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Muscle quality. II. Effects Of strength training in 65- to 75-yr-old men and women.

To determine the effects of strength training (ST) on muscle quality (MQ, strength/muscle volume of the trained muscle group), 12 healthy older men (69 +/- 3 yr, range 65-75 yr) and 11 healthy older women (68 +/- 3 yr, range 65-73 yr) were studied before and after a unilateral leg ST program. After a warm-up set, four sets of heavy-resistance knee extensor ST exercise were performed 3 days/wk for 9 wk on the Keiser K-300 leg extension machine. The men exhibited greater absolute increases in the knee extension one-repetition maximum (1-RM) strength test (75 +/- 2 and 94 +/- 3 kg before and after training, respectively) and in quadriceps muscle volume measured by magnetic resonance imaging (1,753 +/- 44 and 1, 955 +/- 43 cm3) than the women (42 +/- 2 and 55 +/- 3 kg for the 1-RM test and 1,125 +/- 53 vs. 1,261 +/- 65 cm3 for quadriceps muscle volume before and after training, respectively, in women; both P < 0.05). However, percent increases were similar for men and women in the 1-RM test (27 and 29% for men and women, respectively), muscle volume (12% for both), and MQ (14 and 16% for men and women, respectively). Significant increases in MQ were observed in both groups in the trained leg (both P < 0.05) and in the 1-RM test for the untrained leg (both P < 0.05), but no significant differences were observed between groups, suggesting neuromuscular adaptations in both gender groups. Thus, although older men appear to have a greater capacity for absolute strength and muscle mass gains than older women in response to ST, the relative contribution of neuromuscular and hypertrophic factors to the increase in strength appears to be similar between genders.

Aged↗

The role of instability with resistance training.

There are many instances in daily life and sport in which force must be exerted when an individual performing the task is in an unstable condition. Instability can decrease the externally-measured force output of a muscle while maintaining high muscle activation. The high muscle activation of limbs and trunk when unstable can be attributed to the increased stabilization functions. The increased stress associated with instability has been postulated to promote greater neuromuscular adaptations, such as decreased co-contractions, improved coordination, and confidence in performing a skill. In addition, high muscle activation with less stress on joints and muscles could also be beneficial for general musculoskeletal health and rehabilitation. However, the lower force output may be detrimental to absolute strength gains when resistance training. Furthermore, other studies have reported increased co-contractions with unstable training. The positive effects of instability resistance training on sports performance have yet to be quantified. The examination of the literature suggests that when implementing a resistance training program for musculoskeletal health or rehabilitation, both stable and unstable exercises should be included to ensure an emphasis on both higher force (stable) and balance (unstable) stressors to the neuromuscular system.

Adaptation, Physiological↗

Effects of exercise training on components of the motor unit.

Relatively little is known as to how the motor unit (the motoneurone and its innervated muscle fibres) adapts. Using the model of compensatory overload of the rat plantaris, we have described the complex patterns of adaptation which differ across motor units within a single muscle. These adaptations, measured using histochemical and physiological techniques in combination, emphasize the difficulty of predicting whole muscle responses from those of its constituent muscle fibres and motor units. In addition, they suggest that subtle changes may occur in the way motor units are used during training that are not evident when looking at whole muscles. Evidence of the responses of the motoneurone component of the motor unit to overload is fragmentary; nonetheless, other models of neuromuscular adaptation show the extent to which motor nerves and muscles adapt in a coordinated manner, with functional consequences that may be relevant to the exercise training model. More information on overload-induced changes in motoneurone and muscle properties, how these changes are coordinated, and their functional consequences, is necessary in order to better understand the training model.

Adaptation, Physiological↗

[Modification of reactivity by rhythmic neuromuscular stimulation].

The rhythmical neuromuscular stimulation (RNS) by Nasarov is a new method for optimizing performance. By transferring mechanical vibration to the tendomuscular system better coordination of peripheral and central nervous system could be achieved. A study with twelve healthy students of physical education dealt with the question of the effects of RNS on drop jumps. After 12 minutes application of RNS the performance drastically decreased. Jumping height lowered and ground contact time increased. Recordings of EMG revealed corresponding alterations in muscle activity, such occurring in overload situations. Plastic deformation of tendon collagen and neuromuscular adaptation as stiffness-reduction of gamma-modulation is discussed.

