Gaël Guilhem

Neuromuscular and muscle-tendon system adaptations to isotonic and isokinetic eccentric exercise.

OBJECTIVE To present the properties of an eccentric contraction and compare neuromuscular and muscle-tendon system adaptations induced by isotonic and isokinetic eccentric trainings. SYNTHESIS An eccentric muscle contraction is characterized by the production of muscle force associated to a lengthening of the muscle-tendon system. This muscle solicitation can cause micro lesions followed by a regeneration process of the muscle-tendon system. Eccentric exercise is commonly used in functional rehabilitation for its positive effect on collagen synthesis but also for resistance training to increase muscle strength and muscle mass in athletes. Indeed, eccentric training stimulates muscle hypertrophy, increases the fascicle pennation angle, fascicles length and neural activation, thus inducing greater strength gains than concentric or isometric training programs. Eccentric exercise is commonly performed either against a constant external load (isotonic) or at constant velocity (isokinetic), inducing different mechanical constraints. These different mechanical constraints could induce structural and neural adaptive strategies specific to each type of exercise. CONCLUSION The literature tends to show that isotonic mode leads to a greater strength gain than isokinetic mode. This observation could be explained by a greater neuromuscular activation after IT training. However, the specific muscle adaptations induced by each mode remain difficult to determine due to the lack of standardized, comparative studies.

Time-course effect of exercise-induced muscle damage on localized muscle mechanical properties assessed using elastography

Changes in muscle stiffness after exercise‐induced muscle damage have been classically inferred from passive torque–angle curves. Elastographic techniques can be used to estimate the shear modulus of a localized muscular area. This study aimed to quantify the changes in shear elastic modulus in different regions of the elbow flexors after eccentric exercise and their relation to muscle length.

Muscle architecture and EMG activity changes during isotonic and isokinetic eccentric exercises.

The present study aimed to compare muscle architecture and electromyographic activity during isotonic (IT) and isokinetic (IK) knee extensors eccentric contractions. Seventeen subjects were assigned in test and reproducibility groups. During test session, subjects performed two IT and two IK sets of eccentric contractions of knee extensor muscles. Torque, angular velocity, VL architecture and EMG activity of agonist (vastus lateralis, VL; vastus medialis; rectus femoris) and antagonist (semitendinosus; biceps femoris, BF) muscles were simultaneously recorded and averaged on a 5° window. Torque–angle and angular velocity–angle relationships exhibited differences in mechanical load between the IT and IK modes. Changes in muscle architecture were similar in both modes, since VL fascicles length increased and fascicle angle decreased, resulting in a decrease in muscle thickness during eccentric contraction. Agonist activity and BF co-activity levels were higher in IT mode than in IK mode at short muscle lengths, whereas agonist activity was higher in IK mode than in IT mode at long muscle lengths. Differences in mechanical load between both modes induced specific neuromuscular responses in terms of agonist activity and antagonist co-activity. These results suggest that specific neural adaptations may occur after IT or IK eccentric training. This hypothesis needs to be tested in order to gain new insights concerning the most effective eccentric protocols based on whether the objective is sportive or clinical.

Adjustment of muscle coordination during an All-Out sprint cycling task

PURPOSE This study was designed to assess muscle coordination during a specific all-out sprint cycling task (Sprint). The aim was to estimate the EMG activity level of each muscle group by referring to the submaximal cycling condition (Sub150 W) and to test the hypothesis that a maximal activity is reached for all of the muscles during Sprint. METHODS Fifteen well-trained cyclists were tested during submaximal and sprint cycling exercises and a series of maximal voluntary contractions (MVCs) in isometric and isokinetic modes (MVC at the three lower limb joints). Crank torque and surface EMG signals for 11 lower limb muscles were continuously measured. RESULTS Results showed that Sprint induced a very large increase of EMG activity level for the hip flexors (multiplied by 7-9 from 150 W to Sprint) and the knee flexors and hip extensors (multiplied by 5-7), whereas plantar flexors and knee extensors demonstrated a lower increase (multiplied by 2-3). During Sprint, EMG activity level failed to reach a maximal value for hamstrings, tibialis anterior, tensor fasciae latae, and gluteus maximus (i.e., <70% to 80% of peak EMG activity during MVC, P < 0.05 to P < 0.001), and individual EMG patterns demonstrated a significant earlier onset and/or later offset for the majority of the muscles (P < 0.01 to P < 0.001). CONCLUSIONS Results clearly suggest a change in the relative contribution of the different muscles to the power production between Sub150 W and Sprint, and provide evidence that EMG activity level is not systematically maximal for all muscles involved in the all-out sprint cycling task. The longer period of activity induced during Sprint is likely to represent an interesting coordination strategy to enhance the work generated by all of the muscle groups.

