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Persad LS, Wang Z, Pino PA, Binder-Markey BI, Kaufman KR, Lieber RL. Specific tension of human muscle in vivo: a systematic review. J Appl Physiol (1985) 2024; 137:945-962. [PMID: 39169839 DOI: 10.1152/japplphysiol.00296.2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Revised: 07/30/2024] [Accepted: 08/13/2024] [Indexed: 08/23/2024] Open
Abstract
The intrinsic force production capability of human muscle can be expressed as "Specific Tension," or, the maximum force generated per cross-sectional area of muscle fibers. This value can be used to determine, for example, whether muscle quality changes during exercise, atrophy, disease, or hypertrophy. A value of 22.5 N/cm2 for mammalian muscle has generally become accepted based on detailed studies of small mammals. Determining the specific tension of human muscle is much more challenging as almost all determinations are indirect. Calculation of human muscle specific tension requires an understanding of that muscle's contribution to joint torque, its activation magnitude, tendon compliance, and joint moment arm. Determining any of these parameters is technically challenging in humans and thus, it is no surprise that human specific tension values reported vary from 2 to 73 N/cm2. In this systematic review, we screened 1,506 published papers and identified the 30 studies published between 1983 and 2023 that used appropriate methods and which reported 96 human specific tension values. We weighted each parameter based on whether it was directly measured, estimated, or calculated based on the literature, with decreasing weighting used, the more indirect the methods. Based on this exhaustive review of the relevant human literature, we suggest that the most accurate value that should be used for human muscle specific tension is 26.8 N/cm2.
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Affiliation(s)
- Lomas S Persad
- Shirley Ryan AbilityLab, Chicago, Illinois, United States
| | - Zheng Wang
- Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, United States
| | - Paula A Pino
- Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, United States
- Department of Orthopaedic Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Benjamin I Binder-Markey
- Department of Physical Therapy and Rehabilitation Sciences, School of Biomedical Engineering, Sciences, and Health Systems, Drexel University, Philadelphia, Pennsylvania, United States
| | - Kenton R Kaufman
- Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, United States
| | - Richard L Lieber
- Shirley Ryan AbilityLab, Chicago, Illinois, United States
- Hines V.A. Hospital, Maywood, Illinois, United States
- Northwestern University, Chicago, Illinois, United States
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Reddy C, Zhou Y, Yin W, Zhang X. Advanced subject-specific neck musculoskeletal modeling unveils sex differences in muscle moment arm and cervical spine loading. J Biomech 2024; 171:112181. [PMID: 38852481 DOI: 10.1016/j.jbiomech.2024.112181] [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: 01/17/2024] [Revised: 05/30/2024] [Accepted: 06/04/2024] [Indexed: 06/11/2024]
Abstract
Neck pain and injuries are growing healthcare burdens with women having a higher incidence rate and poorer treatment outcomes than males. A better understanding of sex differences in neck biomechanics, foundational for more targeted, effective prevention or treatment strategies, calls for more advanced subject-specific musculoskeletal modeling. Current neck musculoskeletal models are based on generic anatomy, lack subject specificity beyond anthropometric scaling, and are unable to accurately reproduce neck strengths exhibited in vivo without arbitrary muscle force scaling factors or residual torque actuators. In this work, subject-specific neck musculoskeletal models of 23 individuals (11 male, 12 female) were constructed by integrating multi-modality imaging and biomechanical measurements. Each model simulated maximal voluntary neck static exertions in three postures: neck flexion in a neutral posture, flexion in a 40° extended posture, and extension in a 40° flexed posture. Quantitative model validation showed close agreement between model-predicted muscle activation and EMG measurement. The models unveiled that (1) males have greater moment arms in one flexor muscle group and five extensor muscle groups, (2) females exhibited higher cervical spinal compression per unit exertion force in the flexed posture, and (3) the variability of compression force was much greater in females in all three exertions but most notably in the extension with a flexed "dropped head" position. These insights illuminated a plausible pathway from sex differences in neck biomechanics to sex disparities in the risk and prevalence of neck pain.
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Affiliation(s)
- Curran Reddy
- Department of Biomedical Engineering, Texas A&M University, USA.
| | - Yu Zhou
- Department of Industrial and Systems Engineering, Texas A&M University, USA.
| | - Wei Yin
- Department of Industrial and Systems Engineering, Texas A&M University, USA.
| | - Xudong Zhang
- Department of Biomedical Engineering, Texas A&M University, USA; Department of Industrial and Systems Engineering, Texas A&M University, USA; Department of Mechanical Engineering, Texas A&M University, USA.
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Cowburn J, Serrancolí G, Colyer S, Cazzola D. Optimal fibre length and maximum isometric force are the most influential parameters when modelling muscular adaptations to unloading using Hill-type muscle models. Front Physiol 2024; 15:1347089. [PMID: 38694205 PMCID: PMC11061504 DOI: 10.3389/fphys.2024.1347089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 03/25/2024] [Indexed: 05/04/2024] Open
Abstract
Introduction: Spaceflight is associated with severe muscular adaptations with substantial inter-individual variability. A Hill-type muscle model is a common method to replicate muscle physiology in musculoskeletal simulations, but little is known about how the underlying parameters should be adjusted to model adaptations to unloading. The aim of this study was to determine how Hill-type muscle model parameters should be adjusted to model disuse muscular adaptations. Methods: Isokinetic dynamometer data were taken from a bed rest campaign and used to perform tracking simulations at two knee extension angular velocities (30°·s-1 and 180°·s-1). The activation and contraction dynamics were solved using an optimal control approach and direct collocation method. A Monte Carlo sampling technique was used to perturb muscle model parameters within physiological boundaries to create a range of theoretical and feasible parameters to model muscle adaptations. Results: Optimal fibre length could not be shortened by more than 67% and 61% for the knee flexors and non-knee muscles, respectively. Discussion: The Hill-type muscle model successfully replicated muscular adaptations due to unloading, and recreated salient features of muscle behaviour associated with spaceflight, such as altered force-length behaviour. Future researchers should carefully adjust the optimal fibre lengths of their muscle-models when trying to model adaptations to unloading, particularly muscles that primarily operate on the ascending and descending limbs of the force-length relationship.
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Affiliation(s)
- James Cowburn
- Department for Health, University of Bath, Bath, United Kingdom
- Centre for the Analysis of Motion, Entertainment Research and Applications, University of Bath, Bath, United Kingdom
| | - Gil Serrancolí
- Department of Mechanical Engineering, Universitat Politècnica de Catalunya, Barcelona, Spain
| | - Steffi Colyer
- Department for Health, University of Bath, Bath, United Kingdom
- Centre for the Analysis of Motion, Entertainment Research and Applications, University of Bath, Bath, United Kingdom
| | - Dario Cazzola
- Department for Health, University of Bath, Bath, United Kingdom
- Centre for the Analysis of Motion, Entertainment Research and Applications, University of Bath, Bath, United Kingdom
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Bontemps B, Gruet M, Louis J, Owens DJ, Miríc S, Vercruyssen F, Erskine RM. Patellar Tendon Adaptations to Downhill Running Training and Their Relationships With Changes in Mechanical Stress and Loading History. J Strength Cond Res 2024; 38:21-29. [PMID: 38085619 DOI: 10.1519/jsc.0000000000004617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
ABSTRACT Bontemps, B, Gruet, M, Louis, J, Owens, DJ, Miríc, S, Vercruyssen, F, and Erskine, RM. Patellar tendon adaptations to downhill running training and their relationships with changes in mechanical stress and loading history. J Strength Cond Res 38(1): 21-29, 2024-It is unclear whether human tendon adapts to moderate-intensity, high-volume long-term eccentric exercise, e.g., downhill running (DR) training. This study aimed to investigate the time course of patellar tendon (PT) adaptation to short-term DR training and to determine whether changes in PT properties were related to changes in mechanical stress or loading history. Twelve untrained, young, healthy adults (5 women and 7 men) took part in 4 weeks' DR training, comprising 10 sessions. Running speed was equivalent to 60-65% V̇O2max, and session duration increased gradually (15-30 minutes) throughout training. Isometric knee extensor maximal voluntary torque (MVT), vastus lateralis (VL) muscle physiological cross-sectional area (PCSA) and volume, and PT CSA, stiffness, and Young's modulus were assessed at weeks 0, 2, and 4 using ultrasound and isokinetic dynamometry. Patellar tendon stiffness (+6.4 ± 7.4%), Young's modulus (+6.9 ± 8.8%), isometric MVT (+7.5 ± 12.3%), VL volume (+6.6 ± 3.2%), and PCSA (+3.8 ± 3.3%) increased after 4 weeks' DR (p < 0.05), with no change in PT CSA. Changes in VL PCSA correlated with changes in PT stiffness (r = 0.70; p = 0.02) and Young's modulus (r = 0.63; p = 0.04) from 0 to 4 weeks, whereas changes in MVT did not correlate with changes in PT stiffness and Young's modulus at any time point (p > 0.05). To conclude, 4 weeks' DR training promoted substantial changes in PT stiffness and Young's modulus that are typically observed after high-intensity, low-volume resistance training. These tendon adaptations seemed to be driven primarily by loading history (represented by VL muscle hypertrophy), whereas increased mechanical stress throughout the training period did not seem to contribute to changes in PT stiffness or Young's modulus.
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Affiliation(s)
- Bastien Bontemps
- Université de Toulon, Laboratoire IAPS (n°201723207F), Toulon, France
- Université Côte d'Azur, LAMHESS, Nice, France
| | - Mathieu Gruet
- Université de Toulon, Laboratoire IAPS (n°201723207F), Toulon, France
| | - Julien Louis
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom; and
| | - Daniel J Owens
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom; and
| | - Stella Miríc
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom; and
| | | | - Robert M Erskine
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom; and
- Institute of Sport, Exercise and Health, University College London, London, United Kingdom
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Wheatley BB, Dyer OL, Tully EE, Seeley MA. Aponeurosis structure-function properties: Evidence of heterogeneity and implications for muscle function. Acta Biomater 2023; 168:298-308. [PMID: 37392931 DOI: 10.1016/j.actbio.2023.06.035] [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: 02/10/2023] [Revised: 05/29/2023] [Accepted: 06/26/2023] [Indexed: 07/03/2023]
Abstract
Aponeurosis is a sheath-like connective tissue that aids in force transmission from muscle to tendon and can be found throughout the musculoskeletal system. The key role of aponeurosis in muscle-tendon unit mechanics is clouded by a lack of understanding of aponeurosis structure-function properties. This work aimed to determine the heterogeneous material properties of porcine triceps brachii aponeurosis tissue with materials testing and evaluate heterogeneous aponeurosis microstructure with scanning electron microscopy. We found that aponeurosis may exhibit more microstructural collagen waviness in the insertion region (near the tendon) compared to the transition region (near the muscle midbelly) (1.20 versus 1.12, p = 0.055), which and a less stiff stress-strain response in the insertion versus transition regions (p < 0.05). We also showed that different assumptions of aponeurosis heterogeneity, specifically variations in elastic modulus with location can alter the stiffness (by more than 10x) and strain (by approximately 10% muscle fiber strain) of a finite element model of muscle and aponeurosis. Collectively, these results suggest that aponeurosis heterogeneity could be due to variations in tissue microstructure and that different approaches to modeling tissue heterogeneity alters the behavior of computational models of muscle-tendon units. STATEMENT OF SIGNIFICANCE: Aponeurosis is a connective tissue found in many muscle tendon units that aids in force transmission, yet little is known about the specific material properties of aponeurosis. This work aimed to determine how the properties of aponeurosis tissue varied with location. We found that aponeurosis exhibits more microstructural waviness near the tendon compared to near the muscle midbelly, which was associated with differences in tissue stiffness. We also showed that different variations in aponeurosis modulus (stiffness) can alter the stiffness and stretch of a computer model of muscle tissue. These results show that assuming uniform aponeurosis structure and modulus, which is common, may lead to inaccurate models of the musculoskeletal system.
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Affiliation(s)
| | | | - Emily E Tully
- Department of Mechanical Engineering, Bucknell University, Lewisburg, PA
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Carpenter RS, Samaan MA, Clasey JL, Butterfield TA, Gao F, Hardy PA, Bollinger LM. Association of vastus lateralis diffusion properties with in vivo quadriceps contractile function in premenopausal women. Scand J Med Sci Sports 2023; 33:213-223. [PMID: 36337008 PMCID: PMC9928607 DOI: 10.1111/sms.14266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 09/10/2022] [Accepted: 10/23/2022] [Indexed: 11/09/2022]
Abstract
BACKGROUND Diffusion tensor imaging (DTI) parameters correlate with muscle fiber composition, but it is unclear how these relate to in vivo contractile function. PURPOSE To determine the relationship between DTI parameters of the vastus lateralis (VL) and in vivo knee extensor contractile. METHODS Thirteen healthy, premenopausal women underwent magnetic resonance imaging of the mid-thigh to determine patellar tendon moment arm length and quadriceps cross-sectional area. Fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) of the VL were determined using diffusion tensor imaging (DTI). Participants underwent an interpolated twitch (ITT) experiment before and after a fatiguing concentric-eccentric isokinetic knee extension (60°·s-1 ). During the ITT, supramaximal electrical stimuli were delivered to elicit twitch responses from the knee extensors before, during, and after a maximal voluntary isometric contraction (MVIC). Knee extensor-specific tension during twitch and MVIC were calculated from isometric torque data. Pearson's correlations were used to determine the relationship between muscle contractile properties and DTI parameters. RESULTS MD and RD were moderately correlated with peak twitch force and rate of force development. FA and AD were moderately inversely related to percent change in MVIC following exercise. CONCLUSION MD and RD are associated with in vivo quadriceps twitch properties but not voluntary strength, which may reflect the mechanical properties of constituent fiber types. FA and AD appear to relate to MVIC strength following fatiguing exercise.
