A systematic review of surface electromyography analyses of the bench press movement task

Acute muscle excitation response across various bench press ranges of motion

This study examined muscle excitation using surface electromyography (sEMG) during different ranges of motion (ROM) in the bench press. Given the limited research on upper-body muscle excitation across ROMs, this study aimed to establish reference values for muscle excitation in distinct bench press ROMs. Nineteen male participants performed a 10-repetition maximum (10RM) bench press across three ROMs: full ROM, upper-half ROM, and lower-half ROM. sEMG measurements were taken on the pectoralis major (PM), triceps brachii (TB), and anterior deltoid (AD). Mean and peak EMG amplitudes were analyzed. Significant differences in mean muscle excitation were observed across all muscles (p < 0.001-0.002). The upper-half ROM elicited the highest mean excitation for the TB, while both partial ROMs resulted in greater excitation for the PM and AD compared to the full ROM. Peak muscle excitation was significantly greater in the PM sternocostal 15% region during the upper-half ROM. Additionally, the TB long and lateral heads showed significantly higher peak EMG values in the upper-half ROM than in the other conditions. These results suggest that ROM variations in the bench press lead to distinct muscle excitation patterns. This insight may inform future research on ROM's effects on muscle hypertrophy and strength development.

Exoskeletons in Intermittent Bending Tasks: Assessing Muscle Demands, Endurance, and User Perspectives

ObjectiveWe investigated effects of a Back-support industrial exoskeleton (BSIE) across intermittently performed unloaded trunk bending task cycles.BackgroundIndustrial tasks are often performed in the form of task cycles with varying activities and rest breaks after each task cycle. Investigating the effects of BSIEs during such intermittent tasks is crucial to understand translation of their benefits in real-world environments.MethodTwelve participants performed ∼709 task cycles (sustained bending, bending and retraction, standing still, and relaxation activities) with/without BSIE (E/NE) and with/without 45° asymmetry (S/A) towards left until fatigue. Evaluated measures included muscle activity in left (LES)/right (RES) erector spinae and left (LBF)/right (RBF) biceps femoris muscles, endurance, and user perspectives. Temporal effects of fatigue were examined by categorizing muscle activity based on perceived exertion level with Borg scale.ResultsBSIE reduced low-back (LES, RES), and leg (LBF, RBF) mean amplitude by ∼ 18-24% and ∼10-17% respectively. Benefits of BSIE in low-back reduced by ∼11-15% at medium versus low fatigue. Overall, BSIE led to 50% more completed task cycles and was favorably rated by participants in reducing physical demands, most especially during sustained bending portion of the task cycles.ConclusionUsing BSIE in intermittent bending tasks can not only provide benefits in reducing muscle demands but can also delay effects of fatigue in low-back region and increase endurance by enabling wearers to perform more task cycles.ApplicationFindings from this study may be beneficial to practitioners for setting guidelines on implementation of BSIEs in industrial bending tasks.

Acute Effects of Fast vs. Slow Bench Press Repetitions with Equal Time Under Tension on Velocity, sEMG Activity, and Applied Force in the Bench Press Throw

Background: The tempo of resistance exercises is known to influence performance outcomes, yet its specific effects on post-activation performance enhancement (PAPE) remain unclear. This study aimed to investigate the effects of fast versus slow repetitions at a load of 70% of one-repetition maximum (1-RM) in the bench press exercise, focusing on velocity, surface electromyographic (sEMG) activity, and applied force while equating time under tension on bench press throw performance. Methods: Eleven men (age: 23.5 ± 5.4 years, height: 1.79 ± 0.04 m, body mass: 79.1 ± 6.4 kg, maximum strength 1-RM: 91.0 ± 12.0 kg) participated. Two experimental conditions (FAST and SLOW) and one control (CTRL) were randomly assigned. Participants performed two sets of six repetitions as fast as possible (FAST condition) and two sets of three repetitions at a controlled tempo (SLOW condition) at half the concentric velocity of FAST, as determined in a preliminary session. Before and after the bench press participants performed bench press throws tests (Pre, 45 s, 4, 8, and 12 min after). Results: sEMG activity and peak force during the bench press were higher in FAST vs. SLOW conditioning activity (p < 0.001), with time under tension showing no significant differences between conditions (p > 0.05). Mean propulsive velocity (MPV) during the bench press throw improved equally in both FAST and SLOW conditions compared with baseline from the 4th to the 12th min of recovery (FAST: +6.8 ± 2.9% to +7.2 ± 3.3%, p < 0.01, SLOW: +4.0 ± 3.0% to +3.6 ± 4.5%, p < 0.01, respectively). Compared to the CTRL, both conditions exhibited improved MPV values from the 4th to 12th min (p < 0.01). Peak velocity improvements were observed only after the FAST condition compared to the baseline (p < 0.01) with no differences from SLOW. For all muscles involved and time points, sEMG activity during bench press throws was higher than CTRL in both experimental conditions (p < 0.01), with no differences between FAST and SLOW. Peak force increased in both FAST and SLOW conditions at all time points (p < 0.05), compared to CTRL. Conclusions: These findings suggest that post-activation performance enhancement is independent of movement tempo, provided that the resistive load and total time under tension of the conditioning activity are similar. This study provides valuable insights into the complex training method for athletes by demonstrating that varying tempo does not significantly affect post-activation performance enhancement when load and TUT are equated.

Electromyographic Comparison of Traditional Fitness Machines, Outdoor Fitness Equipment Without Load Selectors, and Outdoor Fitness Equipment with Load Selectors in a Seated Chest Press Exercise in Trained Young Men

Outdoor fitness equipment (OFE) are strength training installations comparable to those found in indoor gyms but are located outdoors with greater accessibility. However, the scientific evidence supporting their effectiveness remains limited. The objective of this study was to analyze and compare the electromyographic (EMG) activity of upper limb muscle groups during the use of a traditional seated chest press (SCP) machine, a classic OFE SCP (OFE-SCP), and a new OFE-SCP featuring a load selector system (BIOFIT-SCP). The sample was composed of 34 active young men. EMG activity of five muscle groups was analyzed: the anterior deltoid (AD), the clavicular (CP) and sternal (SP) heads of the pectoralis major, and the lateral (LHTB) and long heads of the triceps brachii (LongHTB), under different intensities. The OFE-SCP showed significantly lower EMG activity compared with the SCP and BIOFIT-SCP in all muscles and phases (p < 0.001). Significantly lower EMG activity for the SP in all three phases was found on the BIOFIT-SCP compared with the SCP (p < 0.001), but it was significantly higher for the LHTB and AD in the BIOFIT-SCP compared with the SCP during the full and concentric phases (p < 0.05 to p < 0.001). In conclusion, training with the OFE-SCP generates less EMG activity than traditional machine training, while, in general, BIOFIT-SCP proved effective for strength training comparable to the SCP.

Effects of Extrinsic and Intrinsic Motivation on Selective Activation of Shoulder Girdle Muscles During the Barbell Bench Press Exercise

Background/Objectives: This study aimed to investigate the effects of intrinsic and extrinsic motivation on selective muscle activation of the shoulder girdle during the barbell bench press. Specifically, this research focused on how attentional focus on individual muscles, such as the anterior deltoid (AD), pectoralis major (PM), and triceps brachii long (TBL), could influence their electromyographic (EMG) activity during the exercise. Methods: Twelve male participants, with at least five years of strength training experience, performed bench press exercises under two conditions: with extrinsic motivation (no specific focus on muscle activity) and with intrinsic motivation (internal focus on specific muscles). Surface electromyography (sEMG) was used to measure muscle activity during three sets of bench presses at 60% of one repetition maximum (1RM). Participants were instructed to focus on the activation of specific muscles in a randomized sequence. Results: The intrinsic motivation condition significantly increased muscle activation compared to extrinsic motivation. Electromyographic activity of the AD, PM, and TBL muscles was notably higher when participants focused their attention on these muscles. AD activation increased from 71.78 ± 11.13%MVC (extrinsic) to 88.03 ± 8.84%MVC (intrinsic) (p = 0.0019), while PM and TBL activation also demonstrated significant increases under intrinsic focus. Conclusions: The study concludes that intrinsic motivation, or an internal focus on specific muscle activation, can significantly enhance EMG activity in target muscles during the bench press exercise. This finding has important implications for resistance training and rehabilitation, where focused muscle activation can be utilized to improve training outcomes and muscle engagement.

Muscle hypertrophy response across four muscles involved in the bench press exercise: Randomized 10 weeks training intervention

BACKGROUND AND PURPOSE

Resistance training exercise provides increases in muscle size and is used by coaches and health care professional as a tool to improve functional performance. The aim of the present study was to investigate the effect of 10 weeks of resistance training program performed on the bench press (BP) exercise on the hypertrophic responses of four different muscles (pectoralis major, anterior and medial deltoid, brachii, and pectoralis minor) involved in the task compared to controls.

METHODS

Twenty-four healthy males were recruited, and thirteen performed a resistance training intervention while eleven were control. RT group trained for 10 weeks and the protocol consisted of a time under tension for each set of 36s (3-4 sets) with 12 repetitions with an intensity of 50-55% of the 1RM, a training frequency of 3 times a week, with a 3 min rest between sets. Muscle cross-sectional area (CSA) was measure by magnetic resonance imaging.

RESULTS

Individuals in the RT group demonstrated higher changes in CSA of the pectoralis major, pectoralis minor, anterior deltoid, and triceps brachii (P ≤ 0.019) than in the Control group. It was identified in the RT group higher increases in CSA of all muscles compared to medial deltoid (P ≤ 0.016), while pectoralis major demonstrated larger increases in CSA than pectoralis minor and triceps brachii (P ≤ 0.030).