Adult↗

Effects of isometric training at different knee angles on the muscle-tendon complex in vivo.

The purpose of this study was to investigate the influences of isometric training at different joint angles on the muscle size and function of the human muscle-tendon complex in vivo. Furthermore, we tried to gain a better understanding of the mechanisms involved in angle specificity after isometric training from the aspect of neuromuscular adaptation and the changes in the properties of the muscle-tendon complex. Nine males completed 12-week unilateral training program (70% of maximal voluntary contraction (MVC) x 15 s x six sets) on the knee extensors at 50 degrees (shorter muscle length: ST) and 100 degrees (longer muscle length: LT). The internal muscle force (mechanical stress) is higher at 100 degrees than at 50 degrees because of the difference in the moment arm length, although there were no difference in the relative torque level, contraction and relaxation times, and repetition between ST and LT. Before and after training, isometric strength at eight angles and muscle volume were determined. Tendon elongation of knee extensors was measured by ultrasonography. There was no significant difference in the rate of increment of muscle volume between the protocols. Tendon stiffness increased significantly for LT, but not for ST. Although significant gain was limited to angles at or near the training angle for ST, increases in MVC at all angles were found for LT. These results suggest that only mechanical stress (internal muscle force imposed on muscle and tendon) contributes to adaptation in the tendon stiffness, although metabolic (relative torque level, etc.) and mechanical stress relate to muscle hypertrophy. Furthermore, increment of tendon stiffness for LT might contribute to increase torque output at smaller angles other than the training angle.

Adaptation, Physiological↗

Muscle response to the twin-block appliance: an electromyographic study of the masseter and anterior temporal muscles.

An electromyographic study was performed on 10 young growing girls in the age group of 9 to 12 years with Class II Division 1 malocclusion and retruded mandible, who were under treatment with Twin-block appliances. Bilateral EMG activity of elevator muscles of the mandible (ie, anterior temporalis and masseter) was monitored longitudinally with bipolar surface electrodes to determine changes in postural, swallowing, and maximal voluntary clenching activity during an observation period of 6 months. The changes were noted at the start of treatment (0 month), within 1 month of Twin-block insertion, at the end of 3 months, and at the end of 6 months. The results revealed a significant increase in postural and maximal clenching EMG activity in masseter (P <.01) and a numeric increase in anterior temporalis activity during the 6 month period of treatment. The increased electromyographic activity can be attributed to an enhanced stretch (myotatic) reflex of the elevator muscles, contributing to isometric contractions. The main force for Twin-block treatment appears to be provided through increased active tension in the stretched muscles (motor unit stimulation) and from initiation of myotatic reflex activity and not through passive tension (viscoelastic properties) of jaw muscles. The results of this study reaffirm the importance of full-time wear for functional appliances to exert their maximum therapeutic effect by way of neuromuscular adaptation.

Adaptation, Physiological↗

The role of the lateral pterygoid muscles in TMJ disorders during static conditions.

Intramuscular EMG of the lateral pterygoid muscles (LPM), surface EMG of the temporalis and masseter muscles and force measurements of the temporomandibular joint (TMJ) were synchronously used to investigate the biomechanical role of the two heads of the LPM in relation to internal derangement (ID) of the TMJ. EMG and kinetic analysis of five static conditions (resting, protraction, opening, molar and incisor clenching) and three maximum isometric masticatory forces (opening, molar and incisor clenching) were done to compare forces and muscular activity between TMJ ID and control subjects. The analysis of variance results of the integrated linear envelope (LE) EMG showed no significant differences between the two groups for the masseter and temporalis muscles. Therefore, there is no apparent reason to believe that these muscles are hyperactive in TMJ ID. The integrated LE EMG of the SLP was significantly lower in the TMJ group during molar clenching (104 microV + 60.0 over 159 microV + 68.8 for a p = .020). The superior head of the lateral pterygoid muscle (SLP) seemed to have lost its diskal stabilizing function. The integrated LE EMG signals of the ILP were significantly higher in the TMJ ID group during rest, resisted protraction and incisor clenching (p = .029, p = .046, p = .031 respectively). The ILP muscle has probably adapted to control the inner joint instability while continuing its own actions. The ILP muscle seemed to have lost its functional specificity. The results of the isometric forces showed that TMJ ID subjects exhibited significantly lower molar bite forces (297.1N over 419N, p = .042) confirming that they have less muscle strength and tissue tolerance than subjects with healthy masticatory muscle systems. A neuromuscular adaptation could be occurring in the TMJ ID masticatory system affecting muscular actions and forces.