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Affiliation(s)
- Rebekah S Carpenter
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, Kentucky, USA
| | - Michael A Samaan
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, Kentucky, USA
| | - Jody L Clasey
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, Kentucky, USA
- Center for Muscle Biology, University of Kentucky, Lexington, Kentucky, USA
- Body Composition Core Laboratory, University of Kentucky, Lexington, Kentucky, USA
| | - Tim A Butterfield
- Center for Muscle Biology, University of Kentucky, Lexington, Kentucky, USA
- Department of Athletic Training, University of Kentucky, Lexington, Kentucky, USA
| | - Fan Gao
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, Kentucky, USA
| | - Peter A Hardy
- Department of Radiology, University of Kentucky, Lexington, Kentucky, USA
- Magnetic Resonance Imaging and Spectroscopy Center, University of Kentucky, Lexington, Kentucky, USA
| | - Lance M Bollinger
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, Kentucky, USA
- Center for Muscle Biology, University of Kentucky, Lexington, Kentucky, USA
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Savage TN, Saxby DJ, Lloyd DG, Pizzolato C. Neuromusculoskeletal model calibration accounts for differences in electromechanical delay and maximum isometric muscle force. J Biomech 2023; 149:111503. [PMID: 36842407 DOI: 10.1016/j.jbiomech.2023.111503] [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: 04/28/2022] [Revised: 02/02/2023] [Accepted: 02/13/2023] [Indexed: 02/18/2023]
Abstract
Electromechanical delay (EMD) and maximum isometric muscle force (FoM) are important parameters for joint contact force calculation with EMG-informed neuromusculoskeletal (NMS) models. These parameters can vary between tasks (EMD) and individuals (EMD and FoM), making it challenging to establish representative values. One promising approach is to personalise candidate parameters to the participant (e.g., FoM by regression equation) and then adjust all parameters within a calibration (i.e., numerical optimisation) to minimise error between corresponding pairs of experimental measures and model-predicted values. The purpose of this study was to determine whether calibration of an NMS model resulted in consistent joint contact forces, regardless of EMD value or personalisation of FoM. Hip, knee, and ankle contact forces were predicted for 28 participants using EMG-informed NMS models. Differences in joint contact forces with EMD were examined in six models, calibrated with EMD from 15 to 110 ms. Differences in joint contact forces with personalisation of FoM were examined in two models, both calibrated with the same initial EMD (50 ms), one with generic and one with personalised values for FoM. For all models, joint contact force peaks during the first and second halves of stance were extracted and compared using a repeated-measures analysis of variance. Calibrated models with EMD set between 35 and 70 ms produced similar magnitude and timing of peak joint contact forces. Compared with generic values, personalising and then calibrating FoM resulted in comparable peak contact forces at hip, but not knee or ankle, while also producing muscle-specific tensions similar to reported literature. Overall, EMD between 35 and 70 ms and personalised initial values of FoM before calibration are advised for EMG-informed NMS modelling.
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Affiliation(s)
- Trevor N Savage
- Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia; Sydney Musculoskeletal Health, Kolling Institute of Medical Research, The University of Sydney, Sydney, New South Wales, Australia; School of Health Sciences and Social Work. Griffith University, Gold Coast, Queensland, Australia.
| | - David J Saxby
- Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia; School of Health Sciences and Social Work. Griffith University, Gold Coast, Queensland, Australia
| | - David G Lloyd
- Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia; School of Health Sciences and Social Work. Griffith University, Gold Coast, Queensland, Australia
| | - Claudio Pizzolato
- Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia; School of Health Sciences and Social Work. Griffith University, Gold Coast, Queensland, Australia
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Yun DH, Jung IY, Moon CW, Cho KH. Correlation of Femoral Muscle Volume Using Three-Dimensional Modeling and Locomotor Function After Unilateral Trans-femoral Amputation. Ann Rehabil Med 2022; 46:303-311. [PMID: 36588445 PMCID: PMC9810655 DOI: 10.5535/arm.22110] [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: 08/17/2022] [Accepted: 10/11/2022] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVE To evaluate the relationship between femoral muscle volume (FMV) and physiological outcomes after trans-femoral amputations (TFAs) affecting overall locomotor function in patients. METHODS Seven individuals who underwent TFA and had been using a prosthesis participated in this cross-sectional study. Gait and balance were assessed using clinical tests, such as 10-m walk test, 6-minute walk test, Berg Balance Scale, and automatic balance system. Respiratory gas analysis was performed to check oxygen consumption rate. Five participants were evaluated for bilateral FMV by MR imaging and FMV was reconstructed using three-dimentional remodeling. RESULTS In five participants, significant differences were found between the non-involved and involved sides in femur length, total FMV, and functional muscle volume (all p<0.01) in all groups except for the hip adductor volume. The %mean difference between the non-involved and involved sides was 30% for femur length, 52.55% for hip flexor volume, 26.55% for hip adductor volume, 51.86% for hip extensor volume, and 60.21% for knee extensor volume. The hip flexor volume to hip extensor volume ratio in the involved limb and oxygen consumption rate during comfortable gait were negatively correlated (r=-0.96, p=0.04). CONCLUSION In individuals who underwent unilateral TFA, hip girdle muscle imbalance in the involved limbs may be associated with oxygen consumption rate while using a prosthesis.
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Affiliation(s)
- Dong Hyuk Yun
- Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Daejeon, Korea
| | - Il-Young Jung
- Department of Rehabilitation Medicine, Chungnam National University Sejong Hospital, Sejong, Korea
| | - Chang Won Moon
- Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Daejeon, Korea
| | - Kang Hee Cho
- Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Daejeon, Korea,Corresponding author: Kang Hee Cho Department of Rehabilitation Medicine, Chungnam National University College of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-338-2460, Fax: +82-42-338-2461, E-mail:
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Mogi Y, Wakahara T. Effects of growth on muscle architecture of knee extensors. J Anat 2022; 241:683-691. [PMID: 35666144 PMCID: PMC9358743 DOI: 10.1111/joa.13711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 05/15/2022] [Accepted: 05/19/2022] [Indexed: 11/27/2022] Open
Abstract
This study aimed to investigate the effects of growth on the muscle architecture of knee extensors. The present study included 123 male children and adolescents. The muscle thicknesses of the rectus femoris (RF) and vastus intermedius (VI), and pennation angles and fascicle lengths of RF were measured in three regions using ultrasonography technique at rest. The relative muscle thickness was calculated by dividing the absolute muscle thickness by body mass1/3 . The years from age at peak height velocity were estimated for each participant, and used as a maturity index. The maturity index was significantly correlated with the relative muscle thicknesses of RF and VI in all regions. The slope of the relationship between the maturity index and the relative muscle thickness did not differ significantly between muscles within the same region or between regions within the individual muscles. The fascicle length and pennation angle of RF were significantly correlated with the absolute muscle thickness in all regions. In the proximal RF region, the coefficient of correlation between the muscle thickness and fascicle length was significantly greater than that between the muscle thickness and pennation angle. The present results showed that growth changes in muscle thickness were uniform between and within RF and VI. Our findings suggest that growth changes in the muscle thickness of RF depend on the increases in both pennation angle and fascicle length, but their contributions to the growth of muscle thickness differ among muscle regions.
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Affiliation(s)
- Yasuyoshi Mogi
- Faculty of Sport Management, Department of Sport ManagementShobi UniversitySaitamaJapan
| | - Taku Wakahara
- Faculty of Health and Sports ScienceDoshisha UniversityKyotoJapan
- Human Performance LaboratoryWaseda UniversitySaitamaJapan
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The time course of different neuromuscular adaptations to short-term downhill running training and their specific relationships with strength gains. Eur J Appl Physiol 2022; 122:1071-1084. [PMID: 35182181 PMCID: PMC8927009 DOI: 10.1007/s00421-022-04898-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 01/20/2022] [Indexed: 12/24/2022]
Abstract
Purpose Due to its eccentric nature, downhill running (DR) training has been suggested to promote strength gains through neuromuscular adaptations. However, it is unknown whether short-term chronic DR can elicit such adaptations. Methods Twelve untrained, young, healthy adults (5 women, 7 men) took part in 4 weeks’ DR, comprising 10 sessions, with running speed equivalent to 60–65% maximal oxygen uptake (\documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2max, assessed at weeks 0 and 4). Isometric and isokinetic knee-extensor maximal voluntary torque (MVT), vastus lateralis (VL) muscle morphology/architecture (anatomical cross-sectional area, ACSA; physiological CSA, PCSA; volume; fascicle length, Lf; pennation angle, PA) and neuromuscular activation (VL EMG) were assessed at weeks 0, 2 and 4. Results MVT increased by 9.7–15.2% after 4 weeks (p < 0.01). VL EMG during isometric MVT increased by 35.6 ± 46.1% after 4 weeks (p < 0.05) and correlated with changes in isometric MVT after 2 weeks (r = 0.86, p = 0.001). VL ACSA (+2.9 ± 2.7% and +7.1 ± 3.5%) and volume (+2.5 ± 2.5% and +6.6 ± 3.2%) increased after 2 and 4 weeks, respectively (p < 0.05). PCSA (+3.8 ± 3.3%), PA (+5.8 ± 3.8%) and Lf (+2.7 ± 2.2%) increased after 4 weeks (p < 0.01). Changes in VL volume (r = 0.67, p = 0.03) and PCSA (r = 0.71, p = 0.01) correlated with changes in concentric MVT from 2 to 4 weeks. \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2max (49.4 ± 6.2 vs. 49.7 ± 6.3 mL·kg−1·min−1) did not change after 4 weeks (p = 0.73). Conclusion Just 4 weeks’ moderate-intensity DR promoted neuromuscular adaptations in young, healthy adults, typically observed after high-intensity eccentric resistance training. Neural adaptations appeared to contribute to most of the strength gains at 2 and 4 weeks, while muscle hypertrophy seemed to contribute to MVT changes from 2 to 4 weeks only.
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Cooper AN, McDermott WJ, Martin JC, Dulaney SO, Carrier DR. Great power comes at a high (locomotor) cost: the role of muscle fascicle length in the power versus economy performance trade-off. J Exp Biol 2021; 224:272355. [PMID: 34605905 DOI: 10.1242/jeb.236679] [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] [Received: 09/10/2020] [Accepted: 09/27/2021] [Indexed: 11/20/2022]
Abstract
Muscle design constraints preclude simultaneous specialization of the vertebrate locomotor system for explosive and economical force generation. The resulting performance trade-off between power and economy has been attributed primarily to individual differences in muscle fiber type composition. While certainly crucial for performance specialization, fiber type likely interacts with muscle architectural parameters, such as fascicle length, to produce this trade-off. Longer fascicles composed of more serial sarcomeres can achieve faster shortening velocities, allowing for greater power production. Long fascicles likely reduce economy, however, because more energy-consuming contractile units are activated for a given force production. We hypothesized that longer fascicles are associated with both increased power production and locomotor cost. In 11 power-trained and 13 endurance-trained recreational athletes, we measured (1) muscle fascicle length via ultrasound in the gastrocnemius lateralis, gastrocnemius medialis and vastus lateralis, (2) maximal power during cycling and countermovement jumps, and (3) running cost of transport. We estimated muscle fiber type non-invasively based on the pedaling rate at which maximal cycling power occurred. As predicted, longer gastrocnemius muscle fascicles were correlated with greater lower-body power production and cost of transport. Multiple regression analyses revealed that variability in maximal power was explained by fiber type (46% for cycling, 24% for jumping) and average fascicle length (20% for cycling, 13% for jumping), while average fascicle length accounted for 15% of the variation in cost of transport. These results suggest that, at least for certain muscles, fascicle length plays an important role in the power versus economy performance trade-off.
