The effects of poliomyelitis on motor unit behavior during repetitive muscle actions: a case report

This is the published version. Also available at http://dx.doi.org/10.1186/1756-0500-7-611.Background: Acute paralytic poliomyelitis is caused by the poliovirus and usually results in muscle atrophy and weakness occurring in the lower limbs. Indwelling electromyography has been used frequently to investigate the denervation and innervation characteristics of the affected muscle. Recently developed technology allows the decomposition of the raw surface electromyography signals into the firing instances of single motor units. There is limited information regarding this electromyographic decomposition in clinical populations. In addition, regardless of electromyographic methods, no study has examined muscle activation parameters during repetitive muscle actions in polio patients. Therefore, the purpose of this study was to examine the motor unit firing rates and electromyographic amplitude and center frequency of the vastus lateralis during 20 repetitive isometric muscle actions at 50% maximal voluntary contraction in healthy subjects and one patient that acquired acute paralytic poliomyelitis. Case presentation: One participant that acquired acute type III spinal poliomyelitis (Caucasian male, age = 29 yrs) at 3 months of age and three healthy participants (Caucasian females, age = 19.7 ± 2.1 yrs) participated in this study. The polio participant reported neuromuscular deficiencies as a result of disease in the hips, knees, buttocks, thighs, and lower legs. None of the healthy participants reported any current or ongoing neuromuscular diseases or musculoskeletal injuries. Conclusion: An acute bout of poliomyelitis altered motor unit behavior, such as, healthy participants displayed greater firing rates than the polio patient. The reduction in motor unit firing rates was likely a fatigue protecting mechanism since denervation via poliomyelitis results in a reduction of motorneurons. In addition, the concurrent changes in motor unit firing rates, electromyography amplitude and frequency for the polio participant would suggest that the entire motorneuron pool was utilized in each contraction unlike for the healthy participants. Finally, healthy participants exhibited changes in all electromyographic parameters during the repetitive muscle actions despite successfully completing all contractions with only a slight reduction in force. Thus, caution is warranted when quantifying muscular fatigue via motor unit firing rates and other electromyographic parameters since the parameters changed despite successful completing of all contractions with only a moderate reduction in strength in healthy subjects

Acute muscle swelling effects of a knee rehabilitation exercise performed with and without blood flow restriction

This study assessed the acute effect of adding blood flow restriction (BFR) to quad sets on muscle-cross sectional area (mCSA), muscle thickness (MT), echo intensity (EI), and subcutaneous fat-normalized EI (EINORM) of the superficial quadriceps muscles. Twelve males and 12 females (mean±SD; age (yrs): 21.4±2.9; stature (m): 1.76±0.1; body mass (kg): 77.7±2.9) performed 70 repetitions (one set of 30, three sets of 15 repetitions) of bodyweight quad sets separately on each leg, with or without BFR (CON) applied. Rating of perceived exertion was recorded following each set. Panoramic ultrasound images of the vastus lateralis (VL), vastus medialis (VM), and rectus femoris (RF) were captured prior to (PRE), immediately after (IMM-POST), 30- (30-POST), and 60-minutes after (60-POST) after exercise. Sex x condition x time repeated measures ANOVAs assessed differences at p0.05). There was a 3-way interaction in VL mCSA (p = 0.025) which indicated BFR was greater than CON at IMM-POST by 7.6% (p = 0.019) for males only. Females had greater EI in the VM and VL than males (p0.05) and EINORM did not change over time or treatment (p>0.05). The lack of changes in MT, EI, and EINORM indicate that unloaded quad sets do not provide a stimulus to promote fluid shifts or acute changes in muscle size with the exception of IMM-POST in the VL for males. Future research should attempt to elucidate the acute muscular responses of BFR application for lightly loaded rehabilitation exercises in the clinical populations for which they are prescribed

Effects of Dynamic Stretching on Strength, Muscle Imbalance, and Muscle Activation

