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2.
J Int Soc Sports Nutr ; 18(1): 60, 2021 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-34503541

RESUMO

BACKGROUND: Numerous studies have demonstrated the efficacy of creatine supplementation for improvements in exercise performance. Few studies, however, have examined the effects of phosphocreatine supplementation on exercise performance. Furthermore, while polyphenols have antioxidant and anti-inflammatory properties, little is known regarding the influence of polyphenol supplementation on muscular strength, power, and endurance. Thus, the purpose of the present study was to compare the effects of 28 days of supplementation with phosphocreatine disodium salts plus blueberry extract (PCDSB), creatine monohydrate (CM), and placebo on measures of muscular strength, power, and endurance. METHODS: Thirty-three men were randomly assigned to consume either PCDSB, CM, or placebo for 28 days. Peak torque (PT), average power (AP), and percent decline for peak torque (PT%) and average power (AP%) were assessed from a fatigue test consisting of 50 maximal, unilateral, isokinetic leg extensions at 180°·s- 1 before and after the 28 days of supplementation. Individual responses were assessed to examine the proportion of subjects that exceeded a minimal important difference (MID). RESULTS: The results demonstrated significant (p < 0.05) improvements in PT for the PCDSB and CM groups from pre- (99.90 ± 22.47 N·m and 99.95 ± 22.50 N·m, respectively) to post-supplementation (119.22 ± 29.87 N·m and 111.97 ± 24.50 N·m, respectively), but no significant (p = 0.112) change for the placebo group. The PCDSB and CM groups also exhibited significant improvements in AP from pre- (140.18 ± 32.08 W and 143.42 ± 33.84 W, respectively) to post-supplementation (170.12 ± 42.68 W and 159.78 ± 31.20 W, respectively), but no significant (p = 0.279) change for the placebo group. A significantly (p < 0.05) greater proportion of subjects in the PCDSB group exceeded the MID for PT compared to the placebo group, but there were no significant (p > 0.05) differences in the proportion of subjects exceeding the MID between the CM and placebo groups or between the CM and PCDSB groups. CONCLUSIONS: These findings indicated that for the group mean responses, 28 days of supplementation with both PCDSB and CM resulted in increases in PT and AP. The PCDSB, however, may have an advantage over CM when compared to the placebo group for the proportion of individuals that respond favorably to supplementation with meaningful increases in muscular strength.


Assuntos
Força Muscular/efeitos dos fármacos , Músculo Esquelético/efeitos dos fármacos , Fosfocreatina/farmacologia , Resistência Física/efeitos dos fármacos , Extratos Vegetais/farmacologia , Mirtilos Azuis (Planta)/química , Creatina , Suplementos Nutricionais , Método Duplo-Cego , Humanos , Masculino , Torque , Adulto Jovem
3.
Otolaryngol Head Neck Surg ; : 1945998211034454, 2021 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-34372707

RESUMO

OBJECTIVES: There is little research on the rate and risk factors for revision tonsillectomy after primary intracapsular tonsillectomy. Our study aimed to determine the revision rate following intracapsular tonsillectomy, identify patient characteristics that may increase the probability of revision surgery, and report the tonsillar hemorrhage rate after revision. STUDY DESIGN: Level III, retrospective case-control study. SETTING: A tertiary care pediatric center (Alfred I. duPont Hospital for Children, Wilmington, Delaware). METHODS: A case-control study of pediatric patients who underwent intracapsular tonsillectomy between January 1, 2004, and December 31, 2018, was performed. Patients aged 2 to 20 years were analyzed and compared with matched controls who underwent intracapsular tonsillectomy within 7 days of the same surgeon's case. In total, 169 revision procedures were included with 169 matched controls. RESULTS: A 1.39% revision rate was observed among a total of 12,145 intracapsular tonsillectomies. Among the 169 patients who underwent a revision procedure, the mean time between cases was 3.5 years. Tonsillitis was the most common diagnosis prompting revision tonsillectomy. Four (2.4%) patients underwent operative control of a postoperative tonsillar hemorrhage after revision surgery. Younger patients (P < .001) and patients with a history of gastroesophageal reflux disease (P = .006) were more likely to undergo revision tonsillectomy. CONCLUSION: Patients below age 4 years and patients with gastroesophageal reflux disease may be at increased risk of undergoing revision tonsillectomy after primary intracapsular tonsillectomy. These factors should be considered when selecting an intracapsular technique for primary tonsillectomy in pediatric patients.

