Men and women show different adaptations of quadriceps activity following fatiguing contractions: An explanation for the increased incidence of sports-related knee injuries in women?

We investigated whether adaptations of quadriceps muscle activity to fatiguing exercise differs between sexes. Fifteen healthy men (age, mean ± SD; 22. ± 2.4 yr, body mass 70.5 ± 11.4 kg, height 1.72 ± 0.06 m) and 15 healthy women (age, mean ± SD; 21 ± 1.8 yr, body mass 60 ± 7.5 kg, height 1.62 ± 0.07 m), all right leg dominant, participated in the study. Participants performed a submaximal isometric knee extension contraction at 50% of the maximum voluntary contraction (MVC) sustained until task failure before and after a fatiguing exercise. Surface electromyography (EMG) was simultaneously recorded from nine regions distributed over the medial, middle and lateral locations of the quadriceps muscles in a longitudinal direction corresponding to the vastus medialis, rectus femoris (RF) and vastus lateralis muscle, respectively. A significant reduction in maximal force and time to task failure were observed after fatiguing exercise for both sexes (P < 0.001). However, women displayed greater myoelectric manifestations of fatigue specifically for the RF during the post-fatigue sustained contraction (P < 0.05). The RF is more susceptible to fatiguing exercise in women compared to men which may partly explain the higher risk of knee injuries among female athletes during competitive sports.

Muscle fiber conduction velocity of the vastus medilais and lateralis muscle after eccentric exercise induced-muscle damage.

Change in muscle fiber conduction velocity (MFCV) has been reported after eccentric exercise induces muscle fiber damage, most likely due to a change in membrane permeability of the injured fiber. The extent of damage to the muscle fiber depends on the morphological and architectural characteristics of the muscle fibers. Morphological and architectural characteristics of the VMO muscle fibers are different from VL muscle. Thus, it is expected that eccentric exercise of quadriceps muscle results in a non-uniform fiber damage within the VMO and VL muscle and, as a consequence, non-uniform changes in membrane excitability and conduction velocity. The aim of the study was to investigate MFCV of the VMO and VL muscles before and 24 h after eccentric exercise. Multichannel surface EMG signals were concurrently recorded from the right VMO and VL muscles of 15 healthy men during sustained isometric contractions at 50% of the maximal force. Maximal voluntary force significantly reduced after eccentric exercise with respect to the pre-exercise condition (P < 0.0001). MFCV decreased over time during the sustained contractions at faster rates when assessed 24 h after exercise (VMO = -26.1; VL = -20.1) with respect to the pre-exercise condition (VMO = -9.1; VL = -13.7, P < 0.0001). Moreover, VMO showed a greater rate of reduction in MFCV over sustained contraction (26.1 ±â€¯10.7%) in comparison with VL muscle (20.1 ±â€¯8.5%, P < 0.025) 24 h after eccentric exercise. The result indicates that eccentric exercise contributes to a larger reduction in MFCV within the VMO muscle as compared to the VL muscle. This may abolish the ability of VMO to counteract the lateral pull of the VL muscle during knee extension, thereby leaving the knee complex more vulnerable to injury.

The effect of eccentric exercise and delayed onset muscle soreness on the homologous muscle of the contralateral limb.

High intensity eccentric exercise induces muscle fiber damage and associated delayed-onset muscle soreness (DOMS) resulting in an impaired ability of the muscle to generate voluntary force. This study investigates the extent to which DOMS, induced by high intensity eccentric exercise, can affect the activation and performance of the non-exercised homologous muscle of the contralateral limb. Healthy volunteers performed maximal voluntary contractions of knee extension and sustained isometric knee extension at 50% of maximal force until task failure on both the ipsilateral exercised limb and the contralateral limb. Surface electromyography (EMG) was recorded from the ipsilateral and contralateral knee extensor muscles (vastus medialis, rectus femoris, and vastus lateralis). Maximal isometric knee extension force (13.7% reduction) and time to task failure (38.1% reduction) of the contralateral non-exercised leg decreased immediately after eccentric exercise, and persisted 24 h and 48 h later (p < 0.05). Moreover, the amplitude of muscle activity recorded from the contralateral knee extensor muscles was significantly lower during the post exercise maximal and submaximal contractions following high intensity eccentric exercise of the opposite limb (p < 0.05). Unilateral high intensity eccentric exercise of the quadriceps can contribute to reduced neuromuscular activity and physical work capacity of the non-exercised homologous muscle in the contralateral limb.