Purpose: This study aimed to examine the acute effects of dynamic stretching on concentric leg extensor and flexor peak torque, eccentric leg flexor peak torque, and the conventional and functional hamstring–quadriceps (H:Q) ratios. Methods: Twenty-one women (mean ± SD age = 20.6 ± 2.0 yr, body mass = 64.5 ± \u3e.3 kg, height = 164.7 ± 6.5 cm) performed maximal voluntary isokinetic leg extension, flexion, and eccentric hamstring muscle actions at the angular velocities of 60°· s-1 and 180° · s-1 before and after a bout of dynamic hamstring and quadriceps stretching as well as a control condition. Results: Leg flexion peak torque decreased under both control (mean ± SE for 60°· s-1 = 75.8 ± 4.0 to 72.4 ± 3.7 N · m, 180° · s-1 = 62.1 ± 3.2 to 59.1 ± 3.1 N· m) and stretching (60°· s-1 = 73.1 ± 3.\u3e to 65.8 ± 3.3 N· m, 180°· s-1 = 61.2 ± 3.3 to 54.7 ± 2.6 N· m) conditions, whereas eccentric hamstring peak torque decreased only after the stretching (60°· s-1 = 87.3 ± 5.1 to 73.3 ± 3.6 N· m, 180°· s-1 = 89.2 ± 4.4 to 77.0 ± 3.4 N · m) intervention (P ≤ 0.05). Stretching also caused a decrease in conventional H:Q (60°· s-1 = 0.58 ± 0.02 to 0.54 ± 0.02, 180°· s-1 = 0.67 ± 0.02 to 0.61 ± 0.03) and functional H:Q ratios (60°· s-1 = 0.69 ± 0.03 to 0.60 ± 0.03, 180°· s-1 = 1.00 ± 0.06 to 0.60 ± 0.03) (P ≤ 0.05). Conclusions: Because dynamic stretching reduced concentric and eccentric hamstring strength as well as the conventional and functional H:Q ratios, fitness and allied-health professionals may need to be cautious when recommending dynamic rather than static stretching to maintain muscle force

Chronic training status affects muscle excitation of the vastus lateralis during repeated contractions

This study examined electromyographic amplitude (EMGRMS)-force relationships during repeated submaximal knee extensor muscle actions among chronic aerobically-(AT), resistance-trained (RT), and sedentary (SED) individuals. Fifteen adults (5/group) attempted 20 isometric trapezoidal muscle actions at 50% of maximal strength. Surface electromyography (EMG) was recorded from vastus lateralis (VL) during the muscle actions. For the first and last successfully completed contractions, linear regression models were fit to the log-transformed EMGRMS-force relationships during the linearly increasing and decreasing segments, and the b terms (slope) and a terms (antilog of y-intercept) were calculated. EMGRMS was averaged during steady force. Only the AT completed all 20 muscle actions. During the first contraction, the b terms for RT (1.301 ​± ​0.197) were greater than AT (0.910 ​± ​0.123; p ​= ​0.008) and SED (0.912 ​± ​0.162; p ​= ​0.008) during the linearly increasing segment, and in comparison to the linearly decreasing segment (1.018 ​± ​0.139; p ​= ​0.014), respectively. For the last contraction, the b terms for RT were greater than AT during the linearly increasing (RT ​= ​1.373 ​± ​0.353; AT ​= ​0.883 ​± ​0.129; p ​= ​0.018) and decreasing (RT ​= ​1.526 ​± ​0.328; AT ​= ​0.970 ​± ​0.223; p ​= ​0.010) segments. In addition, the b terms for SED increased from the linearly increasing (0.968 ​± ​0.144) to decreasing segment (1.268 ​± ​0.126; p ​= ​0.015). There were no training, segment, or contraction differences for the a terms. EMGRMS during steady force increased from the first- ([64.08 ​± ​51.68] ​μV) to last-contraction ([86.73 ​± ​49.55] ​μV; p ​= ​0.001) collapsed across training statuses. The b terms differentiated the rate of change for EMGRMS with increments in force among training groups, indicating greater muscle excitation to the motoneuron pool was necessary for the RT than AT during the linearly increasing and decreasing segments of a repetitive task

Effects of a supplement designed to increase ATP levels on muscle strength, power output, and endurance

<p>Abstract</p> <p>Background</p> <p>The present study examined the acute effects of a nutritional supplement intended to improve adenosine triphosphate (ATP) concentrations on vertical jump height, isometric strength of the leg extensors, leg extension endurance, and forearm flexion endurance.</p> <p>Methods</p> <p>Twenty-four healthy men (mean age ± SD = 23 ± 4 yrs, stature = 181 ± 7 cm, and body mass = 82 ± 12 kg) volunteered to complete a familiarization trial plus 2 randomly-ordered experimental trials separated by a 7-day washout period. Participants received either 6 (body mass < 91 kg) or 8 (body mass ≥ 91 kg) tablets of the treatment (TR; 625 mg of adenylpyrophosphoric acid and calcium pyruvate, 350.8 mg of cordyceps sinensis extract and yohimbine hydrochloride) or placebo (PL; 980 mg of microcrystalline cellulose) 1 hour prior to the following tests: countermovement vertical jump (CVJ), forearm flexion repetitions to exhaustion, isometric maximal voluntary contractions (MVCs) of the leg extensors, and a 50-repetition maximal concentric isokinetic leg extension endurance test.</p> <p>Results</p> <p>There were no differences between the TR and PL trials for CVJ height (<it>P </it>> 0.05), isometric MVC peak torque (<it>P </it>> 0.05), maximal concentric isokinetic peak torque (<it>P </it>> 0.05), percent decline during the leg extension endurance tests (<it>P </it>> 0.05), or repetitions to exhaustion during the forearm flexion endurance tests (<it>P </it>> 0.05).</p> <p>Conclusion</p> <p>These findings indicated no improvements in the measured variables as a result of ingesting this nutritional supplement. Future studies should examine whether chronic supplementation or a loading period is necessary to observe any ergogenic effects of this supplement.</p

