromyography and center of pressure signals were respectively recorded during self-initiated perturbation test and static postural stability test from 7 young male subjects. Local fatiguing exercise was performed using intermittent isometric knee extensions at the level of 40% of maximal voluntary torques. General fatiguing exercise was implemented with rowing ergometer at a speed of 200 ± 5 m/min. Results of disturbed postural tests showed no significant change of anticipatory postural adjustment (APAs) organizations in individual muscles following both fatiguing exercises, but observed larger APAs coactivations in trunk and dorsal muscle pairs following local than general fatiguing exercise, and larger compensatory postural adjustments (CPAs) coactivation in dorsal muscle pair after both fatiguing exercises. In addition, the results of static postural tests indicated efficient static postural stability accompanying the down-weighting of visual input and the up-weighting of vestibular/somatosensory component following both fatiguing exercises. These findings evidenced a general compensation in the central nervous system in response to the neuromuscular deficiencies induced by local fatiguing exercise and put forward the function of sensory recalibration in maintaining postural stability under fatigue conditions.
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Affiliation(s)
- Hui Lyu
- Department of Sports Science, College of Education, Zhejiang University, Hangzhou 310058, China
| | - Yong Fan
- Sports Department, Hangzhou Normal University Qianjiang College, Hangzhou 310036, China
| | - Zengming Hao
- Department of Sports Science, College of Education, Zhejiang University, Hangzhou 310058, China
| | - Jian Wang
- Department of Sports Science, College of Education, Zhejiang University, Hangzhou 310058, China; Centre for Psychological Sciences, Zhejiang University, Hangzhou 310028, China.
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231
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Korzeniewski B, Rossiter HB. Factors determining training-induced changes in V̇O 2max, critical power, and V̇O 2 on-kinetics in skeletal muscle. J Appl Physiol (1985) 2020; 130:498-507. [PMID: 33211591 DOI: 10.1152/japplphysiol.00745.2020] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Computer simulations, using the "Pi double-threshold" mechanism of muscle fatigue postulated previously (the first threshold initiating progressive reduction in work efficiency and the second threshold resulting in exercise intolerance), demonstrated that several parameters of the skeletal muscle bioenergetic system can affect maximum oxygen consumption (V̇O2max), critical power (CP), and oxygen consumption (V̇O2) on-kinetics in skeletal muscle. Simulations and experimental observations together demonstrate that endurance exercise training increases oxidative phosphorylation (OXPHOS) activity and/or each-step activation (ESA) intensity, the latter, especially in the early stages of training. Here, new computer simulations demonstrate that an endurance training-induced increase in OXPHOS activity and decrease in peak Pi (Pipeak), at which exercise is terminated because of exercise intolerance, result in increased V̇O2max and CP, speeding of the primary phase II of V̇O2 on-kinetics, and decreases V̇O2 slow component magnitude, consistent with their observed behavior in vivo. It is possible, but remains unknown, whether there is a contribution to this behavior of an increase in the critical Pi (Picrit), above which the additional ATP usage underlying the slow component begins, and a decrease in the activity of the additional ATP usage (kadd). Thus, we offer a mechanism, involving Pi accumulation, Picrit and Pipeak, of the training-induced adaptations in V̇O2max, CP, and the primary and slow component phases of V̇O2 on-kinetics that was absent in the literature.NEW & NOTEWORTHY A mechanism of the training-induced changes in V̇O2max, critical power, and V̇O2 on-kinetics in skeletal muscle reported in the literature is postulated. It involves the self-driving "Pi double-threshold" mechanism of muscle fatigue underlying exercise inefficiency, the slow component of the V̇O2 on-kinetics, and termination of exercise. It is proposed that an increase in OXPHOS activity and decrease in peak Pi at which exercise terminates are responsible for the training-induced changes in the muscle bioenergetic system.
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Affiliation(s)
| | - Harry B Rossiter
- Pulmonary and Critical Care Physiology and Medicine, The Lundquist Institute for Biomedical Innovation Medical Center, Torrance, California.,Faculty of Biological Sciences, University of Leeds, Leeds, United Kingdom
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232
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Hill MW, Hosseini EA, McLellan A, Price MJ, Lord SR, Kay AD. Delayed Impairment of Postural, Physical, and Muscular Functions Following Downhill Compared to Level Walking in Older People. Front Physiol 2020; 11:544559. [PMID: 33192547 PMCID: PMC7609421 DOI: 10.3389/fphys.2020.544559] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Accepted: 09/18/2020] [Indexed: 11/15/2022] Open
Abstract
Transient symptoms of muscle damage emanating from unaccustomed eccentric exercise can adversely affect muscle function and potentially increase the risk of falling for several days. Therefore, the aims of the present study were to investigate the shorter- and longer-lasting temporal characteristics of muscle fatigue and damage induced by level (i.e., concentrically biased contractions) or downhill (i.e., eccentrically biased contractions) walking on postural, physical, and muscular functions in older people. Nineteen participants were matched in pairs for sex, age and self-selected walking speed and allocated to a level (n = 10, age = 72.3 ± 2.9 years) or downhill (n = 9, age = 72.1 ± 2.2 years) walking group. Postural sway, muscle torque and power, physical function (5× and 60 s sit-to-stand; STS), and mobility (Timed-Up-and-Go; TUG) were evaluated at baseline (pre-exercise), 1 min, 15 min, 30 min, 24 h, and 48 h after 30 min of level (0% gradient) or downhill (−10% gradient) walking on a treadmill. Following downhill walking, postural sway (+66 to 256%), TUG (+29%), 60 s STS (+29%), five times STS (−25%) and concentric power (−33%) did not change at 1–30 min post exercise, but were significantly different (p < 0.05) at 24 and48 h post-exercise when compared to baseline (p < 0.05). Muscle torque decreased immediately after downhill walking and remained impaired at 48 h post-exercise (−27 to −38%). Immediately following level walking there was an increase in postural sway (+52 to +98%), slower TUG performance (+29%), fewer STS cycles in 60 s (−23%), slower time to reach five STS cycles (+20%) and impaired muscle torque (−23%) and power (−19%) which returned to baseline 30-min after exercise cessation (p > 0.05). These findings have established for the first time distinct impairment profiles between concentric and eccentric exercise. Muscle damage emanating from eccentrically biased exercise can lead to muscle weakness, postural instability and impaired physical function persisting for several days, possibly endangering older adult’s safety during activities of daily living by increasing the risk of falls.
