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Rey E, Lois-Abal M, Padrón-Cabo A, Lorenzo-Martínez M, Costa PB. Influence of Training Load on Muscle Contractile Properties in Semi-Professional Female Soccer Players Across a Competitive Microcycle: A Pilot Study. SENSORS (BASEL, SWITZERLAND) 2024; 24:6996. [PMID: 39517893 PMCID: PMC11548700 DOI: 10.3390/s24216996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/01/2024] [Revised: 10/29/2024] [Accepted: 10/30/2024] [Indexed: 11/16/2024]
Abstract
This study aimed to evaluate changes in muscle contractile properties during a training microcycle in semi-professional female football players and explore their relationship with training load variables. Nineteen players (age: 23.9 ± 3.9 years; body mass: 60.6 ± 6.9 kg; height: 164.5 ± 6.7 cm) underwent myotonometric assessments of the biceps femoris (BF) and rectus femoris (RF) before and after the following training sessions: MD1 (i.e., 1 day after the match), MD3, MD4, and MD5. Training loads were quantified for each session, revealing significant variations, with MD4 exhibiting the highest values for high-speed running distance, number of sprints, and accelerations. Notably, MD3 showed the highest perceived exertion (RPE), while MD5 recorded the lowest total distance run. Myotonometric assessments indicated significant differences in stiffness of the RF in MD3 and BF in MD5, as well as RF tone in MD5. The findings underscore a notable relationship between training load and myotometric variables, particularly in muscle stiffness and tone. These results emphasize the need for further research to clarify how training loads affect muscle properties in female athletes.
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Affiliation(s)
- Ezequiel Rey
- Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain; (M.L.-A.); (A.P.-C.); (M.L.-M.)
| | - María Lois-Abal
- Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain; (M.L.-A.); (A.P.-C.); (M.L.-M.)
| | - Alexis Padrón-Cabo
- Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain; (M.L.-A.); (A.P.-C.); (M.L.-M.)
| | - Miguel Lorenzo-Martínez
- Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain; (M.L.-A.); (A.P.-C.); (M.L.-M.)
| | - Pablo B. Costa
- Human Performance Laboratory, Center for Sport Performance, Department of Kinesiology, California State University, Fullerton, CA 92831, USA;
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Beausejour JP, Guinto G, Artrip C, Corvalan A, Furtado Mesa M, Lebron MA, Stock MS. Successful Powerlifting in a Unilateral, Transtibial Amputee: A Descriptive Case Series. J Strength Cond Res 2024; 38:e243-e252. [PMID: 38373088 DOI: 10.1519/jsc.0000000000004733] [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: 02/21/2024]
Abstract
ABSTRACT Beausejour, JP, Guinto, G, Artrip, C, Corvalan, A, Mesa, MF, Lebron, MA, and Stock, MS. Successful powerlifting in a unilateral, transtibial amputee: A descriptive case series. J Strength Cond Res 38(5): e243-e252, 2024-There are no reports in the literature of powerlifting success after amputation. We had the unique opportunity to characterize functional outcomes, strength, muscle contractility and size, and corticospinal excitability in an accomplished, competitive powerlifter (best competition squat = 205.0 kg, deadlift = 262.7 kg) with a unilateral, transtibial amputation relative to amputee controls. Four men (age range = 23-49 years) with unilateral, lower-limb amputation (3 transtibial, 1 transfemoral) participated in 1 laboratory visit. We assessed 10-m gait speed, the timed up and go (TUG) test, 5-time sit-to-stand performance (5TSTS), contractile properties of the vastus lateralis (VL) and medial gastrocnemius by tensiomyography, and VL cross-sectional area (CSA) by ultrasonography. Unilateral assessments for the intact limb included isokinetic knee extension and flexion torque and power and transcranial magnetic stimulation derived corticospinal excitability. An interview with the powerlifter provided contextual perspective. Compared with the control subjects, the powerlifter performed the 5TSTS faster (6.8%), exhibited faster VL contraction times (intact limb = 12.2%; residual limb = 23.9%), and showed larger VL CSA for the intact limb (46.7%). The powerlifter exhibited greater knee extension and flexion peak torque and mean power, particularly at 180°·s -1 , as well as greater corticospinal excitability for the intact VL (65.6%) and tibialis anterior (79.6%). By contrast, the control subjects were faster in the TUG (18.3%) and comfortable (13.0%) and fast (21.4%) in the 10-m walk test. The major themes of our interview included needing to modify lifting mechanics, persistence, and remarkable pain tolerance. Our findings highlight the impressive neuromuscular adaptations that are attainable after lower-limb amputation.
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Affiliation(s)
- Jonathan P Beausejour
- Neuromuscular Plasticity Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, Florida
| | - Goldshawn Guinto
- Neuromuscular Plasticity Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, Florida
| | - Chloe Artrip
- Neuromuscular Plasticity Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, Florida
| | - Alejandra Corvalan
- Neuromuscular Plasticity Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, Florida
| | - Maxine Furtado Mesa
- Physiology of Work & Exercise Response (POWER) Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, Florida
| | - Modesto A Lebron
- Physiology of Work & Exercise Response (POWER) Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, Florida
| | - Matt S Stock
- Neuromuscular Plasticity Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, Florida
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Abad CCC, Crivói Carmo E, Prado DMLD, Reis V, Pereira L, Loturco I, Koehle M. Using Physiological Laboratory Tests and Neuromuscular Functions to Predict Extreme Ultratriathlon Performance. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2023; 94:1183-1191. [PMID: 36006760 DOI: 10.1080/02701367.2022.2094307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 06/18/2022] [Indexed: 06/15/2023]
Abstract
Purpose: This study aims to investigate the relationship between split disciplines and overall extreme ultra-triathlon (EUT) performance and verify the relationship among physiological and neuromuscular measurements with both fractional and total EUT performance while checking which variables could predict partial and overall EUT race time. Methods: Eleven volunteers (37 ± 6 years; 176.9 ± 6.1 cm; 77.9 ± 10.9 kg) performed two maximal graded tests (cycling and running) for physiological measurements and muscle strength/power tests to assess neuromuscular functions. Results: The correlation of swimming split times to predict overall EUT race times was lower than for cycling and running split times (r2 = 0.005; p > .05; r2 = 0.949; p < .001 and r2 = 0.925; p < .001, respectively). VO2peak obtained during running test (VO2peakrun) and VT power output assessed during cycling test (VTPO) were the highest predictors of cycling performance (r2 = 0.92; p = .017), whereas VO2peakrun and peakpower output in the cycling test (PPO) were the highest predictors of running performance (r2 = 0.94; p = .008). Conclusion: VO2peakrun and VTPO, associated to jump height assessed during countermovement jump (CMJ) test were the highest correlated variables to predict total EUT performance (r2 = 0.99; p = .007). In practical terms, coaches should include the assessment of VO2peakrun, VTPO, and CMJ to evaluate the athletes' status and monitor their performance throughout the season. Future studies should test how the improvement of these variables would affect EUT performance during official races.
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Affiliation(s)
| | | | | | - Valter Reis
- Nucleus of High Performance in Sport - NARSP
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Szurmik T, Ogrodzka-Ciechanowicz K, Kurzeja P, Gąsienica-Walczak B, Prusak J, Bibrowicz K. Assessment of the functional state of the back muscles in girls with C-shaped low-grade scoliosis in a tensiomyographic image: An observational cross-sectional study. PLoS One 2023; 18:e0292555. [PMID: 37847728 PMCID: PMC10581459 DOI: 10.1371/journal.pone.0292555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 09/22/2023] [Indexed: 10/19/2023] Open
Abstract
PURPOSE The study aimed to test the feasibility of using tensiomyography to assess the functional status of the latissimus dorsi and erector spinae muscles in girls with C-shaped low back scoliosis. MATERIALS AND METHODS Twenty-five girls aged 13-15 took part in an observational (cross-sectional) study. The examination involved measurements using the tensiomyography method (TMG). Two groups of muscles were tested: latissimus dorsi and erector spinae on the concave and convex side of low-grade scoliosis. The following indicators were analyzed: Td-delay time, Tc-contraction time, and Dm-maximal muscle displacement. RESULTS The analysis of Td revealed that values of this variable on the concave side were slightly lower compared to the convex side in both tested groups of muscles. Similarly, Tc values on the concave side were slightly lower than on the convex side of the curvature in both groups of muscles. In the case of Dm, lower displacement values and, consequently, greater muscle rigidity were observed on the concave side of the latissimus dorsi and the convex side of the erector spinae. CONCLUSIONS The TMG method can be potentially used to diagnose the functional condition of muscles in patients with low-grade scoliosis. There were differences between the functional condition of the muscles on the concave and convex sides of the curvature.
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Affiliation(s)
- Tomasz Szurmik
- Faculty of Arts and Educational Science, University of Silesia, Cieszyn, Poland
| | | | - Piotr Kurzeja
- Institute of Health Sciences, Podhale State College of Applied Sciences, Nowy Targ, Poland
| | | | - Jarosław Prusak
- Institute of Health Sciences, Podhale State College of Applied Sciences, Nowy Targ, Poland
| | - Karol Bibrowicz
- Science and Research Center of Body Posture, Kazimiera Milanowska College of Education and Therapy, Poznań, Poland
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Mesquita RNO, Latella C, Ruas CV, Nosaka K, Taylor JL. Contraction Velocity of the Elbow Flexors Assessed by Tensiomyography: A Comparison Between Formulas. J Strength Cond Res 2023; 37:1969-1977. [PMID: 36946988 DOI: 10.1519/jsc.0000000000004495] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 12/15/2022] [Indexed: 03/23/2023]
Abstract
ABSTRACT Mesquita, RNO, Latella, C, Ruas, CV, Nosaka, K, and Taylor, JL. Contraction velocity of the elbow flexors assessed by tensiomyography: A comparison between formulas. J Strength Cond Res 37(10): 1969-1977, 2023-Muscle contraction velocity ( Vc ) assessed by tensiomyography is a promising measure for athlete profiling. Multiple formulas are used to estimate Vc , but the most suitable method is yet to be established. Fifteen adults (2 female subjects) underwent tensiomyography assessment of biceps brachii muscle at 10, 45 and 90° of elbow flexion on 2 separate days. Vc was calculated using 6 formulas. Formulas 1 and 2 are measures of the early phase of the twitch; Formulas 3-5 are measures over a wider time-window, with Formula 5 normalizing Vc to maximal displacement ( D m); and we proposed Formula 6 as a measure of peak Vc . Test-retest reliability, the required minimum number of trials, proportional bias, and effects of joint angle were investigated. Higher reliability (coefficient of variation: 2.8-6.9%) was found for Formula 1 (0-2 mm of displacement) and Formula 5 (normalized 10-90% of D m). Overall, a minimum of 6-7 trials was required to obtain reliable estimates. For 10° only, significant positive proportional bias ( r = 0.563-0.670) was found for all formulas except Formula 5. Vc was faster ( p < 0.001) at shorter muscle lengths for all formulas except Formula 5 ( p = 0.06). Vc in the early phase of the twitch was more reliable when calculated using absolute displacement (Formula 1) than a relative threshold (Formula 2). Over a larger time-window, Formulas 3 and 4 were similarly reliable. Because they are derived from different components of the twitch and different parameters, the different formulas should not be used interchangeably. Additionally, more precise nomenclature is required to describe the information obtained from each formula.
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Affiliation(s)
- Ricardo N O Mesquita
- Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, Sweden
- School of Medical and Health Sciences, Centre for Human Performance, Edith Cowan University, Perth, Australia
- Neuroscience Research Australia, Sydney, Australia; and
| | - Christopher Latella
- School of Medical and Health Sciences, Centre for Human Performance, Edith Cowan University, Perth, Australia
| | - Cassio V Ruas
- School of Medical and Health Sciences, Centre for Human Performance, Edith Cowan University, Perth, Australia
- Brazilian Institute of Neuroscience and Neurotechnology-Institute of Physics Gleb Wataghin, University of Campinas, São Paulo, Brazil
| | - Kazunori Nosaka
- School of Medical and Health Sciences, Centre for Human Performance, Edith Cowan University, Perth, Australia
| | - Janet L Taylor
- School of Medical and Health Sciences, Centre for Human Performance, Edith Cowan University, Perth, Australia
- Neuroscience Research Australia, Sydney, Australia; and
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Cuba-Dorado A, Álvarez-Yates T, Carballo-López J, Iglesias-Caamaño M, Fernández-Redondo D, García-García O. Neuromuscular changes after a Long Distance Triathlon World Championship. Eur J Sport Sci 2023; 23:1838-1848. [PMID: 36221960 DOI: 10.1080/17461391.2022.2134053] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
ABSTRACTThis study aimed to determine the neuromuscular changes in muscle contractile properties and countermovement jump (CMJ) performance after a long distance (LD) triathlon, inquiring to what extent it is influenced by gender and the evaluated muscle, and to explore for response differences. Four elite (2 females and 2 males) and 18 well-trained triathletes (3 females and 15 males) who competed in the 2019 LD Triathlon World Championship undergone, prior and post-race, a CMJ and a muscle contractile properties assessment in vastus lateralis (VL) and biceps femoris (BF) using tensiomyography. A mixed ANOVA was carried out to detect triathletes' neuromuscular changes after the competition. A large decrease in jump height and flight time was found in CMJ (p = 0.001, ηp2 = 0.767) with gender differences (ηp2 = 0.308). contraction (Tc), delay (Td) and sustain times (Ts) also showed a large decrease (p = 0.001, ηp2 = 0.174-0.413). However, maximum radial muscle belly displacement was not altered by the competition, but did greatly increase radial displacement velocity (p = 0.031; ηp2 = 0.212). No gender differences were found in contractile properties. Correlation analysis between race performance and the jumping and tensiomyography parameters only showed a moderate negative correlation with Tc of the BF in pre- and post-competition (r = -0.44; -0.43; p = 0.05). In conclusion, triathletes after a LD World Championship suffer a sharp drop in jump performance and variations in VL's and BF's contractile properties, showing decreases in Tc, Td and Ts without gender differences. The regular use of these parameters can allow the monitoring of triathlete's neuromuscular fatigue and aid in the distribution of more efficient loads in their training cycles.HighlightsTrainers and researchers in neuromuscular fatigue can have reference data of elite and well-trained triathletes after performing LD race.The magnitude of change in the CMJ and the contractile properties of BF and VL achieved in competition by these elite reference triathletes can guide to modulate triathletes training.The regular use of the parameters using these references can allow an exhaustive neuromuscular fatigue monitoring during the sessions or training cycles throughout the season.
