RESUMEN
Currently, myofascial pain has become one of the main problems in healthcare systems. Research into its causes and the structures related to it may help to improve its management. Until some years ago, all the studies were focused on muscle alterations, as trigger points, but recently, fasciae are starting to be considered a new, possible source of pain. This systematic review has been conducted for the purpose of analyze the current evidence of the muscular/deep fasciae innervation from a histological and/or immunohistochemical point of view. A literature search published between 2000 and 2021 was made in PubMed and Google Scholar. Search terms included a combination of fascia, innervation, immunohistochemical, and different immunohistochemical markers. Of the 23 total studies included in the review, five studies were performed in rats, four in mice, two in horses, ten in humans, and two in both humans and rats. There were a great variety of immunohistochemical markers used to detect the innervation of the fasciae; the most used were Protein Gene Marker 9.5 (used in twelve studies), Calcitonin Gene-Related Peptide (ten studies), S100 (ten studies), substance P (seven studies), and tyrosine hydroxylase (six studies). Various areas have been studied, with the thoracolumbar fascia being the most observed. Besides, the papers highlighted diversity in the density and type of innervation in the various fasciae, going from free nerve endings to Pacini and Ruffini corpuscles. Finally, it has been observed that the innervation is increased in the pathological fasciae. From this review, it is evident that fasciae are well innerved, their innervation have a particular distribution and precise localization and is composed especially by proprioceptors and nociceptors, the latter being more numerous in pathological situations. This could contribute to a better comprehension and management of pain.
Asunto(s)
Fascia , Fenómenos Fisiológicos Musculoesqueléticos , Animales , Fascia/metabolismo , Caballos , Mecanorreceptores , Ratones , Dolor/metabolismo , Ratas , Células Receptoras Sensoriales/metabolismoRESUMEN
PURPOSE: Considering the fascial continuity and its biomechanical characteristics, the purpose of this study was to assess the change in muscular stiffness (Dm) of the upper trapezius muscles after the application of myofascial induction therapy (MIT) to the masticatory muscles of musicians. METHODS: This was a pre-posttest design involving one treatment. SUBJECTS: The total sample was 33 subjects (n = 33). The experimental group comprised 18 violin, viola, and woodwind players, and the control group was comprised of 15 non-musicians. The outcome measures included pre-posttest measurements with tensiomyography of the upper trapezius (muscle stiffness, Dm), and baseline neck disability (Neck Disability Index), and pain (SF-36 questionnaire). The experimental group received MIT for 5 minutes on each side of the lateral pterygoid muscle. The control group assumed a supine position for 10 minutes. RESULTS: After the intervention, there was a significant difference in Time per Group (F = 2.896, p = 0.034, Æ2p = 0.367, and w = 0.755). There were statistically significant differences in pre-post and side-by-side analyses for the Dm of the upper trapezius in the experimental group as well as between the two groups. CONCLUSION: MIT of the lateral pterygoids is effective in decreasing upper trapezius stiffness as measured by an increase in the Dm measured by tensiomyography. The greatest change occurred in musicians with a lower percentage of Neck Disability Index at baseline.
Asunto(s)
Música , Músculos Superficiales de la Espalda , Humanos , Quimioterapia de Inducción , Dolor de Cuello , Músculos PterigoideosRESUMEN
Martín-Rodríguez, S, Loturco, I, Hunter, AM, Rodríguez-Ruiz, D, and Munguia-Izquierdo, D. Reliability and measurement error of tensiomyography to assess mechanical muscle function: A systematic review. J Strength Cond Res 31(12): 3524-3536, 2017-Interest in studying mechanical skeletal muscle function through tensiomyography (TMG) has increased in recent years. This systematic review aimed to (a) report the reliability and measurement error of all TMG parameters (i.e., maximum radial displacement of the muscle belly [Dm], contraction time [Tc], delay time [Td], half-relaxation time [½ Tr], and sustained contraction time [Ts]) and (b) to provide critical reflection on how to perform accurate and appropriate measurements for informing clinicians, exercise professionals, and researchers. A comprehensive literature search was performed of the Pubmed, Scopus, Science Direct, and Cochrane databases up to July 2017. Eight studies were included in this systematic review. Meta-analysis could not be performed because of the low quality of the evidence of some studies evaluated. Overall, the review of the 9 studies involving 158 participants revealed high relative reliability (intraclass correlation coefficient [ICC]) for Dm (0.91-0.99); moderate-to-high ICC for Ts (0.80-0.96), Tc (0.70-0.98), and ½ Tr (0.77-0.93); and low-to-high ICC for Td (0.60-0.98), independently of the evaluated muscles. In addition, absolute reliability (coefficient of variation [CV]) was low for all TMG parameters except for ½ Tr (CV = >20%), whereas measurement error indexes were high for this parameter. In conclusion, this study indicates that 3 of the TMG parameters (Dm, Td, and Tc) are highly reliable, whereas ½ Tr demonstrate insufficient reliability, and thus should not be used in future studies.