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Affiliation(s)
- Mathew William Hill
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom
| | - Edyah-Ariella Hosseini
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom
| | - Abbie McLellan
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom
| | - Michael James Price
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, United Kingdom
| | - Stephen Ronald Lord
- Falls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales, Sydney, NSW, Australia
| | - Anthony David Kay
- Centre for Physical Activity and Life Sciences, University of Northampton, Northampton, United Kingdom
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233
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Reproducibility and discriminant validity of the Posterior Shoulder Endurance Test in healthy and painful populations. Phys Ther Sport 2020; 47:66-71. [PMID: 33197875 DOI: 10.1016/j.ptsp.2020.10.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 10/27/2020] [Accepted: 10/30/2020] [Indexed: 11/20/2022]
Abstract
OBJECTIVE This investigation measured the reproducibility and discriminant validity of the Posterior Shoulder Endurance Test (PSET) on painful and non-painful populations. DESIGN Reliability and validity study. SETTING Laboratory setting. PARTICIPANTS Thirty subjects (male = 11; female = 19). MAIN OUTCOME MEASURES Time to failure (TTF) was the primary outcome measure to determine reliability of the PSET. Discriminant validity identified with receiver operator characteristic (ROC) curves utilized TTF separately in men and women since they used different loads. RESULTS There were 25/30 subjects (painful = 12; non-painful = 13) tested a second time. ICC, SEM, and MDC90 ranged respectively from 0.77, 13.1 s, 30.6 s in the painful group to 0.85, 7.3 s, 17 s in the non-painful group. The male ROC curve AUC was 0.833 with 47 s resulting in the best combination of sensitivity = 0.833, and specificity = 0.80. The female ROC curve AUC was 0.633 with 46 s resulting in the best combination of sensitivity = 0.600 and specificity = 0.889 at 46 s. CONCLUSION The PSET is a reliable way to measure shoulder girdle muscular endurance. These data suggest that the PSET discriminates painful and non-painful individuals better in men compared to women.
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234
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Acute effect of tendon vibration applied during isometric contraction at two knee angles on maximal knee extension force production. PLoS One 2020; 15:e0242324. [PMID: 33186411 PMCID: PMC7665630 DOI: 10.1371/journal.pone.0242324] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 11/02/2020] [Indexed: 11/19/2022] Open
Abstract
The aim of the current study was to investigate the effect of a single session of prolonged tendon vibration combined with low submaximal isometric contraction on maximal motor performance. Thirty-two young sedentary adults were assigned into two groups that differed based on the knee angle tested: 90° or 150° (180° = full knee extension). Participants performed two fatigue-inducing exercise protocols: one with three 10 min submaximal (10% of maximal voluntary contraction) knee extensor contractions and patellar tendon vibration (80 Hz) another with submaximal knee extensor contractions only. Before and after each fatigue protocol, maximal voluntary isometric contractions (MVC), voluntary activation level (assessed by the twitch interpolation technique), peak-to-peak amplitude of maximum compound action potentials of vastus medialis and vastus lateralis (assessed by electromyography with the use of electrical nerve stimulation), peak twitch amplitude and peak doublet force were measured. The knee extensor fatigue was significantly (P<0.05) greater in the 90° knee angle group (-20.6% MVC force, P<0.05) than the 150° knee angle group (-8.3% MVC force, P = 0.062). Both peripheral and central alterations could explain the reduction in MVC force at 90° knee angle. However, tendon vibration added to isometric contraction did not exacerbate the reduction in MVC force. These results clearly demonstrate that acute infrapatellar tendon vibration using a commercial apparatus operating at optimal conditions (i.e. contracted and stretched muscle) does not appear to induce knee extensor neuromuscular fatigue in young sedentary subjects.
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235
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Andrushko JW, Gould LA, Renshaw DW, Ekstrand C, Hortobágyi T, Borowsky R, Farthing JP. High Force Unimanual Handgrip Contractions Increase Ipsilateral Sensorimotor Activation and Functional Connectivity. Neuroscience 2020; 452:111-125. [PMID: 33197497 DOI: 10.1016/j.neuroscience.2020.10.031] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Revised: 09/23/2020] [Accepted: 10/26/2020] [Indexed: 01/10/2023]
Abstract
Imaging and brain stimulation studies seem to correct the classical understanding of how brain networks, rather than contralateral focal areas, control the generation of unimanual voluntary force. However, the scaling and hemispheric-specificity of network activation remain less understood. Using fMRI, we examined the effects of parametrically increasing right-handgrip force on activation and functional connectivity among the sensorimotor network bilaterally with 25%, 50%, and 75% maximal voluntary contractions (MVC). High force (75% MVC) unimanual handgrip contractions resulted in greater ipsilateral motor activation and functional connectivity with the contralateral hemisphere compared to a low force 25% MVC condition. The ipsilateral motor cortex activation and network strength correlated with relative handgrip force (% MVC). Increases in unimanual handgrip force resulted in greater ipsilateral sensorimotor activation and greater functional connectivity between hemispheres within the sensorimotor network.