Muscle force loss and soreness subsequent to maximal eccentric contractions depend on the amount of fascicle strain in vivo

Defining the origins of muscle injury has important rehabilitation and exercise applications. However, current knowledge of muscle damage mechanics in human remains unclear in vivo. This study aimed to determine the relationships between muscle–tendon unit mechanics during maximal eccentric contractions and the extent of subsequent functional impairments induced by muscle damage.

Neuromuscular adaptations to isoload versus isokinetic eccentric resistance training.

PURPOSE The purpose of this study was to compare neuromuscular adaptations induced by work-matched isoload (IL) versus isokinetic (IK) eccentric resistance training. METHODS A total of 31 healthy subjects completed a 9-wk IL (n = 11) or IK (n = 10) training program for the knee extensors or did not train (control group; n = 10). The IL and IK programs consisted of 20 training sessions, which entailed three to five sets of eight repetitions in the respective modalities. The amount of work and the mean angular velocity were strictly matched between IL and IK conditions. Neuromuscular tests were performed before and after training and consisted of the assessment of quadriceps muscle strength, muscle architecture (vastus lateralis), EMG activity, and antagonist coactivation. RESULTS IL, but not IK, eccentric resistance training enhanced eccentric strength at short muscle length (+20%), high-velocity eccentric strength (+15%), muscle thickness (+10%), and fascicle angle measured at rest (+11%; P < 0.05). Agonist EMG activity increased almost similarly for the two modalities, whereas antagonist coactivation was unaffected by training. CONCLUSIONS IL proved to be more effective than IK training for improving quadriceps muscle strength and structure. It is conjectured that the rapid acceleration of the load in the early phase of IL eccentric movements (i.e., at short muscle lengths), which results in greater torque and angular velocities compared with IK actions, is the main determinant of strength and neuromuscular adaptations to eccentric training. These findings have important consequences for the optimization of IL and IK eccentric exercise for resistance training and rehabilitation purposes.

Effects of Air-Pulsed Cryotherapy on Neuromuscular Recovery Subsequent to Exercise-Induced Muscle Damage

Background: Localized cooling has been proposed as an effective strategy to limit the deleterious effects of exercise-induced muscle damage on neuromuscular function. However, the literature reports conflicting results. Purpose: This randomized controlled trial aimed to determine the effects of a new treatment, localized air-pulsed cryotherapy (–30°C), on the recovery time-course of neuromuscular function following a strenuous eccentric exercise. Study Design: Controlled laboratory study. Methods: A total of 24 participants were included in either a control group (CONT) or a cryotherapy group (CRYO). Immediately after 3 sets of 20 maximal isokinetic eccentric contractions of elbow flexors, and then 1, 2, and 3 days after exercise, the CRYO group received a cryotherapy treatment (3 × 4 minutes at −30°C separated by 1 minute). The day before and 1, 2, 3, 7, and 14 days after exercise, several parameters were quantified: maximal isometric torque and its associated maximal electromyographic activity recorded by a 64-channel electrode, delayed-onset muscle soreness (DOMS), biceps brachii transverse relaxation time (T2) measured using magnetic resonance imaging, creatine kinase activity, interleukin-6, and C-reactive protein. Results: Maximal isometric torque decreased similarly for the CONT (–33% ± 4%) and CRYO groups (−31% ± 6%). No intergroup differences were found for DOMS, electromyographic activity, creatine kinase activity, and T2 level averaged across the whole biceps brachii. C-reactive protein significantly increased for CONT (+93% at 72 hours, P < .05) but not for CRYO. Spatial analysis showed that cryotherapy delayed the significant increase of T2 and the decrease of electromyographic activity level for CRYO compared with CONT (between day 1 and day 3) in the medio-distal part of the biceps brachii. Conclusion: Although some indicators of muscle damage after severe eccentric exercise were delayed (ie, local formation of edema and decrease of muscle activity) by repeated air-pulsed cryotherapy, we provide evidence that this cooling procedure failed to improve long-term recovery of muscle performance. Clinical Relevance: Four applications of air-pulsed cryotherapy in the 3 days after a strenuous eccentric exercise are ineffective overall in promoting long-term muscle recovery. Further studies taking into account the amount of exercise-induced muscle damage would allow investigators to make stronger conclusions regarding the inefficiency of this recovery modality.

