Seasonal heat acclimatization is known to enhance autonomic thermoeffector responses, whereas the behavioural response following seasonal heat acclimatization remains unknown. We investigated whether seasonal heat acclimatization would alter autonomic and behavioural thermoregulatory responses. Sixteen healthy participants (eight males and eight females) underwent two trials involving 50 min of lower-leg passive heating (lower-leg submersion in 42°C water) with (Fan trial) and without (No fan trial) the voluntary use of a fan in a moderate thermal environment (27°C, 50% relative humidity) across winter and summer months. In Fan trials, participants were allowed to use a fan to maintain thermal comfort, but this was not allowed in the No fan trials. Cool-seeking behaviour was initiated at a lower change in rectal temperature [mean (SD): 0.21 (0.18)°C vs. 0.11 (0.13)°C, P = 0.0327] and change in mean skin temperature [2.34 (0.56)°C vs. 1.81 (0.32)°C, P < 0.0001], and cooling time was longer [16.46 (5.62) vs. 20.40 (4.87) min, P = 0.0224] in summer compared with winter. However, thermal perception was not modified by season during lower-leg passive heating (all P > 0.0864). Furthermore, rectal temperature was higher in summer (P = 0.0433), whereas mean body temperature and skin temperature were not different (all P > 0.0631) between the two seasons in Fan trials. In conclusion, seasonal heat acclimatization enhanced the cool-seeking behaviour from winter to summer.
众所周知,季节性热适应会增强自律性体温调节反应,而季节性热适应后的行为反应仍是未知数。我们研究了季节性热适应是否会改变自律神经和行为体温调节反应。16 名健康参与者(8 名男性和 8 名女性)分别在冬季和夏季的中等温度环境(27°C,50% 相对湿度)中进行了 50 分钟的小腿被动加热试验(将小腿浸入 42°C 的水中),试验中分别使用了风扇(风扇试验)和不使用风扇(不使用风扇试验)。在风扇试验中,参与者可以使用风扇来保持热舒适度,但在无风扇试验中则不允许这样做。在直肠温度变化[平均值(标清):0.21 (0.18)°C vs. 0.11 (0.13)°C, P = 0.0327]和平均皮肤温度变化[2.34 (0.56)°C vs. 1.81 (0.32)°C, P 0.0864]较低时,参与者开始寻求凉爽。此外,直肠温度在夏季更高(P = 0.0433),而在 Fan 试验中,平均体温和皮肤温度在两个季节之间没有差异(所有 P > 0.0631)。总之,季节性热适应增强了从冬季到夏季的寻凉行为。
{"title":"The effect of seasonal heat acclimatization on cool-seeking behaviour during passive heat stress in young adults.","authors":"Hui Wang, Zachary J Schlader, Tze-Huan Lei, Toby Mündel, Tatsuro Amano, Naoto Fujii, Takeshi Nishiyasu, James Cotter, Narihiko Kondo","doi":"10.1113/EP091969","DOIUrl":"https://doi.org/10.1113/EP091969","url":null,"abstract":"<p><p>Seasonal heat acclimatization is known to enhance autonomic thermoeffector responses, whereas the behavioural response following seasonal heat acclimatization remains unknown. We investigated whether seasonal heat acclimatization would alter autonomic and behavioural thermoregulatory responses. Sixteen healthy participants (eight males and eight females) underwent two trials involving 50 min of lower-leg passive heating (lower-leg submersion in 42°C water) with (Fan trial) and without (No fan trial) the voluntary use of a fan in a moderate thermal environment (27°C, 50% relative humidity) across winter and summer months. In Fan trials, participants were allowed to use a fan to maintain thermal comfort, but this was not allowed in the No fan trials. Cool-seeking behaviour was initiated at a lower change in rectal temperature [mean (SD): 0.21 (0.18)°C vs. 0.11 (0.13)°C, P = 0.0327] and change in mean skin temperature [2.34 (0.56)°C vs. 1.81 (0.32)°C, P < 0.0001], and cooling time was longer [16.46 (5.62) vs. 20.40 (4.87) min, P = 0.0224] in summer compared with winter. However, thermal perception was not modified by season during lower-leg passive heating (all P > 0.0864). Furthermore, rectal temperature was higher in summer (P = 0.0433), whereas mean body temperature and skin temperature were not different (all P > 0.0631) between the two seasons in Fan trials. In conclusion, seasonal heat acclimatization enhanced the cool-seeking behaviour from winter to summer.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This case study aims to examine changes in the lower limb joint kinematic profile and performance stability induced by repeated ski runs in two world-class alpine skiers. Two Olympic medallist alpine skiers were tested during their slalom training, with continuous recording of right knee and hip angles, along with turn time and run time. The eight runs of the training session were analysed with linear mixed models. Results showed no effect of runs repetition on performance (i.e., run and turn time; P ≥ 0.279). There was no global effect of runs repetition on minimal and maximal angles for either the knee or the hip (P > 0.151). There was an interaction between run and leg for the maximal angle of both the knee and hip (P ≤ 0.047), which increased across runs for the outside leg and decreased for the inside leg. The maximal angular velocity for both the knee and hip increased with runs repetition in extension (P ≤ 0.028). There were no overall changes in maximal angular velocity in flexion with runs repetition (P ≥ 0.264), but there was an interaction between run and leg for the knee (P < 0.001) due to faster eccentric velocities across runs for the outside leg and slower velocities for the inside leg. In conclusion, the observed joint kinematic alterations without concomitant performance impairment support the concept of multiple movement strategies in athletes to achieve similar performance, especially under fatigue conditions.
