Correlation between the shear modulus measured by elastography (SSI) and tangent modulus from tensile tests of in vitro fresh-frozen human tendons.

Assessing the mechanical properties of tendons in vivo allows for quantifying the degree of pathology and tracking functional improvements. The Supersonic Shearwave Imaging (SSI) technique is a state-of-the-art method for analyzing musculoskeletal tissues in vivo. This technique estimates tissue stiffness as the shear elastic modulus µ [kPa]. However, only a few studies have validated the accuracy of SSI-estimated shear modulus against the gold standard for in vitro material testing, the tensile test. This study compared the SSI-measured shear elastic modulus (µ) with the tangent modulus (Etan) obtained from mechanical tensile tests for human Achilles (AT) and patellar tendons (PT). The sample comprised eleven fresh-frozen human Achilles tendons and five fresh-frozen human patellar tendons from cadavers that were not degraded by formalin or ionizing radiation. The tendons were tested in a tensile machine, and elastography videos were collected and segmented every 5% of the total experiment time. The absolute µ values estimated from both instruments presented an up to 20-fold difference. However, a strong significant positive correlation was found between µ and Etan for both tendons (range AT: R = 0.9765-0.9972 and PT: R = 0.8719-0.9782). The two resulting curves (µ and Etan) as a function of strain (ε) were normalized by their maxima for visually comparing stiffness × strain profiles. In conclusion, despite the inaccurate absolute values, SSI has been shown to measure relative changes in human Achilles and patellar tendon stiffness. This study endorses future clinical use of SSI to provide in vivo estimations of human tendons' mechanical properties.

Non-uniform excitation of the pectoralis major muscle during flat and inclined bench press exercises.

Non-physiological sources may lead to equivocal interpretation on the degree of muscle excitation from electromyograms (EMGs) amplitude. This presumably explains the contradictory findings regarding the effect of the bench press inclination on the pectoralis major (PM) activation pattern. To contend with these issues, herein we used high-density surface EMG to investigate whether different PM regions are excited during the flat and 45° inclined bench press exercises. Single-differential EMGs were collected from 15 regions along the PM cranio-caudal axis, while 8 volunteers performed a set of the flat and 45° inclined bench press at 50% and 70% of 1 repetition maximum. The coefficient of variation, the range of motion, and the cycle duration were calculated from the barbell vertical position to assess the within-subject consistency across cycles. The number of channels detecting the largest EMGs amplitude (active channels), their interquartile range, and their barycentre coordinate were assessed to characterize the EMG amplitude distribution within PM. No significant differences in the range of motion (p > 0.11), cycle duration (p > 0.28), number of active channels (p > 0.05), and interquartile range of active channels (p > 0.39) were observed between the two bench press inclinations. Conversely, the barycentre shifted toward the PM clavicular region (p < 0.001) when the bench press changed from flat to 45°. Our results revealed that greatest EMG amplitudes were concentrated at the PM sternocostal and clavicular heads when exercising in the flat and 45° inclined bench press, respectively. Performing the bench press exercise, with different postures, seem to demand the excitation of different PM regions.

Surface wave elastography is a reliable method to correlate muscle elasticity, torque, and electromyography activity level.

The shear elastic modulus is one of the most important parameters to characterize the mechanical behavior of soft tissues. In biomechanics, ultrasound elastography is the gold standard for measuring and mapping it locally in skeletal muscle in vivo. However, their applications are limited to the laboratory or clinic. Thus, low-frequency elastography methods have recently emerged as a novel alternative to ultrasound elastography. Avoiding the use of high frequencies, these methods allow obtaining a mean value of bulk shear elasticity. However, they are frequently susceptible to diffraction, guided waves, and near field effects, which introduces biases in the estimates. The goal of this work is to test the performance of the non-ultrasound surface wave elastography (NU-SWE), which is portable and is based on new algorithms designed to correct the incidence of such effects. Thus, we show its first application to muscle biomechanics. We performed two experiments to assess the relationships of muscle shear elasticity versus joint torque (experiment 1) and the electromyographic activity level (experiment 2). Our results were comparable regarding previous works using the reference ultrasonic methods. Thus, the NU-SWE showed its potentiality to get wide the biomechanical applications of elastography in many areas of health and sports sciences.