Adaptation, Physiological↗

Retrofitting larval neuromuscular circuits in the metamorphosing frog.

Maturation of vertebrate neuromuscular systems typically occurs in a continuous, orderly progression. After an initial period of developmental adjustment by means of cell death and axonal pruning, relatively stable relationships, with only subtle modifications, are maintained between motoneurons and their appropriate targets throughout life. However, among a restricted group of vertebrates (amphibians and especially the anuran amphibians) the sequential maturation of neuromuscular systems is altered by an abrupt reordering of the basic body plan that encompasses cellular changes in all tissues from skeleton to nervous system. Many anuran amphibians possess neuromuscular circuits that are remarkable by virtue of their complete reorganization during the brief span of metamorphosis. During this period motor systems initially designed for the behavioral patterns of aquatic tadpoles are adjusted to meet the drastically different motor activities of postmetamorphic terrestrial life. This adjustment involves the deletion of neural elements mediating larval specific activities, the accelerated maturation of neural circuits eliciting adult-specific activities and the retrofitting of larval neuromuscular components to serve postmetamorphic behaviors. This review focuses on the cellular events associated with the neuromuscular adaptation in the jaw complex during metamorphosis of the leopard frog, Rana pipiens. As part of the metamorphic reorganization of the jaw apparatus there is a complete turnover of the myofiber complement of the adductor mandibulae musculature. Trigeminal motoneurons initially deployed to the larval myofibers are redirected to new muscle fibers. Simultaneously the cellular geometry and synaptic input to these motoneurons is revamped. These changes suggest that trigeminal neuromuscular circuitry established during embryogenesis is updated during metamorphosis and reused to provide the basis for adult jaw motor activity that is far different than its larval counterpart.

Animals↗

Evaluation of mandibular rest position in subjects with diverse dentofacial morphology.

The kinesiometric and electromyographic findings from the evaluation of mandibular resting posture in 30 individuals with diverse vertical dentofacial morphology can be summarized as follows: 1. The RVD and TESP of the mandible are two distinctly different biologically dynamic neuromuscular entities. They differ with respect to their spatial position in that the RVD is 2.6 mm closer to centric occlusion than TESP. 2. The intrapersonal reproducibility of the RVD and TESP at various time intervals predictably demonstrated some biologic variability. 3. The occlusal neuromuscular mechanism apparently maintains a functional tone in the masticatory musculature at the RVD as a result of stimuli from the periodontal mechanoreceptors following tooth contact. 4. A physiologic range of neuromuscular adaptability exists within each diverse morphologic group. Adaptations are apparently mediated by the central nervous system and the musculoskeletal complex. 5. The interocclusal distance at the TESP is inversely related to the vertical dentofacial morphology. 6. Sophisticated computerized morphometrics in combination with the kinesiometric and electromyographic findings of this study demonstrate the dentoalveolar nature of VME and VMD and suggest that correction of these dentofacial deformities by various biologically compatible means will tend to normalize neuromuscular-skeletal relations.

Adolescent↗

Bite forces after open or closed treatment of mandibular condylar process fractures.

