Does the Muscle Action Duration Induce Different Regional Muscle Hypertrophy in Matched Resistance Training Protocols?

ABSTRACT: Diniz, RCR, Tourino, FD, Lacerda, LT, Martins-Costa, HC, Lanza, MB, Lima, FV, and Chagas, MH. Does the muscle action duration induce different regional muscle hypertrophy in matched resistance training protocols? J Strength Cond Res 36(9): 2371-2380, 2022-The manipulation of the muscle action duration (MAD) can influence the instantaneous torque along the range of motion, which can lead to adaptations of regional muscle hypertrophy. The aim of this study was to compare the effects of matched resistance training (RT) on the knee extension machine with different MAD in the cross-sectional area (CSA) responses within the quadriceps femoris (QF) and its muscles. Forty-four subjects were allocated into a control and 3 experimental groups. For a period of 10 weeks, subjects in the experimental groups performed the training protocols that were different only by the MAD: group 5c1e (5s concentric action [CON] and 1s eccentric action [ECC]; group 3c3e (3s CON and 3s ECC) and group 1c5e (1s CON and 5s ECC). Magnetic resonance imaging was performed (before and after the intervention) to determine the relative change (%) in CSA of the QF muscles along proximal (30%), middle (50%), and distal regions (70% distal of the femur). The change in CSA of the rectus femoris at the middle region are greater in 5c1e (6.8 ± 6.5%) and 1c5e (7.4 ± 6.0%) groups than 3c3e (3.4 ± 6.6%) and control groups (0.2 ± 1.8%). In addition, vastus lateralis at the distal region (5c1e = 15.9 ± 11.8%; 1c5e = 14.4 ± 10.0%) presenting greater increases in change of CSA than the others vastus only 5c1e (vastus lateralis [VI] = 5.0 ± 4.7%; vastus medialis [VM] = 4.2 ± 3.2%) and 1c5e groups (VI = 4.7 ± 3.6%; VM = 3.4 ± 3.1%). In conclusion, this study showed that matched RT protocols with different MAD resulted in different region-specific muscle hypertrophic across the individual muscles of QF.

Resistance training intervention performed with different muscle action durations influences the maximal dynamic strength without promoting joint-angle specific strength gains.

The present study investigated the effect of 10-week matched (range of motion, volume, intensity, rest, and repetition duration) training protocols with varying muscle action duration (MAD) on maximal voluntary isometric contraction (MVIC) test at eight different knee angles and one-repetition maximum (1RM) test after in seated knee extensor machine. Forty women were allocated into one control and three training groups with varying MAD: 5C1E (5s concentric action [CON] and 1s eccentric action [ECC]), 3C3E (3s CON and 3s ECC), and 1C5E (1s CON and 5s ECC). All training groups (5C1E, 3C3E, and 1C5E) showed a greater relative response in 1RM performance than the control group (0.1 ± 3.5%, p ≤ 0.05). The 1C5E group presented greater relative increases in the 1RM performance (22.1 ± 11.6%) compared to 5C1E (13.6 ± 9.2%; p ≤ 0.05) and 3C3E (14.1 ± 5.5%, p ≤ 0.05) groups. The training groups increased the MVIC performance more than the control group (p ≤ 0.05), although there were no significant differences between the training groups. This study demonstrated that isoinertial resistance training protocols with shorter CON MAD showed greater maximum dynamic strength performance response than matched training protocols with other MAD configurations. However, the configuration of MAD did not induce angle-specificity to increase the maximum isometric strength.

Explosive strength: effect of knee-joint angle on functional, neural, and intrinsic contractile properties.

PURPOSE: The present study compared knee extension explosive isometric torque, neuromuscular activation, and intrinsic contractile properties at five different knee-joint angles (35°, 50°, 65°, 80°, and 95°; 0° = full knee extension). METHODS: Twenty-eight young healthy males performed two experimental sessions each involving: 2 maximum, and 6-8 explosive voluntary contractions at each angle; to measure maximum voluntary torque (MVT), explosive voluntary torque (EVT; 50-150 ms after contraction onset) and quadriceps surface EMG (QEMG, 0-50, 0-100, and 0-150 ms after EMG onset during the explosive contractions). Maximum twitch and M-wave (MMAX) responses as well as octet contractions were evoked with femoral nerve stimulation at each angle. RESULTS: Absolute MVT and EVT showed an inverted 'U' relationship with higher torque at intermediate angles. There were no differences between knee-joint angles for relative EVT (%MVT) during the early phase (≤ 75 ms) of contraction and only subtle differences during the late phase (≥ 75 ms) of contraction (≤ 11%). Neuromuscular activation during explosive contractions was greater at more flexed than extended positions, and this was also the case during MVT. Whilst relative twitch torque (%MVT) was higher at knee flexed positions (P ≤ 0.001), relative octet torque (%MVT) was higher at knee extended positions (P ≤ 0.001). CONCLUSION: Relative EVT was broadly similar between joint angles, likely because neuromuscular activation during both explosive and plateau (maximum) phases of contraction changed proportionally, and due to the opposing changes in twitch and octet evoked responses with joint angle.

