Björn Alkner

Knee extensor and plantar flexor muscle size and function following 90 days of bed rest with or without resistance exercise

Skeletal muscle atrophy and strength loss induced by short-term simulated spaceflight are offset or attenuated by resistance exercise (RE). This study compared the effects of plantar flexor and knee extensor RE on muscle size and function in 17 healthy men (aged 26–41years) subjected to 90 days 6° head-down-tilt bed rest with (BRE; n=8) or without (BR; n=9) RE. The RE program consisted of coupled maximal concentric and eccentric actions in the supine squat (4 sets of 7 repetitions) and calf press (4×14) every third day employing a gravity-independent flywheel ergometer (FW). Prior to, and following bed rest, muscle volume was assessed using magnetic resonance imaging. Similarly, muscle strength and power and surface electromyographic (EMG) activity were determined during maximal actions using FW or isokinetic dynamometry. In BR, knee extensor and plantar flexor muscle volume decreased (P<0.05) 18% and 29%, respectively. Torque or force and power decreased (P<0.05) 31–60% (knee extension) and 37–56% (plantar flexion) while knee extensor and plantar flexor EMG activity decreased 31–38% and 28–35%, respectively following BR. Muscle atrophy in BRE was prevented (P>0.05; knee extensors) or attenuated (−15%; plantar flexors). BRE maintained task-specific force, power and EMG activity. The decrease in non-task-specific torque was less (P<0.05) than in BR. The present data imply that the triceps surae and quadriceps muscles show different responsiveness to long-term bed rest with or without resistance exercise. The results also suggest that designing in-flight resistance exercise protocols for space travellers is complex and must extend beyond preserving muscle only.

Human single muscle fibre function with 84 day bed-rest and resistance exercise

Muscle biopsies were obtained from the vastus lateralis before and after 84 days of bed‐rest from six control (BR) and six resistance‐exercised (BRE) men to examine slow‐ and fast‐twitch muscle fibre contractile function. BR did not exercise during bed‐rest and had a 17 and 40% decrease in whole muscle size and function, respectively. The BRE group performed four sets of seven maximal concentric and eccentric supine squats 2–3 days per week (every third day) that maintained whole muscle strength and size. Slow (MHC I) and fast (MHC IIa) muscle fibres were studied at 15°C for diameter, peak force (Po), contractile velocity (Vo) and force–power parameters. SDS‐PAGE was performed on each single fibre after the functional experiments to determine MHC isoform composition. MHC I and IIa BR fibres were, respectively, 15 and 8% smaller, 46 and 25% weaker (Po), 21 and 6% slower (Vo), and 54 and 24% less powerful after bed‐rest (P < 0.05). BR MHC I and IIa Po and power normalized to cell size were lower (P < 0.05). BRE MHC I fibres showed no change in size or Vo after bed‐rest; however, Po was 19% lower (P < 0.05), resulting in 20 and 30% declines (P < 0.05) in normalized Po and power, respectively. BRE MHC IIa fibres showed no change in size, Po and power after bed‐rest, while Vo was elevated 13% (P < 0.05). BRE MHC IIa normalized Po and power were 10 and 15% lower (P < 0.05), respectively. MHC isoform composition shifted away from MHC I fibres, resulting in an increase (P < 0.05) in MHC I/IIa (BR and BRE) and MHC IIa/IIx (BR only) fibres. These data show that the contractile function of the MHC I fibres was more affected by bed‐rest and less influenced by the resistance exercise protocol than the MHC IIa fibres. Considering the large differences in power of human MHC I and IIa muscle fibres (5‐ to 6‐fold), the maintenance of whole muscle function with the resistance exercise programme is probably explained by (1) the maintenance of MHC IIa power and (2) the shift from slow to fast (MHC I → MHC I/IIa) in single fibre MHC isoform composition.

