Ilenia Bazzucchi

Assessment of Maximal Cardiorespiratory Performance and Muscle Power in the Italian Olympic Judoka

The main purposes of this study were to describe the cardiorespiratory fitness and lower limbs maximal muscle power of a selected group of Olympic Italian male (M) and female (F) judokas. Eleven subjects (6 M, 5 F) underwent 3 different tests. The &OV0312;O2max and ventilatory threshold (VT; V-slope method) were assessed during a graded maximal treadmill test. Lower limbs muscle peak power (PP) and mean power (MP) were determined during a 30-second Win- gate test (WIN). Post-WIN blood lactate peak was also measured. Subjects were tested also during a 5-minute combat test (CT), during which blood lactate and heart rate (HR) were monitored. &OV0312;O2max (mean ± SD) was 47.3 ± 10.9 and 52.9 ± 4.4 ml·kg-1·min-1 for M and F judokas, respectively. The VT corresponded to 80.8% (M) and 86.5% (F) of &OV0312;O2max. Both PP and MP, measured during the WIN, were significantly higher (p > 0.05) in M than in F judokas (PP: 12.1 ± 2.4 vs. 9.5 ± 1.1 W·kg-1; MP: 5.4 ± 1.1 W·kg-1; F: 4.3 ± 0.5 W·kg-1). Post WIN blood lactate peak was 6.9 ± 2.8 mmol·l-1 and 6.1 ± 1.8 mmol·l-1 for M and F judokas, respectively (not significant). During the CT blood lactate peak was 9.9 ± 3.0 mmol·l-1 (M) and 9.2 ± 2.0 mmol·l-1 (F); these values being significantly higher than those obtained after the WIN (p > 0.05). In conclusion, Italian Olympic judokas showed high levels of muscle power but accompanied by a moderate engagement of the aerobic metabolic pathway, which is well in accordance with the characteristics of judo. Having these results in top-level athletes may represent a useful contribution to the work of coaches and trainers in optimizing training programs for the achievement of the best performance of the judoka.

Amplitude and spectral characteristics of biceps Brachii sEMG depend upon speed of isometric force generation

In the present study the influence of speed of contraction on the interplay between recruitment and firing rate of motor units (MUs) was assessed. The surface electromyographic (sEMG) signal was recorded in nine healthy subjects from the right biceps brachii using a linear electrode array during ramp isometric contractions (from 0 to 100% of the maximal voluntary force, MVC) at 5, 10, and 20% MVC s(-1) (ramp phase), followed by 10 s of sustained MVC (hold phase). The median frequency (MDF), Root Mean Square (RMS) and conduction velocity (CV) of sEMG, were computed on adjacent epochs covering a force range of 5% MVC each. Full motor unit recruitment (FMUR) point was assessed as the force level at which MDF reached its maximum value; the MDF decay during the hold phase was taken as an index of localized muscle fatigue. At 5% MVC s(-1), FMUR was reached at 52.3% MVC. At 10%MVC s(-1) FMUR was achieved at 58% MVC; while at 20% MVC s(-1) FMUR point was located at 77% MVC, being statistically different from 5 and 10% MVCs(-1) ramps (p<0.05). The MDF decay was steeper at higher speed. CV modifications mirrored those reported for MDF. The RMS increased in a curvilinear fashion and the maximum value was always attained during the hold phase. Our findings suggest that MU recruitment strategies are significantly related to the speed of contraction even in a single muscle.

