Specificity of resistance training responses in neck muscle size and strength.

This study examined hypertrophy after head extension resistance training to assess which muscles of the complicated cervical neuromuscular system were used in this activity. We also determined if conventional resistance exercises, which are likely to evoke isometric action of the neck, induce generalized hypertrophy of the cervical muscle. Twenty-two active college students were studied. [mean (SE) age, weight and height: 21 (1) years, 71 (4) kg and 173 (3) cm, respectively]. Subjects were assigned to one of three groups: RESX (head extension exercise and other resistance exercises), RES (resistance exercises without specific neck exercise), or CON (no training). Groups RESX (n = 8) and RES (n = 6) trained 3 days/week for 12 weeks with large-muscle mass exercises (squat, deadlift, push press, bent row and mid-thigh pull). Group RESX also performed three sets of ten repetitions of a head extension exercise 3 days/week with a load equal to the 3 x 10 repetition maximum (RM). Group CON (n = 8) was a control group. The cross-sectional area (CSA) of nine individual muscles or muscle groups was determined by magnetic resonance imaging (MRI) of the cervical region. The CSA data were averaged over four contiguous transaxial slices in which all muscles of interest were visible. The 3 x 10 RM for the head extension exercise increased for RESX after training [from 17.9 (1.0) to 23.9 (1.4) kg, P < 0.05] but not for RES [from 17.6 (1.4) to 17.7 (1.9) kg] or CON [from 10.1 (2.2) to 10.3 (2.1) kg]. RESX showed an increase in total neck muscle CSA after training [from 19.5 (3.0) to 22.0 (3.6) cm2, P < 0.05], but RES and CON did not [from 19.6 (2.9) to 19.7 (2.9) cm2 and 17.0 (2.5) to 17.0 (2.4) cm2, respectively]. This hypertrophy for RESX was due mainly to increases in CSA of 23.9 (3.2), 24.0 (5.8), and 24.9 (5.3)% for the splenius capitis, and semispinalis capitis and cervicis muscles, respectively. The lack of generalized neck muscle hypertrophy in RES was not due to insufficient training. For example, the CSA of their quadriceps femoris muscle group, as assessed by MRI, increased by 7 (1)% after this short-term training (P < 0.05). The results suggest that: (1) the splenius capitis, and semispinalis capitis and cervicis muscles are mainly responsible for head extension; (2) short-term resistance training does not provide a sufficient stimulus to evoke neck muscle hypertrophy unless specific neck exercises are performed; and (3) the postural role of head extensors provides modest loading in bipeds.

Resistance training and human cervical muscle recruitment plasticity.

This study examined cervical neuromuscular adaptations to resistance training. The ResX group performed conventional resistance training plus head-extension exercise. Another group performed only conventional resistance training, and the control group performed no resistance exercise. Muscle use during head extension was determined by quantifying shifts in T2 in serial-transaxial magnetic resonance images of the neck. ResX was the only group that showed a training effect. Training decreased (P < 0.05) the cross-sectional area (CSA) of cervical muscle used to perform submaximal head extension by 31%. This reflected a decrease (P < 0.05) in relative use of the splenius capitis, semispinalis capitis, and semispinalis cervicis and multifidus muscles by about one-third; their percentage of CSA showing contrast shift was reduced from 60 to 40% on average. This same exercise evoked no contrast shift in the levator scapulae, longissimus capitis and cervicis, and scalenus medius and anterior muscles posttraining, yet 20% or more of their CSA was engaged pretraining. The relative CSA of cervical musculature that was used to perform maximal head extension was increased (P < 0.05) 16% by training. The findings suggest functional redundancy of neck musculature that can be modified by training; submaximal tasks can be performed despite cessation of recruitment of individual muscles, yet recruitment can be increased for maximal efforts. These results also suggest that neuromuscular adaptations to training require a specific cervical exercise.

Effect of acute head-down tilt on skeletal muscle cross-sectional area and proton transverse relaxation time.