CONCLUSIONS

We demonstrated that 10 weeks of resistance training performed on the BP exercise led to increases in muscle size of the muscles involved in the task, but not in the same magnitude.

Neuromuscular Repatterning of the Pectoralis Major During the Bench Press Exercise Following a 10-week Targeted Resistance Training Intervention

OBJECTIVE

The bench press is a resistance training exercise that targets several upper body muscles, including the pectoralis major (PM), anterior deltoid (AD), and triceps brachii (TB). The purpose of this study was to influence the PM activity pattern during the bench press after a 10-week targeted resistance training intervention.

METHODS

Sixteen men with significant experience in strength training participated in this study. They were divided into two groups: experimental and control. The experimental group underwent targeted training of PM and bench press, while the control group only did bench press. Electromyography (EMG) was used to assess muscle activity before and after the intervention.

RESULTS

The experimental group had a significant increase in PM activity after the intervention (p=0.0002; ES=2.6), while the control group did not show any significant change (p=0.14). The activity of AD and TB remained relatively stable across both groups and time points.

CONCLUSIONS

These findings indicate that focused resistance training can improve PM involvement in the bench press, potentially optimizing muscle excitation patterns and performance.

Sex-related differences in the load-velocity and load-power relationships of the decline bench press exercise

The purpose of this study was to analyse the load-velocity and load-power relationships of the decline bench press exercise (DBPE) and to compare sex-related differences. Twelve young healthy men and women performed a progressive loading test for the determination of 1RM strength and individual load-velocity and load-power relationship in the DBPE. A very close relationship between mean propulsive velocity (MPV) and %1RM was observed (R2 = 0.94). This relationship improved when plotting data separately by sex (R2 = 0.96-97). Individual load-velocity profiles gave an R2 = 0.99 ± 0.01. The relationship between mean propulsive power (MPP) and %1RM was R2 = 0.23. When separating data by sex, R2 = 0.64-73 were obtained. Individual load-power profiles gave an R2 of 0.93 ± 0.07. Significant sex-related differences were found for MPV, with males having faster velocities than females from 30% to 40% 1RM (p = 0.01) and for MPP, with males having greater MPP (W) than females from 30% to 95% 1RM (p < 0.001). The results of this study show that a strong correlation exists between relative load and MPV/MPP in the DBPE, allowing the possibility of using one to predict the other with great precision, especially when a sex-specific equation is used.

The Impact of Range of Motion on Applied Force Characteristics and Electromyographic Activity during Repeated Sets of Bench Press Exercise

This study examined the effects of range of motion (ROM) on applied force, power output and surface electromyographic (sEMG) responses during repeated sets of bench press exercise executed as fast as possible. Ten resistance trained men performed three sets to momentary failure with two-min rest intervals under three different ROM conditions: (a) full ROM (FULL), (b) TOP, at the top half of ROM, and (c) BOTTOM, at the bottom half of ROM. Mean and peak force were higher in TOP compared to FULL and BOTTOM (mean force: 817 ± 80 vs. 657 ± 98 vs. 623 ± 122 N, respectively, p < 0.001) with no differences between FULL and BOTTOM. During repeated sets, large decreases were found in peak (by 29.4 to 45.3%) and mean power (by 55.5 to 64.7%) from the first to the last repetitions. However, the decrease in mean force was only 2% (p < 0.01) and decreases in peak force ranged from 6.7 and 8.8% to zero, indicating the velocity loss was the main contributor to fatigue in power output. Although force and power output in set 3 were unchanged in BOTTOM, mean power output decreased significantly, suggesting that lower performance and fatigue may be related to the longer muscle length. Fatigue was accompanied by an increase in sEMG activity and a decrease in median frequency in all muscles, with triceps brachialis sEMG reflecting more the force and power differences among ROMs. In conclusion, fatigue depends on velocity rather than force loss during bench press exercise at different ROMs.

High-Density Electromyography Excitation in Front vs. Back Lat Pull-Down Prime Movers

The current study compared the spatial excitation of the primary muscles during the lat pull-down exercise with the bar passing in front (front-LPD) or behind the neck (back-LPD) using high-density electromyography. Fourteen resistance trained men performed a front-LPD or a back-LPD within a non-fatiguing set with 8-RM as the external load. The muscle excitation centroid of latissimus dorsi, middle trapezius, pectoralis major, biceps brachii, triceps brachii and posterior deltoid muscles were recorded during the ascending and the descending phase. During the descending phase, the front-LPD showed superior excitation of the latissimus dorsi (ES = 0.97) and the pectoralis major (ES = 1.17), while in the ascending phase, the back-LPD exhibited superior excitation of the latissimus dorsi (ES = 0.63), and the front-LPD showed superior excitation of the biceps brachii (ES = 0.41) and the posterior deltoid (ES = 1.77). During the descending phase, the front-LPD showed a more lateral centroid of the latissimus dorsi (ES = 0.60), the biceps brachii (ES = 0.63) and the triceps brachii (ES = 0.98), while the centroid was more medial for the middle trapezius (ES = 0.58). The centroid of the middle trapezius was also more medial in the front-LPD during the ascending phase (ES = 0.85). The pectoralis major centroid was more cranial in the front-LPD for both the descending (ES = 1.58) and the ascending phase (ES = 0.88). The front-LPD appears to provide overall greater excitation in the prime movers. However, distinct spatial excitation patterns were observed, making exercise suitable for the training routine.

Nose vs. mouth breathing- acute effect of different breathing regimens on muscular endurance

BACKGROUND

It has been reported that the way we breathe (whether through the nose or mouth) can influence many aspects of our health and to some extent, sport performance. The purpose of this study was to evaluate the acute effects of different breathing regimens on muscular endurance and physiological variables.

METHODS

A randomized experiment to verify the acute effect of different breathing regimens (NN- inhaling and exhaling through the nose; NM- inhaling through the nose, exhaling through the mouth; MM- inhaling and exhaling through the mouth) on the muscular endurance performance was conducted. 107 physically active college students (68 males, 39 females) performed repeated bench press testing protocol (repetitions to failure (RTF) with 60% of body weight for males (BP60), respectively 40% of body weight for females (BP40)) with various breathing regimens (NN, NM, MM) in random order. Heart rate (HR), blood oxygen saturation (SpO2) and perceived exertion by Borg scale (RPE) were measured as well. A short questionnaire, given after the testing protocol and observation during familiarization, was used to detect each subject's normal breathing approach during resistance training.

RESULTS

In both genders, no significant differences in RTF, RPE and SpO2 were found. No individual case of deviation of arterial oxygen saturation outside the physiological norm was recorded. ​​In the male group, significantly lower HR values were found during the NN trials, compared to during the NM (p = 0.033) and MM (p = 0.047) trials with no significant differences in females. The HR differences in the males demonstrated a small effect size (NN < NM, d = 0.32; NN < MM, d = 0.30). Questionnaire results suggest that 80% of our participants use NM breathing, 15% use MM breathing and 5% use NN breathing during resistance training.

CONCLUSION

It seems, that various breathing regimens have none or only minor effect on muscular endurance performance and selected physiological parameters. NN seems to be as efficient as other two regimens, which are mostly used in practice (NM, MM).

Pectoralis major and triceps brachii cross-sectional area measured on different planes: the effect on the muscle size-strength relationship

BACKGROUND

Magnetic resonance imaging (MRI) is a well-used technique to assess muscle size and can be acquired on different planes. Pectoralis major (PM) and triceps brachii (TB) muscles are often acquired and analyzed on the axial plane, however it is unknown if anatomical cross-sectional area (CSA) calculated from different planes will affect the muscle size-strength relationship. Thus, the first aim of the present study was to identify if the CSA of the PM and TB measured on different planes presents a similar muscle size-strength relationship. A secondary aim was to investigate if the quantification of CSA of the PM and TB muscles are similar between sagittal and axial plane.

METHODS

Fifteen males underwent an MRI examination, and after that, one-repetition maximum (1RM) test was performed.

RESULTS

There was a significant relationship between 1RM and PM CSA measured on the axial and sagittal plane (r≤0.81), while the relationship with TB CSA was only good on the axial plane (r=0.65) and not significant on the sagittal plane (r=0.27). ICC between planes was excellent for PM CSA (0.96) with Bland-Altman procedure showing agreement between planes (d=0.376; P=0.612). Contrarily, TB CSA ICC was week (0.07), with Bland-Altman procedure showing no agreement between planes (d=-24.49; P=0.022).

CONCLUSIONS

CSA measured at axial plane from PM and TB muscles showed a significant relationship with 1RM, while only PM CSA on the sagittal plane showed a significant relationship with 1RM. Finally, it was demonstrated that PM images showed a great reliability between planes, which was not true for TB muscle.

Lateral Force and EMG Activity in Wide- and Narrow-Grip Bench Press in Various Conditions

The purpose of this study was to investigate the lateral force and contribution of shoulder horizontal adductor and elbow extensor muscles activity during wide- and narrow-grip bench press (BP) in various conditions, such as resistance-trained/non-trained, concentric/eccentric, and muscle fatigue/non-fatigue. We measured the lateral force on the bar and the electromyographic (EMG) muscle activity of pectoralis major (PM) and triceps brachii (TB) during 10 RM BP with wide grip (81 cm) and narrow grip (40 cm) in seven resistance-trained men and seven non-trained men. The all-reps average of the lateral-to-vertical force ratio both in resistance-trained and non-trained subjects was about 30% outward for the wide grip and about 10% inward for the narrow grip. The EMG contribution ratio PM/TB shows no significant differences between narrow and wide grip in all evaluated conditions except in non-trained subjects' muscle fatigue eccentric phase. Both resistance-trained and non-trained subjects did not push the bar straight upward, and the EMG PM/TB was almost unchanged by hand width. The direction adjustment of the force on the bar that achieves almost the same muscle activity degree of the shoulder and elbow joints might be optimal BP kinetics.