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Affiliation(s)
- Alba Cuba-Dorado
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Tania Álvarez-Yates
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Javier Carballo-López
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Mario Iglesias-Caamaño
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | | | - Oscar García-García
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
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Kalc M, Puš K, Paravlic A, Urbanc J, Šimunič B. Diagnostic accuracy of Tensiomyography parameters for monitoring peripheral neuromuscular fatigue. J Electromyogr Kinesiol 2023; 70:102775. [PMID: 37068408 DOI: 10.1016/j.jelekin.2023.102775] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 04/07/2023] [Accepted: 04/09/2023] [Indexed: 04/19/2023] Open
Abstract
The diagnostic accuracy of tensiomyography (TMG) parameters compared to the gold standard in neuromuscular fatigue evaluation using voluntary and electrically induced muscle activation is unclear. This study aimed to investigate the diagnostic accuracy of TMG parameters to detect individual changes after interventions that were designed to induce central or peripheral fatigue. Nineteen males (age: 32.2 ± 9.3 years) performed two interventions, consisting of maintaining 25% of maximal voluntary contraction (MViC25%) and a 30 s all-out cycling test (Wingate), respectively. TMG parameters, maximum voluntary contraction (PtMViC), voluntary activation (VA%) and electrically elicited double twitches (Dtw) were assessed on the knee extensors before (PRE), one minute (POST) and seven minutes after (POST7) the intervention. The diagnostic accuracy (AUC) of TMG parameters were evaluated in comparison to two criteria measures (PtMViC and Dtw). RM ANOVA revealed a significant interaction between the effects of intervention and time on VA% (p = 0.001) and Dtw (p < 0.001) but not for PtMViC (p = 0.420). AUC showed that TMG parameters had a good ability in detecting muscular fatigue assessed by Dtw but not by PtMViC. The results of the current study suggest that TMG parameters can be used to monitor peripheral neuromuscular fatigue.
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Affiliation(s)
- Miloš Kalc
- University of Maribor, Faculty of Medicine, Institute of Sports Medicine, Maribor, Slovenia; Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia.
| | - Katarina Puš
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia; University of Ljubljana, Faculty of Sport, Ljubljana, Slovenia; Department of Health Sciences, Alma Mater Europaea - ECM, Maribor, Slovenia
| | - Armin Paravlic
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia; University of Ljubljana, Faculty of Sport, Ljubljana, Slovenia; Faculty of Sports Studies, Masaryk University, Brno, Czech Republic
| | - Jure Urbanc
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
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Ipavec M, Kukec Ž, Kacin A. Comparison of tensiomyographic contractile properties of the knee muscles between endurance and power athletes. ISOKINET EXERC SCI 2023. [DOI: 10.3233/ies-230010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
Abstract
BACKGROUND: Postactivation potentiation (PAP) enhances contractility of skeletal muscle whereas fatigue deteriorates it. Available evidence suggests that the two phenomena may express differently in endurance and power athletes. OBJECTIVE: To compare the patterns of change in knee muscle contractility induced by PAP and fatigue between endurance and power athletes. METHODS: Eleven endurance and ten power athletes (age: 18–33 years) performed isokinetic fatigue and isometric PAP protocols with knee extensors and flexors on computerised dynamometer. Tensiomyography (TMG) of the vastus medialis and semitendinosus muscle medialis was performed before the protocols and during a 10-min recovery. RESULTS: The changes in TMG profile were most pronounced in the vastus medialis of power athletes following the PAP protocol and least pronounced in the semitendinosus of the endurance athletes following the fatigue protocol. The differences between athlete types were most significant for the time-domain TMG parameters of vastus medialis. A significant correlation (r= 0.51–0.73) between the fatigue indices and changes in TMG parameters was observed for the vastus medialis muscle only. CONCLUSIONS: The results show that the TMG patterns of PAP and fatigue in the vastus muscle differ between endurance and power athletes. In this muscle, the changes in TMG parameters are also strongly associated with the degree of fatigue.
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Schaefer LV, Carnarius F, Dech S, Bittmann FN. Repeated measurements of Adaptive Force: Maximal holding capacity differs from other maximal strength parameters and preliminary characteristics for non-professional strength vs. endurance athletes. Front Physiol 2023; 14:1020954. [PMID: 36909246 PMCID: PMC9992808 DOI: 10.3389/fphys.2023.1020954] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 02/01/2023] [Indexed: 02/24/2023] Open
Abstract
The Adaptive Force (AF) reflects the neuromuscular capacity to adapt to external loads during holding muscle actions and is similar to motions in real life and sports. The maximal isometric AF (AFisomax) was considered to be the most relevant parameter and was assumed to have major importance regarding injury mechanisms and the development of musculoskeletal pain. The aim of this study was to investigate the behavior of different torque parameters over the course of 30 repeated maximal AF trials. In addition, maximal holding vs. maximal pushing isometric muscle actions were compared. A side consideration was the behavior of torques in the course of repeated AF actions when comparing strength and endurance athletes. The elbow flexors of n = 12 males (six strength/six endurance athletes, non-professionals) were measured 30 times (120 s rest) using a pneumatic device. Maximal voluntary isometric contraction (MVIC) was measured pre and post. MVIC, AFisomax, and AFmax (maximal torque of one AF measurement) were evaluated regarding different considerations and statistical tests. AFmax and AFisomax declined in the course of 30 trials [slope regression (mean ± standard deviation): AFmax = -0.323 ± 0.263; AFisomax = -0.45 ± 0.45]. The decline from start to end amounted to -12.8% ± 8.3% (p < 0.001) for AFmax and -25.41% ± 26.40% (p < 0.001) for AFisomax. AF parameters declined more in strength vs. endurance athletes. Thereby, strength athletes showed a rather stable decline for AFmax and a plateau formation for AFisomax after 15 trials. In contrast, endurance athletes reduced their AFmax, especially after the first five trials, and remained on a rather similar level for AFisomax. The maximum of AFisomax of all 30 trials amounted 67.67% ± 13.60% of MVIC (p < 0.001, n = 12), supporting the hypothesis of two types of isometric muscle action (holding vs. pushing). The findings provided the first data on the behavior of torque parameters after repeated isometric-eccentric actions and revealed further insights into neuromuscular control strategies. Additionally, they highlight the importance of investigating AF parameters in athletes based on the different behaviors compared to MVIC. This is assumed to be especially relevant regarding injury mechanisms.
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Affiliation(s)
- Laura V. Schaefer
- Neuromechanics Laboratory, Regulative Physiology and Prevention, Department Sports and Health Sciences, University Potsdam, Potsdam, Germany
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Pajović L, Toskić L, Stanković V, Lilić L, Cicović B. Muscle Contractile Properties Measured by the Tensiomyography (TMG) Method in Top-Level Football Players of Different Playing Positions: The Case of Serbian Super League. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:924. [PMID: 36673686 PMCID: PMC9859018 DOI: 10.3390/ijerph20020924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 12/30/2022] [Accepted: 01/01/2023] [Indexed: 06/17/2023]
Abstract
The aim of this study is to investigate the differences in muscle contractile properties measured by the TMG method between top-level football players of different playing positions. The sample consisted of 57 football players from the Serbian Super League, divided into three groups: defenders-DF, midfielders-MF, and forwards-FW. Muscles included in the study were the Rectus Femoris (RF), Vastus Medialis (VM), Vastus Lateralis (VL), Biceps Femoris (BF), and Semitendinosus (ST) of the right (R) and left (L) leg. The TMG parameters used in this study were contraction time (Tc), delay time (Td), relaxation time (Tr), maximal displacement (Dm), and sustain time (Ts). The ANOVA results showed that differences in TMG parameters between top-level football players of different playing positions are small and exist only in the Tr of RF (F = 4.658, p = 0.014), BF (F = 4.433, p = 0.016), and ST muscle (F = 3.808, p = 0.028), and the Tc (F = 3.214, p = 0.048) and Td (F = 3.705, p = 0.031) of the VM muscle. All differences were detected between DF and FW players, and all differences were in the left (non-dominant) leg. The results obtained in this study indicate that the training and selection process in football, from the aspect of functional and mechanical muscle properties, should be similar for all players, regardless of playing position. It has been shown that TMG has relatively low sensitive strength for detecting differences between football players of different playing positions.
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Affiliation(s)
- Lazar Pajović
- Faculty of Physical Education and Sport, University of East Sarajevo, 71420 Pale, Bosnia and Herzegovina
| | - Lazar Toskić
- Faculty of Sport and Physical Education, University of Priština–Kosovska Mitrovica, 38218 Leposavić, Serbia
- Faculty of Sport, University “Union–Nikola Tesla”, 11070 Belgrade, Serbia
| | - Veroljub Stanković
- Faculty of Physical Education and Sport, University of East Sarajevo, 71420 Pale, Bosnia and Herzegovina
- Faculty of Sport and Physical Education, University of Priština–Kosovska Mitrovica, 38218 Leposavić, Serbia
| | - Ljubiša Lilić
- Faculty of Sport and Physical Education, University of Priština–Kosovska Mitrovica, 38218 Leposavić, Serbia
| | - Borislav Cicović
- Faculty of Physical Education and Sport, University of East Sarajevo, 71420 Pale, Bosnia and Herzegovina
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Wohlann T, Warneke K, Hillebrecht M, Petersmann A, Ferrauti A, Schiemann S. Effects of daily static stretch training over 6 weeks on maximal strength, muscle thickness, contraction properties, and flexibility. Front Sports Act Living 2023; 5:1139065. [PMID: 37139297 PMCID: PMC10149921 DOI: 10.3389/fspor.2023.1139065] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 03/06/2023] [Indexed: 05/05/2023] Open
Abstract
Purpose Static stretch training (SST) with long stretching durations seems to be sufficient to increase flexibility, maximum strength (MSt) and muscle thickness (MTh). However, changes in contraction properties and effects on muscle damage remain unclear. Consequently, the objective of the study was to investigate the effects of a 6-week self-performed SST on MSt, MTh, contractile properties, flexibility, and acute response of creatine kinase (CK) 3 days after SST. Methods Forty-four participants were divided into a control (CG, n = 22) and an intervention group (IG, n = 22), who performed a daily SST for 5 min for the lower limb muscle group. While isometric MSt was measured in leg press, MTh was examined via sonography and flexibility by functional tests. Muscle stiffness and contraction time were measured by tensiomyography on the rectus femoris. Additionally, capillary blood samples were taken in the pretest and in the first 3 days after starting SST to measure CK. Results A significant increase was found for MSt (p < 0.001, η 2 = 0.195) and flexibility in all functional tests (p < 0.001, η 2 > 0.310). Scheffé post hoc test did not show significant differences between the rectus femoris muscle inter- and intragroup comparisons for MTh nor for muscle stiffness and contraction time (p > 0.05, η 2 < 0.100). Moreover, CK was not significantly different between IG and CG with p > 0.05, η 2 = 0.032. Discussion In conclusion, the increase in MSt cannot be exclusively explained by muscular hypertrophy or the increased CK-related repair mechanism after acute stretching. Rather, neuronal adaptations have to be considered. Furthermore, daily 5-min SST over 6 weeks does not seem sufficient to change muscle stiffness or contraction time. Increases in flexibility tests could be attributed to a stretch-induced change in the muscle-tendon complex.
