Kari L. Keskinen

Effects of aquatic resistance training on neuromuscular performance in healthy women.

PURPOSE The purpose of this study was to investigate the effects of a progressive 10-wk aquatic resistance training on neuromuscular performance and muscle mass of the knee extensors and flexors in healthy women. METHODS Twenty-four healthy women (34.2 +/- 3.9 yr) were randomly assigned into aquatic exercise (N = 12) and control group (N = 12). Maximum knee extension and flexion torques were measured isometrically and at constant angular velocities of 60 degrees x s(-1) and 180 degrees x s(-1) (isokinetic) with simultaneous electromyography (EMG) recordings of the quadriceps and hamstrings. The lean muscle mass (LCSA) of the quadriceps and hamstring muscles was determined by computed tomography scanning. RESULTS Significant interaction of group by time was observed in each of the measured parameters. The change in extension and flexion isometric/isokinetic torque varied between 8 and 13% and in EMGs between 10 and 27% in the exercise group. The change in the quadriceps LCSA of the exercise group was 4% and in hamstrings 5.5%. CONCLUSIONS The results of the present study showed that 10 wk of progressive aquatic resistance training resulted in significant improvement in muscle torque of the knee extensors and flexors accompanied with proportional improvement in neural activation and with significant increase in the LCSA of the trained muscles. Aquatic training can be recommended for neuromuscular conditioning in healthy persons.

Muscle cross-sectional area and voluntary force production characteristics in elite strength- and endurance-trained athletes and sprinters.

SummarySeven male elite strength-trained athletes (SA) from different weight categories, six elite sprinters (SPA) and seven elite endurance-trained athletes (EA) volunteered as subjects for examination of their muscle cross-sectional area (CSA), maximal voluntary isometric force, force-time and relaxation-time characteristics of the leg extensor muscles. The SA group demonstrated slightly greater CSA and maximal absolute strength than the SPA group, while the EA group demonstrated the smallest values both in CSA and especially in maximal strength (p<0.05). When the maximal forces were related to CSA of the muscles, the mean value for the SA group of 60.8±10.0 N·cm−2 remained slightly greater than that recorded in the SPA group 55.0±3.1 N·cm−2 and significantly greater (p<0.05) than that recorded in the EA group 49.3±4.0 N·cm−2. The mean value in the SPA was also significantly greater (p<0.05) than that of the EA group. The isometric force-time curves differed between the groups (p<0.05−0.01) so that the times taken to produce the same absolute force were the shortest in the SPA group and the longest in the EA group. With force expressed as a percentage of the maximum, the force-time curves showed that the SPA group demonstrated still shorter times to a given value (p<0.05), especially at the lower force levels, than the other two groups. With regard to the differences in force production per CSA and in the shape of the force-time curves, the present findings may be explained by possible differences both in the rate and the amount of neural activation of the muscles and/or in the qualitative characteristics of the muscle tissue itself. The present findings characterize the very specific nature of high resistance strength-, sprint- and endurance-training stimuli over a very prolonged period of time.

Human isometric force production and electromyogram activity of knee extensor muscles in water and on dry land

Abstract This study was designed to determine trial-to-trial and day-to-day reproducibility of isometric force and electromyogram activity (EMG) of the knee extensor muscles in water and on dry land as well as to make comparisons between the two training conditions in muscle activity and force production. A group of 20 healthy subjects (12 women and 8 men) were tested three times over 2 weeks. A measurement session consisted of recordings of maximal and submaximal isometric knee extension force with simultaneous recording of surface EMG from the vastus medialis, vastus lateralis and biceps femoris muscles. To ensure identical measurement conditions the same patient elevator chair was used in both the dry and the wet environment. Intraclass correlation coefficients (ICC) and coefficients of variation (CV) showed high trial-to-trial (ICC=0.95–0.99, CV=3.5%–11%) and day-to-day reproducibility (ICC=0.85–0.98, CV=11%–19%) for underwater and dry land measurements of force and EMG in each muscle during maximal contractions. The day-to-day reproducibility for submaximal contractions was similar. The interesting finding was that underwater EMG amplitude decreased significantly in each muscle during maximal (P < 0.01–P < 0.001) and submaximal contractions (P < 0.05–P < 0.001). However, the isometric force measurements showed similar values in both wet and dry conditions. The water had no disturbing effect on the electrodes as shown by slightly lowered interelectrode resistance values, the absence of artefacts and low noise levels of the EMG signals. It was concluded that underwater force and EMG measurements are highly reproducible. The significant decrease of underwater EMG could have electromechanical and / or neurophysiological explanations.