4.
Eur J Appl Physiol ; 121(12): 3313-3321, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34432149

RESUMO

PURPOSE: Literature is conflicted on whether electromechanical delay durations decrease following resistance training programs. Therefore, the aim of this study is to examine the contributions and durations of the electrochemical (EMDE-M) and mechanical (EMDM-F) components to the overall electromechanical delay (EMDE-F) during step isometric muscle actions following 4-weeks of structured, multi-joint, lower-body variable resistance training (VRT) program. METHODS: Twelve men performed 4-weeks of VRT leg press training utilizing combination of steel plates (80% total load) and elastic bands (20% total load). Training consisted of 3 sets of 10 repetitions at a 10 repetition maximum load, 3 day week-1 for 4-weeks. EMDE-M, EMDM-F, and EMDE-F was measured at Baseline, Week-2, and Week-4 during voluntary step isometric muscle actions (20, 40, 60, 80, and 100% of maximal voluntary isometric contraction) from the vastus lateralis using electromyographic, mechanomyographic, and force signals. RESULTS: The EMDE-M, EMDM-F, and EMDE-F exhibited decreases in duration following 4-weeks of VRT. In addition, EMDE-M contributed significantly less (42-47%) than EMDM-F (53-58%) to the total duration of EMDE-F across the 4-weeks of VRT. CONCLUSIONS: These findings indicated that a structured, VRT program utilizing multi-joint exercise was sufficient to induce decreases in the electrochemical and mechanical processes associated with step isometric muscle contractions. In addition, the utilization of the electromyographic, mechanomyographic, and force signals were capable of quantifying electrochemical and mechanical component changes associated with voluntary muscle contraction. Thus, EMDE-M, EMDM-F, and EMDE-F can be useful in quantifying physiological changes in athletic, clinical, and applied research interventions.

5.
Clin Physiol Funct Imaging ; 41(5): 452-460, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34192417

RESUMO

The purpose of the present study was to examine the acute changes in muscle swelling (as assessed by muscle thickness and echo intensity) and muscle blood flow associated with an acute bout of low-load blood flow restriction (LLBFR) and low-load non-blood flow restriction (LL) exercise. Twenty women (mean ± SD; 22 ± 2years) volunteered to perform an acute exercise bout that consisted of 75 (1 × 30, 3 × 15) isokinetic, reciprocal, concentric-only, submaximal (30% of peak torque), forearm flexion and extension muscle actions. Pretest, immediately after (posttest), and 5-min after (recovery) completing the 75 repetitions, muscle thickness and echo intensity were assessed from the biceps brachii and triceps brachii muscles and muscle blood flow was assessed from the brachial artery. There were no between group differences for any of the dependent variables, but there were significant simple and main effects for muscle and time. Biceps and triceps brachii muscle thickness increased from pretest (2.13 ± 0.39 cm and 1.88 ± 0.40 cm, respectively) to posttest (2.58 ± 0.49 cm and 2.17 ± 0.43 cm, respectively) for both muscles and remained elevated for the biceps brachii (2.53 ± 0.43 cm), but partially returned to pretest levels for the triceps brachii (2.06 ± 0.41 cm). Echo intensity and muscle blood flow increased from pretest (98.0 ± 13.6 Au and 94.5 ± 31.6 ml min-1 , respectively) to posttest (109.2 ± 16.9 Au and 312.2 ± 106.5 ml min-1 , respectively) and pretest to recovery (110.1 ± 18.3 Au and 206.7 ± 92.9 ml min-1 , respectively) and remained elevated for echo intensity, but partially returned to pretest levels for muscle blood flow. The findings of the present study indicated that LLBFR and LL elicited comparable acute responses as a result of reciprocal, concentric-only, forearm flexion and extension muscle actions.


Assuntos
Braço , Músculo Esquelético , Edema , Exercício Físico , Feminino , Humanos , Músculo Esquelético/diagnóstico por imagem , Torque
6.
Eur J Appl Physiol ; 121(9): 2487-2497, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34032904

RESUMO

PURPOSE: The purpose of this study was to compare measurements of muscle strength, size, and activation of the forearm flexors in pre- and post-pubescent males and females. METHODS: Forty pre-pubescent (mean ± 95% confidence interval, age = 9.79 ± 0.35 years, n = 10 males, n = 10 females) and post-pubescent (age = 17.23 ± 0.58 years, n = 10 males, n = 10 females) youth participated. Subjects completed maximal voluntary isometric contractions (MVICs) of the forearm flexors, and submaximal isometric step muscle actions at 30, 50, and 70% of the peak MVIC. Percent voluntary activation (VA) was quantified during all isometric muscle actions. Forearm flexor (biceps brachii and brachialis) muscle cross-sectional area (CSA) was quantified from ultrasound images. RESULTS: MVIC strength was expressed in absolute terms and normalized to CSA. Post-pubertal males were 130% stronger, had 101% greater CSA, and 17% greater maximal VA than pre-pubertal males, while post-pubertal females were 72% stronger, had 54% greater CSA, and 23% greater maximal VA than pre-pubertal females. When MVIC strength was normalized to CSA, the post-pubertal males were still 15% stronger than the pre-pubertal males, while the post-pubertal females were only 12% stronger than the pre-pubertal females. The responses for VA across intensity reflected differences in muscle activation strategies between pre- and post-pubertal males and females. CONCLUSION: These results suggest that muscle size may account for a greater proportion of the growth and development-related differences in strength among males, while females may be more affected by changes in muscle activation. Regardless of sex, changes in muscle size and neuromuscular function influence strength increases during growth and development.

