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Pakosz P, Konieczny M, Domaszewski P, Dybek T, García-García O, Gnoiński M, Skorupska E. Muscle contraction time after caffeine intake is faster after 30 minutes than after 60 minutes. J Int Soc Sports Nutr 2024; 21:2306295. [PMID: 38239059 PMCID: PMC10802797 DOI: 10.1080/15502783.2024.2306295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 01/11/2024] [Indexed: 01/23/2024] Open
Abstract
BACKGROUND This study aimed to determine the optimal time point, either 30 or 60 minutes, at which muscle reactivity to caffeine administration is highest. Unlike previous studies that focused on the nervous system response, we employed tensiomyography (TMG) to directly assess the effects of caffeine on muscle fibers. METHODS TMG measurements were performed on the gastrocnemius medialis muscle of 42 male athletes who regularly consumed caffeine. Participants received a dose of 6 mg/kg body weight and TMG measurements were taken prior to caffeine intake, as well as 30 and 60 minutes afterward. RESULTS Analysis of TMG parameters including time to contraction (Tc), time delay (Td), and maximal displacement (Dm) revealed that muscles exhibited faster contractions and greater stiffness at the 30-minute mark compared to both pre-caffeine intake and the 60-minute time point. Time exerted a significant main effect on Tc (F(2, 246) = 12.09, p < .001, ή2p = 0.09), Td (F(2, 246) = 3.39, p = .035, ή2p = 0.03), and Dm (F(2, 246) = 6.83, p = .001, ή2p = 0.05), while no significant effect of body side was observed. CONCLUSIONS The findings indicate that muscle contraction time (Tc) and delay time (Td) are influenced by the time elapsed since caffeine ingestion, with the fastest responses occurring after 30 minutes. Additionally, a systemic effect of caffeine was observed, as there were no discernible differences in measurements between the two sides of the body. TMG proves to be an effective noninvasive method for assessing muscle responses following caffeine administration.
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Affiliation(s)
- Paweł Pakosz
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
| | - Mariusz Konieczny
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
| | - Przemysław Domaszewski
- Department of Health Sciences, Institute of Health Sciences, University of Opole, Opole, Poland
| | - Tomasz Dybek
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
| | - Oscar García-García
- Faculty of Education and Sport Sciences, University of Vigo Pontevedra, Pontevedra, Spain
| | | | - Elżbieta Skorupska
- Department of Physiotherapy, Poznan University of Medical Sciences, Poznań, Poland
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Pakosz P, Konieczny M, Domaszewski P, Dybek T, Gnoiński M, Skorupska E. Changes in hamstring contractile properties during the competitive season in young football players. PeerJ 2024; 12:e17049. [PMID: 38510545 PMCID: PMC10954257 DOI: 10.7717/peerj.17049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 02/13/2024] [Indexed: 03/22/2024] Open
Abstract
Background The study aimed to examine alterations and imbalances in hamstring muscle contractile properties among young football players throughout their competitive season, and to understand how these changes might contribute to the risk of muscle injuries. Hamstring injuries are particularly common in football, yet the underlying causes and effective prevention methods remain unclear. Methods The research involved 74 young footballers who were assessed before the season (pre-test) and after 12 weeks of training (post-test). To evaluate changes in hamstring muscle contractile properties, specifically the left and right biceps femoris (BF) and semitendinosus (ST), tensiomyography (TMG) parameters were utilized. Results In comparison to the BF muscle, significant differences in time delay (Td) between the left and right sides in the post-test (p = 0.0193), and maximal displacement (Dm) between the left and right sides at the pre-test (p = 0.0395). However, significant differences in Dm were observed only in the left ST muscle between the pre- and post-tests (p = 0.0081). Regarding lateral symmetry, BF registered measurements of 79.7 ± 13.43 (pre-test) and 77.4 ± 14.82 (post-test), whereas ST showed measurements of 87.0 ± 9.79 (pre-test) and 87.5 ± 9.60 (post-test). Conclusions These assessments provided TMG reference data for hamstring muscles in young footballers, both before the season and after 12 weeks of in-season training. The observed changes in the contractile properties and decrease in lateral symmetry of the BF in both tests suggest an increased risk of injury.