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Affiliation(s)
- Justin W Andrushko
- College of Kinesiology, University of Saskatchewan, Saskatchewan, Canada
| | - Layla A Gould
- College of Medicine, Division of Neurosurgery, University of Saskatchewan, Saskatchewan, Canada
| | - Doug W Renshaw
- College of Kinesiology, University of Saskatchewan, Saskatchewan, Canada
| | - Chelsea Ekstrand
- The Brain and Mind Institute, Western University, London, Ontario, Canada
| | - Tibor Hortobágyi
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Ron Borowsky
- College of Medicine, Division of Neurosurgery, University of Saskatchewan, Saskatchewan, Canada; College of Arts and Science, Department of Psychology, Saskatchewan, Canada
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236
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Gianola S, Castellini G, Pecoraro V, Monticone M, Banfi G, Moja L. Effect of Muscular Exercise on Patients With Muscular Dystrophy: A Systematic Review and Meta-Analysis of the Literature. Front Neurol 2020; 11:958. [PMID: 33281695 PMCID: PMC7688624 DOI: 10.3389/fneur.2020.00958] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 07/23/2020] [Indexed: 12/29/2022] Open
Abstract
Background: Muscular dystrophy causes weakness and muscle loss. The effect of muscular exercise in these patients remains controversial. Objective: To assess the effects of muscular exercise vs. no exercise in patients with muscular dystrophy. Methods: We performed a comprehensive systematic literature search in the Medline, Embase, Web of Science, Scopus, and Pedro electronic databases, as well as in the reference literature. We included randomized clinical trials (RCTs) that reported the effect of muscular exercise on muscle strength, endurance during walking, motor abilities, and fatigue. Data were extracted independently by two reviewers. Mean difference (MD) and 95% confidence intervals (CI) were used to quantify the effect associated with each outcome. We performed pairwise meta-analyses and trial sequential analyses (TSA) and used GRADE to rate the overall certainty of evidence. Results: We identified 13 RCTs involving 617 patients. The median duration of exercise interventions was 16 weeks [interquartile range [IQR] 12–24]. In the patients with facio-scapulo-humeral dystrophy and myotonic dystrophy, no significant difference in extensor muscle strength was noted between the exercise and the control groups [four studies, 115 patients, MD 4.34, 95% CI −4.20 to 12.88, I2 = 69%; p = 0.32; minimal important difference [MID] 5.39 m]. Exercise was associated with improved endurance during walking [five studies, 380 patients, MD 17.36 m, 95% CI 10.91–23.81, I2 = 0; p < 0.00001; MID 34 m]. TSA excluded random error as a cause of the findings for endurance during walking. Differences in fatigue and motor abilities were small. Not enough information was found for other types of dystrophy. Conclusions: Muscular exercise did not improve muscle strength and was associated with modest improvements in endurance during walking in patients with facio-scapulo-humeral and myotonic dystrophy. Future trials should explore which type of muscle exercise could lead to better improvements in muscle strength. PROSPERO: CRD42019127456.
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Affiliation(s)
- Silvia Gianola
- Unit of Clinical Epidemiology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Greta Castellini
- Unit of Clinical Epidemiology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Valentina Pecoraro
- Department of Laboratory Medicine and Pathological Anatomy, Ospedale Civile S. Agostino Estense, Modena, Italy
| | - Marco Monticone
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.,Neurorehabilitation Unit, Department of Neuroscience and Rehabilitation, G. Brotzu Hospital, Cagliari, Italy
| | - Giuseppe Banfi
- IRCCS Istituto Ortopedico Galeazzi, Scientific Director, Milan, Italy.,Università Vita e Salute San Raffaele, Milan, Italy
| | - Lorenzo Moja
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
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237
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Watson K, Halperin I, Aguilera-Castells J, Dello Iacono A. A comparison between predetermined and self-selected approaches in resistance training: effects on power performance and psychological outcomes among elite youth athletes. PeerJ 2020; 8:e10361. [PMID: 33240664 PMCID: PMC7666817 DOI: 10.7717/peerj.10361] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 10/23/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND The aim of this study was to investigate if choice over resistance training exercise order affects motor performance and psychological outcomes among elite youth hockey players. METHODS Seventeen elite hockey players (male, n = 14; female, n = 3, age: 15.1 ± 1.1 years) participated in this study. In the first session, individual optimum power loads were calculated in the back squat, jump squat, bench press and bench throw exercises. Then, in four counterbalanced sessions, participants completed three sets of six repetitions in the same exercises loaded with their optimum power loads. In two sessions, athletes used a self-selected order of exercises, while in other two sessions the order was predetermined. Power outputs were estimated with a linear position transducer. Fatigue and enjoyment were measured during and after the sessions using standardized questionnaires. Repeated measures analyses of variance and a paired-sample t-test were used to compare the effects between conditions. RESULTS We observed trivial to small differences between conditions in power outputs (p ≥ 0.07; ES ≤ 0.21), fatigue (p ≥ 0.42; ES ≤ 0.33) and enjoyment (p = 0.72; ES = 0.05). CONCLUSION Given the comparable effects between approaches, both can be used when coaching youth athletes. Self-selecting the order of exercises based on preferences is a feasible and practical coaching option when working with youth athletes.