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Affiliation(s)
- Tim Wohlann
- Institute for Exercise, Sport and Health, Leuphana University, Lüneburg, Germany
- Correspondence: Tim Wohlann
| | - Konstantin Warneke
- Institute for Exercise, Sport and Health, Leuphana University, Lüneburg, Germany
| | - Martin Hillebrecht
- University Sports Centre, Carl von University of Oldenburg, Oldenburg, Germany
| | - Astrid Petersmann
- University Institute for Clinical Chemistry and Laboratory Medicine, University Medicine Oldenburg, Oldenburg, Germany
- Institute for Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany
| | | | - Stephan Schiemann
- Institute for Exercise, Sport and Health, Leuphana University, Lüneburg, Germany
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Muñoz-Pérez I, Varela-Sanz A, Lago-Fuentes C, Navarro-Patón R, Mecías-Calvo M. Central and Peripheral Fatigue in Recreational Trail Runners: A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:402. [PMID: 36612727 PMCID: PMC9819577 DOI: 10.3390/ijerph20010402] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 12/09/2022] [Accepted: 12/22/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Understanding fatigue mechanisms is crucial for exercise performance. However, scientific evidence on non-invasive methods for assessing fatigue in trail running competitions is scarce, especially when vertical kilometer trail running races (VK) are considered. The main purpose of this study was to assess the autonomic nervous system (ANS) activity (i.e., central fatigue) and the state of muscle activation (i.e., peripheral fatigue) before and after a VK competition. METHODS A cross-sectional pilot study was performed. After applying inclusion/exclusion criteria, 8 recreational male trail runners (31.63 ± 7.21 yrs, 1.75 m ± 0.05 m, 70.38 ± 5.41 kg, BMI: 22.88 ± 0.48, running experience: 8.0 ± 3.63 yrs, weekly training volume: 58.75 ± 10.35 km) volunteered to participate and were assessed for both central (i.e., via heart rate variability, HRV) and peripheral (via tensiomyography, TMG) fatigue before and after a VK race. RESULTS After the VK, resting heart rate, RMSSD (p = 0.01 for both) and SDNN significantly decreased (p = 0.02), while the stress score and the sympathetic-parasympathetic ratio increased (p = 0.01 and p = 0.02, respectively). The TMG analyses suggest that runners already suffered peripheral fatigue before the VK and that 20-30 min are enough for muscular recovery after the race. In summary, our data suggest that participants experienced a pre-competition fatigue status. Further longitudinal studies are necessary to investigate the mechanisms underlying fatigue during trail running races, while training periodization and tapering strategies could play a key role for minimizing pre-competition fatigue status.
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Affiliation(s)
- Iker Muñoz-Pérez
- Facultad de Ciencias de la Educación y Deporte, Universidad de Deusto, 48007 Bilbao, Spain
| | - Adrián Varela-Sanz
- Physical and Sports Education Department, Faculty of Sport Sciences and Physical Education, University of A Coruna, 15179 A Coruna, Spain
| | - Carlos Lago-Fuentes
- Facultad de Ciencias de la Salud, Universidad Europea del Atlántico, 39011 Santander, Spain
| | - Rubén Navarro-Patón
- Facultad de Formación del Profesorado, Universidade de Santiago de Compostela, 27001 Lugo, Spain
| | - Marcos Mecías-Calvo
- Facultad de Formación del Profesorado, Universidade de Santiago de Compostela, 27001 Lugo, Spain
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Langen G, Sandau I, Ueberschär O, Nosaka K, Behringer M. Methodical approaches to determine the rate of radial muscle displacement using tensiomyography: A scoping review and new reporting guideline. J Electromyogr Kinesiol 2022; 67:102702. [PMID: 36183503 DOI: 10.1016/j.jelekin.2022.102702] [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: 02/07/2022] [Revised: 07/30/2022] [Accepted: 08/31/2022] [Indexed: 12/14/2022] Open
Abstract
Tensiomyography is a non-invasive method to assess skeletal muscle contractile properties from the stimulated radial displacement. Many studies have used the rate of displacement (Vc) as an indirect measure of muscle contraction velocity. However, no standardised methodical approach exists to measure displacement and determine Vc. This review aimed to provide an overview of concepts to determine Vc and measurement protocols to foster the development of a standardised methodical approach. This review followed the Preferred Reporting Items for Systematic Reviews and meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guideline. Systematic searches were performed within five electronic databases and additional sources. The included 62 studies reported 10 different concepts to determine Vc, which we summarised in three groups. The determination concepts differed mainly regarding time intervals during the contraction phase considered and criteria used to define these intervals. Essential information on the equipment and raters, measurement setup, electrical stimulation procedure, and data analysis were frequently not reported. In conclusion, no consensus on how to determine Vc existed. Incomplete reporting of measurement protocols hindered study comparison, which obstructs developing a standardised approach. Therefore, we propose a new guideline for reporting measurement protocols, which covers the 1) equipment and rater, 2) measurement setup, including positioning of the subject, sensor and electrodes, 3) electrical stimulation, including initial stimulation amplitude, increment, and endpoint, and 4) data analysis, including selection criteria and number of analysed signals and a definition of derived parameters.
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Affiliation(s)
- G Langen
- Department of Sports Medicine and Performance Physiology, Goethe University Frankfurt, Frankfurt, Germany; Department of Strength Power and Technical Sports, Institute for Applied Training Science, Leipzig, Germany.
| | - I Sandau
- Department of Strength Power and Technical Sports, Institute for Applied Training Science, Leipzig, Germany
| | - O Ueberschär
- Department of Engineering and Industrial Design, Magdeburg-Stendal University of Applied Sciences, Magdeburg, Germany; Department of Biomechanics, Institute for Applied Training Science, Leipzig, Germany
| | - K Nosaka
- Centre for Human Performance, School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia
| | - M Behringer
- Department of Sports Medicine and Performance Physiology, Goethe University Frankfurt, Frankfurt, Germany
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Jeknić V, Dopsaj M, Toskić L, Koropanovski N. Muscle Contraction Adaptations in Top-Level Karate Athletes Assessed by Tensiomyography. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10309. [PMID: 36011944 PMCID: PMC9408118 DOI: 10.3390/ijerph191610309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 08/04/2022] [Accepted: 08/14/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND This paper aimed to compare the involuntary stimulated neuromuscular response of thigh muscles in top-level karate athletes and recreational groups. METHODS The study included 13 male karate athletes (KAs) and 14 non-athlete male individuals (NAs). Tensiomyographic (TMG) measurements were obtained from the rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL), biceps femoris (BF) and semitendinosus (ST). RESULTS Statistically significant differences were observed between KAs and NAs in knee extensor/flexor delay time (Td), contraction time (Tc), total contraction time (Tct), maximal radial displacement of the muscle belly (Dm) and rate of muscle tension development (RMTD). On a group level, KA dominant-leg extensors and flexors and also non-dominant-leg knee flexors had significant differences when compared to NA. Tct is a TMG parameter in which the KAs and NAs differ the most in the case of the knee extensors, while flexor muscles differ the most in the RMTD parameter. CONCLUSIONS The lower Tct values indicate an improved ability of top-level karateka to make fast contractions of the agonist muscles. KAs' higher RMTD values suggest on strength characteristics needed in breaking actions of the antagonist muscles. Existence of contraction-relaxation-contraction neuromuscular pattern in the RF muscle suggests on implementation of training strategies that involves both rapid muscle contractions and relaxations.
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Affiliation(s)
- Velimir Jeknić
- Palms Sports, Abu Dhabi P.O. Box 111188, United Arab Emirates
- Department of Sport, Abu Dhabi Police College, Abu Dhabi P.O. Box 111188, United Arab Emirates
| | - Milivoj Dopsaj
- Faculty of Sport and Physical Education, University of Belgrade, 11030 Belgrade, Serbia
| | - Lazar Toskić
- Faculty of Sport and Physical Education, University in Priština-Kosovska Mitrovica, 38218 Leposavić, Serbia
- Faculty of Sport, University “Union-Nikola Tesla”, 11000 Belgrade, Serbia
| | - Nenad Koropanovski
- Department of Criminalistics, University of Criminal Investigation and Police Studies, 11080 Belgrade, Serbia
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15
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Willberg C, Wieland B, Rettenmaier L, Behringer M, Zentgraf K. The relationship between external and internal load parameters in 3 × 3 basketball tournaments. BMC Sports Sci Med Rehabil 2022; 14:152. [PMID: 35922869 PMCID: PMC9351101 DOI: 10.1186/s13102-022-00530-1] [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: 02/11/2022] [Accepted: 07/13/2022] [Indexed: 11/22/2022]
Abstract
Purpose 3 × 3 basketball games are characterized by high-intensity accelerations and decelerations, and a high number of changes of direction and jumps. It is played in tournament form with multiple games per day. Therefore, optimal regeneration is crucial for maintaining a high performance level over the course of the tournament. To elucidate how load of a match affects the athletes' bodies (i.e., internal load), muscular responses to the load of 3 × 3 games were analyzed. We aimed to investigate changes in contractility of the m. rectus femoris (RF) and m. gastrocnemius medialis (GC) in response to the load of single 3 × 3 games and a 3 × 3 tournament. Methods Inertial movement analysis was conducted to capture game load in 3 × 3. Changes in contractility were measured using tensiomyography (TMG). During a two-day tournament, TMG measurements were conducted in the morning and after each game. Additionally, off-game performance analysis consisting of jump and change-of-direction (COD) tests was conducted the day before the tournament. Results Significant changes of the muscle contractility were found for GC with TMG values being higher in the baseline than in the post-game measurements. In contrast to athletes of the GC group, athletes of the RF group responded with either decreased or increased muscle contractility after a single 3 × 3 game. A significant correlation between external and internal load parameters could not be shown. Concerning off-game performance, significant correlations can be reported for COD test duration, CMJ height and ∆Vc as well as COD test duration and ∆Dm. No systematic changes in muscle contractility were found over the course of the tournament in RF and GC. Conclusion The athletes' external 3 × 3 game load and their performance level did not seem to affect muscular contractility after a single 3 × 3 game or a complete 3 × 3 tournament within this investigation. This might indicate that elite athletes can resist external load without relevant local muscular fatigue. With respect to the course of the tournament, it can therefore be concluded that the breaks between games seem to be sufficient to return to the initial level of muscle contractility. Supplementary Information The online version contains supplementary material available at 10.1186/s13102-022-00530-1.
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Affiliation(s)
- C Willberg
- Institute of Sport Sciences, Movement Science and Training in Sports, Goethe University Frankfurt, Frankfurt, Germany.
| | - B Wieland
- Institute of Sport Sciences, Movement Science and Training in Sports, Goethe University Frankfurt, Frankfurt, Germany
| | - L Rettenmaier
- Institute of Sport Sciences, Movement Science and Training in Sports, Goethe University Frankfurt, Frankfurt, Germany
| | - M Behringer
- Institute of Sport Sciences, Sports Medicine and Exercise Physiology, Goethe University Frankfurt, Frankfurt, Germany
| | - K Zentgraf
- Institute of Sport Sciences, Movement Science and Training in Sports, Goethe University Frankfurt, Frankfurt, Germany
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Tensiomyographic Responses to Warm-Up Protocols in Collegiate Male Soccer Athletes. J Funct Morphol Kinesiol 2021; 6:jfmk6040080. [PMID: 34698223 PMCID: PMC8544393 DOI: 10.3390/jfmk6040080] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 09/15/2021] [Accepted: 09/16/2021] [Indexed: 11/17/2022] Open
Abstract
The mechanical properties of knee flexors and extensors in 15 collegiate male soccer players following different warm-up protocols [small-sided games (SSG), dynamic (DYN), and plyometric (PLY)] were evaluated. Tensiomyography (TMG) was used to assess contraction time (Tc), delay time (Td) and maximal displacement (Dm) of the rectus femoris (RF) and biceps femoris (BF) of both legs before and after each warm-up, while countermovement jump height variables, 20 m sprint, t-test and sit-and-reach were measured following the warm-ups. TMG was analyzed using a three-way [condition × time × leg] ANOVA, while performance variables were analyzed with a repeated measures ANOVA. Main effects of time were observed for BF-Tc (p = 0.035), RF-Td (p < 0.001), and BF-Td, (p = 0.008), and a main effect of condition was seen for RF-Tc (p = 0.038). Moreover, participants' 20 m sprint improved following SSG (p = 0.021) compared to DYN and PLY. Sit-and-reach was greater following PLY (p = 0.021). No significant interactions were noted for the measured TMG variables. Warm-up-specific improvements were demonstrated in sprint speed and flexibility following SSG and PLY, respectively. The present study revealed changes in certain TMG measures following the warm-ups that suggest enhanced response of lower leg muscles regardless of specific activities used.
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Pérez-Bellmunt A, Casasayas-Cos O, López-de-Celis C, Rodríguez-Sanz J, Rodríguez-Jiménez J, Ortiz-Miguel S, Meca-Rivera T, Fernández-de-las-Peñas C. Effects of Dry Needling of Latent Trigger Points on Viscoelastic and Muscular Contractile Properties: Preliminary Results of a Randomized Within-Participant Clinical Trial. J Clin Med 2021; 10:jcm10173848. [PMID: 34501299 PMCID: PMC8432234 DOI: 10.3390/jcm10173848] [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: 07/21/2021] [Revised: 08/19/2021] [Accepted: 08/24/2021] [Indexed: 02/07/2023] Open
Abstract
This study aimed to evaluate changes in neuromuscular function and pain perception in latent trigger points (TrPs) in the gastrocnemius muscle after a single session of dry needling. A randomized within-participant clinical trial was conducted. Fifty volunteers with latent TrPs in the gastrocnemius muscles were explored. Each extremity was randomly assigned to a control or experimental (dry needling) group. Viscoelastic parameters and contractile properties were analyzed by tensiomyography. Ankle dorsiflexion range of motion was assessed with the lunge test. Pressure pain thresholds (PPT) and pain perceived were also analyzed. The results observed that three viscoelastic proprieties (myotonometry) showed significant differences in favor of the experimental extremity in the lateral gastrocnemius: stiffness (p = 0.02), relaxation (p = 0.045), and creep (p = 0.03), but not in the medial gastrocnemius. No changes in tensiomyography outcomes were found. The control extremity showed a higher increase in PPTs (i.e., decrease in pressure pain sensitivity) than the experimental extremity (p = 0.03). No significant effects for range of motion or strength were observed. In general, gender did not influence the effects of dry needling over latent TrPs in the gastrocnemius muscle. In conclusion, a single session of dry needling was able to change some parameters of neuromuscular function, such as muscle tone, relaxation, pressure pain sensitivity, and creep in the lateral (but not medial) gastrocnemius but did not improve strength or range of motion.