PURPOSE: This study compared maximum voluntary bite forces in patients who received either open or closed treatment for fractures of the mandibular condylar process. PATIENTS AND METHODS: One hundred fifty-five patients (127 male, 28 female) with unilateral fractures of the mandibular condylar process (91 treated closed and 64 treated open) were included in this study. Maximum voluntary bite forces were measured at 6 weeks, 6 months, and 1, 2, and 3 years after fracture. At each trial, unilateral maximum voluntary bite force was measured at 4 different tooth positions bilaterally using a standard transducer. Electromyography (EMG) of the masseter muscles was also recorded during the bite force measurements, and ratios of the working/balancing side EMG were calculated. Analysis of the data was performed using standard statistical methods. RESULTS: The only significant difference between the 2 samples was in the level of fractures on the condylar process. No patients treated open had fractures of the "head" of the condylar process, whereas there were 11 in the group treated closed. No differences were observed in maximum voluntary bite forces between the 2 treatment groups at any time period, or were there correlations between bite force magnitude and location of the fracture, displacement of the fracture, or any other variable studied. Both groups showed a significant recovery of maximum bite force from the 6-week to the 6-month testing session. For both groups, working/balancing EMG ratios were significantly greater when subjects were biting on the side opposite the fracture. When biting on that side, the working/balancing EMG ratios were higher in the closed treatment group, but the difference did not reach significance. CONCLUSIONS: Maximum voluntary bite forces in patients treated for mandibular condylar process fractures do not differ significantly when treatment is open or closed. Neuromuscular adaptations to the fractured mandibular condylar process occur in both groups.

Adolescent↗

Age-related EMG variables during maximum voluntary contraction.

We studied the neuromuscular adaptation that occurs with aging by comparing changes in surface electromyography (EMG) variables from the tibialis anterior muscle in 12 young (21.4 +/- 1.7 yr. old) and 13 older subjects (70.8 +/- 3.1 yr. old). EMG variables such as the muscle fiber conduction velocity, median frequency, and averaged rectified value were calculated during maximum voluntary contraction for 5-sec. isometric contractions. The dorsiflexion force, muscle fiber conduction velocity, median frequency, and average rectified value during maximum voluntary contraction were significantly smaller in the older than in the younger group (p < .05). These results suggested that the neuromuscular system in older subjects is affected by the selective atrophy of fast twitch fibers and differences in motor unit firing statistics. Our results suggest the utility of applying the EMG observed during maximum voluntary contraction to the noninvasive evaluation of neuromuscular function in elderly persons.

Adult↗

Real-time haptic-teleoperated robotic system for motor control analysis.

A versatile teleoperated robotic system was created as an assessment device for testing upper-extremity motor control adaptation using different control strategies. While many systems display output virtually on a computer monitor, this system was designed to output in three-dimensional physical space. The system accepts haptic force and torque input, and outputs robot end-effector displacements and rotations in three spatial dimensions. Benefits of this system include flexibility to conduct a variety of dissimilar tasks and reality of user feedback in physical space. Two separate experiments validated the teleoperated robotic system. The first experiment tested unimanual human motor control and the second tested bimanual motor control. This teleoperated robotic system can be used as an assessment device to study neuromuscular adaptability via a variety of control strategies providing a new and functional approach to human motor control analysis.

Arm↗

Exercise rehabilitation after stroke.

Stroke is a leading cause of disability that results not only in persistent neurological deficits, but also profound physical deconditioning that propagates disability and worsens cardiovascular risk. The potential for exercise-mediated adaptations to improve function, fitness, and cardiovascular health after stroke has been underestimated: it represents an emerging arena in neurotherapeutics. To define the health rationale for cardiovascular (aerobic) exercise, we first outline the impact of debilitating secondary biological changes in muscle and body composition on fitness and metabolic health after stroke. We provide an overview of evidence-based advances in exercise therapeutics, with a focus on task-oriented models that combine a progressive aerobic conditioning stimulus with motor learning to improve multiple physiological domains that determine longitudinal outcomes after stroke. Although progress in development of safe and effective exercise strategies is advancing, fundamental questions regarding dose intensity, prescription to optimize central and peripheral neuromuscular adaptations, and the public health value of exercise in secondary stroke prevention remain unanswered. Key issues steering future research in exercise neurotherapeutics are discussed within the context of initiatives to facilitate translation to community-based studies, requisite for dissemination.

Adaptation, Physiological↗

Reflex inhibition during muscle fatigue in endurance-trained and sedentary individuals.