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Affiliation(s)
- Amanda N Cooper
- School of Biological Sciences, University of Utah, Salt Lake City, UT 84112, USA
| | - William J McDermott
- Sport Science and Research, The Orthopedic Specialty Hospital, Murray, UT 84107, USA
| | - James C Martin
- Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT 84112, USA
| | - Shea O Dulaney
- School of Biological Sciences, University of Utah, Salt Lake City, UT 84112, USA
| | - David R Carrier
- School of Biological Sciences, University of Utah, Salt Lake City, UT 84112, USA
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Henson DP, Edgar C, Ding Z, Sivapuratharasu B, Le Feuvre P, Finnegan ME, Quest R, McGregor AH, Bull AMJ. Understanding lower limb muscle volume adaptations to amputation. J Biomech 2021; 125:110599. [PMID: 34265657 DOI: 10.1016/j.jbiomech.2021.110599] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 06/18/2021] [Accepted: 06/24/2021] [Indexed: 10/21/2022]
Abstract
Amputation of a major limb, and the subsequent return to movement with a prosthesis, requires the development of compensatory strategies to account for the loss. Such strategies, over time, lead to regional muscle atrophy and hypertrophy through chronic under or overuse of muscles compared to uninjured individuals. The aim of this study was to quantify the lower limb muscle parameters of persons with transtibial and transfemoral amputations using high resolution MRI to ascertain muscle volume and to determine regression equations for predicting muscle volume using femur- and tibia-length, pelvic-width, height, and mass. Twelve persons with limb loss participated in this study and their data were compared to six matched control subjects. Subjects with unilateral transtibial amputation showed whole-limb muscle volume loss in the residual-limb, whereas minor volume changes in the intact limb were found, providing evidence for a compensation strategy that is dominated by the intact-limb. Subjects with bilateral-transfemoral amputations showed significant muscle volume increases in the short adductor muscles with an insertion not affected by the amputation, the hip flexors, and the gluteus medius, and significant volume decreases in the longer adductor muscles, rectus femoris, and hamstrings. This study presents a benchmark measure of muscle volume discrepancies in persons with limb-loss, and can be used to understand the compensation strategies of persons with limb-loss and the impact on muscle volume, thus enabling the development of optimised intervention protocols, conditioning therapies, surgical techniques, and prosthetic devices that promote and enhance functional capability within the population of persons with limb loss.
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Affiliation(s)
- David P Henson
- The Royal British Legion Centre for Blast Injury Studies, Imperial College London, UK; The Department of Bioengineering, Imperial College London, UK.
| | - Caitlin Edgar
- The Royal British Legion Centre for Blast Injury Studies, Imperial College London, UK; The Department of Bioengineering, Imperial College London, UK
| | - Ziyun Ding
- The Royal British Legion Centre for Blast Injury Studies, Imperial College London, UK; The Department of Bioengineering, Imperial College London, UK; The Department of Mechanical Engineering, University of Birmingham, UK
| | - Biranavan Sivapuratharasu
- The Royal British Legion Centre for Blast Injury Studies, Imperial College London, UK; The Department of Bioengineering, Imperial College London, UK; The Department of Surgery and Cancer, Imperial College London, UK
| | - Peter Le Feuvre
- The Royal British Legion Centre for Blast Injury Studies, Imperial College London, UK; The Department of Surgery and Cancer, Imperial College London, UK
| | - Mary E Finnegan
- The Department of Bioengineering, Imperial College London, UK; The Department of Imaging, Imperial College Healthcare NHS Trust, Imperial College London, UK
| | - Rebecca Quest
- The Department of Bioengineering, Imperial College London, UK; The Department of Imaging, Imperial College Healthcare NHS Trust, Imperial College London, UK
| | - Alison H McGregor
- The Royal British Legion Centre for Blast Injury Studies, Imperial College London, UK; The Department of Surgery and Cancer, Imperial College London, UK
| | - Anthony M J Bull
- The Royal British Legion Centre for Blast Injury Studies, Imperial College London, UK; The Department of Bioengineering, Imperial College London, UK
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13
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Scarpelli MC, Bergamasco JGA, Arruda EADB, Cook SB, Libardi CA. Resistance Training With Partial Blood Flow Restriction in a 99-Year-Old Individual: A Case Report. Front Sports Act Living 2021; 3:671764. [PMID: 34240050 PMCID: PMC8257955 DOI: 10.3389/fspor.2021.671764] [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: 02/24/2021] [Accepted: 05/27/2021] [Indexed: 12/25/2022] Open
Abstract
In aging populations for which the use of high loads is contraindicated, low load resistance training associated with blood flow restriction (RT-BFR) is an alternative strategy to induce muscle mass gains. This study investigates the effects of RT-BFR on muscle mass, muscle function, and quality of life of a 99-year-old patient with knee osteoarthritis and advanced muscle mass deterioration. Training protocol consisted of 24 sessions of a unilateral free-weight knee extension exercise associated with partial blood flow restriction through a manometer cuff set at 50% of complete vascular occlusion pressure. We evaluated: cross-sectional area (CSA) and thickness (MT) of the vastus lateralis muscle by ultrasound; function through the Timed Up and Go (TUG) test; and quality of life (QoL) by the WHOQOL-bref, WHOQOL-OLD and WOMAC questionnaires. All tests were performed prior to the training period (Pre) and after the 12th (Mid) and 24th (Post) sessions. Changes were considered significant if higher than 2 times the measurement's coefficient of variation (CV). After 24 sessions, there was an increase of 12% in CSA and 8% in MT. Questionnaires scores and TUG values worsened from Pre to Mid and returned in Post. We consider RT-BFR a viable and effective strategy to promote muscle mass gains in nonagenarians and delay the decline in functionality and QoL associated with aging.
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Affiliation(s)
- Maíra Camargo Scarpelli
- MUSCULAB - Laboratory of Neuromuscular Adaptations to Resistance Training, Department of Physical Education, Federal University of São Carlos, São Carlos, Brazil
| | - João Guilherme Almeida Bergamasco
- MUSCULAB - Laboratory of Neuromuscular Adaptations to Resistance Training, Department of Physical Education, Federal University of São Carlos, São Carlos, Brazil
| | - Estevan A de Barros Arruda
- MUSCULAB - Laboratory of Neuromuscular Adaptations to Resistance Training, Department of Physical Education, Federal University of São Carlos, São Carlos, Brazil
| | - Summer B Cook
- Department of Kinesiology, University of New Hampshire, Durham, NH, United States
| | - Cleiton Augusto Libardi
- MUSCULAB - Laboratory of Neuromuscular Adaptations to Resistance Training, Department of Physical Education, Federal University of São Carlos, São Carlos, Brazil
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14
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Page J, Erskine RM, Hopkins ND. Skeletal muscle properties and vascular function do not differ between healthy, young vegan and omnivorous men. Eur J Sport Sci 2021; 22:559-568. [PMID: 33905293 DOI: 10.1080/17461391.2021.1923814] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
A vegan diet is associated with reduced cardiovascular morbidity and mortality, but protein deficiencies may be detrimental to skeletal muscle structure and function. The aim of this study was to compare the vascular and skeletal muscle properties between young, healthy, recreationally active habitual vegan (VEG) and omnivorous (OMN) men. Sixteen OMN and nine VEG underwent ultrasound scans to determine brachial artery flow-mediated dilation (FMD) and carotid artery intima-media thickness (cIMT) and vastus lateralis (VL) muscle thickness and fascicle pennation angle. Knee extension maximal voluntary isometric contraction (MVIC) force was assessed on an isokinetic dynamometer, and V˙O2max on a cycle ergometer and online gas analysis system. A three-day food diary determined habitual dietary behaviour. Bayesian analyses of independent groups provided "moderate" to "very strong" evidence for lower consumption of absolute (63±21 g/d vs. 98 ± 30 g/d; Bayes Factor (BF01) = 0.140) and relative (0.86 ± 0.29 g/kg/d vs.1.36 ± 0.52 g/kg/d; BF01 = 0.259) protein, absolute saturated fat (15.2 ± 7.9 g vs. 30.3 ± 11.8 g; BF01 = 0.089) and cholesterol (5.0 ± 6.0 mg vs. 337.9 ± 232.6 mg; BF01 = 0.019) in VEG compared to OMN, respectively. Further, there was "anecdotal" evidence to support no differences in FMD (3.37 ± 3.31% vs. 4.58 ± 5.82%; BF01 = 2.591), cIMT (0.51 ± 0.07 mm vs. 0.49 ± 0.04 mm; BF01 = 2.510), VL thickness (26.1 ± 3.7 mm vs. 27.8 ± 6.4 mm; BF01 = 2.726), fascicle pennation angle (16.6 ± 4.7° vs. 17.7 ± 3.7°; BF01 = 2.844), MVIC (627 ± 182 N vs. 551 ± 102 N; BF01 = 1.656) or V˙O2max (40.8 ± 9.8 ml/kg/min vs. 35.8 ± 5.2 ml/kg/min; BF01 = 1.218) between VEG and OMN, respectively. Despite marked differences in habitual nutrient intake, healthy, young vegan and omnivorous men did not differ regarding vascular and skeletal muscle structure and function, or cardiovascular fitness.
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Affiliation(s)
- Joe Page
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
| | - Robert M Erskine
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.,Institute of Sport, Exercise and Health, University College London, London, UK
| | - Nicola D Hopkins
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
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15
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Khanal P, He L, Herbert AJ, Stebbings GK, Onambele-Pearson GL, Degens H, Morse CI, Thomis M, Williams AG. The Association of Multiple Gene Variants with Ageing Skeletal Muscle Phenotypes in Elderly Women. Genes (Basel) 2020; 11:genes11121459. [PMID: 33291384 PMCID: PMC7762041 DOI: 10.3390/genes11121459] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 11/24/2020] [Accepted: 12/03/2020] [Indexed: 12/20/2022] Open
Abstract
There is a scarcity of studies that have investigated the role of multiple single nucleotide polymorphisms (SNPs) on a range of muscle phenotypes in an elderly population. The present study investigated the possible association of 24 SNPs with skeletal muscle phenotypes in 307 elderly Caucasian women (aged 60–91 years, 66.3 ± 11.3 kg). Skeletal muscle phenotypes included biceps brachii thickness, vastus lateralis cross-sectional areas, maximal hand grip strength, isometric knee extension and elbow flexion torque. Genotyping for 24 SNPs, chosen on their skeletal muscle structural or functional links, was conducted on DNA extracted from blood or saliva. Of the 24 SNPs, 10 were associated with at least one skeletal muscle phenotype. HIF1A rs11549465 was associated with three skeletal muscle phenotypes and PTK2 rs7460 and ACVR1B rs10783485 were each associated with two phenotypes. PTK2 rs7843014, COL1A1 rs1800012, CNTF rs1800169, NOS3 rs1799983, MSTN rs1805086, TRHR rs7832552 and FTO rs9939609 were each associated with one. Elderly women possessing favourable genotypes were 3.6–13.2% stronger and had 4.6–14.7% larger muscle than those with less favourable genotypes. These associations, together with future work involving a broader range of SNPs, may help identify individuals at particular risk of an age-associated loss of independence.
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Affiliation(s)
- Praval Khanal
- Musculoskeletal Science and Sports Medicine Research Centre, Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK; (L.H.); (G.K.S.); (G.L.O.-P.); (C.I.M.); (A.G.W.)
- Department of Movement Sciences, Physical Activity, Sports & Health Research Group, KU Leuven, 3001 Leuven, Belgium;
- Correspondence: ; Tel.: +977-9841528705
| | - Lingxiao He
- Musculoskeletal Science and Sports Medicine Research Centre, Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK; (L.H.); (G.K.S.); (G.L.O.-P.); (C.I.M.); (A.G.W.)
- Department of Movement Sciences, Physical Activity, Sports & Health Research Group, KU Leuven, 3001 Leuven, Belgium;
| | - Adam J. Herbert
- Department of Sport and Exercise, Birmingham City University, Birmingham B5 5JU, UK;
| | - Georgina K. Stebbings
- Musculoskeletal Science and Sports Medicine Research Centre, Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK; (L.H.); (G.K.S.); (G.L.O.-P.); (C.I.M.); (A.G.W.)
| | - Gladys L. Onambele-Pearson
- Musculoskeletal Science and Sports Medicine Research Centre, Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK; (L.H.); (G.K.S.); (G.L.O.-P.); (C.I.M.); (A.G.W.)
| | - Hans Degens
- Department of Life Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK;
- Institute of Sport Science and Innovations, Lithuanian Sports University, LT-44221 Kaunsas, Lithuania
- Pharmacy of Targu Mures, University of Medicine, 540142 Targu Mures, Romania
| | - Christopher I. Morse
- Musculoskeletal Science and Sports Medicine Research Centre, Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK; (L.H.); (G.K.S.); (G.L.O.-P.); (C.I.M.); (A.G.W.)
| | - Martine Thomis
- Department of Movement Sciences, Physical Activity, Sports & Health Research Group, KU Leuven, 3001 Leuven, Belgium;
| | - Alun G. Williams
- Musculoskeletal Science and Sports Medicine Research Centre, Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK; (L.H.); (G.K.S.); (G.L.O.-P.); (C.I.M.); (A.G.W.)