The effect of high speed strength training with heavy and low workloads on neuromuscular function and maximal concentric quadriceps strength.

BACKGROUND: Dynamic strength training has been widely used to increase the ability of skeletal muscle to produce muscle force. Manipulating resistance training program variables has been commonly used as a tool to optimize maximum strength. This study examined the effects of 12 weeks of high-speed strength training with low and heavy workloads on muscle strength and neuromuscular function of quadriceps muscle. METHODS: Thirty male subjects (age, mean±SD, 20.6±2.6 yr, body mass 70.4±12.9 kg, height 1.76±0.09 m) with no history of knee injury or trauma participated to the study. Subjects were randomly divided into two training groups, low workload training (40% 1RM) and heavy workload training (80% 1RM). One repetition of maximum leg-press measured before and after 12 weeks training. Moreover, surface electromyograpic signals were recorded from vastus medialis and lateralis muscle during one repetition of maximum leg-press before and after 12 weeks training. RESULTS: High speed training with heavy workload-low repetition resulted in a greater increase (41.8%±4.3) in maximal concentric quadriceps strength compared with high speed training with low workloads-high repetition (23.3%±2.7; F=3.8, P<0.035). Average rectified value of EMG after 12 weeks high speed training with heavy workload- low repetition was significantly larger than those observed after high speed training with low workload- high repetition (F=5.5, P<0.039). CONCLUSIONS: The result indicates that, high speed movement combined with heavy workload is an effective stimulus for neural adaptations to training, which in turn result in greater improvement in muscle strength.

Time to task failure of the contralateral untrained limb after high load-low repetition eccentric and low load-high repetition resistance training

Abstract Aims: Cross-training is the process whereby training of one limb gives rise to enhancements in the performance of the opposite, untrained limb and may be dependent on type of muscle contractions performed. The aim of this study was to investigate whether unilateral resistance training using eccentric contraction is more effective than concentric resistance training to improve time to task failure in the contralateral untrained limb. Methods:Subjects completed 12 weeks of resistance training consisting of 36 sessions, using unilateral leg exercise. Sustained isometric knee extension performed at 50% of maxmal force until task failure for the contralateral untrained leg. Surface electromyography (EMG) signals were simultaneously recorded from contralateral untrained quadriceps (vastusmedialis, rectus femoris, and vastuslateralis). Results: Time to task failure of the contralateraluntrained leg and associated EMG activitiessignificantly increased after 12 weeks ofunilateral resistance training(p<0.05). However, percent increase in time to task failure and EMG amplitude after eccentric resistance training was significantly higher than concentric resistance training (p<0.05). Conclusion: This study concluded that unilateral eccentric resistancetraining is superior to concentric resistance training to increase time to task failure in the contralateral untrained limb.(AU)

Physiological and Neural Adaptations to Eccentric Exercise: Mechanisms and Considerations for Training.

Eccentric exercise is characterized by initial unfavorable effects such as subcellular muscle damage, pain, reduced fiber excitability, and initial muscle weakness. However, stretch combined with overload, as in eccentric contractions, is an effective stimulus for inducing physiological and neural adaptations to training. Eccentric exercise-induced adaptations include muscle hypertrophy, increased cortical activity, and changes in motor unit behavior, all of which contribute to improved muscle function. In this brief review, neuromuscular adaptations to different forms of exercise are reviewed, the positive training effects of eccentric exercise are presented, and the implications for training are considered.