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Affiliation(s)
- Kevin Watson
- Strength and Conditioning Department, Glasgow School of Sport, Glasgow, United Kingdom
- School of Health and Life Sciences, University of the West of Scotland, Glasgow, United Kingdom
| | - Israel Halperin
- School of Public Health, Tel Aviv University, Tel Aviv, Israel
- Sylvan Adams Institute, Tel Aviv, Israel
| | - Joan Aguilera-Castells
- Faculty of Psychology, Education Sciences and Sport, Universitat Rámon Llull, Barcelona, Spain
| | - Antonio Dello Iacono
- School of Health and Life Sciences, University of the West of Scotland, Glasgow, United Kingdom
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238
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Magalhães IEJ, Burgo VC, Neto RB, Mezzarane RA. Changes in the input-output relation of the Hoffmann reflex recruitment curve after submaximal fatiguing contraction of the antagonist muscles. Somatosens Mot Res 2020; 38:54-59. [PMID: 33169647 DOI: 10.1080/08990220.2020.1845135] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE The central nervous system adapts strategies to compensate the decreased motor capacities of a fatigued muscle. However, data on neurophysiological adaptations of muscles other than those under fatigue are scarce. The present study was designed to evaluate the effects of submaximal fatiguing contraction (leading to a task failure) induced in ankle dorsiflexors muscles on the excitability of the Hoffmann reflex (H-reflex) of an ankle plantarflexor (soleus muscle). MATERIALS AND METHODS Twenty-three physically active males (75.5 ± 8.3 kg; 1.77 ± 0.08 m; 27.0 ± 8.0 years) were asked to maintain the contraction level of the right ankle dorsiflexors at 60% of the maximal isometric voluntary contraction (MIVC). Task failure was defined when the force level dropped below 40% MIVC for 5 consecutive seconds. The input-output relation of the ascending limb of the recruitment curve of the soleus H-reflex was examined at 0 min, 5 min, 10 min, 15 min and 20 min after the task failure. RESULTS The amplitude parameter representing the first recruited motoneurons (threshold H-reflex - H@th) was significantly higher at 5 min, 10 min, 15 min and 20 min after task failure as compared to control (Hth) (p < 0.05). On the other hand, the parameter that represents the activation of the relatively higher threshold motoneurons (H@100) was reduced (as compared to control - H100), but only at 20 min after the task failure (p < 0.05). CONCLUSIONS These results suggest differential reflex modulation of the soleus H-reflex after fatigue of the ankle dorsiflexors, that probably reflects neuronal adaptations underlying motor control around the ankle joint.
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Affiliation(s)
- Igor E J Magalhães
- Laboratory of Signal Processing and Motor Control, Universidade de Brasília-UnB, Brasília, Brazil
| | - Vinícius C Burgo
- Laboratory of Signal Processing and Motor Control, Universidade de Brasília-UnB, Brasília, Brazil
| | - Roque B Neto
- Laboratory of Signal Processing and Motor Control, Universidade de Brasília-UnB, Brasília, Brazil
| | - Rinaldo A Mezzarane
- Laboratory of Signal Processing and Motor Control, Universidade de Brasília-UnB, Brasília, Brazil
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239
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Tyagi O, Zhu Y, Johnson C, Mehta RK, Sasangohar F, Erraguntla M, Qaraqe K. Neural Signatures of Handgrip Fatigue in Type 1 Diabetic Men and Women. Front Hum Neurosci 2020; 14:564969. [PMID: 33240061 PMCID: PMC7680760 DOI: 10.3389/fnhum.2020.564969] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Accepted: 10/14/2020] [Indexed: 01/22/2023] Open
Abstract
Type 1 diabetes (T1D) is associated with reduced muscular strength and greater muscle fatigability. Along with changes in muscular mechanisms, T1D is also linked to structural changes in the brain. How the neurophysiological mechanisms underlying muscle fatigue is altered with T1D and sex related differences of these mechanisms are still not well investigated. The aim of this study was to determine the impact of T1D on the neural correlates of handgrip fatigue and examine sex and T1D related differences in neuromuscular performance parameters, neural activation and functional connectivity patterns between the motor regions of the brain. Forty-two adults, balanced by condition (healthy vs T1D) and sex (male vs female), and performed submaximal isometric handgrip contractions until voluntary exhaustion. Initial strength, endurance time, strength loss, force variability, and complexity measures were collected. Additionally, hemodynamic responses from motor-function related cortical regions, using functional near-infrared spectroscopy (fNIRS), were obtained. Overall, females exhibited lower initial strength (p < 0.0001), and greater strength loss (p = 0.023) than males. While initial strength was significantly lower in the T1D group (p = 0.012) compared to the healthy group, endurance times and strength loss were comparable between the two groups. Force complexity, measured as approximate entropy, was found to be lower throughout the experiment for the T1D group (p = 0.0378), indicating lower online motor adaptability. Although, T1D and healthy groups fatigued similarly, only the T1D group exhibited increased neural activation in the left (p = 0.095) and right (p = 0.072) supplementary motor areas (SMA) over time. A sex × condition × fatigue interaction effect (p = 0.044) showed that while increased activation was observed in both T1D females and healthy males from the Early to Middle phase, this was not observed in healthy females or T1D males. These findings demonstrate that T1D adults had lower adaptability to fatigue which they compensated for by increasing neural effort. This study highlights the importance of examining both neural and motor performance signatures when investigating the impact of chronic conditions on neuromuscular fatigue. Additionally, the findings have implications for developing intervention strategies for training, rehabilitation, and ergonomics considerations for individuals with chronic conditions.
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Affiliation(s)
- Oshin Tyagi
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, TX, United States
| | - Yibo Zhu
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, TX, United States
| | - Connor Johnson
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, TX, United States
| | - Ranjana K. Mehta
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, TX, United States
| | - Farzan Sasangohar
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, TX, United States
| | - Madhav Erraguntla
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, TX, United States
| | - Khalid Qaraqe
- Department of Electrical and Computer Engineering, Texas A&M University at Qatar, Doha, Qatar
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240
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Wu R, Ditroilo M, Delahunt E, De Vito G. Age Related Changes in Motor Function (II). Decline in Motor Performance Outcomes. Int J Sports Med 2020; 42:215-226. [PMID: 33137831 DOI: 10.1055/a-1265-7073] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Age-related impairments in motor performance are caused by a deterioration in mechanical and neuromuscular functions, which have been investigated from the macro-level of muscle-tendon unit to the micro-level of the single muscle fiber. When compared to the healthy young skeletal muscle, aged skeletal muscle is: (1) weaker, slower and less powerful during the performance of voluntary contractions; (2) less steady during the performance of isometric contractions, particularly at low levels of force; and (3) less susceptible to fatigue during the performance of sustained isometric contractions, but more susceptible to fatigue during the performance of high-velocity dynamic contractions. These impairments have been discussed to be mainly the result of: a) loss of muscle mass and selective atrophy of type II muscle fibers; b) altered tendon mechanical properties (decreased tendon stiffness); c) reduced number and altered function of motor units; d) slower muscle fiber shortening velocity; e) increased oscillation in common synaptic input to motor neurons; and f) altered properties and activity of sarcoplasmic reticulum. In this second part of a two-part review we have detailed the age-related impairments in motor performance with a reference to the most important mechanical and neuromuscular contributing factors.