A Comparison of Basic Training Variables in the Standard and Cambered Bar Bench Press Performed to Volitional Exhaustion

The objective of this study was to compare the impact of cambered and standard barbells used during the bench press exercise on the number of performed repetitions and mean velocity during a bench press training session that included 5 sets performed to volitional failure at 70% of one-repetition maximum (1RM) (for each barbell type). An additional objective was to determine whether there would be any difference in neuromuscular fatigue assessed by peak velocity changes during bench press throws performed 1 and 24 hours after the cessation of each session. The research participants included 12 healthy resistance-trained men. Participants performed 5 sets of the bench press exercise to volitional failure against 70% of 1RM with the cambered or standard barbell. The Friedman's test showed an overall trend of a significant decrease in the mean velocity (p < 0.001) and a number of performed repetitions (p < 0.001) from the first to the fifth set (p < 0.006 and p < 0.02, respectively for all) under both conditions, yet neither bar showed significant differences between the corresponding sets. Two-way ANOVA indicated a significant main effect of time (p < 0.001) for peak velocity during the bench press throw. The post-hoc comparisons showed significantly lower peak velocity during the bench press throw one hour after the bench press compared to pre (p = 0.003) and 24-hour post intervention (p = 0.007). Both barbells caused a similar decrease in peak barbell velocity during the bench press throw performed one hour after the bench press training session, with values returning to baseline 24 hours later. This indicates that bench press workouts with either a standard or a cambered barbell present the same training demands.

Comparison of Muscle Activity between the Horizontal Bench Press and the Seated Chest Press Exercises Using Several Grips

This study aims to compare muscle activity in the pectoralis major, anterior deltoid, and triceps brachii in the horizontal bench press exercise with a prone grip at 150% and 50% of the biacromial width and the seated chest press exercise with two types of grips (a neutral grip at ~150% of the biacromial width and a prone grip at ~200% of the biacromial width). Twenty physically active adults performed a set of 8 repetitions at 60% of the one repetition maximum. The results showed that the clavicular portion of the pectoralis major had significantly greater muscle activity in the seated chest press exercise with a neutral grip (~30% of the maximal voluntary isometric contraction (MVIC)) than in the lying bench press exercise with a prone grip at 150% of the biacromial width (~25% MVIC). The muscle activity of the anterior deltoid was not significantly different across any exercise or grip evaluated (~24% MVIC). The muscle activity of the triceps brachii was significantly higher in the lying bench press exercise with a grip at 50% biacromial width (~16% MVIC) than at 150% of the biacromial width (~12% MVIC). In conclusion, all exercises and grips showed similar muscle activity, and the selection of these exercises should not be based exclusively on the grounds of muscle activation but rather on the load capacity lifted, the level of technique of the participant, and/or the transference to the specific sporting discipline or event.

The Effects of the "Sling Shot" Device on Bench Press Performance, Mechanical Properties of Muscle, and Movement Kinematics

ABSTRACT

Wojdała, G and Krzysztofik, M. The effects of the "sling shot" device on bench press performance, mechanical properties of muscle, and movement kinematics. J Strength Cond Res 37(4): 780-786, 2023-This study aimed to evaluate the influence of the sling shot support device at various external loads and intensities of effort, taking into account acute changes in power performance, mechanical muscle properties, and bench press kinematics. For this purpose, 12 resistance-trained men (age: 27.1 ± 4.2 years, body mass: 90.3 ± 16.9 kg, bench press [BP] 1 repetition maximum [1RM]: 112.7 ± 23.1 kg) (resistance training experience: 6.9 ± 3.8 years) participated in the study. Each subject completed 2 experimental sessions that differed in the use of the sling shot (SS) or nonuse (CONT) of the SS and an appropriate external load. The 2 experimental sessions consisted of the 1RM test, 3 sets of 2 repetitions of BP with the load increased in each set (50-70-90% 1RM), and a fourth set of the BP efforts to muscle failure with a 70% 1RM load. Before and after each set, the changes in triceps brachii oscillation frequency and stiffness were assessed by means of myotonometry. Results indicated a significant main effect of the SS to increase peak power ( p < 0.0001, η 2 = 0.733). Furthermore, a significantly higher 1RM (129 ± 26 vs. 113 ± 23 kg, p < 0.001, effect size [ES]: 0.63), number of repetitions (15 ± 3 vs. 13 ± 2, p = 0.013, ES: 0.76), and time under tension (34 ± 10 vs. 29 ± 6 seconds, p = 0.017, ES: 0.59) were found during the set to failure for SS in comparison to the CONT condition. Moreover, there was a significant main effect of time to increase oscillation frequency ( p = 0.001; η 2 = 0.666) and stiffness ( p = 0.002; η 2 = 0.613) from pre- to postset measure. In addition, the main effect of the side ( p = 0.034; η 2 = 0.348) was reported to show higher stiffness on the dominant than on the nondominant side in the CONT condition. The results suggest that an independent 1RM measurement and a correspondingly higher workload are required to take full advantage of the SS device. Moreover, the SS can also be used successfully to increase training volume and the involvement of nondominant limbs during a bench press.

How Does Instability Affect Bench Press Performance? Acute Effect Analysis with Different Loads in Trained and Untrained Populations

(I) The execution of different sports involves a significant number of throws, jumps, or direction changes, so the body must be as stable as possible while performing a specific action. However, there is no classification of unstable devices and their influence on performance variables. Furthermore, the effect on athletes’ experience using instability is unknown. (II) The aim of this study was to analyze the power and speed parameters in bench press with different loads and unstable executions: (1) stable (SB), (2) with asymmetric load (AB), (3) with unstable load (UB), (4) on fitball (FB) and (5) on a Bosu® (BB). A total of 30 male participants (15 trained and 15 untrained) were evaluated for mean propulsive speed (MPS), maximum speed (MS), and power (PW) with different types of external load: a low load (40% of 1RM), medium load (60% of 1RM), and high load (80% of 1RM) in each condition. Variables were measured with an inertial dynamometer. (III) The best data were evidenced with SB, followed by AB (3–12%), UB (4–11%), FB (7–19%), and BB (14–23%). There were no differences between groups and loads (p > 0.05) except in the case of MS with 60% 1RM, where trained participants obtained 4% better data (p < 0.05). (IV) Executions with implements and equipment such as fitball and Bosu® do not seem to be the most recommended when the objective is to improve power or execution speed. However, situations where the load is unstable (AB and UB) seem to be a good alternative to improve stabilization work without high performance. Furthermore, experience does not seem to be a determining factor.

Normalization of the electromyography amplitude during a multiple-set resistance training protocol: Reliability and differences between approaches

The first aim was to investigate the impact of different electromyography (EMG) parameters as a reference to normalize the EMG amplitude of the superficial quadriceps femoris muscles across different sets of a knee extension exercise. The second aim is to examine the reliability between days of the EMG parameters used as a reference. Eleven young males attended the laboratory on 4 different days and performed one repetition maximum test, maximumvoluntary isometric contractions, and a resistance training protocol until failure. Surface EMG was placed over the rectus femoris, vastus lateralis, and vastus medialis muscles. Seven EMG parameters were calculated from the tasks and used to normalize EMG amplitude measured during the resistance training protocol. A repeated-measures two-way ANOVA was used (normalized EMG amplitude × set) to compare normalized EMG across sets, while an intraclass correlation coefficient, coefficient of variation, and Bland-Altman plots were used to calculate the intra-day reliability of the EMG parameters. The present investigation showed that normalized EMG amplitude of the superficial muscles of the quadriceps measured during a knee extension exercise is influenced by the EMG parameter and depends on the muscle. While rectus femoris and vastus lateralis normalized EMG amplitude presented one parameter among seven showing similar value to the other parameters, VM showed two. Lastly, all EMG parameters for all muscles presented an overall excellent reliability and agreement between days.

Ischemic Preconditioning Improves the Bench-Press Maximal Strength in Resistance-Trained Men

We investigated whether acute ischemic preconditioning (IPC) would affect upper limb maximal strength performance in resistance-trained men. Using a counterbalanced randomized crossover design, fifteen men (29.9 ± 5.9 yrs.; 86.3 ± 9.6 kg; 8.0 ± 5.0 yrs. resistance training experience) performed one-repetition maximum (1-RM) bench press tests on three different occasions: control, 10 min post-IPC or 10 min post-placebo (SHAM). One-way analysis of variance showed that the post-IPC condition increased (P < 0.0001) 1-RM loads compared to both control and post-SHAM (control 113.3 ± 15.9 kg vs. SHAM 113.9 ± 15.8 kg vs. IPC 115.7 ± 15.6 kg), while control and SHAM did not differ (P > 0.05). Individual results showed that 13 participants (~87%) improved their performance post-IPC compared to control, and 11 participants (~73%) performed better post-IPC compared to post-SHAM. Reported session rating of perceived exertion (RPE) was lower (P < 0.0001) post-IPC (8.5 ± 0.6 arb.u) compared to control (9.3 ± 0.5 arb.u) and post-SHAM (9.3 ± 0.5 arb.u). Therefore, we conclude that IPC acutely improves upper limb maximal strength performance and reduces session-RPE in resistance-trained men. These results suggest an acute ergogenic effect of IPC for strength and power sports such as powerlifting.