{"title":"Joint kinematic responses of Olympic medallist skiers to repeated slalom runs.","authors":"Marine Alhammoud, Robin Trama, Christophe André Hautier, Olivier Girard, Sébastien Racinais, Clint Hansen, Frédéric Meyer, Abdulaziz Farooq, Jérémy Coint, Thibaut Trameau, Loïc Brun, Baptiste Morel","doi":"10.1113/EP091743","DOIUrl":"https://doi.org/10.1113/EP091743","url":null,"abstract":"<p><p>This case study aims to examine changes in the lower limb joint kinematic profile and performance stability induced by repeated ski runs in two world-class alpine skiers. Two Olympic medallist alpine skiers were tested during their slalom training, with continuous recording of right knee and hip angles, along with turn time and run time. The eight runs of the training session were analysed with linear mixed models. Results showed no effect of runs repetition on performance (i.e., run and turn time; P ≥ 0.279). There was no global effect of runs repetition on minimal and maximal angles for either the knee or the hip (P > 0.151). There was an interaction between run and leg for the maximal angle of both the knee and hip (P ≤ 0.047), which increased across runs for the outside leg and decreased for the inside leg. The maximal angular velocity for both the knee and hip increased with runs repetition in extension (P ≤ 0.028). There were no overall changes in maximal angular velocity in flexion with runs repetition (P ≥ 0.264), but there was an interaction between run and leg for the knee (P < 0.001) due to faster eccentric velocities across runs for the outside leg and slower velocities for the inside leg. In conclusion, the observed joint kinematic alterations without concomitant performance impairment support the concept of multiple movement strategies in athletes to achieve similar performance, especially under fatigue conditions.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cross-education describes the training of one limb that leads to performance enhancements in the contralateral untrained limb, driven by neural changes rather than muscle adaptation. In this systematic review and meta-analysis, we aimed to evaluate the efficacy of cross-education (vs. a control group) via resistance exercise training (RET) for improving muscle strength in the untrained lower limb of healthy males and females. A literature search from inception to September 2023 was conducted using MEDLINE (via PubMed), the Cochrane Library (CENTRAL), Web of Science (Core Database), Scopus, EBSCO-host, and Ovid-EMBASE. Independent screening, data extraction and quality assessment were conducted. The measured outcomes were change in one-repetition maximum (1-RM) load, maximum voluntary contraction (MVC), and concentric, eccentric and isometric peak torque. Change in muscle structure (pennation angle and muscle thickness) was also analysed. A total of 29 studies were included. The pooled effect size from the random-effects model shows that cross-education significantly increased 1-RM compared to the control group (standardised mean difference (SMD): 0.59, 95% CI: 0.22-0.97; P = 0.002). Cross-education also significantly improved MVC (SMD: 0.55, 95% CI: 0.16-0.94; P = 0.006), concentric (SMD: 0.61, 95% CI: 0.39-0.84; P < 0.00001), eccentric (SMD: 0.39, 95% CI: 0.13-0.64; P = 0.003) and isometric (SMD: 0.45, 95% CI: 0.26-0.64; P < 0.00001) peak torque, each compared to the control group. When RET was categorised as eccentric or concentric, subgroup analysis showed that only eccentric training was associated with significantly increased isometric peak torque via cross-education (SMD: 0.37, 95% CI: 0.13-0.61; P = 0.003) (concentric, SMD: 0.33, 95% CI: -0.09 to 0.74; P = 0.12). This systematic review and meta-analysis emphasise the potency of cross-education for improving lower limb muscle strength. These findings have potential implications for clinical situations of impaired unilateral limb function (e.g., limb-casting or stroke). Future work exploring the mechanisms facilitating these enhancements will help to develop optimised rehabilitation protocols.