Asunto(s)
Contracción Muscular/fisiología , Músculo Esquelético/fisiología , Humanos , Reproducibilidad de los Resultados , Factores de Tiempo , Adulto JovenRESUMEN
In this study, we used tensiomyography (TMG) to assess muscle status immediately after an ultra-endurance triathlon. Maximal radial displacement or deformation of the muscle belly, contraction time, delay time, sustain time, and relaxation time were measured for both legs, and dependent t-tests were used to compare means between the beginning and end of the race. The 19 men assessed (age 37.9 ± 7.1 years; height 177.5 ± 4.6 cm; weight: 73.6 ± 6.5 kg) participated in the 2009 edition of the Lanzarote Ironman. Deterioration in the neural response was observed for contraction time (P = 0.008) and relaxation time (P = 0.011), with a moderate decrease in the response time (sustain time) and a loss in muscle stiffness (deformation of the muscle belly). The effect of muscle fatigue on the rectus femoris and biceps femoris was different. Barely any changes in contraction time, relaxation time, sustain time, and deformation of the muscle belly were observed, while only the contraction response time decreased to a significant extent (reduction in delay time; P = 0.003). The considerable loss in contractile capacity induced by a long-distance race was reflected in changes in the neuromuscular response and fluctuations in the contractile capacity of the muscle. These modifications, derived from a prolonged, exhausting effort, can be assessed in a simple, non-aggressive, non-invasive way using tensiomyography.
Asunto(s)
Fatiga Muscular/fisiología , Músculo Esquelético/fisiología , Resistencia Física/fisiología , Deportes/fisiología , Adulto , Brazo/fisiología , Ciclismo/fisiología , Humanos , Pierna/fisiología , Masculino , Contracción Muscular/fisiología , Miografía/métodos , Músculo Cuádriceps/fisiología , Carrera/fisiología , Natación/fisiologíaRESUMEN
The aim of this study was to determine whether the in-game role of players (setter, outside, middle, or opposite player) in elite women's volleyball is significantly related to the characteristics of their service. The sample consisted of 1,300 service deliveries (total serves for all matches) made by players in the 8 teams participating in 2 Final 4 stages of the Indesit European Champions League. The variables recorded were in-game role of the server, service type, speed of delivery, service area, target zone, and effectiveness of delivery. Results showed a significant relation between the server's in-game role and service type (p Asunto(s)
Voleibol/fisiología
, Rendimiento Atlético/fisiología
, Rendimiento Atlético/estadística & datos numéricos
, Femenino
, Humanos
, Factores de Tiempo
, Voleibol/estadística & datos numéricos
RESUMEN
BACKGROUND: Futsal is a team sport involving intermittent technical actions of high intensity, and high physical (strength) and muscular demands. In this regard, the tensiomyography (TMG) is a useful and non-invasive tool for the monitoring and assessment of the muscle's contractile capacity. This study aimed to analyze the changes in the contractile properties produced during the season, as well as to determine the potential cumulative effect of a resistance training (RT) program in futsal players. METHODS: Fourteen elite futsal players (2 goalkeepers, 4 defenders, 4 wingers and 3 pivots) were assessed by TMG at 11th, 18th, and 28th week of the season. The maximal radial displacement of the muscle belly (Dm); contraction time (Tc); delay time (Td) and radial displacement velocity (90%) Dm (VrD90) were assessed. After the second measurement, a RT program was included in the regular training sessions and focused on the lower body musculature. It was performed during 9 weeks (1-weekly). Finally, a third measurement was performed between 28th-29th weeks. Repeated measures analysis of variance was used to detect in-season changes. Two factors were included: Time (changes detected after resistance training program) was used as the within-subject factor and the specific position was used as the between-subject factor. RESULTS: An increment in Tc for several muscles: biceps femoris (BF; P=0.02), semitendinosus (ST; P=0.04), adductor longus (AL; P=0.008) and gastrocnemius medialis (GM; P=0.009) was observed throughout the season. Similarly, significant increments in Dm for GM (P=0.02) and AL (P=0.05), as well as increments in Td for BF (P=0.002) were found. Moreover, no significant changes in VrD90 between time points 2-3 (analysis of RT effect) were observed. Additionally, the player´s positions reported no significant changes for any of the variables analyzed. CONCLUSIONS: An increase respect to baseline levels was observed for Tc, Td and Dm during the season. However, the adaptations to contractile properties were muscle specific. In addition, an in-season 9-week RT program (1-weekly), had no significant effects (time points 2-3) on the contractile properties of futsal players. In addition, there were no differences when comparing different positions.