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Affiliation(s)
- Rui Wu
- School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin
| | - Massimiliano Ditroilo
- School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin
| | - Eamonn Delahunt
- School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin
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241
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A single bout of downhill running attenuates subsequent level running-induced fatigue. Sci Rep 2020; 10:18809. [PMID: 33139834 PMCID: PMC7606541 DOI: 10.1038/s41598-020-76008-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Accepted: 10/22/2020] [Indexed: 12/01/2022] Open
Abstract
Fatigue can be defined as exercise-induced strength loss. During running, fatigue can be partially explained by repetitive low-intensity eccentric contractions-induced muscle damage (EIMD). Previous studies showed that a bout of downhill running (DR) attenuated subsequent EIMD. Thus, we tested if a 30-min DR bout would attenuate fatigue induced by subsequent 60-min level running (LR). Twenty-seven male college students were randomly allocated to an experimental (EXP) or a control (CON) group. All participants performed LR on a treadmill at 70% of the velocity (vVO2peak) corresponding to peak oxygen uptake (VO2peak). Only EXP performed a 30-min DR (− 15%) on a treadmill at 70% vVO2peak fourteen days before LR. Indirect EIMD markers and neuromuscular function were assessed before, immediately and 48 h after DR and LR. Knee extension isometric peak torque (IPT) decreased (− 36.3 ± 26%, p < 0.05) immediately following DR with full recovery reached 48 h post-DR. Muscle soreness developed (p < 0.05) immediately (37 ± 25 mm) and 48 h (45 ± 26 mm) post-DR. IPT and rate of torque development (RTD) at late phases (> 150 ms) from the onset of muscle contraction decreased significantly (− 10.7 ± 6.1% and from − 15.4 to − 18.7%, respectively) immediately after LR for the CON group and remained below baseline values (− 5.6 ± 8.5% and from − 13.8 to − 14.9%, respectively) 48 h post-LR. However, IPT and late RTD were not significantly affected by LR for the EXP group, showing a group x time interaction effect. We concluded that a single DR bout can be used to attenuate fatigue induced by a LR performed fourteen days after.
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242
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Hinks A, Hess A, Debenham MIB, Chen J, Mazara N, Inkol KA, Cervone DT, Spriet LL, Dalton BH, Power GA. Power loss is attenuated following a second bout of high-intensity eccentric contractions due to the repeated bout effect's protection of rate of torque and velocity development. Appl Physiol Nutr Metab 2020; 46:461-472. [PMID: 33125854 DOI: 10.1139/apnm-2020-0641] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
High-intensity unaccustomed eccentric contractions result in weakness and power loss because of fatigue and muscle damage. Through the repeated bout effect (RBE), adaptations occur, then damage and weakness are attenuated following a subsequent bout. However, it is unclear whether the RBE protects peak power output. We investigated the influence of the RBE on power production and estimated fatigue- and damage-induced neuromuscular impairments following repeated high-intensity eccentric contractions. Twelve healthy adult males performed 5 sets of 30 maximal eccentric elbow flexions and repeated an identical bout 4 weeks later. Recovery was tracked over 7 days following both bouts. Reduced maximum voluntary isometric contraction torque, and increased serum creatine kinase and self-reported soreness indirectly inferred muscle damage. Peak isotonic power, time-dependent measures - rate of velocity development (RVD) and rate of torque development (RTD) - and several electrophysiological indices of neuromuscular function were assessed. The RBE protected peak power, with a protective index of 66% 24 h after the second eccentric exercise bout. The protection of power also related to preserved RVD (R2 = 0.61, P < 0.01) and RTD (R2 = 0.39, P < 0.01). Furthermore, the RBE's protection against muscle damage permitted the estimation of fatigue-associated neuromuscular performance decrements following eccentric exercise. Novelty: The repeated bout effect protects peak isotonic power. Protection of peak power relates to preserved rates of torque and velocity development, but more so rate of velocity development. The repeated bout effect has little influence on indices of neuromuscular fatigue.
