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Lin CF, Liao JC, Hernandez M, Sadruddin R, Pappu S, Jan YK. Comparison of Isometric and Dynamic Bridging Exercises on Low Back Muscle Oxygenation. Int J Sports Med 2024; 45:1084-1090. [PMID: 39079704 DOI: 10.1055/a-2376-6255] [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: 09/13/2024]
Abstract
Bridging exercises are commonly performed by people with low back pain (LBP). However, the effect of the contraction mode in a bridging exercise on the hemodynamics of the low back muscle has not been investigated in people with and without LBP. The objective of this study was to assess the effect of the mode of bridging exercise on oxygenation of the low back muscle. A near-infrared spectroscopy was used to measure hemodynamic responses of the erector spinae between isometric and dynamic bridging exercises in 16 healthy participants. The results demonstrated that during exercise, the isometric bridging exercise significantly decreased oxyhemoglobin and deoxy-hemoglobin compared to the dynamic bridging exercise (oxyhemoglobin, t=- 3.109, p=0.007, Cohen's d=0.68 and deoxy-hemoglobin, t=- 2.193, P=0.046, Cohen's d=0.60). The results also demonstrated that after exercise, the dynamic bridging exercise induced a significantly higher oxygenation response (oxygenation, t=- 2.178, P=0.048, Cohen's d=0.43). This study indicates that the dynamic bridging exercise is more effective in improving oxygenation of low back muscles.
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Affiliation(s)
- Cheng-Feng Lin
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, United States
- Department of Physical Therapy, National Cheng Kung University, Tainan, Taiwan
| | - Jen-Chieh Liao
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, United States
- Department of Neurosurgery, Chi Mei Hospital Chiali, Tainan, Taiwan
| | - Manuel Hernandez
- Department of Biomedical and Translational Sciences, University of Illinois at Urbana-Champaign, Urbana, United States
| | - Rahil Sadruddin
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, United States
| | - Suguna Pappu
- Department of Neurosurgery, Carle Foundation Hospital, Urbana, United States
| | - Yih-Kuen Jan
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, United States
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Chan HL, Meng LF, Kao YA, Chang YJ, Chang HW, Chen SW, Wu CY. Myoelectric, Myo-Oxygenation, and Myotonometry Changes during Robot-Assisted Bilateral Arm Exercises with Varying Resistances. SENSORS (BASEL, SWITZERLAND) 2024; 24:1061. [PMID: 38400219 PMCID: PMC10892273 DOI: 10.3390/s24041061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/25/2023] [Revised: 01/26/2024] [Accepted: 02/02/2024] [Indexed: 02/25/2024]
Abstract
Robot-assisted bilateral arm training has demonstrated its effectiveness in improving motor function in individuals post-stroke, showing significant enhancements with increased repetitions. However, prolonged training sessions may lead to both mental and muscle fatigue. We conducted two types of robot-assisted bimanual wrist exercises on 16 healthy adults, separated by one week: long-duration, low-resistance workouts and short-duration, high-resistance exercises. Various measures, including surface electromyograms, near-infrared spectroscopy, heart rate, and the Borg Rating of Perceived Exertion scale, were employed to assess fatigue levels and the impacts of exercise intensity. High-resistance exercise resulted in a more pronounced decline in electromyogram median frequency and recruited a greater amount of hemoglobin, indicating increased muscle fatigue and a higher metabolic demand to cope with the intensified workload. Additionally, high-resistance exercise led to increased sympathetic activation and a greater sense of exertion. Conversely, engaging in low-resistance exercises proved beneficial for reducing post-exercise muscle stiffness and enhancing muscle elasticity. Choosing a low-resistance setting for robot-assisted wrist movements offers advantages by alleviating mental and physiological loads. The reduced training intensity can be further optimized by enabling extended exercise periods while maintaining an approximate dosage compared to high-resistance exercises.
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Affiliation(s)
- Hsiao-Lung Chan
- Department of Electrical Engineering, Chang Gung University, Taoyuan 33302, Taiwan; (H.-L.C.); (Y.-A.K.); (H.-W.C.)