Asunto(s)
Extremidad Inferior/fisiología , Contracción Muscular/fisiología , Músculo Esquelético/fisiología , Fútbol/fisiología , Adaptación Fisiológica , Adulto , Humanos , Estudios Longitudinales , Masculino , Entrenamiento de Fuerza , Estaciones del Año , Adulto JovenRESUMEN
Under hypoxia, alterations in muscle contractile properties and faster fatigue development have been reported. This study investigated the efficacy of tensiomyography (TMG) in assessing muscle contractile function at acute moderate altitude. Biceps femoris (BF) and vastus lateralis (VL) muscles of 18 athletes (age 20.1 ± 6.1 years; body mass 65.4 ± 13.9 kg; height 174.6 ± 9.5 cm) were assessed at sea level and moderate altitude using electrically evoked contractions on two consecutive days. Maximum radial displacement (Dm), time of contraction (Tc), reaction time (Td), sustained contraction time (Ts), and relaxation time (Tr) were recorded at 40, 60, 80, and 100 mA. At altitude, VL showed lower Dm values at 40 mA (p = 0.008; ES = -0.237). Biceps femoris showed Dm decrements in all electrical stimulations (p < 0.001, ES > 0.61). In VL, Tc was longer at altitude at 40 (p = 0.031, ES = 0.56), and 100 mA (p = 0.03, ES = 0.51). Regarding Td, VL showed significant increases in all electrical intensities under hypoxia (p ≤ 0.03, ES ≥ 0.33). TMG appears effective at detecting slight changes in the muscle contractile properties at moderate altitude. Further research involving TMG along with other muscle function assessment methods is needed to provide additional insight into peripheral neuromuscular alterations at moderate altitude.
Asunto(s)
Altitud , Contracción Muscular/fisiología , Tono Muscular/fisiología , Músculo Esquelético/fisiología , Miografía/métodos , Adolescente , Adulto , Humanos , Hipoxia/fisiopatología , Músculo Cuádriceps/fisiología , Tiempo de Reacción , Adulto JovenRESUMEN
The purpose of the present study was to assess the ability of TMG in detecting mechanical fatigue induced by two different resistance exercises on biceps brachii: high-volume (HV), and high-load (HL). Sixteen healthy subjects (age 25.1±2.6years; body mass 79.9±8.9kg; height 179±7.4cm) performed arm-curl in two different protocols (HV: 8×15×10kg, HL: 5×3×30kg). Tensiomyography was used to assess muscle response to both exercise protocols. The contractile capacity of biceps brachii significantly varied by means of the effects of potentiation and fatigue mechanisms that take place at different exercise phases. The most significant changes correspond to values of maximum radial displacement of muscle belly (D(m)), sustained contraction time (T(s)), relaxation time (T(r)), and contraction velocity (V(c)). The behavior of these parameters is, in general, similar in both exercise protocols, but they show subtle differences among them. During the first set, in both protocols, values for V(c) increase, along with a decrease in T(r), T(s), and D(m) values. Fatigue onset was evident from changes in such parameters, with HL being the first in showing these mechanisms. Tensiomyography has been shown to be highly sensitive in detecting fatigue-induced changes.
