J. Tihanyi

Hormonal responses to whole-body vibration in men

Abstract The aim of this study was to evaluate the acute responses of blood hormone concentrations and neuromuscular performance following whole-body vibration (WBV) treatment. Fourteen male subjects [mean (SD) age 25 (4.6) years] were exposed to vertical sinusoidal WBV, 10 times for 60 s, with 60 s rest between the vibration sets (a rest period lasting 6 min was allowed after 5 vibration sets). Neuromuscular performance tests consisting of counter-movement jumps and maximal dynamic leg presses on a slide machine, performed with an extra load of 160% of the subjects body mass, and with both legs were administered before and immediately after the WBV treatment. The average velocity, acceleration, average force, and power were calculated and the root mean square electromyogram (EMGrms) were recorded from the vastus lateralis and rectus femoris muscles simultaneously during the leg-press measurement. Blood samples were also collected, and plasma concentrations of testosterone (T), growth hormone (GH) and cortisol (C) were measured. The results showed a significant increase in the plasma concentration of T and GH, whereas C levels decreased. An increase in the mechanical power output of the leg extensor muscles was observed together with a reduction in EMGrms activity. Neuromuscular efficiency improved, as indicated by the decrease in the ratio between EMGrms and power. Jumping performance, which was measured using the counter-movement jump test, was also enhanced. Thus, it can be argued that the biological mechanism produced by vibration is similar to the effect produced by explosive power training (jumping and bouncing). The enhancement of explosive power could have been induced by an increase in the synchronisation activity of the motor units, and/or improved co-ordination of the synergistic muscles and increased inhibition of the antagonists. These results suggest that WBV treatment leads to acute responses of hormonal profile and neuromuscular performance. It is therefore likely that the effect of WBV treatment elicited a biological adaptation that is connected to a neural potentiation effect, similar to those reported to occur following resistance and explosive power training. In conclusion, it is suggested that WBV influences proprioceptive feedback mechanisms and specific neural components, leading to an improvement of neuromuscular performance. Moreover, since the hormonal responses, characterised by an increase in T and GH concentration and a decrease in C concentration, and the increase in neuromuscular effectiveness were simultaneous but independent, it is speculated that the two phenomena might have common underlying mechanisms.

A dynamometer for evaluation of dynamic muscle work

The validation of a new dynamometer for evaluation of dynamic muscle work is presented. The device was based on a precise measurement of load displacements of any machine using gravitational loads as external resistance. It allowed, through a sensor consisting of an infrared photo interrupter, the calculation of velocity, force and power during concentric, eccentric and stretch-shortening cycle activity. To validate the dynamometer 33 male and female track and field athletes (12 throwers and 21 jumpers) participated in the study. The throwers (4 women and 8 men) were asked to perform half-squat exercises on a slide machine with a load of 100% of the subjects body mass. The day-to-day reproducibility of half-squat exercises gave a correlation coefficient ofr = 0.88, 0.97 and 0.95 for average push-off force (AF), average push-off velocity (AV), and average push-off power (AP) respectively. Comparison of half-squat measurements was performed against jumping and running test evaluation by the jumpers (7 women and 14 men). The interrelationships among the different variables studied demonstrated a strong correlation between AF, AV and AP and sprinting and jumping parameters (r = 0.53−0.97;P < 0.05−0.001). Using values of AF, AV and AP developed in half-squat exercises executed with different loads, ranging from 35% to 210% of the subjects body mass, it was also possible to establish the force-velocity and power-velocity relationships for both male and female jumpers. In any individual case, the maximal error due to the measurement system was calculated to be less than 0.3%, 0.9% and 1.2% for AF, AV, and AP respectively. Given the accuracy of the ergometer, the high reliability found between 2 days of measurements, and the specificity of the results it is suggested that the dynamic dynamometer would be suitable for evaluation of athletes performing specific skills. In addition, because single and multiple joint movements involving appropriate muscle groups can be easily performed, physiological characteristics could be evaluated for both athletic and rehabilitation purposes. Therefore, because of its simplicity of use and application, and its low cost the dynamometer would be suitable for both laboratory and field conditions.