Bench, Bar, and Ring Dips: Do Kinematics and Muscle Activity Differ?

The purpose of this study was to profile and compare the kinematics, using 3D motion capture, and muscle activation patterns, using surface electromyography (sEMG), of three common dip variations; the bench, bar, and ring dips. Thirteen experienced males performed four repetitions of each dip variation. For each participant, repetitions 2-4 were time-normalized and then averaged to produce a mean value for all kinematic and sEMG variables. The mean maximal joint angles and mean peak sEMG amplitudes were compared between each variation using a one-way ANOVA with repeated measures. Several significant differences (p < 0.05) between dip variations were observed in both kinematic and sEMG data. The bench dip predominantly targets the triceps brachii but requires greater shoulder extension range. The mean peak triceps brachii activation was 0.83 ± 0.34 mV on the bench, 1.04 ± 0.27 mV on the bar, and 1.05 ± 0.40 mV on the ring. The bar dip is an appropriate progression from the bench dip due to the higher peak muscle activations. The ring dip had similar peak activations to the bar dip, with three muscles increasing their activation intensities further. These findings have implications for practitioners prescribing the dip, particularly to exercisers with a history of shoulder pain and injury.

Exercise Selection and Common Injuries in Fitness Centers: A Systematic Integrative Review and Practical Recommendations

Weight resistance training (RT) is an essential component of physical conditioning programs to improve the quality of life and physical fitness in different ages and populations. This integrative review aimed to analyze the scientific evidence on the relationship between exercise selection and the appearance of musculoskeletal injuries in physical fitness centers (PFC). The PubMed or Medline, EMBASE or Science Direct, Google Scholar and PEDro databases were selected to examine the available literature using a Boolean algorithm with search terms. The review process was performed using the five-stage approach for an integrative review and it was reported according to the PRISMA in Exercise, Rehabilitation, Sport Medicine and Sports Science (PERSiST) guidelines. A total of 39 peer-reviewed articles (Price index = 71.7%) met the inclusion criteria and evaluated the link between exercise selection and the incidence of injuries in exercisers who regularly attend PFC. Most injuries occur to the shoulders, elbows, vertebrae of the spine, and knees. Although the injury etiologies are multifactorial, the findings of the reviewed articles include the impacts of overuse, short post-exercise recovery periods, poor conditioning in the exercised body areas, frequent use of heavy loads, improper technique in certain exercises, and the abuse of performance- and image-enhancing drugs. Practical recommendations addressed to clinical exercise physiologists, exercise professionals, and health professionals are given in this paper. The exercise selection in RT programs requires professional supervision and adhering to proper lifting techniques and training habits that consider the anatomical and biomechanical patterns of the musculoskeletal structures, as well as genetic, pedagogical, and methodological aspects directly related to the stimulus-response process to mitigate the occurrence of RT-related injuries in PFC.

Does relative strength influence bench press kinematics in resistance-trained men?

The aim of the present study was to examine whether relative strength influences lifting kinematics (e.g., lifting time, barbell velocity, vertical displacement) during the bench press (BP) exercise with healthy men. Loaded BP 6-repetition maximum normalized to body mass (i.e., relative strength) was examined in 110 resistance-trained men (age: 22.9 ± 2.5 years, height: 180.9 ± 6.9 cm, body mass: 80.3 ± 7.9 kg), by analysing lifting kinematics using a linear encoder. According to relative BP strength, subjects were classified as beginners, recreationally trained, intermediate, and advanced. Results showed that in the intermediate (p = 0.004, ES = 0.85) and advanced (p = 0.016, ES = 0.81) groups barbell velocity was lower in the sticking region of the BP action, compared with beginners, however there were no significant differences between groups for vertical displacement (p = 0.122-1.000) and lifting time (p = 0.052-1.000). These findings suggest that greater relative strength improves the capacity to perform the eccentric but not the concentric phase of BP. Enhanced barbell lowering indicates that the sticking region is caused by a high demand for eccentric force production during biomechanically disadvantageous conditions.

A Comparison of Electromyographic Inter-Limb Asymmetry During a Standard Versus a Sling Shot Assisted Bench Press Exercise

The objective of this study was to compare peak surface electromyography (sEMG) activity of selected muscles along with inter-limb asymmetries between a control (CONT) and a Sling shot assisted (SS) bench press exercise. Ten resistance-trained males with at least three-year experience in resistance training (22.2 ± 1.9 years, 88.7 ± 11.2 kg, 179.5 ± 4.1 cm, bench press one-repetition maximum (1RM) = 127.3 ± 25.9 kg) performed the flat bench press exercise under two conditions at selected loads (85% and 100% of 1RM assessed without the SS). Peak sEMG amplitude of triceps brachii, pectoralis major, and anterior deltoid was recorded for the dominant and the non-dominant side of the body during each attempt. The comparison between the dominant and the non-dominant side was carried out using the limb symmetry index (LSI(%) = (2*(XR - XL)/(XR + XL))*100%) where XR = values of the right side and XL = values of the left side. There was a main effect of condition (p = 0.004; η² = 0.64) and the load (p = 0.004; η² = 0.63) for the triceps brachii LSI in parallel with a main effect of condition (p = 0.003; η² = 0.42) for the anterior deltoid LSI. Post hoc analysis for the main effect of condition showed significant differences in the LSI between the CONT and SS conditions for the triceps brachii (p = 0.003; 1.10% vs. -8.78%) as well as for the anterior deltoid muscles (p = 0.03; 12.91% vs. 9.23%). The results indicate that the assistance of the Sling shot significantly affects the sEMG activity pattern on both the dominant and non-dominant sides of the body while influencing inter-limb asymmetries.

The impact of resistance exercise range of motion on the magnitude of upper-body post-activation performance enhancement

Background

Various studies have used different exercise protocols as post-activation performance enhancement (PAPE) stimulus; however, little attention has been given to the effects of exercise range of motion on the PAPE effect and subsequent performance enhancement. This study aimed to compare the PAPE responses induced by the bench press performed with different ranges of motion on subsequent bench press throw performance.

Methods

Ten resistance-trained males (age: 26 ± 3 years; body mass: 93.2 ± 9.4 kg; height: 181 ± 6 cm; experience in resistance training: 6.3 ± 2.4 years; relative bench press one-repetition maximum (1RM) 1.54 ± 0.2 kg/body mass) performed four experimental sessions consisting of a single set of the bench press at 80%1RM until mean barbell velocity dropped by 10% as the conditioning activity (CA) with a (1) standard, (2) cambered, (3) and reversed cambered barbell or a control condition in which the participants did not perform any CA. To assess the PAPE effect, single-sets of 2 repetitions of the bench press throw at 30%1RM were performed before and after the CA at the following time points: 2, 4, 6, 8, 10 min.

Results

The two-way ANOVA (4 conditions × 2time points) showed a significant interaction for peak power (p < 0.001; η² = 0.556) and peak velocity (p = 0.001; η² = 0.457). The standard barbell bench press CA led to the greatest performance enhancement in peak power (p = 0.001; ES = 0.54) and in peak velocity (p = 0.002; ES = 0.71) within the examined conditions.

Conclusions

The results of this study indicate that the range of motion of the CA has a significant impact on the magnitude of the PAPE response, and the greatest effect can be reached when the range of motion of the CA and the subsequent explosive task is similar.

Analysis of Trunk Neuromuscular Activation During Equine-Assisted Therapy in Older Adults

The three-dimensional movement of the horse in physical therapy is a valuable kinesio-therapeutic phenomenon that simultaneously affects several body systems, including particularly the neuromuscular system. However, the effects of equine-assisted services (EAS) on neuromuscular activation patterns in older adults have not been thoroughly investigated. In this study, we evaluated the impact of a 10-weeks EAS program on trunk muscles in older adults who used a saddle and placed their feet in stirrups for the first 15 minutes and out of stirrups for the remaining 15 minutes of 30-minute EAS sessions. We gathered electromyographic (EMG) data of the trunk muscles five times each on the first, fifth, and 10th sessions: pre-EAS and post-EAS on a stationary horse and at 1-minute, 15-minutes, and 30-minutes on a horse in motion. Participants were 20 adults, aged 60-79 years. We analyzed normalized EMG data with 5 (session time) by 3 (session number) analyses of variance (ANOVAs) with repeated measures and with Bonferroni's testing (p ≤ .05). There was a significant difference over the number of interventions for the right thoracic paravertebral muscle (p = .025) and session time effect for the left trapezius (p = .042), right thoracic paravertebral (p < .001), right and left multifidus (p < .001), and right and left rectus abdominis muscles (p < .001). Thus, trunk muscles in older adults showed complex neuromuscular activation synchronized with the horse's movement, which was influenced by session time and number of interventions. The practical implication of these findings is that EAS can reduce fall risk among elderly adults of both sexes.