The effects of stroke on weight transfer before voluntary lateral and forward steps.

There is a higher rate of falls in the first year after a stroke, and the ability to step in different directions is essential for avoiding a fall and navigating small spaces where falls commonly occur. The lateral transfer of weight is important for stabilizing the body before initiating a step. Hence, understanding the ability to control lateral weight transfer (WT) in different step directions might help understand falls in individuals with stroke. The present study aimed to compare the WT characteristics (onset time, duration, mediolateral center of pressure (ML COP) velocity, and ML COP displacement) and hip abduction torque preceding a lateral and forward voluntary step between individuals with stroke (paretic and non-paretic leg) and controls. Twenty individuals with stroke and ten controls performed voluntary choice reaction tests in the lateral and forward directions. Ten trials (five on each side-right and left) were performed for each step direction. The overall primary findings were that (1) the WT before a lateral step was shorter and initiated earlier, with a larger ML COP displacement and greater hip abductor torque in the stepping leg than the forward step, (2) there was greater hip abductor produced in the stance leg before a forward step than a lateral step, (3) the WT before the lateral step took longer to initiate and was slower to execute in individuals with stroke regardless of the leg (4) the WT before the forward step had more differences in the paretic than the non-paretic leg. Thus, for the first time, it was shown that the WT characteristics and hip abduction torque during the WT are different according to step direction and also appear to be impaired in individuals with stroke. These results have implications for understanding the direction that individuals with stroke are more susceptible to being unable to recover balance and are at risk of falling.

Ultrasound measures of muscle thickness and subcutaneous tissue from the hip abductors: Inter- and intra-rater reliability.

BACKGROUND: Ultrasound imaging is important in many fields such as medicine, sports, and health sciences to assess parts of muscle structure (e.g., muscle thickness [MT]) or composition (subcutaneous tissue [SubT]). OBJECTIVE: The aim of the present study was to investigate the intra- and inter-rater reliability of MT and SubT measurements of the hip abductor muscles gluteus medius (GM) and tensor fascia latae (TFL). DESIGN: Cross-sectional study. METHOD: Twenty young adults participated in the study. Intra-rater reliability was established by measuring the same two images twice by the same rater, while inter-rater reliability was assessed between two raters by measuring the same two images for each muscle. For both intra- and inter-rater reliability, the reliability of the TFL and GM outcomes (MT- SubT) were determined by the intraclass correlation coefficient (ICC), coefficient of variation (CV), standard error of the measurement (SEM), and Bland-Altman plots. RESULTS: For intra-rater reliability, variables of both muscles showed an excellent ICC (≥0.90), lower CV and SEM, and bias near zero. Inter-rater reliability also showed an excellent ICC for both variables and muscles (≥0.81) with lower CV, SEM, and bias. CONCLUSION: Therefore, these results provide strong evidence of a reliable measure of MT and SubT from GM and TFL. The present study provides health care professionals and researchers increased confidence in using 2D ultrasound to assess the hip abductors muscles reliably.

Neural decoding from surface high-density EMG signals: influence of anatomy and synchronization on the number of identified motor units.