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Affiliation(s)
- Paweł Pakosz
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
| | - Mariusz Konieczny
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
| | - Przemysław Domaszewski
- Department of Health Sciences, Institute of Health Sciences, University of Opole, Opole, Poland
| | - Tomasz Dybek
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
| | | | - Elżbieta Skorupska
- Department of Physiotherapy, Poznan University of Medical Sciences, Poznań, Poland
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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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Is Asymmetry Different Depending on How It Is Calculated? Symmetry (Basel) 2022. [DOI: 10.3390/sym14102195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This study aimed to (1) determine the magnitude and direction of asymmetry in volleyball players, (2) establish asymmetry thresholds, and (3) explore differences depending on the test used and the players’ category. Twenty-nine junior and senior male volleyball players were assessed through a muscle asymmetry battery test: active knee extension test (AKE), single-leg countermovement jump (SL-CMJ), single-leg squat jump (SL-SJ), triple hop test for distance (THTD), modified 20-yard shuttle run, Y-balance test, single-leg one-repetition maximum in leg press test (1RM-SL), and lateral symmetry in radial muscle belly displacement through Tensiomyography in the biceps femoris and rectus femoris. A two-way ANOVA alongside an individual analysis of asymmetry thresholds was used to analyze the test and categorize the influence on the magnitude and the direction of asymmetry. The 1RM-SL, SL-SJ, and the lateral symmetry in radial muscle belly displacement showed a clear asymmetry towards the non-dominant side, while the AKE, SL-CMJ, and THTD showed an asymmetry towards the dominant side. The magnitude of the asymmetry was highly variable between tests (1.46–30.26%). The individualized asymmetry thresholds revealed that the percentage of asymmetrical players varied depending on the type of test used. In conclusion, the type of test used determines the magnitude and direction of asymmetry in well-trained volleyball players.
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Pakosz P, Lukanova-Jakubowska A, Łuszczki E, Gnoiński M, García-García O. Asymmetry and changes in the neuromuscular profile of short-track athletes as a result of strength training. PLoS One 2021; 16:e0261265. [PMID: 34919582 PMCID: PMC8682892 DOI: 10.1371/journal.pone.0261265] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 11/26/2021] [Indexed: 11/21/2022] Open
Abstract
Background The purpose of this study was to identify the biomedical signals of short-track athletes by evaluating the effects of monthly strength training on changes in their neuromuscular profile, strength, and power parameters of the lower limb muscles. Muscle asymmetry, which can cause a risk of injury, was also evaluated. Methods and results This study involved female athletes, age 18.8 ± 2.7 years, with a height of 162 ± 2.4 cm, and weight of 55.9 ± 3.9 kg. Before and after the monthly preparatory period prior to the season, strength measurements were assessed through the Swift SpeedMat platform, and reactivity of the lower limb muscles was assessed with tensiomyography (TMG). The athletes were also tested before and after the recovery training period. In the test after strength training, all average countermovement jump (CMJ) results improved. Flight time showed an increase with a moderate to large effect, using both legs (5.21%). Among the TMG parameters, time contraction (Tc) changed globally with a decrease (-5.20%). Changes in the results of the test after recovery training were most often not significant. Conclusion A monthly period of strength training changes the neuromuscular profile of short-track female athletes, with no significant differences between the right and left lower limbs.