Effects of Upper Body Eccentric versus Concentric Strength Training and Detraining on Maximal Force, Muscle Activation, Hypertrophy and Serum Hormones in Women

Effects of eccentric (ECC) versus concentric (CON) strength training of the upper body performed twice a week for 10 weeks followed by detraining for five weeks on maximal force, muscle activation, muscle mass and serum hormone concentrations were investigated in young women (n = 11 and n = 12). One-repetition bench press (1RM), maximal isometric force and surface electromyography (EMG) of triceps brachii (TB), anterior deltoid (AD) and pectoralis major (PM), cross-sectional area (CSA) of TB (Long (LoH) and Lateral Head (LaH)) and thickness of PM, as well as serum concentrations of free testosterone, cortisol, follicle-stimulating hormone, estradiol and sex hormone-binding globulin were measured. ECC and CON training led to increases of 17.2 ± 11.3% (p < 0.001) and 13.1 ± 5.7% (p < 0.001) in 1RM followed by decreases of -6.6 ± 3.6% (p < 0.01) and -8.0 ± 4.5% (p < 0.001) during detraining, respectively. Isometric force increased in ECC by 11.4 ± 9.6 % (p < 0.05) from week 5 to 10, while the change in CON by 3.9±6.8% was not significant and a between group difference was noted (p < 0.05). Maximal total integrated EMG of trained muscles increased only in the whole subject group (p < 0.05). CSA of TB (LoH) increased in ECC by 8.7 ± 8.0% (p < 0.001) and in CON by 3.4 ± 1.6% (p < 0.01) and differed between groups (p < 0.05), and CSA of TB (LaH) in ECC by 15.7 ± 8.0% (p < 0.001) and CON by 9.7 ± 6.6% (p < 0.001). PM thickness increased in ECC by 17.7 ± 10.9% (p < 0.001) and CON by 14.0 ± 5.9% (p < 0.001). Total muscle sum value (LoH + LaH + PM) increased in ECC by 12.4 ± 6.9% (p < 0.001) and in CON by 7.1 ± 2.9% (p < 0.001) differing between groups (p < 0.05) and decreased during detraining in ECC by -6.5 ± 4.3% (p < 0.001) and CON by -6.1 ± 2.8% (p < 0.001). The post detraining combined sum value of CSA and thickness was in ECC higher (p < 0.05) than at pre training. No changes were detected in serum hormone concentrations, but baseline free testosterone levels in the ECC and CON group combined correlated with changes in 1RM (r = 0.520, p < 0.016) during training. Large neuromuscular adaptations of the upper body occurred in women during ECC, and CON training in 10 weeks. Isometric force increased only in response to ECC, and total muscle sum value increased more during ECC than CON training. However, no changes occurred in serum hormones, but individual serum-free testosterone baseline concentrations correlated with changes in 1RM during strength training in the entire group. Both groups showed significant decreases in neuromuscular performance and muscle mass during detraining, while post detraining muscle sum value was only in ECC significantly higher than at pre training.

Are sEMG, Velocity and Power Influenced by Athletes' Fixation in Paralympic Powerlifting?

The bench press is performed in parapowerlifting with the back, shoulders, buttocks, legs and heels extended over the bench, and the use of straps to secure the athlete to the bench is optional. Thus, the study evaluated muscle activation, surface electromyography (sEMG), maximum velocity (MaxV) and mean propulsive velocity (MPV), and power in paralympic powerlifting athletes under conditions tied or untied to the bench. Fifteen experienced Paralympic powerlifting male athletes (22.27 ± 10.30 years, 78.5 ± 21.6 kg) took part in the research. The sEMG measurement was performed in the sternal portion of the pectoralis major (PMES), anterior deltoid (AD), long head of the triceps brachii (TRI) and clavicular portion of the pectoralis major (PMCL). The MaxV, MPV and power were evaluated using an encoder. Loads of 40%, 60%, 80% and 100% 1RM were analyzed under untied and tied conditions. No differences were found in muscle activation between the tied and untied conditions; however, sEMG showed differences in the untied condition between AD and TRI (F (3112) = 4.484; p = 0.005) in the 100% 1RM load, between PMCL and AD (F (3112) = 3.743; p = 0.013) in 60% 1RM load and in the tied condition, between the PMES and the AD (F (3112) = 4.067; p = 0.009). There were differences in MaxV (F (3112) = 213.3; p < 0.001), and MPV (F (3112) = 248.2; p < 0.001), between all loads in the tied and untied condition. In power, the load of 100% 1RM differed from all other relative loads (F (3112) = 36.54; p < 0.001) in both conditions. The tied condition seems to favor muscle activation, sEMG, and velocity over the untied condition.

Acute Effects of Different Intensities during Bench Press Exercise on the Mechanical Properties of Triceps Brachii Long Head

This study aimed to analyze acute changes in the muscle mechanical properties of the triceps brachii long head after bench press exercise performed at different external loads and with different intensities of effort along with power performance. Ten resistance-trained males (age: 27.7 ± 3.7 yr, body mass: 90.1 ± 17.1 kg, height: 184 ± 4 cm; experience in resistance training: 5.8 ± 2.6 yr, relative one-repetition maximum (1RM) in the bench press: 1.23 ± 0.22 kg/body mass) performed two different testing conditions in a randomized order. During the experimental session, participants performed four successive sets of two repetitions of the bench press exercise at: 50, 70, and 90% 1RM, respectively, followed by a set at 70% 1RM performed until failure, with a 4 min rest interval between each set. Immediately before and after each set, muscle mechanical properties of the dominant limb triceps brachii long head were assessed via a Myoton device. To determine fatigue, peak and average barbell velocity were measured at 70% 1RM and at 70% 1RM until failure (only first and second repetition). In the control condition, only muscle mechanical properties at the same time points after the warm-up were assessed. The intraclass correlation coefficients indicated “poor” to “excellent” reliability for decrement, relaxation time, and creep. Therefore, these variables were excluded from further analysis. Three-way ANOVAs (2 groups × 2 times × 4 loads) indicated a statistically significant group × time interaction for muscle tone (p = 0.008). Post hoc tests revealed a statistically significant increase in muscle tone after 70% 1RM (p = 0.034; ES = 0.32) and 90% 1RM (p = 0.011; ES = 0.56). No significant changes were found for stiffness. The t-tests indicated a significant decrease in peak (p = 0.001; ES = 1.02) and average barbell velocity (p = 0.008; ES = 0.8) during the first two repetitions of a set at 70% 1RM until failure in comparison to the set at 70% 1RM. The results indicate that low-volume, high-load resistance exercise immediately increases muscle tone but not stiffness. Despite no significant changes in the mechanical properties of the muscle being registered simultaneously with a decrease in barbell velocity, there was a trend of increased muscle tone. Therefore, further studies with larger samples are required to verify whether muscle tone could be a sensitive marker to detect acute muscle fatigue.

Effect of Inter-Repetition Rest vs. Traditional Resistance Training on the Upper Body Strength Rate of Force Development and Triceps Brachii Muscle Architecture

The purpose of the study was to examine the effect of seven-week inter-repetition rest vs. traditional resistance training on upper body maximum strength, the rate of force development and triceps brachii muscle architecture. Sixteen male participants were equally assigned into the inter-repetition rest and the traditional group. In both groups, training included the bench press exercise performed with 4 sets of 6 maximum repetitions, two training sessions per week. Twenty-second inter-repetition rest was employed for the inter-repetition rest group only. Measurements before and after the training period included maximum strength in the bench press, the isometric upper body rate of force development and peak force and triceps brachii muscle architecture. Maximum strength increased significantly in both groups (inter-repetition rest group: 21.5 ± 5.7% vs. traditional group: 13.5 ± 7.2%, p < 0.05), however, the maximum strength percentage increase was greater in the inter-repetition rest group compared to the traditional group (p = 0.027). Upper body isometric peak force increased only after inter-repetition rest training (10.7 ± 10.3%, p = 0.009). The rate of force development remained unchanged for both groups (p > 0.05), although percentage changes in time frames of 0-80 and 0-100 milliseconds were greater for the inter-repetition rest group compared to the traditional training group (p = 0.024 and p = 0.044, respectively). Triceps brachii thickness increased similarly for both groups (p < 0.05). These results suggest that inter-repetition rest may induce greater increases in maximum strength and the rate of force development compared to traditional training during the initial weeks of resistance training.

Paralympic Powerlifting as a Sustainable Way to Improve Strength in Athletes with Spinal Cord Injury and Other Disabilities

Background: in Paralympic Powerlifting (PP), athletes with a spinal cord injury (SCI) and other disabilities (OD) compete together. However, athletes with SCI are at a disadvantage in terms of force production and transfer. Objective: to analyze the strength and the dynamic and static indicators, at different intensities, tied and untied in athletes with SCI and OD. Methods: the sample presented 10 OD (28.30 ± 4.92 years) and 10 SCI (30.00 ± 4.27 years), classified competitors, and eligible to compete in the sport (all males). Maximum isometric force (MIF); time to MIF (Time); rate of force development (RFD); impulse, variability, and fatigue index (FI); and the dynamic tests of Mean Propulsive Velocity (MPV), Velocity Maximum (Vmax), and Power with loads of 40, 60, and 80% of 1 Repetition Maximum (1 RM), respectively. Results: there were no differences between OD and SCI in dynamic and isometric strength indicators. In MPV, there was an 80% difference between tethered and untethered SCI (p = 0.041). In VMax, there were differences in SCI between tethered and untethered, 40% (p = 0.004) and 80% (p = 0.023), respectively. There were no differences in the other intensities. Conclusion: PP training seems to be a sustainable way to promote strength gains in SCI, since there were no differences between athletes with SCI and OD, as practitioners of Paralympic Powerlifting.