- Institute of Sport, Exercise and Health, University College London, London W1T 7HA, UK
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16
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Grant D, Tomlinson D, Tsintzas K, Kolić P, Onambélé-Pearson G. Minimizing sedentary behavior (without increasing medium-to-vigorous exercise) associated functional improvement in older women is somewhat dependent on a measurable increase in muscle size. Aging (Albany NY) 2020; 12:24081-24100. [PMID: 33276345 PMCID: PMC7762509 DOI: 10.18632/aging.202265] [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: 04/22/2020] [Accepted: 10/19/2020] [Indexed: 12/17/2022]
Abstract
The optimal pattern of sedentarism displacement and mechanisms underlying its health effects are poorly understood. Therefore, the aim of this study was to quantify muscle-tendon adaptation in response to two different sedentarism displacement interventions and relate any adaptations to functional outcomes. Thirty-four older women (73±5yrs) underwent skeletal muscle-tendon size and functional assessments. Participants were randomly allocated to: Sedentary behavior fragmentation (SBF), Light intensity physical activity (LIPA), or Control groups. Measures were taken at weeks 0 and 8. Gait speed significantly increased (p=0.003), in both experimental groups (SBF: 0.06 ± 0.08m/s, 6±10%, LIPA: 0.06 ± 0.07m/s, 6±6%), but not control (-0.02 ± 0.12m/s, -2±9%). Accordingly, the relative change in Vastus Lateralis muscle volume, accounted for 30% (p=0.027), and 45% (p=0.0006) of the explained variance in the relative change in gait speed, for SBF and LIPA respectively. Gastrocnemius Medialis fascicle length changes were positively associated with gait speed changes, following LIPA exclusively (R2= 0.50, p=0.009). This is the first study to show SBF and LIPA are adequate loading in older women, with related muscle adaptation and clinically relevant gait speed improvements. Such adaptations appear similar irrespective of whether sedentarism displacement is prescribed in a single bout (LIPA) or in frequent micro-bouts (SBF).
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Affiliation(s)
- Dale Grant
- Research Centre for Musculoskeletal Science and Sports Medicine, Department of Sports and Exercise Sciences, Manchester Metropolitan University, Manchester, UK
| | - David Tomlinson
- Research Centre for Musculoskeletal Science and Sports Medicine, Department of Sports and Exercise Sciences, Manchester Metropolitan University, Manchester, UK
| | - Kostas Tsintzas
- MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, Faculty of Medicine and Health Sciences, The University of Nottingham Medical School, Queen's Medical Centre, Nottingham, UK
| | - Petra Kolić
- Research Centre for Musculoskeletal Science and Sports Medicine, Department of Sports and Exercise Sciences, Manchester Metropolitan University, Manchester, UK
| | - Gladys Onambélé-Pearson
- Research Centre for Musculoskeletal Science and Sports Medicine, Department of Sports and Exercise Sciences, Manchester Metropolitan University, Manchester, UK
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17
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Kingston DC, Acker SM. Development of a Full Flexion 3D Musculoskeletal Model of the Knee Considering Intersegmental Contact During High Knee Flexion Movements. J Appl Biomech 2020; 36:444-456. [PMID: 32846408 DOI: 10.1123/jab.2019-0335] [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: 10/17/2019] [Revised: 03/12/2020] [Accepted: 06/05/2020] [Indexed: 11/18/2022]
Abstract
A musculoskeletal model of the right lower limb was developed to estimate 3D tibial contact forces in high knee flexion postures. This model determined the effect of intersegmental contact between thigh-calf and heel-gluteal structures on tibial contact forces. This model includes direct tracking and 3D orientation of intersegmental contact force, femoral translations from in vivo studies, wrapping of knee extensor musculature, and a novel optimization constraint for multielement muscle groups. Model verification consisted of calculating the error between estimated tibial compressive forces and direct measurements from the Grand Knee Challenge during movements to ∼120° of knee flexion as no high knee flexion data are available. Tibial compression estimates strongly fit implant data during walking (R2 = .83) and squatting (R2 = .93) with a root mean squared difference of .47 and .16 body weight, respectively. Incorporating intersegmental contact significantly reduced model estimates of peak tibial anterior-posterior shear and increased peak medial-lateral shear during the static phase of high knee flexion movements by an average of .33 and .07 body weight, respectively. This model supports prior work in that intersegmental contact is a critical parameter when estimating tibial contact forces in high knee flexion movements across a range of culturally and occupationally relevant postures.
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18
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Ross SA, Rimkus B, Konow N, Biewener AA, Wakeling JM. Added mass in rat plantaris muscle causes a reduction in mechanical work. J Exp Biol 2020; 223:jeb224410. [PMID: 32737211 PMCID: PMC7561483 DOI: 10.1242/jeb.224410] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 07/24/2020] [Indexed: 11/20/2022]
Abstract
Most of what we know about whole muscle behaviour comes from experiments on single fibres or small muscles that are scaled up in size without considering the effects of the additional muscle mass. Previous modelling studies have shown that tissue inertia acts to slow the rate of force development and maximum velocity of muscle during shortening contractions and decreases the work and power per cycle during cyclic contractions; however, these results have not yet been confirmed by experiments on living tissue. Therefore, in this study we conducted in situ work-loop experiments on rat plantaris muscle to determine the effects of increasing the mass of muscle on mechanical work during cyclic contractions. We additionally simulated these experimental contractions using a mass-enhanced Hill-type model to validate our previous modelling work. We found that greater added mass resulted in lower mechanical work per cycle relative to the unloaded trials in which no mass was added to the muscle (P=0.041 for both 85 and 123% increases in muscle mass). We additionally found that greater strain resulted in lower work per cycle relative to unloaded trials at the same strain to control for length change and velocity effects on the work output, possibly due to greater accelerations of the muscle mass at higher strains. These results confirm that tissue mass reduces muscle mechanical work at larger muscle sizes, and that this effect is likely amplified for lower activations.
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Affiliation(s)
- Stephanie A Ross
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, V5A 1S6, Canada
| | - Barbora Rimkus
- Department of Biological Sciences, University of Massachusetts Lowell, Lowell, MA 01854, USA
| | - Nicolai Konow
- Department of Biological Sciences, University of Massachusetts Lowell, Lowell, MA 01854, USA
- Concord Field Station, Museum of Comparative Zoology and Department of Organismic and Evolutionary Biology, Harvard University, Bedford, MA 01730, USA
| | - Andrew A Biewener
- Concord Field Station, Museum of Comparative Zoology and Department of Organismic and Evolutionary Biology, Harvard University, Bedford, MA 01730, USA
| | - James M Wakeling
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, V5A 1S6, Canada
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19
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Longo S, Coratella G, Rampichini S, Borrelli M, Scurati R, Limonta E, Cè E, Esposito F. Local fat content and muscle quality measured by a new electrical impedance myography device: correlations with ultrasound variables. Eur J Sport Sci 2020; 21:388-399. [PMID: 32237960 DOI: 10.1080/17461391.2020.1751306] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
AbstractThe present study investigated the relationship between local fat percentage (SKfat) and muscle quality (MQ) estimated by a new hand-held electrical impedance myography (hEIM) device or derived from ultrasound and strength assessments. The right anterior thigh of 90 healthy participants (mean ± SD; age=22.9 ± 2.9 years; 45 men: BMI = 23.9 ± 2.4 kgm-2; 45 women: BMI = 21.1 ± 1.9 kgm-2) was scanned by hEIM and ultrasound. Correlations between SKfat, local subcutaneous fat (SUBfat), and echo intensity (EIus) were explored. Correlations between MQ, EIus, quadriceps femoris anatomical cross-sectional area (ACSAQF), knee extensors maximum voluntary isometric torque (T), T/ACSAQF, EIus/SUBfat, and ACSAQF/SUBfat were also assessed. SKfat correlated with SUBfat (r = 0.88; p < 0.001) and EIus (r = 0.64; p < 0.001). MQ correlated with EIus (r = -0.66; p < 0.001), ACSAQF (r = 0.37; p < 0.001), EIus/SUBfat (r = 0.37; p < 0.001), and ACSAQF/SUBfat (r = 0.81; p < 0.001). Multiple regression analysis showed that SUBfat, EIus, and sex explained 86% of SKfat variance, whereas ACSAQF/SUBfat, sex and EIus explained 75% of MQ variance. In conclusion, high hEIM local fat percentage relates to greater subcutaneous fat and intramuscular non-contractile tissue content. High hEIM muscle quality relates to greater muscle-size:subcutaneous-fat ratio and contractile tissue content. Sex influences the prediction of both parameters. This hEIM device seems to be useful to estimate local thigh composition.
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Affiliation(s)
- Stefano Longo
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy
| | - Giuseppe Coratella
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy
| | - Susanna Rampichini
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy
| | - Marta Borrelli
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy
| | - Raffaele Scurati
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy
| | - Eloisa Limonta
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy.,IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Emiliano Cè
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy.,IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy.,IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
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20
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Mörl F, Günther M, Riede JM, Hammer M, Schmitt S. Loads distributed in vivo among vertebrae, muscles, spinal ligaments, and intervertebral discs in a passively flexed lumbar spine. Biomech Model Mechanobiol 2020; 19:2015-2047. [DOI: 10.1007/s10237-020-01322-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2020] [Accepted: 03/18/2020] [Indexed: 01/09/2023]
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21
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Coratella G, Longo S, Rampichini S, Limonta E, Shokohyar S, Bisconti AV, Cè E, Esposito F. Quadriceps and Gastrocnemii Anatomical Cross-Sectional Area and Vastus Lateralis Fascicle Length Predict Peak-Power and Time-To-Peak-Power. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2020; 91:158-165. [PMID: 31609180 DOI: 10.1080/02701367.2019.1648745] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Accepted: 07/20/2019] [Indexed: 06/10/2023]
Abstract
Purpose: The current study investigated the role of quadriceps and gastrocnemii size and vastus lateralis and gastrocnemius medialis muscle architecture in peak-power and time-to-peak-power exerted in an all-out Wingate test. Twenty-one amateur cyclists were recruited. Methods: Quadriceps and gastrocnemii anatomical cross-sectional area (ACSA), and vastus lateralis and gastrocnemius medialis pennation angle and fascicle length were measured using ultrasound. Relative peak-power (normalized per body mass) and time-to-peak-power were measured during a 30s all-out test. Results: Relative peak-power was correlated with quadriceps ACSA (r = 0.896, p < .001), gastrocnemii ACSA (r = 0.811, p < .001), vastus lateralis (r = 0.787, p < .001) and gastrocnemius medialis pennation angle (r = 0.638, p < .003). Multiple regression revealed that quadriceps and gastrocnemii ACSA accounted for 85% (R2= 0.85) of peak-power variance. Time-to-peak-power showed very large (r = -0.868, p < .001) and large correlation (r = -0.680, p = .001) with VL and GM fascicle length, respectively. Multiple regression analysis revealed that VL fascicle length explained 75% (R2= 0.75) of the time-to-peak-power variance. Conclusions: Quadriceps and gastrocnemii ACSA largely explained relative peak-power in an all-out Wingate test. Vastus lateralis fascicle length was the main predictor of the time-to-peak-power. Muscle architecture characteristics seem to be involved in the power generating capacity.
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Affiliation(s)
| | | | | | - Eloisa Limonta
- Università degli Studi di Milano
- IRCSS Istituto Ortopedico Galeazzi
| | | | | | - Emiliano Cè
- Università degli Studi di Milano
- IRCSS Istituto Ortopedico Galeazzi
| | - Fabio Esposito
- Università degli Studi di Milano
- IRCSS Istituto Ortopedico Galeazzi
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22
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Prevalence and association of single nucleotide polymorphisms with sarcopenia in older women depends on definition. Sci Rep 2020; 10:2913. [PMID: 32076017 PMCID: PMC7031370 DOI: 10.1038/s41598-020-59722-9] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 01/27/2020] [Indexed: 12/29/2022] Open
Abstract
The prevalence of sarcopenia depends on the definition used. There are, however, consistent sarcopenic characteristics, including a low muscle mass and muscle strength. Few studies have investigated the relationship between sarcopenia and genotype. A cross-sectional study was conducted with 307 community-dwelling ≥60-year-old women in South Cheshire, UK. Handgrip strength was assessed with a handgrip dynamometer and skeletal muscle mass was estimated using bioelectrical impedance. DNA was extracted from saliva (∼38%) or blood (∼62%) and 24 single-nucleotide polymorphisms (SNPs) were genotyped. Three established sarcopenia definitions - %Skeletal Muscle Mass (%SMM), Skeletal Muscle Mass Index (SMI) and European Working Group on Sarcopenia in Older People (EWGSOP) - were used to assess sarcopenia prevalence. Binary logistic regression with age as covariate was used to identify SNPs associated with sarcopenia. The prevalence of sarcopenia was: %SMM 14.7%, SMI 60.6% and EWGSOP 1.3%. Four SNPs were associated with the %SMM and SMI definitions of sarcopenia; FTO rs9939609, ESR1 rs4870044, NOS3 rs1799983 and TRHR rs7832552. The first three were associated with the %SMM definition, and TRHR rs7832552 with the SMI definition, but none were common to both sarcopenia definitions. The gene variants associated with sarcopenia may help proper counselling and interventions to prevent individuals from developing sarcopenia.
