Individual distribution of muscle hypertrophy among hamstring muscle heads: Adding muscle volume where you need is not so simple

PURPOSE

The aim of this study was to determine whether a 9-week resistance training program based on high load (HL) versus low load combined with blood flow restriction (LL-BFR) induced a similar (i) distribution of muscle hypertrophy among hamstring heads (semimembranosus, SM; semitendinosus, ST; and biceps femoris long head, BF) and (ii) magnitude of tendon hypertrophy of ST, using a parallel randomized controlled trial.

METHODS

A total of 45 participants were randomly allocated to one of three groups: HL, LL-BFR, and control (CON). Both HL and LL-BFR performed a 9-week resistance training program composed of seated leg curl and stiff-leg deadlift exercises. Freehand 3D ultrasound was used to assess the changes in muscle and tendon volume.

RESULTS

The increase in ST volume was greater in HL (26.5 ± 25.5%) compared to CON (p = 0.004). No difference was found between CON and LL-BFR for the ST muscle volume (p = 0.627). The change in SM muscle volume was greater for LL-BFR (21.6 ± 27.8%) compared to CON (p = 0.025). No difference was found between HL and CON for the SM muscle volume (p = 0.178).There was no change in BF muscle volume in LL-BFR (14.0 ± 16.5%; p = 0.436) compared to CON group. No difference was found between HL and CON for the BF muscle volume (p = 1.0). Regarding ST tendon volume, we did not report an effect of training regimens (p = 0.411).

CONCLUSION

These results provide evidence that the HL program induced a selective hypertrophy of the ST while LL-BFR induced hypertrophy of SM. The magnitude of the selective hypertrophy observed within each group varied greatly between individuals. This finding suggests that it is very difficult to early determine the location of the hypertrophy among a muscle group.

Validation of a scanning technique with minimal compression for measuring muscle volume with freehand 3D ultrasound

Freehand 3D ultrasound (3D-US) is a promising technique for measuring muscle volume but it requires gel pads or water tanks to limit probe compression on the skin which makes it hard to use in clinical applications. Our objectives were to measure the effect of different compressions on muscle volume in order to assess the clinical applicability of a minimal compression method for lower limb muscles. 4 muscles of the lower limb on 15 healthy volunteers were scanned with a new commercial freehand 3D-US setup accessible to clinical experimentators. Each muscle was scanned with 3 levels of compression: standard compression, minimal compression and gel pad (method validated against MRI). Volume was calculated using software segmentation tools. Acquisitions and segmentations were done by the same examiner. There was a significant impact of standard compression on volume measurements, but no difference between minimal compression and gel pad. Standard compression underestimated volume with a mean bias of 16 mL. For minimal compression, 75 % of measured differences were below the predefined clinically acceptable limits of 10 mL. Mean bias for this method was 1.1 mL. In conclusion, standard compression in freehand 3D-US induces a systematic bias in volume calculations. But, with a trained examiner and the necessary precautions to minimize compression, this bias could be abolished and become acceptable in clinical applications. When a high accuracy is required, gel pads could still be important to consider.

Achilles and patellar tendinopathy display opposite changes in elastic properties: A shear wave elastography study

To compare tendon elastic and structural properties of healthy individuals with those with Achilles or patellar tendinopathy. Sixty-seven participants (22 Achilles tendinopathy, 17 patellar tendinopathy, and 28 healthy controls) were recruited between March 2015 and March 2016. Shear wave velocity (SWV), an index of tissue elastic modulus, and tendon thickness were measured bilaterally at mid-tendon and insertional regions of Achilles and patellar tendons by an examiner blinded to group. Analysis of covariance, adjusted for age, body mass index, and sex was used to compare differences in tendon thickness and SWV between the two tendinopathy groups (relative to controls) and regions. Tendon thickness was included as a covariate for analysis of SWV. Compared to controls, participants with Achilles tendinopathy had lower SWV at the distal insertion (Mean difference MD; 95% CI: -1.56; -2.49 to -0.62 m/s; P < .001) and greater thickness at the mid-tendon (MD 0.19; 0.05-0.33 cm; P = .007). Compared to controls, participants with patellar tendinopathy had higher SWV at both regions (MD 1.25; 0.40-2.10 m/s; P = .005) and greater thickness proximally (MD 0.17; 0.06-0.29 cm; P = .003). Compared to controls, participants with Achilles and patellar tendinopathy displayed lower Achilles tendon elastic modulus and higher patellar tendon elastic modulus, respectively. More research is needed to explore whether maturation, aging, or chronic load underlie these findings and whether current management programs for Achilles and patellar tendinopathy need to be tailored to the tendon.