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Affiliation(s)
- Avery Hinks
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Adam Hess
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Mathew I B Debenham
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Jackey Chen
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Nicole Mazara
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Keaton A Inkol
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada.,Department of Systems Design Engineering, University of Waterloo, Waterloo, ON N2L 3G1, Canada
| | - Daniel T Cervone
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Lawrence L Spriet
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Brian H Dalton
- School of Health and Exercise Sciences, The University of British Columbia, Kelowna, BC V1V 1V7, Canada
| | - Geoffrey A Power
- Department of Human Health and Nutritional Sciences, College of Biological Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
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243
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Negro F, Bathon KE, Nguyen JN, Bannon CG, Orizio C, Hunter SK, Hyngstrom AS. Impaired Firing Behavior of Individually Tracked Paretic Motor Units During Fatiguing Contractions of the Dorsiflexors and Functional Implications Post Stroke. Front Neurol 2020; 11:540893. [PMID: 33192970 PMCID: PMC7658471 DOI: 10.3389/fneur.2020.540893] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 09/25/2020] [Indexed: 11/13/2022] Open
Abstract
Introduction: This study quantified stroke-related changes in the following: (1) the averaged discharge rate of motor units (individually tracked and untracked) identified from high-density electromyography (HD-EMG) recordings, (2) global muscle EMG properties of the dorsiflexors during a fatiguing contraction, and the relationship between task endurance and measures of leg function. Methods: Ten individuals with chronic stroke performed a sustained sub-maximal, isometric, fatiguing dorsiflexion contraction in paretic and non-paretic legs. Motor-unit firing behavior, task duration, maximal voluntary contraction strength (MVC), and clinical measures of leg function were obtained. Results: Compared to the non-paretic leg, the paretic leg task duration was shorter, and there was a larger exercise-related reduction in motor unit global rates, individually tracked discharge rates, and overall magnitude of EMG. Task duration of the paretic leg was more predictive of walking speed and lower extremity Fugl-Meyer scores compared to the non-paretic leg. Discussion: Paretic leg muscle fatigability is increased post stroke. It is characterized by impaired rate coding and recruitment and relates to measures of motor function.
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Affiliation(s)
- Francesco Negro
- Department of Clinical and Experimental Sciences, Research Center for Neuromuscular Function and Adapted Physical Activity "Teresa Camplani", Università degli Studi di Brescia, Brescia, Italy
| | - Kathleen E Bathon
- Uniformed Services, University of Health Sciences, Bethesda, MD, United States
| | - Jennifer N Nguyen
- Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, WI, United States
| | - Cassidy G Bannon
- Uniformed Services, University of Health Sciences, Bethesda, MD, United States
| | - Claudio Orizio
- Department of Clinical and Experimental Sciences, Research Center for Neuromuscular Function and Adapted Physical Activity "Teresa Camplani", Università degli Studi di Brescia, Brescia, Italy
| | - Sandra K Hunter
- Department of Physical Therapy, Marquette University, Milwaukee, WI, United States
| | - Allison S Hyngstrom
- Department of Physical Therapy, Marquette University, Milwaukee, WI, United States
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244
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Wojdala G, Golas A, Krzysztofik M, Lockie RG, Roczniok R, Zajac A, Wilk M. Impact of the "Sling Shot" Supportive Device on Upper-Body Neuromuscular Activity during the Bench Press Exercise. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E7695. [PMID: 33096856 PMCID: PMC7589754 DOI: 10.3390/ijerph17207695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2020] [Revised: 10/19/2020] [Accepted: 10/20/2020] [Indexed: 12/03/2022]
Abstract
The aim of this study was to compare the muscle activity between the sling shot assisted (SS) and control (CONT) flat barbell bench press for selected external loads of 70%, 85%, 100% one-repetition maximum (1RM). Ten resistance-trained men participated in the study (age = 22.2 ± 1.9 years, body mass = 88.7 ± 11.2 kg, body height = 179.5 ± 4.1, 1RM in the bench press = 127.25 ± 25.86 kg, and strength training experience = 6 ± 2.5 years). Evaluation of peak muscle activity of the dominant body side was carried out using surface electromyography (sEMG) recorded for the triceps brachii, pectoralis major, and anterior deltoid during each attempt. The three-way repeated measure ANOVA revealed statistically significant main interaction for condition x muscle group (p < 0.01; η2 = 0.569); load x muscle group (p < 0.01; η2 = 0.709); and condition x load (p < 0.01; η2 = 0.418). A main effect was also observed for condition (p < 0.01; η2 = 0.968); load (p < 0.01; η2 = 0.976); and muscle group (p < 0.01; η2 = 0.977). The post hoc analysis for the main effect of the condition indicated statistically significant decrease in %MVIC for the SS compared to CONT condition (74.9 vs. 88.9%MVIC; p < 0.01; ES = 0.39). The results of this study showed that using the SS significantly affects the muscle activity pattern of the flat bench press and results in its acute decrease in comparison to an equal load under CONT conditions. The SS device may be an effective tool both in rehabilitation and strength training protocols by increasing stability with a reduction of muscular activity of the prime movers.
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Affiliation(s)
- Grzegorz Wojdala
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland; (A.G.); (M.K.); (R.R.); (A.Z.); (M.W.)
| | - Artur Golas
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland; (A.G.); (M.K.); (R.R.); (A.Z.); (M.W.)
| | - Michal Krzysztofik
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland; (A.G.); (M.K.); (R.R.); (A.Z.); (M.W.)
| | - Robert George Lockie
- Department of Kinesiology, California State University, Fullerton, CA 92831, USA;
| | - Robert Roczniok
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland; (A.G.); (M.K.); (R.R.); (A.Z.); (M.W.)
| | - Adam Zajac
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland; (A.G.); (M.K.); (R.R.); (A.Z.); (M.W.)
| | - Michal Wilk
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland; (A.G.); (M.K.); (R.R.); (A.Z.); (M.W.)