Foot placement modifies kinematics and kinetics during drop jumping

PURPOSE Sprinting, bouncing, and spontaneous landings are associated with a forefoot contact whereas walking, running, and jumping are associated with heel-toe foot placement. Because such foot placement strategies influence landing mechanics or the ensuing performance, the purpose of this work was to compare lower extremity kinematics and kinetics and muscle activation patterns between drop vertical jumps performed with heel-toe (HTL) and forefoot (FFL) landings. METHODS Ten healthy male university students performed two types of drop jump from a 0.4-m high box placed 1.0-m from the center of the force plate. They were instructed to either land first on the ball of the feet without the heels touching the ground during the subsequent vertical jump, i.e., forefoot landing jump (FFL), or to land on the heels followed by depression of the metatarsals, i.e., heel-toe landing jump (HTL). Three successfully performed trials per jump type were included in the analysis. The criteria for selection of the correct jumps was proper foot position at contact as judged from video records and the shape of force-time curve. RESULTS The first peak and second peak determined from the vertical force-time curves were 3.4 times greater and 1.4 times lower for HTL compared with those with FFL (P<0.05). In the flexion phase of HTL, the hip and knee joints contributed 40% and 45% to the total torque, whereas during FFL the greatest torque contributions were 37% for both the knee and ankle joints. During the extension phase, the greatest torque contributions to the total torque were 41% and 45% by the knee and ankle joints during HTL and 34% and 55% during FFL. During the flexion phase, power production was 20% greater (P<0.05) in HTL than in FFL, whereas during the extension phase power production was 40% greater in FFL than in HTL. In the flexion phase of HTL the hip and knee joints produced the greatest power, and during the extension phase the knee and ankle joints produced the greatest power. In contrast, during both the flexion and extension phases of FFL, the knee and ankle joints produced the greatest power. The EMG activity of gluteus, vastus lateralis, and plantar flexor muscles was similar between HTL and FFL in most cases except for the greater vastus lateralis EMG activity during precontact phase in HTL than in FFL and the greater gastrocnemius activity in FFL than in HTL. CONCLUSION Foot placement strategy modifies the individual joint contributions to the total power during drop jumping.

Force-velocity-power characteristics and fiber composition in human knee extensor muscles.

SummaryTo investigate the influence of skeletal muscle fiber composition on the mechanical characteristics of human skeletal muscle under isometric and dynamic conditions, ten well-trained track athletes with different muscle compositions (m. vastus lateralis) were used. The subjects were instructed to perform maximum isometric and dynamic knee extensions at maximal speed against increasing load. To determine the mechanical properties of the knee extensors a special dynamometer was used. The load was increased by adding weight discs to the electromagnetic part of the dynamometer. The load increased from 0.33–2.33 kg2 moment of inertia in six stages. The data were handled on the basis of Hills characteristic equation. The subjects were divided into two equal groups, one with more and one with less than 50% of fast twitch fibers. The force-velocity curve was found to be different in the two groups, the subjects with a predominance of fast twitch fibers being able to develop higher power output at a given load. Significant correlations between percentage of fast twitch fiber and power, as well as velocity, were found at the four greater loads only. However, when the percentage of fast twitch fiber and fast twitch fiber cross-sectional areas were combined, significant correlations were also found between this combined parameter and power output at the two lowest loads.