7.
Eur J Appl Physiol ; 121(8): 2243-2252, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33893835

RESUMO

PURPOSE: The purpose of this study was to examine the composite, intra-individual, and inter-individual patterns of responses for deoxygenated hemoglobin and myoglobin (deoxy[heme]), oxygenated hemoglobin and myoglobin (oxy[heme]), total hemoglobin and myoglobin (total[heme]), and tissue saturation index (StO2%) during fatiguing, maximal, isokinetic, unilateral, and bilateral leg extensions. METHODS: Nine men (Mean ± SD; age = 21.9 ± 2.4 years; height = 181.8 ± 11.9 cm; body mass = 85.8 ± 6.2 kg) performed 50 unilateral and bilateral maximal, concentric, isokinetic leg extensions at 180° s-1 on two separate visits. The muscle oxygenation parameters assessed with near-infrared spectroscopy from the dominant leg and isokinetic torque were averaged for 2 consecutive repetitions at 5 repetition intervals. Separate 2 (Condition [Unilateral and Bilateral]) × 10 (Repetition [5-50]) repeated measures ANOVAs were performed to examine mean differences for normalized isokinetic torque and each muscle oxygenation parameter. Intra- and inter-individual differences were examined with polynomial regression analyses. RESULTS: For normalized isokinetic torque, the unilateral condition (56.3 ± 10.5%) exhibited greater performance fatigability than the bilateral condition (45.0 ± 18.7%). Collapsed across Condition, deoxy[heme] exhibited an increase (p < 0.001), while StO2% exhibited a decrease (p < 0.001). The bilateral condition exhibited a more sustained decline in oxy[heme] than the unilateral condition (p = 0.005). Deoxy[heme], oxy[heme], and total[heme] exhibited substantial intra- and inter-individual differences for the fatigue-induced patterns of response. CONCLUSION: The present findings indicated that the greater performance fatigability for unilateral versus bilateral fatiguing, maximal, isokinetic leg extensions was not attributable to differences in muscle oxygenation. Future studies of muscle oxygenation should report individual and composite fatigue-induced patterns of responses due to the substantial intra- and inter-individual variabilities.

8.
J Musculoskelet Neuronal Interact ; 21(1): 4-12, 2021 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33657751

RESUMO

OBJECTIVES: The purpose of the present study was to compare the fatigue-induced changes in performance fatigability, bilateral deficit, and patterns of responses for the electromyographic (EMG) and mechanomyographic (MMG) amplitude (AMP) and mean power frequency (MPF), during unilateral and bilateral maximal, fatiguing leg extensions. METHODS: Nine men (Mean±SD; age =21.9±2.4 yrs; height =181.8±11.9 cm; body mass =85.8±6.2 kg) volunteered to perform 50 consecutive maximal, bilateral (BL), unilateral dominant (DL), and unilateral non-dominant (NL) isokinetic leg extensions at 180°·s-1, on 3 separate days. Electromyographic and MMG signals from both vastus lateralis (VL) muscles were recorded. Repeated measures ANOVAs were utilized to examine mean differences in normalized force, EMG AMP, EMG MPF, MMG AMP, MMG MPF and the bilateral deficit. RESULTS: The results demonstrated a Condition × Repetition interaction for normalized force (p=0.004, η2p=0.222) and EMG MPF (p=0.034, η2p=0.214) and main effects for Repetition for EMG AMP (p=0.019, η2p=0.231), MMG AMP (p<0.001, η2p=0.8550), MMG MPF (p=0.009, η2p=0.252), and the bilateral deficit (p<0.001, η2p=0.366). CONCLUSIONS: The findings demonstrated less performance fatigability during the BL than the unilateral tasks, likely due to a reduced relative intensity via interhemispheric inhibition that attenuated the development of excitation-contraction coupling failure during the BL task.