This study investigated changes in skeletal muscle cross-sectional area (CSA) evoked by fluid shifts that accompany short-term 6 degrees head-down tilt (HDT) or horizontal bed rest, the time course of the resolution of these changes after resumption of upright posture, and the effect of altered muscle CSA, in the absence of increased contractile activity, on proton transverse relaxation time (T2). Average muscle (CSA and T2 were determined by standard spin-echo magnetic resonance imaging. Analyses were performed on contiguous transaxial images of the neck and calf. After a day of normal activity, 24 h of HDT increased neck muscle CSA 19 +/- 4(SE)% (P < 0.05) while calf muscle CSA decreased 14 +/- 3% (P < 0.05). The horizontal posture (12 h) induced about one-half of these responses: an 11 +/- 2% (P < 0.05) in the neck muscle CSA and an 8 +/- 2% decrease (P < 0.05) in the calf. Within 2 h after resumption of upright posture, neck and calf muscle CSA returned to within 0.5% (P > 0.05) of the values assessed after a day of normal activity, with most of the change occurring within the first 30 min. No further change in muscle CSA was observed through 6 h of upright posture. Despite these large alterations in muscle CSA, T2 was not altered by more than 1.1 +/- 0.6% (P > 0.05) and did not relate to muscle size. These results suggest that postural manipulations and subsequent fluid shifts modeling micro-gravity elicit marked changes in muscle size. Because these responses were not associated with alterations in muscle T2, it does not appear that simple movement of water into muscle can explain the contrast shift observed after exercise.

Carbohydrate ingestion/supplementation or resistance exercise and training.

The physiological and performance effects of carbohydrate ingestion/supplementation on aerobic endurance exercise have been extensively studied. However, little attention has been given to the effects of carbohydrate ingestion on resistance exercise and training. Recent evidence suggests that resistance exercise can elicit a considerable glycogenolytic effect, which can lead to fatigue and strength loss. The ability of carbohydrate ingestion immediately before and during resistance exercise to enhance performance is unclear at present, however carbohydrate ingestion following resistance exercise has been shown to enhance muscle glycogen resynthesis. This may decrease recovery time following resistance exercise and enable an increase in training volume which may enhance physiological adaptations. Also, carbohydrate ingestion during or immediately after resistance exercise has been shown to increase postexercise insulin and growth hormone levels, which may lead to increased protein synthesis and hypertrophy, although this has not been systematically investigated. Despite the potential benefits of carbohydrate ingestion for performance of resistance exercise and adaptation to resistance training, at present little empirical evidence is available to support this hypothesis.

Noninvasive analysis of human neck muscle function.

STUDY DESIGN: Muscle use evoked by exercise was determined by quantifying shifts in signal relaxation times of T2-weighted magnetic resonance images. Images were collected at rest and after exercise at each of two intensities (moderate and intense) for each of four head movements: 1) extension, 2) flexion, 3) rotation, and 4) lateral flexion. OBJECTIVE: This study examined the intensity and pattern of neck muscle use evoked by various movements of the head. The results will help elucidate the pathophysiology, and thus methods for treating disorders of the cervical musculoskeletal system. SUMMARY OF BACKGROUND DATA: Exercise-induced contrast shifts in T2 has been shown to indicate muscle use during the activity. The noninvasive nature of magnetic resonance imaging appears to make it an ideal approach for studying the function of the complex neuromuscular system of the neck. METHODS: The extent of T2 increase was examined to gauge how intensely nine different neck muscles or muscle pairs were used in seven subjects. The absolute and relative cross-sectional area of muscle showing a shift in signal relaxation was assessed to infer the pattern of use among and within individual neck muscles or muscle pairs. RESULTS: Signal relaxation increased with exercise intensity for each head movement. The absolute and relative cross-sectional area of muscle showing a shift in signal relaxation also increased with exercise load. Neck muscles or muscle pairs extensively used to perform each head movement were: extension--semispinalis capitis and cervicis and splenius capitis; flexion--sternocleidomastoid and longus capitis and colli; rotation--splenius capitis, levator scapulae, scalenus, semispinalis capitis ipsilateral to the rotation, and sternocleidomastoid contralateral; and lateral flexion--sternocleidomastoid CONCLUSION: The results of this study, in part, agree with the purported functions of neck muscles derived from anatomic location. This also was true for the few selected muscles that have been examined in human electromyographic studies. Neck muscle function and morphology can be studied at a detailed level using exercise-induced shifts in magnetic resonance images.