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245
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Abdalla LHP, Broxterman RM, Greco CC, Denadai BS. Creatine supplementation attenuates the rate of fatigue development during intermittent isometric exercise performed above end-test torque. Exp Physiol 2020; 105:2073-2085. [PMID: 33073449 DOI: 10.1113/ep088910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 08/12/2020] [Accepted: 09/01/2020] [Indexed: 11/08/2022]
Abstract
NEW FINDINGS What is the central question of this study? Does creatine supplementation augment the total torque impulse accumulated above end-test torque (IET) during severe-intensity knee-extensor exercise by attenuating the rate of decrease in peak potentiated twitch torque (PT)? What is the main finding and its importance? Creatine augmented the IET and attenuated the rate of decrease in both voluntary activation and PT during severe-intensity exercise. The IET was related to the rate of decrease in PT. These findings reveal an important role for the rates of neuromuscular fatigue development as key determinants of exercise tolerance within the severe domain. ABSTRACT This study investigated the effect of creatine supplementation on exercise tolerance, total torque impulse accumulated above end-test torque (total IET) and neuromuscular fatigue development of the knee extensors during severe-intensity intermittent isometric exercise. Sixteen men were randomly allocated into Creatine (n = 8, 20 g day-1 for 5 days) or Placebo (n = 8) groups and performed knee-extensor maximal voluntary contraction (MVC) testing, all-out testing to determine end-test torque (ET) and the finite torque impulse accumulated above end-test torque (IET'), and three submaximal tests at ET + 10%: (i) time to task failure without supplementation (Baseline); (ii) time to task failure after creatine or placebo supplementation; and (iii) time matched to Baseline after creatine (Creatine-Isotime) or placebo (Placebo-Isotime) supplementation. Creatine supplementation significantly increased the time to task failure (Baseline = 572 ± 144 s versus Creatine = 833 ± 221 s) and total IET (Baseline = 5761 ± 1710 N m s versus Creatine = 7878 ± 1903 N m s), but there were no significant differences within the Placebo group. The percentage change pre- to postexercise in MVC, voluntary activation, peak potentiated twitch torque and integrated EMG during MVC were not significantly different between Baseline and Creatine but were all significantly attenuated in Creatine-Isotime compared with Baseline. There were no significant differences in these variables within the placebo group. The total IET was significantly correlated with the rates of change in potentiated twitch torque peak (r = 0.83-0.87) and rate of torque development (r = -0.83 to -0.87) for the submaximal tests to task failure. These findings reveal an important role for the rates of neuromuscular fatigue development as key determinants of exercise tolerance during severe-intensity intermittent isometric exercise.
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Affiliation(s)
| | - Ryan Michael Broxterman
- Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA.,Geriatric Research, Education and Clinical Center, VA Medical Center, Salt Lake City, UT, USA
| | - Camila Coelho Greco
- Human Performance Laboratory, São Paulo State University, Rio Claro, SP, Brazil
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246
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Holmes CJ, Winchester LJ, MacDonald HV, Fedewa MV, Wind SA, Esco MR. Changes in Heart Rate Variability and Fatigue Measures Following Moderate Load Resistance Exercise. JOURNAL OF EXERCISE PHYSIOLOGY ONLINE 2020; 23:24-35. [PMID: 35822106 PMCID: PMC9273014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The purpose of this study was to determine the relationship between changes in heart rate variability (HRV), neuromuscular performance, and fatigue biomarkers in response to a resistance exercise bout. The root mean square of successive RR interval differences (RMSSD), neuromuscular performance - isometric handgrip (IHG), countermovement jump (CMJ), mean propulsive velocity (MPV) - metabolic stress (lactate [Lac]) and inflammation (interleukin-6 [IL-6]) were measured in 30 subjects who performed 6×10 back squat (BS), 3×10 bench press (BP), and 3×10 bent-over rows (BR) at 70% of 1-repetition maximum (1RM). The RMSSD, neuromuscular performance, and biomarkers were measured 10 min pre-exercise and 30 min post-exercise (Post30); HRV and Lac were also measured immediately post-exercise (Post0). Pre- versus post-exercise differences were evaluated using paired-samples t-tests. Pearson's correlations were used to determine the association between changes. With the exception of IL-6 (P=0.296) and MPVBP (P=0.678), LnRMSSD, neuromuscular performance, and metabolic stress were different post- compared to pre-exercise. We observed moderate associations between ΔLnRMSSD Post0 and ΔLac Post0 (r = -0.44) and ΔLac Post30 (r = -0.55), respectively. Practitioners should use multiple training load indicators to gain an accurate depiction of recovery.
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Affiliation(s)
- Clifton J. Holmes
- Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL
| | | | | | | | - Stefanie A. Wind
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL
| | - Michael R. Esco
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL
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247
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Wheelchair propulsion fatigue thresholds in electromyographic and ventilatory testing. Spinal Cord 2020; 58:1104-1111. [PMID: 32367012 DOI: 10.1038/s41393-020-0470-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Revised: 03/29/2020] [Accepted: 04/08/2020] [Indexed: 11/08/2022]
Abstract
STUDY DESIGN Qualitative study. OBJECTIVE The objective of the present study are physiological processes occurring when the intensity of manual wheelchair propulsion approaches levels causing muscular fatigue. In particular, we set out to (1) detect the electromyographic (EMG) and ventilatory fatigue threshold during a single wheelchair incremental test, (2) examine the relationship between EMG threshold (EMGT) and ventilatory threshold (VT), and (3) detect the EMG threshold differences between the propulsive and recovery muscle synergies. SETTING Biomechanics laboratory at the University of Alberta, Canada. METHODS Oxygen uptake and EMG signals from ten wheelchair users (seven males and three females) were recorded as they were each performing an incremental propulsion bout in their own wheelchairs on a wheelchair ergometer. The V-slope method was used to identify the VT, and the EMGT of each of the eight muscles (anterior deltoid, middle deltoid, posterior deltoid, infraspinatus, upper trapezius, sternal head of pectoralis major, biceps brachii, and triceps brachii) was determined using the bisegmental linear regression method. RESULTS For each participant, we were able to determine the EMGT and VT from a single incremental wheelchair propulsion bout. EMGT stands in good agreement with VT, and there was a high similarity in EMGT between push and recovery muscles (intraclass correlation coefficient = 0.91). CONCLUSION The EMG fatigue threshold method can serve as a valid and reliable tool for identifying the onset of muscular fatigue during wheelchair propulsion, thus providing a foundation for automated muscle fatigue detection/prediction in wearable technology.