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Affiliation(s)
- Albert Pérez-Bellmunt
- Basic Sciences Department, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (A.P.-B.); (O.C.-C.); (J.R.-S.); (S.O.-M.); (T.M.-R.)
- ACTIUM Functional Anatomy Group, 08017 Barcelona, Spain
| | - Oriol Casasayas-Cos
- Basic Sciences Department, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (A.P.-B.); (O.C.-C.); (J.R.-S.); (S.O.-M.); (T.M.-R.)
- ACTIUM Functional Anatomy Group, 08017 Barcelona, Spain
| | - Carlos López-de-Celis
- Basic Sciences Department, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (A.P.-B.); (O.C.-C.); (J.R.-S.); (S.O.-M.); (T.M.-R.)
- ACTIUM Functional Anatomy Group, 08017 Barcelona, Spain
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
- Correspondence: (C.L.-d.-C.); (C.F.-d.-l.-P.)
| | - Jacobo Rodríguez-Sanz
- Basic Sciences Department, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (A.P.-B.); (O.C.-C.); (J.R.-S.); (S.O.-M.); (T.M.-R.)
- ACTIUM Functional Anatomy Group, 08017 Barcelona, Spain
| | - Jorge Rodríguez-Jiménez
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain;
- Cátedra de Investigación y Docencia en Fisioterapia: Terapia Manual y Punción Seca, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
| | - Sara Ortiz-Miguel
- Basic Sciences Department, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (A.P.-B.); (O.C.-C.); (J.R.-S.); (S.O.-M.); (T.M.-R.)
- ACTIUM Functional Anatomy Group, 08017 Barcelona, Spain
| | - Toni Meca-Rivera
- Basic Sciences Department, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain; (A.P.-B.); (O.C.-C.); (J.R.-S.); (S.O.-M.); (T.M.-R.)
- ACTIUM Functional Anatomy Group, 08017 Barcelona, Spain
| | - César Fernández-de-las-Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain;
- Cátedra de Investigación y Docencia en Fisioterapia: Terapia Manual y Punción Seca, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
- Correspondence: (C.L.-d.-C.); (C.F.-d.-l.-P.)
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Colomar J, Corbi F, Baiget E. Alterations in mechanical muscle characteristics and postural control induced by tennis match-play in young players. PeerJ 2021; 9:e11445. [PMID: 34026370 PMCID: PMC8121060 DOI: 10.7717/peerj.11445] [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: 01/05/2021] [Accepted: 04/21/2021] [Indexed: 11/20/2022] Open
Abstract
Background Central and peripheric fatigue indicators are among the main reasons for performance decline following competition. Because of the impact of these factors on performance, how these variables are affected by match-play could be of interest, especially in young tennis players. Objective This study aimed to investigate alterations induced by a simulated tennis match on postural control and muscle characteristics in young tennis players. Method Seventeen male junior players took part in pre- and post-competition testing sessions performing postural control (displacement, speed and surface area of center of pressures) and muscle characteristics measurements (tone, stiffness, time to relaxation and elasticity). Between trials, participants played an 80-min simulated tennis match. Results No significant differences were observed in any of the tested variables. Moderate-to-large effect sizes (ES) for decreased stiffness and tone and greater time to relaxation were found between pre- and post-conditions in the right rectus abdominis (−9.8%, −4.4% and 7.8%; ES = 0.8, 0.54 and −0.85). Also, a decrease in tone was found in the right vastus medialis (−7.1%; ES = 0.56), while surface area of the center of pressures with eyes open showed trends towards increasing in post-match measurements (55.9%; ES = 0.56). Conclusion An 80-min simulated tennis match seems insufficient to elicit significant changes in postural control and mechanical muscle characteristics. Results suggest that physiological responses triggered by match-play were closer to those seen after a moderate activity than those present following a strenuous task.
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Affiliation(s)
- Joshua Colomar
- Institut Nacional d'Educació Física de Catalunya - INEFC Barcelona, Barcelona, Spain.,Academia Sánchez-Casal, Barcelona, Spain
| | - Francisco Corbi
- Institut Nacional d'Educació Física de Catalunya - INEFC Lleida, Lleida, Spain
| | - Ernest Baiget
- Sports Performance Analysis Research Group (SPARG), Universitat de Vic - Universitat Central de Catalunya, Vic, Spain
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Effects of a Massage Protocol in Tensiomyographic and Myotonometric Proprieties. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18083891. [PMID: 33917668 PMCID: PMC8067956 DOI: 10.3390/ijerph18083891] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 03/30/2021] [Accepted: 04/03/2021] [Indexed: 12/15/2022]
Abstract
Background: Pre-competition massage is usually used to improve athletic performance and reduce risk of injury. Despite its usual use, the effects of pre-competition massage on neuromuscular function have barely been studied. The aim of this study is to evaluate the effects of the pre-competition massage over the gastrocnemius neuromuscular function. Method: The study is a quasi-experimental clinical trial thirty healthy athletes were enrolled in the study. Subjects received an intervention in one leg (experimental), consisting of a massage, and no intervention in the opposite leg (control). From all values of neuromuscular function, the following were analyzed: contraction time (Tc) and maximal displacement (Dm) by tensiomyography, and stiffness and tone by myotonometry. Results: Main effects of pre-competition massage on neuromuscular function include a significant (p < 0.05) increase in Tc and Dm variables, as well as a reduction in stiffness and tone. Conclusion: Data shows an increase in Tc and maximal radial displacement (Dm) variables, as well as a reduction in stiffness and tone. More quality studies are needed to draw clear conclusions about the effects of pre-competition massage.
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Repeatability of the Individual Response to the Use of Active Recovery the Day After High-Intensity Interval Training: A Double-Crossover Trial. Int J Sports Physiol Perform 2021; 16:1160–1168. [PMID: 33607623 DOI: 10.1123/ijspp.2020-0671] [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: 07/15/2020] [Revised: 09/03/2020] [Accepted: 09/06/2020] [Indexed: 11/18/2022]
Abstract
PURPOSE To identify whether the use of active recovery (ACT) the day after high-intensity interval training (HIIT) benefits recovery and to assess whether individual responses to ACT are repeatable. METHODS Eleven well-trained, male intermittent-sport athletes (age: 25.5 ± 1.8 y) completed 4 HIIT sessions, each separated by a 2-week washout period. Of the 4 sessions, 2 were followed by passive recovery (PAS) and 2 by 60 minutes of moderate biking (ACT) 24 hours postexercise in the following sequences: ACT→PAS→ACT→PAS or PAS→ACT→PAS→ACT. Before and after HIIT and after 24 and 48 hours of recovery, maximal voluntary isometric strength (MVIC), countermovement jump height (CMJ), tensiomyographic markers of muscle fatigue (TMG), serum concentration of creatine kinase (CK), muscle soreness (MS), and perceived stress state (PS) were determined. RESULTS A 3-way repeated-measure analysis of variance with a triple-nested random effects model revealed a significant (P < .05) fatigue-related time effect of HIIT on markers of fatigue (MVIC↓; CMJ↓; TMG↑; CK↑; MS↑; PS↑). No significant (P > .05) main effect of recovery strategy was detected. In 9 subjects, the individual results revealed inconsistent and nonrepeatable responses to ACT, while a consistent and repeatable positive or negative response to ACT was found in 2 individuals. CONCLUSIONS The repeated failure of ACT to limit the severity of fatigue was found both at the group level and with most individuals. However, a small percentage of athletes may be more likely to benefit repeatedly from either ACT or PAS. Therefore, the use of ACT should be individualized.
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Camelio K, Gruber AH, Powell DW, Paquette MR. Influence of Prolonged Running and Training on Tibial Acceleration and Movement Quality in Novice Runners. J Athl Train 2020; 55:1292-1299. [PMID: 32946571 DOI: 10.4085/1062-6050-0491.19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Changes in lower limb loading and movement quality after prolonged running and training periods might influence injury risks in runners. OBJECTIVES To assess (1) the effects of a single prolonged run and a 3-week running training program on peak tibial acceleration (PTA) during running and Functional Movement Screen (FMS) criterion tests, and (2) the relationship between running volume during the 3-week training program and changes in PTA and FMS scores after training. DESIGN Case series. SETTING Research laboratory. PATIENTS OR OTHER PARTICIPANTS Ten novice runners (age = 27 ± 7 years) with 15 ± 14 months of running experience, who ran on average 19.6 ± 4.8 km per week at a preferred pace of 7:05 ± 1:30 minutes per km. MAIN OUTCOME MEASURE(S) Participants completed a 30-minute submaximal prolonged treadmill run and 3-week training program with 25% increases in weekly running volume. Peak tibial acceleration and the deep-squat and active straight-leg-raise criterion FMS test scores were assessed before and after the prolonged run at enrollment and after the training program (ie, 3 testing sessions). RESULTS No differences in PTA or FMS scores were observed among the 3 testing times. Although the changes in PTA (r = 0.57) and FMS aggregate score (r = 0.15) were not significantly correlated with training volume, training volume explained 32% of the variance in the PTA change from before to after training. CONCLUSIONS Our findings suggest that tibial acceleration and movement quality were not influenced by a single submaximal-effort prolonged run or a 3-week training period. However, novice runners who have a greater increase in running volume might be more susceptible to training-related changes in tibial acceleration than those whose running volume is less.
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Affiliation(s)
- Kris Camelio
- College of Health Sciences, University of Memphis, TN
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22
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Gutiérrez-Vargas R, Martín-Rodríguez S, Sánchez-Ureña B, Rodríguez-Montero A, Salas-Cabrera J, Gutiérrez-Vargas JC, Simunic B, Rojas-Valverde D. Biochemical and Muscle Mechanical Postmarathon Changes in Hot and Humid Conditions. J Strength Cond Res 2020; 34:847-856. [PMID: 30024483 DOI: 10.1519/jsc.0000000000002746] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Gutiérrez-Vargas, R, Martín-Rodríguez, S, Sánchez-Ureña, B, Rodríguez-Montero, A, Salas-Cabrera, J, Gutiérrez-Vargas, JC, Simunic, B, and Rojas-Valverde, D. Biochemical and muscle mechanical postmarathon changes in hot and humid conditions. J Strength Cond Res 34(3): 847-856, 2020-The aim of this study was to compare biochemical changes and mechanical changes in the lower-limb muscles before and after a marathon race in hot and humid conditions. Eighteen healthy runners participated in a marathon at between 28 and 34° C and 81% humidity in Costa Rica. Serum magnesium (Mg), creatine phosphokinase (CPK), lactate dehydrogenase, and hematocrit (HCT) were measured before and after the marathon. Tensiomyography measurements from the rectus femoris (RF) and vastus medialis, muscle displacement (Dm), contraction time (Tc), and velocities of contraction to 10 and 90% of Dm (V10 and V90) were obtained before and after the marathon. Postrace measurements showed a 544% increase in CPK (t(17): -6.925, p < 0.01), a 16% increase in HCT (t(17): -7.466, p < 0.01), a 29% decrease in Mg (t(17): 3.91, p = 0.001), a 2% decrease in body mass (t(17): 4.162, p = 0.001), a 4% increase in Tc of the RF (t(17): -2.588, p = 0.019), and a 12% increase in Dm of the RF (t(17): -2.131, p < 0.048) compared with prerace measurements. No significant biochemical or mechanical differences were found between runners in terms of their finish times. These findings showed that completing a marathon in hot and humid conditions induced a significant reduction in lower-limb muscle stiffness, body mass, and Mg, and increased neuromuscular fatigue, CPK, and HCT, because of muscle damage and dehydration. Knowledge of the effects of heat and humidity may be of value for coaches and sports medicine practitioners in developing effective hydration and recovery protocols for marathon runners in these special conditions.