- Neuroscience Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan;
| | - Ling-Fu Meng
- Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan 33302, Taiwan;
- Division of Occupational Therapy, Department of Rehabilitation, Chiayi Chang Gung Memorial Hospital, Chiayi 61363, Taiwan
| | - Yung-An Kao
- Department of Electrical Engineering, Chang Gung University, Taoyuan 33302, Taiwan; (H.-L.C.); (Y.-A.K.); (H.-W.C.)
| | - Ya-Ju Chang
- Neuroscience Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan;
- School of Physical Therapy and Graduate Institute of Rehabilitation Science, Chang Gung University, Taoyuan 33302, Taiwan
| | - Hao-Wei Chang
- Department of Electrical Engineering, Chang Gung University, Taoyuan 33302, Taiwan; (H.-L.C.); (Y.-A.K.); (H.-W.C.)
| | - Szi-Wen Chen
- Neuroscience Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan;
- Department of Electronic Engineering, Chang Gung University, Taoyuan 33302, Taiwan
| | - Ching-Yi Wu
- Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan 33302, Taiwan;
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan
- Healthy Aging Research Center, Chang Gung University, Taoyuan 33302, Taiwan
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Comparison of Different Approaches Estimating Skeletal Muscle Oxygen Consumption Using Continuous-Wave Near-Infrared Spectroscopy at a Submaximal Contraction Level—A Comparative Study. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12052272] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
Continuous-wave near-infrared spectroscopy (CW-NIRS) is a method used to non-invasively estimate skeletal muscle oxygen consumption (mVO2). Three different signals are provided by CW-NIRS devices: (1) oxygenated hemoglobin (O2Hb); (2) deoxygenated hemoglobin (HHb); and (3) tissue saturation index (TSI). Typically, the signal’s slope is interpreted with respect to high or low mVO2 during a muscle action. What signal (or combination of signals) is used for slope interpretation differs according to what approach is used, and there are several published in literature. It is unclear if resulting mVO2 estimates can be used interchangeably. Hence, this work aimed to compare five commonly used approaches on the same set of CW-NIRS data regarding their agreement in estimated mVO2. A controlled, lab-based study setting was used for this experiment. Data are based on isometric dorsiflexion contractions of 15 subjects at 30% of voluntary maximum torque, at two different ankle angles. CW-NIRS was placed on the m. tibialis anterior and blood flow was occluded. The approaches for mVO2 estimation included calculations based on (1) TSI, (2) the difference between O2Hb and HHb (Hbdiff), (3) the mean of slopes from O2Hb and HHb (Hbmean), (4) the HHb signal, and (5) the O2Hb signal. Linear regression modelling was used to calculate respective slopes (r2 > 0.99). Repeated measures ANOVA identified significant differences between the approaches (p < 0.001, ω2 = 0.258). Post-hoc tests revealed that only TSI vs. Hbmean and Hbdiff vs. HHb gave comparable results (p > 0.271). In addition, Bland–Altman plots showed good accuracy (mean bias ~2%) but low precision (±20%) between the comparisons. Thus, the different approaches to estimate mVO2 cannot be used interchangeably. The results from different studies using different approaches should be compared with caution.
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Myers CM, Kim JS, McCully KK, Florian JP. Effects of Repeated, Long-Duration Hyperoxic Water Immersions on Neuromuscular Endurance in Well-Trained Males. Front Physiol 2019; 10:858. [PMID: 31427978 PMCID: PMC6689958 DOI: 10.3389/fphys.2019.00858] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Accepted: 06/20/2019] [Indexed: 11/13/2022] Open
Abstract
Purpose This study examined the effects of repeated long-duration hyperoxic water immersions (WIs) at 1.35 atmospheres absolute (ATA) on neuromuscular endurance performance. We hypothesized that over a 5-day period of consecutive, resting, long-duration hyperoxic WIs there would be a decrease to neuromuscular endurance performance and tissue oxygenation with the quadriceps muscle, but not with the forearm flexors. Methods Thirteen well-trained, male subjects completed five consecutive 6-h resting WIs with 18-h surface intervals during the dive week while breathing 100% oxygen at 1.35 ATA. We assessed skeletal muscle endurance performance before and after each WI, and 24 and 72 h after the final WI. Muscular endurance assessments included 40% maximal handgrip endurance (MHE) and 50-repetition maximal isokinetic (IK) knee extensions. Near-infrared spectroscopy (NIRS) was used to measure muscle oxidative capacity (MOC) of the vastus lateralis and localized muscle tissue oxygenation of the vastus lateralis and flexor carpi radialis. Simultaneously, we measured brachioradialis neuromuscular activation by surface electromyography (SEMG). Results MHE time-to-fatigue performance declined by 15% at WI 3 (p = 0.009) and by 17% on WI 5 (p = 0.002). Performance continued to decline by 22% at 24-h post-WI (p < 0.001) and by 12% on 72-h post-WI (p = 0.019). Fifty-repetition IK knee extension total work decreased by 5% (p = 0.002) on WI 3, and was further reduced by 7.5 and 12.3% (p = 0.032) at pre-WI 5 and 24-h post-WI, respectively. However, the rate of fatigue was 8 (p = 0.033) and 30% (p = 0.017) lower at WI 3 and 24-h post-WI when compared to WI 1, respectively, demonstrating the muscles were still fatigued from the previous hyperoxic WIs. We detected no significant limitations in oxygen off-loading kinetics during the exercise or MOC measurements. Conclusion Repeated, resting, long-duration hyperoxic WIs caused significant reductions to muscular endurance but not to indirect measures of oxygen kinetics in load bearing and non-load bearing muscles.
