Effect of intensity and duration of conditioning protocol on post-activation potentiation and changes in H-reflex

Are Surface Electromyography Parameters Indicative of Post-Activation Potentiation/Post-Activation Performance Enhancement, in Terms of Twitch Potentiation and Voluntary Performance? A Systematic Review

The aim was to identify if surface electromyography (sEMG) parameters are indicative of post-activation potentiation (PAP)/post-activation performance enhancement (PAPE), in terms of twitch potentiation and voluntary performance. Three databases were used in April 2024, with the following inclusion criteria: (a) original research, assessed in healthy human adults, and (b) sEMG parameters were measured. The exclusion criteria were (a) studies with no PAP/PAPE protocol and (b) non-randomized control trials. The following data were extracted: study characteristics/demographics, PAP/PAPE protocols, sEMG parameters, twitch/performance outcomes, and study findings. A modified physiotherapy evidence database (PEDro) scale was used for quality assessment. Fifteen randomized controlled trials (RCTs), with a total of 199 subjects, were included. The M-wave amplitude (combined with a twitch torque outcome) was shown to generally be indicative of PAP. The sEMG amplitudes (in some muscles) were found to be indicative of PAPE during ballistic movements, while a small decrease in the MdF (in certain muscles) was shown to reflect PAPE. Changes in the Hmax/Mmax ratio were found to contribute (temporally) to PAP, while the H-reflex amplitude was shown to be neither indicative of PAP nor PAPE. This review provides preliminary findings suggesting that certain sEMG parameters could be indicative of PAP/PAPE. However, due to limited studies, future research is warranted.

The acute effects of a stretching and conditioning exercise protocol for the lower limbs on gait performance- a proof of concept and single-blind study

Background

Due to improvement in movement performance, post-activation performance enhancement (PAPE) may open new possibilities to improve gait performance. However, no study has attempted to translate this phenomenon into walking. Therefore, the study aimed to test whether acute stretching followed by a conditioning exercise can improve subsequent gait performance in healthy adults.

Research question

Can an exercise protocol subsequently improve gait performance?

Methods

Sixteen individuals walked four 10-m trials (in each period) before and after 7 min of an exercise protocol composed of stretching (focusing on the lower limb) and a conditioning exercise (standing calf-raise wearing a vest of 20 kg). Gait spatialtemporal parameters and muscle activity of tibialis anterior and gastrocnemius medialis and lateralis muscles were obtained by a 3D-motion system and wireless electromyography, respectively. Before and after the exercise protocol, kinematic and muscle activity parameters were compared by a one-way ANOVA and the Wilcoxon signed-rank test, respectively.

Results

After the exercise protocol, the participants walked with a faster step velocity (p < 0.018) and with a lower step duration (p < 0.025). Also, higher peak muscle activity (p < 0.008) and low-frequency (p < 0.034) activation of the anterior tibial muscle after the exercise protocol were observed.

Significance

In conclusion, the protocol improves the stability and the muscles' efficiency during gait, contributing to a new approach to enhancing gait rehabilitation programs.

State-of-the-art review: spinal and supraspinal responses to muscle potentiation in humans

Post-activation potentiation (PAP), described as a muscular phenomenon, refers to the enhancement of contractile properties following a voluntary or electrically stimulated short duration (< 10 s) high-intensity contraction. Mechanistic factors and subsequent effects on voluntary performance have been well documented. Associations between neural activation and PAP, however, are less understood and systematically have not been explored. Thus, the aim is to critically summarize the current understanding of PAP regarding the motor pathway from the corticospinal tract to spinal level factors including the H-reflex and motor unit activation. This review highlights aspects for further investigation by providing an integrative summary of the relationship between PAP and neural control. Contractile history affects neural control in subsequent contractions, (e.g. fatiguing tasks), however, by contrast acute contractile enhancement due to PAP in relation to neural responses are not well-studied. From the limited number of investigations, motor unit discharge rates are reduced subsequent to PAP and, although less consistently reported, generally H-reflexes are depressed. Additionally, corticomedullary evoked potentials are depressed and the cortical silent period is elongated. Thus, overall there is a depression of spinal and supraspinal responses following PAP. Although specific factors responsible and their pathways are unclear, this down-regulation may occur to conserve neural activation when muscle contraction is more responsive, and concurrently a strategy used to delay neuromuscular fatigue. Indeed, the co-existence of PAP and fatigue is not a novel concept, but the interactions between PAP and neural responses are not understood and likely are more than coincidental.

Post-activation potentiation: The neural effects of post-activation depression

INTRODUCTION

Our knowledge of the neurophysiology of post-activation potentiation (PAP) is limited. The purpose of this study was to examine the effect of PAP on twitch torque and H-reflex amplitude after a 10-s maximal voluntary contraction (MVC).

METHODS

PAP measurements were assessed with the plantarflexors in a relaxed state and during a tonic contraction at 10% MVC.

RESULTS

The H-reflex/maximum M-wave ratio (H/M) decreased significantly (P<0.05) and returned to baseline levels after 1 min. The decrement in H/M was depressed when the plantarflexors were active at 10% MVC, and the depression was more obvious in the lateral gastrocnemius than in the soleus muscle.

CONCLUSIONS

The inhibition induced immediately after contraction could be attributed to post-activation depression. We conclude that PAP after a 10-s MVC cannot be attributed to increased motor neuron excitability through the reflex pathway as assessed by the H-reflex technique.

Volume, intensity, and timing of muscle power potentiation are variable

Whereas muscle potentiation is consistently demonstrated with evoked contractile properties, the potentiation of functional and physiological measures is inconsistent. The objective was to compare a variety of conditioning stimuli volumes and intensities over a 15-min recovery period. Twelve volleyball players were subjected to conditioning stimuli that included 10 repetitions of half squats with 70% of 1-repetition maximum (RM) (10 × 70), 5 × 70, 5 × 85, 3 × 85, 3 × 90, 1 × 90, and control. Jump height, power, velocity, and force were measured at baseline, 1, 3, 5, 10, and 15 min. Data were analysed with a 2-way repeated measure ANOVA and magnitude-based inferences. The ANOVA indicated significant decreases in jump height, power, and velocity during recovery. This should not be interpreted that no potentiation occurred. Each dependent variable reached a peak at a slightly different time: peak jump height (2.8 ± 2.3 min), mean power (3.6 ± 3.01 min), peak power (2.5 ± 1.8 min), and peak velocity (2.5 ± 1.8 min). Magnitude-based inference revealed that both the 5 × 70 and 3 × 85 protocol elicited changes that exceeded 75% likelihood of exceeding the smallest worthwhile change (SWC) for peak power and velocity. The 10 × 70 and the 5 × 70 had a substantial likelihood of potentiating peak velocity and mean power above the SWC, respectively. Magnitude-based inferences revealed that while no protocol had a substantial likelihood of potentiating the peak vertical jump, the 5 × 70 had the most consistent substantial likelihood of increasing the peak of most dependent variables. We were unable to consistently predict if these peaks occurred at 1, 3, or 5 min poststimulation, though declines after 5 min seems probable.