Delayed onset of vastii muscle activity in response to rapid postural perturbations following eccentric exercise: a mechanism that underpins knee pain after eccentric exercise?

BACKGROUND: Appropriate timing of activity of the vastus medialis obliqus (VMO) and vastus lateralis (VL) muscles is a key factor for proper tracking of the patella in the trochlear groove during knee extension. This study investigates the relative timing of activation of the VMO and VL muscles during unexpected perturbations performed before and after eccentric exercise. METHODS: Surface electromyography signals were recorded from the VMO and VL muscles of the right leg in 11 healthy men during rapid postural perturbations performed at baseline, immediately after eccentric exercise of the quadriceps, and at 24 and 48 h after exercise. Participants stood on a moveable platform during which eight randomised postural perturbations were performed (4 repetitions of 2 perturbation types: 8 cm forward slides, 8 cm backward slides). RESULTS: Before the eccentric exercise, the onset of VMO activity was significantly earlier than the VL muscle (average for both forward and backward perturbations: VMO 39.0±7.1 ms; VL 43.7±7.9 ms). However, the onset of VMO activity was significantly later compared with VL muscle immediately after eccentric exercise and this remained 24 and 48 h after eccentric exercise (average across all postexercise sessions and perturbation directions: VMO 72.3±11.1 ms; VL 56.0±8.2 ms; p<0.05). CONCLUSIONS: The onset of VMO-VL activity in response to rapid destabilising perturbations is altered immediately after eccentric exercise and during eccentric exercise-induced muscle soreness up to 48 h later. These observations may help explain the high prevalence of knee disorders after high intensity eccentric exercise.

Effect of eccentric exercise-induced muscle damage on electromyographyic activity of quadriceps in untrained healthy females.

BACKGROUND: The aim of this study was to investigate muscle damage indicators and electromyography activities of quadriceps muscles at 25° of hip flexion in untrained healthy females after an eccentric exercise induced muscle fiber damage. METHODS: A total of 14 healthy females participated in this pre-experimental study. The subjects performed maximal eccentric quadriceps contractions at 25˚ of hip flexion. Maximum voluntary extensor isometric and concentric moments, angle of maximum moment for concentric contractions, perceived pain intensity, and pain pressure threshold were examined before, immediately, 48 hours, 120 hours and 14 days after eccentric exercise. Additionally, electromyography of three parts of quadriceps muscle, knee flexion range of motion and thigh circumference were measured before and after eccentric exercise. RESULTS: Significant reductions in maximum isometric moment and maximum concentric moment were observed at angular velocity of 60˚ per sec immediately after eccentric exercise (p<0.05). Both maximum isometric moment and maximum concentric moment recovered to the baseline 48 hours after eccentric exercise. Increased pain intensity and decreased knee joint range of motion manifested 48 hours after eccentric exercise. Pain pressure threshold for the quadriceps was higher 14 days after exercise as compared to 48 and 120 hours (p<0.05). No significant changes observed in electromyography and thigh circumference (p>0.05). CONCLUSION: Eccentric exercise performed at 25˚ of hip flexion resulted in muscle fiber injuries within the quadriceps muscle. However, electromyography of quadriceps muscle was not significantly different than the baseline. The result indicates that hip joint position may modify the effect of eccentric exercise on muscle activation.

Non-uniform muscle adaptations to eccentric exercise and the implications for training and sport.

Due to the variations in morphological and architectural characteristics of fibers within a skeletal muscle, regions of a muscle may be differently affected by eccentric exercise. Although eccentric exercise may be beneficial for increasing muscle mass and can be beneficial for the treatment of tendinopathies, the non-uniform effect of eccentric exercise results in regional muscle damage and as a consequence, non-uniform changes in muscle activation. This regional muscle weakness can contribute to muscle strength imbalances and may potentially alter the load distribution on joint structures, increasing the risk of injury. In this brief review, the non-uniform effects of eccentric exercise are reviewed and their implications for training and sport are considered.

