Eloisa Limonta

Effects of temperature and fatigue on the electromechanical delay components

Introduction: Neuromuscular activation can be influenced by both muscle temperature (Tm) and fatigue. Methods: To assess the effects of Tm and fatigue on the electromechanical delay (EMD), 15 participants performed voluntary isometric contractions of different intensities under neutral (TmN), low (TmL), and high (TmH) Tm, before and after a fatiguing exercise. During contraction, electromyogram (EMG), mechanomyogram (MMG), and force (F) were recorded from the biceps brachii muscle. The EMD and the latencies between EMG and MMG (Δt EMG‐MMG, which includes the electrochemical processes of EMD) and between MMG and F (Δt MMG‐F, which includes the mechanical processes of EMD) were calculated. Results: TmL increased only Δt EMG‐MMG, both before and after fatigue. Fatigue lengthened EMD, Δt EMG‐MMG, and Δt MMG‐F under all Tm to a similar extent. Conclusions: While fatigue increased all EMD components, muscle cooling affected only the electrochemical but not the mechanical processes of EMD. Muscle Nerve, 2013

Time course of stretching-induced changes in mechanomyogram and force characteristics

To evaluate the time-course of stretching-induced changes in mechanical properties of the muscle-tendon unit (MTU), 11 participants (age 22±1 yr; body mass 77±5 kg; stature 1.78±0.05 m; mean±SD) underwent tetanic electrical stimulations of the medial gastrocnemius muscle before and after (up to 2h) stretching administration. During contractions, surface electromyogram (EMG), mechanomyogram (MMG) and force were recorded simultaneously. From MMG, peak-to-peak (p-p) and root mean square (RMS) were calculated during the on-phase and plateau phase of tetanic contraction, respectively. After stretching: (i) no differences were found in EMG parameters; (ii) MMG p-p and slope decreased (-16% and -10%, respectively; P<0.05) and remained depressed for the entire recovery period; (iii) MMG RMS increased (+20%; P<0.05), returning to pre-stretching values within 15 min; and (iv) peak force (pF), with its first (dF/dt) and second (d(2)F/dt(2)) derivative, decreased significantly by 32%, 35% and 54%, respectively, and remained depressed for the entire recovery period. The lack of MMG p-p and pF recovery could be ascribable to a reduced muscle force generating capacity due to persisting changes in viscoelastic characteristics of series elastic components. The early return of MMG RMS to pre-stretching values suggests that changes in viscoelastic parallel components recovered after few minutes.

Torque and mechanomyogram correlations during muscle relaxation : effects of fatigue and time-course of recovery

To assess the validity and reliability of the mechanomyogram (MMG) as a tool to investigate the fatigue-induced changes in the muscle during relaxation, the torque and MMG signals from the gastrocnemius medialis muscle of 23 participants were recorded during tetanic electrically-elicited contractions before and immediately after fatigue, as well as at min 2 and 7 of recovery. The peak torque (pT), contraction time (CT) and relaxation time (RT), and the acceleration of force development (d2RFD) and relaxation (d2RFR) were calculated. The slope and τ of force relaxation were also determined. MMG peak-to-peak was assessed during contraction (MMG p-p) and relaxation (R-MMG p-p). After fatigue, pT, d2RFD, d2RFR, slope, MMG p-p and R-MMG p-p decreased significantly, while CT, RT and τ increased (P < 0.05 for all comparisons), remaining altered throughout the entire recovery period. R-MMG p-p correlated with pT, MMG p-p, slope, τ and d2RFR both before and after fatigue. Reliability measurements always ranged from high to very high. In conclusion, MMG may represent a valid and reliable index to monitor the fatigue-induced changes in muscle mechanical behavior, and could be therefore considered an effective alternative to the force signal, also during relaxation.

Effect of respiratory muscle training on maximum aerobic power in normoxia and hypoxia

To assess the effects of respiratory muscle training (RMT) on maximum oxygen uptake (VO2max) in normoxia and hypoxia, 9 healthy males (age 24 +/- 4 years; stature 1.75 +/- 0.08 m; body mass 72 +/- 9 kg; mean +/- SD) performed on different days maximal incremental tests on a cycle ergometer in normoxia and normobaric hypoxia (FIO2=0.11), before and after 8 weeks of RMT (5 days/week). During each test, gas exchange variables were measured breath-by-breath by a metabolimeter. After RMT, no changes in cardiorespiratory and metabolic variables were detected at maximal exercise in normoxia. On the contrary, in hypoxia expired and alveolar ventilation (V(E(and V(A), respectively) at maximal exercise were significantly higher than pre-training condition (+12 and +13%, respectively; P < 0.05). Accordingly, alveolar O2 partial pressure (PAO2) after RMT significantly increased by approximately 10%. Nevertheless, arterial PO2 and VO2max did not change with respect to pre-training condition. In conclusion, RMT improved respiratory function but did not have any effect on VO2max, neither under normoxic nor hypoxic condition. In hypoxia, the significant increase in V(E) and V(A) at maximum exercise after training lead to higher alveolar but not arterial PO2 values, revealing an increased A-a gradient. This result, according to the theoretical models of VO2max limitation, seems to contradict the lack of VO2max increase in hypoxia, suggesting a possible role of increased ventilation-perfusion mismatch.

Fatigue effects on the electromechanical delay components during the relaxation phase after isometric contraction

By a combined electromyographic (EMG), mechanomyographic (MMG) and force (F) analysis, the electromechanical delay during muscle relaxation (R‐DelayTOT) was partitioned into electrochemical and mechanical components. The study aimed to evaluate the effects of fatigue on R‐DelayTOT components and to assess their intersession and interday reliability Intraclass correlation coefficient (ICC).