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Affiliation(s)
- Randall Gutiérrez-Vargas
- Health and Sport Research and Diagnosis Center (CIDISAD).,School of Human Movement and Quality of Life, National University, Heredia, Costa Rica
| | - Saúl Martín-Rodríguez
- Canarian Physical Education Licenciates College (COLEF), Las Palmas de Gran Canaria, Gran Canaria, Spain
| | - Braulio Sánchez-Ureña
- School of Human Movement and Quality of Life, National University, Heredia, Costa Rica.,Health and Exercise Sciences Program; and
| | | | - Jorge Salas-Cabrera
- School of Human Movement and Quality of Life, National University, Heredia, Costa Rica
| | | | - Bostjan Simunic
- Institute of Kinesiology Research, University of Priomorska, Koper, Slovenia
| | - Daniel Rojas-Valverde
- Health and Sport Research and Diagnosis Center (CIDISAD).,School of Human Movement and Quality of Life, National University, Heredia, Costa Rica
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23
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García-García O, Cuba-Dorado A, Riveiro-Bozada A, Carballo-López J, Álvarez-Yates T, López-Chicharro J. A Maximal Incremental Test in Cyclists Causes Greater Peripheral Fatigue in Biceps Femoris. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2020; 91:460-468. [PMID: 31906803 DOI: 10.1080/02701367.2019.1680789] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Accepted: 10/10/2019] [Indexed: 06/10/2023]
Abstract
Purpose: The aim of this study was to determine the changes in neuromuscular contractile properties in elite cyclists associated to the peripheral fatigue produced in a maximal incremental test in cycle ergometer. Methods: Forty-eight volunteers' well-trained male cyclists were evaluated during the competition season within a recovery microcycle. Tensiomyography was used before and after performing an incremental test until exhaustion in cycle ergometer to measure the radial muscle belly displacement of the vastus lateralis (VL), rectus femoris (RF), and biceps femoris (BF) on the dominant leg. Maximum radial muscle belly displacement (Dm), contraction time (Tc), delay time (Td), sustain time (Ts), and radial displacement velocity (Vrd) were measured. Mixed-design factorial analysis of variance was used to detect changes in the mechanical and neuromuscular characteristics after a maximal incremental exercise test. Results: The results show in the evaluated muscles a moderate-large decrease (p < .01, η2 = 0.06-0.51) in Tc, Td, Dm, Ts, and Vrd. This decrease occurs more sharply in the BF than in RF or VL. Conclusion: An incremental effort until exhaustion produces peripheral fatigue associated with a decrease in Dm, Tc, Td, Ts, and Vrd, being more pronounced in biceps femoris than in vastus lateralis and rectus femoris. Coaches can use these changes found in the contractile properties as a reference to detect the muscle fatigue degree that certain training models pose for the cyclist.
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Intermittent Pneumatic Compression and Cold Water Immersion Effects on Physiological and Perceptual Recovery during Multi-Sports International Championship. J Funct Morphol Kinesiol 2020; 5:jfmk5030045. [PMID: 33467261 PMCID: PMC7739238 DOI: 10.3390/jfmk5030045] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 06/24/2020] [Accepted: 06/28/2020] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Congested-fixture championships are common during the selection of the athletes and teams participating in the Olympic Games. Throughout these tournaments, it is fundamental to perform optimally, rest well, and recover between competitions. This study aimed to (a) explore the effectiveness of the use of intermittent pneumatic compression (IPC) and cold water immersion (CWI) to recover muscle mechanical function (MuscleMechFx), hydration status (HydS), pain perception (PainPercep), rate of perceived exertion (RPE), sleep hours, and sleep quality (SleepQual) during a regional multi-sports international championship and (b) compare these results by sex. METHODS A total of 52 basketball and handball players were exposed to a recovery protocol after the competition as follows: IPC, sequential 20 min at 200 mmHg, and CWI, continuous 12 min at 12 °C. RESULTS MuscleMechFx presented differences by match and sex (p = 0.058) in time of contraction of biceps femoris; SleepQual and sleep hours were different between matches (<0.01). CONCLUSIONS IPC + CWI seems to be effective to maintain some MuscleMechFx, HydS, and recovery and pain perception during a congested multi-sport tournament.
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25
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AlMohimeed I, Ono Y. Ultrasound Measurement of Skeletal Muscle Contractile Parameters Using Flexible and Wearable Single-Element Ultrasonic Sensor. SENSORS 2020; 20:s20133616. [PMID: 32605006 PMCID: PMC7374409 DOI: 10.3390/s20133616] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/10/2020] [Revised: 06/17/2020] [Accepted: 06/23/2020] [Indexed: 12/25/2022]
Abstract
Skeletal muscle is considered as a near-constant volume system, and the contractions of the muscle are related to the changes in tissue thickness. Assessment of the skeletal muscle contractile parameters such as maximum contraction thickness (Th), contraction time (Tc), contraction velocity (Vc), sustain time (Ts), and half-relaxation (Tr) provides valuable information for various medical applications. This paper presents a single-element wearable ultrasonic sensor (WUS) and a method to measure the skeletal muscle contractile parameters in A-mode ultrasonic data acquisition. The developed WUS was made of double-layer polyvinylidene fluoride (PVDF) piezoelectric polymer films with a simple and low-cost fabrication process. A flexible, lightweight, thin, and small size WUS would provide a secure attachment to the skin surface without affecting the muscle contraction dynamics of interest. The developed WUS was employed to monitor the contractions of gastrocnemius (GC) muscle of a human subject. The GC muscle contractions were evoked by the electrical muscle stimulation (EMS) at varying EMS frequencies from 2 Hz up to 30 Hz. The tissue thickness changes due to the muscle contractions were measured by utilizing a time-of-flight method in the ultrasonic through-transmission mode. The developed WUS demonstrated the capability to monitor the tissue thickness changes during the unfused and fused tetanic contractions. The tetanic progression level was quantitatively assessed using the parameter of the fusion index (FI) obtained. In addition, the contractile parameters (Th, Tc, Vc, Ts, and Tr) were successfully extracted from the measured tissue thickness changes. In addition, the unfused and fused tetanus frequencies were estimated from the obtained FI-EMS frequency curve. The WUS and ultrasonic method proposed in this study could be a valuable tool for inexpensive, non-invasive, and continuous monitoring of the skeletal muscle contractile properties.
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Affiliation(s)
- Ibrahim AlMohimeed
- Department of Systems and Computer Engineering, Carleton University, Ottawa, ON K1S 5B6, Canada;
- Department of Medical Equipment Technology, Majmaah University, Majmaah 11952, Saudi Arabia
| | - Yuu Ono
- Department of Systems and Computer Engineering, Carleton University, Ottawa, ON K1S 5B6, Canada;
- Correspondence:
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26
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Toskić LD, Dopsaj MJ, Marković MR, Toskić DR, Ignjatović AM. Mechanical and Contractile Properties of Knee Joint Muscles Measured by the Method of Tensiomyography in Differently Trained Men and Women. J Strength Cond Res 2020; 36:1532-1539. [DOI: 10.1519/jsc.0000000000003662] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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27
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Piqueras-Sanchiz F, Martínez-Aranda LM, Pareja-Blanco F, Rodríguez-Ruiz D, García-García Ó. Evolution of contractile properties of the lower limb muscles throughout a season in elite futsal players. J Sports Med Phys Fitness 2020; 60:965-973. [PMID: 32253898 DOI: 10.23736/s0022-4707.20.10345-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Futsal is a team sport involving intermittent technical actions of high intensity, and high physical (strength) and muscular demands. In this regard, the tensiomyography (TMG) is a useful and non-invasive tool for the monitoring and assessment of the muscle's contractile capacity. This study aimed to analyze the changes in the contractile properties produced during the season, as well as to determine the potential cumulative effect of a resistance training (RT) program in futsal players. METHODS Fourteen elite futsal players (2 goalkeepers, 4 defenders, 4 wingers and 3 pivots) were assessed by TMG at 11th, 18th, and 28th week of the season. The maximal radial displacement of the muscle belly (Dm); contraction time (Tc); delay time (Td) and radial displacement velocity (90%) Dm (VrD90) were assessed. After the second measurement, a RT program was included in the regular training sessions and focused on the lower body musculature. It was performed during 9 weeks (1-weekly). Finally, a third measurement was performed between 28th-29th weeks. Repeated measures analysis of variance was used to detect in-season changes. Two factors were included: Time (changes detected after resistance training program) was used as the within-subject factor and the specific position was used as the between-subject factor. RESULTS An increment in Tc for several muscles: biceps femoris (BF; P=0.02), semitendinosus (ST; P=0.04), adductor longus (AL; P=0.008) and gastrocnemius medialis (GM; P=0.009) was observed throughout the season. Similarly, significant increments in Dm for GM (P=0.02) and AL (P=0.05), as well as increments in Td for BF (P=0.002) were found. Moreover, no significant changes in VrD90 between time points 2-3 (analysis of RT effect) were observed. Additionally, the player´s positions reported no significant changes for any of the variables analyzed. CONCLUSIONS An increase respect to baseline levels was observed for Tc, Td and Dm during the season. However, the adaptations to contractile properties were muscle specific. In addition, an in-season 9-week RT program (1-weekly), had no significant effects (time points 2-3) on the contractile properties of futsal players. In addition, there were no differences when comparing different positions.
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Affiliation(s)
| | - Luis M Martínez-Aranda
- Neuroscience of Human Movement Research Group, Faculty of Sport, Catholic University San Antonio, Murcia, Spain
| | - Fernando Pareja-Blanco
- Faculty of Sports Science, Pablo de Olavide University, Seville, Spain.,Physical Performance and Sports Research Center, Department of Sports and Computers Sciences, Pablo de Olavide University, Seville, Spain
| | | | - Óscar García-García
- Sport Performance, Physical Condition and Wellness Lab, University of Vigo, Pontevedra, Spain -
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28
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Muñoz-López A, De Hoyo M, Nuñez FJ, Sañudo B. Using Tensiomyography to Assess Changes in Knee Muscle Contraction Properties After Concentric and Eccentric Fatiguing Muscle Actions. J Strength Cond Res 2020; 36:935-940. [PMID: 32168176 DOI: 10.1519/jsc.0000000000003562] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Muñoz-López, A, De Hoyo, M, Nuñez, FJ, and Sañudo, B. Using tensiomyography to assess changes in knee muscle contraction properties after concentric and eccentric fatiguing muscle actions. J Strength Cond Res XX(X): 000-000, 2020-The purposes of this study were to analyze the effects of different types of muscle contraction (concentric and eccentric) on the passive muscular contraction properties of knee muscles and how muscle contraction can affect the muscles in different knee functions. In total, 23 active healthy men (age: 24.65 ± 1.95 years, height: 1.78 ± 0.05 m, mass: 75.33 ± 8.37 kg) participated in this study. Muscle soreness, muscle contractile properties assessed with tensiomyography (TMG) (vastus lateralis [VL] and biceps femoris [BF]), and isometric peak torque were tested before and immediately after 32 maximal repetitions of an isokinetic leg extension and flexion exercise at 180° per second. Muscle contractions were randomized to each subject's leg. From the TMG variables, only contraction velocity showed significant interactions in time × muscle × contraction (p = 0.046; partial ηp = 0.19). A greater reduction was observed in the BF (-29.03%) than in the VL (-21.25%). There was a significant decrease in contraction velocity after concentric p < 0.001, d = 1.18) and eccentric (p = 0.007, d = 0.51) exercise for the BF, while for VL, a decrease was only observed after concentric exercise (p = 0.007, d = 0.66). The leg extension exercise showed reductions in the isokinetic peak torque (p < 0.001; partial ηp = 0.83). Isometric peak torque (p < 0.001; partial ηp = 0.80) and muscle soreness (p < 0.001; partial ηp = 0.70) decreased after exercise. In conclusion, muscle mechanical properties were differently affected in relation to the muscle contraction and knee muscles involved, after a fatiguing leg extension isokinetic exercise. Isometric peak torque and muscle soreness were also reduced immediately after exercise. These results are particularly important to understand how TMG parameters are modified depending on the type of contraction.
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Affiliation(s)
| | - Moisés De Hoyo
- Physical Education and Sports, University of Seville, Seville, Spain
| | - Francisco J Nuñez
- Physical Performance and Sports Research, Pablo de Olavide University, Seville, Spain
| | - Borja Sañudo
- Physical Education and Sports, University of Seville, Seville, Spain
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29
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Martín-San Agustín R, Medina-Mirapeix F, Casaña-Granell J, García-Vidal JA, Lillo-Navarro C, Benítez-Martínez JC. Tensiomyographical responsiveness to peripheral fatigue in quadriceps femoris. PeerJ 2020; 8:e8674. [PMID: 32161690 PMCID: PMC7050546 DOI: 10.7717/peerj.8674] [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: 12/19/2019] [Accepted: 01/31/2020] [Indexed: 12/27/2022] Open
Abstract
Background Fatigue influences athletic performance and can also increase the risk of injury in sports, and most of the methods to evaluate it require an additional voluntary effort. Tensiomyography (TMG), which uses electrical stimulation and a displacement sensor to evaluate muscle contraction properties of one or more muscle bellies, has emerged as a technique that can assess the presence of peripheral and central fatigue without requiring additional voluntary efforts. However, the evaluation of the TMG’s ability to detect fatigue is limited, both at the level of muscle bellies and statistical methods. Thus, the aim of the present study was twofold: (i) to examine and compare the tensiomyographical responsiveness to quadriceps femoris (QF) fatigue by multiple statistical methods and (ii) to analyze sex differences in the variation produced by fatigue in TMG parameters. Methods Thirty-nine recreational athletes participated (19 males/20 females; aged 22 ± 2 years). TMG parameters of QF bellies and maximal voluntary isometric contraction (MVIC) were measured before and after a fatigue protocol. TMG parameters used were maximum radial deformation (Dm), contraction time between 10–90% of the Dm (Tc), contraction velocity between 10–90% (Vc) and of the first 10% (V10) of the Dm. Internal responsiveness of TMG to fatigue was analyzed by paired t-test and standardized response mean (SRM). External responsiveness was examined by correlations, regression models, and receiver operating characteristic (ROC) curves. Results All TMG parameters, except for Tc of rectus femoris and vastus medialis, showed large internal responsiveness. In adjusted regression models by sex, only Dm and V10 of rectus femoris were statistically associated (p < 0.05) with b coefficients of 0.40 and 0.43, respectively. r2 explained the 22% of the total variance. In addition, these parameters could discriminate between QF with and without fatigue. Conclusion Since the QF is the main strength contributor during multiple physical activities, clinicians and trainers will be able to discriminate the presence of fatigue and the magnitude of changes in the QF strength by TMG evaluation.
