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Devantier-Thomas B, Deakin GB, Crowther F, Schumann M, Doma K. The Impact of Exercise-Induced Muscle Damage on Various Cycling Performance Metrics: A Systematic Review and Meta-Analysis. J Strength Cond Res 2024; 38:1509-1525. [PMID: 38241464 DOI: 10.1519/jsc.0000000000004629] [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: 01/21/2024]
Abstract
ABSTRACT Devantier-Thomas, B, Deakin, GB, Crowther, F, Schumann, M, and Doma, K. The impact of exercise-induced muscle damage on various cycling performance metrics: a systematic review and meta-analysis. J Strength Cond Res 38(8): 1509-1525, 2024-This systematic review and meta-analysis examined the impact of exercise-induced muscle damage (EIMD) on cycling performance. The primary outcome measure was cycling performance, whereas secondary outcome measures included creatine kinase (CK), delayed-onset muscle soreness (DOMS), and muscular contractions. Data were extracted and quantified through forest plots to report on the standardized mean difference and p values. The meta-analysis showed no significant change in oxygen consumption at 24-48 hours ( p > 0.05) after the muscle damage protocol, although ventilation and rating of perceived exertion significantly increased ( p < 0.05) during submaximal cycling protocols. Peak power output during both sprint and incremental cycling performance was significantly reduced ( p < 0.05), but time-trial and distance-trial performance showed no change ( p > 0.05). Measures of CK and DOMS were significantly increased ( p < 0.05), whereas muscular force was significantly reduced following the muscle-damaging protocols ( p < 0.05), confirming that cycling performance was assessed during periods of EIMD. This systematic review showed that EIMD affected both maximal and submaximal cycling performance. Therefore, coaches should consider the effect of EIMD on cycling performance when implementing unaccustomed exercise into a cycling program. Careful consideration should be taken to ensure that additional training does not impair performance and endurance adaptation.
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Affiliation(s)
- Baily Devantier-Thomas
- James Cook University, College of Healthcare Sciences, Sports and Exercise Science, Townsville, Australia; and
| | - Glen B Deakin
- James Cook University, College of Healthcare Sciences, Sports and Exercise Science, Townsville, Australia; and
| | - Fiona Crowther
- James Cook University, College of Healthcare Sciences, Sports and Exercise Science, Townsville, Australia; and
| | | | - Kenji Doma
- James Cook University, College of Healthcare Sciences, Sports and Exercise Science, Townsville, Australia; and
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Faivre-Rampant V, Rakobowchuk M, Tordi N, Mourot L. Cardiovascular Responses to Eccentric Cycling Based on Perceived Exertion Compared to Concentric Cycling, Effect of Pedaling Rate, and Sex. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 21:59. [PMID: 38248524 PMCID: PMC10815134 DOI: 10.3390/ijerph21010059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 12/20/2023] [Accepted: 12/29/2023] [Indexed: 01/23/2024]
Abstract
Interest in eccentric exercises has increased over the last decades due to its efficiency in achieving moderate-high intensity muscular work with reduced metabolic demands. However, individualizing eccentric exercises in rehabilitation contexts remains challenging, as concentric exercises mainly rely on cardiovascular parameters. To overcome this, perceived exertion could serve as an individualization tool, but the knowledge about cardiovascular responses to eccentric cycling based on perceived exertion are still scarce. For this purpose, the cardiorespiratory parameters of 26 participants were assessed during two 5 min bouts of concentric cycling at 30 and 60 rpm and two bouts of eccentric cycling at 15 and 30 rpm matched for rating of perceived exertion. With this method, we hypothesized higher exercise efficiency during eccentric cycling for a same perceived exertion. The results revealed significantly elevated heart rate and cardiac index at higher pedalling rates during concentric (p < 0.001), but not during eccentric cycling (p ≈ 1). Exercise efficiency was higher during concentric cycling (64%), decreasing with pedalling rate, while eccentric cycling exhibited increased work rates (82%), and increased by over 100% with higher pedalling rate. Hence, eccentric cycling, with lower cardiorespiratory work for the same perceived exertion, facilitates higher work rates in deconditioned populations. However, further studies are needed for effective individualization.
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Affiliation(s)
- Victorien Faivre-Rampant
- MPFRPV, Exercise Performance Health Innovation (EPHI) Platform, Université de Franche-Comté, F-25000 Besançon, France;
- UMRS 1075—Mobilités: Vieillissement, Pathologie, Santé, COMETE, University of Normandie, F-14000 Caen, France
- Department of Automatics, Biocybernetics, and Robotics, Jozef Stefan Institut, SI-1000 Ljubljana, Slovenia
- Jožef Stefan International Postgraduate School, Jamova cesta 39, 1000 Ljubljana, Slovenia
| | - Mark Rakobowchuk
- Department of Biological Sciences, Faculty of Science, Thompson Rivers University, Kamloops, BC V2C 0C8, Canada
| | - Nicolas Tordi
- PEPITE, Exercise Performance Health Innovation (EPHI) Platform, Université de Franche-Comté, F-25000 Besançon, France
| | - Laurent Mourot
- MPFRPV, Exercise Performance Health Innovation (EPHI) Platform, Université de Franche-Comté, F-25000 Besançon, France;
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Ueda H, Saegusa R, Tsuchiya Y, Ochi E. Pedal cadence does not affect muscle damage to eccentric cycling performed at similar mechanical work. Front Physiol 2023; 14:1140359. [PMID: 36969610 PMCID: PMC10036782 DOI: 10.3389/fphys.2023.1140359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Accepted: 02/24/2023] [Indexed: 03/12/2023] Open
Abstract
Purpose: This study aimed to investigate muscle damage when performing equal mechanical work of fast and slow pedaling speed by eccentric muscle actions (ECCs) cycling.Methods: Nineteen young men [mean ± standard deviation (SD) age: 21.0 ± 2.2 years; height: 172.7 ± 5.9 cm; and body mass: 70.2 ± 10.5 kg] performed maximal effort of ECCs cycling exercise with fast speed (Fast) and slow speed trials (Slow). First, subjects performed the Fast for 5 min by one leg. Second, Slow performed until the total mechanical work was equal to that generated during Fast other one leg. Changes in maximal voluntary isometric contraction (MVC) torque of knee extension, isokinetic pedaling peak torque (IPT), range of motion (ROM), muscle soreness, thigh circumference, muscle echo intensity, and muscle stiffness were assessed before exercise, and immediately after exercise, and 1 and 4 days after exercise.Results: Exercise time was observed in the Slow (1422.0 ± 330.0 s) longer than Fast (300.0 ± 0.0 s). However, a significant difference was not observed in total work (Fast:214.8 ± 42.4 J/kg, Slow: 214.3 ± 42.2 J/kg). A significant interaction effect was not observed in peak values of MVC torque (Fast:1.7 ± 0.4 Nm/kg, Slow: 1.8 ± 0.5 Nm/kg), IPT, muscle soreness (Fast:4.3 ± 1.6 cm, Slow: 4.7 ± 2.9 cm). In addition, ROM, circumference, muscle thickness, muscle echo intensity, and muscle stiffness also showed no significant interaction.Conclusion: The magnitude of muscle damage is similar for ECCs cycling with equal work regardless of velocity.