Can chronic stretching change the muscle-tendon mechanical properties? A review

It is recognized that stretching is an effective method to chronically increase the joint range of motion. However, the effects of stretching training on the muscle-tendon structural properties remain unclear. This systematic review with meta-analysis aimed to determine whether chronic stretching alter the muscle-tendon structural properties. Published papers regarding longitudinal stretching (static, dynamic and/or PNF) intervention (either randomized or not) in humans of any age and health status, with more than 2 weeks in duration and at least 2 sessions per week, were searched in PubMed, PEDro, ScienceDirect and ResearchGate databases. Structural or mechanical variables from joint (maximal tolerated passive torque or resistance to stretch) or muscle-tendon unit (muscle architecture, stiffness, extensibility, shear modulus, volume, thickness, cross-sectional area, and slack length) were extracted from those papers. A total of 26 studies were selected, with a duration ranging from 3 to 8 weeks, and an average total time under stretching of 1165 seconds per week. Small effects were seen for maximal tolerated passive torque, but trivial effects were seen for joint resistance to stretch, muscle architecture, muscle stiffness, and tendon stiffness. A large heterogeneity was seen for most of the variables. Stretching interventions with 3- to 8-week duration do not seem to change either the muscle or the tendon properties, although it increases the extensibility and tolerance to a greater tensile force. Adaptations to chronic stretching protocols shorter than 8 weeks seem to mostly occur at a sensory level.

Reaction time can be measured during voluntary contractions with electrode array

Reaction time (RT) is classically divided into premotor time (PMT) and electromechanical delay (EMD). However, the determination of the onset of electromyographic activity (EMG) during voluntary contraction remains questionable. In addition, the reliability of RT, PMT and EMD needs to be determined. Twelve participants performed two sessions of RT trials, separated by 5 min. RT was evaluated during voluntary isometric contractions of the elbow flexors, i.e., time between a light signal (stimulus) and the onset of the mechanical response. To assess EMD, an electrode array (64 channels) was used to accurately detect the onset of EMG activity. PMT represented the major part of the RT (~88%). Coefficients of variation were reasonably satisfactory for all parameters (range: 11·9-13·4%). The use of electrode array appears to be a relevant method to measure EMD. Moreover, sessions based on two trials are reliable enough to detect changes in RT components.

Muscle force loss and soreness subsequent to maximal eccentric contractions depend on the amount of fascicle strain in vivo

AIM

Defining the origins of muscle injury has important rehabilitation and exercise applications. However, current knowledge of muscle damage mechanics in human remains unclear in vivo. This study aimed to determine the relationships between muscle-tendon unit mechanics during maximal eccentric contractions and the extent of subsequent functional impairments induced by muscle damage.

METHODS

The length of the muscle-tendon unit, fascicles and tendinous tissues was continuously measured on the gastrocnemius medialis using ultrasonography, in time with torque, during 10 sets of 30 maximal eccentric contractions of plantar flexors at 45°s(-1) , in seventeen participants.

RESULTS

Muscle-tendon unit, fascicles and tendinous tissues were stretched up to 4.44 ± 0.33 cm, 2.31 ± 0.64 cm and 1.92 ± 0.61 cm respectively. Fascicle stretch length, lengthening amplitude and negative fascicle work beyond slack length were significantly correlated with the force decrease 48 h post-exercise (r = 0.51, 0.47 and 0.68, respectively; P < 0.05).