Delayed-onset muscle soreness alters the response to postural perturbations.

INTRODUCTION: Eccentric contractions induce muscle fiber damage that is associated with delayed-onset muscle soreness and an impaired ability of the muscle to generate voluntary force. Pain and pathophysiological changes within the damaged muscle can delay or inhibit neuromuscular responses at the injured site, which is expected to have an effect on reflex activity of the muscle. PURPOSE: The aim of the study was to investigate the reflex activity of knee muscles to rapid destabilizing perturbations, before, immediately after, and 24 and 48 h after eccentric exercise. METHODS: Bipolar surface EMG signals were recorded from 10 healthy men with seven pairs of electrodes located on the knee extensor muscles (vastus medialis, rectus femoris, and vastus lateralis) and knee flexor muscles (the medial and lateral heads of the hamstring and the medial and lateral heads of gastrocnemius) of the right leg during rapid perturbations. RESULTS: The maximal voluntary contraction force decreased by 24% ± 4.9% immediately after exercise and remained reduced by 21.4% ± 4.1% at 24 h and by 21.6% ± 9.9% at 48 h after exercise with respect to baseline. During the postexercise postural perturbations, the EMG average rectified value of the knee extensor muscles was significantly lower than baseline (P < 0.001). Moreover, the decrease in average rectified value over time during postexercise sustained contractions was greatest compared with the session before exercise (P < 0.0001). CONCLUSIONS: Reflex activity in leg muscles elicited by rapid destabilizing perturbations is reduced after exercise-induced muscle soreness.

Motor unit conduction velocity during sustained contraction after eccentric exercise.

BACKGROUND: Eccentric contractions induce muscle fiber damage that is associated with a decreased capacity to generate voluntary force and increased fiber membrane permeability. Changes in fiber membrane permeability results in cell depolarization that is expected to have an effect on the action potential propagation velocity of the muscle fibers. PURPOSE: The aim of the study was to investigate the action potential propagation velocity in individual motor units before and 24 and 48 h after eccentric exercise. METHODS: Multichannel surface and fine-wire intramuscular EMG signals were concurrently recorded from two locations of the right vastus medialis muscle of 10 healthy men during 60-s isometric contractions at 10% and 30% of the maximal force. RESULTS: The maximal force decreased by 26.1 ± 16.1% (P < 0.0001) at 24 h and remained reduced by 23.6 ± 14.5% (P < 0.0001) 48 h after exercise with respect to baseline. With respect to baseline, motor unit conduction velocity decreased (P < 0.05) by (average over 24 and 48 h after exercise) 7.7 ± 2.7% (10% maximal voluntary contraction (MVC), proximal), 7.2 ± 2.8% (10% MVC, distal), 8.6 ± 3.8% (30% MVC, proximal), and 6.2 ± 1.5% (30% MVC, distal). Moreover, motor unit conduction velocity decreased over time during the sustained contractions at faster rates when assessed 24 and 48 h after exercise with respect to baseline for both contraction forces and locations (P < 0.05). CONCLUSIONS: These results indicate that the electrophysiological membrane properties of muscle fibers are altered by exercise-induced muscle fiber damage.

Sensory and electromyographic mapping during delayed-onset muscle soreness.