Assuntos
Lateralidade Funcional/fisiologia , Contração Isométrica/fisiologia , Perna (Membro)/fisiologia , Fadiga Muscular/fisiologia , Desempenho Psicomotor/fisiologia , Eletromiografia/métodos , Humanos , Masculino , Adulto Jovem
9.
Eur J Appl Physiol ; 121(5): 1473-1485, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33638690

RESUMO

PURPOSE: The purpose of this investigation was to examine the individual and composite patterns of responses and time-course of changes in muscle size, strength, and edema throughout a 4 week low-load blood flow restriction (LLBFR) resistance training intervention. METHODS: Twenty recreationally active women (mean ± SD; 23 ± 3 years) participated in this investigation and were randomly assigned to 4 weeks (3/week) of LLBFR (n = 10) or control (n = 10) group. Resistance training consisted of 75 reciprocal isokinetic forearm flexion-extension muscle actions performed at 30% of peak torque. Strength and ultrasound-based assessments were determined at each training session. RESULTS: There were quadratic increases for composite muscle thickness (R2 = 0.998), concentric peak torque (R2 = 0.962), and maximal voluntary isometric contraction (MVIC) torque (R2 = 0.980) data for the LLBFR group. For muscle thickness, seven of ten subjects exceeded the minimal difference (MD) of 0.16 cm during the very early phase (laboratory visits 1-7) of the intervention compared to three of ten subjects that exceeded MD for either concentric peak torque (3.7 Nm) or MVIC (2.2 Nm) during this same time period. There was a linear increase for composite echo intensity (r2 = 0.563) as a result of LLBFR resistance training, but eight of ten subjects never exceeded the MD of 14.2 Au. CONCLUSIONS: These findings suggested that the increases in muscle thickness for the LLBFR group were not associated with edema and changes in echo intensity should be examined on a subject-by-subject basis. Furthermore, LLBFR forearm flexion-extension resistance training elicited real increases in muscle size during the very early phase of training that occurred prior to real increases in muscle strength.


Assuntos
Braço/irrigação sanguínea , Braço/fisiologia , Força Muscular/fisiologia , Músculo Esquelético/irrigação sanguínea , Músculo Esquelético/fisiologia , Treinamento de Força/métodos , Braço/anatomia & histologia , Edema/fisiopatologia , Feminino , Humanos , Contração Isométrica/fisiologia , Músculo Esquelético/anatomia & histologia , Torque , Adulto Jovem
10.
Eur J Appl Physiol ; 121(4): 1111-1124, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33484333

RESUMO

PURPOSE: The present study examined the magnitude of performance fatigability as well as the associated limb- and intensity-specific neuromuscular patterns of responses during sustained, bilateral, isometric, leg extensions above and below critical force (CF). METHODS: Twelve women completed three sustained leg extensions (1 below and 2 above CF) anchored to forces corresponding to RPE = 1, 5, and 8 (10-point scale). During each sustained leg extension, electromyographic (EMG) and mechanomyographic (MMG) amplitude (AMP) and mean power frequency (MPF) were assessed from each vastus lateralis in 5% of time-to-exhaustion (TTE) segments. Before and after each sustained leg extension, the subjects completed maximal voluntary isometric contractions (MVIC), and the percent decline was defined as performance fatigability. Polynomial regression was used to define the individual and composite neuromuscular and force values versus time relationships. Repeated-measures ANOVAs assessed differences in performance fatigability and TTE. RESULTS: The grand mean for performance fatigability was 10.1 ± 7.6%. For TTE, the repeated-measures ANOVA indicated that there was a significant (p < 0.05) effect for Intensity, such that RPE = 1 > 5 > 8. There were similar neuromuscular patterns of response between limbs as well as above and below CF. EMG MPF, however, exhibited decreases only above CF. CONCLUSIONS: Performance fatigability was unvarying above and below CF as well as between limbs. In addition, there were similar fatigue-induced motor unit activation strategies above and below CF, but peripheral fatigue likely contributed to a greater extent above CF.


Assuntos
Fadiga Muscular , Treinamento de Força/métodos , Feminino , Humanos , Contração Isométrica , Perna (Membro)/fisiologia , Músculo Esquelético/fisiologia , Distribuição Aleatória , Treinamento de Força/efeitos adversos , Adulto Jovem
11.
J Strength Cond Res ; 35(1): 33-40, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33332803