What is the Best Method for Assessing Lower Limb Force-Velocity Relationship?

This study determined the concurrent validity and reliability of force, velocity and power measurements provided by accelerometry, linear position transducer and Samozinos methods, during loaded squat jumps. 17 subjects performed squat jumps on 2 separate occasions in 7 loading conditions (0-60% of the maximal concentric load). Force, velocity and power patterns were averaged over the push-off phase using accelerometry, linear position transducer and a method based on key positions measurements during squat jump, and compared to force plate measurements. Concurrent validity analyses indicated very good agreement with the reference method (CV=6.4-14.5%). Force, velocity and power patterns comparison confirmed the agreement with slight differences for high-velocity movements. The validity of measurements was equivalent for all tested methods (r=0.87-0.98). Bland-Altman plots showed a lower agreement for velocity and power compared to force. Mean force, velocity and power were reliable for all methods (ICC=0.84-0.99), especially for Samozinos method (CV=2.7-8.6%). Our findings showed that present methods are valid and reliable in different loading conditions and permit between-session comparisons and characterization of training-induced effects. While linear position transducer and accelerometer allow for examining the whole time-course of kinetic patterns, Samozinos method benefits from a better reliability and ease of processing.

Mechanical and Muscular Coordination Patterns during a High-Level Fencing Assault

PURPOSE This study aimed to investigate the coordination of lower limb muscles during a specific fencing gesture in relation to its mechanical effectiveness. METHODS Maximal isokinetic concentric and isometric plantarflexor, dorsiflexor, knee and hip extensor and flexor torques of 10 female elite saber fencers were assessed and compared between both legs. Sabers completed three trials of a specific fencing gesture (i.e., marché-fente) on a 6.60-m-long force platform system. Surface EMG activities of 15 lower limb muscles were recorded in time with ground reaction forces and separated into four distinct assault phases. EMG signals were normalized to the muscle activity assessed during maximal isometric contraction. Mechanical and EMG data were compared between both legs over the entire assault and in each phase (ANOVA). Potential correlations between muscle strength and average EMG activities were tested (Bravais-Pearson coefficient). RESULTS EMG activity patterns showed that rear hip and knee extensor and plantarflexor muscles were mainly activated during propulsive (concentric) phases, while front hip and knee extensor muscles were strongly solicited during the final braking (eccentric) phase to decelerate the body mass. Although fencers presented greater maximal hip (+10%) and knee (+26%) extensor strength in the front than in the rear leg (P < 0.05), rear hip and knee extensor strength was significantly correlated to the maximal anteroposterior velocity (r = 0.60-0.81). Moreover, muscle activity of the rear extensors was related to average velocity during the second propulsive phase (phase 3). CONCLUSIONS This study gathers the first evidence of a crucial role of the rear extensor muscles in fencing speed performance. Such findings suggest interesting perspectives in the definition of specific training or rehabilitation programs for elite fencers.

Validity of trunk extensor and flexor torque measurements using isokinetic dynamometry

This study aimed to evaluate the validity and test-retest reliability of trunk muscle strength testing performed with a latest-generation isokinetic dynamometer. Eccentric, isometric, and concentric peak torque of the trunk flexor and extensor muscles was measured in 15 healthy subjects. Muscle cross sectional area (CSA) and surface electromyographic (EMG) activity were respectively correlated to peak torque and submaximal isometric torque for erector spinae and rectus abdominis muscles. Reliability of peak torque measurements was determined during test and retest sessions. Significant correlations were consistently observed between muscle CSA and peak torque for all contraction types (r=0.74-0.85; P<0.001) and between EMG activity and submaximal isometric torque (r ⩾ 0.99; P<0.05), for both extensor and flexor muscles. Intraclass correlation coefficients were comprised between 0.87 and 0.95, and standard errors of measurement were lower than 9% for all contraction modes. The mean difference in peak torque between test and retest ranged from -3.7% to 3.7% with no significant mean directional bias. Overall, our findings establish the validity of torque measurements using the tested trunk module. Also considering the excellent test-retest reliability of peak torque measurements, we conclude that this latest-generation isokinetic dynamometer could be used with confidence to evaluate trunk muscle function for clinical or athletic purposes.