Asunto(s)
Ejercicio Físico/fisiología , Contracción Muscular/fisiología , Fatiga Muscular/fisiología , Músculo Esquelético/fisiología , Miografía/métodos , Resistencia Física/fisiología , Entrenamiento de Fuerza/métodos , Adulto , Humanos , Masculino , Esfuerzo Físico/fisiología , Reproducibilidad de los Resultados , Sensibilidad y EspecificidadRESUMEN
OBJECTIVE: This study was designed to analyze changes in muscle response after cold-water immersion. DESIGN: The vastus lateralis of the dominant leg was analyzed in 12 professional soccer players from the Spanish 2nd Division B using tensiomyography, before and after four cold-water immersions at 4°C lasting 4 mins each. Core temperature, skin temperature, and heart rate were monitored. RESULTS: A significant interaction (P ≤ 0.05) was found in muscle deformation between control conditions (5.12 ± 2.27 mm) and (1) immersion 3 (3.64 ± 2.27 mm) and (2) immersion 4 (3.38 ± 1.34 mm). A steady decrease was also observed in response velocity (immersion 1, -7.3%; immersion 2, -25.9%; immersion 3, -30.0%; immersion 4, -36.6%) and contraction velocity (immersion 1, -11.5%; immersion 2, -22.1%; immersion 3, -35.0%; immersion 4, -41.9%), with statistically significant differences (P ≤ 0.05) in relation to the reference values commencing with the third immersion. No significant differences were found between control conditions in subsequent exposures to cold water for the values of response time and contraction time. Sustained time and reaction time showed an increase during repeated exposures and with longer exposure time, although the increase was not statistically significant. CONCLUSIONS: This study shows that repeated cold-water immersions (4 × 4 mins at 4°C) cause considerable alterations to muscle behavior. These alterations significantly affect the state of muscles and their response capacity, particularly in relation to muscle stiffness and muscle contraction velocity.
Asunto(s)
Atletas , Frío , Inmersión , Contracción Muscular/fisiología , Músculo Esquelético/fisiología , Adulto , Frecuencia Cardíaca/fisiología , Humanos , Masculino , Tiempo de Reacción/fisiología , Temperatura Cutánea/fisiología , Fútbol , Factores de TiempoRESUMEN
INTRODUCTION: bodyboarding is a kind of surfing that has been growing very rapidly over the last decade and has now developed into one of the fastest growing water sports in the world. OBJECTIVES: evaluate the effects of fatigue on rectus femoris RF, vastus lateralis VL and vastus medialis VM and biceps femoris BF and semitendinosus ST during a high-level bodyboard competition using tensiomyography TMG. METHODS: subjects were 11 highly experienced years of practice: 15, SD=4.65 male bodyboarders age: 28.17, SD=2.89, body weight: 74.83, SD=6.13kg; height: 179.25, SD=3.93cm; BMI: 23.29, SD=1.81 participating in the final of the 2010 Spanish championship. RESULTS: the fatigue is especially evident due to a decrease in the values of relaxation time Tr and sustain time Ts caused by the specific characteristics of waves, how the waves evolve and the type of manoeuvre executed in competition due to the wave characteristics. The maximum radial displacement Dm value increased slightly in all muscles analysed and normalised response speed Vrn was stable, with a tendency to improve as athletes adapted to the type of physical effort and the environmental conditions of the competition. CONCLUSIONS: the study shows that the fatigue in the extensor and flexor muscles of the knee occurs in response to the demands of competition. .