RESUMO

ABSTRACT: Hill, EC, Housh, TJ, Smith, CM, Keller, JL, Schmidt, RJ, and Johnson, GO. High- vs. low-intensity fatiguing eccentric exercise on muscle thickness, strength, and blood flow. J Strength Cond Res 35(1): 33-40, 2021-The purpose of this investigation was to examine the acute effects of equal volumes of fatiguing high- vs. low-intensity eccentric muscle actions on changes in muscle thickness, echo intensity, muscle blood flow, and adipose thickness. Eighteen men (mean ± SD = 23.2 ± 3.0 years) performed eccentric peak torque (PT) and maximal voluntary isometric contraction (MVIC) trials before (pretest), immediately after (posttest), and 5 minutes after (recovery) performing randomly ordered fatiguing eccentric, isokinetic (180°·s-1) muscle actions of the elbow flexors at 40% (72 repetitions) or 80% (36 repetitions) of eccentric PT. Muscle thickness, exercise-induced edema, muscle blood flow, and adipose thickness were also assessed via ultrasound at pretest, posttest, and recovery. There were no intensity-specific effects on the patterns of responses for eccentric PT, MVIC, muscle thickness, echo intensity, muscle blood flow, or adipose thickness. There were, however, effects across time that decreased from pretest to posttest and from pretest to recovery for eccentric PT (21.5 and 13.0%), MVIC (14.6 and 5.8%), and adipose thickness (10.0 and 6.0%), but increased for muscle thickness (7.6 and 5.9%), echo intensity (13.7 and 9.9%), and muscle blood flow (129.6 and 90.1%) (collapsed across 40 and 80%). These findings indicated that when matched for exercise volume, there were no intensity-related effects on the increases in muscle thickness, echo intensity, muscle blood flow, or the decreases in eccentric PT, MVIC, and adipose thickness after fatiguing eccentric muscle actions. Therefore, exercise volume, independent of exercise intensity and number of repetitions, may be a mediating factor of muscle fatigue and performance during eccentric muscle actions.


Assuntos
Fadiga Muscular , Músculo Esquelético , Exercício Físico , Humanos , Contração Isométrica , Masculino , Contração Muscular , Força Muscular , Músculo Esquelético/diagnóstico por imagem , Torque
12.
J Musculoskelet Neuronal Interact ; 20(3): 325-331, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-32877969

RESUMO

OBJECTIVES: This study examined performance fatigability and the patterns of neuromuscular responses for electromyographic (EMG) and mechanomyographic (MMG) amplitude (AMP) and mean power frequency (MPF) during bilateral (BL) and unilateral (UL) maximal, isokinetic leg extensions. METHODS: Peak torque for each repetition and EMG and MMG signals from the non-dominant vastus lateralis were recorded in 11 men during 50 BL and UL maximal, concentric, isokinetic leg extensions at 60o·s-1 that were performed on separate days. Separate repeated measures ANOVAs were performed to examine the normalized isokinetic torque and neuromuscular parameters. RESULTS: Normalized isokinetic peak torque demonstrated a significant Conditions by Repetition interaction (p<0.001, η2p= 0.594). There were no interactions, but significant main effects for Repetition with increases in EMG AMP (p<0.001; η2p=0.255) and decreases in EMG MPF (p<0.001; η2p=0.650), MMG AMP (p<0.001; η2p=0.402), and MMG MPF (p<0.001; η2p=0.796). In addition, EMG MPF and MMG AMP demonstrated main effects for Condition (p=0.031; η2p=0.387 and p=0.002; η2p=0.64, respectively) with the BL exhibiting greater values than UL leg extensions for both parameters. CONCLUSIONS: The current findings indicated greater performance fatigability during UL versus BL leg extensions, but similar patterns of neuromuscular responses consistent with the Muscle Wisdom Hypothesis.


Assuntos
Fadiga Muscular/fisiologia , Força Muscular/fisiologia , Eletrofisiologia/métodos , Humanos , Perna (Membro) , Masculino , Adulto Jovem
13.
J Musculoskelet Neuronal Interact ; 20(1): 77-87, 2020 03 03.
Artigo em Inglês | MEDLINE | ID: mdl-32131371

RESUMO

OBJECTIVES: This study examined the time course of changes and patterns of responses in electromyographic amplitude (EMG AMP) and EMG mean power frequency (MPF) for the superficial quadriceps muscles during exhaustive treadmill runs within the severe exercise intensity zones (SIZ1 and SIZ2). METHODS: The EMG signals for the vastus lateralis (VL), rectus femoris (RF), and vastus medialis (VM) as well as times to exhaustion (Tlim) were recorded in ten runners during two exhaustive treadmill runs (SIZ1 and SIZ2). The composite and individual responses were compared among muscles and between intensities. RESULTS: The composite patterns of responses in EMG AMP (linear, quadratic, and cubic increases; r2/R2=0.684-0.848) and EMG MPF (linear, quadratic, and cubic decreases; r2/R2=0.648 - 0.852) for the VL and RF were consistent with neuromuscular fatigue in both zones, but those for the VM were not (quadratic, cubic, and non-significant relationships with responses near baseline). The RF tended to demonstrate greater fatigue (EMG MPF decreased from 80-100% Tlim). There was large inter-individual variability (only 10-60% of responses consistent with composite) in response to fatiguing treadmill running. CONCLUSIONS: The current findings support the examination and characterization of neuromuscular fatigue on an intensity, muscle, and subject-by-subject basis.