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Affiliation(s)
| | | | | | | | - Carmen Lillo-Navarro
- Department of Pathology and Surgery, University Miguel Hernández, San Joan, Spain
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30
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Wilson MT, Ryan AMF, Vallance SR, Dias-Dougan A, Dugdale JH, Hunter AM, Hamilton DL, Macgregor LJ. Tensiomyography Derived Parameters Reflect Skeletal Muscle Architectural Adaptations Following 6-Weeks of Lower Body Resistance Training. Front Physiol 2019; 10:1493. [PMID: 31920699 PMCID: PMC6914863 DOI: 10.3389/fphys.2019.01493] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Accepted: 11/21/2019] [Indexed: 01/01/2023] Open
Abstract
Measurement of muscle specific contractile properties in response to resistance training (RT) can provide practitioners valuable information regarding physiological status of individuals. Field based measurements of such contractile properties within specific muscle groups, could be beneficial when monitoring efficacy of training or rehabilitation interventions. Tensiomyography (TMG) quantifies contractile properties of individual muscles via an electrically stimulated twitch contraction and may serve as a viable option in the aforementioned applications. Thus, aims of this study were; (i) to investigate the potential use of TMG to quantify training adaptations and differences, in response to exercise specific lower limb RT; and (ii) investigate any associations between TMG parameters and accompanying muscle architectural measures. Non-resistance trained male participants (n = 33) were randomly assigned to 1 of 3 single-exercise intervention groups (n = 11 per group); back squat (BS), deadlift (DL), or hip thrust (HT). Participants completed a 6-week linearized training program (2× per week), where the assigned exercise was the sole method of lower body training. Pre- and post-intervention testing of maximal dynamic strength was assessed by one repetition maximum (1RM) of BS, DL, and HT. Radial muscle belly displacement (Dm) and contraction time (Tc) were obtained via TMG from the rectus femoris (RF) and vastus lateralis (VL) pre- and post-intervention, alongside muscle architectural measures (pennation angle and muscle thickness). All three groups displayed significant increases all 1RM strength tests (p < 0.001; pη2 = 0.677-0.753). Strength increases were accompanied by significant overall increases in RF muscle thickness (p < 0.001, pη2 = 0.969), and pennation angle (p = 0.007, pη2 = 0.220). Additionally, an overall reduction in RF Dm (p < 0.001, pη2 = 0.427) was observed. Significant negative relationships were observed between RF Dm and pennation angle (p = 0.003, r = -0.36), and with RF Dm and muscle thickness (p < 0.001, r = -0.50). These findings indicate that TMG is able to detect improved contractile properties, alongside improvements in muscle function within an untrained population. Furthermore, the observed associations between Dm and muscle architecture suggest that TMG contractile property assessments could be used to obtain information on muscle geometry.
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Affiliation(s)
- Matthew T. Wilson
- Physical Exercise and Nutrition Research Group, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
| | - Andrew M. F. Ryan
- Physical Exercise and Nutrition Research Group, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
| | - Scott R. Vallance
- Physical Exercise and Nutrition Research Group, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
| | - Alastair Dias-Dougan
- Physical Exercise and Nutrition Research Group, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
| | - James H. Dugdale
- Physical Exercise and Nutrition Research Group, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
| | - Angus M. Hunter
- Physical Exercise and Nutrition Research Group, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
| | - D. Lee Hamilton
- School of Exercise and Nutrition Sciences, Institute for Physical Activity and Nutrition, Deakin University, Geelong, VIC, Australia
| | - Lewis J. Macgregor
- Physical Exercise and Nutrition Research Group, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
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Cè E, Longo S, Limonta E, Coratella G, Rampichini S, Esposito F. Peripheral fatigue: new mechanistic insights from recent technologies. Eur J Appl Physiol 2019; 120:17-39. [DOI: 10.1007/s00421-019-04264-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 11/12/2019] [Indexed: 12/12/2022]
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32
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Lohr C, Schmidt T, Medina-Porqueres I, Braumann KM, Reer R, Porthun J. Diagnostic accuracy, validity, and reliability of Tensiomyography to assess muscle function and exercise-induced fatigue in healthy participants. A systematic review with meta-analysis. J Electromyogr Kinesiol 2019; 47:65-87. [DOI: 10.1016/j.jelekin.2019.05.005] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 03/16/2019] [Accepted: 05/03/2019] [Indexed: 02/04/2023] Open
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33
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Schneider C, Wiewelhove T, Raeder C, Flatt AA, Hoos O, Hottenrott L, Schumbera O, Kellmann M, Meyer T, Pfeiffer M, Ferrauti A. Heart Rate Variability Monitoring During Strength and High-Intensity Interval Training Overload Microcycles. Front Physiol 2019; 10:582. [PMID: 31178746 PMCID: PMC6538885 DOI: 10.3389/fphys.2019.00582] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 04/25/2019] [Indexed: 01/22/2023] Open
Abstract
Objective: In two independent study arms, we determine the effects of strength training (ST) and high-intensity interval training (HIIT) overload on cardiac autonomic modulation by measuring heart rate (HR) and vagal heart rate variability (HRV). Methods: In the study, 37 well-trained athletes (ST: 7 female, 12 male; HIIT: 9 female, 9 male) were subjected to orthostatic tests (HR and HRV recordings) each day during a 4-day baseline period, a 6-day overload microcycle, and a 4-day recovery period. Discipline-specific performance was assessed before and 1 and 4 days after training. Results: Following ST overload, supine HR, and vagal HRV (Ln RMSSD) were clearly increased and decreased (small effects), respectively, and the standing recordings remained unchanged. In contrast, HIIT overload resulted in decreased HR and increased Ln RMSSD in the standing position (small effects), whereas supine recordings remained unaltered. During the recovery period, these responses were reversed (ST: small effects, HIIT: trivial to small effects). The correlations between changes in HR, vagal HRV measures, and performance were weak or inconsistent. At the group and individual levels, moderate to strong negative correlations were found between HR and Ln RMSSD when analyzing changes between testing days (ST: supine and standing position, HIIT: standing position) and individual time series, respectively. Use of rolling 2-4-day averages enabled more precise estimation of mean changes with smaller confidence intervals compared to single-day values of HR or Ln RMSSD. However, the use of averaged values displayed unclear effects for evaluating associations between HR, vagal HRV measures, and performance changes, and have the potential to be detrimental for classification of individual short-term responses. Conclusion: Measures of HR and Ln RMSSD during an orthostatic test could reveal different autonomic responses following ST or HIIT which may not be discovered by supine or standing measures alone. However, these autonomic changes were not consistently related to short-term changes in performance and the use of rolling averages may alter these relationships differently on group and individual level.
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Affiliation(s)
- Christoph Schneider
- Department of Training and Exercise Science, Faculty of Sport Science, Ruhr University Bochum, Bochum, Germany
| | - Thimo Wiewelhove
- Department of Training and Exercise Science, Faculty of Sport Science, Ruhr University Bochum, Bochum, Germany
| | - Christian Raeder
- Department of Training and Exercise Science, Faculty of Sport Science, Ruhr University Bochum, Bochum, Germany
| | - Andrew A Flatt
- Department of Health Sciences and Kinesiology, Biodynamics and Human Performance Center, Georgia Southern University, Savannah, GA, United States
| | - Olaf Hoos
- Center for Sports and Physical Education, Julius-Maximilians-University, Würzburg, Germany
| | - Laura Hottenrott
- Department of Training and Exercise Science, Faculty of Sport Science, Ruhr University Bochum, Bochum, Germany
| | | | - Michael Kellmann
- Unit of Sport Psychology, Faculty of Sport Science, Ruhr University Bochum, Bochum, Germany.,School of Human Movement and Nutrition Sciences, The University of Queensland, St. Lucia, QLD, Australia
| | - Tim Meyer
- Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Mark Pfeiffer
- Department Theory and Practice of Sports, Institute of Sport Science, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Alexander Ferrauti
- Department of Training and Exercise Science, Faculty of Sport Science, Ruhr University Bochum, Bochum, Germany
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Meglič A, Uršič M, Škorjanc A, Đorđević S, Belušič G. The Piezo-resistive MC Sensor is a Fast and Accurate Sensor for the Measurement of Mechanical Muscle Activity. SENSORS 2019; 19:s19092108. [PMID: 31067754 PMCID: PMC6539344 DOI: 10.3390/s19092108] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 04/19/2019] [Accepted: 04/25/2019] [Indexed: 11/16/2022]
Abstract
A piezo-resistive muscle contraction (MC) sensor was used to assess the contractile properties of seven human skeletal muscles (vastus medialis, rectus femoris, vastus lateralis, gastrocnemius medialis, biceps femoris, erector spinae) during electrically stimulated isometric contraction. The sensor was affixed to the skin directly above the muscle centre. The length of the adjustable sensor tip (3, 4.5 and 6 mm) determined the depth of the tip in the tissue and thus the initial pressure on the skin, fatty and muscle tissue. The depth of the tip increased the signal amplitude and slightly sped up the time course of the signal by shortening the delay time. The MC sensor readings were compared to tensiomyographic (TMG) measurements. The signals obtained by MC only partially matched the TMG measurements, largely due to the faster response time of the MC sensor.
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Affiliation(s)
- Andrej Meglič
- Department of Biology, Biotechnical Faculty, University of Ljubljana, 1000 Ljubljana, Slovenia.
| | - Mojca Uršič
- Department of Biology, Biotechnical Faculty, University of Ljubljana, 1000 Ljubljana, Slovenia.
| | - Aleš Škorjanc
- Department of Biology, Biotechnical Faculty, University of Ljubljana, 1000 Ljubljana, Slovenia.
| | - Srđan Đorđević
- TMG-BMC Ltd., Štihova ulica 24, 1000 Ljubljana, Slovenia.
| | - Gregor Belušič
- Department of Biology, Biotechnical Faculty, University of Ljubljana, 1000 Ljubljana, Slovenia.
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García-García O, Cuba-Dorado A, Álvarez-Yates T, Carballo-López J, Iglesias-Caamaño M. Clinical utility of tensiomyography for muscle function analysis in athletes. Open Access J Sports Med 2019; 10:49-69. [PMID: 31114403 PMCID: PMC6489635 DOI: 10.2147/oajsm.s161485] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Accepted: 02/22/2019] [Indexed: 11/23/2022] Open
Abstract
An exhaustive review has been made to filter the studies that have analyzed muscle function though tensiomyography (TMG) with elite or well-trained athletes. The results of this review indicate that the several protocols used in athletes to find the displacement-time curve with greater maximum radial muscle displacement showed a good-excellent reliability. TMG has been used to characterize athletes' muscles contractile properties from specific sports disciplines, although there are very few sports that have been deeply analyzed. TMG seems to be useful to determine changes in muscles contractile properties after stimuli of competition, training or recovery. These changes have been strongly related with the fatigue produced after an effort. In addition, TMG parameters could be used to control training effects during a specific period or throughout the season being also a very useful tool to individualize athletes training loads. In this sense, it also seems to provide sports performance information in cyclic sports by relating some TMG parameters with performance indicators. On the other hand, the TMG-BCM algorithm has been used as a lateral and functional symmetry measure and as a monitoring tool for injury prevention and recovery. However, it seems to be no clear criterion that determines asymmetry degree, nor established contractile properties values as a reference to prevent or recover sports injuries. Despite the utility shown in these fields, there are still very few sports analyzed and it is really necessary to continue advancing in the knowledge of the contractile properties behavior, such as the effects of athletes' training, competitions and injuries and even in the parameters interpretation obtained with the TMG.