Electromyographic and kinematic analysis of therapeutic knee exercises under water.

OBJECTIVE This study aimed to evaluate muscle function and kinematics during commonly used knee rehabilitation exercises performed in water. DESIGN Maximal effort single extension and flexion trials in still water and repeated extension-flexion trials in flowing water in barefoot condition were analysed from 18 healthy participants (8 men, 10 women). BACKGROUND Despite the fact that water exercises are widely used, there are only few studies involving biomechanical and hydrodynamical analysis of aquatic exercises in rehabilitation. METHODS Electromyography of the quadriceps (vastus medialis, vastus lateralis) and hamstring muscles (biceps femoris, semitendinosus) and angular velocities of the movements were recorded under water. RESULTS In the repeated extension-flexion exercises the early reduction of agonist activity occurred concurrently with a high level of activity of the antagonists. In the single trial exercises the level of antagonistic activity was low throughout the range of motion, whereas the level of agonist activity was higher during the final phase of the range of motion as compared with the repeated exercises. Angular velocity patterns and values were similar between the two types of exercises. CONCLUSIONS The present data demonstrated that the flowing properties of water modified the neuromuscular function of the quadriceps and hamstring muscles acting as agonists and antagonists in the knee flexion-extension exercises.

Respiratory snorkel and valve system for breath-by-breath gas analysis in swimming

The present study aimed to compare a standard facemask (CM) and a newly modified swimming snorkel and valve system (SV) for breath‐by‐breath (B×B) gas analysis (K4 b2, Cosmed, Rome, Italy), and to validate the system under controlled laboratory conditions before being used in swimming. Nine healthy males performed two bouts of a stepwise exercise on an electrically braked stationary bicycle on separate days. Ventilatory and gas exchange parameters were analyzed using the same B×B portable system, with subjects breathing alternatively through the two different valves. Agreement between both methods was evaluated by Passing–Bablok regression analysis. The gas exchange values measured using the SV were highly correlated with those obtained using the CM (R2 values >0.9). However, differences existed between the two series of measurements so that most ventilatory and gas exchange parameters were lower (3–7%) with the SV. The error when using the SV device was mainly systematic along the whole range of measurement. Accordingly, linear regression equations were developed to further improve the accuracy of the measures when using the SV. Therefore, the modified respiratory SV system can be considered as a valid device for collecting expired gas for B×B analysis, comparable to the standard facemask, with the advantage of being suitable for measurements during swimming.

Energy cost and intracyclic variation of the velocity of the centre of mass in butterfly stroke.

The purpose of this study was to examine the relationship between the intra-cycle variation of the horizontal velocity of displacement (dV) and the energy cost (EC) in butterfly stroke. Five Portuguese national level swimmers performed one maximal and two sub-maximal 200-m butterfly swims. The oxygen consumption was measured breath-by-breath by portable metabolic cart. A respiratory snorkel and valve system with low hydrodynamic resistance was used to measure pulmonary ventilation and to collect breathing air samples. Blood samples from the ear lobe were collected before and after each swim to analyse blood lactate concentration. Total energy expenditure ( E tot) and EC were calculated for each swim. The swims were videotaped in the sagittal plane with a set of two cameras providing dual projection from both underwater and above the water surface. The APAS system was used to analyse dV for the centre of mass. The Etot increased linearly with the increasing V, presenting a significant correlation coefficient between these parameters ( r =0.827, P <0.001). The increase in EC was significantly associated with the increase in the dV ( r =0.807, P <0.001). All data were presented as the mean value and the standard deviation. It is concluded that high intra-cycle variation of the velocity of the centre of mass was related to less efficient swimming and vice versa for the butterfly stroke.

Serum hormone concentrations during prolonged training in elite endurance-trained and strength-trained athletes