Non-uniform excitation of the pectoralis major muscle during flat and inclined bench press exercises

Non-physiological sources may lead to equivocal interpretation on the degree of muscle excitation from electromyograms (EMGs) amplitude. This presumably explains the contradictory findings regarding the effect of the bench press inclination on the pectoralis major (PM) activation pattern. To contend with these issues, herein we used high-density surface EMG to investigate whether different PM regions are excited during the flat and 45° inclined bench press exercises. Single-differential EMGs were collected from 15 regions along the PM cranio-caudal axis, while 8 volunteers performed a set of the flat and 45° inclined bench press at 50% and 70% of 1 repetition maximum. The coefficient of variation, the range of motion, and the cycle duration were calculated from the barbell vertical position to assess the within-subject consistency across cycles. The number of channels detecting the largest EMGs amplitude (active channels), their interquartile range, and their barycentre coordinate were assessed to characterize the EMG amplitude distribution within PM. No significant differences in the range of motion (p > 0.11), cycle duration (p > 0.28), number of active channels (p > 0.05), and interquartile range of active channels (p > 0.39) were observed between the two bench press inclinations. Conversely, the barycentre shifted toward the PM clavicular region (p < 0.001) when the bench press changed from flat to 45°. Our results revealed that greatest EMG amplitudes were concentrated at the PM sternocostal and clavicular heads when exercising in the flat and 45° inclined bench press, respectively. Performing the bench press exercise, with different postures, seem to demand the excitation of different PM regions.

The effect of breathing technique on sticking region during maximal bench press

The intrathoracic pressure and breathing strategy on bench press (BP) performance is highly discussed in strength competition practice. Therefore, the purpose of this study was to analyze whether different breathing techniques can influence the time and track characteristics of the sticking region (SR) during the 1RM BP exercise. 24 healthy, male adults (age 23 ± 2.4 yrs., body mass 85 ± 9.2 kg, height 181 ± 5.4 cm) performed a 1 repetition BP using the breathing technique of Valsalva maneuver (VM), hold breath, lung packing (PAC), and reverse breathing (REVB), while maximum lifted load and concentric phase kinematics were recorded. The results of ANOVA showed that the REVB breathing decreased absolute (p < 0.04) and relative lifted load (p < 0.01). The VM showed lower (p = 0.01) concentric time of the lift than the other breathing techniques. The VM and PAC showed lower SR time than other breathing techniques, where PAC showed a lower SR time than VM (p = 0.02). The PAC techniques resulted in shorter SR and pre-SR track than other breathing techniques and the REVB showed longer SR track than the other considered breathing techniques (p = 0.04). Thus, PAC or VM should be used for 1RM BP lifting according to preferences, experiences and lifting comfort of an athlete. The hold breath technique does not seem to excessively decrease the lifting load, but this method will increase the lifting time and the time spend in the sticking region, therefore its use does not provide any lifting benefit. The authors suggest that the REVB should not be used during 1 RM lifts.

Ischemic Preconditioning and Muscle Force Capabilities

ABSTRACT

Valenzuela, PL, Martín-Candilejo, R, Sánchez-Martínez, G, Bouzas Marins, JC, de la Villa, P, and Sillero-Quintana, M. Ischemic preconditioning and muscle force capabilities. J Strength Cond Res 35(8): 2187-2192, 2021-This study analyzed the effects of ischemic preconditioning (IPC) on muscle force capabilities. Sixteen male subjects participated in this randomized, crossover, sham-controlled study. They were assigned to either IPC (3 × 5 minutes at 220 mm Hg in both arms with 5-minute rests) or a sham intervention (SHAM) (occlusion pressure set at 10 mm Hg). Forty minutes later, their force capabilities on the bench press exercise were assessed (load-velocity relationship with light, moderate, and heavy loads [30, 50, and 70% body mass, respectively]; 1 repetition maximum [1RM]; and number of repetitions to failure in 3 sets with 60% RM). The skin temperature (Tsk) of the pectoral and biceps muscles was analyzed as a secondary endpoint by means of infrared thermography. A significant decrease in the Tsk of the pectoral and biceps muscles was observed after the intervention (p < 0.01) and before the warm-up (p < 0.05) in IPC, but not in SHAM. However, exercise resulted in a similar Tsk increase in the pectoral muscles in both conditions (p > 0.05). No significant differences (p > 0.05 for all) were observed between conditions in the mean velocity attained with light (1.11 ± 0.11 and 1.09 ± 0.14 m·s-1, respectively), moderate (0.83 ± 0.14 and 0.83 ± 0.16 m·s-1), nor heavy loads (0.56 ± 0.17 and 0.54 ± 0.16 m·s-1), in 1RM (75.0 ± 18.9 and 73.1 ± 15.0 kg for IPC and SHAM, respectively; p = 0.181), nor in the number of repetitions performed (52 ± 13 and 54 ± 16 repetitions, p = 0.492). In summary, IPC decreased Tsk locally (biceps) and remotely (pectoral). However, it did not alter muscle force capabilities nor the Tsk response to exercise.

Changes in EMG and movement velocity during a set to failure against different loads in the bench press exercise

This study examined changes in movement velocity and surface electromyographic (sEMG) activity of the pectoralis major (PM) and triceps brachii (TB) muscles during the bench press exercise to failure against different loads. Fourteen men performed a set to failure with maximum intended velocity, against low (40%-1 repetition maximum-RM), moderate (60%-1RM), and heavy loads (80%-1RM). Number of repetitions, volume load, mean and peak velocity, and total time increased with decreasing load (40% > 60% > 80%, p < 0.01). sEMG comparisons between different loads were performed by matching time under tension at the initial, middle, and last part of the set. sEMG was higher in the middle and last repetitions, compared with the initial, for all loads in both muscles (p < 0.001). sEMG activity of both muscles was higher in the 60% and 80%-1RM conditions compared with the 40%1-RM (p < 0.007). Also, sEMG of both muscles was similar for the 60%-1RM and 80%-1RM loads at the initial, middle, and last repetitions, with the exception of the last repetitions for the TB muscle. In contrast, sEMG integrated activity was higher for the 40% 1-RM and 60% 1-RM (p < 0.01) compared with the 80% 1-RM load. Mean velocity loss at exhaustion and drop in sEMG median frequency were greater in the 40% and 60%-1RM compared with the 80%-1RM condition (p < 0.05). It was concluded that performing a set to exhaustion with maximum intended velocity using a load of 60% 1-RM combines the characteristics of the high average sEMG activity of heavier loads, and the high total integrated sEMG observed at lighter loads.

Range of motion of resistance exercise affects the number of performed repetitions but not a time under tension

The resistance training volume along with the exercise range of motion has a significant impact on the training outcomes. Therefore, this study aimed to examine differences in training volume assessed by a number of performed repetitions, time under tension, and load-displacement as well as peak barbell velocity between the cambered and standard barbell bench press training session. The participants performed 3 sets to muscular failure of bench press exercise with the cambered or standard barbell at 50% of one-repetition maximum (1RM). Eighteen healthy men volunteered for the study (age = 25 ± 2 years; body mass = 92.1 ± 9.9 kg; experience in resistance training 7.3 ± 2.1 years; standard and cambered barbell bench press 1RM > 120% body mass). The t-test indicated a significantly higher mean range of motion for the cambered barbell in comparison to the standard (p < 0.0001; ES =  -2.24). Moreover, there was a significantly greater number of performed repetitions during the standard barbell bench press than cambered barbell (p < 0.0001) in a whole training session, while no difference was found in total time under tension (p = 0.22) and total load-displacement (p = 0.913). The two-way repeated-measures ANOVA indicated a significant barbell × set interaction effect for peak velocity (p = 0.01) and a number of repetitions (p = 0.015). The post-hoc analysis showed a significantly higher number of repetitions for standard than cambered barbell bench press in set 1 (p < 0.0001), set 3 (p < 0.0001) but not in set 2 (p = 0.066). Moreover, there was a significantly higher peak velocity during the cambered than standard barbell bench press in set 1 (p < 0.0001), and set 2 (p = 0.049), but not in set 3 (p = 0.063). No significant differences between corresponding sets of the standard and cambered barbell bench press in time under tension and load-displacement were found. However, concentric time under tension was significantly higher during cambered barbell bench press in all sets (p < 0.05) when compared to the standard barbell bench press, while eccentric time under tension was significantly lower during the cambered than standard barbell bench presses only in the set 3 (p = 0.001). In summary, this study briefly showed that measuring training volume by the number of performed repetitions is not reliable when different exercise range of motion is used.

The Effect of Grip Width on Muscle Strength and Electromyographic Activity in Bench Press among Novice- and Resistance-Trained Men

BACKGROUND

This study compared the muscle activity and six repetition maximum (6-RM) loads in bench press with narrow, medium, and wide grip widths with sub-group comparisons of resistance-trained (RT) and novice-trained (NT) men.

METHODS

After two familiarization sessions, twenty-eight subjects lifted their 6-RM loads with the different grip widths with measurement of electromyographic activity.

RESULTS

Biceps brachii activity increased with increasing grip width, whereas wide grip displayed lower triceps brachii activation than medium and narrow. In the anterior deltoid, greater activity was observed using a medium compared to narrow grip. Similar muscle activities were observed between the grip widths for the other muscles. For the RT group, greater biceps brachii activity with increasing grip width was observed, but only greater activity was observed in the NT group between narrow and wide. Comparing wide and medium grip width, the RT group showed lower triceps activation using a wide grip, whereas the NT group showed lower anterior deltoid activation using a narrow compared to medium grip. Both groups demonstrated lower 6-RM loads using a narrow grip compared to the other grips.

CONCLUSION

Grip widths affect both 6-RM loads and triceps brachii, biceps brachii, and anterior deltoid activity especially between wide and narrow grip widths.

Static and Dynamic Strength Indicators in Paralympic Power-Lifters with and without Spinal Cord Injury

BACKGROUND

In Paralympic powerlifting (PP), athletes with and without spinal cord injury (SCI) compete in the same category. Athletes with SCI may be at a disadvantage in relation to the production of muscle strength and the execution of motor techniques.