Objective.High-density surface electromyography (HD-sEMG) allows the reliable identification of individual motor unit (MU) action potentials. Despite the accuracy in decomposition, there is a large variability in the number of identified MUs across individuals and exerted forces. Here we present a systematic investigation of the anatomical and neural factors that determine this variability.Approach. We investigated factors of influence on HD-sEMG decomposition, such as synchronization of MU discharges, distribution of MU territories, muscle-electrode distance (MED-subcutaneous adipose tissue thickness), maximum anatomical cross-sectional area (ACSAmax), and fiber cross-sectional area. For this purpose, we recorded HD-sEMG signals, ultrasound and magnetic resonance images, and took a muscle biopsy from the biceps brachii muscle from 30 male participants drawn from two groups to ensure variability within the factors-untrained-controls (UT = 14) and strength-trained individuals (ST = 16). Participants performed isometric ramp contractions with elbow flexors (at 15%, 35%, 50% and 70% maximum voluntary torque-MVT). We assessed the correlation between the number of accurately detected MUs by HD-sEMG decomposition and each measured parameter, for each target force level. Multiple regression analysis was then applied.Main results.ST subjects showed lower MED (UT = 5.1 ± 1.4 mm; ST = 3.8 ± 0.8 mm) and a greater number of identified MUs (UT: 21.3 ± 10.2 vs ST: 29.2 ± 11.8 MUs/subject across all force levels). The entire cohort showed a negative correlation between MED and the number of identified MUs at low forces (r= -0.6,p= 0.002 at 15% MVT). Moreover, the number of identified MUs was positively correlated to the distribution of MU territories (r= 0.56,p= 0.01) and ACSAmax(r= 0.48,p= 0.03) at 15% MVT. By accounting for all anatomical parameters, we were able to partly predict the number of decomposed MUs at low but not at high forces.Significance.Our results confirmed the influence of subcutaneous tissue on the quality of HD-sEMG signals and demonstrated that MU spatial distribution and ACSAmaxare also relevant parameters of influence for current decomposition algorithms.

Hip Abductor and Adductor Rate of Torque Development and Muscle Activation, but Not Muscle Size, Are Associated With Functional Performance.

Understanding the physiological variables that contribute to a functional task provides important information for trainers and clinicians to improve functional performance. The hip abductors and adductors muscles appear to be important in determining the performance of some functional tasks; however, little is known about the relationship of the hip abductor/adductors muscle strength, activation, and size with functional performance. This study aimed to investigate the relationship of maximum torque, rate of torque development (RTD), rate of activation (RoA), and muscle thickness of the hip abductors [tensor fascia latae (TFL) and gluteus medius (GM)] and adductor magnus muscle with the Four Square Step Test (FSST) and the two-leg hop test in healthy young adults. Twenty participants (five males) attended one testing session that involved ultrasound image acquisition, maximal isometric voluntary contractions (hip abduction and hip adduction) while surface electromyography (EMG) was recorded, and two functional tests (FSST and two-leg side hop test). Bivariate correlations were performed between maximum voluntary torque (MVT), RTD at 50, 100, 200, and 300ms, RoA at 0-50, 0-100, 0-200, and 0-300, and muscle thickness with the dynamic stability tests. For the hip abduction, MVT (r=-0.455, p=0.044) and RTD300 (r=-0.494, p=0.027) was correlated with the FSST. GM RoA50 (r=-0.481, p=0.032) and RoA100 (r=-0.459, p=0.042) were significantly correlated with the two-leg side hop test. For the hip adduction, there was a significant correlation between the FSST and RTD300 (r=-0.500, p=0.025), while the two-leg side hop test was correlated with RTD200 (r=0.446, p=0.049) and RTD300 (r=0.594, p=0.006). Overall, the ability of the hip abductor and adductor muscles to produce torque quickly, GM rapid activation, and hip abductor MVT is important for better performance on the FSST and two-leg hop tests. However, muscle size appears not to influence the same tests.

Behavior of motor units during submaximal isometric contractions in chronically strength-trained individuals.