{"title":"Cross-education of lower limb muscle strength following resistance exercise training in males and females: A systematic review and meta-analysis.","authors":"Abdulmajeed Altheyab, Helal Alqurashi, Timothy J England, Bethan E Phillips, Mathew Piasecki","doi":"10.1113/EP091881","DOIUrl":"https://doi.org/10.1113/EP091881","url":null,"abstract":"<p><p>Cross-education describes the training of one limb that leads to performance enhancements in the contralateral untrained limb, driven by neural changes rather than muscle adaptation. In this systematic review and meta-analysis, we aimed to evaluate the efficacy of cross-education (vs. a control group) via resistance exercise training (RET) for improving muscle strength in the untrained lower limb of healthy males and females. A literature search from inception to September 2023 was conducted using MEDLINE (via PubMed), the Cochrane Library (CENTRAL), Web of Science (Core Database), Scopus, EBSCO-host, and Ovid-EMBASE. Independent screening, data extraction and quality assessment were conducted. The measured outcomes were change in one-repetition maximum (1-RM) load, maximum voluntary contraction (MVC), and concentric, eccentric and isometric peak torque. Change in muscle structure (pennation angle and muscle thickness) was also analysed. A total of 29 studies were included. The pooled effect size from the random-effects model shows that cross-education significantly increased 1-RM compared to the control group (standardised mean difference (SMD): 0.59, 95% CI: 0.22-0.97; P = 0.002). Cross-education also significantly improved MVC (SMD: 0.55, 95% CI: 0.16-0.94; P = 0.006), concentric (SMD: 0.61, 95% CI: 0.39-0.84; P < 0.00001), eccentric (SMD: 0.39, 95% CI: 0.13-0.64; P = 0.003) and isometric (SMD: 0.45, 95% CI: 0.26-0.64; P < 0.00001) peak torque, each compared to the control group. When RET was categorised as eccentric or concentric, subgroup analysis showed that only eccentric training was associated with significantly increased isometric peak torque via cross-education (SMD: 0.37, 95% CI: 0.13-0.61; P = 0.003) (concentric, SMD: 0.33, 95% CI: -0.09 to 0.74; P = 0.12). This systematic review and meta-analysis emphasise the potency of cross-education for improving lower limb muscle strength. These findings have potential implications for clinical situations of impaired unilateral limb function (e.g., limb-casting or stroke). Future work exploring the mechanisms facilitating these enhancements will help to develop optimised rehabilitation protocols.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Astronauts experience combined exposure to a cephalad fluid shift and mild hypercapnia during space missions, potentially contributing to health problems. Such combined exposure may weaken dynamic cerebral autoregulation. The magnitude of cephalad fluid shift varies between individuals, and dynamic cerebral autoregulation may be affected more by greater cephalad fluid shift during combined exposure. We evaluated the dose-dependent effects of head-down tilt (HDT) on dynamic cerebral autoregulation during acute combined exposure to HDT and 3% CO2 inhalation. Twenty healthy participants were randomly exposed to three angles of HDT (-5°HDT+CO2, -15°HDT+CO2 and -30°HDT+CO2). After 15 min of rest, participants inhaled room air for 10 min in a horizontal body position, then inhaled 3% CO2 for 10 min under HDT. The last 6 min of data were used for analysis in each stage. Arterial pressure waveforms were obtained using finger blood pressure, and blood velocity waveforms in the middle cerebral artery were obtained using transcranial Doppler ultrasonography. Dynamic cerebral autoregulation was evaluated by transfer function analysis between waveforms. Statistical analysis was performed by two-way repeated-measures analysis of variance. The index of transfer function gain in the low-frequency range increased significantly with -15°HDT+CO2 and -30°HDT+CO2, but no changes were seen with -5°HDT+CO2. Phase in the low-frequency range decreased significantly with all three protocols. These results of significant changes in indexes of both gain and phase during combined exposure to steep HDT (-15° to -30°) and 3% CO2 inhalation suggest weakened dynamic cerebral autoregulation with the combination of moderate cephalad fluid shift and mild hypercapnia.