Assuntos
Teste de Esforço/métodos , Fadiga Muscular/fisiologia , Junção Neuromuscular/fisiologia , Músculo Quadríceps/fisiologia , Corrida/fisiologia , Adulto , Eletromiografia/métodos , Feminino , Humanos , Masculino , Adulto Jovem
14.
J Electromyogr Kinesiol ; 50: 102367, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31711012

RESUMO

The purpose of this study was to compare isokinetic peak torque and the patterns of responses for electromyographic (EMG) and mechanomyographic (MMG), amplitude (AMP) and mean power frequency (MPF) for bilateral (BL) versus unilateral (UL), maximal, isokinetic leg extensions. Eleven recreationally trained women (Mean ±â€¯SD: age 22.9 ±â€¯0.9 yrs; body mass 60.5 ±â€¯10.1 kg; height 167.2 ±â€¯6.4 cm) performed 50 maximal, BL and UL isokinetic leg extensions at 60°â€¯s-1 on separate days. Electromyographic and MMG signals from the vastus lateralis of the nondominant leg were recorded. Five separate 2 (Condition [BL and UL]) × 10 (Repetitions [5-50]) repeated measures ANOVAs were performed to examine normalized EMG AMP, EMG MPF, MMG AMP, MMG MPF, and isokinetic torque. The results indicated no significant interactions or main effects for EMG AMP and MMG AMP. There were significant interactions for normalized isokinetic peak torque (p < 0.001, η2p = 0.493) and MMG MPF (p = 0.003, η2p = 0.234). For EMG MPF, there was no significant interaction, but significant main effects for Condition (p = 0.003, η2p = 0.607) and Repetitions (p < 0.001, η2p = 0.805). The current findings demonstrated greater performance fatigability for UL than BL leg extensions. Both modalities exhibited similar patterns of neuromuscular responses that were consistent with the Muscular Wisdom hypothesis.


Assuntos
Perna (Membro)/fisiologia , Fadiga Muscular , Músculo Esquelético/fisiologia , Adulto , Testes Diagnósticos de Rotina , Feminino , Lateralidade Funcional , Humanos , Contração Muscular , Torque
15.
Int J Pediatr Otorhinolaryngol ; 128: 109693, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31568955

RESUMO

OBJECTIVES: To identify patients at risk for a pediatric intensive care unit (PICU) level intervention after adenotonsillectomy. STUDY DESIGN: Retrospective cross-sectional study. SETTING: Tertiary Children's Hospital. SUBJECTS AND METHODS: Ninety-four patients who were admitted to the PICU after adenotonsillectomy were included. The need for PICU level intervention, defined as high flow oxygen by nasal cannula, positive airway pressure (PAP), heliox, and intubation, was documented. The age, gender, BMI percentile, polysomnography (PSG) data, home PAP use, and accompanying comorbidities of patients who required a PICU level intervention were compared to those who did not. RESULTS: Of the 94 patients admitted post-adenotonsillectomy to the PICU, most had at least one comorbidity, with obesity being the most common. PICU admission was unplanned in 29 (30.9%) patients. Postoperatively, 25 (26.5%) patients required a PICU level intervention, with PAP being the most common intervention. On chi-square analysis, there was no significant difference in the age, BMI percentile, or PSG parameters of children who required PICU intervention. Significantly more children who used preoperative PAP were started on PAP in PICU (p = 0.018). Only the comorbidity of neuromuscular disorder was associated with PICU intervention (p = 0.04). Using binary logistic regression, the use of home PAP and an oxygen nadir <80% on preoperative PSG were found to be independent predictors of PICU intervention (p = 0.04 and 0.025, respectively). CONCLUSION: Home PAP use, the presence of a neuromuscular disorder, and an oxygen nadir <80% on preoperative PSG is related to a PICU level intervention.


Assuntos
Adenoidectomia/estatística & dados numéricos , Unidades de Terapia Intensiva Pediátrica/estatística & dados numéricos , Doenças Neuromusculares/epidemiologia , Tonsilectomia/estatística & dados numéricos , Adenoidectomia/efeitos adversos , Adolescente , Criança , Pré-Escolar , Comorbidade , Estudos Transversais , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Obesidade/epidemiologia , Oxigênio/sangue , Respiração Artificial , Estudos Retrospectivos , Tonsilectomia/efeitos adversos
16.
Eur J Appl Physiol ; 120(2): 425-441, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31848703