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Affiliation(s)
- Christopher M Myers
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, United States.,United States Navy Experimental Diving Unit, Panama City Beach, FL, United States
| | - Jeong-Su Kim
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, United States
| | - Kevin K McCully
- Department of Kinesiology, University of Georgia, Athens, GA, United States
| | - John P Florian
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, United States.,Department of Kinesiology, University of Georgia, Athens, GA, United States
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Myers CM, Kim JS, Musilli M, McCully K, Florian JP. Effects of Resting, Consecutive, Long-Duration Water Immersions on Neuromuscular Endurance in Well-Trained Males. Front Physiol 2018; 9:977. [PMID: 30100879 PMCID: PMC6072852 DOI: 10.3389/fphys.2018.00977] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 07/03/2018] [Indexed: 11/22/2022] Open
Abstract
Purpose: This study examined the effects of repeated long-duration water immersions (WI)s at 1.35 atmospheres absolute (ATA) on neuromuscular endurance performance. We hypothesized that, following 5 days of consecutive, resting, long-duration WIs, neuromuscular endurance performance would decrease. Methods: Fifteen well-trained, male subjects completed five consecutive 6-h resting WIs with 18-h surface intervals during the dive week while breathing compressed air at 1.35 ATA. Skeletal muscle endurance performance was assessed before and after each WI, and 24 and 72 h after the final WI. Muscular endurance assessments included 40% maximum handgrip endurance (MHE) and 50-repetition maximal isokinetic knee extensions. Near infrared spectroscopy was used to measure muscle oxidative capacity of the vastus lateralis and localized muscle tissue oxygenation of the vastus lateralis and flexor carpi radialis. Simultaneously, brachioradialis neuromuscular activation was measured by surface electromyography. Results: A 24.9% increase (p = 0.04) in the muscle oxidative capacity rate constant (k) occurred on WI 4 compared to baseline. No changes occurred in 40% MHE time to exhaustion or rate of fatigue or total work performed for the 50-repetition maximal isokinetic knee extension. The first quartile of deoxygenated hemoglobin concentration showed a 6 and 35% increase on WIs 3 and 5 (p = 0.026) with second quartile increases of 9 and 32% on WIs 3 and 5 (p = 0.049) during the 40% MHE testing when compared to WI 1. Conclusion: Our specific WI protocol resulted in no change to muscular endurance and oxygen kinetics in load bearing and non-load bearing muscles.
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Affiliation(s)
- Christopher M Myers
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, United States.,United States Navy Experimental Diving Unit, Panama City Beach, FL, United States
| | - Jeong-Su Kim
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, United States
| | - Megan Musilli
- United States Navy Experimental Diving Unit, Panama City Beach, FL, United States
| | - Kevin McCully
- Department of Kinesiology, University of Georgia, Athens, GA, United States
| | - John P Florian
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, United States.,United States Navy Experimental Diving Unit, Panama City Beach, FL, United States
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Lactotripeptides Supplementations Alleviate the Decrease in Maximal Isometric Force After High-Intensity Eccentric Exercise: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial. Am J Phys Med Rehabil 2017; 97:370-374. [PMID: 29189308 DOI: 10.1097/phm.0000000000000867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of the study was to investigate whether lactotripeptides supplementations alleviate the decrease in the maximal isometric force, an indirect marker of muscle damage, after eccentric exercise (ECC). DESIGN Twenty-two young men performed 50 ECC of the elbow flexors using an isokinetic dynamometer. The subjects were randomly assigned to either the placebo or lactotripeptides group and were each given a 4.5 mg/d placebo or lactotripeptides thrice on the exercise day and the day after. Maximal isometric force and brachial arterial diameter were assessed before and 2 days after the ECC. RESULTS The interaction of time and group on maximal isometric force was significant (P < 0.05); maximal isometric force was significantly decreased in both groups after ECC (P < 0.005). The interaction of brachial arterial diameter was significant (P < 0.05); brachial arterial diameter was significantly increased in only the lactotripeptides group (P < 0.005). In addition, the change in maximal isometric force was significantly related to the change in brachial arterial diameter after adjusting for body weight and change in range of motion (P < 0.05). CONCLUSIONS The present results suggest that lactotripeptides supplementation alleviates the decrease in the maximal isometric force via an increase in brachial arterial diameter after ECC.