PURPOSE: The aim of this human study was to apply novel topographical mapping techniques to investigate sensory and EMG manifestations of delayed-onset muscle soreness (DOMS) in multiple locations of the quadriceps. METHODS: Bipolar surface EMG signals were recorded from 11 healthy men with 15 pairs of electrodes located at 10, 20, 30, 40, and 50% of the distance from the medial, superior, and lateral border of the patella to the anterior superior iliac spine. Subjects performed sustained isometric knee extensions at 40% of the maximal force (MVC) until task failure before, 24 h, and 48 h after eccentric exercise. Pressure-pain thresholds (PPT) were assessed at the 15 locations where the EMG was recorded. RESULTS: Time to task failure was reduced after the eccentric exercise (mean +/- SD, 56.6 +/- 23 s before the eccentric exercise; 34.3 +/- 18.9 s at 24 h after exercise; and 34.3 +/- 14.4 s at 48 h after exercise). During the postexercise sustained contractions, EMG average rectified value (ARV) significantly decreased over time (P < 0.001), but it did not change over time before the eccentric exercise. Moreover, the decrease in ARV over time during postexercise contractions was greatest in the distal region of the quadriceps, where the PPT were most reduced (P < 0.05). CONCLUSION: Novel topographical mapping of both surface EMG and PPT of the quadriceps showed site-dependent effects of eccentric exercise, probably attributable to variations in the morphological and architectural characteristics of the muscle fibers. Greater manifestations of DOMS in the distal region of the quadriceps may indicate a greater susceptibility of this region to further injury after eccentric exercise.

Non-uniform electromyographic activity during fatigue and recovery of the vastus medialis and lateralis muscles.

The aim of the study was to investigate EMG signal features during fatigue and recovery at three locations of the vastus medialis and lateralis muscles. Surface EMG signals were detected from 10 healthy male subjects with six 8-electrode arrays located at 10%, 20%, and 30% of the distance from the medial (for vastus medialis) and lateral (vastus lateralis) border of the patella to the anterior superior spine of the pelvic. Subjects performed contractions at 40% and 80% of the maximal force (MVC) until failure to maintain the target force, followed by 20 2-s contractions at the same force levels every minute for 20 min (recovery). Average rectified value, mean power spectral frequency, and muscle fiber conduction velocity were estimated from the EMG signals in 10 epochs from the beginning of the contraction to task failure (time to task failure, mean+/-SD, 70.7+/-25.8s for 40% MVC; 27.4+/-16.8s for 80% MVC) and from the 20 2s time intervals during recovery. During the fatiguing contraction, the trend over time of EMG average rectified value depended on location for both muscles (P<0.05). After 20-min recovery, mean frequency and conduction velocity of both muscles were larger than in the beginning of the fatigue task (P<0.05) (supernormal values). Moreover, the trend over time of mean frequency during recovery was affected by location and conduction velocity values depended on location for both muscles (P<0.05). The results indicate spatial dependency of EMG variables during fatigue and recovery and thus the necessity of EMG spatial sampling for global muscle assessment.

Motor unit conduction velocity during sustained contraction of the vastus medialis muscle.

The aim of the study was to analyze motor unit conduction velocity at varying force of the vastus medialis muscle during sustained contraction. Surface (8-electrode array) and intramuscular (two wire electrodes) EMG signals were recorded from the distal part of the dominant vastus medialis muscle of ten healthy male subjects. The subjects sat on a chair with the knee 90 degrees flexed and performed seven 180-s long contractions at forces in the range 2.5-30% of the maximal voluntary contraction force. For each force level, the discharge patterns of the newly recruited motor units with respect to the previous force level were identified from the intramuscular recordings and used as trigger for averaging the surface EMG signals. Motor unit conduction velocity was estimated from the averaged surface EMG. Average discharge rate at which motor units were analyzed was the same for each force level (mean +/- SD, 8.3 +/- 0.8 pulses per second). Motor unit conduction velocity at the beginning of the contraction and its rate of change over time increased with force (P < 0.05). Conduction velocity at the beginning of the contraction estimated from the interference surface EMG (4.44 +/- 0.66 m/s) and from single motor units (4.75 +/- 0.56 m/s) were positively correlated (R (2) = 0.46; P < 0.0001) but significantly different (P < 0.05). The results indicate that single motor unit conduction velocity and its rate of change during sustained contraction, assessed at a fixed discharge rate, depend on force level.