Effects of creatine loading on electromyographic fatigue threshold during cycle ergometry in college-aged women

This is the publisher's version, also found at http://www.jissn.com/content/4/1/20The purpose of this study was to examine the effects of 5 days of Creatine (Cr) loading on the electromyographic fatigue threshold (EMGFT) in college-aged women. Fifteen healthy college-aged women (mean ± SD = 22.3 ± 1.7 yrs) volunteered to participate in this double-blind, placebocontrolled study and were randomly placed into either placebo (PL – 10 g of flavored dextrose powder; n = 8) or creatine (Cr – 5 g di-creatine citrate plus 10 g of flavored dextrose powder; n = 7; Creatine Edge, FSI Nutrition) loading groups. Each group ingested one packet 4 times per day (total of 20 g/day) for 5 days. Prior to and following supplementation, each subject performed a discontinuous incremental cycle ergometer test to determine their EMGFT value, using bipolar surface electrodes placed on the longitudinal axis of the right vastus lateralis. Subjects completed a total of four, 60 second work bouts (ranging from 100–350 W). The EMG amplitude was averaged over 10 second intervals and plotted over the 60 second work bout. The resulting slopes from each successive work bouts were used to calculate EMGFT. A two-way ANOVA (group [Cr vs. PL] × time [pre vs. post]) resulted in a significant (p = 0.031) interaction. Furthermore, a dependent samples t-test showed a 14.5% ± 3.5% increase in EMGFT from pre- to post-supplementation with Cr (p = 0.009), but no change for the PL treatment (-2.2 ± 5.8%; p = 0.732). In addition, a significant increase (1.0 ± 0.34 kg; p = 0.049) in weight (kg) was observed in the Cr group but no change for PL (-0.2 kg ± 0.2 kg). These findings suggest that 5 days of Cr loading in women may be an effective strategy for delaying the onset of neuromuscular fatigue during cycle ergometry

Acute effects of passive stretching of the plantarflexor muscles on neuromuscular function: the influence of age

Abstract The acute effects of stretching on peak force (F peak), percent voluntary activation (%VA), electromyographic (EMG) amplitude, maximum range of motion (MROM), peak passive torque, the passive resistance to stretch, and the percentage of ROM at EMG onset (%EMGonset) were examined in 18 young and 19 old men. Participants performed a MROM assessment and a maximal voluntary contraction of the plantarflexors before and immediately after 20 min of passive stretching. F peak (−11 %), %VA (−6 %), and MG EMG amplitude (−9 %) decreased after stretching in the young, but not the old (P > 0.05). Changes in F peak were related to reductions in all muscle activation variables (r = 0.56–0.75), but unrelated to changes in the passive resistance to stretch (P ≥ 0.24). Both groups experienced increases in MROM and peak passive torque and decreases in the passive resistance to stretch. However, the old men experienced greater changes in MROM (P < 0.001) and passive resistance (P = 0.02–0.06). Changes in MROM were correlated to increases in peak passive torque (r = 0.717), and the old men also experienced a nonsignificant greater (P = 0.08) increase in peak passive torque. %EMGonset did not change from pre- to post-stretching for both groups (P = 0.213), but occurred earlier in the old (P = 0.06). The stretching-induced impairments in strength and activation in the young but not the old men may suggest that the neural impairments following stretching are gamma-loop-mediated. In addition, the augmented changes in MROM and passive torque and the lack of change in %EMGonset for the old men may be a result of age-related changes in muscle-tendon behavior

Methodological Differences in the Interpretation of Fatigue Data from Repeated Maximal Effort Knee Extensions

Background: Isokinetic fatigue protocols are commonly used in both research as well as in kinesiology education. However, fatigue quantification methods vary between studies. Objective: Therefore, the purpose of this study was to determine how fatigue quantification methods affect data interpretation and which methods may be most appropriate. Method: In this study, we quantified fatigue from a repeated maximal effort isokinetic knee extension test using different methods, as seen in published research. Nine healthy males and nine healthy females performed 50 concentric knee extensions at 180°•s-1. For each repetition, torque was quantified as either peak torque (PT), torque at the mid-point of the range of motion, and torque integrated over the full, middle 30° range of motion, and isokinetic range of motion. Fatigue Index was quantified using either the first and last three or five repetitions or the peak and last three or five repetitions. Torque slopes were quantified using all repetitions or repetitions that occurred at and beyond the repetition at which the greatest torque value occurred. Results: There was a significant inverse relationship between angle at PT and repetition number. Measures of fatigue were overestimated when torque integral over the isokinetic range of motion was utilized. When the first three or first five repetitions were utilized for Fatigue Index calculations, fatigue was underestimated. Conclusion: Results suggest that torque integral over the full range of motion is likely the best representation of strength or work. Also, researchers should omit the first few repetitions from their quantification of Fatigue Index or torque slope