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Affiliation(s)
- Hisashi Ueda
- Faculty of Healthcare and Medical Sports, Teikyo Heisei University, Chiba, Japan
| | - Riki Saegusa
- Faculty of Bioscience and Applied Chemistry, Hosei University, Tokyo, Japan
| | - Yosuke Tsuchiya
- Center for Liberal Arts, Laboratory of Health and Sports Sciences, Meiji Gakuin University, Yokohama, Japan
| | - Eisuke Ochi
- Faculty of Bioscience and Applied Chemistry, Hosei University, Tokyo, Japan
- Graduate School of Sports and Health Studies, Hosei University, Tokyo, Japan
- *Correspondence: Eisuke Ochi,
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Heidorn CE, Elmer SJ, Wehmanen KW, Martin JC, McDaniel J. Single-leg cycling to maintain and improve function in healthy and clinical populations. Front Physiol 2023; 14:1105772. [PMID: 37187959 PMCID: PMC10175616 DOI: 10.3389/fphys.2023.1105772] [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: 11/23/2022] [Accepted: 04/11/2023] [Indexed: 05/17/2023] Open
Abstract
Exercise with reduced muscle mass facilitates greater muscle-specific adaptations than training with larger muscle mass. The smaller active muscle mass can demand a greater portion of cardiac output which allows muscle(s) to perform greater work and subsequently elicit robust physiological adaptations that improve health and fitness. One reduced active muscle mass exercise that can promote greater positive physiological adaptations is single-leg cycling (SLC). Specifically, SLC confines the cycling exercise to a smaller muscle mass resulting in greater limb specific blood flow (i.e., blood flow is no longer "shared" by both legs) which allows the individual to exercise at a greater limb specific intensity or for a longer duration. Numerous reports describing the use of SLC have established cardiovascular and/or metabolic benefits of this exercise modality for healthy adults, athletes, and individuals living with chronic diseases. SLC has served as a valuable research tool for understanding central and peripheral factors to phenomena such as oxygen uptake and exercise tolerance (i.e., V̇O2peak and V̇O2 slow component). Together, these examples highlight the breadth of applications of SLC to promote, maintain, and study health. Accordingly, the purpose of this review was to describe: 1) acute physiological responses to SLC, 2) long-term adaptations to SLC in populations ranging from endurance athletes to middle aged adults, to individuals living with chronic disease (COPD, heart failure, organ transplant), and 3) various methods utilized to safely perform SLC. A discussion is also included on clinical application and exercise prescription of SLC for the maintenance and/or improvement of health.
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Affiliation(s)
- C. Eric Heidorn
- Vascular Health Lab, Exercise Physiology, Kent State University, Kent, OH, United States
- Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States
- *Correspondence: C. Eric Heidorn,
| | - Steven J. Elmer
- Department of Kinesiology and Integrative Physiology, Michigan Technological University, Houghton, MI, United States
- Health Research Institute, Michigan Technological University, Houghton, MI, United States
| | - Kyle W. Wehmanen
- Department of Kinesiology and Integrative Physiology, Michigan Technological University, Houghton, MI, United States
- Health Research Institute, Michigan Technological University, Houghton, MI, United States
| | - James C. Martin
- Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, United States
| | - John McDaniel
- Vascular Health Lab, Exercise Physiology, Kent State University, Kent, OH, United States
- Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States
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Contreras-Briceño F, Espinosa-Ramírez M, Rozenberg D, Reid WD. Eccentric Training in Pulmonary Rehabilitation of Post-COVID-19 Patients: An Alternative for Improving the Functional Capacity, Inflammation, and Oxidative Stress. BIOLOGY 2022; 11:biology11101446. [PMID: 36290350 PMCID: PMC9598133 DOI: 10.3390/biology11101446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 09/23/2022] [Accepted: 09/27/2022] [Indexed: 01/08/2023]
Abstract
The purpose of this narrative review is to highlight the oxidative stress induced in COVID-19 patients (SARS-CoV-2 infection), describe longstanding functional impairments, and provide the pathophysiologic rationale that supports aerobic eccentric (ECC) exercise as a novel alternative to conventional concentric (CONC) exercise for post-COVID-19 patients. Patients who recovered from moderate-to-severe COVID-19 respiratory distress demonstrate long-term functional impairment. During the acute phase, SARS-CoV-2 induces the generation of reactive oxygen species that can be amplified to a "cytokine storm". The resultant inflammatory and oxidative stress process causes organ damage, particularly in the respiratory system, with the lungs as the tissues most susceptible to injury. The acute illness often requires a long-term hospital stay and consequent sarcopenia. Upon discharge, muscle weakness compounded by limited lung and cardiac function is often accompanied by dyspnea, myalgia, anxiety, depression, and sleep disturbance. Consequently, these patients could benefit from pulmonary rehabilitation (PR), with exercise as a critical intervention (including sessions of strength and endurance or aerobic exercises). Unfortunately, conventional CONC exercises induce significant cardiopulmonary stress and increase inflammatory and oxidative stress (OS) when performed at moderate/high intensity, which can exacerbate debilitating dyspnoea and muscle fatigue post-COVID-19. Eccentric training (ECC) is a well-tolerated alternative that improves muscle mass while mitigating cardiopulmonary stress in patients with COPD and other chronic diseases. Similar benefits could be realized in post-COVID-19 patients. Consequently, these patients could benefit from PR with exercise as a critical intervention.
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Affiliation(s)
- Felipe Contreras-Briceño
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Av. Vicuña Mackenna #4860, Santiago 7820436, Chile
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, 08028 Barcelona, Spain
- Advanced Center for Chronic Diseases (ACCDiS), Division of Cardiovascular Diseases, Facultad de Medicina, Pontificia Universidad Católica de Chile, Marcoleta #367, Santiago 8380000, Chile
- Millennium Institute for Intelligent Healthcare Engineering, Av. Vicuña Mackenna #4860, Santiago 7820436, Chile
- Correspondence: ; Tel.: +56-9-82288153
| | - Maximiliano Espinosa-Ramírez
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Av. Vicuña Mackenna #4860, Santiago 7820436, Chile
| | - Dmitry Rozenberg
- Department of Medicine, Respirology, University of Toronto, Toronto, ON M5G 2C4, Canada
- Toronto General Hospital, Research Institute, University Health Network, Toronto, ON M5G 2C4, Canada
| | - W. Darlene Reid
- Department of Physical Therapy and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON M5G 2C4, Canada
- KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON M5G 2A2, Canada
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Effects of eccentric vs concentric cycling training on patients with moderate COPD. Eur J Appl Physiol 2021; 122:489-502. [PMID: 34799753 DOI: 10.1007/s00421-021-04850-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 11/12/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE The present study compared the effects of eccentric cycling (ECC) and conventional concentric cycling (CONC) training on muscle function, body composition, functional performance, and quality of life (QOL) of patients with moderate chronic obstructive pulmonary disease (COPD). METHODS Twenty patients (age: 69.6 ± 10.1 years, forced expiratory volume in 1-s: 73.2 ± 11.4% of predicted) were randomly allocated to ECC (n = 10) or CONC (n = 10) group. They performed 12 weeks of ECC or CONC training at similar perceived exertion. The workload, heart rate (HR), blood oxygen saturation (SpO2), and dyspnea were monitored during cycling. Outcomes measures included maximal voluntary isometric contraction (MVC) strength of the knee extensors, rate of force development (RFD), lower limb fat-free (LLFFM) and fat (LLFM) mass, 6-min walking test (6MWT), timed up-and-go test (TUG), stairs ascending (SAWT) and descending walking time (SDWT), and QOL assessed by the Saint George's respiratory questionnaire. RESULTS ECC produced on average threefold greater (P < 0.001) workload (211.8 ± 106.0 kJ) than CONC (78.1 ± 62.6 kJ) over 34 training sessions. ECC showed 1.5 ± 2.1% greater SpO2, 24.7 ± 4.1% lower HR, and 64.4 ± 29.6% lower dyspnea in average than CONC (P < 0.001). ECC increased LLFFM (4.5 ± 6.2%; P = 0.03), while CONC decreased LLFM (3.3 ± 6.4%; P = 0.04) after training. Both ECC and CONC reduced (P < 0.05) SAWT (- 16.1 ± 9.3% vs - 10.1 ± 14.4%) and SDWT (- 12.2 ± 12.6% vs - 14.4 ± 14.7%), and improved (P < 0.05) QOL (33.4 ± 38.8 vs 26.1 ± 36.6%) similarly, but only ECC improved (P < 0.05) RFD (69-199%), TUG (13.6 ± 13.6%), and 6MWT (25.3 ± 27.7%). CONCLUSION These results suggest that ECC training with less cardio-pulmonary demands was more effective in increasing functional performance and muscle mass for COPD patients than CONC training.