RESUMO

PURPOSE: Low-load venous blood flow restriction resistance training (RT + BFR) has been demonstrated to increase muscle strength to a greater degree than low-load non-BFR resistance training (RT) during isotonic training, but no previous investigations have examined RT + BFR versus RT during isokinetic training. The purpose of the present study was to examine the effects of 4 weeks of isokinetic low-load RT + BFR versus low-load RT on indices of muscle strength, muscle size, and neural adaptations. METHODS: Thirty women (mean ± SD; 22 ± 2 years) participated in this investigation and were randomly assigned to 4 weeks of either RT + BFR (n = 10), RT (n = 10), or control (n = 10) group. Resistance training consisted of 75 reciprocal forearm flexion-extension isokinetic muscle actions of the forearm flexors performed at a velocity of 120°s-1. RESULTS: Concentric peak torque increased to a greater extent for RT + BFR after 4 weeks (36.9%) compared to RT (25.8%), but there were similar increases in isometric torque (23.3-42.1%). For both RT + BFR and RT, there were similar increases in muscle cross-sectional area and muscle thickness of the biceps brachii after 2 weeks (11.3-14.3% and 12.4-12.9%, respectively) and 4 weeks (18.7-21.9% and 19.0-20.0%, respectively). There were similar increases in mechanomyographic amplitude, mechanomyographic mean power frequency, and electromyographic mean power frequency, but no changes in electromyographic amplitude for all conditions (including control). CONCLUSIONS: These findings indicated that low-load RT + BFR elicited greater increases in concentric strength than low-load RT, but elicited comparable increases in isometric strength and muscle size. There were also no differences in any of the EMG and MMG responses among conditions.


Assuntos
Velocidade do Fluxo Sanguíneo , Contração Isométrica/fisiologia , Músculo Esquelético/irrigação sanguínea , Músculo Esquelético/crescimento & desenvolvimento , Treinamento de Força/métodos , Feminino , Humanos , Adulto Jovem
17.
J Funct Morphol Kinesiol ; 5(1)2020 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-33467220

RESUMO

Previous studies have demonstrated that ayurvedic ingredients exhibit ergogenic (performance enhancing) properties, however, no previous studies have examined the ergogenic potential of Asparagus racemosus. The purpose of the present study was to examine the ergogenic efficacy of supplementation with 500 mg·d-1 of A. racemosus during bench press training. Eighteen recreationally trained men (mean ± SD; age = 20.4 ± 0.5 yrs; height = 179.7 ± 1.5 cm; weight = 84.7 ± 5.7 kg) were randomly assigned either 500 mg·d-1 of A. racemosus (n = 10) or placebo (n = 8). An overlapping sample of 10 participants were used to determine test-retest reliability. Pre- and post-training testing included bench press with one repetition maximum (1RM) and repetitions to failure at 70% of pre-training 1RM. The participants performed two sets of bench press to failure three times a week for eight weeks. Independent t-tests, Analyses of covariance (ANCOVA), and regression analyses were used to analyze the dependent variables. The results demonstrated greater mean percentage (14.3 ± 7.7% vs. 7.8 ± 4.5%; p = 0.048) and individual (80% vs. 50%) increases in 1RM, mean (17.5 ± 2.2 repetitions vs. 15.2 ± 2.2 repetitions; p = 0.044) and individual (80% vs. 38%) increases in repetitions to failure, and a greater rate of increase in training loads for the Asparagus racemosus group than the placebo group. In conjunction with bench press training, supplementation with A. racemosus provided ergogenic benefits compared to placebo.

18.
J Strength Cond Res ; 2019 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-31860532

RESUMO

Keller, JL, Housh, TJ, Hill, EC, Smith, CM, Schmidt, RJ, and Johnson, GO. Are there sex-specific neuromuscular or force responses to fatiguing isometric muscle actions anchored to a high perceptual intensity? J Strength Cond Res XX(X): 000-000, 2019-The purpose of this study was to use the ratings of perceived exertion (RPE) clamp model to examine sex-specific changes in neuromuscular responses and force after a sustained isometric leg extension muscle action anchored to RPE = 8. Twenty adults (10 men and 10 women) performed sustained, isometric leg extension muscle actions at RPE = 8. Electromyographic (EMG) and mechanomyographic signals were recorded from the dominant leg. Neuromuscular and force values resulting from the sustained muscle action were normalized to pretest maximal voluntary isometric contractions (MVICs). The level of significance set for the study was p ≤ 0.05. The pretest MVIC was significantly (p < 0.001) greater (averaged across sex) than posttest MVIC force (55.5 ± 10.0 vs. 47.6 ± 11.1 kg). There was a significant (p < 0.01) decrease from pretest (95.4 ± 7.7 Hz) to posttest (76.2 ± 5.9 Hz) in EMG mean power frequency (MPF) for the men. The normalized force (averaged across sex) decreased significantly (p < 0.001) from the initial timepoint (57.1 ± 16.4%) to the final timepoint (44.3 ± 15.7%) of the sustained muscle action. Normalized EMG MPF (averaged across sex) decreased significantly (p = 0.001) from the initial timepoint (96.4 ± 17.5%) to final timepoint (87.8 ± 18.1%). The men and women exhibited similar fatigue-induced changes in force and neuromuscular parameters; therefore, these findings did not indicate different sex-specific responses after the fatiguing task anchored to a high perception of exertion. The force corresponding to RPE = 8 did not match the anticipated value; so, RPE and percentages of MVIC cannot be used interchangeably, and sustained isometric muscle actions anchored to RPE may elicit unique neuromuscular adaptations.