CONCLUSIONS

This study demonstrates that the strain applied to human muscle fibres during eccentric contractions strongly influences the magnitude of muscle damage in vivo. Achilles tendon compliance decreases the amount of strain, while architectural gear ratio may moderately contribute to attenuating muscle fascicle lengthening and hence muscle damage. Further studies are necessary to explore the impact of various types of task to fully understand the contribution of muscle-tendon interactions during active lengthening to muscle damage.

In vivo quantification of the shear modulus of the human Achilles tendon during passive loading using shear wave dispersion analysis

The shear wave velocity dispersion was analyzed in the Achilles tendon (AT) during passive dorsiflexion using a phase velocity method in order to obtain the tendon shear modulus (C 55). Based on this analysis, the aims of the present study were (i) to assess the reproducibility of the shear modulus for different ankle angles, (ii) to assess the effect of the probe locations, and (iii) to compare results with elasticity values obtained with the supersonic shear imaging (SSI) technique. The AT shear modulus (C 55) consistently increased with the ankle dorsiflexion (N = 10, p < 0.05). Furthermore, the technique showed a very good reproducibility (all standard error of the mean values <10.7 kPa and all coefficient of variation (CV) values ⩽ 0.05%). In addition, independently from the ankle dorsiflexion, the shear modulus was significantly higher in the proximal location compared to the more distal one. The shear modulus provided by SSI was always lower than C55 and the difference increased with the ankle dorsiflexion. However, shear modulus values provided by both methods were highly correlated (R = 0.84), indicating that the conventional shear wave elastography technique (SSI technique) can be used to compare tendon mechanical properties across populations. Future studies should determine the clinical relevance of the shear wave dispersion analysis, for instance in the case of tendinopathy or tendon tear.

Time-course effect of exercise-induced muscle damage on localized muscle mechanical properties assessed using elastography

AIM

Changes in muscle stiffness after exercise-induced muscle damage have been classically inferred from passive torque-angle curves. Elastographic techniques can be used to estimate the shear modulus of a localized muscular area. This study aimed to quantify the changes in shear elastic modulus in different regions of the elbow flexors after eccentric exercise and their relation to muscle length.

METHODS

Shear elastic modulus and transverse relaxation time (T2 ) were measured in the biceps brachii and brachialis muscles of sixteen participants, before, 1 h, 48 h and 21 days after three sets of ten maximal isokinetic eccentric contractions performed at 120° s(-1) .

RESULTS

The shear elastic modulus of the elbow flexors significantly increased 1 h (+46%; P = 0.005), with no significant change at 48 h and 21D, post-exercise. In contrast, T2 was not modified at 1 h but significantly increased at 48 h (+15%; P < 0.05). The increase in shear elastic modulus was more pronounced at long muscle lengths and reached a similar extent in the different regions of the elbow flexors. The normalized hysteresis area of shear elastic modulus-length relationship for the biceps brachii increased 1 h post-exercise (31%) in comparison with the pre-exercise value (18%), but was not significantly altered after five stretching cycles (P = 0.63).

CONCLUSION

Our results show homogeneous changes in muscle shear elastic modulus within and between elbow flexors. The greater increase in shear elastic modulus observed at long muscle lengths suggests the putative involvement of both cross-bridges number and titin in the modifications of muscle shear elastic modulus after damaging exercise.

