Jean-Francois Grosset

Training-induced changes in structural and mechanical properties of the patellar tendon are related to muscle hypertrophy but not to strength gains

To obtain a better understanding of the adaptations of human tendon to chronic overloading, we examined the relationships between these adaptations and the changes in muscle structure and function. Fifteen healthy male subjects (20+/-2 yr) underwent 9 wk of knee extension resistance training. Patellar tendon stiffness and modulus were assessed with ultrasonography, and cross-sectional area (CSA) was determined along the entire length of the tendon by using magnetic resonance imaging. In the quadriceps muscles, architecture and volume measurements were combined to obtain physiological CSA (PCSA), and maximal isometric force was recorded. Following training, muscle force and PCSA increased by 31% (P<0.0001) and 7% (P<0.01), respectively. Tendon CSA increased regionally at 20-30%, 60%, and 90-100% of tendon length (5-6%; P<0.05), and tendon stiffness and modulus increased by 24% (P<0.001) and 20% (P<0.01), respectively. Although none of the tendon adaptations were related to strength gains, we observed a positive correlation between the increase in quadriceps PCSA and the increases in tendon stiffness (r=0.68; P<0.01) and modulus (r=0.75; P<0.01). Unexpectedly, the increase in muscle PCSA was inversely related to the distal and the mean increases in tendon CSA (in both cases, r=-0.64; P<0.05). These data suggest that, following short-term resistance training, changes in tendon mechanical and material properties are more closely related to the overall loading history and that tendon hypertrophy is driven by other mechanisms than those eliciting tendon stiffening.

Age-Related Changes in Twitch Properties of Plantar Flexor Muscles in Prepubertal Children

The twitch of the triceps surae muscle (TS), which characterizes the contractile properties independently of volition, differs in amplitude, but not in time course, when evoked in pre or postpubertal children. The aim of the present study was to compare the TS twitch contractile properties in prepubertal children (7 to 11 y). M-wave and twitch were recorded at rest by supramaximal electrical stimulations of the posterior tibial nerve. Twitches were characterized by peak torque (Pt), contraction time (CT), half relaxation time (HRT), and rate of torque development (dPt/dt). Electromechanical delay (EMD) was quantified with regard to the TS M-wave onset. Pt values increased significantly with the age of the prepubertal children but remained lower than that for adult subjects. CT and HRT values did not change with age. Thus, dPt/dt increased significantly between the 7-year-old and the 11-year-old children but remained significantly lower than that for adults. Despite EMD values decreased with age, they remained significantly higher than those of adult subjects. These results confirmed the link between growth processes and the increase in twitch torque for prepubertal children within a limited range of age. However, the time-course characteristics were not affected by age. The increase in dPt/dt and the decrease in the EMD could be used as indirect indicators of changes in contractile kinetics and in musculo-tendinous stiffness with the age of the prepubertal children. The age-related relationships established by this study will serve as reference values for clinical testing of the TS performances in relation to muscle disease or disuse.

Life-long endurance exercise in humans: Circulating levels of inflammatory markers and leg muscle size

Human aging is associated with a loss of skeletal muscle and an increase in circulating inflammatory markers. It is unknown whether endurance training (Tr) can prevent these changes. Therefore we studied 15 old trained (O-Tr) healthy males and, for comparison, 12 old untrained (O-Un), 10 Young-Tr (Y-Tr) and 12 Young-Un (Y-Un). Quadriceps size, VO2 peak, CRP, IL-6, TNF-α and its receptors, suPAR, lipid profile, leucocytes and glucose homeostasis were measured. Tr was associated with an improved insulin profile (p<0.05), and lower leucocyte (p<0.05) and triglyceride levels (p<0.05), independent of age. Aging was associated with poorer glucose control (p<0.05), independent of training. The age-related changes in waist circumference, VO2 peak, cholesterol, LDL, leg muscle size, CRP and IL-6 were counteracted by physical activity (p<0.05). A significant increase in suPAR with age was observed (p<0.05). Most importantly, life-long endurance exercise was associated with a lower level of the inflammatory markers CRP and IL-6 (p<0.05), and with a greater thigh muscle area (p<0.05), compared to age-matched untrained counterparts. These findings in a limited group of individuals suggest that regular physical endurance activity may play a role in reducing some markers of systemic inflammation, even within the normal range, and in maintaining muscle mass with aging.