Changes in supramaximal M-wave amplitude at different regions of biceps brachii following eccentric exercise of the elbow flexors.

PURPOSE: Previous evidence from surface electromyograms (EMGs) suggests that exercise-induced muscle damage (EIMD) may manifest unevenly within the muscle. Here we investigated whether these regional changes were indeed associated with EIMD or if they were attributed to spurious factors often affecting EMGs. METHODS: Ten healthy male subjects performed 3 × 10 eccentric elbow flexions. Maximal voluntary contraction (MVC), muscle soreness and ultrasound images from biceps brachii distal and proximal regions were measured immediately before (baseline) and during each of the following 4 days after the exercise. Moreover, 64 monopolar surface EMGs were detected while 10 supramaximal pulses were applied to the musculocutaneous nerve. The innervation zone (IZ), the number of electrodes detecting largest M-waves and their centroid longitudinal coordinates were assessed to characterize the spatial distribution of the M-waves amplitude. RESULTS: The MVC torque decreased (~ 25%; P < 0.001) while the perceived muscle soreness scale increased (~ 4 cm; 0 cm for no soreness and 10 cm for highest imaginable soreness; P < 0.005) across days. The echo intensity of the ultrasound images increased at 48 h (71%), 72 h (95%) and 96 h (112%) for both muscle regions (P < 0.005), while no differences between regions were observed (P = 0.136). The IZ location did not change (P = 0.283). The number of channels detecting the greatest M-waves significantly decreased (up to 10.7%; P < 0.027) and the centroid longitudinal coordinate shifted distally at 24, 48 and 72 h after EIMD (P < 0.041). CONCLUSION: EIMD consistently changed supramaximal M-waves that were detected mainly proximally from the biceps brachii, suggesting that EIMD takes place locally within the biceps brachii.

Non-Uniformity of Elbow Flexors Damage Induced by an Eccentric Protocol in Untrained Men.

Muscle structure disorganization is a consequence of intense eccentric contractions, with symptoms that characterize exercise-induced muscle damage (EIMD). To date, few studies have described EIMD parameters at different muscle sites. The aim of the present study was to analyse indirect markers of EIMD at two elbow flexors sites over three days. Eleven healthy untrained men were submitted to a session of three sets of 10 eccentric elbow flexion repetitions on an isokinetic dynamometer. The isometric peak torque (PT), muscle soreness, elbow flexors oedema, (normalized muscle thickness [MT]) and echo-intensity (EI) were measured. There was a significant decrease in PT immediately after (Post) and 10 min, 24 h, 48 h and 72 h after intervention compared to that at baseline (p < 0 .05). MT% increased after 72 h compared with that immediately, 10 min and 24 h after intervention (p < 0.05). No statistical changes were observed in muscle soreness and oedema between the two muscle sites. With respect to EI%, significant differences were observed for the 24 h, 48 h and 72 h measures compared with those of the Post, 10 min and 24 h measures for both muscle sites; at the distal site, EI% was significantly higher than at the proximal site for measures after 24 h (p < 0.05). The presence of differences in EI% 24 h after eccentric training on distal sites of elbow flexors indicates non-uniform EIMD in this region.

Innervation zone locations distribute medially within the pectoralis major muscle during bench press exercise.