OBJECTIVE

To analyze the indicators force, dynamic and static, at different intensities, on performance in athletes with and without SCI.

METHODS

The sample was composed of two groups of PP athletes: SCI (30.57 ± 4.20 years) and other deficiencies (OD; 25.67 ± 4.52 years). Athletes performed a test of maximum isometric force (MIF), time to MIF (Time), rate of force development (RFD), impulse, variability and fatigue index (FI), dynamic tests Mean Propulsive Velocity (MPV), Maximum Velocity (Vmax) and Power.

RESULTS

There were differences in the SCI in relation to OD, 50% 1RM (p < 0.05), in relation to MPV and Vmax. There were no differences in the static force indicators. Regarding EMG, there were differences between the SCI triceps in relation to the previous deltoid (p = 0.012).

CONCLUSION

We concluded that the static and dynamic strength indicators are similar in Paralympic powerlifting athletes with spinal cord injury and other disabilities.

The Relationship Between Absolute and Relative Upper-Body Strength and Handcycling Performance Capabilities

PURPOSE

To explore the relationship between absolute and relative upper-body strength and selected measures of handcycling performance.

METHODS

A total of 13 trained H3/H4-classified male handcyclists (mean [SD] age 37 [11] y; body mass 76.6 [10.1] kg; peak oxygen consumption 2.8 [0.6] L·min-1; relative peak oxygen consumption 36.5 [10] mL·kg·min-1) performed a prone bench-pull and bench-press 1-repetition-maximum strength assessment, a 15-km individual time trial, a graded exercise test, and a 15-second all-out sprint test. Relationships between all variables were assessed using Pearson correlation coefficient.

RESULTS

Absolute strength measures displayed a large correlation with gross mechanical efficiency and maximum anaerobic power output (P = .05). However, only a small to moderate relationship was identified with all other measures. In contrast, relative strength measures demonstrated large to very large correlations with gross mechanical efficiency, 15-km time-trial velocity, maximum anaerobic power output, peak aerobic power output, power at a fixed blood lactate concentration of 4 mmol·L-1, and peak oxygen consumption (P = .05).

CONCLUSION

Relative upper-body strength demonstrates a significant relationship with time-trial velocity and several handcycling performance measures. Relative strength is the product of one's ability to generate maximal forces relative to body mass. Therefore, the development of one's absolute strength combined with a reduction in body mass may influence real-world handcycling race performance.

Impact of Ischemic Intra-Conditioning on Power Output and Bar Velocity of the Upper Limbs

This study evaluated the effects of ischemic conditioning on power output and bar velocity in the bench press exercise. Ten healthy males (age: 25 ± 2 years; body mass: 92 ± 8 kg; bench press one repetition maximum -1RM: 145 ± 13 kg), took part in two experimental sessions (with and without ischemia), 1 week apart in random and counterbalanced order. In the ischemic condition, cuffs placed around the upper part of the arms were inflated to 80% of arterial occlusion pressure before each set, while in the control condition there was no blood flow restriction. The exercise protocol included 5 sets of three repetitions each, against a resistance equal to 60% 1RM, with 5 min recovery intervals between sets. There was a main effect of condition for mean power output (MP) and mean bar velocity (MV) (p = 0.01), with overall MP being higher in ischemia than in control by 5.6 ± 4.1% (mean ± 90% compatibility limits), a standardized effect size (ES) of 0.51. Overall MV was also higher by 5.5 ± 4.0%, ES = 0.63. Peak power output (PP) and peak bar velocity (PV) were similar in set 1 of the control and ischemia condition (1039 ± 105 vs. 1054 ± 82 W; 684 ± 74 vs. 696 ± 53 W; 1.09 ± 0.07 vs. 1.12 ± 0.09 m/s; 0.81 ± 0.05 vs. 0.82 ± 0.05 m/s, p = 0.67 to 0.99, mean ± standard deviation). However, from set 3 onward (p = 0.03 to 0.001), PP and PV were higher in ischemia compared with control, with the highest difference observed in set 5 (10.9 ± 5.9%, ES = 0.73 for PP and 8.6 ± 4.6%; ES = 0.89 for PV). These results indicate that ischemia used before each set of the bench press exercise increases power output and bar velocity and this may be used as performance-enhancing stimulus during explosive resistance training.

Understanding Bench Press Biomechanics-The Necessity of Measuring Lateral Barbell Forces

ABSTRACT

Mausehund, L, Werkhausen, A, Bartsch, J, and Krosshaug, T. Understanding bench press biomechanics-The necessity of measuring lateral barbell forces. J Strength Cond Res XX(X): 000-000, 2020-The purpose of this study was to advance the expertise of the bench press exercise by complementing electromyographic (EMG) with net joint moment (NJM) and strength normalized NJM (nNJM) measurements, thus establishing the magnitude of the elbow and shoulder muscular loads and efforts. Normalized NJMs were determined as the ratio of the bench press NJMs to the maximum NJMs produced during maximum voluntary isokinetic contractions. Furthermore, we wanted to assess how changes in grip width and elbow positioning affected elbow and shoulder NJMs and nNJMs, and muscle activity of the primary movers. Thirty-five strength-trained adults performed a 6-8 repetition maximum set of each bench press variation, while elbow and shoulder NJMs and EMG activity of 7 upper extremity muscles were recorded. The results show that all bench press variations achieved high elbow and shoulder muscular efforts. A decrease in grip width induced larger elbow NJMs, and larger EMG activity of the lateral head of the triceps brachii, anterior deltoid, and clavicular head of the pectoralis major (p ≤ 0.05). An increase in grip width elicited larger shoulder NJMs and nNJMs, and larger EMG activity of the abdominal head of the pectoralis major (p ≤ 0.05). In conclusion, all bench press variations may stimulate strength gains and hypertrophy of the elbow extensors and shoulder flexors and horizontal adductors. However, greater adaptations of the elbow extensors and shoulder flexors may be expected when selecting narrower grip widths, whereas wider grip widths may induce greater adaptations of the shoulder horizontal adductors.

Effects of Different Hand Widths on Plyometric Push-up Performance

ABSTRACT

Nichols, IA and Szivak, TK. Effects of different hand widths on plyometric push-up performance. J Strength Cond Res 35(2S): S80-S83, 2021-The purpose of this study was to investigate the effects of hand width placement during the performance of plyometric push-ups. Ten male subjects (age: 24.14 ± 2.79 years, height: 178.14 ± 5.21 cm, and body mass: 91.55 ± 6.04 kg) performed 2 plyometric push-ups at 120, 150, and 170% of the subject's biacromial width (6 total push-ups) in a randomized order. Height (H), peak force (pF), peak power (pP), and rate of power development data were collected using a force plate. One-way repeated-measures analysis of variance showed no significant differences in performance measures across all hand widths. A secondary analysis using a mixed-effects linear regression model was performed due to the small sample size. Regression analysis showed a significant difference in pF (p < 0.05) between 120 and 170% hand widths. Study results suggest that although upper-body (UB) power output seems to be similar across varying hand widths, UB force development (pF) may be significantly affected by hand width during the plyometric push-up. Study results suggest that hand-width placement may impact plyometric performance measures and should be considered if the plyometric push-up is used to assess an individual's UB power. To the best of authors' knowledge, this is the first study to investigate the effects of varying hand widths on plyometric push-up performance.

Contrast Tempo of Movement and Its Effect on Power Output and Bar Velocity During Resistance Exercise

In this study, we examined the impact of contrast movement tempo (fast vs. slow) on power output and bar velocity during the bench press exercise. Ten healthy men (age = 26.9 ± 4.1 years; body mass = 90.5 ± 10.3 kg; bench press 1RM = 136.8 ± 27.7 kg) with significant experience in resistance training (9.4 ± 5.6 years) performed the bench press exercise under three conditions: with an explosive tempo of movement in each of three repetitions (E/E/E = explosive, explosive, explosive); with a slow tempo of movement in the first repetition and an explosive tempo in the next two repetitions (S/E/E = slow, explosive, explosive); and with a slow tempo of movement in the first two repetitions and an explosive tempo in the last repetition (S/S/E = slow, slow, explosive). The slow repetitions were performed with a 5/0/5/0 (eccentric/isometric/concentric/isometric) movement tempo, while the explosive repetitions were performed with an X/0/X/0 (X- maximal speed of movement) movement tempo. During each experimental session, the participants performed one set of three repetitions at 60%1RM. The two-way repeated measures ANOVA showed a statistically significant interaction effect for peak power output (PP; p = 0.03; η² = 0.26) and for peak bar velocity (PV; p = 0.04; η² = 0.24). Futhermore there was a statistically significant main effect of condition for PP (p = 0.04; η² = 0.30) and PV (p = 0.02; η² = 0.35). The post hoc analysis for interaction revealed that PP was significantly higher in the 2nd and 3rd repetition for E/E/E compared with the S/S/E (p < 0.01 for both) and significantly higher in the 2nd repetition for the S/E/E compared with S/S/E (p < 0.01). The post hoc analysis for interaction revealed that PV was significantly higher in the 2nd and 3rd repetition for E/E/E compared with the S/S/E (p < 0.01 for both), and significantly higher in the 2nd repetition for the S/E/E compared with the S/S/E (p < 0.01). The post hoc analysis for main effect of condition revealed that PP and PV was significantly higher for the E/E/E compared to the S/S/E (p = 0.04; p = 0.02; respectively). The main finding of this study was that different distribution of movement tempo during a set has a significant impact on power output and bar velocity in the bench press exercise at 60%1RM. However, the use of one slow repetition at the beginning of a set does not decrease the level of power output in the third repetition of that set.