Reflex inhibition of the motoneuron pool following fatiguing contractions may be mediated by the build-up of byproducts of fatigue. Endurance training is accompanied by neuromuscular adaptations that would alter the production and/or clearance of metabolic substrates. The purpose of the study was to determine the extent of reflex inhibition during and after fatigue in endurance-trained individuals compared to sedentary controls. Subjects produced isometric ankle plantarflexion contractions at 30% of maximal voluntary contraction (MVC) until their MVC torque declined by 30%. H-reflexes were measured during a brief rest period every 3 min as well as superimposed upon the contraction every minute. Both groups of subjects experienced a similar amount of reflex inhibition by the end of the fatiguing protocol, although the endurance time was twice as long for the endurance-trained subjects. The endurance-trained subjects showed a greater reduction in H-reflex amplitude early in the fatiguing protocol compared to the sedentary subjects. These experiments have demonstrated that the neuromuscular processes associated with fatigue-related reflex inhibition must be multi-faceted and cannot be explained solely by small-diameter afferents responding to the byproducts of muscle contraction.

Adult↗

Adaptation to chronic eccentric exercise in humans: the influence of contraction velocity.

We compared changes in muscle fibre composition and muscle strength indices following a 10 week isokinetic resistance training programme consisting of fast (3.14 rad x s(-1)) or slow (0.52 rad x s(-1)) velocity eccentric muscle contractions. A group of 20 non-resistance trained subjects were assigned to a FAST (n = 7), SLOW (n = 6) or non-training CONTROL (n = 7) group. A unilateral training protocol targeted the elbow flexor muscle group and consisted of 24 maximal eccentric isokinetic contractions (four sets of six repetitions) performed three times a week for 10 weeks. Muscle biopsy samples were obtained from the belly of the biceps brachii. Isometric torque and concentric and eccentric torque at 0.52 and 3.14 rad x s(-1) were examined at 0, 5 and 10 weeks. After 10 weeks, the FAST group demonstrated significant [mean (SEM)] increases in eccentric [29.6 (6.4)%] and concentric torque [27.4 (7.3)%] at 3.14 rad x s(-1), isometric torque [21.3 (4.3)%] and eccentric torque [25.2 (7.2)%] at 0.52 rad x s(-1). The percentage of type I fibres in the FAST group decreased from [53.8 (6.6)% to 39.1 (4.4)%] while type IIb fibre percentage increased from [5.8 (1.9)% to 12.9 (3.3)%; P < 0.05]. In contrast, the SLOW group did not experience significant changes in muscle fibre type or muscle torque. We conclude that neuromuscular adaptations to eccentric training stimuli may be influenced by differences in the ability to cope with chronic exposure to relatively fast and slow eccentric contraction velocities. Possible mechanisms include greater cumulative damage to contractile tissues or stress induced by slow eccentric muscle contractions.

Adaptation, Physiological↗

Applied physiology of triathlon.

The triathlon is a 3-event endurance sport in which athletes compete sequentially in swimming, cycling and running. The primary determinant of success is the ability to sustain a high rate of energy expenditure for prolonged periods of time. Exercise training-induced physiological adaptations in virtually all systems of the body allow the athlete to accomplish this. Aerobic capacity (measured as maximal oxygen uptake, VO2max), economy of motion (submaximal VO2) and fractional utilisation of maximal capacity (%VO2max) reflect the integrated responses of these physiological adaptations. Numerous studies have reported relatively high mean VO2max values for various groups of triathletes that are comparable to those reported for athletes in single-event endurance sports and clearly above those reported for untrained individuals. In shorter distance triathlons and in studies using recreational (rather than elite) triathletes, VO2max is related to performance in the corresponding event of the triathlon (e.g. tethered swimming VO2max with swim time). In longer events and with more elite triathletes, VO2max correlates less well with performance. The physiological adaptations that correspond to and facilitate improved VO2max occur centrally in the cardiovascular system, centred on increased maximal cardiac output, and peripherally in the metabolic systems, centred around increased arterio-venous O2 (a-v O2) difference. While a high VO2max in individuals is clearly of importance to triathlon performance, energy output must be sustained for long periods of time, making economy of motion also very important. Studies suggests that competitive swimmers have better swimming economy than triathletes. However, since many triathletes have previously been competitive swimmers this finding is questionable. The finding suggests that triathletes from nonswimming backgrounds would benefit from improving swimming technique rather than concentrating training workouts solely on distance. In cycling and running, comparison studies have not been done. Economy of motion in swimming, cycling and running have all been found to be correlated with comparable event performance. Training to improve swimming economy can be done without prior exercise, but training to improve swimming economy can be done without prior exercise, but training to improve cycling and running economy should take the multimode nature of a triathlon into consideration. That is, swimming should precede cycling economy training, and cycling should precede running economy training. Cardiovascular, metabolic and neuromuscular adaptations are the main physiological correlates of improved movement economy. Since exercise-induced stress on most physiological systems is based on relative, rather than absolute, exercise intensity, training and racing intensities are frequently quantified as a percentage of maximal capacity of %VO2max.(ABSTRACT TRUNCATED AT 400 WORDS)