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Affiliation(s)
- Paweł Pakosz
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
- * E-mail:
| | | | - Edyta Łuszczki
- Institute of Health Sciences, Medical College of Rzeszow University, Rzeszow, Poland
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Roth C, Rettenmaier L, Behringer M. High-Protein Energy-Restriction: Effects on Body Composition, Contractile Properties, Mood, and Sleep in Active Young College Students. Front Sports Act Living 2021; 3:683327. [PMID: 34212136 PMCID: PMC8239143 DOI: 10.3389/fspor.2021.683327] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Accepted: 05/18/2021] [Indexed: 12/15/2022] Open
Abstract
Background: It is often advised to ensure a high-protein intake during energy-restricted diets. However, it is unclear whether a high-protein intake is able to maintain muscle mass and contractility in the absence of resistance training. Materials and Methods: After 1 week of body mass maintenance (45 kcal/kg), 28 male college students not performing resistance training were randomized to either the energy-restricted (ER, 30 kcal/kg, n = 14) or the eucaloric control group (CG, 45 kcal/kg, n = 14) for 6 weeks. Both groups had their protein intake matched at 2.8 g/kg fat-free-mass and continued their habitual training throughout the study. Body composition was assessed weekly using multifrequency bioelectrical impedance analysis. Contractile properties of the m. rectus femoris were examined with Tensiomyography and MyotonPRO at weeks 1, 3, and 5 along with sleep (PSQI) and mood (POMS). Results: The ER group revealed greater reductions in body mass (Δ -3.22 kg vs. Δ 1.90 kg, p < 0.001, partial η 2 = 0.360), lean body mass (Δ -1.49 kg vs. Δ 0.68 kg, p < 0.001, partial η 2 = 0.152), body cell mass (Δ -0.85 kg vs. Δ 0.59 kg, p < 0.001, partial η 2 = 0.181), intracellular water (Δ -0.58 l vs. Δ 0.55 l, p < 0.001, partial η 2 = 0.445) and body fat percentage (Δ -1.74% vs. Δ 1.22%, p < 0.001, partial η 2 = 433) compared to the CG. Contractile properties, sleep onset, sleep duration as well as depression, fatigue and hostility did not change (p > 0.05). The PSQI score (Δ -1.43 vs. Δ -0.64, p = 0.006, partial η 2 = 0.176) and vigor (Δ -2.79 vs. Δ -4.71, p = 0.040, partial η 2 = 0.116) decreased significantly in the ER group and the CG, respectively. Discussion: The present data show that a high-protein intake alone was not able to prevent lean mass loss associated with a 6-week moderate energy restriction in college students. Notably, it is unknown whether protein intake at 2.8 g/kg fat-free-mass prevented larger decreases in lean body mass. Muscle contractility was not negatively altered by this form of energy restriction. Sleep quality improved in both groups. Whether these advantages are due to the high-protein intake cannot be clarified and warrants further study. Although vigor was negatively affected in both groups, other mood parameters did not change.
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Affiliation(s)
- Christian Roth
- Department of Sports Medicine and Exercise Physiology, Institute of Sport Sciences, Goethe University Frankfurt, Frankfurt, Germany
| | - Lukas Rettenmaier
- Department of Sports Medicine and Exercise Physiology, Institute of Sport Sciences, Goethe University Frankfurt, Frankfurt, Germany
| | - Michael Behringer
- Department of Sports Medicine and Exercise Physiology, Institute of Sport Sciences, Goethe University Frankfurt, Frankfurt, Germany
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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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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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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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Šimunič B. Two-dimensional spatial error distribution of key tensiomyographic parameters. J Biomech 2019; 92:92-97. [PMID: 31160126 DOI: 10.1016/j.jbiomech.2019.05.035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 05/22/2019] [Accepted: 05/22/2019] [Indexed: 10/26/2022]
Abstract
Tensiomyography detects the contraction time (Tc) and amplitude (Dm) of muscle belly thickening during maximal isometric twitch contraction. The assessment of both parameters is highly reliable; however, it seems that their calculation depends on the measurement point. The aim of the study was to determine spatial relative error distribution of Tc and/or Dm within a two-dimensional array of 27 (3 × 9) measurement points in comparison to the reference point (RP) in 12 male participants (22.5 ± 3.1 years). The RPs were determined as follows: in the biceps brachii (BB) at 50% of the humerus length; in the erector spinae (ES) at the height of the iliac crest; in the vastus lateralis (VL), vastus medalis (VM), and rectus femoris (RF) at 30%, 20%, and 50% of femur length above the patella, respectively. The surface area under the 3% relative error in Dm (BB: 4.0; VL: 3.8; VM; 8.2; RF: 6.2; ES: 2.4 cm2) was lower than in Tc (BB: 6.9; VL: 3.8; VM; 4.6; RF: 9.5; ES: 3.7 cm2), yielding merged values (BB: 3.9; VL: 3.7; VM; 4.8; RF: 5.1; ES: 2.4 cm2). Dm show twice as steep relative error rate when moving away from the RP in comparison to Tc, which seems to be less sensitive to spatial sensor positioning.