Stretching and deep and superficial massage do not influence blood lactate levels after heavy-intensity cycle exercise.

Abstract The study aimed to assess the role of deep and superficial massage and passive stretching recovery on blood lactate concentration ([La−]) kinetics after a fatiguing exercise compared to active and passive recovery. Nine participants (age 23 ± 1 years; stature 1.76 ± 0.02 m; body mass 74 ± 4 kg) performed on five occasions an 8-min fatiguing exercise at 90% of maximum oxygen uptake, followed by five different 10-min interventions in random order: passive and active recovery, deep and superficial massage and stretching. Interventions were followed by 1 hour of recovery. Throughout each session, maximum voluntary contraction (MVC) of the knee extensor muscles, [La−], cardiorespiratory and metabolic variables were determined. Electromyographic signal (EMG) from the quadriceps muscles was also recorded. At the end of the fatiguing exercise, [La−], MVC, EMG amplitude, and metabolic and cardiorespiratory parameters were similar among conditions. During intervention administration, [La−] was lower and metabolic and cardiorespiratory parameters were higher in active recovery compared to the other modalities (P < 0.05). Stretching and deep and superficial massage did not alter [La−] kinetics compared to passive recovery. These findings indicate that the pressure exerted during massage administration and stretching manoeuvres did not play a significant role on post-exercise blood La− levels.

Electromechanical delay components during skeletal muscle contraction and relaxation in patients with myotonic dystrophy type 1

The electromechanical delay during muscle contraction and relaxation can be partitioned into mainly electrochemical and mainly mechanical components by an EMG, mechanomyographic, and force combined approach. Component duration and measurement reliability were investigated during contraction and relaxation in a group of patients with myotonic dystrophy type 1 (DM1, n = 13) and in healthy controls (n = 13). EMG, mechanomyogram, and force were recorded in DM1 and in age- and body-matched controls from tibialis anterior (distal muscle) and vastus lateralis (proximal muscle) muscles during maximum voluntary and electrically-evoked isometric contractions. The electrochemical and mechanical components of the electromechanical delay during muscle contraction and relaxation were calculated off-line. Maximum strength was significantly lower in DM1 than in controls under both experimental conditions. All electrochemical and mechanical components were significantly longer in DM1 in both muscles. Measurement reliability was very high in both DM1 and controls. The high reliability of the measurements and the differences between DM1 patients and controls suggest that the EMG, mechanomyographic, and force combined approach could be utilized as a valid tool to assess the level of neuromuscular dysfunction in this pathology, and to follow the efficacy of pharmacological or non-pharmacological interventions.

Stretch-induced changes in tension generation process and stiffness are not accompanied by alterations in muscle architecture of the middle and distal portions of the two gastrocnemii

The study aimed to evaluate the stretch-induced changes in muscle architecture in different portions of the gastrocnemius medialis (GM) and lateralis (GL) muscles. The reliability and sensitivity of the measurements were also assessed. Fascicle length (FL) and pennation angle (PA) were calculated in the middle and distal portions of GM and GL at 0°, 10° and 20° of ankle dorsiflexion. At the same angles, passive torque (Tpass), peak torque (pT) and myotendinous junction displacement of GM were determined. Stiffness was calculated at muscle-tendon unit (MTU), muscle and tendon level. After static stretching administration, Tpass, pT and MTU stiffness decreased by 22%, 12% and 16%, respectively (p<0.05). Muscle and tendon stiffness decreased by 15% and 16% (p<0.05). Nevertheless, no changes in FL and PA occurred. The reliability of the approach was always very high (intraclass correlation coefficient>0.90), with an adequate level of sensitivity. pT after static stretching was related to decreases in MTU, muscle and tendon stiffness, but not to alterations in muscle architecture.

Electromechanical delay components during relaxation after voluntary contraction: reliability and effects of fatigue

Fatigue effects on total relaxation delay (R‐DelayTOT) components and measurement reliability were investigated.

Effectiveness of Exercise- and Cognitive-Based Treatments on Salivary Cortisol Levels and Sundowning Syndrome Symptoms in Patients with Alzheimer’s Disease

Sundowning syndrome (SDS) in patients with Alzheimers disease (AD) is characterized by the intensification of behavioral disorders at sunset. Despite SDS etiology being unclear, a strong relationship between high cortisol levels and SDS has been reported. Aerobic exercise (AE) and cognitive training (CT) can reduce cortisol levels. However, whether SDS would benefit from AE and CT is still unknown. Therefore, the aim of this study was to investigate whether AE and CT treatments are effective in reducing SDS via downregulation of cortisol levels. The possible additive effects of combined AE+CT were also assessed. Eighty AD patients were randomly assigned to AE (n = 20), CT (n = 20), AE+CT (n = 20), and standard therapy (no treatment, NT; n = 20). Treatments were administered for 3 months, 5 days/week, 1 hour before sunset. Before and after treatments, salivary cortisol levels were sampled at 7, 11, 15, at sunset, and 20 (time of day). Blind assessment of behavioral disorders (neuropsychiatric inventory, NPI) and agitation (agitated behavior scale, ABS) were also performed. After interventions, cortisol levels were reduced in AE and AE+CT by ∼26%. In the same groups, NPI and ABS decreased by ∼50%. By contrast, cortisol and behavioral disorders were similar to baseline in CT and NT. Changes in NPI and ABS were significantly correlated with the reduction in cortisol levels. AE or AE+CT effects on SDS and cortisol levels and the lack of effect of CT alone indicate the effectiveness of an exercise-based treatment on SDS, suggesting a possible hypothalamic-pituitary-adrenal axis dysregulation underpinning SDS.