Neural and morphological adaptations combine to underpin the enhanced muscle strength following prolonged exposure to strength training, although their relative importance remains unclear. We investigated the contribution of motor unit (MU) behavior and muscle size to submaximal force production in chronically strength-trained athletes (ST) versus untrained controls (UT). Sixteen ST (age: 22.9 ± 3.5 yr; training experience: 5.9 ± 3.5 yr) and 14 UT (age: 20.4 ± 2.3 yr) performed maximal voluntary isometric force (MViF) and ramp contractions (at 15%, 35%, 50%, and 70% MViF) with elbow flexors, whilst high-density surface electromyography (HDsEMG) was recorded from the biceps brachii (BB). Recruitment thresholds (RTs) and discharge rates (DRs) of MUs identified from the submaximal contractions were assessed. The neural drive-to-muscle gain was estimated from the relation between changes in force (ΔFORCE, i.e. muscle output) relative to changes in MU DR (ΔDR, i.e. neural input). BB maximum anatomical cross-sectional area (ACSAMAX) was also assessed by MRI. MViF (+64.8% vs. UT, P < 0.001) and BB ACSAMAX (+71.9%, P < 0.001) were higher in ST. Absolute MU RT was higher in ST (+62.6%, P < 0.001), but occurred at similar normalized forces. MU DR did not differ between groups at the same normalized forces. The absolute slope of the ΔFORCE - ΔDR relationship was higher in ST (+66.9%, P = 0.002), whereas it did not differ for normalized values. We observed similar MU behavior between ST athletes and UT controls. The greater absolute force-generating capacity of ST for the same neural input demonstrates that morphological, rather than neural, factors are the predominant mechanism for their enhanced force generation during submaximal efforts.NEW & NOTEWORTHY In this study, we observed that recruitment strategies and discharge characteristics of large populations of motor units identified from biceps brachii of strength-trained athletes were similar to those observed in untrained individuals during submaximal force tasks. We also found that for the same neural input, strength-trained athletes are able to produce greater absolute muscle forces (i.e., neural drive-to-muscle gain). This demonstrates that morphological factors are the predominant mechanism for the enhanced force generation during submaximal efforts.

Acute physiological responses with varying load or time under tension during a squat exercise: A randomized cross-over design.

OBJECTIVES: Despite advancements in resistance training (RT) methods, the acute metabolic and neuromuscular responses to time under tension (TUT) and load remains poorly understood. The aim of the present study was to investigate how TUT or resistance load impact muscular activation and blood lactate during an RT session. DESIGN: A randomized cross-over design. METHODS: Participants performed a squat exercise in three different conditions: baseline protocol (BPRO; three sets of eight repetitions with four second repetitions at 60% of 1RM) long duration protocol (LDPRO: six second repetitions) and high load protocol (HLPRO: 70% 1RM). RESULTS: Muscular activation of the vastus lateralis and biceps femoris, and blood lactate were assessed. Blood lactate was ∼19% and ∼26% higher after set one and three in LDPRO compared to BPRO (P≤0.011) and ∼17% higher for LDPRO compared to HLPRO (P=0.002). Additionally, blood lactate was ∼17% higher for HLPRO compared to BPRO after the third set of exercise (P=0.003). Vastus lateralis activation was ∼10% higher for HLPRO compared to BPRO and LDPRO for sets one and two. Biceps femoris activation was ∼17% higher for HLPRO compared to BPRO for set one (P= 0.023) while for set two HLPRO was greater than BPRO and LDPRO (∼19% and ∼14%, respectively; P≤0.007). CONCLUSIONS: Squatting with higher TUT caused a greater impact on the metabolic responses than lower TUT or higher loads, whereas an increase in training load resulted in greater muscle activation than higher TUT or lower training load.

Resistance training with different repetition duration to failure: effect on hypertrophy, strength and muscle activation.

BACKGROUND: This study investigated the effects of two 14-week resistance training protocols with different repetition duration (RD) performed to muscle failure (MF) on gains in strength and muscle hypertrophy as well as on normalized electromyographic (EMG) amplitude and force-angle relationships. METHODS: The left and right legs of ten untrained males were assigned to either one of the two protocols (2-s or 6-s RD) incorporating unilateral knee extension exercise. Both protocols were performed with 3-4 sets, 50-60% of the one-repetition maximum (1RM), and 3 min rest. Rectus femoris and vastus lateralis cross-sectional areas (CSA), maximal voluntary isometric contraction (MVIC) at 30o and 90o of knee flexion and 1RM performance were assessed before and after the training period. In addition, normalized EMG amplitude-angle and force-angle relationships were assessed in the 6th and 39th experimental sessions. RESULTS: The 6-s RD protocol induced larger gains in MVIC at 30o of knee angle measurement than the 2-s RD protocol. Increases in MVIC at 90o of knee angle, 1RM, rectus femoris and vastus lateralis CSA were not significant between the 2-s and 6-s RD protocols. Moreover, different normalized EMG amplitude-angle and force-angle values were detected between protocols over most of the angles analyzed. CONCLUSION: Performing longer RD could be a more appropriate strategy to provide greater gains in isometric maximal muscle strength at shortened knee positions. However, similar maximum dynamic strength and muscle hypertrophy gains would be provided by protocols with different RD.