Acute effects of a thermogenic nutritional supplement on cycling time to exhaustion and muscular strength in college-aged men

This is the publisher's version, also available electronically from http://www.jissn.com/content/6/1/15.The purpose of the present study was to examine the acute effects of a thermogenic nutritional supplement containing caffeine, capsaicin, bioperine, and niacin on muscular strength and endurance performance. Methods Twenty recreationally-active men (mean ± SD age = 21.5 ± 1.4 years; stature = 178.2 ± 6.3 cm; mass = 76.5 ± 9.9 kg; VO2 PEAK = 3.05 ± 0.59 L/min-1) volunteered to participate in this randomized, double-blinded, placebo-controlled, cross-over study. All testing took place over a three-week period, with each of the 3 laboratory visits separated by 7 days (± 2 hours). During the initial visit, a graded exercise test was performed on a Lode Corival cycle ergometer (Lode, Groningen, Netherlands) until exhaustion (increase of 25 W every 2 min) to determine the maximum power output (W) at the VO2 PEAK (Parvo Medics TrueOne® 2400 Metabolic Measurement System, Sandy, Utah). In addition, one-repetition maximum (1-RM) strength was assessed using the bench press (BP) and leg press (LP) exercises. During visits 2 and 3, the subjects were asked to consume a capsule containing either the active supplement (200 mg caffeine, 33.34 mg capsaicin, 5 mg bioperine, and 20 mg niacin) or the placebo (175 mg of calcium carbonate, 160 mg of microcrystalline cellulose, 5 mg of stearic acid, and 5 mg of magnesium stearate in an identical capsule) 30 min prior to the testing. Testing included a time-to-exhaustion (TTE) ride on a cycle ergometer at 80% of the previously-determined power output at VO2 PEAK followed by 1-RM LP and BP tests. Results There were no differences (p > 0.05) between the active and placebo trials for BP, LP, or TTE. However, for the BP and LP scores, the baseline values (visit 1) were less than the values recorded during visits 2 and 3 (p ≤ 0.05). Conclusion Our findings indicated that the active supplement containing caffeine, capsaicin, bioperine, and niacin did not alter muscular strength or cycling endurance when compared to a placebo trial. The lack of increases in BP and LP strength and cycle ergometry endurance elicited by this supplement may have been related to the relatively small dose of caffeine, the high intensity of exercise, the untrained status of the participants, and/or the potential for caffeine and capsaicin to increase carbohydrate oxidation

Age-related changes in the rate of muscle activation and rapid force characteristics

Abstract Declines in muscle size and strength are commonly reported as a consequence of aging; however, few studies have investigated the influence of aging on the rate of muscle activation and rapid force characteristics across the lifespan. This study aims to investigate the effects of aging on the rate of muscle activation and rapid force characteristics of the plantar flexors. Plantar flexion peak force (PF), absolute (peak, 50, and 100–200 ms), and relative (10 %, 30 %, and 50 %) rate of force development (RFD), the rapid to maximal force ratio (RFD/PF), and the rate of electromyography rise (RER) were examined during an isometric maximal voluntary contraction (MVC) in young (age = 22 ± 2 years), middle-aged (43 ± 2 years), and old (69 ± 5 years) men. The old men exhibited lower PF (30.7 % and 27.6 % lower, respectively) and absolute (24.4–55.1 %) and relative (16.4–28.9 %) RFD values compared to the young and middle-aged men (P ≤ 0.03). RER values were similar between the young and old men (P ≥ 0.30); however, RER values were greater for the middle-aged men when compared to the young and old men for the soleus (P < 0.01) and the old men for the medial gastrocnemius (P ≤ 0.02). Likewise, RFD/PF ratios were similar between young and old men (P ≥ 0.26); however, these ratios were greater for the middle-aged men at early (P ≤ 0.03), but not later (P ≥ 0.10), time intervals. The lower PF and absolute and relative RFD values for the old men may contribute to the increased functional limitations often observed in older adults. Interestingly, higher rates of muscle activation and greater early RFD/PF ratios in middle-aged men may be a reflection of physiological alterations in the neuromuscular system occurring in the fifth decade