Changes in innervation zone (IZ) position may affect the amplitude of surface electromyograms (EMGs). If not accounted for, these changes may lead to equivocal interpretation on the degree of muscle activity from EMG amplitude. In this study we ask how much the IZ position changes within different regions of the pectoralis major (PM) during the bench press exercise. If expressive, changes in IZ position may explain the conflictual results reported on PM activation during bench press. Single-differential surface EMGs were collected from 15 regions along the PM cranial, centro-cranial, centro-caudal and caudal fibres, while 11 healthy participants gently, isometrically contracted their muscle. IZs were identified visually, from EMGs collected with the glenohumeral joint at extreme bench press positions; 20° and 110° of abduction in the horizontal plane. Except for 3 out of 88 acquisitions (4 detection sites × 2 glenohumeral angles × 11 participants), for which no phase opposition and action potential propagation were observed, IZs could be well identified. Group results revealed the IZ moved medially from 110° to 20° of glenohumeral joint abduction in the horizontal plane, regardless of the PM region from where EMGs were detected (P < 0.01). IZs were confined medially within PM, from ∼20% to ∼40% of the muscle-tendon unit length, and their position changed up to 13.3%. These results suggest that changes in the amplitude of EMGs detected mainly medially from PM may be not associated with changes in the degree of PM activity during bench press.

Supersonic Shear Imaging Elastography in Skeletal Muscles: Relationship Between In Vivo and Synthetic Fiber Angles and Shear Modulus.

OBJECTIVES: To verify a relationship between the pennation angle of synthetic fibers and muscle fibers with the shear modulus (µ) generated by Supersonic shear imaging (SSI) elastography and to compare the anisotropy of synthetic and in vivo pennate muscle fibers in the x2 -x3 plane (probe perpendicular to water surface or skin). METHODS: First, the probe of Aixplorer ultrasound scanner (v.9, Supersonic Imagine, Aix-en-Provence, France) was placed in 2 positions (parallel [aligned] and transverse to the fibers) to test the anisotropy in the x2 -x3 plane. Subsequently, it was inclined (x1 -x3 plane) in relation to the fibers, forming 3 angles (18.25 °, 21.55 °, 36.86 °) for synthetic fibers and one (approximately 0 °) for muscle fibers. RESULTS: On the x2 -x3 plane, µ values of the synthetic and vastus lateralis fibers were significantly lower (P < .0001) at the transverse probe position than the longitudinal one. In the x1 -x3 plane, the µ values were significantly reduced (P < .0001) with the probe angle increasing, only for the synthetic fibers (approximately 0.90 kPa for each degree of pennation angle). CONCLUSIONS: The pennation angle was not related to the µ values generated by SSI elastography for the in vivo lateral head of the gastrocnemius and vastus lateralis muscles. However, a µ reduction with an angle increase in the synthetic fibers was observed. These findings contribute to increasing the applicability of SSI in distinct muscle architecture at normal or pathologic conditions.

Design and Test of a Biomechanical Model for the Estimation of Knee Joint Angle During Indoor Rowing: Implications for FES-Rowing Protocols in Paraplegia.

Functional electrical stimulation of lower limb muscles during rowing provides a means for the cardiovascular conditioning in paraplegia. The possibility of shaping stimulation profiles according to changes in knee angle, so far conceived as changes in seat position, may help circumventing open issues associated with muscle fatigue and movement coordination. Here, we present a subject-specific biomechanical model for the estimation of knee joint angle during indoor rowing. Anthropometric measurements and foot and seat positions are inputs to the model. We tested our model on two samples of elite rowers; 15 able-bodied, and 11 participants in the Rio 2016 Paralympic games. Paralympic rowers presented minor physical disabilities (LTA-PD classification), enabling them to perform the full rowing cycle (with legs, trunks, and arms). Knee angle was estimated from the rowing machine seat position, measured with a linear encoder, and transmitted wirelessly to a computer. Key results indicate the root mean square error (RMSE) between estimated and measured angles did not depend on group and stroke rate ( ). Significantly greater RMSE values were observed, however, within the rowing cycle ( ), reaching on average 8 deg in the mid-recovery phase. Differences between estimated and measured knee angle values resulted in slightly earlier (5%) detection of knee flexion, regardless of the group and stroke rate considered. Offset of knee extension, knee angle at catch and range of knee motion were identified equally well with our model and with inertial sensors. These results suggest our model describes accurately the movement of knee joint during indoor rowing.