Mechanical power test and fiber composition of human leg extensor muscles

SummaryThe present study was undertaken to assess the relationship between the mechanical power developed during new anaerobic power test and muscular fiber distribution. Ten track and field male athletes were used as subjects, whose muscle fiber composition (m. vastus lateralis) varied from 25 to 58 fast twitch (FT) fibers. The test consisted of measuring the flight time with a special timer during 60 s continuous jumping. A formula was derived to allow the calculation of mechanical power during a certain period of time (e.g., in the present study every 15 s during 60 s of jumping performance). The relationship between the mechanical power for the first 15 s period correlated best with fast twitch (FT) fiber distribution (r=0.86,p<0.005). However, the power output during the successive 15 s periods demonstrated lower correlation with FT, and this relationship became statistically non-significant after 30 s of work. The sensitivity to fatigue of the test was supported by the relationship observed between the decrease of power during 60 s jumping performance and the percentage of FT fibers (r=0.73,p<0.01). Thus, the present findings suggest that muscular performance, as determined by the new jumping test, is influenced by skeletal muscle fiber composition. The new test, which primarily evaluates maximal short term muscular power, also proved sensitive in assessing fatigue patterns during 60 s of strenuous work.

One session of whole body vibration increases voluntary muscle strength transiently in patients with stroke

Objective: To determine the effect of whole body vibration on isometric and eccentric torque and electromyography (EMG) variables of knee extensors on the affected side of stroke patients. Design: A randomized controlled study. Setting: A rehabilitation centre. Subjects: Sixteen patients (age 58.2 ± 9.4 years) were enrolled in an inpatient rehabilitation programme 27.2 ± 10.4 days after a stroke. Interventions: Eight patients were randomly assigned to the vibration group and received 20 Hz vibration (5 mm amplitude) while standing on a vibration platform for 1 minute six times in one session. Patients in the control group also stood on the platform but did not receive vibration. Main measures: Maximum isometric and eccentric torque, rate of torque development, root-mean-squared EMG, median frequency of vastus lateralis, and co-activation of knee flexors. Results: Isometric and eccentric knee extension torque increased 36.6% and 22.2%, respectively, after vibration (P < 0.05) and 8.4% and 5.3% in the control group. Vibration increased EMG amplitude 44.9% and the median frequency in the vastus lateralis by 13.1% (all P < 0.05) without changes in the control group (10.6% and 3.9%). Vibration improved the ability to generate mechanical work during eccentric contraction (17.5%). Vibration reduced biceps femoris co-activation during isometric (8.4%, ns) and eccentric (22.5%, P < 0.05) contraction. Conclusion: These results suggest that one bout of whole body vibration can transiently increase voluntary force and muscle activation of the quadriceps muscle affected by a stroke.

The interaction between body position and vibration frequency on acute response to whole body vibration

PURPOSE The present study was designed to investigate the electromyographic (EMG) response in leg muscles to whole-body vibration while using different body positions and vibration frequencies. METHODS Twenty male sport sciences students voluntarily participated in this single-group, repeated-measures study in which EMG data from the vastus lateralis (VL) and the lateral gastrocnemius (LG) were collected over a total of 36 trials for each subject (4 static positions × 9 frequencies). RESULTS We found that vibration frequency, body position and the muscle stimulated had a significant effect (P-values ranged from 0.001 to 0.031) on the EMG response. Similarly, the muscle × frequency and position × muscle interactions were significant (P < 0.001). Interestingly, the frequency × positions interactions were not significant (P > 0.05). CONCLUSIONS Our results indicate that lower frequencies of vibration (25-35 Hz) result in maximal activation of LG, whereas higher frequencies (45-55 Hz) elicit the highest responses in the VL. In addition, the position P2 (half squat position with the heels raised) is beneficial both for VL and LG, independently of the vibration frequency.