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23
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Maden-Wilkinson TM, Balshaw TG, Massey GJ, Folland JP. What makes long-term resistance-trained individuals so strong? A comparison of skeletal muscle morphology, architecture, and joint mechanics. J Appl Physiol (1985) 2019; 128:1000-1011. [PMID: 31873069 PMCID: PMC7191505 DOI: 10.1152/japplphysiol.00224.2019] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The greater muscular strength of long-term resistance-trained (LTT) individuals is often attributed to hypertrophy, but the role of other factors, notably maximum voluntary specific tension (ST), muscle architecture, and any differences in joint mechanics (moment arm), have not been documented. The aim of the present study was to examine the musculoskeletal factors that might explain the greater quadriceps strength and size of LTT vs. untrained (UT) individuals. LTT (n = 16, age 21.6 ± 2.0 yr) had 4.0 ± 0.8 yr of systematic knee extensor heavy-resistance training experience, whereas UT (n = 52; age 25.1 ± 2.3 yr) had no lower-body resistance training experience for >18 mo. Knee extension dynamometry, T1-weighted magnetic resonance images of the thigh and knee, and ultrasonography of the quadriceps muscle group at 10 locations were used to determine quadriceps: isometric maximal voluntary torque (MVT), muscle volume (QVOL), patella tendon moment arm (PTMA), pennation angle (QΘP) and fascicle length (QFL), physiological cross-sectional area (QPCSA), and ST. LTT had substantially greater MVT (+60% vs. UT, P < 0.001) and QVOL (+56%, P < 0.001) and QPCSA (+41%, P < 0.001) but smaller differences in ST (+9%, P < 0.05) and moment arm (+4%, P < 0.05), and thus muscle size was the primary explanation for the greater strength of LTT. The greater muscle size (volume) of LTT was primarily attributable to the greater QPCSA (+41%; indicating more sarcomeres in parallel) rather than the more modest difference in FL (+11%; indicating more sarcomeres in series). There was no evidence in the present study for regional hypertrophy after LTT. NEW & NOTEWORTHY Here we demonstrate that the larger muscle strength (+60%) of a long-term (4+ yr) resistance-trained group compared with untrained controls was due to their similarly larger muscle volume (+56%), primarily due to a larger physiological cross-sectional area and modest differences in fascicle length, as well as modest differences in maximum voluntary specific tension and patella tendon moment arm. In addition, the present study refutes the possibility of regional hypertrophy, despite large differences in muscle volume.
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Affiliation(s)
- Thomas M Maden-Wilkinson
- Academy of Sport and Physical Activity, Faculty of Health and Wellbeing, Collegiate Campus, Sheffield Hallam University, Sheffield, United Kingdom.,School of Sport, Exercise, and Health Sciences, Loughborough University, Leicestershire, United Kingdom
| | - Thomas G Balshaw
- School of Sport, Exercise, and Health Sciences, Loughborough University, Leicestershire, United Kingdom.,Versus Arthritis Centre for Sport, Exercise and Osteoarthritis, Loughborough University, Leicestershire, United Kingdom
| | - Garry J Massey
- School of Sport, Exercise, and Health Sciences, Loughborough University, Leicestershire, United Kingdom.,Versus Arthritis Centre for Sport, Exercise and Osteoarthritis, Loughborough University, Leicestershire, United Kingdom
| | - Jonathan P Folland
- School of Sport, Exercise, and Health Sciences, Loughborough University, Leicestershire, United Kingdom.,Versus Arthritis Centre for Sport, Exercise and Osteoarthritis, Loughborough University, Leicestershire, United Kingdom
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24
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Kordi M, Folland J, Goodall S, Haralabidis N, Maden-Wilkinson T, Sarika Patel T, Leeder J, Barratt P, Howatson G. Mechanical and morphological determinants of peak power output in elite cyclists. Scand J Med Sci Sports 2019; 30:227-237. [PMID: 31598998 DOI: 10.1111/sms.13570] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 09/24/2019] [Accepted: 10/07/2019] [Indexed: 11/27/2022]
Abstract
Mechanical peak power output (PPO) is a determinant of performance in sprint cycling. The purpose of this study was to examine the relationship between PPO and putative physiological determinants of PPO in elite cyclists, and to compare sprint performance between elite sprint and endurance cyclists. Thirty-five elite cyclists (18 endurance; 17 sprint) performed duplicate sprint cycling laboratory tests to establish PPO and its mechanical components. Quadriceps femoris (QVOL ) and hamstring muscle volume (HAMVOL ) were assessed with MRI, vastus lateralis pennation angle (PθVL ) and fascicle length (FLVL ) were determined with ultrasound imaging, and neuromuscular activation of three muscles was assessed using EMG at PPO during sprint cycling. For the whole cohort, there was a wide variability in PPO (range 775-2025 W) with very large, positive, bivariate relationships between PPO and QVOL (r = .87), HAMVOL (r = .71), and PθVL (r = .81). Step-wise multiple regression analysis revealed that 87% of the variability in PPO between cyclists was explained by two variables QVOL (76%) and PθVL (11%). The sprint cyclists had greater PPO (+61%; P < .001 vs endurance), larger QVOL (P < .001), and BFVOL (P < .001) as well as more pennate vastus lateralis muscles (P < .001). These findings emphasize the importance of quadriceps muscle morphology for sprint cycling events.
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Affiliation(s)
- Mehdi Kordi
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK.,British Cycling, National Cycling Centre, Manchester, UK.,English Institute of Sport, Manchester, UK
| | - Jonathan Folland
- School of Sport, Exercise & Health Sciences, Loughborough University, Leics, UK
| | - Stuart Goodall
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
| | | | | | | | | | - Paul Barratt
- British Cycling, National Cycling Centre, Manchester, UK
| | - Glyn Howatson
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK.,Water Research Group, North West University, Potchefstroom, South Africa
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25
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Multiscale Hill-type modeling of the mechanical muscle behavior driven by the neural drive in isometric conditions. Comput Biol Med 2019; 115:103480. [PMID: 31629271 DOI: 10.1016/j.compbiomed.2019.103480] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Revised: 10/01/2019] [Accepted: 10/01/2019] [Indexed: 11/20/2022]
Abstract
In this study, we present a new model describing the mechanical behavior of the skeletal muscle during isometric contraction. This model is based on a former Hill-inspired model detailing the electromechanical behavior of the muscle based on the Huxley formulation. However, in this new multiscale model the muscle is represented at the Motor Unit (MU) scale. The proposed model is driven by a physiological input describing the firing moments of the activated MUs. Definition of both voluntary and evoked MU recruitment schemes are described, enabling the study of both contractions in isometric conditions. During this type of contraction, there is no movement of the joints and the tendon-muscle complex remains at the same length. Moreover, some well-established macroscopic relationships such as force-length or force-velocity properties are considered. A comparison with a twitch model using the same input definition is provided with both recruitment schemes exhibiting limitations of twitch type models. Finally, the proposed model is validated with a comparison between simulated and recorded force profiles following eight electrical stimulations pulses in isometric conditions. The simulated muscle force was generated to mimic the one recorded from the quadriceps of a patient implanted with a functional electrical stimulation neuroprosthesis. This validation demonstrates the ability of the proposed model to reproduce realistically the skeletal muscle contractions and to take into account subject-specific parameters.
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26
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Bruseghini P, Capelli C, Calabria E, Rossi AP, Tam E. Effects of High-Intensity Interval Training and Isoinertial Training on Leg Extensors Muscle Function, Structure, and Intermuscular Adipose Tissue in Older Adults. Front Physiol 2019; 10:1260. [PMID: 31649552 PMCID: PMC6794371 DOI: 10.3389/fphys.2019.01260] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Accepted: 09/17/2019] [Indexed: 11/24/2022] Open
Abstract
We compared the effects of aerobic high-intensity training (HIT) and isoinertial resistance training (IRT) on the strength, mass, architecture, intermuscular adipose tissue (IMAT) quality, and neuromuscular activation of the quadriceps in elderly subjects. Twelve healthy men (69.3 ± 4.2 years; 77.8 ± 10.4 kg; 1.72 ± 0.05 m) were exposed to 8 weeks of HIT (7 × 2-min cycling repetitions at 90% of V.O2peak, 3 times/week) and, after 4 months (detraining), to IRT (4 × 7 maximal concentric–eccentric knee extensions, 3 times/week). Before and after trainings, we measured knee extension isometric (TMVC) and dynamic (TC) maximal concentric torque, anatomical cross-sectional area (ACSA) at 25, 50, and 75% of femur length, quadriceps volume (Vol), IMAT, pennation angle (θp) of the fibers from the vastus lateralis, and voluntary activation (%Act). TMVC and TC were significantly larger only after IRT (P = 0.008); IRT was able to elicit a greater increase of ACSA than HIT; Vol increases similarly and significantly after HIT and IRT (P = 0.003–0.001); IMAT at 50% of femur length decreased after both HIT and IRT (P = 0.001–0.003); physiological cross-sectional area (PCSA) was larger after IRT than before (P = 0.025); specific torque did not change throughout the study (45.5 N cm–2 ± 12.0); %Act of the quadriceps was significantly affected only by IRT (P = 0.011). Both HIT and IRT are able to elicit beneficial modifications of muscular mass, architecture, and quality (reducing IMAT) in elderly subjects in connection with an amelioration of strength. HIT and IRT caused a homogeneous increase of ACSA and of Vol of the quadriceps. PCSA increases, but specific strength per unit of PCSA did not change. The increases of functional torque seemed to be attributed to a parallel increase of %Act and muscle hypertrophy only after IRT. Data suggest that IMAT may be a prominent indicator to track metabolic-dependent activity and skeletal muscle quality.
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Affiliation(s)
- Paolo Bruseghini
- Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy
| | - Carlo Capelli
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway.,Department of Neurological and Movement Sciences, School of Sport and Exercise Sciences, University of Verona, Verona, Italy
| | - Elisa Calabria
- Department of Neurological and Movement Sciences, School of Sport and Exercise Sciences, University of Verona, Verona, Italy
| | - Andrea P Rossi
- Section of Geriatrics, Department of Medicine, University of Verona, Verona, Italy
| | - Enrico Tam
- Department of Neurological and Movement Sciences, School of Sport and Exercise Sciences, University of Verona, Verona, Italy
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27
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Wheatley BB, Odegard GM, Kaufman KR, Haut Donahue TL. Modeling Skeletal Muscle Stress and Intramuscular Pressure: A Whole Muscle Active-Passive Approach. J Biomech Eng 2019; 140:2682436. [PMID: 30003256 DOI: 10.1115/1.4040318] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Indexed: 11/08/2022]
Abstract
Clinical treatments of skeletal muscle weakness are hindered by a lack of an approach to evaluate individual muscle force. Intramuscular pressure (IMP) has shown a correlation to muscle force in vivo, but patient to patient and muscle to muscle variability results in difficulty of utilizing IMP to estimate muscle force. The goal of this work was to develop a finite element model of whole skeletal muscle that can predict IMP under passive and active conditions to further investigate the mechanisms of IMP variability. A previously validated hypervisco-poroelastic constitutive approach was modified to incorporate muscle activation through an inhomogeneous geometry. Model parameters were optimized to fit model stress to experimental data, and the resulting model fluid pressurization data were utilized for validation. Model fitting was excellent (root-mean-square error or RMSE <1.5 kPa for passive and active conditions), and IMP predictive capability was strong for both passive (RMSE 3.5 mmHg) and active (RMSE 10 mmHg at in vivo lengths) conditions. Additionally, model fluid pressure was affected by length under isometric conditions, as increases in stretch yielded decreases in fluid pressurization following a contraction, resulting from counteracting Poisson effects. Model pressure also varied spatially, with the highest gradients located near aponeuroses. These findings may explain variability of in vivo IMP measurements in the clinic, and thus help reduce this variability in future studies. Further development of this model to include isotonic contractions and muscle weakness would greatly benefit this work.
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Affiliation(s)
- Benjamin B Wheatley
- Department of Mechanical Engineering, Bucknell University, 1 Dent Drive, Lewisburg, PA 17837 e-mail:
| | - Gregory M Odegard
- Department of Mechanical Enginering- Engineering Mechanics, Department of Materials Science and Engineering, Michigan Technological University, , Houghton, MI 49931
| | - Kenton R Kaufman
- Department of Orthopedic Surgery, Department of Physiology and Biomedical Engineering Mayo Clinic, , Rochester, MN 55906
| | - Tammy L Haut Donahue
- Department of Mechanical Engineering, School of Biomedical Engineering, Colorado State University, , Fort Collins, CO 80523
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28
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Significance of spine stability criteria on trunk muscle forces following unilateral muscle weakening: A comparison between kinematics-driven and stability-based kinematics-driven musculoskeletal models. Med Eng Phys 2019; 73:51-63. [PMID: 31378640 DOI: 10.1016/j.medengphy.2019.07.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2018] [Revised: 06/25/2019] [Accepted: 07/17/2019] [Indexed: 12/30/2022]
Abstract
Two optimization-driven approaches were employed to develop kinematics-driven (KD) and stability-based kinematics-driven (SKD) musculoskeletal models of an adult thoracolumbar to ascertain the significance of spine stability in holding the upright-standing posture after muscular disuse atrophy. Both models were used to estimate muscle forces of the trunk with intact and unilaterally reduced longissimus thoracis pars thoracic (LGPT) and multifidus lumborum (MFL) muscles strength. A finite element model of the L5-S1 segment of the same kinematics was also developed to compare the joint stresses predicted by the KD and SKD models. Matching well with in vivo data, the SKD model predicted a 15% and 33% reduction in contralateral muscle forces to the 95% debilitated LGPT and MFL muscles, respectively. In contrast, the contralateral muscle force enhancement to the debilitated MFL muscle in the KD model was in contradiction with in vivo data, implying that the KD model is incapable of correctly predicting the muscular disorders. However, the similarity of both models' predictions of intradiscal pressures and intervertebral discs' stresses, which matched well with in vivo data, does indicate the feasibility of the KD model to investigate trunk muscle weakness effects on spinal loads, which could offer additional tools for research in ergonomics. Nonetheless, SKD models can be employed for assessment of contralateral muscle impotence in spinal neuromuscular disorders.