Different Shoulder Exercises Affect the Activation of Deltoid Portions in Resistance-Trained Individuals

The aims of this study were to compare muscle activity of the anterior deltoid, medial deltoid, and posterior deltoid in the bench press, dumbbell fly, shoulder press, and lateral raise exercises. Thirteen men experienced in strength training volunteered for the study. Muscle activation was recorded during maximum isometric voluntary contraction (MVIC) for data normalization, and during one set of 12 repetitions with the load of 60% 1RM in all exercises proposed. One-way repeated-measures ANOVA with Bonferroni’s posthoc was applied using a 5% significance level. For anterior deltoid, the shoulder press (33.3% MVIC) presented a significantly higher level of activation when compared to other exercises. Also, no significant difference was found between the bench press (21.4% MVIC), lateral raise (21.2% MVIC), and dumbbell fly (18.8% MVIC). For the medial deltoid, the lateral raise (30.3% MVIC) and shoulder press (27.9% MVIC) presented a significantly higher level of activity than the bench press (5% MVIC) and dumbbell fly (3.4% MVIC). Besides, no significant difference was found between the bench press and the dumbbell fly. For the posterior deltoid, the lateral raise (24% MVIC) presented a significantly higher level of activation when compared to other exercises. For the posterior deltoid portion, the shoulder press (11.4% MVIC) was significantly more active than the bench press (3.5% MVIC) and dumbbell fly (2.5% MVIC). Moreover, no significant difference was found between the bench press and the dumbbell fly. In conclusion, the shoulder press and lateral raise exercises showed a higher level of muscle activation in the anterior deltoid and medial deltoid when compared to the bench press and dumbbell fly exercises.

Acute Effects of Continuous and Intermittent Blood Flow Restriction on Movement Velocity During Bench Press Exercise Against Different Loads

This study evaluated the effects of continuous and intermittent blood flow restriction (BFR) with 70% of full arterial occlusion pressure on bar velocity during the bench press exercise against a wide range of resistive loads. Eleven strength-trained males (age: 23.5 ± 1.4 years; resistance training experience: 2.8 ± 0.8 years, maximal bench press strength - 1RM = 101.8 ± 13.9 kg; body mass = 79.8 ± 10.4 kg), performed three different testing protocols in random and counterbalanced order: without BFR (NO-BFR); intermittent BFR (I-BFR) and continuous BFR (C-BFR). During each experimental session, subjects performed eight sets of two repetitions each, with increasing loads from 20 to 90% 1RM (10% steps), and 3 min rest between each set. In the C-BFR condition occlusion was kept throughout the trial, while in the I-BFR, occlusion was released during each 3 min rest interval. Peak bar velocity (PV) during the bench press exercise was higher by 12-17% in both I-BFR and C-BFR compared with NO-BFR only at the loads of 20, 30, 40, and 50% 1RM (p < 0.001), while performance at higher loads remained unchanged. Mean bar velocity (MV) was unaffected by occlusion (p = 0.342). These results indicate that BFR during bench press exercise increases PV and this may be used as an enhanced stimulus during explosive resistance training. At higher workloads, bench press performance was not negatively affected by BFR, indicating that the benefits of exercise under occlusion can be obtained while explosive performance is not impaired.

Muscle Synergies Reliability in the Power Clean Exercise

Muscle synergy extraction has been utilized to investigate muscle coordination in human movement, namely in sports. The reliability of the method has been proposed, although it has not been assessed previously during a complex sportive task. Therefore, the aim of the study was to evaluate intra- and inter-day reliability of a strength training complex task, the power clean, assessing participants' variability in the task across sets and days. Twelve unexperienced participants performed four sets of power cleans in two test days after strength tests, and muscle synergies were extracted from electromyography (EMG) data of 16 muscles. Three muscle synergies accounted for almost 90% of variance accounted for (VAF) across sets and days. Intra-day VAF, muscle synergy vectors, synergy activation coefficients and individual EMG profiles showed high similarity values. Inter-day muscle synergy vectors had moderate similarity, while the variables regarding temporal activation were still strongly related. The present findings revealed that the muscle synergies extracted during the power clean remained stable across sets and days in unexperienced participants. Thus, the mathematical procedure for the extraction of muscle synergies through nonnegative matrix factorization (NMF) may be considered a reliable method to study muscle coordination adaptations from muscle strength programs.

Impact of the "Sling Shot" Supportive Device on Upper-Body Neuromuscular Activity during the Bench Press Exercise

The aim of this study was to compare the muscle activity between the sling shot assisted (SS) and control (CONT) flat barbell bench press for selected external loads of 70%, 85%, 100% one-repetition maximum (1RM). Ten resistance-trained men participated in the study (age = 22.2 ± 1.9 years, body mass = 88.7 ± 11.2 kg, body height = 179.5 ± 4.1, 1RM in the bench press = 127.25 ± 25.86 kg, and strength training experience = 6 ± 2.5 years). Evaluation of peak muscle activity of the dominant body side was carried out using surface electromyography (sEMG) recorded for the triceps brachii, pectoralis major, and anterior deltoid during each attempt. The three-way repeated measure ANOVA revealed statistically significant main interaction for condition x muscle group (p < 0.01; η2 = 0.569); load x muscle group (p < 0.01; η2 = 0.709); and condition x load (p < 0.01; η2 = 0.418). A main effect was also observed for condition (p < 0.01; η2 = 0.968); load (p < 0.01; η2 = 0.976); and muscle group (p < 0.01; η2 = 0.977). The post hoc analysis for the main effect of the condition indicated statistically significant decrease in %MVIC for the SS compared to CONT condition (74.9 vs. 88.9%MVIC; p < 0.01; ES = 0.39). The results of this study showed that using the SS significantly affects the muscle activity pattern of the flat bench press and results in its acute decrease in comparison to an equal load under CONT conditions. The SS device may be an effective tool both in rehabilitation and strength training protocols by increasing stability with a reduction of muscular activity of the prime movers.

Can the Cambered Bar Enhance Acute Performance in the Bench Press Exercise?

The main goal of this study was to assess the impact of the cambered bar (CB) during the bench press exercise on power output and bar velocity when compared to a standard bar (SB). Ten healthy strength-trained men (age = 27.9 ± 3.7 years; body mass = 90.1 ± 12.5 kg; resistance training experience = 6.5 ± 2.7 years; bench press one-repetition maximum (1RM) = 118.5 ± 21 kg) performed a single set of 3 repetitions of the bench press exercise with an SB and a CB at 50%1RM to assess differences in peak power output (PP), mean power output (MP), peak bar velocity (PV), and mean bar velocity (MV), range of motion (ROM), and positive work time under load (TUL) between conditions. The t-test indicated significantly higher mean ROM for the cambered bar in comparison to the standard bar (52.7 vs. 44.9 cm; P < 0.01; ES = 1.40). Further, there was a significantly higher PP (907 vs. 817 W; P < 0.01; ES = 0.35), MP (556 vs. 496 W; P < 0.01; ES = 0.46), PV (1.24 vs. 1.14 m/s; P < 0.01; ES = 0.35) and MV (0.89 vs. 0.82 m/s; P < 0.01; ES = 0.34) for the CB condition when compared to the SB. A significantly longer TUL for the CB was observed, when compared to the SB (1.89 vs. 1.51 s; P < 0.01; ES = 1.38). The results of this study showed that the CB significantly increased power output and bar velocity in the bench press exercise at 50%1RM compared to the SB. Therefore, the additional ROM, made possible through the use of the CB, allows for the acceleration of the bar through a significantly longer displacement, which has a positive impact on power output. However, a simultaneous increase in TUL may cause higher fatigue when the bench press is performed with the CB compared to the SB.

The effect of yoga practice on muscular strength improvement in patients with multiple sclerosis

Background/Aims

Multiple sclerosis is a common condition in the central nervous system where patients experience many issues, including muscle weakness. This study offers an investigation of continuous hatha yoga exercises on patients with multiple sclerosis.

Methods

A total of 22 participants with multiple sclerosis were selected, 11 were allocated to the intervention group, and 11 to the control group. In both groups, surface electromyography and dynamometer were performed at the beginning and the end of the study. The intervention group undertook 90-minute sessions of hatha yoga training three times a week for 6 months and the control group did not do any particular exercise during this period.

Results

Dynamometer results indicated that yoga significantly improved the muscle strength of the participants with multiple sclerosis (before the intervention: 40.00 Nm ± 14.66 Nm vs 56.82 Nm ± 20.28 Nm after the intervention, P=0.037). However, there was no significant difference in muscle strength changes between the intervention and control groups (16.82 Nm ± 23.26 Nm vs -2.86 Nm ± 23.36 Nm, P=0.171). Yoga significantly increased participants muscle strength according to the surface electromyography signals (before the intervention: 39.91 V ± 8.86 V vs 54.09 v ± 8.95 V after the intervention, P=0.007). The muscle strength of the control group participants with multiple sclerosis decreased after 6 months, however it was not statistically significant (41.55 Nm ± 9.3 Nm vs 34.55 Nm ± 8.36 Nm, P=0.073). The comparison of changes showed that the surface electromyography signals in the intervention group were significantly higher than those of the control group (P=0.001).

Conclusions:

Yoga exercises, in addition to common multiple sclerosis treatment methods, can be considered as a complementary therapy to improve the physical aspects of multiple sclerosis symptoms.