Differential expression of nitric oxide synthases (NOS 1-3) in human skeletal muscle following exercise countermeasure during 12 weeks of bed rest

Adaptive changes of major body systems in astronauts during spaceflight can be simulated by strict anti‐orthostatic head‐down tilt (HDT) bed rest (BR), a ground‐based microgravity (μG) model that provides a meaningful opportunity to study atrophy mechanisms and possible countermeasures under controlled experimental conditions. As nitric oxide (NO) signaling is linked to muscle activity, we investigated altered expression of the three major isoforms of nitric oxide synthase (NOS 1–3) at cellular compartments during prolonged HDT BR without (control group) and with resistance exercise interventions (exercise group) using a flywheel ergometer (FWE). Atrophy detected in mixed (fast–slow) m. vastus lateralis (VL) and slow‐type m. soleus (SOL) myofiber Types I and II (minus 35–40% of myofiber cross‐sectional area) was prevented by FWE training. Concomitant to muscle atrophy, reduced NOS 1 protein and immunostaining was found in VL not in SOL biopsies. In trained VL, NOS 1 protein and immunostaining at myofibers II were significantly increased at the end of BR. Exercise altered NOS 2/caveolin 3 co‐immunostaining patterns of subsarcolemmal focal accumulations in VL or SOL myofibers, which suggests reorganization of sarcolemmal microdomains. In trained VL, increased capillary‐ to‐fiber (C/F) ratio and NOS 3 protein content were documented. Activity‐linked NO signaling may be widespread in skeletal muscle cellular compartments that may be directly or indirectly impacted by adequate exercise countermeasure protocols to offset the negative effects induced by disuse, immobilization, or extended exposure to microgravity.

Muscle-fiber conduction velocity during concentric and eccentric actions on a flywheel exercise device

A gravity‐independent flywheel exercise device (FWED) has been proven effective as a countermeasure to loss of strength and muscle atrophy induced by simulated microgravity. This study assessed muscle‐fiber conduction velocity (CV) and surface EMG instantaneous mean power spectral frequency (iMNF) during brief bouts of fatiguing concentric (CON) and eccentric (ECC) exercise on a FWED in order to identify electromyographic (EMG) variables that can be used to provide objective indications of muscle status when exercising with a FWED. Multichannel surface EMG signals were recorded from vastus lateralis and medialis muscles of nine men during: (1) isometric, 60‐s action at 50% of maximum voluntary action (MVC); (2) two isometric, linearly increasing force ramps (0–100% MVC); and (3) dynamic CON/ECC coupled actions on the FWED. Muscle‐fiber CV and iMNF were computed over time during the three tasks. During ramps, CV, but not iMNF, increased with force (P < 0.001). Conduction velocity and iMNF decreased with the same normalized rate of change in constant‐force actions. During CON/ECC actions, the normalized rate of change over time was larger for CV than iMNF (P < 0.05). These results suggest that, during fatiguing, dynamic, variable‐force tasks, changes in CV cannot be indirectly inferred by EMG spectral analysis. This underlines the importance of measuring both CV and spectral variables for muscle assessment in dynamic tasks. Muscle Nerve, 2006

Neuromuscular Adaptations Following 90 Days Bed Rest With or Without Resistance Exercise.

INTRODUCTION This study examined the effects of long-term bed rest with or without a concurrent resistance exercise protocol on different muscle function indices of the knee extensors and their influence on previously shown atrophy, neural impairment, and slow-to-fast phenotype shift. METHODS Nine men underwent 90 d of bed rest only (BR), while eight men in addition performed maximal supine squats every third day (BRE). Before and at day 1 and 5 following bed rest, surface quadriceps electromyographic (EMG) activity was measured during a sustained (60-s) submaximal isometric action and rate of force development (RFD) was assessed during a maximal isometric action, both in the supine squat position. Maximal torque was measured during isokinetic knee extensions at different angular velocities before and after (day 2 and 11) bed rest. RESULTS EMG amplitude at a fixed submaximal load increased in BR, but not in BRE. The increase in amplitude during the sustained action was elevated in BR but not in BRE. RFD decreased in BR; this effect was attenuated day 1 and normalized day 5 in BRE. RFD expressed relative to maximal force was maintained in both groups. Angle-specific torque decreased equally for all velocities in BR. The decrease in isokinetic strength was attenuated day 2 in BRE. DISCUSSION Phenotype changes were not reflected in muscle function measurements, probably because they were overridden by the effects of atrophy and neural adaptation. The protective effect of resistance exercise was more pronounced in tasks similar to the training action, inferring great impact of neural mechanisms. Alkner BA, Norrbrand L, Tesch PA. Neuromuscular adaptations following 90 days bed rest with or without resistance exercise. Aerosp Med Hum Perform. 2016; 87(7):610-617.