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Walsh JA, Stapley PJ, Shemmell J, McAndrew DJ. Reliability of a Protocol to Elicit Peak Measures Generated by the Lower Limb for Semi-recumbent Eccentric Cycling. Front Sports Act Living 2021; 3:653699. [PMID: 34027403 PMCID: PMC8132294 DOI: 10.3389/fspor.2021.653699] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 03/22/2021] [Indexed: 01/10/2023] Open
Abstract
Semi-recumbent eccentric (ECC) cycling is increasingly used in studies of exercise with healthy and clinical populations. However, workloads are generally prescribed using measures obtained during regular concentric cycling. Therefore, the purpose of the study was to quantify the reliability of measures derived from a protocol that elicited peak ECC torque produced by the lower limb in a semi-recumbent position. Experiments were carried out on a dynamometer in a seated, semi-recumbent position identical to that of a custom-built ECC cycle, a modified Monark recumbent cycle. Thirty healthy participants completed two testing sessions. Each session comprised three series of six repetitions of a peak ECC torque protocol (PETP) on an isokinetic dynamometer. Absolute and relative reliability of peak torque, power, angle of peak torque, and work (recorded for each repetition) was determined using coefficient of variation (CV) and intraclass correlation coefficient (ICC), respectively. Ratings of perceived exertion (RPE), muscle soreness, and perceived effort (PE) were recorded pre-PETP, immediately post-PETP, and 1-min post each PETP. The protocol showed absolute reliability values <15% for mean peak (CV = 10.6-12.1) torque, power (CV = 10.4-12.3), angle of peak torque (CV = 1.2-1.4), and work (CV = 9.7-12.1). Moderate to high between-test relative reliability is reported for mean and highest torque (ICC = 0.84-0.95; ICC = 0.88-0.98), power (ICC = 0.84-0.94; ICC = 0.89-0.98), and work (ICC = 0.84-0.93; ICC = 0.88-0.98), respectively. Within-session peak torque, peak power, and peak work showed high relative reliability for mean (ICC = 0.92-0.95) and highest (ICC = 0.92-0.97) values. Overall, the PETP test provides a reliable way of determining peak ECC torque specific to semi-recumbent ECC cycling that may be used to prescribe workloads for this form of exercise.
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Affiliation(s)
- Joel A Walsh
- Neural Control of Movement Laboratory, Faculty of Science, Medicine and Health, School of Medicine, University of Wollongong, Wollongong, NSW, Australia
| | - Paul J Stapley
- Neural Control of Movement Laboratory, Faculty of Science, Medicine and Health, School of Medicine, University of Wollongong, Wollongong, NSW, Australia
| | - Jonathan Shemmell
- Neuromotor Adaptation Laboratory, Faculty of Science, Medicine and Health, School of Medicine, University of Wollongong, Wollongong, NSW, Australia
| | - Darryl J McAndrew
- Neural Control of Movement Laboratory, Faculty of Science, Medicine and Health, School of Medicine, University of Wollongong, Wollongong, NSW, Australia
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Huang YC, Cheng ML, Tang HY, Huang CY, Chen KM, Wang JS. Eccentric Cycling Training Improves Erythrocyte Antioxidant and Oxygen Releasing Capacity Associated with Enhanced Anaerobic Glycolysis and Intracellular Acidosis. Antioxidants (Basel) 2021; 10:antiox10020285. [PMID: 33668606 PMCID: PMC7918820 DOI: 10.3390/antiox10020285] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 02/09/2021] [Accepted: 02/10/2021] [Indexed: 11/20/2022] Open
Abstract
The antioxidant capacity of erythrocytes protects individuals against the harmful effects of oxidative stress. Despite improved hemodynamic efficiency, the effect of eccentric cycling training (ECT) on erythrocyte antioxidative capacity remains unclear. This study investigates how ECT affects erythrocyte antioxidative capacity and metabolism in sedentary males. Thirty-six sedentary healthy males were randomly assigned to either concentric cycling training (CCT, n = 12) or ECT (n = 12) at 60% of the maximal workload for 30 min/day, 5 days/week for 6 weeks or to a control group (n = 12) that did not receive an exercise intervention. A graded exercise test (GXT) was performed before and after the intervention. Erythrocyte metabolic characteristics and O2 release capacity were determined by UPLC-MS and high-resolution respirometry, respectively. An acute GXT depleted Glutathione (GSH), accumulated Glutathione disulfide (GSSG), and elevated the GSSG/GSH ratio, whereas both CCT and ECT attenuated the extent of the elevated GSSG/GSH ratio caused by a GXT. Moreover, the two exercise regimens upregulated glycolysis and increased glucose consumption and lactate production, leading to intracellular acidosis and facilitation of O2 release from erythrocytes. Both CCT and ECT enhance antioxidative capacity against severe exercise-evoked circulatory oxidative stress. Moreover, the two exercise regimens activate erythrocyte glycolysis, resulting in lowered intracellular pH and enhanced O2 released from erythrocytes.
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Affiliation(s)
- Yu-Chieh Huang
- Department of Physical Therapy, College of Medical and Health Science, Asia University, Taichung 413, Taiwan;
| | - Mei-Ling Cheng
- Metabolomics Core Laboratory, Healthy Aging Research Center, Chang Gung University, Taoyuan 333, Taiwan; (M.-L.C.); (H.-Y.T.)