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12
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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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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: 79] [Impact Index Per Article: 15.8] [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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Intrasession Reliability of the Tests to Determine Lateral Asymmetry and Performance in Volleyball Players. Symmetry (Basel) 2018. [DOI: 10.3390/sym10090416] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The development of lateral asymmetries in athletes could have an influence on performance or injuries. The aim of this study was to determine the within-day reliability of the symmetry tests and the performance tests, and explore the relationship between them. Eighteen male volleyball players (18.1 ± 2.1 years) participated in this study. Seven lateral symmetry assessments were used, namely: lateral symmetry through tensiomyography (LS), active knee extension (AKE), Y-balance test (YBT), muscular electrical activity in attack jump (MEA-AJ), single-leg squat jump (SLSJ), triple hop test for distance (THTD), and bilateral maximum repetition in leg press (1RMSL); and three volleyball performance tests, namely: the T-test, counter-movement jump (CMJ), and attack jump (AJ). Three in-day measurements were taken from each volleyball player after the recovery was completed. The reliability was calculated through the intraclass correlation coefficient and the coefficient of variation, and the relationship was calculated through Pearson’s bivariate correlation coefficient (p < 0.05). The results indicate that AKE, YBT, and LS are the symmetry tests with increased reproducibility. THTD correlates positively with the AKE test and 1RMSL test, and a greater symmetry in the YBT correlates with a greater performance in the CMJ and AJ performance tests. In conclusion, AKE, LS, and YBT are the best tests to determine, with reliability, the asymmetries in volleyball players, and a greater symmetry in the YBT seems to influence the height of bilateral vertical jump.
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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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16
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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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17
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García-García O, Serrano-Gómez V, Hernández-Mendo A, Morales-Sánchez V. Baseline Mechanical and Neuromuscular Profile of Knee Extensor and Flexor Muscles in Professional Soccer Players at the Start of the Pre-Season. J Hum Kinet 2017; 58:23-34. [PMID: 28828075 PMCID: PMC5548152 DOI: 10.1515/hukin-2017-0066] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The aim of the study was to determine the mechanical and neuromuscular profile of knee extensor and flexor muscles in professional soccer players at the start of the pre-season, and to calculate percentages for symmetry, as well as examine differences according to the player's positional role. The vastus medialis (VM), vastus lateralis (VL), rectus femoris (RF) and biceps femoris (BF) of 16 professional soccer players were evaluated by means of tensiomyography (TMG) on the first day of the pre-season. A paired-samples t test (p < .05) was used to compare the dominant and non-dominant lower limb. One-way ANOVA was applied, with the positional role as an independent factor. No differences were observed between the dominant and non-dominant leg. The highest degree of symmetry corresponded to the VM (92.5 ± 2.7%), and the lowest to the BF (80.7 ± 10.9%). The positional role was associated with significant differences in some of the variables for the BF, RF and VM, although only the half-relaxation time in the BF and the time to sustain force in the VM differed across all the playing positions considered. TMG was shown to be a useful way of evaluating the neuromuscular characteristics of soccer players at the start of the pre-season, and of establishing baseline values for individual players.
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Affiliation(s)
- Oscar García-García
- Faculty of Education and Sport Sciences. University of Vigo, Pontevedra, Spain
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18
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de Paula Simola RÁ, Raeder C, Wiewelhove T, Kellmann M, Meyer T, Pfeiffer M, Ferrauti A. Muscle mechanical properties of strength and endurance athletes and changes after one week of intensive training. J Electromyogr Kinesiol 2016; 30:73-80. [DOI: 10.1016/j.jelekin.2016.05.005] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Revised: 05/03/2016] [Accepted: 05/20/2016] [Indexed: 11/25/2022] Open
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Alvarez-Diaz P, Alentorn-Geli E, Ramon S, Marin M, Steinbacher G, Rius M, Seijas R, Ballester J, Cugat R. Comparison of tensiomyographic neuromuscular characteristics between muscles of the dominant and non-dominant lower extremity in male soccer players. Knee Surg Sports Traumatol Arthrosc 2016; 24:2259-63. [PMID: 25236679 DOI: 10.1007/s00167-014-3298-5] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Accepted: 08/28/2014] [Indexed: 11/24/2022]
Abstract
PURPOSE Tensiomyography (TMG) has been used to assess neuromuscular characteristics of muscles of the lower extremity in soccer players. However, the effects of lower extremity dominance on TMG characteristics in this population have not been reported to date. The purpose of this study was to compare the TMG neuromuscular characteristics between the dominant and non-dominant lower extremity in male soccer players. METHODS Thirty-eight consecutive healthy male soccer players underwent resting TMG assessment of vastus medialis (VM), vastus lateralis (VL), rectus femoris (RF), semitendinosus (ST), biceps femoris (BF), gastrocnemius medialis (GM), and gastrocnemius lateralis (GL) in both lower extremities. The maximal displacement, delay time, contraction time, sustained time, and half-relaxation time were obtained and compared between both sides. RESULTS There were no significant differences in the vast majority of the TMG parameters between both lower extremities. The dominant side demonstrated higher VM contraction time (p = 0.008), RF sustained time (p = 0.009), RF half-relaxation time (p = 0.01), and BF sustained time (p = 0.04), but lower VL contraction time (p = 0.03) and VL delay time (p = 0.02) compared to the non-dominant side. CONCLUSION In general, TMG-assessed neuromuscular characteristics of the VM, VL, RF, ST, BF, GM, and GL were not affected by lower extremity dominance in male soccer players. Therefore, there is no need to assess both sides when using TMG to monitor the response to training or muscles at risk of injury in soccer players unless there is a specific reason. LEVEL OF EVIDENCE Prognostic study, Level II.