Is the firing rate of motor units in different vastus medialis regions modulated similarly during isometric contractions?

INTRODUCTION: Previous evidence suggests the fibers of different motor units reside within distinct vastus medialis (VM) regions. It remains unknown whether the activity of these motor units may be modulated differently. Herein we assess the discharge rate of motor units detected proximodistally from the VM to address this issue. METHODS: Surface electromyograms (EMGs) were recorded proximally and distally from the VM while 10 healthy subjects performed isometric contractions. Single motor units were decomposed from surface EMGs. The smoothed discharge rates of motor units identified from the same and from different VM regions were then cross-correlated. RESULTS: During low-level contractions, the discharge rate varied more similarly for distal (cross-correlation peak; interquartile interval: 0.27-0.40) and proximal (0.28-0.52) than for proximodistal pairs of VM motor units (0.20-0.33; P = 0.006). DISCUSSION: The discharge rates of motor units from different proximodistal VM regions show less similarity in their variations than those of pairs of units either distally or proximally. Muscle Nerve 57: 279-286, 2018.

The influence of aging on the isometric torque sharing patterns among the plantar flexor muscles.

PURPOSE: Physiological cross-sectional area (PCSA) reduction of the triceps surae (TS) muscles during aging suggests a proportional loss of torque among its components: soleus, medial and lateral gastrocnemii. However, direct measurements of muscle forces in vivo are not feasible. The purpose of this paper was to compare, between older and young women, isometric ankle joint torque sharing patterns among TS muscles and tibialis anterior (TA). METHODS: An EMG-driven model was used for estimating individual muscle torque contributions to the total plantar flexor torque, during sustained contractions of 10% and 40% of maximum voluntary contraction (MVC). RESULTS: Relative individual muscle contributions to the total plantar flexion torque were similar between older and young women groups, for both intensities, increasing from LG, MG to SOL. Muscle strength (muscle torque/body mass) was significantly greater for all TS components in 40% MVC contractions. Increased TA activation was observed in 10% of MVC for older people. CONCLUSIONS: Despite the reduced maximum isometric torque and muscle strength, the results suggest small variations of ankle muscle synergies during the aging process.

Acute Effects of Different Methods of Stretching and Specific Warm-ups on Muscle Architecture and Strength Performance.

Sá, MA, Matta, TT, Carneiro, SP, Araujo, CO, Novaes, JS, and Oliveira, LF. Acute effects of different methods of stretching and specific warm-ups on muscle architecture and strength performance. J Strength Cond Res 30(8): 2324-2329, 2016-The purpose of the study was to investigate the acute effects of 2 stretching interventions, proprioceptive neuromuscular facilitation (PNF) and passive static stretching (PSS), and a specific warm-up (SW) on the strength and architecture of the vastus laterallis and biceps femoris muscles in a subsequent performance on a strength training session (STS). Musculoskeletal ultrasound images were acquired from 9 men before and immediately after stretchings or a SW, and 10 minutes after a STS. The STS consisted of the following exercises: leg extension, leg curl, leg press, and hack machine squat. The PNF resulted in lower performance for all situations. The PSS and SW improved performance for the leg press compared with the PNF and controls (CSs). For the hack machine squat, SWs resulted in higher performance than stretching conditions. The vastus lateralis muscle fascicle length (FL) increases after a STS for PNF. The biceps femoris muscle showed a higher pennation angle 10 minutes after the STS for PSS; the FL increases immediately after PSS and then decreases 10 minutes after the STS for PSS. As per our results, the SWs should be performed before STSs, whereas PNF stretching should not be prescribed because this condition impairs subsequent performance. These results may assist health professionals in prescribing resistance training.