- Clinical Metabolomics Core Laboratory, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan
- Department of Biomedical Sciences, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan
| | - Hsiang-Yu Tang
- Metabolomics Core Laboratory, Healthy Aging Research Center, Chang Gung University, Taoyuan 333, Taiwan; (M.-L.C.); (H.-Y.T.)
| | - Chi-Yao Huang
- Healthy Aging Research Center, Graduate Institute of Rehabilitation Science, Medical Collage, Chang Gung University, Taoyuan 333, Taiwan; (C.-Y.H.); (K.-M.C.)
| | - Kuan-Ming Chen
- Healthy Aging Research Center, Graduate Institute of Rehabilitation Science, Medical Collage, Chang Gung University, Taoyuan 333, Taiwan; (C.-Y.H.); (K.-M.C.)
| | - Jong-Shyan Wang
- Healthy Aging Research Center, Graduate Institute of Rehabilitation Science, Medical Collage, Chang Gung University, Taoyuan 333, Taiwan; (C.-Y.H.); (K.-M.C.)
- Heart Failure Center, Department of Physical Medicine and Rehabilitation, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan
- Research Center for Chinese Herbal Medicine, College of Human Ecology, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan
- Correspondence: ; Tel.: +886-3-2118800 (ext. 5748); Fax: +886+886-3-2118700
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Green DJ, Thomas K, Howatson G. Greater decrements in neuromuscular function following interval compared to continuous eccentric cycling. Eur J Sport Sci 2021; 22:200-208. [PMID: 33256553 DOI: 10.1080/17461391.2020.1858174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Our aim was to determine the demands and consequences of a single session of continuous (CONT) or interval (INT) eccentric cycling. Fourteen healthy males performed 'work-matched' CONT and INT eccentric cycling in a cross over design. Measures of maximal voluntary contraction (MVC), resting twitch force, voluntary activation (VA), muscle soreness and creatine kinase (CK) were taken at baseline, immediately post, and 24, 48 and 72 h post the first exercise bout. The second bout was used to characterise within session demands. Decreases in MVC (INT 19%, CONT 13%), twitch force (INT 31%, CONT 18%), and VA (INT 10%, CONT 6%) were observed immediately post session (p < 0.05). Reductions in twitch force were greater after INT (p < 0.05) and lasted 48 h. Muscle soreness was greater following INT, versus CONT (p < 0.05), although no differences in CK were observed. Metabolic demands (% of V̇O2peak and [BLa]) were greater during INT vs. CONT (32 ± 6% 28 ± 6%; p < 0.001), [BLa] (1.0 ± 0.4 vs. 0.8 ± 0.2 mmol·L-1; p < 0.001) and RPE (12 ± 1 vs. 11 ± 1; p < 0.001), respectively. Total time under tension was 48% greater in CONT compared to INT (p < 0.001), whereas average torque (during exercise) was 40% greater during INT compared to CONT (p < 0.001). Interval eccentric cycling exacerbates muscle soreness, decrements in muscle function and lengthens recovery compared to a work matched continuous bout, which is attributable to increased force rather than time under tension.
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Affiliation(s)
- David James Green
- Faculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK.,English Institute of Sport, Loughborough, UK
| | - Kevin Thomas
- Faculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK
| | - Glyn Howatson
- Faculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK.,Water Research Group, School of Environmental Sciences and Development, Northwest University, Potchefstroom, South Africa
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Tanghe KK, Martin JC. Heavy and Explosive Training Differentially Affect Modeled Cyclic Muscle Power. Med Sci Sports Exerc 2020; 52:1068-1075. [PMID: 31809414 DOI: 10.1249/mss.0000000000002237] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
INTRODUCTION/PURPOSE Muscular power is important in applications ranging from elite sport to activities of daily living. Results for improvements in power after resistance training have been mixed, possibly because of changes in muscle activation and deactivation rates. Our purpose was to determine the effects of heavy and explosive training programs on maximal power across a range of frequencies during cyclical contractions using a mathematical model. METHODS Maximal force production and time constants for muscle activation and deactivation after heavy and explosive training programs were determined using previously reported data. A muscle-tendon model was subjected to sinusoidal length change, and activation and deactivation were set to maximize power for a range of cycle frequencies (0.5-3.0 Hz). Power for shortening/lengthening cycles was modeled for each training program and for a hypothetical periodized program with the best results from each program. RESULTS The heavy training program increased strength by 26.8%, and increased time required for activation (20%) and deactivation (48%). The explosive training program increased strength by 10.8%, but decreased time required for activation (24%) and deactivation (10%). Increases in maximal power were similar after heavy (13.6%) and explosive (13.8%) training, but with different power-frequency relationships (optimal frequencies of 1.56 and 1.94 Hz for heavy and explosive, respectively). The hypothetical periodized program increased power by 30.3% (optimal frequency at 1.94 Hz). CONCLUSION Power during low-frequency movements (e.g., swimming) improved more after heavy training, whereas power during high-frequency movements (e.g., running) improved more after explosive training. These findings suggest that changes in time required for activation and deactivation in response to training are highly influential for maximal power across a range of functional frequencies, ultimately altering the ideal training regimen for specific activities.
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Affiliation(s)
- Kira K Tanghe
- Department of Health Kinesiology and Recreation, University of Utah, Salt Lake City, UT
| | - James C Martin
- Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT
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Ueda H, Tsuchiya Y, Ochi E. Fast-Velocity Eccentric Cycling Exercise Causes Greater Muscle Damage Than Slow Eccentric Cycling. Front Physiol 2020; 11:596640. [PMID: 33381052 PMCID: PMC7767822 DOI: 10.3389/fphys.2020.596640] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 11/03/2020] [Indexed: 11/16/2022] Open
Abstract
This study aims to investigate muscle damage occurring in the early and recovery phases after fast-velocity and slow-velocity eccentric cycling. Eleven untrained men (age, 20.0 ± 1.7 years; height, 171.3 ± 6.8 cm; weight, 61.8 ± 7.7 kg; and %body fat, 13.2 ± 2.9%) performed slow-velocity maximal isokinetic eccentric cycling (slow-velocity; 30°/s) with one leg and fast-velocity (fast-velocity; 210°/s) isokinetic eccentric cycling with the other leg. Changes in maximal voluntary isokinetic concentric contraction (MVCC) torque at velocities of 30 and 210°/s, range of motion (ROM), and muscle soreness were assessed by pressure using a digital muscle stiffness instrument; thigh circumference, muscle echo intensity, and muscle stiffness were assessed before exercise, and immediately after exercise, 1 day, and 4 days after exercise. Comparing with the results obtained for slow-velocity cycling (post: 215.9 ± 32.3 Nm, day 1: 192.9 ± 47.4 Nm, day 4: 184.3 ± 47.2 Nm) and before exercise, MVCC after fast-velocity cycling significantly decreased at immediately (160.4 ± 43.5 Nm), 1 day (143.6 ± 54.1 Nm), and 4 days (150.1 ± 44.5 Nm) after exercise (p < 0.05). Significant increase in muscle soreness for vastus lateralis was observed after fast-velocity cycling (41.2 ± 16.9 mm) compared with slow-velocity cycling (23.7 ± 12.2 mm) 4 days after exercise (p < 0.05). However, no significant difference in muscle soreness was observed for rectus femoris and vastus medialis at any time points after exercise. In addition, no significant differences were observed in the ROM, thigh circumference, muscle echo intensity, and muscle stiffness. In conclusion, fast-velocity eccentric cycling causes a decrease in muscle strength and an increase in soreness as compared to slow-velocity eccentric cycling.