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29
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Navarro-Cruz R, Alcazar J, Rodriguez-Lopez C, Losa-Reyna J, Alfaro-Acha A, Ara I, García-García FJ, Alegre LM. The Effect of the Stretch-Shortening Cycle in the Force-Velocity Relationship and Its Association With Physical Function in Older Adults With COPD. Front Physiol 2019; 10:316. [PMID: 30971950 PMCID: PMC6443992 DOI: 10.3389/fphys.2019.00316] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2018] [Accepted: 03/07/2019] [Indexed: 11/24/2022] Open
Abstract
This study aimed to evaluate the effect of the stretch-shortening cycle (SSC) on different portions of the force–velocity (F–V) relationship in older adults with and without chronic obstructive pulmonary disease (COPD), and to assess its association with physical function. The participants were 26 older adults with COPD (79 ± 7 years old; FEV1 = 53 ± 36% of predicted) and 10 physically active non-COPD (77 ± 4 years old) older adults. The F–V relationship was evaluated in the leg press exercise during a purely concentric muscle action and compared with that following an eccentric muscle action at 10% intervals of maximal unloaded shortening velocity (V0). Vastus lateralis (VL) muscle thickness, pennation angle (PA), and fascicle length (FL) were assessed by ultrasound. Habitual gait speed was measured over a 4-m distance. COPD subjects exhibited lower physical function and concentric maximal muscle power (Pmax) values compared with the non-COPD group (both p < 0.05). The SSC increased force and power values among COPD participants at 0–100 and 1–100% of V0, respectively, while the same was observed among non-COPD participants only at 40–90 and 30–90% of V0, respectively (all p < 0.05). The SSC induced greater improvements in force, but not power, among COPD compared with non-COPD subjects between 50 and 70% of V0 (all p < 0.05). Thus, between-group differences in muscle power were not statistically significant after the inclusion of the SSC (p > 0.05). The SSC-induced potentiation at 50–100% of V0 was negatively associated with physical function (r = -0.40–0.50), while that observed at 80–100% of V0 was negatively associated with VL muscle thickness and PA (r = -0.43–0.52) (all p < 0.05). In conclusion, older adults with COPD showed a higher SSC-induced potentiation compared with non-COPD subjects, which eliminated between-group differences in muscle power when performing SSC muscle actions. The SSC-induced potentiation was associated with lower physical function, VL muscle thickness, and VL PA values. The SSC-induced potentiation may help as a compensatory mechanism in those older subjects with a decreased ability to produce force/power during purely concentric muscle actions.
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Affiliation(s)
- Roberto Navarro-Cruz
- GENUD Toledo Research Group, Universidad de Castilla-La Mancha, Toledo, Spain.,CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| | - Julian Alcazar
- GENUD Toledo Research Group, Universidad de Castilla-La Mancha, Toledo, Spain.,CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| | - Carlos Rodriguez-Lopez
- GENUD Toledo Research Group, Universidad de Castilla-La Mancha, Toledo, Spain.,CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| | - Jose Losa-Reyna
- GENUD Toledo Research Group, Universidad de Castilla-La Mancha, Toledo, Spain.,CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain.,Department of Geriatrics, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Spain
| | - Ana Alfaro-Acha
- CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain.,Department of Geriatrics, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Spain
| | - Ignacio Ara
- GENUD Toledo Research Group, Universidad de Castilla-La Mancha, Toledo, Spain.,CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| | - Francisco J García-García
- CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain.,Department of Geriatrics, Hospital Virgen del Valle, Complejo Hospitalario de Toledo, Toledo, Spain
| | - Luis M Alegre
- GENUD Toledo Research Group, Universidad de Castilla-La Mancha, Toledo, Spain.,CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain
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30
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Bakenecker P, Raiteri B, Hahn D. Patella tendon moment arm function considerations for human vastus lateralis force estimates. J Biomech 2019; 86:225-231. [DOI: 10.1016/j.jbiomech.2019.01.042] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2018] [Revised: 12/20/2018] [Accepted: 01/22/2019] [Indexed: 11/25/2022]
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31
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Roth JD, Howell SM, Hull ML. Analysis of differences in laxities and neutral positions from native after kinematically aligned TKA using cruciate retaining implants. J Orthop Res 2019; 37:358-369. [PMID: 30499627 DOI: 10.1002/jor.24196] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Accepted: 11/06/2018] [Indexed: 02/04/2023]
Abstract
One biomechanical goal of kinematically aligned total knee arthroplasty (KA TKA) is to achieve knee laxities and neutral positions that are not different from those of the native knee without soft tissue release. However, replacing the articular surfaces and menisci with implants of discrete sizes and average shapes and resecting the anterior cruciate ligament (ACL) might prevent KA TKA from achieving this goal in the tibiofemoral joint. Accordingly, the objective was to determine whether either or both surgically induced changes cause differences in laxities and/or neutral positions from native using a cruciate retaining implant. Eight laxities and four neutral positions were measured from 0° to 120° flexion in 30° increments in 13 human cadaveric knees in three knee conditions: native, ACL-deficient, and KA TKA. After KA TKA, 5 of the 40 laxity measures (8 laxities × 5 flexion angles) and 6 of the 20 neutral position measures (4 neutral positions × 5 flexion angles) were statistically different from those of the native knee. The greatest differences in laxities from native after KA TKA occurred at 30° flexion in anterior translation (1.6 ± 2.1 mm increase, p < 0.0001); this difference was 1.7 ± 2.1 mm less than that in the ACL-d knee (p < 0.0001). The greatest difference in neutral positions from native after KA TKA occurred in anterior-posterior translation at 0° flexion (3.8 ± 1.9 mm anterior, p < 0.0001); this difference was 2.6 ± 1.9 mm greater than that in the ACL-d knee (p = 0.0002). Clinical Significance: These results indicate that the biomechanical goal of KA TKA is largely realized despite the two surgically induced changes. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:358-369, 2019.
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Affiliation(s)
- Joshua D Roth
- Biomedical Engineering Graduate Group, University of California, Davis, One Shields Avenue, Davis, California, 95616
| | - Stephen M Howell
- Department of Biomedical Engineering, University of California, Davis, 451 E. Health Sciences Drive, Davis, California, 95616
| | - Maury L Hull
- Department of Biomedical Engineering, University of California, Davis, 451 E. Health Sciences Drive, Davis, California, 95616.,Department of Mechanical Engineering, University of California, Davis, One Shields Avenue, Davis, California, 95616.,Department of Orthopaedic Surgery, University of California, Davis, 4635 2nd Ave (Building 97), Sacramento, California, 95817
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32
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de Oliveira VB, de Oliveira LF, Menegaldo LL. Estimation of vastus intermedius electromyography: Comparison of three methods and their impact on the knee isometric extension moment predicted by an EMG-Driven model. ISOKINET EXERC SCI 2018. [DOI: 10.3233/ies-182167] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Viviane B. de Oliveira
- Biomedical Engineering Program, COPPE, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Liliam F. de Oliveira
- Biomedical Engineering Program, COPPE, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- School of Physical Education and Sports, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Luciano L. Menegaldo
- Biomedical Engineering Program, COPPE, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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33
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Application of ultrasound for muscle assessment in sarcopenia: towards standardized measurements. Eur Geriatr Med 2018; 9:739-757. [DOI: 10.1007/s41999-018-0104-9] [Citation(s) in RCA: 79] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Accepted: 08/29/2018] [Indexed: 12/22/2022]
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34
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McPhee JS, Cameron J, Maden-Wilkinson T, Piasecki M, Yap MH, Jones DA, Degens H. The Contributions of Fiber Atrophy, Fiber Loss, In Situ Specific Force, and Voluntary Activation to Weakness in Sarcopenia. J Gerontol A Biol Sci Med Sci 2018; 73:1287-1294. [PMID: 29529132 PMCID: PMC6132117 DOI: 10.1093/gerona/gly040] [Citation(s) in RCA: 66] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Accepted: 02/24/2018] [Indexed: 12/25/2022] Open
Abstract
The contributions of fiber atrophy, fiber loss, in situ specific force, and voluntary activation to weakness in sarcopenia remain unclear. To investigate, 40 older (20 women; age 72 ± 4 years) and 31 younger adults (15 women, age 22 ± 3 years) completed measurements. The knee extensor maximal voluntary torque (MVC) was measured as well as voluntary activation, patella tendon moment arm length, muscle volume, and fascicle architecture to estimate in situ specific force. Fiber cross-sectional area (FCSA), fiber numbers, and connective tissue contents were also estimated from vastus lateralis biopsies. The MVC, quadriceps volume, and specific force were 39%, 28%, and 17% lower, respectively, in old compared with young, but voluntary activation was not different. The difference in muscle size was due in almost equal proportions to lower type II FCSA and fewer fibers. Five years later (n = 23) the MVC, muscle volume and voluntary activation in old decreased an additional 12%, 6%, and 4%, respectively, but there was no further change in specific force. In situ specific force declines relatively early in older age and reduced voluntary activation occurs later, but the overall weakness in sarcopenia is mainly related to loss of both type I and II fibers and type II fiber atrophy.
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Affiliation(s)
- Jamie S McPhee
- School of Healthcare Science, Manchester Metropolitan University, UK
| | - James Cameron
- School of Healthcare Science, Manchester Metropolitan University, UK
| | | | - Mathew Piasecki
- School of Healthcare Science, Manchester Metropolitan University, UK
| | - Moi Hoon Yap
- School of Mathematics, Computing and Digital Technology, Manchester Metropolitan University, UK
| | - David A Jones
- School of Healthcare Science, Manchester Metropolitan University, UK
| | - Hans Degens
- School of Healthcare Science, Manchester Metropolitan University, UK
- Institute of Sport Science and Innovations, Lithuanian Sports University, Kaunas
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35
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Murtagh CF, Stubbs M, Vanrenterghem J, O'Boyle A, Morgans R, Drust B, Erskine RM. Patellar tendon properties distinguish elite from non-elite soccer players and are related to peak horizontal but not vertical power. Eur J Appl Physiol 2018; 118:1737-1749. [PMID: 29860681 PMCID: PMC6060780 DOI: 10.1007/s00421-018-3905-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Revised: 05/14/2018] [Accepted: 05/16/2018] [Indexed: 11/26/2022]
Abstract
PURPOSE To investigate potential differences in patellar tendon properties between elite and non-elite soccer players, and to establish whether tendon properties were related to power assessed during unilateral jumps performed in different directions. METHODS Elite (n = 16; age 18.1 ± 1.0 years) and non-elite (n = 13; age 22.3 ± 2.7 years) soccer players performed vertical, horizontal-forward and medial unilateral countermovement jumps (CMJs) on a force plate. Patellar tendon (PT) cross-sectional area, elongation, strain, stiffness, and Young's modulus (measured at the highest common force interval) were assessed with ultrasonography and isokinetic dynamometry. RESULTS Elite demonstrated greater PT elongation (6.83 ± 1.87 vs. 4.92 ± 1.88 mm, P = 0.011) and strain (11.73 ± 3.25 vs. 8.38 ± 3.06%, P = 0.009) than non-elite soccer players. Projectile range and peak horizontal power during horizontal-forward CMJ correlated positively with tendon elongation (r = 0.657 and 0.693, P < 0.001) but inversely with Young's modulus (r = - 0.376 and - 0.402; P = 0.044 and 0.031). Peak medial power during medial CMJ correlated positively with tendon elongation (r = 0.658, P < 0.001) but inversely with tendon stiffness (r = - 0.368, P = 0.050). CONCLUSIONS Not only does a more compliant patellar tendon appear to be an indicator of elite soccer playing status but it may also facilitate unilateral horizontal-forward and medial, but not vertical CMJ performance. These findings should be considered when prescribing talent selection and development protocols related to direction-specific power in elite soccer players.
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Affiliation(s)
- Conall F Murtagh
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, L3 3AF, UK.