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Affiliation(s)
- Oscar García-García
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Alba Cuba-Dorado
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Tania Álvarez-Yates
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Javier Carballo-López
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Mario Iglesias-Caamaño
- Laboratory of Sports Performance, Physical Condition and Wellness, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
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Toskić L, Dopsaj M, Stanković V, Marković M. Concurrent and predictive validity of isokinetic dynamometry and tensiomyography in differently trained women and men. ISOKINET EXERC SCI 2019. [DOI: 10.3233/ies-185152] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Lazar Toskić
- Faculty of Sport and Physical Education, University of Belgrade, Belgrade, Serbia
- Faculty of Sport and Physical Education, University of Priština, Leposavić, Serbia
| | - Milivoj Dopsaj
- Faculty of Sport and Physical Education, University of Belgrade, Belgrade, Serbia
- Institute of Sport, Tourism and Service, South Ural State University, Chelyabinsk, Russia
| | - Veroljub Stanković
- Faculty of Sport and Physical Education, University of Priština, Leposavić, Serbia
| | - Milan Marković
- Faculty of Sport and Physical Education, University of Belgrade, Belgrade, Serbia
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Test-retest reliability of elbow flexor contraction characteristics with tensiomyography for different elbow joint angles. J Electromyogr Kinesiol 2019; 45:26-32. [PMID: 30776725 DOI: 10.1016/j.jelekin.2019.02.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 01/24/2019] [Accepted: 02/08/2019] [Indexed: 12/22/2022] Open
Abstract
Tensiomyography (TMG) has gained popularity as a tool to quantify muscle contractile properties. However, it is unclear whether joint angle and inter-stimulus interval influence the test-retest reliability of TMG. Fifteen participants (13M/2F; 29.5 ± 7.4 y) underwent TMG recording of the biceps brachii (BB) at 10°, 45° and 90° of elbow flexion with 10 and 20 s inter-stimulus rest intervals in a randomised order on two separate days. The intra-class correlation coefficient (ICC2,1) and 95% confidence interval (95%CI) were calculated for delay time (Td), contraction time (Tc), sustain time (Ts), relaxation time (Tr) and maximal displacement (Dm). Additionally, the standard error of measurement (SEM), coefficient of variation (CV) and minimal detectable change (MDC) were obtained. Across conditions the ICC2,1 varied for each parameter (Td:0.465-0.947, Tc:0.452-0.831, Ts:0.717-0.918, Tr:0.841-0.935, Dm:0.646-0.900). CV was low for Td (2.1-3.0%), Tc (4.4-7.7%) and Ts (5.5-6.9%) but greater for Tr (10.0-15.3%) and Dm (5.8-13.1%) across conditions. Ts (∼210 ms, P < 0.001) and Dm (∼17 mm, P < 0.001) were greatest at 10° and 90°, respectively, while Td was shortest (∼22.9 ms, P = 0.002) at 10° compared to other angles. No differences were observed between inter-stimulus intervals or day. The findings are expected to help shape best practice methods for TMG use in field and research based settings.
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Piqueras-Sanchiz F, Martín-Rodríguez S, Martínez-Aranda LM, Lopes TR, Raya-González J, García-García Ó, Nakamura FY. Effects of moderate vs. high iso-inertial loads on power, velocity, work and hamstring contractile function after flywheel resistance exercise. PLoS One 2019; 14:e0211700. [PMID: 30730959 PMCID: PMC6366769 DOI: 10.1371/journal.pone.0211700] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Accepted: 01/19/2019] [Indexed: 01/09/2023] Open
Abstract
Flywheel iso-inertial training has been shown to positively affect muscular strength and sports performance (e.g. agility). However, implementing such eccentrically-biased training during a microcycle needs to be carefully planned due to its purported effects on the neuromuscular system that can last for hours/days post-exercise. This study aimed at using tensiomyography to verify the effects of different inertias during the hip extension exercise on the contractile function of biceps femoris and semitendinosus muscles of the dominant leg for up to 72 hours post-exercise. Thirty participants (24.4 ± 3.4 years) were divided into 0.075 or 0.1 kg·m2 inertia groups and a control group. Magnitude-based analysis was used for the comparisons. Several tensiomyography parameters were changed after both intensities of flywheel exercise (in most cases indicating a decrement in muscle stiffness), whereas most between-group differences suggested that in the semitendinosus muscle, the higher inertia (0.1 kg·m2) influenced the muscle stiffness parameters more (e.g. Dm = maximal radial displacement) while in the biceps femoris, the greater effect was caused by the lower inertia (0.075 kg·m2) (e.g. Tc = contraction time). Most changes in contractile properties of the investigated muscles occur within 24 hours post-exercise, but can persist for up to 72 hours. However, higher inertia (0.1 kg·m2) influenced the stiffness of the semitendinosus muscle more, while in the biceps femoris, the greater effect was caused by the lower inertia (0.075 kg·m2). These findings should be considered by practitioners when prescribing flywheel iso-inertial training.
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Affiliation(s)
| | - Saúl Martín-Rodríguez
- Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Luis Manuel Martínez-Aranda
- Neuroscience of Human Movement Research Group, Faculty of Sport, Catholic University San Antonio, Murcia (UCAM), Spain
| | - Thiago Ribeiro Lopes
- Olympic Centre of Training and Research, São Paulo, SP, Brazil
- São Paulo Association for Medicine Development, São Paulo, SP, Brazil
| | | | - Óscar García-García
- Lab of Performance, Fitness and Wellness, University of Vigo, Pontevedra, Spain
| | - Fábio Yuzo Nakamura
- The College of Healthcare Sciences, James Cook University, Townsville, Australia
- Department of Medicine and Aging Sciences, University of Chieti, Pescara, Italy
- * E-mail:
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Macgregor LJ, Hunter AM, Orizio C, Fairweather MM, Ditroilo M. Assessment of Skeletal Muscle Contractile Properties by Radial Displacement: The Case for Tensiomyography. Sports Med 2019; 48:1607-1620. [PMID: 29605838 PMCID: PMC5999145 DOI: 10.1007/s40279-018-0912-6] [Citation(s) in RCA: 85] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Skeletal muscle operates as a near-constant volume system; as such muscle shortening during contraction is transversely linked to radial deformation. Therefore, to assess contractile properties of skeletal muscle, radial displacement can be evoked and measured. Mechanomyography measures muscle radial displacement and during the last 20 years, tensiomyography has become the most commonly used and widely reported technique among the various methodologies of mechanomyography. Tensiomyography has been demonstrated to reliably measure peak radial displacement during evoked muscle twitch, as well as muscle twitch speed. A number of parameters can be extracted from the tensiomyography displacement/time curve and the most commonly used and reliable appear to be peak radial displacement and contraction time. The latter has been described as a valid non-invasive means of characterising skeletal muscle, based on fibre-type composition. Over recent years, applications of tensiomyography measurement within sport and exercise have appeared, with applications relating to injury, recovery and performance. Within the present review, we evaluate the perceived strengths and weaknesses of tensiomyography with regard to its efficacy within applied sports medicine settings. We also highlight future tensiomyography areas that require further investigation. Therefore, the purpose of this review is to critically examine the existing evidence surrounding tensiomyography as a tool within the field of sports medicine.
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Affiliation(s)
- Lewis J Macgregor
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK
| | - Angus M Hunter
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK.
| | - Claudio Orizio
- Dipartimento di Scienze Cliniche e Sperimentali, Università degli Studi di Brescia, Brescia, Italy
| | | | - Massimiliano Ditroilo
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
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Effects of different recovery strategies following a half-marathon on fatigue markers in recreational runners. PLoS One 2018; 13:e0207313. [PMID: 30412626 PMCID: PMC6226207 DOI: 10.1371/journal.pone.0207313] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Accepted: 10/29/2018] [Indexed: 12/20/2022] Open
Abstract
Purpose To investigate the effects of different recovery strategies on fatigue markers following a prolonged running exercise. Methods 46 recreational male runners completed a half-marathon, followed by active recovery (ACT), cold water immersion (CWI), massage (MAS) or passive recovery (PAS). Countermovement jump height, muscle soreness and perceived recovery and stress were measured 24h before the half-marathon (pre), immediately after the recovery intervention (postrec) and 24h after the race (post24). In addition, muscle contractile properties and blood markers of fatigue were determined at pre and post24. Results Magnitude-based inferences revealed substantial differences in the changes between the groups. At postrec, ACT was harmful to perceived recovery (ACT vs. PAS: effect size [ES] = −1.81) and serum concentration of creatine kinase (ACT vs. PAS: ES = 0.42), with CWI being harmful to jump performance (CWI vs. PAS: ES = −0.98). It was also beneficial for reducing muscle soreness (CWI vs. PAS: ES = −0.88) and improving perceived stress (CWI vs. PAS: ES = −0.64), with MAS being beneficial for reducing muscle soreness (MAS vs. PAS: ES = −0.52) and improving perceived recovery (MAS vs. PAS: ES = 1.00). At post24, both CWI and MAS were still beneficial for reducing muscle soreness (CWI vs. PAS: ES = 1.49; MAS vs. PAS: ES = 1.12), with ACT being harmful to perceived recovery (ACT vs. PAS: ES = −0.68), serum concentration of creatine kinase (ACT vs. PAS: ES = 0.84) and free-testosterone (ACT vs. PAS: ES = −0.91). Conclusions In recreational runners, a half-marathon results in fatigue symptoms lasting at least 24h. To restore subjective fatigue measures, the authors recommend CWI and MAS, as these recovery strategies are more effective than PAS, with ACT being even disadvantageous. However, runners must be aware that neither the use of ACT nor CWI or MAS had any beneficial effect on objective fatigue markers.
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Valenzuela PL, Sánchez-Martínez G, Torrontegi E, Vázquez-Carrión J, Montalvo Z, Lucia A. Comment on: "Assessment of Skeletal Muscle Contractile Properties by Radial Displacement: The Case for Tensiomyography". Sports Med 2018; 49:973-975. [PMID: 30251085 DOI: 10.1007/s40279-018-0989-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Pedro L Valenzuela
- Physiology Unit, Department of Systems Biology, School of Medicine, University of Alcalá, Ctra. Barcelona, Km 33,600, 28871, Alcalá de Henares, Madrid, Spain.
- Department of Sport and Health, Spanish Agency for Health Protection in Sport (AEPSAD), Madrid, Spain.
| | | | - Elaia Torrontegi
- Department of Sport and Health, Spanish Agency for Health Protection in Sport (AEPSAD), Madrid, Spain
| | - Javier Vázquez-Carrión
- Department of Sport and Health, Spanish Agency for Health Protection in Sport (AEPSAD), Madrid, Spain
| | - Zigor Montalvo
- Department of Sport and Health, Spanish Agency for Health Protection in Sport (AEPSAD), Madrid, Spain
| | - Alejandro Lucia
- Faculty of Sports Sciences, European University of Madrid, Madrid, Spain
- Research Institute 'i+12', Madrid, Spain
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Sánchez-Ureña B, Rojas-Valverde D, Gutiérrez-Vargas R. Effectiveness of Two Cold Water Immersion Protocols on Neuromuscular Function Recovery: A Tensiomyography Study. Front Physiol 2018; 9:766. [PMID: 29997522 PMCID: PMC6028616 DOI: 10.3389/fphys.2018.00766] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Accepted: 05/31/2018] [Indexed: 11/13/2022] Open
Abstract
Cold water immersion (CWI) has become a highly used recovery method in sports sciences, which seeks to minimize fatigue and accelerate recovery processes; however, tensiomyography (TMG) is a new method to analyze the muscle mechanical response as a recovery indicator after CWI protocols, this relative new tool of muscle function assessment, can lead to new information of understand fatigue recovery trough CWI. The objective of the study was to compare the effect of two CWI protocols, on neuromuscular function recovery. Thirty-nine healthy males (21.8 ± 2.8 years, 73.2 ± 8.2 kg, 176.6 ± 5.3 cm and body fat 13.5 ± 3.4%) were included in the study. Participants were grouped into a continuous immersion (12 min at 12 ± 0.4°C) group, intermittent immersion (2 min immersion at 12 ± 0.4°C + 1 min out of water 23 ± 0.5°C) group, and a control group (CG) (12 min sitting in a room at 23 ± 0.5°C). Afterward, the participants performed eight sets of 30 s counter movement jumps (CMJs) repetitions, with a 90 s standing recovery between sets. Muscle contraction time (Tc), delay time (Td), muscle radial displacement (Dm), muscle contraction velocity at 10% of DM (V10), and muscle contraction velocity at 90% of DM (V90) in rectus, biceps femoris, and CMJ were measured. Neither CWI protocol was effective in showing improved recovery at 24 and 48 h after training compared with the CG (p > 0.05), in any TMG indicator of recovery in either muscle biceps or rectus femoris, nor was the CMJ performance (F(6,111) = 0.43, p = 0.85, ωp2 = 0). Neither CWI protocol contributed to recovery of the neuromuscular function indicator.