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Affiliation(s)
- Hisashi Ueda
- Faculty of Health and Medical Science, Teikyo Heisei University, Tokyo, Japan
| | - Yosuke Tsuchiya
- Laboratory of Health and Sports Sciences, Meiji Gakuin University, Kanagawa, Japan
| | - Eisuke Ochi
- Faculty of Bioscience and Applied Chemistry, Hosei University, Tokyo, Japan.,Graduate School of Sports and Health Studies, Hosei University, Tokyo, Japan
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Staples TJ, Do-Duc AA, Link JE, Martin JC. Emphasizing one leg facilitates single-leg training using standard cycling equipment. Scand J Med Sci Sports 2020; 30:1017-1023. [PMID: 32077131 DOI: 10.1111/sms.13638] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 01/06/2020] [Accepted: 02/17/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE Single-leg cycling exercise is one of the most potent, but underutilized, stimuli for promoting peripheral muscle respiratory capacity. Special ergometers used to facilitate single-leg cycling, while maintaining biomechanics similar to double-leg cycling, are not widely available. This lack of availability of specialized ergometers may explain why single-leg cycling has not been widely implemented as standard clinical practice. Therefore, we explored the extent to which participants could emphasize one leg and de-emphasize the other to perform "single-leg emphasis cycling" using standard cycle ergometers. METHODS Sixteen athletic participants performed single-leg emphasis cycling, emphasizing each leg in separate trials, and double-leg cycling. Pedal forces and limb kinematics were collected and used to calculate joint-specific work and power at the ankle, knee, and hip. RESULTS Study participants were able to produce approximately three times as much power with their emphasized leg compared to the de-emphasized leg during single-leg emphasis cycling. Ankle plantar flexion, dorsiflexion, knee extension, and hip extension work produced during single-leg emphasis cycling did not differ from those during double-leg cycling (all P > .60). Hip and knee flexion work during single-leg emphasis cycling exhibited small but significant differences (both P < .05) from double-leg cycling. CONCLUSIONS These results demonstrate that single-leg emphasis cycling provides a convenient alternative to single-leg cycling requiring specialized ergometers, therefore, facilitating improved training in clinical and athletic populations using commonly available equipment. Further, biomechanics during single-leg emphasis cycling closely approximated double-leg cycling ensuring that training adaptations are highly applicable to double-leg cycling.
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Ochi E, Ueda H, Tsuchiya Y, Kouzaki K, Nakazato K. Eccentric contraction-induced muscle damage in human flexor pollicis brevis is accompanied by impairment of motor nerve. Scand J Med Sci Sports 2019; 30:462-471. [PMID: 31663641 DOI: 10.1111/sms.13589] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 09/11/2019] [Accepted: 10/28/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Eccentric contractions (ECCs) cause muscle damage. In addition, we showed that ECCs induce nerve dysfunction and damage with rats and human. PURPOSE We aimed to evaluate motor nerve conduction velocity (MCV) for flexor pollicis brevis muscle (FPBM) after ECCs. METHODS Twelve men (years, 19.8 ± 1.7 years; height, 172.4 ± 7.0 cm; weight, 64.0 ± 8.6 kg) performed maximal 100 ECCs on their FPBM of non-dominant hands with torque dynamometer. The dominant hands were control (CON). Maximal voluntary contraction (MVC), range of motion (ROM), DOMS, and MCV were assessed before, immediately post, and 1, 2, and 5 days after ECCs. MCV was calculated as the distance by stimulation divided by the latencies of the waveforms generated. Values were statistically analyzed by two-way ANOVA, and the significance level was set at P < .05. RESULTS Decreases in MVC immediately (-32.9%) to 5 days after ECCs were significantly greater (P < .05) than for the CON group. ROM showed a significant decrease immediately (-21.6%) after ECCs compared with before ECCs and CON group (P < .05). DOMS after ECCs increased at 1 and 2 days (5.0 cm) after ECCs compared with before ECCs and CON (P < .05). Also, MCV after ECCs delayed significantly from immediately (-36.4%), 1, 2, and 5 days after ECCs compared with CON (P < .05), while no significant change in M-wave amplitude was observed over time for both ECCs and CON. CONCLUSION The present study showed that ECCs of the FPBM cause a significant delay in MCV of median nerve.
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Affiliation(s)
- Eisuke Ochi
- Faculty of Bioscience and Applied Chemistry, Hosei University, Tokyo, Japan
| | - Hisashi Ueda
- Faculty of Health Care and Medical Sports, Teikyo Heisei University, Chiba, Japan
| | - Yosuke Tsuchiya
- Faculty of Modern Life, Teikyo Heisei University, Tokyo, Japan
| | - Karina Kouzaki
- Research Institute for Sport Science, Nippon Sport Science University, Tokyo, Japan
| | - Koichi Nakazato
- Department of Exercise Physiology, Nippon Sport Science University, Tokyo, Japan
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Lytle LL, Dannenbring JL, Kilgas MA, Elmer SJ. Eccentric Arm Cycling: A Potential Exercise for Wheelchair Users. Arch Phys Med Rehabil 2019; 100:914-922. [DOI: 10.1016/j.apmr.2018.11.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 10/17/2018] [Accepted: 11/12/2018] [Indexed: 11/25/2022]
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Clos P, Laroche D, Stapley PJ, Lepers R. Neuromuscular and Perceptual Responses to Sub-Maximal Eccentric Cycling. Front Physiol 2019; 10:354. [PMID: 30984032 PMCID: PMC6447677 DOI: 10.3389/fphys.2019.00354] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 03/14/2019] [Indexed: 11/13/2022] Open
Abstract
Objective Eccentric (ECC) cycle-ergometers have recently become commercially-available, offering a novel method for rehabilitation training. Many studies have reported that ECC cycling enables the development of higher levels of muscular force at lower cardiorespiratory and metabolic loads, leading to greater force enhancements after a training period. However, fewer studies have focused on the specific perceptual and neuromuscular changes. As the two latter aspects are of major interest in clinical settings, this review aimed to present an overview of the current literature centered on the neuromuscular and perceptual responses to submaximal ECC cycling in comparison to concentric (CON) cycling. Design Narrative review of the literature. Results At a given mechanical workload, muscle activation is lower in ECC than in CON while the characteristics of the musculo-articular system (i.e., muscle-tendon unit, fascicle, and tendinous tissue length) are quite similar. At a given heart rate or oxygen consumption, ECC cycling training results in greater muscular hypertrophy and strength gains than CON cycling. On the contrary, CON cycling training seems to enhance more markers of muscle aerobic metabolism than ECC cycling performed at the same heart rate intensity. Data concerning perceptual responses, and neuromuscular mechanisms leading to a lower muscle activation (i.e., neural commands from cortex to muscular system) at a given mechanical workload are scarce. Conclusion Even though ECC cycling appears to be a very useful tool for rehabilitation purposes the perceptual and neural commands from cortex to muscular system during exercise need to be further studied.