- Liverpool Football Club, Liverpool, UK.
| | - Michael Stubbs
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, L3 3AF, UK
| | - Jos Vanrenterghem
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, L3 3AF, UK
- Department of Rehabilitation Sciences, KU Leuven, University of Leuven, 3000, Leuven, Belgium
| | - Andrew O'Boyle
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, L3 3AF, UK
- Liverpool Football Club, Liverpool, UK
| | | | - Barry Drust
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, L3 3AF, UK
- Liverpool Football Club, Liverpool, UK
| | - Robert M Erskine
- School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, L3 3AF, UK
- Institute of Sport, Exercise and Health, University College London, London, UK
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Influence of full range of motion vs. equalized partial range of motion training on muscle architecture and mechanical properties. Eur J Appl Physiol 2018; 118:1969-1983. [PMID: 29982844 DOI: 10.1007/s00421-018-3932-x] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Accepted: 06/29/2018] [Indexed: 01/10/2023]
Abstract
PURPOSE The purpose of this study was to determine the effect of a 15-week partial range of motion (ROM) resistance training program on the vastus lateralis (VL) architecture and mechanical properties, when the time under tension (TUT) was equalized. METHODS Nineteen untrained male subjects were randomly assigned to a control (Control; n = 8) or training (TG; n = 11) group. In the TG, the dominant and nondominant legs were randomly selected to be trained with a full ROM (FULL) or a partial ROM (PART) in an isokinetic dynamometer. Training volume was equalized based on the TUT by manipulating sets and repetitions. The VL muscle architecture was assessed by B-mode ultrasonography at rest and during maximal isometric knee extension contractions (MVCs) at ten knee angles. The VL fascicle force and specific tension were calculated from the MVCs with superimposed stimuli, accounting for the moment arm length, muscle architecture, and antagonist coactivation. RESULTS The FULL training induced changes in fascicle length (FL) (4.9 ± 2.0%, P < 0.001) and specific tension (25.8 ± 18.7%, P < 0.001). There was a moderate effect of PART training on the physiological cross-sectional area (PCSA) (7.8 ± 4.0%, P < 0.001, dav = 0.6) and torque-angle adaptations (average increase 17.7 ± 3.9%, P < 0.05). CONCLUSIONS These results provide evidence that crucial architectural and mechanical muscle adaptations are dependent on the ROM used in strength training. It seems that muscle FL and specific tension can be increased by pure concentric training if greater ROM is used. Conversely, restricting the ROM to shorter muscle lengths promotes a greater PCSA and angle-specific strength adaptations.
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Kinematically aligned total knee arthroplasty limits high tibial forces, differences in tibial forces between compartments, and abnormal tibial contact kinematics during passive flexion. Knee Surg Sports Traumatol Arthrosc 2018; 26:1589-1601. [PMID: 28884312 DOI: 10.1007/s00167-017-4670-z] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2017] [Accepted: 08/01/2017] [Indexed: 10/18/2022]
Abstract
PURPOSE Following total knee arthroplasty (TKA), high tibial forces, large differences in tibial forces between the medial and lateral compartments, and anterior translation of the contact locations of the femoral component on the tibial component during passive flexion indicate abnormal knee function. Because the goal of kinematically aligned TKA is to restore native knee function without soft tissue release, the objectives were to determine how well kinematically aligned TKA limits high tibial forces, differences in tibial forces between compartments, and anterior translation of the contact locations of the femoral component on the tibial component during passive flexion. METHODS Using cruciate retaining components, kinematically aligned TKA was performed on thirteen human cadaveric knee specimens with use of manual instruments without soft tissue release. The tibial forces and tibial contact locations were measured in both the medial and lateral compartments from 0° to 120° of passive flexion using a custom tibial force sensor. RESULTS The average total tibial force (i.e. sum of medial + lateral) ranged from 5 to 116 N. The only significant average differences in tibial force between compartments occurred at 0° of flexion (29 N, p = 0.0008). The contact locations in both compartments translated posteriorly in all thirteen kinematically aligned TKAs by an average of 14 mm (p < 0.0001) and 18 mm (p < 0.0001) in the medial and lateral compartments, respectively, from 0° to 120° of flexion. CONCLUSIONS After kinematically aligned TKA, average total tibial forces due to the soft tissue restraints were limited to 116 N, average differences in tibial forces between compartments were limited to 29 N, and a net posterior translation of the tibial contact locations was observed in all kinematically aligned TKAs during passive flexion from 0° to 120°, which are similar to what has been measured previously in native knees. While confirmation in vivo is warranted, these findings give surgeons who perform kinematically aligned TKA confidence that the alignment method and surgical technique limit high tibial forces, differences in tibial forces between compartments, and anterior translation of the tibial contact locations during passive flexion.
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38
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The Neuromuscular Determinants of Unilateral Jump Performance in Soccer Players Are Direction-Specific. Int J Sports Physiol Perform 2018; 13:604-611. [PMID: 29283696 DOI: 10.1123/ijspp.2017-0589] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
PURPOSE To investigate differences in neuromuscular factors between elite and nonelite players and to establish which factors underpin direction-specific unilateral jump performance. METHODS Elite (n = 23; age, 18.1 [1.0] y; body mass index, 23.1 [1.8] kg·m-2) and nonelite (n = 20; age, 22.3 [2.7] y; body mass index, 23.8 [1.8] kg·m-2) soccer players performed 3 unilateral countermovement jumps (CMJs) on a force platform in the vertical, horizontal-forward, and medial directions. Knee extension isometric maximum voluntary contraction torque was assessed using isokinetic dynamometry. Vastus lateralis fascicle length, angle of pennation, quadriceps femoris muscle volume (Mvol), and physiological cross-sectional area (PCSA) were assessed using ultrasonography. Vastus lateralis activation was assessed using electromyography. RESULTS Elite soccer players presented greater knee extensor isometric maximum voluntary contraction torque (365.7 [66.6] vs 320.1 [62.6] N·m; P = .045), Mvol (2853 [508] vs 2429 [232] cm3; P = .001), and PCSA (227 [42] vs 193 [25] cm2; P = .003) than nonelite. In both cohorts, unilateral vertical and unilateral medial CMJ performance correlated with Mvol and PCSA (r ≥ .310, P ≤ .043). In elite soccer players, unilateral vertical and unilateral medial CMJ performance correlated with upward phase vastus lateralis activation and angle of pennation (r ≥ .478, P ≤ .028). Unilateral horizontal-forward CMJ peak vertical power did not correlate with any measure of muscle size or activation but correlated inversely with angle of pennation (r = -.413, P = .037). CONCLUSIONS While larger and stronger quadriceps differentiated elite from nonelite players, relationships between neuromuscular factors and unilateral jump performance were shown to be direction-specific. These findings support a notion that improving direction-specific muscular power in soccer requires improving a distinct neuromuscular profile.
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Kulas AS, Schmitz RJ, Shultz SJ, Waxman JP, Wang HM, Kraft RA, Partington HS. Bilateral quadriceps and hamstrings muscle volume asymmetries in healthy individuals. J Orthop Res 2018; 36:963-970. [PMID: 28755488 DOI: 10.1002/jor.23664] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Accepted: 07/21/2017] [Indexed: 02/04/2023]
Abstract
Determining the magnitude of quadriceps and hamstring muscle volume asymmetries in healthy individuals is a critical first step toward interpreting asymmetries as compensatory or abnormal in pathological populations. The purpose of this study was to determine the magnitude of whole and individual muscle volume asymmetries, quantified as right-left volume differences, for the quadriceps and hamstring muscles in a young and healthy population. Twenty-one healthy individuals participated: Eleven females age = 22.6 ± 2.9 years and 10 males age = 23.2 ± 3.4 years. Whole muscle group and individual muscle volume asymmetries were quantified within the context of absolute measurement error using a 95% Limits of Agreement approach. Mean muscle asymmetries ranged from -3.0 to 6.0% for all individual and whole muscle groups. Whole muscle group 95% limits of agreements represented ±11.4% and ±8.8% volume asymmetries for the hamstrings and quadriceps, respectively. Individual muscle asymmetry 95% limits of agreements ranged from ∼ ± 11-13% for the vastii muscles while the biceps femoris short-head (±33.5%), long-head (±20.9%), and the rectus femoris (±21.4%) displayed the highest relative individual asymmetries. Individual muscle asymmetries exceeded absolute measurement error in 70% of all cases, with 26% of all cases exceeding 10% asymmetry. Although whole muscle group asymmetries appear to be near the 10% assumed clinical threshold of normality, the greater magnitude of individual muscle asymmetries highlights the subject- and muscle-specific variability in volume asymmetry. Future research is warranted to determine if volume asymmetry thresholds exist that discriminate between healthy and pathological populations. Statement of Clinical Significance: Muscle volume asymmetries displayed in healthy individuals provide a reference for interpreting asymmetries in pathological populations. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:963-970, 2018.
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Affiliation(s)
| | - Randy J Schmitz
- The University of North Carolina at Greensboro, Greensboro, North Carolina
| | - Sandra J Shultz
- The University of North Carolina at Greensboro, Greensboro, North Carolina
| | | | | | | | - Heath S Partington
- The University of North Carolina at Greensboro, Greensboro, North Carolina
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van der Zwaard S, Weide G, Levels K, Eikelboom MRI, Noordhof DA, Hofmijster MJ, van der Laarse WJ, de Koning JJ, de Ruiter CJ, Jaspers RT. Muscle morphology of the vastus lateralis is strongly related to ergometer performance, sprint capacity and endurance capacity in Olympic rowers. J Sports Sci 2018; 36:2111-2120. [PMID: 29473785 DOI: 10.1080/02640414.2018.1439434] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Rowers need to combine high sprint and endurance capacities. Muscle morphology largely explains muscle power generating capacity, however, little is known on how muscle morphology relates to rowing performance measures. The aim was to determine how muscle morphology of the vastus lateralis relates to rowing ergometer performance, sprint and endurance capacity of Olympic rowers. Eighteen rowers (12♂, 6♀, who competed at 2016 Olympics) performed an incremental rowing test to obtain maximal oxygen consumption, reflecting endurance capacity. Sprint capacity was assessed by Wingate cycling peak power. M. vastus lateralis morphology (volume, physiological cross-sectional area, fascicle length and pennation angle) was derived from 3-dimensional ultrasound imaging. Thirteen rowers (7♂, 6♀) completed a 2000-m rowing ergometer time trial. Muscle volume largely explained variance in 2000-m rowing performance (R2 = 0.85), maximal oxygen consumption (R2 = 0.65), and Wingate peak power (R2 = 0.82). When normalized for differences in body size, maximal oxygen consumption and Wingate peak power were negatively related in males (r = -0.94). Fascicle length, not physiological cross-sectional area, attributed to normalized peak power. In conclusion, vastus lateralis volume largely explains variance in rowing ergometer performance, sprint and endurance capacity. For a high normalized sprint capacity, athletes may benefit from long fascicles rather than a large physiological cross-sectional area.
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Affiliation(s)
- Stephan van der Zwaard
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
| | - Guido Weide
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands.,b Department of Rehabilitation Medicine , VU University Medical Centre Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
| | - Koen Levels
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
| | - Michelle R I Eikelboom
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
| | - Dionne A Noordhof
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
| | - Mathijs J Hofmijster
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
| | - Willem J van der Laarse
- c Department of Physiology, Institute for Cardiovascular Research , VU University Medical Centre Amsterdam , Amsterdam , The Netherlands
| | - Jos J de Koning
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
| | - Cornelis J de Ruiter
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
| | - Richard T Jaspers
- a Department of Human Movement Sciences , Vrije Universiteit Amsterdam, Amsterdam Movement Sciences , Amsterdam , The Netherlands
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van der Zwaard S, van der Laarse WJ, Weide G, Bloemers FW, Hofmijster MJ, Levels K, Noordhof DA, de Koning JJ, de Ruiter CJ, Jaspers RT. Critical determinants of combined sprint and endurance performance: an integrative analysis from muscle fiber to the human body. FASEB J 2018; 32:2110-2123. [PMID: 29217665 DOI: 10.1096/fj.201700827r] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Optimizing physical performance is a major goal in current physiology. However, basic understanding of combining high sprint and endurance performance is currently lacking. This study identifies critical determinants of combined sprint and endurance performance using multiple regression analyses of physiologic determinants at different biologic levels. Cyclists, including 6 international sprint, 8 team pursuit, and 14 road cyclists, completed a Wingate test and 15-km time trial to obtain sprint and endurance performance results, respectively. Performance was normalized to lean body mass2/3 to eliminate the influence of body size. Performance determinants were obtained from whole-body oxygen consumption, blood sampling, knee-extensor maximal force, muscle oxygenation, whole-muscle morphology, and muscle fiber histochemistry of musculus vastus lateralis. Normalized sprint performance was explained by percentage of fast-type fibers and muscle volume ( R2 = 0.65; P < 0.001) and normalized endurance performance by performance oxygen consumption ( V̇o2), mean corpuscular hemoglobin concentration, and muscle oxygenation ( R2 = 0.92; P < 0.001). Combined sprint and endurance performance was explained by gross efficiency, performance V̇o2, and likely by muscle volume and fascicle length ( P = 0.056; P = 0.059). High performance V̇o2 related to a high oxidative capacity, high capillarization × myoglobin, and small physiologic cross-sectional area ( R2 = 0.67; P < 0.001). Results suggest that fascicle length and capillarization are important targets for training to optimize sprint and endurance performance simultaneously.-Van der Zwaard, S., van der Laarse, W. J., Weide, G., Bloemers, F. W., Hofmijster, M. J., Levels, K., Noordhof, D. A., de Koning, J. J., de Ruiter, C. J., Jaspers, R. T. Critical determinants of combined sprint and endurance performance: an integrative analysis from muscle fiber to the human body.