Body schema and body awareness of amputees

Aim: The phantom phenomenon is a well-known example of the difference between body awareness and body schema. The present study is aimed at showing how body changes and prosthesis use are reflected in body schema and body awareness–the latter relating to the image that various amputees have of their bodies. Subject and methods: (i) Examining the configuration of body schema: A trial examining the spatial location of the phantom limb (50 people with lower or upper limb loss); (ii) examining the functional aspect of body schema: The distribution of weight power between intact and prosthetic limbs (34 people with tibial amputation); (iii) examining body awareness: Body Focus Questionnaire by Fisher (44 people with lower limb amputation, 33 intact people); and (iv) Questionnaire on anamnesis- and prosthesis-wearing habits (people participating in research methods [i] and [iii] mentioned above). Results: We found that when the amputees wore their prostheses, the configuration of body schema did not change, however, the people who had not used their prosthesis for a long period of time (in our study, at least for six years), the phantom limb shortened, a phenomenon known as telescoping. The functional adaptation of the prosthesis to the body schema starts in a short time (within two weeks) after wearing it, and it becomes close to normal in carrying body weight after a longer period of time (two years). In the beginning phase of rehabilitation, the awareness of legs is similar to that of the control group, while later on it this awareness decreases. Over time, however, the lost limb, regardless of having a prosthesis or not, loses its importance. People with a more serious or vascular amputation of the upper limbs have a clearer image of them. Limb parts having a greater cortical representation appear more intensively in phantom sensations, while the strength of the cortical representation in body schema has no significance. Conclusion: From both configuration and functional aspects, wearing a prosthesis helps maintain a body schema in which the phantom limb remains similar to the intact one, which can be explained by the connectional schema model. This is needed for movements to be carried out properly. Although the amputee can see the prosthesis and senses the phantom limb, they do not consider it their own since they are aware of the loss. Therefore, the fact that a prosthesis is worn will not be represented in body awareness as the highest level of mental structure.

Low resonance frequency vibration affects strength of paretic and non-paretic leg differently in patients with stroke

The objective of the study was to investigate the chronic effect of low frequency whole body vibration (WBV) on isometric and eccentric strength of knee extensors with different force exertion capacity. It was hypothesized that (1) four-week WBV intervention with the low frequency domain would enhance muscle strength and (2) the improvement would be more pronounced in the weaker muscle. To test our hypothesis twenty patients with acute stroke were recruited. Ten patients were randomly assigned to vibration and the remaining ten patients served for control.The patients in the vibration group received WBV with 20 Hz frequency three times per week standing on a vibration platform in half squat position meanwhile flexing and extending the joints and placing the weight from one leg to the other. Knee extensor strength was determined under isometric and eccentric contraction before and after WBV intervention. Myoelectrical activity (EMG) of the vastus lateralis muscle was also measured.Significant improvement was revealed in the vibration group only. The maximum isometric torque and EMG activity increased significantly for both paretic and non-paretic leg, but the improvement was threefold greater in the vibration group. No significant alteration was found in rate of torque development. Maximum eccentric torque and EMG increased significantly for the paretic leg only. Mechanical work enhanced significantly in the paretic side only.The results of our study indicate that the selection of the effective vibration frequency depends upon the physical condition of neuromuscular system. Low vibration frequency intervention can increase the strength in weak muscles due to neuromuscular impairment and restricted physical activity.

Adaptation to altered balance conditions in unilateral amputees due to atherosclerosis: a randomized controlled study

BackgroundAmputation impairs the ability to balance. We examined adaptation strategies in balance following dysvascularity-induced unilateral tibial amputation in skilled prosthetic users (SPU) and first fitted amputees (FFA) (N = 28).MethodsExcursions of center of pressure (COP) were determined during 20 s quiet standing using a stabilometry system with eyes-open on both legs or on the non-affected leg(s). Main measures: COP trajectories and time functions; distribution of reaction forces between the two legs; inclination angles obtained through second order regression analysis using stabilogram data.ResultsFFA vs SPU demonstrated 27.8% greater postural sway in bilateral stance (p = 0.0004). Postural sway area was smaller in FFA standing on the non-affected leg compared with SPU (p = 0.028). The slope of the regression line indicating postural stability was nearly identical in FFA and SPU and the direction of regression line was opposite for the left and right leg amputees.ConclusionOf the two adaptation strategies in balance, the first appears before amputation due to pain and fatigue in the affected leg. This strategy appears in the form of reduced postural sway while standing on the non-affected leg. The second adaptation occurs during rehabilitation and regular use of the prosthesis resulting in normal weightbearing associated with reduced postural sway on two legs and return to the normal postural stability on one leg.