宇航员在执行太空任务期间会同时受到头向体液转移和轻度高碳酸血症的影响,这可能会导致健康问题。这种综合暴露可能会削弱大脑的动态自动调节功能。头向体液移动的程度因人而异,在联合暴露期间,头向体液移动程度越大,大脑的动态自动调节功能受到的影响可能越大。我们评估了在急性联合暴露于 HDT 和吸入 3% CO2 时,头向下倾斜(HDT)对动态脑自动调节的剂量依赖性影响。20 名健康参与者随机暴露于三种角度的 HDT(-5°HDT+CO2、-15°HDT+CO2 和 -30°HDT+CO2)。休息 15 分钟后,参与者以身体水平姿势吸入室内空气 10 分钟,然后在 HDT 条件下吸入 3% CO2 10 分钟。每个阶段均使用最后 6 分钟的数据进行分析。动脉压波形通过指压获得,大脑中动脉血流速度波形通过经颅多普勒超声波获得。通过波形之间的传递函数分析来评估动态大脑自调节。统计分析采用双向重复测量方差分析。-15°HDT+CO2和-30°HDT+CO2时,低频范围内的传递函数增益指数显著增加,而-5°HDT+CO2时则没有变化。在所有三种方案中,低频范围内的相位都明显下降。在联合暴露于陡峭的 HDT(-15°至-30°)和吸入 3% CO2 的情况下,增益和相位指数都发生了明显变化,这些结果表明,在中度头向液移动和轻度高碳酸血症的共同作用下,大脑动态自调节功能减弱。
{"title":"Effects of the angle of head-down tilt on dynamic cerebral autoregulation during combined exposure to cephalad fluid shift and mild hypercapnia.","authors":"Tomokazu Kato, Yojiro Ogawa, Ken-Ichi Iwasaki","doi":"10.1113/EP091807","DOIUrl":"https://doi.org/10.1113/EP091807","url":null,"abstract":"<p><p>Astronauts experience combined exposure to a cephalad fluid shift and mild hypercapnia during space missions, potentially contributing to health problems. Such combined exposure may weaken dynamic cerebral autoregulation. The magnitude of cephalad fluid shift varies between individuals, and dynamic cerebral autoregulation may be affected more by greater cephalad fluid shift during combined exposure. We evaluated the dose-dependent effects of head-down tilt (HDT) on dynamic cerebral autoregulation during acute combined exposure to HDT and 3% CO<sub>2</sub> inhalation. Twenty healthy participants were randomly exposed to three angles of HDT (-5°HDT+CO<sub>2</sub>, -15°HDT+CO<sub>2</sub> and -30°HDT+CO<sub>2</sub>). After 15 min of rest, participants inhaled room air for 10 min in a horizontal body position, then inhaled 3% CO<sub>2</sub> for 10 min under HDT. The last 6 min of data were used for analysis in each stage. Arterial pressure waveforms were obtained using finger blood pressure, and blood velocity waveforms in the middle cerebral artery were obtained using transcranial Doppler ultrasonography. Dynamic cerebral autoregulation was evaluated by transfer function analysis between waveforms. Statistical analysis was performed by two-way repeated-measures analysis of variance. The index of transfer function gain in the low-frequency range increased significantly with -15°HDT+CO<sub>2</sub> and -30°HDT+CO<sub>2</sub>, but no changes were seen with -5°HDT+CO<sub>2</sub>. Phase in the low-frequency range decreased significantly with all three protocols. These results of significant changes in indexes of both gain and phase during combined exposure to steep HDT (-15° to -30°) and 3% CO<sub>2</sub> inhalation suggest weakened dynamic cerebral autoregulation with the combination of moderate cephalad fluid shift and mild hypercapnia.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tom Maudrich, Sebastian Degener, Patrick Ragert, Rouven Kenville
Blood-flow-restriction exercise (BFREX) is an emerging method to stimulate hypertrophy and strength without the need for high training loads. However, the impact of BFREX concerning somatosensory processing remains elusive. Here, we aimed to investigate the acute effects of BFREX on somatosensory processing in healthy adults using somatosensory-evoked potentials (SEPs). Twelve healthy adults (23.0 ± 3.2 years of age) participated in a randomized crossover experiment, consisting of three experimental conditions: application of blood-flow restriction without resistance exercise (BFR), resistance exercise for multiple sets with blood-flow restriction (BFREX) and traditional resistance exercise (unilateral biceps curls) for multiple sets without BFR (EX). SEP measurements were recorded bilaterally before, during and after each condition. SEP amplitudes were largely unaffected during various occlusive conditions. Nonetheless, our findings demonstrate a significant decrease in N9 latencies for condition EX compared with BFR, specifically in the exercised limb (mean difference = −0.26 ms, SE = 0.06 ms, P = 0.002, d = −0.335). This study provides evidence on the lack of impact of BFREX within the somatosensory domain, according to current guidelines. As an alternative method to traditional high-load resistance exercise, BFREX might offer a considerable upside for rehabilitative settings by reducing strain on the musculoskeletal system.