Variations in the spatial distribution of the amplitude of surface electromyograms are unlikely explained by changes in the length of medial gastrocnemius fibres with knee joint angle.

This study investigates whether knee position affects the amplitude distribution of surface electromyogram (EMG) in the medial gastrocnemius (MG) muscle. Of further concern is understanding whether knee-induced changes in EMG amplitude distribution are associated with regional changes in MG fibre length. Fifteen surface EMGs were acquired proximo-distally from the MG muscle while 22 (13 male) healthy participants (age range: 23-47 years) exerted isometric plantar flexion at 60% of their maximal effort, with knee fully extended and at 90 degrees flexion. The number of channels providing EMGs with greatest amplitude, their relative proximo-distal position and the EMG amplitude averaged over channels were considered to characterise changes in myoelectric activity with knee position. From ultrasound images, collected at rest, fibre length, pennation angle and fat thickness were computed for MG proximo-distal regions. Surface EMGs detected with knee flexed were on average five times smaller than those collected during knee extended. However, during knee flexed, relatively larger EMGs were detected by a dramatically greater number of channels, centred at the MG more proximal regions. Variation in knee position at rest did not affect the proximo-distal values obtained for MG fibre length, pennation angle and fat thickness. Our main findings revealed that, with knee flexion: i) there is a redistribution of activity within the whole MG muscle; ii) EMGs detected locally unlikely suffice to characterise the changes in the neural drive to MG during isometric contractions at knee fully extended and 90 degrees flexed positions; iii) sources other than fibre length may substantially contribute to determining the net, MG activation.

Assessment of muscle architecture of the biceps femoris and vastus lateralis by ultrasound after a chronic stretching program.

OBJECTIVE: To evaluate the chronic effects of a static stretching program on the muscle architecture of biceps femoris (BF) and vastus lateralis (VL) muscles in ultrasound (US) images. DESIGN: Randomized controlled longitudinal trial. SETTING: Biomechanics Laboratory of Physical Education School of the Army, Rio de Janeiro, Brazil. PARTICIPANTS: The study included 24 healthy and physically active male volunteers (19.05 ± 1.40 years, 1.73 ± 0.07 m, and 73.15 ± 8.33 kg), randomly allocated to 1 of 2 groups: stretching group (SG, n = 12) and control group (n = 12). INTERVENTIONS: The SG was submitted to 3 sets of 30 seconds of static stretching 3 times a week during 8 weeks. MAIN OUTCOME MEASURES: Ultrasound equipment (7.5 MHz) was used for the evaluation of BF and VL muscle architecture variables (pennation angle, fiber length, muscle thickness, and fascicle displacement) before and after training. Knee range of motion (ROM) and isometric flexion and extension torque (TQ) were also measured. RESULTS: There were no significant changes in muscle architecture, TQ, and maximum knee flexion angle (P > 0.05). However, maximum knee extension angle (MEA) increased significantly in the SG (pretraining: 159.37 ± 7.27 degrees and posttraining: 168.9 ± 3.7 degrees; P < 0.05). CONCLUSIONS: Volume or intensity (or both) of the stretching protocol was insufficient to cause structural changes in the VL and BF muscles. The increase in MEA could not be explained by muscle architecture changes. CLINICAL RELEVANCE: To describe changes in the VL and BF muscle tendon unit using US after a long-term stretching program to identify which structures are responsible for ROM increase.

Heterogeneity of rectus femoris muscle architectural adaptations after two different 14-week resistance training programmes.