INTRODUÇÃO: bodyboarding é uma modalidade do surfe que vem crescendo rapidamente nas últimas décadas e atualmente é um dos esportes aquáticos que mais cresce no mundo. OBJETIVO: avaliar o efeito da fadiga nos músculos reto femoral RF, vasto lateral VL, vasto medial VM, bíceps femoral BF e semitendíneo ST durante competição de alto nível através da tensiomiografia TMG. MÉTODOS: a amostra foi composta por 11 bodyboarders de alto nível anos de prática: 15, DP = 4,65, idade: 28,17, DP = 2,89 anos, peso: 74,83, DP = 6,13 kg; estatura: 179,25, DP = 3,93 cm; IMC: 23,29, DP = 1,81, participantes da final do Campeonato Espanhol de 2010. RESULTADOS: a fadiga é evidente devido a uma diminuição dos valores de tempo de relaxamento Tr e tempo de sustentação Ts, que pode ser causada pelas características das ondas, de como elas se comportam e ao tipo de manobras realizadas em competição. Os valores de deslocamento radial máximo Dm aumentaram em todos os músculos analisados e a velocidade de resposta normalizada foi estável, com uma leve tendência à melhora conforme os atletas se adaptam ao tipo de esforço físico e às condições ambientais da competição. CONCLUSÃO: observou-se fadiga da musculatura flexora e extensora do joelho em repostas às demandas da competição. .
INTRODUCCIÓN: el bodyboard es una modalidad del surf que viene creciendo rápidamente en las últimas décadas y actualmente es uno de los deportes acuáticos que más crece en el mundo. OBJETIVOS: evaluar los efectos de la fatiga en los músculos: recto femoral RF, vasto lateral VL, vasto medial VM, bíceps femoral BF y semitendinoso ST durante una competición de alto nivel mediante la tensiomiografia TMG. MÉTODOS: la muestra estaba compuesta por 11 bodyboarders de alto nivel años de práctica: 15, DE = 4,65, edad: 28,17, DE = 2,89, peso: 74.83, DE = 6,13 kg; altura: 179,25, DE = 3,93 cm; IMC: 23,29, DE = 1,81, participantes en la final del Campeonato de España de 2010. RESULTADOS: la fatiga es evidente debido a una disminución de los valores del tiempo de relajación Tr y tiempo de sustentación Ts, que puede ser causada por las características de las olas, de como éstas se comportan y al tipo de maniobras realizadas durante la competición. Los valores de desplazamiento máximo radial Dm aumentaron en todos los músculos analizados y la velocidad de respuesta normalizada Vrn se muestra estable, con tendencia a mejorar, debido a la adaptación de los deportistas al tipo de esfuerzo y a las condiciones ambientales en que se desarrolla la competición. CONCLUSIÓN: el estudio muestra que la fatiga en los músculos extensores y flexores de la rodilla se produce en respuesta a las exigencias propias de la competición. .
RESUMEN
El objetivo de este estudio fue determinar las características antropométricas del jugador español (hombres y mujeres) de voley playa y comparar el perfil antropométrico de estos deportistas en las diferentes categorías en las que se organiza la competición: Sub-19, Sub-21 y Absoluto. Fueron evaluados 150 jugadores (79 hombres y 71 mujeres) participantes en el Campeonato de España de voley playa celebrado en 2011. La estatura presentó valores que responden, en los hombres, a patrones evolutivos propios de edad y morfotipo (Sub19M: 184,50±6,95 cm; Sub21M: 182,89±7,28 cm; AbsM: 186,93±6,58 cm). Este comportamiento no se repitió entre las mujeres (Sub19F: 169,84±6,46 cm; Sub21F: 173,43±5,98 cm; AbsF: 175,28±6,17 cm). El peso muscular aumentó por cada categoría con diferencias estadísticamente significativas entre AbsM vs. Sub19M (p=0,002), AbsM vs. Sub21M (p=0,001) y Sub21F vs. Sub19F (p=0,02). Los valores de peso corporal y porcentaje graso mostraron diferencias menos relevantes con diferencias estadísticamente significativas entre el grupo Sub21F (p=0,003) y el Sub19F (p=0,009). Los jugadores españoles de voley playa Absolutos, tanto hombres como mujeres, presentan un peso corporal y una estatura inferior a la de los jugadores de alto nivel internacional. El peso muscular y el peso graso muestran en ambos sexos, en valores absolutos, valores crecientes con cada categoría de edad, pero no se confirma esta tendencia cuando el parámetro se expresa en porcentajes respecto al peso corporal. El jugador de voley playa tiende a incrementar el valor de la mesomorfia con el cambio de categoría, tanto en hombres (3,33±1,09; 3,77±1,28; 4,28±1,07) como en mujeres (2,75±1,02; 2,86±1,21; 3,36±0,92).