{"title":"The impact of acute blood-flow-restriction resistance exercise on somatosensory-evoked potentials in healthy adults","authors":"Tom Maudrich, Sebastian Degener, Patrick Ragert, Rouven Kenville","doi":"10.1113/EP091911","DOIUrl":"10.1113/EP091911","url":null,"abstract":"<p>Blood-flow-restriction exercise (BFR<sub>EX</sub>) is an emerging method to stimulate hypertrophy and strength without the need for high training loads. However, the impact of BFR<sub>EX</sub> concerning somatosensory processing remains elusive. Here, we aimed to investigate the acute effects of BFR<sub>EX</sub> on somatosensory processing in healthy adults using somatosensory-evoked potentials (SEPs). Twelve healthy adults (23.0 ± 3.2 years of age) participated in a randomized crossover experiment, consisting of three experimental conditions: application of blood-flow restriction without resistance exercise (BFR), resistance exercise for multiple sets with blood-flow restriction (BFR<sub>EX</sub>) and traditional resistance exercise (unilateral biceps curls) for multiple sets without BFR (EX). SEP measurements were recorded bilaterally before, during and after each condition. SEP amplitudes were largely unaffected during various occlusive conditions. Nonetheless, our findings demonstrate a significant decrease in N9 latencies for condition EX compared with BFR, specifically in the exercised limb (mean difference = −0.26 ms, SE = 0.06 ms, <i>P</i> = 0.002, <i>d</i> = −0.335). This study provides evidence on the lack of impact of BFR<sub>EX</sub> within the somatosensory domain, according to current guidelines. As an alternative method to traditional high-load resistance exercise, BFR<sub>EX</sub> might offer a considerable upside for rehabilitative settings by reducing strain on the musculoskeletal system.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":"109 11","pages":"1869-1881"},"PeriodicalIF":2.6,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1113/EP091911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oliver Hayman, Paul Ansdell, Luca Angius, Kevin Thomas, Lauren Horsbrough, Glyn Howatson, Dawson J. Kidgell, Jakob Škarabot, Stuart Goodall
Unaccustomed eccentric exercise (EE) is protective against muscle damage following a subsequent bout of similar exercise. One hypothesis suggests the existence of an alteration in motor unit (MU) behaviour during the second bout, which might contribute to the adaptive response. Accordingly, the present study investigated MU changes during repeated bouts of EE. During two bouts of exercise where maximal lengthening dorsiflexion (10 repetitions × 10 sets) was performed 3 weeks apart, maximal voluntary isometric torque (MVIC) and MU behaviour (quantified using high-density electromyography; HDsEMG) were measured at baseline, during (after set 5), and post-EE. The HDsEMG signals were decomposed into individual MU discharge timings, and a subset were tracked across each time point. MVIC was reduced similarly in both bouts post-EE (Δ27 vs. 23%, P = 0.144), with a comparable amount of total work performed (∼1,300 J; P = 0.905). In total, 1,754 MUs were identified and the decline in MVIC was accompanied by a stepwise increase in discharge rate (∼13%; P < 0.001). A decrease in relative recruitment was found immediately after EE in Bout 1 versus baseline (∼16%; P < 0.01), along with reductions in derecruitment thresholds immediately after EE in Bout 2. The coefficient of variation of inter-spike intervals was lower in Bout 2 (∼15%; P < 0.001). Our data provide new information regarding a change in MU behaviour during the performance of a repeated bout of EE. Importantly, such changes in MU behaviour might contribute, at least in part, to the repeated bout phenomenon.