Strength Training to Prevent Falls in Older Adults: A Systematic Review with Meta-Analysis of Randomized Controlled Trials.

We performed a systematic review with meta-analysis of randomized controlled trials (RCTs) to assess the effects of strength training (ST), as compared to alternative multimodal or unimodal exercise programs, on the number of falls in older adults (≥60 years). Ten databases were consulted (CINAHL, Cochrane Library, EBSCO, EMBASE, PEDro, PubMed, Scielo, Scopus, SPORTDiscus and Web of Science), without limitations on language or publication date. Eligibility criteria were as follows: RCTs with humans ≥60 years of age of any gender with one group performing supervised ST and a group performing another type of exercise training, reporting data pertaining falls. Certainty of evidence was assessed with Grading of Recommendations, Assessment, Development and Evaluation (GRADE). Meta-analysis used a random effects model to calculate the risk ratio (RR) for number of falls. Five RCTs with six trials were included (n = 543, 76% women). There was no difference between ST and alternative exercise interventions for falls (RR = 1.00, 95% CI 0.77-1.30, p = 0.99). The certainty of evidence was very low. No dose-response relationship could be established. In sum, ST showed comparable RR based on number of falls in older adults when compared to other multimodal or unimodal exercise modalities, but evidence is scarce and heterogeneous, and additional research is required for more robust conclusions. Registration: PROSPERO CRD42020222908.

Maturação sexual em escolares de baixo nível socioeconômico da cidade de Rio Branco-AC / Sexual maturation of schoolchildren with low socio-economic level from Rio Branco-AC

O objetivo deste estudo foi verificar a maturação sexual de escolares do sexo feminino em uma escola pública da cidade de Rio Branco (AC). Trata-se de um estudo longitudinal por três anos consecutivos (2003 a 2005), com um grupo de meninas que em 2003 cursavam a 5ª ou 6ª série do Ensino Fundamental II em Rio Branco (AC). O método proposto por Marshall e Tanner para avaliação de mamas e de pêlos pubianos. A idade da menarca foi obtida prospectivamente. A classificação da maturação sexual foi feita de acordo com Vitalle et al. (inserir data). O estado nutricional foi avaliado pelo índice de massa corporal de acordo com o critério do NCHS e a avaliação socioeconômica pelas normas da ABEP (2003). Das 44 meninas que completaram o estudo, 39 (89%) pertenciam ao nível socioeconômico médio-baixo ou pobre; e 30 (68%) em 2003 e 21 (48%) em 2005 estavam desnutridas. Em 2003, 35 (79%) estavam em estadio inicial de desenvolvimento puberal e apenas 8(18%) haviam apresentado menarca, enquanto que em 2005, 39 (89%) estavam em estadio avançado ou completo de desenvolvimento e 37 (84%) apresentavam maturação. A média da idade da menarca foi de 12,7 + 0,7 anos. Conclui-se que esta amostra de meninas de escola pública da região Norte do Brasil, a idade da menarca foicompatível com os dados descritos na literatura nacional e internacional. A antecipação da puberdade descritaem alguns estudos mais recentes, não foi observada, provavelmente, devido ao nível socioeconômico baixo e ao padrão nutricional com a ausência de obesidade.

The objective this study was to verify the schoolgirl sexual maturation in a public school from Rio Branco(AC). It was a longitudinal study for 3 consecutive years (2003 to 2005), with the same group of girls who studiedat grades 5 or 6 in a school from Rio Branco (AC). The method proposed by Marshall and Tanner to evaluate beastand pubic. The age of menarche was obtained prospectively. The classification of sexual maturation was done according to Vitalle et al.. The nutritional status was evaluated by bone mass index according to NCHS data andthe socioeconomic evaluation, by ABEP (2003) patterns. From 44 schoolgirls who completed the study, 39 (89%)were from middle-lower or lower socio-economic level; and 30 (68%) in 2003 and 21 (48%) were malnourished. In2003, 35 (79%) had initiated the puberty and only 8 (18%) have presented menarche; while in 2005, 39 (89%) presented advanced or complete stages of sexual development and 37 (84%) menarche. The mean age of menarche was 12.7 + 0.7 years. This sample of girls of a public school from North Region of Brazil showed similar data of menarche in comparison from other national and international studies. The advanced puberty observed in somerecent studies was not observed in this sample, probably due to the socio-economic level and the nutritionalstatus without obesity.