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248
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Sumner B, McCamley J, Jacofsky DJ, Jacofsky MC. Comparison of Knee Kinematics and Kinetics during Stair Descent in Single- and Multi-Radius Total Knee Arthroplasty. J Knee Surg 2020; 33:1020-1028. [PMID: 31390673 DOI: 10.1055/s-0039-1692652] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Despite continuing advances, nearly 20% of patients remain dissatisfied with their total knee arthroplasty (TKA) outcomes. Single-radius (SR) and multiradius (MR) TKA designs are two commonly used knee replacement designs based on competing theories of the flexion/extension axis of the knee. Our aim was to characterize stair descent kinematics and kinetics in SR and MR TKA subjects. We hypothesized that 1 year after TKA, patients who received SR TKA will more closely replicate the knee kinematics and kinetics of healthy age-matched controls during stair descent, than will MR TKA patients. SR subjects (n = 12), MR subjects (n = 12), and age-matched controls (n = 12) descended four stairs affixed to force platforms, while 10 infrared cameras tracked markers attached to the body to collect kinematic and kinetic data. Both patient groups had improvements in stair descent kinetics and kinematics at the 1-year postoperative time point. However, SR TKA subjects were indistinguishable statistically from age-matched controls, while MR TKA subjects retained many differences from controls. Similar to previous reports for level walking, the SR knee design performs closer to healthy controls than MR knees during stair descent. This study demonstrates that patients who receive SR TKA have more improved kinematic normalization during stair descent postoperatively than those who received an MR TKA.
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Affiliation(s)
- Bonnie Sumner
- Department of Research, MORE Foundation, Phoenix, Arizona
| | - John McCamley
- Department of Research, MORE Foundation, Phoenix, Arizona
| | - David J Jacofsky
- Department of Adult Reconstruction, The CORE Institute, Phoenix, Arizona
| | - Marc C Jacofsky
- Department of Research, MORE Foundation, Phoenix, Arizona.,Department of Research and Development, The CORE Institute, Phoenix, Arizona
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249
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Martinez-Valdes E, Negro F, Falla D, Dideriksen JL, Heckman CJ, Farina D. Inability to increase the neural drive to muscle is associated with task failure during submaximal contractions. J Neurophysiol 2020; 124:1110-1121. [DOI: 10.1152/jn.00447.2020] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Motor unit firing and contractile properties during a submaximal contraction until failure were assessed with a new tracking technique. Two distinct phases in firing behavior were observed, which compensated for changes in twitch area and predicted time to failure. However, the late increase in firing rate was below the rates attained in the absence of fatigue, which points to an inability of the central nervous system to sufficiently increase the neural drive to muscle with fatigue.
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Affiliation(s)
- Eduardo Martinez-Valdes
- Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom
| | - Francesco Negro
- Department of Clinical and Experimental Sciences, Research Centre for Neuromuscular Function and Adapted Physical Activity “Teresa Camplani,” Università degli Studi di Brescia, Brescia, Italy
| | - Deborah Falla
- Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom
| | - Jakob Lund Dideriksen
- Center for Sensory-Motor Interaction, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - C. J. Heckman
- Department of Physiology, Northwestern University, Chicago, Illinois
| | - Dario Farina
- Department of Bioengineering, Imperial College London, Royal School of Mines, London, United Kingdom
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250
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González AG, Barrios-Muriel J, Romero-Sánchez F, Salgado DR, Alonso FJ. Ergonomic assessment of a new hand tool design for laparoscopic surgery based on surgeons' muscular activity. APPLIED ERGONOMICS 2020; 88:103161. [PMID: 32678779 DOI: 10.1016/j.apergo.2020.103161] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2019] [Revised: 05/08/2020] [Accepted: 05/15/2020] [Indexed: 06/11/2023]
Abstract
Laparoscopic surgery techniques are customarily used in non-invasive procedures. That said traditional surgical instruments and devices used by surgeons suffer from certain ergonomic deficiencies that may lead to physical complaints in upper limbs and back and general discomfort that may, in turn, affect the surgeon's skills during surgery. A novel design of the laparoscopic gripper handle is presented and compared with one of the most used instruments in this field in an attempt to overcome this problem. The assessment of the ergonomic feature of the novel design was performed by using time-frequency analysis of the surface electromyography (sEMG) signal during dynamic activities. Singular Spectrum Analysis (SSA) was used to decompose the sEMG signal and extract the median frequency of each muscle to assess muscle fatigue. The results reveal that using the proposed ergonomic grip reduces the mean values of the muscle activity during each of the proposed tasks. The novel design also improves the ease of use in laparoscopic surgery as it minimises high-pressure contact areas, reduces large amplitude movements and promotes a neutral position of the hand, wrist and forearm. Furthermore, the SSA method for time-frequency analysis provides a powerful tool to analyse a prescribed activity in ergonomic terms. The proposed methodology to assess muscle activity during surgery activities may be useful in the selection of surgical instruments when programming extended procedures, as it provides an additional selection criterion based on the surgeon's biomechanics and the proposed activity.
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Affiliation(s)
- A G González
- Department of Mechanical Engineering, Energy an Materials, University of Extremadura, C/ Sta. Teresa de Jornet 38, 06800, Mérida, Spain
| | - J Barrios-Muriel
- Department of Mechanical Engineering, Energy an Materials, University of Extremadura, Avda. de Elvas s/n, 06006, Badajoz, Spain
| | - F Romero-Sánchez
- Department of Mechanical Engineering, Energy an Materials, University of Extremadura, Avda. de Elvas s/n, 06006, Badajoz, Spain.
| | - D R Salgado
- Department of Mechanical Engineering, Energy an Materials, University of Extremadura, Avda. de Elvas s/n, 06006, Badajoz, Spain
| | - F J Alonso
- Department of Mechanical Engineering, Energy an Materials, University of Extremadura, Avda. de Elvas s/n, 06006, Badajoz, Spain
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