{"title":"Changes in motor unit behaviour across repeated bouts of eccentric exercise","authors":"Oliver Hayman, Paul Ansdell, Luca Angius, Kevin Thomas, Lauren Horsbrough, Glyn Howatson, Dawson J. Kidgell, Jakob Škarabot, Stuart Goodall","doi":"10.1113/EP092070","DOIUrl":"10.1113/EP092070","url":null,"abstract":"<p>Unaccustomed eccentric exercise (EE) is protective against muscle damage following a subsequent bout of similar exercise. One hypothesis suggests the existence of an alteration in motor unit (MU) behaviour during the second bout, which might contribute to the adaptive response. Accordingly, the present study investigated MU changes during repeated bouts of EE. During two bouts of exercise where maximal lengthening dorsiflexion (10 repetitions × 10 sets) was performed 3 weeks apart, maximal voluntary isometric torque (MVIC) and MU behaviour (quantified using high-density electromyography; HDsEMG) were measured at baseline, during (after set 5), and post-EE. The HDsEMG signals were decomposed into individual MU discharge timings, and a subset were tracked across each time point. MVIC was reduced similarly in both bouts post-EE (Δ27 vs. 23%, <i>P </i>= 0.144), with a comparable amount of total work performed (∼1,300 J; <i>P </i>= 0.905). In total, 1,754 MUs were identified and the decline in MVIC was accompanied by a stepwise increase in discharge rate (∼13%; <i>P </i>< 0.001). A decrease in relative recruitment was found immediately after EE in Bout 1 versus baseline (∼16%; <i>P</i> < 0.01), along with reductions in derecruitment thresholds immediately after EE in Bout 2. The coefficient of variation of inter-spike intervals was lower in Bout 2 (∼15%; <i>P </i>< 0.001). Our data provide new information regarding a change in MU behaviour during the performance of a repeated bout of EE. Importantly, such changes in MU behaviour might contribute, at least in part, to the repeated bout phenomenon.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":"109 11","pages":"1896-1908"},"PeriodicalIF":2.6,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1113/EP092070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milan Mohammad, Jacob P Hartmann, Amalie B Andersen, Helene L Hartmeyer, Ulrik W Iepsen, Ronan M G Berg
<p><p>Doppler ultrasound may be used to assess leg blood flow ( <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> ), but the reliability of this method remains unexplored in patients with chronic obstructive pulmonary disease (COPD), where between-subject variability may be larger than healthy due to peripheral vascular changes. This study aimed to investigate the reliability of Doppler ultrasound in quantifying <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> during single-leg knee-extensor exercise (KEE) in COPD patients compared with those obtained from healthy matched controls. In this case-control study, 16 participants with COPD were matched based on sex and age with 16 healthy controls. All participants underwent measurement of <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> using Doppler ultrasound in a KEE set-up at various intensities on two separate visits. Confounding factors on <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> were controlled for, and the ultrasound scans were consistently performed by the same sonographer. During exercise, smallest real difference (SRD) ranged from 367 mL to 583 mL in COPD and 438 mL to 667 mL in the control group. The coefficient of variation (CV) ranged from 7.9% to 14.3% in COPD and 9.4% to 10.4% in the control group. The intraclass correlation coefficient ranged from 0.75 to 0.92 in COPD and 0.67 to 0.84 in the control group. CV was lower in the control group during exercise at 0 W, but apart from that, reliability was not different between groups during exercise. Doppler ultrasound showed nearly equal reliability when evaluating <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> in COPD patients and healthy individuals with