Performance analysis in sport: contributions from a joint analysis of athletes' experience and biomechanical indicators

The purpose of this study was to test the usefulness of combining two types of analysis to investigate sports performance with the aim of optimizing it. These two types of analysis correspond to two levels of athletes' activity: (a) their experiences during performance and (b) the biomechanical characteristics of their movements. Rowing served as an illustration, and the activity of one female crew member was studied during a race. Three types of data were collected: (a) audiovisual data recorded during the race; (b) verbalization data obtained in interviews conducted afterward; and (c) biomechanical data. The courses of experience of the two rowers during the race were reconstructed on the basis of the audiovisual and verbalization data. This paper presents a detailed analysis of a single phenomenon of the race experienced by one of the rowers. According to the coaches, it reflected a dysfunction in crew coordination. The aim of this analysis was to identify the biomechanical characteristics of the rowers' movements that might explain it. The results showed that the phenomenon could be explained principally by an amplitude differential between the two rowers' strokes. On this basis, the coaches defined new training objectives to remedy the dysfunction in crew coordination.

Effects of plyometric training on passive stiffness of gastrocnemii and the musculo-articular complex of the ankle joint

This study aimed to determine simultaneously the effects of plyometric training on the passive stiffness of the ankle joint musculo-articular complex, the gastrocnemii muscle-tendon complex (MTC) and the Achilles tendon in order to assess possible local adaptations of elastic properties. Seventeen subjects were divided into a trained (TG) group and a control (CG) group. They were tested before and after 8 weeks of a plyometric training period. The ankle joint range of motion (RoM), the global musculo-articular passive stiffness of the ankle joint, the maximal passive stiffness of gastrocnemii and the stiffness of the Achilles tendon during isometric plantar flexion were determined. A significant increase in the jump performances of TG relative to CG was found (squat jumps: +17.6%, P=0.008; reactive jumps: +19.8%, P=0.001). No significant effect of plyometric training was observed in the ankle joint RoM, musculo-articular passive stiffness of the ankle joint or Achilles tendon stiffness (P>0.05). In contrast, the maximal passive stiffness of gastrocnemii of TG increased after plyometric training relative to CG (+33.3%, P=0.001). Thus, a specific adaptation of the gastrocnemii MTC occurred after plyometric training, without affecting the global passive musculo-articular stiffness of the ankle joint.

3D-patient-specific geometry of the muscles involved in knee motion from selected MRI images

Patient-specific muscle geometry is not only an interesting clinical tool to evaluate different pathologies and treatments, but also provides an essential input data to more realistic musculoskeletal models. The protocol set up in our study provided the 3D-patient-specific geometry of the 13 main muscles involved in the knee joint motion from a few selected magnetic resonance images (MRIs). The contours of the muscles were identified on five to seven MRI axial slices. A parametric-specific object was then constructed for each muscle and deformed to fit those contours. The 13 muscles were obtained within 1 h, with less than 5% volume error and 5 mm point-surface error (2RMS). From this geometry, muscle volumes and volumic fractions of asymptomatic and anterior cruciate ligament deficient subjects could easily be computed and compared to previous studies. This protocol provides an interesting precision/time trade-off to obtain patient-specific muscular geometry.

Power Responses of a Rowing Ergometer: Mechanical Sensors vs. Concept2® Measurement System

The aim of this study was to compare the power provided by a recent ergometer with the power developed by the rower determined using mechanical sensors set on the same apparatus. Six rowers and six non-rowers performed a power graded test and an all-out start on an instrumented ergometer (Concept2 system, model D, Morrisville, VT, USA). Power values displayed by the ergometer were recorded with a specific software. A strain gauge placed near the handle and a position sensor installed on the chain allowed the calculation of the power developed by the rower. Power values provided by the ergometer were strongly correlated to those determined with a direct measurement and calculation of power. However, power values given by the Concept2 system were lower (- 17.4 to - 72.4 W) than those calculated using mechanical sensors. This difference in power measurements was lower at a steady pace and for rowers. The Concept2 system underestimates the power produced by the rower by approximately 25 W. This difference in power seems to be independent of the level of power developed but increases with variations in intensity and pace. The deletion of the first strokes following changes in power production allows to limit this phenomenon. According to the use of the power parameter in the experimental design, it could be appropriate to correct values provided by the Concept2 ergometer.