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Affiliation(s)
- Pierre Clos
- CAPS UMR1093, Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Bourgogne-Franche Comté, Dijon, France
| | - Davy Laroche
- CAPS UMR1093, Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Bourgogne-Franche Comté, Dijon, France.,INSERM CIC 1432, Plateforme d'Investigation Technologique, University Hospital of Dijon, Dijon, France
| | - Paul J Stapley
- Neural Control of Movement Group, Faculty of Science, Medicine and Health, School of Medicine, Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
| | - Romuald Lepers
- CAPS UMR1093, Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Bourgogne-Franche Comté, Dijon, France
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Implications of Impaired Endurance Performance following Single Bouts of Resistance Training: An Alternate Concurrent Training Perspective. Sports Med 2018; 47:2187-2200. [PMID: 28702901 DOI: 10.1007/s40279-017-0758-3] [Citation(s) in RCA: 50] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
A single bout of resistance training induces residual fatigue, which may impair performance during subsequent endurance training if inadequate recovery is allowed. From a concurrent training standpoint, such carry-over effects of fatigue from a resistance training session may impair the quality of a subsequent endurance training session for several hours to days with inadequate recovery. The proposed mechanisms of this phenomenon include: (1) impaired neural recruitment patterns; (2) reduced movement efficiency due to alteration in kinematics during endurance exercise and increased energy expenditure; (3) increased muscle soreness; and (4) reduced muscle glycogen. If endurance training quality is consistently compromised during the course of a specific concurrent training program, optimal endurance development may be limited. Whilst the link between acute responses of training and subsequent training adaptation has not been fully established, there is some evidence suggesting that cumulative effects of fatigue may contribute to limiting optimal endurance development. Thus, the current review will (1) explore cross-sectional studies that have reported impaired endurance performance following a single, or multiple bouts, of resistance training; (2) identify the potential impact of fatigue on chronic endurance development; (3) describe the implications of fatigue on the quality of endurance training sessions during concurrent training, and (4) explain the mechanisms contributing to resistance training-induced attenuation on endurance performance from neurological, biomechanical and metabolic standpoints. Increasing the awareness of resistance training-induced fatigue may encourage coaches to consider modulating concurrent training variables (e.g., order of training mode, between-mode recovery period, training intensity, etc.) to limit the carry-over effects of fatigue from resistance to endurance training sessions.
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Ives SJ, Bloom S, Matias A, Morrow N, Martins N, Roh Y, Ebenstein D, O'Brien G, Escudero D, Brito K, Glickman L, Connelly S, Arciero PJ. Effects of a combined protein and antioxidant supplement on recovery of muscle function and soreness following eccentric exercise. J Int Soc Sports Nutr 2017; 14:21. [PMID: 28680370 PMCID: PMC5496333 DOI: 10.1186/s12970-017-0179-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2017] [Accepted: 06/27/2017] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND An acute bout of eccentric contractions (ECC) cause muscle fiber damage, inflammation, impaired muscle function (MF) and muscle soreness (MS). Individually, protein (PRO) and antioxidant (AO) supplementation may improve some aspects of recovery from ECC, though have yet to be combined. We sought to determine if combined PRO and AO supplementation (PRO + AO) improves MS and MF following damaging ECC over PRO alone. METHODS Sixty sedentary college-aged males participated in a randomized, single-blind, parallel design study of peak isometric torque (PIMT), peak isokinetic torque (PIKT), thigh circumference (TC), and muscle soreness (MS) of knee extensor muscles measured at baseline, immediately after and 1, 2, 6, and 24 h after completion of 100 maximal ECC. Immediately, 6 h, and 22 h post-ECC, participants consumed either: carbohydrate control (CHO; n = 14), PRO (n = 16), or PRO + AO (n = 17). RESULTS At baseline MS, TC, MF, macro- and micro-nutrient intakes, and total work during the ECC were not different between groups (p > 0.05). PIMT and PIKT (both -25%∆), TC (~1%∆) and MS (~35%∆) all changed with time (p < 0.05). We observed a group by time effect for PIKT (PRO + AO and PRO > CHO, p < 0.05). At 24 h post ECC, there was a trend towards improved relative PIMT (~11%) and PIKT (~17%) for PRO + AO (~17%) and PRO (~11%) compared to CHO. An interaction indicated PRO + AO had lowest MS over time (PRO + AO > PRO & CHO, p < 0.05). CONCLUSIONS Our results suggest PRO facilitates recovery of muscle function within 24 h following ECC, and addition of AO ameliorates MS more than PRO or CHO alone.
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Affiliation(s)
- Stephen J Ives
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Samuel Bloom
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Alexs Matias
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Noelle Morrow
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Natalya Martins
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Yookee Roh
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Daniel Ebenstein
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Gabriel O'Brien
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Daniela Escudero
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Kevin Brito
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | - Leah Glickman
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA
| | | | - Paul J Arciero
- Human Nutrition & Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, 815 N. Broadway, Saratoga Springs, NY, 12866, USA.
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CHASLAND LAURENC, GREEN DANIELJ, MAIORANA ANDREWJ, NOSAKA KAZUNORI, HAYNES ANDREW, DEMBO LAWRENCEG, NAYLOR LOUISEH. Eccentric Cycling. Med Sci Sports Exerc 2017; 49:646-651. [DOI: 10.1249/mss.0000000000001151] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Karagiannis C, Savva C, Mamais I, Efstathiou M, Monticone M, Xanthos T. Eccentric exercise in ischemic cardiac patients and functional capacity: A systematic review and meta-analysis of randomized controlled trials. Ann Phys Rehabil Med 2016; 60:58-64. [PMID: 27988306 DOI: 10.1016/j.rehab.2016.10.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2016] [Revised: 10/30/2016] [Accepted: 10/31/2016] [Indexed: 01/24/2023]
Abstract
BACKGROUND Eccentric (ECC) exercise is an "economical" type of exercise with low energy requirements and does not cause early fatigue. Therefore, it is used for cardiac patients, who have low physical activity and exercise intolerance, as an easier kind of training. OBJECTIVE This systematic review aimed to investigate the efficacy of ECC exercise for functional capacity (FC) in patients with ischemic heart disease. DESIGN Systematic review. METHODS MEDLINE via PubMed and EBSCO databases were searched for articles of randomized controlled trials of adults with ischemic heart disease who underwent ECC training as compared with other forms of exercise (concentric exercise) or no exercise and assessed FC. The methodologic quality of studies was assessed by the PEDro scale. A meta-analysis was performed with sufficient homogeneity between at least 2 studies in the pre-defined comparisons. RESULTS Four studies, investigating a total of 99 subjects, met the inclusion criteria. The results of the studies did not clearly indicate whether ECC exercise could improve FC better than traditional forms of exercise. However, the small number of studies and their methodologic weaknesses do not allow for drawing firm conclusions. CONCLUSIONS We found contradictory results about the effectiveness of ECC as compared with concentric exercise in terms of FC in ischemic cardiac patients. Further investigation with well-designed randomized trials is needed to determine the effectiveness of this kind of exercise for FC in such patients.