a CV below 15% during exercise for both groups. HIGHLIGHTS: What is the central question of this study? What is the between-day reliability of Doppler ultrasound when quantifying leg blood flow during single-leg knee-extensor exercise in COPD patients compared to healthy matched controls? What is the main finding and its importance? This study demonstrates a coefficient of variation ranging from 7.9 to 14.3% during single-leg knee-extensor exercise for between-day reliability when applying Doppler ultrasound to assess leg blood flow in patients with COPD. Furthermore, it offers insights into the peripheral circulatory constraints in COPD, as evidenced by diminished leg blood flow. This study is the first of its kind to evaluate the reliability of Dopple
{"title":"Test-retest reliability of Doppler ultrasound-based leg blood flow assessments during exercise in patients with chronic obstructive pulmonary disease.","authors":"Milan Mohammad, Jacob P Hartmann, Amalie B Andersen, Helene L Hartmeyer, Ulrik W Iepsen, Ronan M G Berg","doi":"10.1113/EP092100","DOIUrl":"https://doi.org/10.1113/EP092100","url":null,"abstract":"<p><p>Doppler ultrasound may be used to assess leg blood flow ( <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> ), but the reliability of this method remains unexplored in patients with chronic obstructive pulmonary disease (COPD), where between-subject variability may be larger than healthy due to peripheral vascular changes. This study aimed to investigate the reliability of Doppler ultrasound in quantifying <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> during single-leg knee-extensor exercise (KEE) in COPD patients compared with those obtained from healthy matched controls. In this case-control study, 16 participants with COPD were matched based on sex and age with 16 healthy controls. All participants underwent measurement of <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> using Doppler ultrasound in a KEE set-up at various intensities on two separate visits. Confounding factors on <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> were controlled for, and the ultrasound scans were consistently performed by the same sonographer. During exercise, smallest real difference (SRD) ranged from 367 mL to 583 mL in COPD and 438 mL to 667 mL in the control group. The coefficient of variation (CV) ranged from 7.9% to 14.3% in COPD and 9.4% to 10.4% in the control group. The intraclass correlation coefficient ranged from 0.75 to 0.92 in COPD and 0.67 to 0.84 in the control group. CV was lower in the control group during exercise at 0 W, but apart from that, reliability was not different between groups during exercise. Doppler ultrasound showed nearly equal reliability when evaluating <math> <semantics> <msub><mover><mi>Q</mi> <mo>̇</mo></mover> <mi>leg</mi></msub> <annotation>${{dot{Q}}_{{mathrm{leg}}}}$</annotation></semantics> </math> in COPD patients and healthy individuals with a CV below 15% during exercise for both groups. HIGHLIGHTS: What is the central question of this study? What is the between-day reliability of Doppler ultrasound when quantifying leg blood flow during single-leg knee-extensor exercise in COPD patients compared to healthy matched controls? What is the main finding and its importance? This study demonstrates a coefficient of variation ranging from 7.9 to 14.3% during single-leg knee-extensor exercise for between-day reliability when applying Doppler ultrasound to assess leg blood flow in patients with COPD. Furthermore, it offers insights into the peripheral circulatory constraints in COPD, as evidenced by diminished leg blood flow. This study is the first of its kind to evaluate the reliability of Dopple","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael J. McKenna, Xiaofei Gong, Aaron C. Petersen, Simon Sostaric, Craig A. Goodman, Andrew Garnham, Tai-Juan Aw, Collene H. Steward, Kate T. Murphy, Kate A. Carey, Henry Krum, Rodney J. Snow, David Cameron-Smith