The objective of this study was to determine the anthropometric characteristics of Spanish beach volleyball players (men and women) and compare their anthropometric profile across competition categories: Under 19, Under 21 and Senior. A total of 150 players (79 men and 71 women) participating in the 2011 Spanish Beach Volleyball Championship were assessed. Height values in male players corresponded to development patterns appropriate to age and morphotype (U19M: 184,50±6,95 cm; U21M: 182±7,28 cm; SenM: 186±6,58 cm). This pattern was not repeated in female players (U19W: 169,84±6,46 cm; U21W: 173,43±5,98 cm; SenW: 175,28±6,17 cm). Muscle weight increased by category, with statistically significant differences between SenM vs. U19M (p=0,002), SenM vs. U21M (p=0,001) and U21W vs. U19W (p=0,02). Body weight and fat percentage values showed less pronounced differences, with statistically significant differences between groups U21W (p=0,003) and U19W (p=0,009). Spanish Senior beach volleyball players, both men and women, have lower values for body weight and height than international players. In absolute values, muscle weight and fat weight in both sexes showed increasing values by age category, but this pattern was not confirmed when the parameter was expressed in percentages in relation to body weight. Beach volleyball players tend to increase their mesomorphy value with changes in category, both for men (3,33±1,09; 3,77±1,28; 4,28±1,07) and women (2,75±1,02; 2,86±1,21; 3,36±0,92).
Asunto(s)
Humanos , Masculino , Adolescente , Adulto , Somatotipos , Playas , Composición Corporal , Voleibol , España , Peso Corporal , Antropometría , Distribución por SexoRESUMEN
OBJETIVO: Esta investigação tem por objetivo coletar dados sobre rigidez muscular, as propriedades mecânicas e contráteis dos músculos utilizando a TMG em jogadores de vôlei de praia de alto nível, assim como demonstrar a utilidade deste método para a avaliação dos músculos responsáveis pela flexão e extensão do joelho. MÉTODOS: A investigação foi conduzida com um grupo de 24 jogadores de vôlei de praia os quais participaram do Torneio Europeu Nestea - Master Espanhol realizado nas Ilhas Grâ-Canárias em maio de 2009. O método de estudo utilizado foi comparação de casos individuais de vários atletas com a finalidade de verificar a utilidade deste método em esportes. Os músculos analisados foram: vasto lateral (VL), vasto medial (ML), reto femoral (RF) e bíceps femoral (BF). RESULTADOS: As informações coletadas nos certificam sobre o alto grau de utilidade deste método para avaliação da rigidez muscular e equilíbrio entre estruturas musculares de atletas. Contudo, a validade e reconstrução dos resultados estão condicionadas a um severo protocolo de avaliação. Além disso, os seguintes critérios devem ser considerados: individualidade (o perfil do atleta) e especificações (características do esporte). CONCLUSÕES: A aplicação da TMG em jogadores de alto nível revela a existência de importantes diferenças dependendo de suas funções em jogo (defesa, bloqueio ou alternância entre ambas as posições), as ações técnicas, a posição em quadra (direita-esquerda) e o histórico de lesões médicas.
OBJECTIVE: The aim of this investigation is to obtain information about muscle stiffness, the mechanic and contractile properties of the muscles using the TMG with high level beach volleyball players as well as to demonstrate the usefulness of this method to evaluate the muscles in charge of the knee flexion and extension. METHODS: The investigation was carried out with a group of 24 beach volleyball players who took part in the Nestea European Championship Tour - Spanish Master held in the Gran Canaria, May 2009. The method of study used was a comparison of the individual cases of various athletes to ascertain the usefulness of this method in sports. The muscles which were analyzed are: vastus lateralis (VL), vastus medialis (ML), rectus femoris (RF) and biceps femoris (BF). RESULTS: Thus, with the information collected we can state the high level of usefulness of this method for the evaluation of muscle stiffness and balance between muscle structures of athletes. However, the validity and reconstruction of the results are conditioned to a strict protocol of evaluation. Moreover, the following criteria should be considered: individuality (the athlete's profile) and specifications (sport characteristics). CONCLUSIONS: The application of the TMG to high level players reveals the existence of important differences depending on their different roles in the game (defence, blocker or alternating both roles), the technical actions, the position on court (right-left) and the medical history of injuries.