Human Achilles tendon glycation and function in diabetes

Diabetic patients have an increased risk of foot ulcers, and glycation of collagen may increase tissue stiffness. We hypothesized that the level of glycemic control (glycation) may affect Achilles tendon stiffness, which can influence gait pattern. We therefore investigated the relationship between collagen glycation, Achilles tendon stiffness parameters, and plantar pressure in poorly (n = 22) and well (n = 22) controlled diabetic patients, including healthy age-matched (45-70 yr) controls (n = 11). There were no differences in any of the outcome parameters (collagen cross-linking or tendon stiffness) between patients with well-controlled and poorly controlled diabetes. The overall effect of diabetes was explored by collapsing the diabetes groups (DB) compared with the controls. Skin collagen cross-linking lysylpyridinoline, hydroxylysylpyridinoline (136%, 80%, P < 0.01) and pentosidine concentrations (55%, P < 0.05) were markedly greater in DB. Furthermore, Achilles tendon material stiffness was higher in DB (54%, P < 0.01). Notably, DB also demonstrated higher forefoot/rearfoot peak-plantar-pressure ratio (33%, P < 0.01). Overall, Achilles tendon material stiffness and skin connective tissue cross-linking were greater in diabetic patients compared with controls. The higher foot pressure indicates that material stiffness of tendon and other tissue (e.g., skin and joint capsule) may influence foot gait. The difference in foot pressure distribution may contribute to the development of foot ulcers in diabetic patients.

Effect of Foot and Ankle Immobilization on Leg and Thigh Muscles' Volume and Morphology: A Case Study Using Magnetic Resonance Imaging

Our aim was to determine the time course of any changes in muscle volume and shape in the lower limbs following immobilization. A healthy young woman (29 years) had suffered a fracture of the fifth metatarsal of the right foot. MRI scanning of her right thigh and calf muscles had been performed 1 month before the injury (Pre) during a scan initially planned as a teaching tool, 2 days following a 4‐week immobilization period (Post), and after a 2‐month recovery period (Post+2). The results show muscle volume decrements in the triceps surae (TS), quadriceps (Quad), and hamstring (Ham) of 21.9%, 24.1%, and 6.5%, respectively, between the Pre and Post measurements. At Post+2, the Quad and TS muscle volumes were still 5.2% and 9.5% lower, compared with the Pre data. The Ham muscle volume, however, was 2.7% greater than at the Pre phase. Following recovery, the increase in individual TS muscles volume was limited to both proximal and medial (with respect to the knee joint) segments of the muscles. These results indicate very substantial and rapid losses in muscle volumes, both proximally and distally to the immobilization site. The results also show that recovery is far from complete up to 2 months post cast removal. The results have implications for the requirements for rehabilitation for orthopedic patients. Anat Rec, 2008.

Is there a morning-to-evening difference in the acute IL-6 and cortisol responses to resistance exercise?

Exercise training is known to induce a molecular adaptation process involving inflammatory responses. However any time-of-day effect of exercise on inflammatory responses remains unknown. The aim of the present study was to investigate whether acute bouts of intense exercise performed at different times of the day would affect the release Interleukin-6 (IL-6), one of the most abundant cytokines in mammalian endocrine response to exercise. Cortisol levels were measured as a confirmation of correct timing of exercise and to determine any impact it may have on the cytokine release. Twelve healthy male participants carried out 30 min of intense exercise (3 sets of 8-12 repetitions for 4 resistance exercises at 70% of 1RM) in morning (08:15-09:00 h), and evening (18:15-19:00 h) sessions. An 8h fasting period was required before each exercise session. Blood samples were taken immediately pre and post each exercise sessions to determine IL-6 and cortisol levels. Our data show that whilst the training group showed no post-exercise changes in serum_IL-6 levels (P>0.05), the control group on the other hand showed significant time-of-day modifications in serum_IL-6 levels (P=0.008). Moreover, a significant interaction between intervention phase (pre-post training, AM vs. PM) and group (Exercise vs. Control) is evidenced in terms of serum_IL-6 levels (P=0.014). This interaction however was nullified when the between group differences at baseline were partialled out in a covariate analysis (P>0.05). We also found that the main effect of experimental phase on Cortisol was present in both the trained (P=0.004) and control groups (p<0.001) with no significant interaction (P>0.05). Based on the current data, we would propose that exercise and/or time-of-day would not interfere with clinical endocrine profiling of IL-6 in a population.