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Sweeting AJ, Billaut F, Varley MC, Rodriguez RF, Hopkins WG, Aughey RJ. Variations in Hypoxia Impairs Muscle Oxygenation and Performance during Simulated Team-Sport Running. Front Physiol 2017; 8:80. [PMID: 28239359 PMCID: PMC5301029 DOI: 10.3389/fphys.2017.00080] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2016] [Accepted: 01/27/2017] [Indexed: 11/13/2022] Open
Abstract
Purpose: To quantify the effect of acute hypoxia on muscle oxygenation and power during simulated team-sport running. Methods: Seven individuals performed repeated and single sprint efforts, embedded in a simulated team-sport running protocol, on a non-motorized treadmill in normoxia (sea-level), and acute normobaric hypoxia (simulated altitudes of 2,000 and 3,000 m). Mean and peak power was quantified during all sprints and repeated sprints. Mean total work, heart rate, blood oxygen saturation, and quadriceps muscle deoxyhaemoglobin concentration (assessed via near-infrared spectroscopy) were measured over the entire protocol. A linear mixed model was used to estimate performance and physiological effects across each half of the protocol. Changes were expressed in standardized units for assessment of magnitude. Uncertainty in the changes was expressed as a 90% confidence interval and interpreted via non-clinical magnitude-based inference. Results: Mean total work was reduced at 2,000 m (-10%, 90% confidence limits ±6%) and 3,000 m (-15%, ±5%) compared with sea-level. Mean heart rate was reduced at 3,000 m compared with 2,000 m (-3, ±3 min-1) and sea-level (-3, ±3 min-1). Blood oxygen saturation was lower at 2,000 m (-8, ±3%) and 3,000 m (-15, ±2%) compared with sea-level. Sprint mean power across the entire protocol was reduced at 3,000 m compared with 2,000 m (-12%, ±3%) and sea-level (-14%, ±4%). In the second half of the protocol, sprint mean power was reduced at 3,000 m compared to 2,000 m (-6%, ±4%). Sprint mean peak power across the entire protocol was lowered at 2,000 m (-10%, ±6%) and 3,000 m (-16%, ±6%) compared with sea-level. During repeated sprints, mean peak power was lower at 2,000 m (-8%, ±7%) and 3,000 m (-8%, ±7%) compared with sea-level. In the second half of the protocol, repeated sprint mean power was reduced at 3,000 m compared to 2,000 m (-7%, ±5%) and sea-level (-9%, ±5%). Quadriceps muscle deoxyhaemoglobin concentration was lowered at 3,000 m compared to 2,000 m (-10, ±12%) and sea-level (-11, ±12%). Conclusions: Simulated team-sport running is impaired at 3,000 m compared to 2,000 m and sea-level, likely due to a higher muscle deoxygenation.
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Affiliation(s)
- Alice J Sweeting
- Institute of Sport, Exercise and Active Living, Victoria University Melbourne, VIC, Australia
| | - François Billaut
- Institute of Sport, Exercise and Active Living, Victoria UniversityMelbourne, VIC, Australia; Département de Kinesiology, Université LavalQuébec, QC, Canada
| | - Matthew C Varley
- Institute of Sport, Exercise and Active Living, Victoria University Melbourne, VIC, Australia
| | - Ramón F Rodriguez
- Institute of Sport, Exercise and Active Living, Victoria University Melbourne, VIC, Australia
| | - William G Hopkins
- Institute of Sport, Exercise and Active Living, Victoria University Melbourne, VIC, Australia
| | - Robert J Aughey
- Institute of Sport, Exercise and Active Living, Victoria University Melbourne, VIC, Australia
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Ickmans K, Simoens F, Nijs J, Kos D, Cras P, Willekens B, Meeus M. Recovery of peripheral muscle function from fatiguing exercise and daily physical activity level in patients with multiple sclerosis: A case-control study. Clin Neurol Neurosurg 2014; 122:97-105. [DOI: 10.1016/j.clineuro.2014.04.021] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2013] [Revised: 03/20/2014] [Accepted: 04/23/2014] [Indexed: 10/25/2022]
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