Differences in the force/endurance relationship between young and older men

The aim of the present study was to ascertain if in six young (23–35 years) and in six older (70–72 years) healthy men matched for comparable absolute and specific maximal force of the dominant elbow flexors, differences in isometric endurance, myoelectrical fatigability, and shortening velocity are still recognizable. To assess the specific force, the muscle cross sectional area (CSA) was determined from magnetic resonance imaging (MRI) scans. The performance of the elbow flexors was studied by assessing the isometric endurance times (ET) at different percentages of maximal isometric contraction (MVC), the average muscle fibre conduction velocity of action potentials (CV), and the median frequency (MDF) of the surface electromyogram (sEMG) of the biceps brachii. Finally, the torque-velocity curve was assessed by means of maximal isokinetic contractions at six fixed angular velocities. All data were expressed as the mean (SD). The results showed that: (1) the ET was longer in the older subjects at the highest levels of isometric contraction, independently from the absolute force; (2) the modifications of muscle fibre CV during isometric effort progressed less rapidly in the older than the younger groups, as did those of MDF; and (3) at the same angular velocity, the older subjects exerted less absolute force than the younger subjects. These results suggest an impairment of the neuromuscular system of older men, which is less powerful and less fatigable than that of young men.

CAFFEINE IMPROVES NEUROMUSCULAR FUNCTION DURING MAXIMAL DYNAMIC EXERCISE

Introduction: In this study we tested the hypothesis that caffeine supplementation improves neuromuscular function, which has both nutritional and clinical relevance. Methods: Fourteen male subjects (mean ± SD: 23.8 ± 2.8 years) volunteered in a double‐blind, repeated‐measures study with placebo (PLA) or caffeine (CAFF) (6 mg kg−1). Maximal voluntary isometric contractions (MVCs), evoked maximal twitch, and maximal isokinetic contractions during elbow flexion were assessed. Mechanical and electromyographic (EMG) signals from the biceps brachii muscle were recorded, and muscle fiber conduction velocity (CV) was calculated to evaluate changes in the muscle force–velocity relationship and muscle fiber recruitment. Results: The torque–angular velocity curve was enhanced after CAFF supplementation. This was supported by a concomitant increase of CV values (8.7% higher in CAFF). Conclusions: Caffeine improves muscle performance during short‐duration maximal dynamic contractions. The concomitant improvement of mean fiber CV supports the hypothesis of an effect of caffeine on motor unit recruitment. Muscle Nerve, 2011.

Coactivation of the elbow antagonist muscles is not affected by the speed of movement in isokinetic exercise

Since muscle coactivation increases the stiffness and stability of a joint, greater coactivation is likely during faster than slower movements. Very few studies, though, have been conducted to verify this hypothesis. Moreover, a large number of studies have examined coactivation of muscles surrounding the knee joint whereas there are few reports on the elbow joint. The aim of this study was therefore to compare the antagonist activation of the elbow flexors and extensors during isokinetic concentric exercises and to investigate the influence of angular velocity on their activation. Twelve men participated in the study. The surface electromyographic signals (sEMG) were recorded from the biceps brachii (BB) and triceps brachii (TB) muscles during three maximal voluntary isometric contractions (MVC) of elbow flexors and extensors and a set of three maximal elbow flexions and extensions each at 15°, 30°, 60°, 120°, 180°, and 240°.s−1. Normalized root mean square (RMS) of sEMG was calculated during the isokinetic phase of movement as an index of sEMG amplitude. During elbow flexion, the antagonist activation of BB averaged 16.2% lower than TB, and this difference was statistically significant at all angular velocities. The normalized RMS values ranged from 26.0% ± 19.0 at MVC to 37.8% ± 13.9 at 240°.s−1 for antagonist TB activation, and from 5.7% ± 5.2 at MVC to 18.9% ± 8.6 at 240°.s−1 for antagonist BB activation. No influence of angular velocity on agonist and antagonist activity was found. Moreover, flexion and extension torques were both strongly affected by the amount of antagonist activation. The functional specialization of the two muscle groups could be responsible for the different levels of antagonist activation. The frequent use of BB, which is not assisted by gravity during daily activities, could lead to reduced coactivation due to a better functioning of the control system based upon reciprocal innervation. These findings may have significant implications in the design of rehabilitation programs directed to the elbow joint. Muscle Nerve, 2006

Neuromuscular Dysfunction in Diabetes: Role of Nerve Impairment and Training Status.