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Affiliation(s)
- C Karagiannis
- European University of Cyprus, School of Sciences, Department of Health Sciences, Nicosia, Cyprus.
| | - C Savva
- European University of Cyprus, School of Sciences, Department of Health Sciences, Nicosia, Cyprus
| | - I Mamais
- European University of Cyprus, School of Sciences, Department of Health Sciences, Nicosia, Cyprus
| | - M Efstathiou
- University of Nicosia, Department of Life and Health Sciences, Nicosia, Cyprus
| | - M Monticone
- University of Cagliari, Department of Public Health, Clinical and Molecular Medicine, Cagliari, Italy
| | - T Xanthos
- European University of Cyprus, School of Medicine, Nicosia, Cyprus
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Douglas J, Pearson S, Ross A, McGuigan M. Eccentric Exercise: Physiological Characteristics and Acute Responses. Sports Med 2016; 47:663-675. [DOI: 10.1007/s40279-016-0624-8] [Citation(s) in RCA: 110] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Zgaljardic DJ, Durham WJ, Mossberg KA, Foreman J, Joshipura K, Masel BE, Urban R, Sheffield-Moore M. Neuropsychological and physiological correlates of fatigue following traumatic brain injury. Brain Inj 2014; 28:389-97. [PMID: 24564698 DOI: 10.3109/02699052.2014.884242] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND Fatigue is a common and debilitating phenomenon experienced by individuals with traumatic brain injury (TBI) that can negatively influence rate and extent of functional recovery by reducing participation in brain injury rehabilitation services and increasing maladaptive lifestyle practices. The underlying mechanisms of TBI-related fatigue are not entirely understood and focused research on symptom reduction or prevention is limited. REVIEW The current review of the literature suggests that the aetiology of TBI-related fatigue can be viewed as a multifactorial and complex model impacting physiological systems (i.e. endocrine, skeletal muscle and cardiorespiratory) that can be directly or indirectly influenced by neuropsychological correlates including cognitive and psychological impairment. Distinguishing central from peripheral fatigue is helpful in this regard. Potential therapeutic strategies and pharmacological agents to help alleviate fatigue in this patient population are discussed.
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Construction of an Isokinetic Eccentric Cycle Ergometer for Research and Training. J Appl Biomech 2013; 29:490-5. [DOI: 10.1123/jab.29.4.490] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Eccentric cycling serves a useful exercise modality in clinical, research, and sport training settings. However, several constraints can make it difficult to use commercially available eccentric cycle ergometers. In this technical note, we describe the process by which we built an isokinetic eccentric cycle ergometer using exercise equipment modified with commonly available industrial parts. Specifically, we started with a used recumbent cycle ergometer and removed all the original parts leaving only the frame and seat. A 2.2 kW electric motor was attached to a transmission system that was then joined with the ergometer. The motor was controlled using a variable frequency drive, which allowed for control of a wide range of pedaling rates. The ergometer was also equipped with a power measurement device that quantified work, power, and pedaling rate and provided feedback to the individual performing the exercise. With these parts along with some custom fabrication, we were able to construct an isokinetic eccentric cycle ergometer suitable for research and training. This paper offers a guide for those individuals who plan to use eccentric cycle ergometry as an exercise modality and wish to construct their own ergometer.
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Elmer SJ, Marshall CS, McGinnis KR, Van Haitsma TA, LaStayo PC. Eccentric arm cycling: physiological characteristics and potential applications with healthy populations. Eur J Appl Physiol 2013; 113:2541-52. [DOI: 10.1007/s00421-013-2687-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2013] [Accepted: 06/20/2013] [Indexed: 10/26/2022]
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Besson D, Joussain C, Gremeaux V, Morisset C, Laurent Y, Casillas JM, Laroche D. Eccentric training in chronic heart failure: feasibility and functional effects. Results of a comparative study. Ann Phys Rehabil Med 2013; 56:30-40. [PMID: 23369425 DOI: 10.1016/j.rehab.2013.01.003] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2013] [Accepted: 01/09/2013] [Indexed: 11/18/2022]
Abstract
OBJECTIVES To evaluate, in chronic heart failure (CHF) patients, feasibility, safety, compliance and functional improvements of an eccentric (ECC) cycle training protocol personalized by the rate of perceived exertion (RPE; 9-11 Borg Scale), compared to concentric (CON) training at workload corresponding to the first ventilatory threshold. METHODS Thirty patients were randomly allocated to ECC or CON training (20 sessions). Compliance was evaluated with RPE, visual analog scale for muscle soreness and monitoring of heart rate (HR). Functional parameters were measured by the distance walked and the VO(2) uptake during the 6-minute walk test (6MWT) before and after training. RESULTS Two patients were excluded due to adverse effects in each group. RPE was 9-11 in ECC training while it reached 12-14 in CON training. HR remained stable in ECC group during exercise whereas it increased during CON exercise. 6MWT distance improved in both group (ECC: +53 m; CON: +33 m). 6MWT VO(2) uptake remained stable in ECC group whereas it increased in CON group. CONCLUSION ECC training tailored by RPE appears to be an efficient and safe alternative for CHF patients. Indeed, it induces functional improvement similar to conventional CON training with lower demand on the cardiovascular system during exercise.
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Affiliation(s)
- D Besson
- CIC-P Inserm 803, plateforme d'investigation technologique, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France
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Elmer SJ, Danvind J, Holmberg HC. Development of a Novel Eccentric Arm Cycle Ergometer for Training the Upper Body. Med Sci Sports Exerc 2013; 45:206-11. [DOI: 10.1249/mss.0b013e318269c79c] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Is it possible to individualize intensity of eccentric cycling exercise from perceived exertion on concentric test? Arch Phys Med Rehabil 2012; 94:1621-1627.e1. [PMID: 23270934 DOI: 10.1016/j.apmr.2012.12.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2012] [Revised: 12/06/2012] [Accepted: 12/07/2012] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To assess the safety and acute effects of a procedure using perceived exertion during a prior submaximal concentric (CON) test to individualize eccentric (ECC) cycling exercise intensity. DESIGN Prospective, monocentric open study. SETTING Technological investigation platform at a physical medicine and rehabilitation department in a university hospital. PARTICIPANTS Healthy subjects (N=18; 15 men, 3 women) aged between 22 and 37 years. INTERVENTIONS The subjects performed 3 cycling exercises: (1) incremental CON test to determine the comfortable pedaling power (CPP) corresponding to a Borg scale rating of 12 (rate of perceived exertion); (2) steady-state CON exercise at the CPP workload to determine the corresponding plantar pressure; and (3) steady-state ECC exercise with an imposed resistance corresponding to the CPP plantar pressure. MAIN OUTCOME MEASURES Rate of perceived exertion on Borg scale, oxygen uptake (V˙o2), heart rate, cardiac output, and stroke volume using inert gas rebreathing techniques were measured during steady-state CON and ECC exercises. Muscle soreness was rated on a visual analog scale immediately, 24, and 48 hours after the tests. RESULTS No adverse effects were reported. V˙o2 was about 5 times the resting value during CON exercise, while it was twice that during ECC exercise. Cardiac output was lower during ECC exercise (P<.05). This moderate increase of cardiac output was exclusively linked to a greater increase in stroke volume during ECC exercise than during CON exercise (P<.05). CONCLUSIONS Moderate-intensity ECC cycling exercise tailored according to perceived exertion during a prior CON test is well tolerated. It corresponds to a limited muscular use of oxygen and to an isolated increase in stroke volume. It appears to be a feasible procedure for preconditioning before ECC training.