19.
Appl Psychophysiol Biofeedback ; 44(4): 343-350, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31494754

RESUMO

The purpose of the study was to examine the fatigue-related patterns of responses for electromyography (EMG), mechanomyography (MMG), and force during a sustained isometric muscle action anchored to RPE = 5. Ten men (22.9 ± 2.0 year) performed maximal voluntary isometric contractions (MVIC) prior to and following an isometric leg extension muscle action, which was sustained for a maximal time-limit of 5 min or until it could not be maintained at RPE = 5 (actual time-limit). EMG amplitude (AMP), EMG mean power-frequency (MPF), MMG AMP, MMG MPF, and force values were determined every 5% of the actual time-limit. Regression analyses were used to examine the neuromuscular parameters and force responses, and a t test was used to examine MVIC. The pretest MVIC (62.4 ± 14.3 kg) was significantly (p < 0.001; d = 1.07) greater than posttest (47.9 ± 12.8 kg). The percent decline in force during the sustained isometric muscle action was 47.5 ± 19.6%, and there was a significant, negative force versus time relationship (p < 0.001; R = - 0.980). There was a significant, negative EMG AMP versus time relationship (p < 0.001; R = -0.789), but no significant (p > 0.05) relationships for EMG MPF, MMG AMP, or MMG MPF versus time. The findings indicated that it was necessary to reduce force and EMG AMP to maintain RPE = 5. We hypothesize that the maintenance of RPE = 5 was initially accomplished by an anticipatory feedforward mechanism and then continuous integrations of afferent feedback, which resulted in reductions of EMG AMP and force, due to reductions in neural drive, to attenuate the impact of metabolic byproducts.


Assuntos
Contração Isométrica/fisiologia , Fadiga Muscular/fisiologia , Músculo Esquelético/fisiologia , Esforço Físico/fisiologia , Autocontrole , Adulto , Eletromiografia , Humanos , Masculino , Adulto Jovem
20.
Eur J Appl Physiol ; 119(10): 2363-2373, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31473805

RESUMO

PURPOSE: Unaccustomed exercise can result in delayed onset muscle soreness (DOMS), particularly as a result of the eccentric phase of the muscle contraction. Resistance training combined with venous blood flow restriction (vBFR) may attenuate DOMS, but the available information in this regard is conflicting. Therefore, the purpose of this study was to examine the effects of low-load eccentric vBFR (Ecc-vBFR) and concentric vBFR (Con-vBFR) resistance training on indices of DOMS. METHODS: Twenty-five previously untrained women completed seven days of either Ecc-vBFR (n = 12) or Con-vBFR (n = 13) forearm flexion resistance training at a velocity of 120° s-1 on an isokinetic dynamometer. The Ecc-vBFR group used a training load that corresponded to 30% of eccentric peak torque and the Con-vBFR group used a training load that corresponded to 30% of concentric peak torque. RESULTS: There were no differences between Ecc-vBFR and Con-vBFR at any of the seven training sessions on any of the indices of DOMS. There were no decreases in the maximal voluntary isometric contraction torque which increased at days 6 and 7. Similarly, there were no changes in perceived muscle soreness, pain pressure threshold, elbow joint angle, or edema (as assessed by echo intensity via ultrasound) across the seven training sessions. CONCLUSIONS: The Ecc-vBFR and Con-vBFR low-load training protocols were not associated with DOMS and there were no differences between protocols when performed using the same relative training intensity. These findings suggested that both unaccustomed eccentric and concentric low-load training did not result in DOMS when combined with vBFR.


Assuntos
Precondicionamento Isquêmico/métodos , Músculo Esquelético/fisiologia , Mialgia/prevenção & controle , Treinamento de Força/métodos , Feminino , Humanos , Precondicionamento Isquêmico/efeitos adversos , Contração Muscular , Músculo Esquelético/irrigação sanguínea , Mialgia/etiologia , Tempo de Reação , Treinamento de Força/efeitos adversos , Adulto Jovem
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