Skeletal muscle morphology and regulatory signalling in endurance-trained and sedentary individuals: The influence of ageing

ABSTRACT Muscle mass in humans is inversely associated with circulating levels of inflammatory cytokines, but the interaction between ageing and training on muscle composition and the intra‐muscular signalling behind inflammation and contractile protein synthesis and degradation is unknown. We studied 15 healthy life‐long endurance runners, 12 age‐matched untrained controls, 10 young trained and 12 young untrained individuals. Thigh muscle composition was investigated by magnetic resonance imaging (MRI), where non‐contractile intramuscular tissue (NCIT) area (fat and connective tissue) was found to be greater in older but lower in trained individuals. Subcutaneous adipose tissue was also lower in trained individuals but was not affected by age. In vastus lateralis biopsies, no influence of age or training was found on levels of endomysial collagen, determined by Sirius Red and Collagen III staining, whereas perimysial organisation tended to be more complex in older individuals. No clear difference with training was seen on intramuscular inflammatory signalling, whereas lower protein levels of NFkB subunits p105, p50 and p65 were observed with ageing. Gene expression of IL6 and TNF&agr; was not different between groups, while IL1‐receptor and TNF&agr;‐receptor1 levels were lower with age. Myostatin mRNA was lower in older and trained groups, while expression of MuRF1 was lower in trained individuals and FoxO3 expression was greater in aged groups. The association of increased muscle NCIT with age‐associated muscle loss in humans is not accompanied by any major alterations in intramuscular signalling for inflammation, but rather by direct regulatory factors for protein synthesis and proteolysis in skeletal muscle. HighlightsWe analysed thigh muscle quality and inflammatory signalling in young and old men.Older muscle had a greater content of non‐contractile intramuscular tissue (NCIT).The skeletal muscle of endurance trained vs. untrained men contained less NCIT.Muscle perimysium tended to be more ramified in older individuals.Differences were observed in signalling for protein turnover but not inflammation.

Investigation of the HD-sEMG probability density function shapes with varying muscle force using data fusion and shape descriptors

This work presents an evaluation of the High Density surface Electromyogram (HD-sEMG) Probability Density Function (PDF) shape variation according to contraction level. On that account, using PDF shape descriptors: High Order Statistics (HOS) and Shape Distances (SD), we try to address the absence of a consensus for the sEMG non-Gaussianity evolution with force variation. This is motivated by the fact that PDF shape information are relevant in physiological assessment of the muscle architecture and function, such as contraction level classification, in complement to classical amplitude parameters. Accordingly, both experimental and simulation studies are presented in this work. For data fusion, the watershed image processing technique was used. This technique allowed us to find the dominant PDF shape variation profiles from the 64 signals. The experimental protocol consisted of three isometric isotonic contractions of 30, 50 and 70% of the Maximum Voluntary Contraction (MVC). This protocol was performed by six subjects and recorded using an 8 × 8 HD-sEMG grid. For the simulation study, the muscle modeling was done using a fast computing cylindrical HD-sEMG generation model. This model was personalized by morphological parameters obtained by sonography. Moreover, a set of the model parameter configurations were compared as a focused sensitivity analysis of the PDF shape variation. Further, monopolar, bipolar and Laplacian electrode configurations were investigated in both experimental and simulation studies. Results indicated that sEMG PDF shape variations according to force increase are mainly dependent on the Motor Unit (MU) spatial recruitment strategy, the MU type distribution within the muscle, and the used electrode arrangement. Consequently, these statistics can give us an insight into non measurable parameters and specifications of the studied muscle primarily the MU type distribution.

Estimation of the Relationship Between External Biceps Brachii Deformation and Isometric Contraction Level Using Motion Capture Technique

The aim of this study was to investigate the potential of Motion Capture (MoCap) technique in the extraction of information about Biceps Brachii (BB) surface deformation for the characterization of its activation under isometric conditions. Thus, the dominant BB muscles of five healthy male subjects were tested using high density optic sensors (41 markers) and 18 infrared cameras. For each subject, ultrasound images were taken in order to extract architectural parameters (muscle length, boundaries and position). Afterwards, the 4 mm markers were placed in a lozenge shape by respecting the obtained boundaries. Four contraction levels: 20, 40, 60 and 80% of the Maximum Voluntary Contraction (MVC) were recorded in parallel with the corresponding 3D position of the markers. Fitting procedure in both 2D and 3D was proceeded to extract deformation information. Analysis of the obtained results showed that the curvature of the BB is directly correlated to the level of contraction. Furthermore, parameters obtained from ellipsoid fitting of the 3D dataset, showed monotonic relationship with the muscle contraction level.