PURPOSE: This study aimed to determine the architectural changes of rectus femoris muscle at distinctive sites of the thigh length after two different 14-week resistance training programmes. METHODS: Thirty-five untrained men were randomly allocated into three different groups: conventional resistance training (n = 12), isokinetic training (n = 12) and control (n = 11). Rectus femoris cross-sectional area, thickness and fascicle angle at two specific thigh sites (30% and 50% of the length) were assessed before and after 14 weeks of unilateral knee extension exercise or control. The isometric peak torque of the knee extensors was estimated as a muscle strength index. RESULTS: Conventional (30% = 47·4% versus 50% = 14·4%) and isokinetic (30% = 31·8% versus 50% = 11·4%) training induced significant increases on thickness at both rectus femoris sites. While conventional training resulted in substantial increments on cross-sectional area (30% = 62·1%, 50% = 19·5%), isokinetic training provoked a significant increase only at the distal site (50% = 64·7%). The isometric peak torque increased (22·4 and 29·6%, for conventional and isokinetic groups, respectively) after training independently of the training mode, although no significant changes were observed for any dependent variable in the control group. CONCLUSIONS: In general, the training modes resulted in similar changes on rectus femoris architecture, whereas their magnitude depended on the thigh site.

Input error analysis of an EMG-driven muscle model of the plantar flexors.

EMG is a useful tool for quantifying muscle forces and studying motor control strategies. However, the relationship between EMG and muscle force is not trivial, and depends in part on muscle dynamics. This work has the following objectives: the first, to find muscle excitations and partial joint torque contribution patterns in isometric plantar flexions, considering low and medium/high contractions. The second, to correlate such patterns with an EMG-driven muscle model error, indirectly assessed by the associate joint torques. Individual muscle contributions were calculated using the model driven by the measured EMG and compared to the total joint torque from dynamometric measurements. Thirteen young males performed a protocol with low and medium/high intensities contractions. Input functions were the normalized EMG of each triceps surae and tibialis anterior muscles. RMS error was calculated between the measured and estimated torque curves. The trends observed were: the order of individual muscle contributions to the total torque (SOL, GM, GL) was different from the order of the contraction intensities (GM, SOL, GL); the model was more accurate for medium/high contractions; the worst estimations occurred when excitation input signals found from EMG were underestimated. Possible causes for such errors and improvement suggestions are addressed.

Reliability of the rectus femoris muscle cross-sectional area measurements by ultrasonography.

The skeletal muscle system can adapt to an external stimulus from either physiological or pathological conditions. This plasticity is measured by imaging techniques such as magnetic resonance imaging or ultrasound. The anatomical cross-sectional area of a muscle is one of the muscle architecture parameters that relates to the maximum muscle strength. The aim of this study was to determine the reliability of anatomical cross-sectional area rectus femoris measurements, obtained by ultrasound, with two different protocols. Acquisition of four anatomical cross-sectional area images of the right rectus femoris in two distinct regions (15 cm above the patella and 50% of the thigh length) was performed in 2 days, from a group of 15 young healthy subjects. The cross-sectional area of each image was measured five times. The reliability of the anatomical cross-sectional area measures was determined by the coefficient of variation (CV), intraclass correlation coefficient (ICC) and typical error of measurement (TEM). In each protocol, there were no significant differences between the means of anatomical cross-sectional area in measurements, images and days (P>0·05). The CVs were 8·53% and 8·9%, the ICCs 0·88 and 0·87 and the TEMs 65·59 and 94·25 between the 2 days in the regions of 15 cm and 50% of the thigh length, respectively. The average values of the cross-sectional area at 50% of the thigh length were significantly higher than those for at 15 cm above the patella (P<0·001). The measurement of rectus femoris anatomical cross-sectional area by ultrasound proved reliable.

Localized fatigue effects on quiet standing control by fractional Brownian motion.

In this work, the anterior-posterior displacement of the center of pressure was modeled as a fractional Brownian motion to analyze the effect of fatigue of plantar flexor muscles by isometric contraction. A sample of 17 young, healthy adults was evaluated by stabilometric test, 2 min before and after a plantar flexion, sustained until exhaustion. For each test, the model was applied to four consecutive periods of 30 s and then averaged to estimate the parameters. The fatigue increased the stochastic activity in both persistent and antipersistent controls, and also increased the Hurst exponent of the long-term mechanism. As a conclusion, the used model suggests that peripheral fatigue increases the body sway and reduces the gain of the antipersistent mechanism. However, these changes are detectable only when more than one 30 s data segment is considered for analysis.