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Affiliation(s)
- Pedro Alvarez-Diaz
- Mutualidad de Futbolistas - Federación Española de Fútbol, Delegación Cataluña, Ronda Sant Pere 19-21, 08010, Barcelona, Spain. .,Fundación García-Cugat, Barcelona, Spain. .,Artroscopia gc, S.L., Department of Orthopaedic Surgery, Hospital Quirón, Barcelona, Spain. .,Universitat Internacional de Catalunya, Barcelona, Spain.
| | - Eduard Alentorn-Geli
- Department of Orthopaedic Surgery and Traumatology. Parc de Salut Mar, Hospital de Mar and Hospital de l'Esperança, Universitat Autonoma de Barcelona (UAB), Barcelona, Spain
| | - Silvia Ramon
- Fundación García-Cugat, Barcelona, Spain.,Universitat Internacional de Catalunya, Barcelona, Spain.,Department of Physical Medicine and Rehabilitation, Hospital Quirón, Barcelona, Spain
| | - Miguel Marin
- Department of Physical Medicine and Rehabilitation, Hospital Quirón, Barcelona, Spain
| | - Gilbert Steinbacher
- Mutualidad de Futbolistas - Federación Española de Fútbol, Delegación Cataluña, Ronda Sant Pere 19-21, 08010, Barcelona, Spain
| | - Marta Rius
- Mutualidad de Futbolistas - Federación Española de Fútbol, Delegación Cataluña, Ronda Sant Pere 19-21, 08010, Barcelona, Spain
| | - Roberto Seijas
- Fundación García-Cugat, Barcelona, Spain.,Artroscopia gc, S.L., Department of Orthopaedic Surgery, Hospital Quirón, Barcelona, Spain.,Universitat Internacional de Catalunya, Barcelona, Spain
| | - Jordi Ballester
- Department of Surgery, Universitat Autonoma de Barcelona, Barcelona, Spain
| | - Ramon Cugat
- Mutualidad de Futbolistas - Federación Española de Fútbol, Delegación Cataluña, Ronda Sant Pere 19-21, 08010, Barcelona, Spain.,Fundación García-Cugat, Barcelona, Spain.,Artroscopia gc, S.L., Department of Orthopaedic Surgery, Hospital Quirón, Barcelona, Spain
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Morales-Artacho AJ, Padial P, Rodríguez-Matoso D, Rodríguez-Ruiz D, García-Ramos A, García-Manso JM, Calderón C, Feriche B. Assessment of Muscle Contractile Properties at Acute Moderate Altitude Through Tensiomyography. High Alt Med Biol 2015; 16:343-9. [PMID: 26562625 DOI: 10.1089/ham.2015.0078] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Under hypoxia, alterations in muscle contractile properties and faster fatigue development have been reported. This study investigated the efficacy of tensiomyography (TMG) in assessing muscle contractile function at acute moderate altitude. Biceps femoris (BF) and vastus lateralis (VL) muscles of 18 athletes (age 20.1 ± 6.1 years; body mass 65.4 ± 13.9 kg; height 174.6 ± 9.5 cm) were assessed at sea level and moderate altitude using electrically evoked contractions on two consecutive days. Maximum radial displacement (Dm), time of contraction (Tc), reaction time (Td), sustained contraction time (Ts), and relaxation time (Tr) were recorded at 40, 60, 80, and 100 mA. At altitude, VL showed lower Dm values at 40 mA (p = 0.008; ES = -0.237). Biceps femoris showed Dm decrements in all electrical stimulations (p < 0.001, ES > 0.61). In VL, Tc was longer at altitude at 40 (p = 0.031, ES = 0.56), and 100 mA (p = 0.03, ES = 0.51). Regarding Td, VL showed significant increases in all electrical intensities under hypoxia (p ≤ 0.03, ES ≥ 0.33). TMG appears effective at detecting slight changes in the muscle contractile properties at moderate altitude. Further research involving TMG along with other muscle function assessment methods is needed to provide additional insight into peripheral neuromuscular alterations at moderate altitude.