PURPOSE The purpose of this study was to investigate the effect of diabetes, motor nerve impairment, and training status on neuromuscular function by concurrent assessment of the torque-velocity relationship and muscle fiber conduction velocity (MFCV). METHODS Four groups were studied (n = 12 each): sedentary patients with diabetes in the first (lower) and fourth (higher) quartile of motor nerve conduction velocity (D1 and D4, respectively), trained diabetic (TD) patients, and nondiabetic sedentary control (C) subjects. Maximal isometric and isokinetic contractions were assessed over a wide range of angular velocities for the elbow flexors and knee extensors to evaluate the torque-velocity relationship. Simultaneously, MFCV was estimated from surface electromyography of the vastus lateralis and biceps brachii. RESULTS Isometric strength was similar among groups. The dynamic strength of elbow flexors was reduced in patients with diabetes at the higher contraction speeds. The strength of knee extensors was lower in sedentary patients with diabetes at all velocities considered, with significantly lower values in D1 than that in D4 at 60°, 90°, and 120°·s(-1), whereas it was similar between TD and C subjects, especially at low contraction velocities. At the vastus lateralis, but not the biceps brachii, MFCV was lower in D1 and D4 as compared with TD and C subjects, showing similar values. CONCLUSIONS Muscle weakness in diabetes affects also the upper limb, although to a lower extent than the lower limb, is only partly related to motor nerve impairment, and is dependent on contraction velocity. Exercise training might counteract diabetes-induced alterations in muscle fiber contractile properties and MFCV.

Effect of Short-Term Creatine Supplementation on Neuromuscular Function

PURPOSE The purpose of the present investigation was to determine whether short-term creatine (Cr) supplementation would affect 1) muscle contractile properties assessed by evoked and voluntary contractions, 2) force-velocity relationship, and 3) mean muscle fiber conduction velocity (CV). METHODS Using a double-blind random design, 16 moderately trained men (25.2 ± 5.1 yr) were assigned to a Cr (CRE) or a placebo (PLA) group. Subjects supplemented their diet four times a day for 5 d with 5 g of Cr + 15 g maltodextrin (CRE) or 20 g maltodextrin (PLA). Isometric maximal voluntary contraction, maximal twitch, force-velocity relationship, and dynamic fatiguing contractions were assessed in the elbow flexors. Mechanical and EMG signals were recorded and analyzed. CV was estimated from the EMG and used as a parameter of interest. RESULTS After supplementation, peak torque (PT) of maximal twitch was 33.4% higher, and the time to reach the PT was 54.7% lower in CRE than in PLA (P < 0.05). Torque-angular velocity curve was enhanced after Cr supplementation, especially at the higher velocities. Mean fiber CV was, on average, 8.9% higher in CRE at all angular velocities after supplementation (P < 0.05). EMG and mechanical parameters during the fatiguing exercise protocol did not show significant differences in muscle fatigue between the two groups after supplementation. CONCLUSIONS The present study shows that oral Cr supplementation improves neuromuscular function of the elbow flexor muscle during both voluntary and electrically induced contractions.

Comparing Continuous and Intermittent Exercise: An “Isoeffort” and “Isotime” Approach

The present study proposes an alternative way of comparing performance and acute physiological responses to continuous exercise with those of intermittent exercise, ensuring similar between-protocol overall effort (isoeffort) and the same total duration of exercise (isotime). This approach was expected to overcome some drawbacks of traditional methods of comparison. Fourteen competitive cyclists (20±3 yrs) performed a preliminary incremental test and four experimental 30-min self-paced protocols, i.e. one continuous and three passive-recovery intermittent exercise protocols with different work-to-rest ratios (2 = 40∶20s, 1 = 30∶30s and 0.5 = 20∶40s). A “maximal session effort” prescription was adopted for this experimental design. As expected, a robust perceived exertion template was observed irrespective of exercise protocol. Similar between-protocol pacing strategies further support the use of the proposed approach in competitive cyclists. Total work, oxygen uptake and heart rate mean values were significantly higher (P<0.05) in the continuous compared to intermittent protocols, while lactate values were lower. Manipulating the work-to-rest ratio in intermittent exercise, total work, oxygen uptake and heart rate mean values decreased with the decrease in the work-to-rest ratio, while lactate values increased. Despite this complex physiological picture, all protocols showed similar ventilatory responses and a nearly perfect relationship between respiratory frequency and perceived exertion. In conclusion, our data indicate that overall effort and total duration of exercise are two critical parameters that should both be controlled when comparing continuous with intermittent exercise. On an isoeffort and isotime basis, the work-to-rest ratio manipulation affects physiological responses in a different way from what has been reported in literature with traditional methods of comparison. Finally, our data suggest that during intermittent exercise respiratory frequency reflects physiological strain better than oxygen uptake, heart rate and blood lactate.