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Affiliation(s)
- Braulio Sánchez-Ureña
- School of Human Movement Sciences and Quality of Life, Universidad Nacional, Heredia, Costa Rica.,Exercise and Health Sciences Program, Universidad Nacional, Heredia, Costa Rica
| | - Daniel Rojas-Valverde
- School of Human Movement Sciences and Quality of Life, Universidad Nacional, Heredia, Costa Rica.,Center for Research and Diagnosis in Health and Sport, Universidad Nacional, Heredia, Costa Rica
| | - Randall Gutiérrez-Vargas
- School of Human Movement Sciences and Quality of Life, Universidad Nacional, Heredia, Costa Rica.,Center for Research and Diagnosis in Health and Sport, Universidad Nacional, Heredia, Costa Rica
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Thirupathi A, Freitas S, Sorato HR, Pedroso GS, Effting PS, Damiani AP, Andrade VM, Nesi RT, Gupta RC, Muller AP, Pinho RA. Modulatory effects of taurine on metabolic and oxidative stress parameters in a mice model of muscle overuse. Nutrition 2018; 54:158-164. [PMID: 29982143 DOI: 10.1016/j.nut.2018.03.058] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Revised: 03/28/2018] [Accepted: 03/30/2018] [Indexed: 12/20/2022]
Abstract
OBJECTIVE The aim of this study was to investigate the regulatory effects of taurine on the biochemical parameters of muscle injury by overuse. METHODS Male Swiss mice were divided into four groups: control (Ctrl), overuse (Ov), taurine (Tau), and overuse plus taurine (OvTau). High-intensity exercise sessions were administered for 21 d with concomitant subcutaneous injections of taurine (150 mg/kg). The mice were then sacrificed. The quadriceps muscles were surgically removed for subsequent histologic analysis and evaluation of mitochondrial function, oxidative stress parameters, tissue repair, and DNA damage markers. RESULTS The Ov group showed significant differences compared with the Ctrl group (all P <0.05). The fiber area decreased by 49.34%, whereas the centralized nuclei contents (Ctrl = 1.33%; Ov = 28.67%), membrane potential (Ctrlsuc = 179.05 arbitrary fluorescence units (AFUs), Ctrlsuc+ADP = 198.11 AFUs; Ovsuc = 482.95 AFUs, Ovsuc+ADP = 461.6 AFUs), complex I activity (Ctrl = 20.45 nmol ⋅ min ⋅ mg protein, Ov = 45.25 nmol ⋅ min ⋅ mg protein), hydrogen peroxide (Ctrlsuc = 1.08 relative fluorescence unit (RFU) ⋅ sec ⋅ mg protein, Ctrlsuc+ADP = 0.23 RFU ⋅ sec ⋅ mg protein; Ovsuc = 5.02 RFU ⋅ sec ⋅ mg protein, Ovsuc+ADP = 0.26 RFU ⋅ sec ⋅ mg protein) and malondialdehyde (Ctrl = 0.03 nmol ⋅ mg ⋅ protein, Ov = 0.06 nmol ⋅ mg ⋅ protein) levels, and DNA damage (Ctrlfreq = 7.17%, Ovfreq = 31.17%; Ctrlindex = 4.17, Ovindex = 72.5) were increased. Taurine administration reduced the number of centralized nuclei (OvTau = 5%), hydrogen peroxide levels (OvTausuc = 2.81 RFU ⋅ sec ⋅ mg protein, OvTaussuc+ADP = 1.54 RFU ⋅ sec ⋅ mg protein), membrane potential (OvTausuc = 220.18 AFUs, OvTaussuc+ADP = 235.28 AFUs), lipid peroxidation (OvTau = 0.02 nmol/mg protein), and DNA damage (OvTaufreq = 21.33%, OvTauindex = 47.83) and increased the fiber area by 54% (all P <0.05). CONCLUSION Taken together, these data suggest that taurine supplementation modulates various cellular remodeling parameters after overuse-induced muscle damage, and that these positive effects may be related to its antioxidant capacity.
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Affiliation(s)
- Anand Thirupathi
- Laboratory of Exercise Biochemistry and Physiology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | - Sharon Freitas
- Laboratory of Exercise Biochemistry and Physiology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | - Helen R Sorato
- Laboratory of Exercise Biochemistry and Physiology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | - Giulia S Pedroso
- Laboratory of Exercise Biochemistry and Physiology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | - Pauline S Effting
- Laboratory of Exercise Biochemistry and Physiology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | - Adriani P Damiani
- Laboratory of Molecular and Cellular Biology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | - Vanessa M Andrade
- Laboratory of Molecular and Cellular Biology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | - Renata T Nesi
- Laboratory of Exercise Biochemistry and Physiology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | | | - Alexandre P Muller
- Laboratory of Exercise Biochemistry and Physiology, Graduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense, Criciúma, Santa Catarina, Brazil
| | - Ricardo A Pinho
- Laboratory of Exercise Biochemistry in Health, School of Medicine, Graduate Program in Health Science, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.
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Lohr C, Braumann KM, Reer R, Schroeder J, Schmidt T. Reliability of tensiomyography and myotonometry in detecting mechanical and contractile characteristics of the lumbar erector spinae in healthy volunteers. Eur J Appl Physiol 2018; 118:1349-1359. [DOI: 10.1007/s00421-018-3867-2] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2017] [Accepted: 04/13/2018] [Indexed: 11/30/2022]
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Valenzuela PL, Montalvo Z, Sánchez-Martínez G, Torrontegi E, De La Calle-Herrero J, Domínguez-Castells R, Maffiuletti NA, De La Villa P. Relationship between skeletal muscle contractile properties and power production capacity in female Olympic rugby players. Eur J Sport Sci 2018; 18:677-684. [PMID: 29478383 DOI: 10.1080/17461391.2018.1438521] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This study aimed to determine which contractile properties measured by tensiomyography (TMG) could better differentiate athletes with high- and low-power values, as well as to analyse the relationship between contractile properties and power production capacity. The contractile properties of the vastus medialis (VM), rectus femoris (RF) and vastus lateralis (VL) of an Olympic women's Rugby Sevens team (n = 14) were analysed before a Wingate test in which their peak power output (PPO) was determined. Athletes were then divided into a high-power (HP) and a low-power (LP) group. HP presented an almost certainly higher PPO (9.8 ± 0.3 vs. 8.9 ± 0.4 W kg-1, ES = 3.00) than LP, as well as a very likely lower radial displacement (3.39 ± 1.16 vs. 5.65 ± 1.50 mm, ES = 1.68) and velocity of deformation (0.08 ± 0.02 vs. 0.13 ± 0.03 mm ms-1, ES = 1.87) of the VL. A likely lower time of delay was observed in HP for all analysed muscles (ES > 0.60). PPO was very largely related to the radial displacement (r = -0.75, 90% CI = -0.90 to -0.44) and velocity of deformation (r = -0.70, 90% CI = -0.87 to -0.34) of the VL. A large correlation was found between PPO and the time of delay of the VL (r = -0.61, 90% CI = -0.84 to -0.22). No correlations were found for the contractile properties of RF or VM. These results highlight the importance of VL contractile properties (but not so much those of RF and VM) for maximal power production and suggest TMG as a practical technique for its evaluation.
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Affiliation(s)
- Pedro L Valenzuela
- a Physiology Unit, Systems Biology Department , University of Alcalá , Madrid , Spain.,b Performance Analysis Unit, Department of Sport and Health , Spanish Agency for Health Protection in Sport (AEPSAD) , Madrid , Spain
| | - Zigor Montalvo
- b Performance Analysis Unit, Department of Sport and Health , Spanish Agency for Health Protection in Sport (AEPSAD) , Madrid , Spain
| | - G Sánchez-Martínez
- b Performance Analysis Unit, Department of Sport and Health , Spanish Agency for Health Protection in Sport (AEPSAD) , Madrid , Spain
| | - Elaia Torrontegi
- b Performance Analysis Unit, Department of Sport and Health , Spanish Agency for Health Protection in Sport (AEPSAD) , Madrid , Spain
| | - J De La Calle-Herrero
- b Performance Analysis Unit, Department of Sport and Health , Spanish Agency for Health Protection in Sport (AEPSAD) , Madrid , Spain
| | - R Domínguez-Castells
- b Performance Analysis Unit, Department of Sport and Health , Spanish Agency for Health Protection in Sport (AEPSAD) , Madrid , Spain
| | | | - Pedro De La Villa
- a Physiology Unit, Systems Biology Department , University of Alcalá , Madrid , Spain
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Martín-Rodríguez S, Zubac D, Piqueras-Sanchiz F, Bautista IJ, Simunic B. Commentary: Tensiomyographic Markers Are Not Sensitive for Monitoring Muscle Fatigue in Elite Youth Athletes: A Pilot Study. Front Physiol 2017; 8:1068. [PMID: 29321745 PMCID: PMC5733561 DOI: 10.3389/fphys.2017.01068] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 12/05/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
| | - Damir Zubac
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | | | - Iker J Bautista
- FisioSalud Elite, Health, Training & Innovation, University of Granada, Granada, Spain
| | - Bostjan Simunic
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
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Martín-Rodríguez S, Loturco I, Hunter AM, Rodríguez-Ruiz D, Munguia-Izquierdo D. Reliability and Measurement Error of Tensiomyography to Assess Mechanical Muscle Function: A Systematic Review. J Strength Cond Res 2017; 31:3524-3536. [DOI: 10.1519/jsc.0000000000002250] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Schroeder J, Renk V, Braumann KM, Hollander K. Acute Foam Rolling effects on contractile properties of the m. biceps femoris. GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH 2017. [DOI: 10.1007/s12662-017-0467-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Wiewelhove T, Raeder C, de Paula Simola RA, Schneider C, Döweling A, Ferrauti A. Tensiomyographic Markers Are Not Sensitive for Monitoring Muscle Fatigue in Elite Youth Athletes: A Pilot Study. Front Physiol 2017; 8:406. [PMID: 28670284 PMCID: PMC5473413 DOI: 10.3389/fphys.2017.00406] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Accepted: 05/29/2017] [Indexed: 11/13/2022] Open
Abstract
Objective: Tensiomyography (TMG) is an indirect measure of a muscle's contractile properties and has the potential as a technique for detecting exercise-induced skeletal muscle fatigue. Therefore, the aim of this study was to assess the sensitivity of tensiomyographic markers to identify reduced muscular performance in elite youth athletes. Methods: Fourteen male junior tennis players (age: 14.9 ± 1.2 years) with an international (International Tennis Federation) ranking position participated in this pre-post single group trial. They completed a 4-day high-intensity interval training (HIT) microcycle, which was composed of seven training sessions. TMG markers; countermovement jump (CMJ) performance (criterion measure of fatigue); delayed onset muscle soreness; and perceived recovery and stress were measured 24 h before and after the training program. The TMG measures included maximal radial deformation of the rectus femoris muscle belly (Dm), contraction time between 10 and 90% Dm (Tc) and the rate of deformation until 10% (V10) and 90% Dm (V90), respectively. Diagnostic characteristics were assessed with a receiver-operating curve (ROC) analysis and a contingency table, in which the area under the curve (AUC), Youden's index, sensitivity, specificity, and the diagnostic effectiveness (DE) of TMG measures were reported. A minimum AUC of 0.70 and a lower confidence interval (CI) >0.50 classified "good" diagnostic markers to assess performance changes. Results: Twenty-four hours after the microcycle, CMJ performance was observed to be significantly (p < 0.001) reduced (Effect Size [ES] = -0.68), and DOMS (ES = 3.62) as well as perceived stress were significantly (p < 0.001) increased. In contrast, Dm (ES = -0.35), Tc (ES = 0.04), V10 (ES = -0.32), and V90 (ES = -0.33) remained unchanged (p > 0.05) throughout the study. ROC analysis and the data derived from the contingency table revealed that none of the tensiomyographic markers were effective diagnostic tools for detecting impaired muscular performance in elite youth athletes (AUC, 95% CI, DE%; Dm: 0.46, 0.15-0.77, 35.7%; Tc: 0.29, 0.03-0.59, 35.7%; V10: 0.71, 0.27-1.00, 35.7%; V90: 0.37, 0.10-0.65, 35.7%). Conclusion: The tensiomyographic parameters that were assessed in this study were not sensitive enough to detect muscular performance changes in elite youth athletes.However, due to the preliminary nature of the study, further research is needed to investigate the sensitivity of TMG in this population.
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Završnik J, Pišot R, Šimunič B, Kokol P, Blažun Vošner H. Biomechanical characteristics of skeletal muscles and associations between running speed and contraction time in 8- to 13-year-old children. J Int Med Res 2017; 45:231-245. [PMID: 28222639 PMCID: PMC5536606 DOI: 10.1177/0300060516687212] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Objective To investigate associations between running speeds and contraction times in 8- to 13-year-old children. Method This longitudinal study analyzed tensiomyographic measurements of vastus lateralis and biceps femoris muscles’ contraction times and maximum running speeds in 107 children (53 boys, 54 girls). Data were evaluated using multiple correspondence analysis. Results A gender difference existed between the vastus lateralis contraction times and running speeds. The running speed was less dependent on vastus lateralis contraction times in boys than in girls. Analysis of biceps femoris contraction times and running speeds revealed that running speeds of boys were much more structurally associated with contraction times than those of girls, for whom the association seemed chaotic. Conclusion Joint category plots showed that contraction times of biceps femoris were associated much more closely with running speed than those of the vastus lateralis muscle. These results provide insight into a new dimension of children’s development.
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Affiliation(s)
| | - Rado Pišot
- 2 Institute for Kinesiology Research, University of Primorska, Science and Research Centre of Koper, Slovenia
| | - Boštjan Šimunič
- 2 Institute for Kinesiology Research, University of Primorska, Science and Research Centre of Koper, Slovenia
| | - Peter Kokol
- 3 Faculty of Electrical Engineering and Computer Science, University of Maribor, Slovenia
| | - Helena Blažun Vošner
- 4 Faculty of Health Sciences, Center for International Cooperation, University of Maribor, Slovenia
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