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Affiliation(s)
- Antonio J Morales-Artacho
- 1 Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada , Granada, Spain
| | - Paulino Padial
- 1 Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada , Granada, Spain
| | | | | | - Amador García-Ramos
- 1 Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada , Granada, Spain
| | | | - Carmen Calderón
- 3 Sport Performance Centre of Sierra Nevada , Granada, Spain
| | - Belén Feriche
- 1 Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada , Granada, Spain
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Wiewelhove T, Raeder C, Meyer T, Kellmann M, Pfeiffer M, Ferrauti A. Markers for Routine Assessment of Fatigue and Recovery in Male and Female Team Sport Athletes during High-Intensity Interval Training. PLoS One 2015; 10:e0139801. [PMID: 26444557 PMCID: PMC4596858 DOI: 10.1371/journal.pone.0139801] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2015] [Accepted: 09/17/2015] [Indexed: 11/18/2022] Open
Abstract
Aim Our study aimed to investigate changes of different markers for routine assessment of fatigue and recovery in response to high-intensity interval training (HIIT). Methods 22 well-trained male and female team sport athletes (age, 23.0 ± 2.7 years; V̇O2max, 57.6 ± 8.6 mL·min·kg−1) participated in a six-day running-based HIIT-microcycle with a total of eleven HIIT sessions. Repeated sprint ability (RSA; criterion measure of fatigue and recovery), countermovement jump (CMJ) height, jump efficiency in a multiple rebound jump test (MRJ), 20-m sprint performance, muscle contractile properties, serum concentrations of creatinkinase (CK), c-reactive protein (CRP) and urea as well as perceived muscle soreness (DOMS) were measured pre and post the training program as well as after 72 h of recovery. Results Following the microcycle significant changes (p < 0.05) in RSA as well as in CMJ and MRJ performance could be observed, showing a decline (%Δ ± 90% confidence limits, ES = effect size; RSA: -3.8 ± 1.0, ES = -1.51; CMJ: 8.4 ± 2.9, ES = -1.35; MRJ: 17.4 ± 4.5, ES = -1.60) and a return to baseline level (RSA: 2.8 ± 2.6, ES = 0.53; CMJ: 4.1 ± 2.9, ES = 0.68; MRJ: 6.5 ± 4.5, ES = 0.63) after 72 h of recovery. Athletes also demonstrated significant changes (p < 0.05) in muscle contractile properties, CK, and DOMS following the training program and after the recovery period. In contrast, CRP and urea remained unchanged throughout the study. Further analysis revealed that the accuracy of markers for assessment of fatigue and recovery in comparison to RSA derived from a contingency table was insufficient. Multiple regression analysis also showed no correlations between changes in RSA and any of the markers. Conclusions Mean changes in measures of neuromuscular function, CK and DOMS are related to HIIT induced fatigue and subsequent recovery. However, low accuracy of a single or combined use of these markers requires the verification of their applicability on an individual basis.
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Affiliation(s)
- Thimo Wiewelhove
- Faculty of Sport Science, Ruhr-University, Bochum, Germany
- * E-mail:
| | | | - Tim Meyer
- Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Michael Kellmann
- Faculty of Sport Science, Ruhr-University, Bochum, Germany
- School of Human Movement Studies and School of Psychology, The University of Queensland, Brisbane, Australia
| | - Mark Pfeiffer
- Institute of Sports Science, Johannes-Gutenberg University, Mainz, Germany
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Loturco I, Gil S, Laurino CFDS, Roschel H, Kobal R, Cal Abad CC, Nakamura FY. Differences in Muscle Mechanical Properties Between Elite Power and Endurance Athletes. J Strength Cond Res 2015; 29:1723-8. [DOI: 10.1519/jsc.0000000000000803] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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García-García O, Cancela-Carral JM, Huelin-Trillo F. Neuromuscular Profile of Top-Level Women Kayakers Assessed Through Tensiomyography. J Strength Cond Res 2015; 29:844-53. [DOI: 10.1519/jsc.0000000000000702] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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