Adaptation, Physiological↗

Motor control and cardiovascular responses during isoelectric contractions of the upper trapezius muscle: evidence for individual adaptation strategies.

Ten females (25-50 years of age) performed isometric shoulder flexions, holding the right arm straight and in a horizontal position. The subjects were able to see the rectified surface electromyogram (EMG) from either one of two electrode pairs above the upper trapezius muscle and were instructed to keep its amplitude constant for 15 min while gradually unloading the arm against a support. The EMG electrodes were placed at positions representing a "cranial" and a "caudal" region of the muscle suggested previously to possess different functional properties. During the two contractions, recordings were made of: (1) EMG root mean square-amplitude and zero crossing (ZC) frequency from both electrode pairs on the trapezius as well as from the anterior part of the deltoideus, (2) supportive force, (3) heart rate (HR) and mean arterial blood pressure (MAP), and (4) perceived fatigue. The median responses during the cranial isoelectric contraction were small as compared to those reported previously in the literature: changes in exerted glenohumeral torque and ZC rate of the isoelectric EMG signal of -2.81% x min(-1) (P = 0.003) and 0.03% x min(-1) (P = 0.54), respectively, and increases in HR and MAP of 0.14 beats x min(-2) (P = 0.10) and 0.06 mmHg x min(-1) (P = 0.33), respectively. During the contraction with constant caudal EMG amplitude, the corresponding median responses were -2.51% x min(-1) (torque), 0.01% x min(-1) (ZC rate), 0.31 beats x min(-2) (HR), and 0.93 mmHg x min(-1) (MAP); P = 0.001, 0.69, 0.005, and 0.003, respectively. Considerable deviations from the "isoelectric" target amplitude were common for both contractions. Individuals differed markedly in response, and three distinct subgroups of subjects were identified using cluster analysis. These groups are suggested to represent different motor control scenarios, including differential engagement of subdivisions of the upper trapezius, alternating motor unit recruitment and, in one group, a gradual transition towards a greater involvement of type II motor units. The results indicate that prolonged low-level contractions of the shoulder muscles may in general be accomplished with a moderate metabolic stress, but also that neuromuscular adaptation strategies differ significantly between individuals. These results may help to explain why occupational shoulder-neck loads of long duration cause musculoskeletal disorders in some subjects but not in others.

Adaptation, Physiological↗

Effects of fatigue and sprint training on electromechanical delay of knee extensor muscles.

Electromechanical delay (EMD) of knee extensors in isometric contraction was investigated in six healthy men before and after four periods of 30-s allout sprint cycling exercise, conducted pre and post a 7-week sprint cycling training programme. The EMD was lengthened from 40.4 (SEM 3.46) ms at rest to 63.4 (SEM 7.80) ms after the fatiguing exercise (P < or = 0.05) in the pre-training test. During maximal voluntary contractions (MVC) conducted after the fatiguing exercise, the peak contraction force (Fpeak) and peak rate of force development (RFDpeak) were reduced by 51%-56% and 38%-50%, respectively (both P < or = 0.05). The mechanisms of EMD lengthening during fatigue could have been due to the deterioration in muscle conductive, contractile or elastic properties and require further study. The training programme increased the total work performed during the four periods of sprint exercise (P < or = 0.05). However, no significant training effects were found in the resting or postexercise EMD, Fpeak and RFDpeak during isometric MVC. These unchanged isometric contraction variables but enhanced dynamic performance suggest that isometric tests of muscle are insensitive to the neuromuscular adaptations to sprint training.

Adult↗