Effects of neuromuscular electrical stimulation on torque and performance in recreational distance runners: A randomized controlled trial.

INTRODUCTION: Neuromuscular electrical stimulation (NMES) is used by athletes to improve muscle performance. However, evidence on the use of NMES in long distance runners is scarce. As such, this study aimed to evaluate the effects of NMES on the muscle torque and sports performance of long-distance recreational runners. METHODS: This was a blinded randomized controlled trial. Data from 30 volunteers were analyzed. Participants were randomly allocated to an experimental (n = 15) or control group (n = 15). The experimental group was submitted to running training (RT) and a strengthening protocol with NMES (1 kHz, modulated in 2 ms bursts, 50 Hz modulated burst frequency and 10% duty cycle, 15 min totaling 18 contractions per sessions) for 6 weeks, with 3 sessions per week, while controls were submitted to RT alone. The following variables were analyzed: peak isometric (ISO), concentric (CON), and eccentric (ECC) torque of the quadriceps muscle in voluntary contractions, ventilatory anaerobic thresholds (VATs), maximal oxygen uptake (VO2max), and oxygen cost of transport (OCT). RESULTS: The NMES group obtained higher values of ISO, 21.04% (p = 0.001), CON, 21.97% (p = 0.001) and ECC, 18.74% (p = 0.001) peak torque and VAT1, 9.56% (p = 0.001), as well as a statistically significant improvement in oxygen cost of transport at VAT1 when compared to controls (p = 0.001). CONCLUSION: NMES was effective in improving peak isometric, concentric and eccentric quadriceps muscle torque, in addition to being an interesting resource for enhancing sports performance in long-distance recreational runners and future clinical trials should be performed to compare the use of NMES to different forms of training over longer training periods.

Muscle Activation Patterns Correlate With Race Walking Economy in Elite Race Walkers: A Waveform Analysis.

PURPOSE: To analyze the association between muscle activation patterns on oxygen cost of transport in elite race walkers over the entire gait waveform. METHODS: A total of 21 Olympic race walkers performed overground walking trials at 14 km·h-1 where muscle activity of the gluteus maximus, adductor magnus, rectus femoris, biceps femoris, medial gastrocnemius, and tibialis anterior were recorded. Race walking economy was determined by performing an incremental treadmill test ending at 14 km·h-1. RESULTS: This study found that more-economical race walkers exhibit greater gluteus maximus (P = .022, r = .716), biceps femoris (P = .011, r = .801), and medial gastrocnemius (P = .041, r = .662) activation prior to initial contact and weight acceptance. In addition, during the propulsive and the early swing phase, race walkers with higher activation of the rectus femoris (P = .021, r = .798) exhibited better race walking economy. CONCLUSIONS: This study suggests that the neuromuscular system is optimally coordinated through varying muscle activation to reduce the metabolic demand of race walking. These findings highlight the importance of proximal posterior muscle activation during initial contact and hip-flexor activation during early swing phase, which are associated with efficient energy transfer. Practically, race walking coaches may find this information useful in the development of specific training strategies on technique.

Running Economy: Neuromuscular and Joint-Stiffness Contributions in Trained Runners.

CONTEXT: It is debated whether running biomechanics make good predictors of running economy, with little known about the neuromuscular and joint-stiffness contributions to economical running gait. PURPOSE: To understand the relationship between certain neuromuscular and spatiotemporal biomechanical factors associated with running economy. METHODS: Thirty trained runners performed a 6-min constant-speed running set at 3.3 m·s-1, where oxygen consumption was assessed. Overground running trials were also performed at 3.3 m·s-1 to assess kinematics, kinetics, and muscle activity. Spatiotemporal gait variables, joint stiffness, preactivation, and stance-phase muscle activity (gluteus medius, rectus femoris, biceps femoris, peroneus longus, tibialis anterior, and gastrocnemius lateralis and medius) were variables of specific interest and thus determined. In addition, preactivation and ground contact of agonist-antagonist coactivation were calculated. RESULTS: More economical runners presented with short ground-contact times (r = .639, P < .001) and greater stride frequencies (r = -.630, P < .001). Lower ankle and greater knee stiffness were associated with lower oxygen consumption (r = .527, P = .007 and r = .384, P = .043, respectively). Only  lateral gastrocnemius-tibialis anterior coactivation during stance was associated with lower oxygen cost of transport (r = .672, P < .0001). CONCLUSIONS: Greater muscle preactivation and biarticular muscle activity during stance were associated with more economical runners. Consequently, trained runners who exhibit greater neuromuscular activation prior to and during ground contact, in turn optimizing spatiotemporal variables and joint stiffness, will be the most economical runners.