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Affiliation(s)
- Stephan van der Zwaard
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands.,Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
| | - Willem J van der Laarse
- Department of Physiology, Institute for Cardiovascular Research, Vrije Universiteit, Amsterdam, The Netherlands; and VU University Medical Center Amsterdam, Amsterdam, The Netherlands
| | - Guido Weide
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands.,Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
| | - Frank W Bloemers
- Department of Physiology, Institute for Cardiovascular Research, Vrije Universiteit, Amsterdam, The Netherlands; and
| | - Mathijs J Hofmijster
- Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
| | - Koen Levels
- Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
| | - Dionne A Noordhof
- Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
| | - Jos J de Koning
- Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
| | - Cornelis J de Ruiter
- Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
| | - Richard T Jaspers
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands.,Laboratory for Myology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
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42
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Relationships of hamstring muscle volumes to lateral tibial slope. Knee 2017; 24:1335-1341. [PMID: 28970127 DOI: 10.1016/j.knee.2017.09.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 08/09/2017] [Accepted: 09/16/2017] [Indexed: 02/02/2023]
Abstract
BACKGROUND Greater posterior-inferior directed slope of the lateral tibial plateau (LTS) has been demonstrated to be a prospective ACL injury risk factor. Trainable measures to overcome a greater LTS need to be identified for optimizing injury prevention protocols. It was hypothesized that Healthy individuals with greater LTS who have not sustained an ACL injury would have a larger lateral hamstring volume. METHODS Eleven healthy females (mean +/- standard deviation) (1.63±0.07m, 62.0±8.9kg, 22.6±2.9years) & 10 healthy males (1.80±0.08m, 82.3±12.0kg, 23.2±3.4years) underwent magnetic resonance imaging of the left knee and thigh. LTS, semitendinosus muscle volume, and biceps femoris long head muscle volume were obtained from imaging data. RESULTS After controlling for potential sex confounds (R2=.00; P=.862), lesser semitendinosus volume and greater biceps femoris-long head volume were indicative of greater LTS (R2∆=.30, P=.008). CONCLUSIONS Healthy individuals with greater LTS have a muscular morphologic profile that includes a larger biceps femoris-long head volume. This may be indicative of a biomechanical strategy that relies more heavily on force generation of the lateral hamstring and is less reliant on force generation of the medial hamstring. LEVEL OF EVIDENCE Level IV.
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Sims DT, Onambélé-Pearson GL, Burden A, Payton C, Morse CI. Specific force of the vastus lateralis in adults with achondroplasia. J Appl Physiol (1985) 2017; 124:696-703. [PMID: 29146686 DOI: 10.1152/japplphysiol.00638.2017] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Achondroplasia is a clinical condition defined by shorter stature and disproportionate limb length. Force production in able-bodied individuals (controls) is proportional to muscle size, but given the disproportionate nature of achondroplasia, normalizing to anatomical cross-sectional area (ACSA) is inappropriate. The aim of this study was to assess specific force of the vastus lateralis (VL) in 10 adults with achondroplasia (22 ± 3 yr) and 18 sex-matched controls (22 ± 2 yr). Isometric torque (iMVCτ) of the dominant knee extensors (KE) and in vivo measures of VL muscle architecture, volume, activation, and patella tendon moment arm were used to calculate VL physiological CSA (PCSA), fascicle force, and specific force in both groups. Achondroplasic muscle volume was 53% smaller than controls (284 ± 36 vs. 604 ± 102 cm3, P < 0.001). KE iMVCτ was 63% lower in achondroplasia compared with controls (95 ± 24 vs. 256 ± 47 N⋅m, P < 0.001). Activation and moment arm length were similar between groups ( P > 0.05), but coactivation of bicep femoris of achondroplasic subjects was 70% more than controls (43 ± 20 vs. 13 ± 5%, P < 0.001). Achondroplasic subjects had 58% less PCSA (43 ± 10 vs. 74.7 ± 14 cm2, P < 0.001), 29% lower fascicle force (702 ± 235 vs. 1704 ± 303 N, P < 0.001), and 29% lower specific force than control subjects (17 ± 6 vs. 24 ± 6 N⋅cm-2, P = 0.012). The smaller VL specific force in achondroplasia may be attributed to infiltration of fat and connective tissue, rather than to any difference in myofilament function. NEW & NOTEWORTHY The novel observation of this study was the measurement of normalized force production in a group of individuals with disproportionate limb length-to-torso ratios.
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Affiliation(s)
- David T Sims
- Health, Exercise and Active Living Research, Manchester Metropolitan University , Cheshire , United Kingdom
| | - Gladys L Onambélé-Pearson
- Health, Exercise and Active Living Research, Manchester Metropolitan University , Cheshire , United Kingdom
| | - Adrian Burden
- Health, Exercise and Active Living Research, Manchester Metropolitan University , Cheshire , United Kingdom
| | - Carl Payton
- Health, Exercise and Active Living Research, Manchester Metropolitan University , Cheshire , United Kingdom
| | - Christopher I Morse
- Health, Exercise and Active Living Research, Manchester Metropolitan University , Cheshire , United Kingdom
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44
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Stebbings GK, Williams AG, Herbert AJ, Lockey SJ, Heffernan SM, Erskine RM, Morse CI, Day SH. TTN
genotype is associated with fascicle length and marathon running performance. Scand J Med Sci Sports 2017; 28:400-406. [DOI: 10.1111/sms.12927] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/30/2017] [Indexed: 01/10/2023]
Affiliation(s)
- G. K. Stebbings
- MMU Sports Genomics Laboratory; Department of Exercise and Sport Science; Manchester Metropolitan University; Crewe UK
| | - A. G. Williams
- MMU Sports Genomics Laboratory; Department of Exercise and Sport Science; Manchester Metropolitan University; Crewe UK
- Institute of Sport, Exercise and Health; University College London; London UK
| | - A. J. Herbert
- MMU Sports Genomics Laboratory; Department of Exercise and Sport Science; Manchester Metropolitan University; Crewe UK
| | - S. J. Lockey
- MMU Sports Genomics Laboratory; Department of Exercise and Sport Science; Manchester Metropolitan University; Crewe UK
- School of Medical Education; Newcastle University; Newcastle upon Tyne UK
| | - S. M. Heffernan
- MMU Sports Genomics Laboratory; Department of Exercise and Sport Science; Manchester Metropolitan University; Crewe UK
| | - R. M. Erskine
- Institute of Sport, Exercise and Health; University College London; London UK
- School of Sport and Exercise Sciences; Liverpool John Moores University; Liverpool UK
| | - C. I. Morse
- MMU Sports Genomics Laboratory; Department of Exercise and Sport Science; Manchester Metropolitan University; Crewe UK
| | - S. H. Day
- MMU Sports Genomics Laboratory; Department of Exercise and Sport Science; Manchester Metropolitan University; Crewe UK
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A scaling method to individualise muscle force capacities in musculoskeletal models of the hand and wrist using isometric strength measurements. Med Biol Eng Comput 2017. [PMID: 28626855 DOI: 10.1007/s11517-017-1662-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Because the force-generating capacities of muscles are currently estimated using anatomical data obtained from cadaver specimens, hand musculoskeletal models provide only a limited representation of the specific features of individual subjects. A scaling method is proposed to individualise muscle capacities using dynamometric measurements and electromyography. For each subject, a strength profile was first defined by measuring net moments during eight maximum isometric contractions about the wrist and metacarpophalangeal joints. The capacities of the five muscle groups were then determined by adjusting several parameters of an initial musculoskeletal model using an optimisation procedure which minimised the differences between measured moments and model estimates. Sixteen volunteers, including three particular participants (one climber, one boxer and one arthritic patient), were recruited. Compared with the initial literature-based model, the estimated subject-specific capacities were on average five times higher for the wrist muscles and twice as high for the finger muscles. The adjustments for particular subjects were consistent with their expected specific characteristics, e.g. high finger flexor capacities for the climber. Using the subject-specific capacities, the model estimates were markedly modified. The proposed protocol and scaling procedure can capture the specific characteristics of the participants and improved the representation of their capacities in the musculoskeletal model.
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Stebbings GK, Williams AG, Morse CI, Day SH. Polymorphisms in PTK2 are associated with skeletal muscle specific force: an independent replication study. Eur J Appl Physiol 2017; 117:713-720. [PMID: 28251396 DOI: 10.1007/s00421-017-3567-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Accepted: 02/08/2017] [Indexed: 02/07/2023]
Abstract
PURPOSE The aim of the study was to investigate two single nucleotide polymorphisms (SNP) in PTK2 for associations with human muscle strength phenotypes in healthy men. METHODS Measurement of maximal isometric voluntary knee extension (MVCKE) torque, net MVCKE torque and vastus lateralis (VL) specific force, using established techniques, was completed on 120 Caucasian men (age = 20.6 ± 2.3 year; height = 1.79 ± 0.06 m; mass = 75.0 ± 10.0 kg; mean ± SD). All participants provided either a blood (n = 96) or buccal cell sample, from which DNA was isolated and genotyped for the PTK2 rs7843014 A/C and rs7460 A/T SNPs using real-time polymerase chain reaction. RESULTS Genotype frequencies for both SNPs were in Hardy-Weinberg equilibrium (X 2 ≤ 1.661, P ≥ 0.436). VL specific force was 8.3% higher in rs7843014 AA homozygotes than C-allele carriers (P = 0.017) and 5.4% higher in rs7460 AA homozygotes than T-allele carriers (P = 0.029). No associations between either SNP and net MVCKE torque (P ≥ 0.094) or peak MVCKE torque (P ≥ 0.107) were observed. CONCLUSIONS These findings identify a genetic contribution to the inter-individual variability within muscle specific force and provides the first independent replication, in a larger Caucasian cohort, of an association between these PTK2 SNPs and muscle specific force, thus extending our understanding of the influence of genetic variation on the intrinsic strength of muscle.
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Affiliation(s)
- Georgina K Stebbings
- MMU Sports Genomics Laboratory, Department of Exercise and Sport Science, Manchester Metropolitan University, Crewe, UK.
| | - A G Williams
- MMU Sports Genomics Laboratory, Department of Exercise and Sport Science, Manchester Metropolitan University, Crewe, UK.,Institute of Sport, Exercise and Health, University College London, London, UK
| | - C I Morse
- MMU Sports Genomics Laboratory, Department of Exercise and Sport Science, Manchester Metropolitan University, Crewe, UK
| | - S H Day
- MMU Sports Genomics Laboratory, Department of Exercise and Sport Science, Manchester Metropolitan University, Crewe, UK
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Lube J, Flack NAMS, Cotofana S, Özkurtul O, Woodley SJ, Zachow S, Hammer N. Pelvic and lower extremity physiological cross-sectional areas: an MRI study of the living young and comparison to published research literature. Surg Radiol Anat 2017; 39:849-857. [DOI: 10.1007/s00276-016-1807-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Accepted: 12/19/2016] [Indexed: 10/20/2022]
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Crescent pyramid and drop-set systems do not promote greater strength gains, muscle hypertrophy, and changes on muscle architecture compared with traditional resistance training in well-trained men. Eur J Appl Physiol 2017; 117:359-369. [DOI: 10.1007/s00421-016-3529-1] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Accepted: 12/28/2016] [Indexed: 01/08/2023]
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Reduced activation in isometric muscle action after lengthening contractions is not accompanied by reduced performance fatigability. Sci Rep 2016; 6:39052. [PMID: 27966620 PMCID: PMC5155269 DOI: 10.1038/srep39052] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Accepted: 11/16/2016] [Indexed: 01/16/2023] Open
Abstract
After active lengthening contractions, a given amount of force can be maintained with less muscle activation compared to pure isometric contractions at the same muscle length and intensity. This increase in neuromuscular efficiency is associated with mechanisms of stretch-induced residual force enhancement. We hypothesized that stretch-related increase in neuromuscular efficiency reduces fatigability of a muscle during submaximal contractions. 13 subjects performed 60 s isometric knee extensions at 60% of maximum voluntary contraction (MVC) with and without prior stretch (60°/s, 20°). Each 60 s trial was preceded and followed by neuromuscular tests consisting of MVCs, voluntary activation (VA) and resting twitches (RT), and there was 4 h rest between sets. We found a significant (p = 0.036) 10% reduction of quadriceps net-EMG after lengthening compared to pure isometric trials. However, increase in neuromuscular efficiency did not influence the development of fatigue. Albeit we found severe reduction of MVC (30%), RT (30%) and VA (5%) after fatiguing trials, there were no differences between conditions with and without lengthening. As the number of subjects showing no activation reduction increased with increasing contraction time, intensity may have been too strenuous in both types of contractions, such that a distinction between different states of fatigue was not possible anymore.
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KULMALA JUHAPEKKA, KORHONEN MARKOT, RUGGIERO LUCA, KUITUNEN SAMI, SUOMINEN HARRI, HEINONEN ARI, MIKKOLA AKI, AVELA JANNE. Walking and Running Require Greater Effort from the Ankle than the Knee Extensor Muscles. Med Sci Sports Exerc 2016; 48:2181-2189. [DOI: 10.1249/mss.0000000000001020] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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