An alternative approach in muscle fatigue evaluation from the surface EMG signal.

The aim of this study was to compare the intervals of time between adjacent zero crossings (ZCI), an alternative frequency-temporal parameter, with the root-mean-square (RMS) value and the median frequency (F(med)) from the surface EMG (sEMG) signal in muscle fatigue analysis. Twenty right-handed volunteers performed isometric contractions of right biceps brachii muscle while sEMG signals were collected from it at three different and arbitrary load levels until fatigue. The mean ZCI presented a significant correlation with F(med) but not with RMS value and it also presented lower coefficients of variation than others. The results pointed that mean ZCI properties can contribute more than F(med) and RMS value on the interpretation of the muscle function under fatigue conditions.

Ultrasound Biomicroscopy for In vivo architectural characterization of gastrocnemius muscle from rats.

This work applies the Ultrasound Biomicroscopy (UBM) technique to quantify the pennation angle (PA) and muscle thickness (MT) of rats' gastrocnemius muscle and to determine the reliability of these measurements. UBM (40MHz) images of five Wistar female rats were acquired at two ankle positions (neutral and full extension) and in two different days. A total of 320 images were processed to quantify PA and MT and a statistical analysis assessed data variability and reliability. The coefficients of variation were 9.37 and 3.97% for PA and MT, respectively, for the ankle at full extension and 15.41 and 4.99% for the ankle at neutral position. Pearson correlation between two repeated measurements in the same image were 0.93 and 0.99 for PA and MT, respectively. The results indicate that UBM is suitable for quantitative muscle architectural characterization and can be used in future muscle biomechanical studies.

Influence of exercise order on maximum strength and muscle thickness in untrained men.

Traditional exercise order dictates large muscle group or multijoint exercises should be performed before small muscle group or single joint exercises. The purpose of this study was to examine the influence of exercise order on strength and muscle thickness (MT) in untrained men after 12 weeks of linear periodized resistance training. The participants were randomly assigned into three groups. One group began with large and progressed toward small muscle group exercises (LG-SM) while another started with small and advanced to large muscle group exercises (SM-LG). The exercise order for LG-SM was bench press (BP), lat pull-down (LPD), triceps extension (TE), and biceps curl (BC). The order for the SM-LG was BC, TE, LPD, and BP. The third group served as a control group (CG). Training frequency was two sessions/week with at least 72 hours between sessions. One repetition maximum (1RM) for all exercises, biceps and triceps MT (assessed by ultrasound techniques) were collected at baseline and after 12 weeks. After 12 weeks, all exercises for both training groups presented significant 1RM strength gains when compared to CG with exception of BC in LG-SM. Between baseline and post training, all exercises for both training groups presented significant strength gains with exception of BC in LG-SM and BP in SM-LG. Triceps MT for both training groups were significantly higher when compared to the CG, but with no significant differences between them (p > 0.05). Significant differences in MT from pre- to post-training were found only for the SM-LG group (p < 0.05), while the biceps MT presented significant differences only between LG-SM and CG (p < 0.05), Effect size data demonstrated differences in 1RM and triceps MT based on exercise order. In conclusion, if an exercise is important for specific training goals, it should be performed at the beginning of the training session, whether or not it is a large or a small muscle group exercise. Key pointsThe two linear periodized resistance training programs utilized promotes strength and muscle volume gains in untrained men.Exercise order may be particularly important to improve strength during 12 weeks of linear periodized resistance training.If an exercise is important for the training goals of a program, then it should be placed at the beginning of the training session, whether or not it is a large or a small muscle group exercise.