Neuromuscular and Metabolic Responses to High-Intensity Intermittent Cycling Protocols With Different Work-to-Rest Ratios

PURPOSE To investigate the effects of work-to-rest-ratio manipulation on neuromuscular and metabolic responses during 2 high-intensity intermittent training (HIT) protocols to exhaustion. Since different exercise durations were expected, the authors hypothesized that the protocol registering a longer duration would have a more pronounced effect on neuromuscular responses, while the other would challenge the cardiopulmonary system more. METHODS Thirteen competitive cyclists (age 19 ± 2 y) performed a preliminary incremental test to identify their maximal power output and 2 intermittent protocols to exhaustion (40:20s and 30:30s) at a fixed work rate of 135%Pmax interspersed by passive recovery. Surface electromyographic (sEMG) parameters (including muscle-fiber conduction velocity), cardiopulmonary parameters, and blood lactate concentration [La-] were recorded. RESULTS Time to exhaustion and total work were significantly higher for the 30:30s (38 ± 13 min, 495 ± 161 kJ) than for the 40:20s (10 ± 3 min, 180 ± 51 kJ). No differences were found in sEMG parameters for the 2 protocols. Mean and peak values of VO2, heart rate, ventilatory parameters (except for the peak value of respiratory frequency), and [La-] were significantly higher in the 40:20s than in the 30:30s. CONCLUSIONS These results do not support the hypothesis that a longer time spent at high intensity has a more pronounced effect on neuromuscular responses, as no differences in EMG parameters were found in the 2 HIT protocols. Regarding metabolic responses, while the 40:20s led to maximal values of VO2, [La-], and ventilatory parameters within a few minutes, the 30:30s allowed maintenance of moderately high values for a considerably longer period, especially for [La-] and ventilatory parameters.

Neuromuscular dysfunction in type 2 diabetes: underlying mechanisms and effect of resistance training

Diabetic patients are at higher risk of developing physical disabilities than non‐diabetic subjects. Physical disability appears to be related, at least in part, to muscle dysfunction. Several studies have reported reduced muscle strength and power under dynamic and static conditions in both the upper and lower limbs of patients with type 2 diabetes. Additional effects of diabetes include a reduction in muscle mass, quality, endurance and an alteration in muscle fibre composition, though the available data on these parameters are conflicting. The impact of diabetes on neuromuscular function has been related to the co‐existence of long‐term complications. Peripheral neuropathy has been shown to affect muscle by impairing motor nerve conduction. Also, vascular complications may contribute to the decline in muscle strength. However, muscle dysfunction occurs early in the course of diabetes and affects also the upper limbs, thus suggesting that it may develop independently of micro and macrovascular disease. A growing body of evidence indicates that hyperglycaemia may cause an alteration of the intrinsic properties of the muscle to generate force, via several mechanisms. Recently, resistance exercise has been shown to be an effective strategy to counteract the deterioration of muscular performance. High‐intensity exercise seems to provide greater benefits than moderate‐intensity training, whereas the effect of a power training is yet unknown. This article reviews the available literature on the impairment of muscle function induced by diabetes, the underlying mechanisms, and the effect of resistance training on this defect. Copyright