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Effects of muscle-damaging exercise on physiological, metabolic, and perceptual responses during two modes of endurance exercise. J Exerc Sci Fit 2012. [DOI: 10.1016/j.jesf.2012.10.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Barker T, Henriksen VT, Martins TB, Kjeldsberg CR, Hill HR. Fluctuations in the skeletal muscle power-velocity relationship and interferon-γ after a muscle-damaging event in humans. EXTREME PHYSIOLOGY & MEDICINE 2012; 1:6. [PMID: 23849351 PMCID: PMC3707101 DOI: 10.1186/2046-7648-1-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2011] [Accepted: 05/25/2012] [Indexed: 11/10/2022]
Abstract
Background Skeletal muscle power is velocity-dependent under constant load conditions. Interferon (IFN)-γ is an inflammatory cytokine that regulates skeletal muscle recovery following insult in experimental animals. It is unknown if the power-velocity relationship and IFN-γ are modulated after a muscle-damaging event in humans. Therefore, the purpose of this study was to identify the power-velocity relationship and circulating IFN-γ concentration responses to a muscle-damaging event in humans. Methods Nine healthy males participated in this study. Each subject had one leg randomly assigned as the control leg. The other leg served as the treatment leg and performed an intense-stretch-shortening cycling (SSC) exercise protocol to induce muscle damage. To measure muscle damage and the power-velocity relationship, unilateral peak isometric force and power output (forces and velocities) measurements were performed prior to, immediately after, and during the days following the SSC protocol. The circulating IFN-γ concentrations were measured in serum samples obtained prior to, immediately after, and during the days following the SSC protocol. Statistical significance of single-leg isometric force and power output data were assessed using a two-way (time and leg treatment) analysis of variance (ANOVA) with repeated measures, followed by a Tukey’s honestly significant difference (HSD) to test multiple pairwise comparisons. The statistical significance of the IFN-γ data were assessed using a one-way (time) ANOVA with repeated measures, followed by a Tukey’s HSD to test multiple pairwise comparisons. Results In the treatment leg, significant (P < 0.05) peak isometric force deficits occurred immediately and persisted several days after the SSC protocol, thereby identifying muscle damage-induced weakness. During muscle weakness in the treatment leg, peak power was significantly (P < 0.05) depressed and the velocities at peak power were significantly (P < 0.05) slower. Interestingly, circulating IFN-γ concentrations decreased at 2 and 3 days after compared to those immediately following the SSC protocol. Conclusion We conclude that the velocity to achieve a compromised peak power is reduced, and speculatively, the circulating IFN-γ excursion could be influential on the recovery of skeletal muscle after a muscle-damaging event in humans.
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Affiliation(s)
- Tyler Barker
- The Orthopedic Specialty Hospital, 5848 S Fashion Blvd, Murray, UT 84107, USA.
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Elmer SJ, Amann M, McDaniel J, Martin DT, Martin JC. Fatigue is specific to working muscles: no cross-over with single-leg cycling in trained cyclists. Eur J Appl Physiol 2012; 113:479-88. [PMID: 22806085 DOI: 10.1007/s00421-012-2455-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2012] [Accepted: 07/03/2012] [Indexed: 11/29/2022]
Abstract
Fatigue induced via a maximal isometric contraction of a single limb muscle group can evoke a "cross-over" of fatigue that reduces voluntary muscle activation and maximum isometric force in the rested contralateral homologous muscle group. We asked whether a cross-over of fatigue also occurs when fatigue is induced via high-intensity endurance exercise involving a substantial muscle mass. Specifically, we used high-intensity single-leg cycling to induce fatigue and evaluated associated effects on maximum cycling power (P (max)) in the fatigued ipsilateral leg (FAT(leg)) as well as the rested contralateral leg (REST(leg)). On separate days, 12 trained cyclists performed right leg P (max) trials before and again 30 s, 3, 5, and 10 min after a cycling time trial (TT, 10 min) performed either with their right or left leg. Fatigue was estimated by comparing exercise-induced changes in P (max) and maximum handgrip isometric force (F (max)). Mean power produced during the right and left leg TTs did not differ (203 ± 8 vs. 199 ± 8 W). Compared to pre-TT, FAT(leg) P (max) was reduced by 22 ± 3 % at 30 s post-TT and remained reduced by 9 ± 2 % at 5 min post-TT (both P < 0.05). Despite considerable power loss in the FAT(leg), post-TT REST(leg) P (max) (596-603 W) did not differ from pre-TT values (596 ± 35 W). There were no alterations in handgrip F (max) (529-547 N). Our data suggest that any potential cross-over of fatigue, if present at all, was not sufficient to measurably compromise REST(leg) P (max) in trained cyclists. These results along with the lack of changes in handgrip F (max) indicate that impairments in maximal voluntary neuromuscular function were specific to working muscles.
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Affiliation(s)
- Steven J Elmer
- Department of Exercise and Sport Science, University of Utah, Salt Lake City, UT, USA.
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Burt D, Lamb K, Nicholas C, Twist C. Effects of repeated bouts of squatting exercise on sub-maximal endurance running performance. Eur J Appl Physiol 2012; 113:285-93. [PMID: 22684335 DOI: 10.1007/s00421-012-2437-2] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2011] [Accepted: 05/26/2012] [Indexed: 10/27/2022]
Abstract
It is well established that exercise-induced muscle damage (EIMD) has a detrimental effect on endurance exercise performed in the days that follow. However, it is unknown whether such effects remain after a repeated bout of EIMD. Therefore, the purpose of this study was to examine the effects of repeated bouts of muscle-damaging exercise on sub-maximal running exercise. Nine male participants completed baseline measurements associated with a sub-maximal running bout at lactate turn point. These measurements were repeated 24-48 h after EIMD, comprising 100 squats (10 sets of 10 at 80 % body mass). Two weeks later, when symptoms from the first bout of EIMD had dissipated, all procedures performed at baseline were repeated. Results revealed significant increases in muscle soreness and creatine kinase activity and decreases in peak knee extensor torque and vertical jump performance at 24-48 h after the initial bout of EIMD. However, after the repeated bout, symptoms of EIMD were reduced from baseline at 24-48 h. Significant increases in oxygen uptake (.VO2), minute ventilation (.VE), blood lactate ([BLa]), rating of perceived exertion (RPE), stride frequency and decreases in stride length were observed during sub-maximal running at 24-48 h following the initial bout of EIMD. However, following the repeated bout of EIMD, .VO2, .VE, [BLa], RPE and stride pattern responses during sub-maximal running remained unchanged from baseline at all time points. These findings confirm that a single resistance session protects skeletal muscle against the detrimental effects of EIMD on sub-maximal running endurance exercise.
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Affiliation(s)
- Dean Burt
- Human Performance Laboratory, Department of Sport and Exercise Science, University of Chester, Parkgate Road, Chester, UK.
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