SummaryA study of 1 year was performed on nine elite endurance-trained athletes (swimmers) and on eight elite strength-trained athletes (weightlifters) in order to examine the effects of training on the endocrine responses and on physical performance capacity. The measurements for the determination of serum hormone concentrations were performed at about 4-month intervals during the course of the year. The primary findings demonstrated that during the first and most intensive training period of the year in preparing for the primary competitions similar but statistically insignificant changes were observed in the concentrations of serum testosterone, free testosterone and cortisol in both the endurance-trained and strength-trained groups. After that period the changes in hormonal response over the year were infrequent and minor. A significant (p<0.01) decrease occurred in the strength-trained group in serum-free testosterone during the second period, which was characterized by the highest overall amount of training. Over the entire year the concentrations of serum hormones remained statistically unaltered in both groups. Slight but statistically insignificant increases of 1.2%±0.8% and 2.1%±5.1% were observed in the competitive performances over the year in the endurance-trained and strength-trained groups, respectively. The present findings in the two groups of elite athletes, who differed greatly with regard to the type of physiological loading, demonstrated that the overall hormonal responses both during the most intensive and during prolonged training periods were rather similar and the infrequent small changes remained well within the normal physiological range. The observations further indicate that the training may not have been too strenuous, with no noticeable symptoms of overtraining, and/or that it could have been in greater amount and/or of greater intensity, leading perhaps to greater improvement in competitive performance capacity.

Determination of hydrodynamic drag forces and drag coefficients on human leg/foot model during knee exercise

OBJECTIVE The purpose of this laboratory experiment was to measure hydrodynamic drag forces in barefoot/hydro-boot conditions and accordingly, to determine the coefficients of drag on human leg/foot model during simulated knee extension-flexion exercise. DESIGN The prosthesis of the human lower leg was set in a water tank and connected into an isokinetic force dynamometer to measure resistive forces during knee motion. BACKGROUND Quantifying resistance for aquatic exercises has been a challenge in hydrotherapy. The use of models of foot/leg provides a practical method to calculate coefficients of drag and to estimate resistance for rehabilitation purposes in musculoskeletal and amputee patients. METHODS The dynamometer produced constant angular velocities of 250 degrees /s, 270 degrees /s and 300 degrees /s to the prosthesis. The baseline for measurements was performed in barefoot condition. A hydro-boot was used to study effects of increased frontal area (30%) of the leg on drag forces and coefficients. RESULTS The maximal drag force values were 61 N (300 degrees /s) in barefoot and 270 N (270 degrees /s) in hydro-boot condition. Related drag coefficient values during the range of motion were from 0.3 to 0.1 and from 1 to 0.8, respectively. CONCLUSIONS Drag force and related drag coefficient were highest during the early part of extension (150-140 degrees flexion) as the model was opposing the lift forces with the influence of water resistance. The effect of velocity was remarkable on drag forces but minimal on drag coefficient values. RelevanceThe drag forces and coefficients of this experiment can be clinically utilised to calculate hydrodynamic forces to develop progressive knee exercise programs as well as to design of prosthesis for amputee patients.

Breaststroke swimmer's knee A biomechanical and arthroscopic study

The cause of the breaststroke swimmers knee with medial pain of the knee joint has not been clearly identified. Breaststroke swimmers with knee pain were, therefore, examined arthros copically. None showed any other disorders of their knees than medial synovitis in seven of nine swimmers. Since structural abnormalities could be ruled out, biomechanical analyses utiliz ing cinematographic techniques were used to study patients swimming in a special flume with the speed set at 90% of their best competitive performance. The results indicate that the extension and flexion and also in some cases the hip abduction and adduction movements of the whip kick were performed with high peak angular velocities. No significant differences in swimming technique among the six patients studied and three controls could be observed. It is concluded that a combination of high angular velocities at the hip and knee and external rotation of the tibia relative to the femur repeated in excessive amounts might be the primary cause for the medial synovitis documented in these patients. The breaststrokers knee thus seems to be an overuse syndrome.

VO2 Kinetics in 200-m Race-Pace Front Crawl Swimming.

Studies that aim to characterize oxygen uptake kinetics in efforts above maximal oxygen consumption intensity are scarce. Our aim was to analyze the oxygen kinetics in a maximal 200-m front crawl, all measurements being conducted in swimming pool conditions. 10 high-level male swimmers performed a maximal 200-m bout and oxygen uptake was directly measured through breath-by-breath gas analysis. Mean (±SD) peak oxygen uptake was 68.58 (±5.79) ml.kg(-1).min(-1), evidencing a fast component phase. As expected, peak oxygen uptake presented a direct relationship with mean swimming speed of the first 50-m lap and with the 200-m effort, and was also correlated with the amplitude of the fast component (r=0.75, r=0.72, r=0.73, p<0.05, respectively). The observed mean amplitude value was higher than those observed in the literature for other exercise intensity domains. However, the time for its onset, as well as the duration for attaining the steady state, was shorter, as the peak oxygen uptake was not correlated with these 2 components. Moreover, as previously described for swimming at high intensities, the slow component phenomenon was not observed. Aerobic metabolic pathway accounted for 78.6%, confirming the high aerobic contribution in middle distance swimming events.