Skin cooling alters the activation patterns of different heads of the quadriceps.

The purpose of this study was to examine the effect of selective skin cooling over m. vastus lateralis (VL) on the activation patterns of quadriceps femoris muscle during knee extension exercise (KEE) using muscle function magnetic resonance imaging (mfMRI). The isometric force production of the right thigh was tested in 7 healthy young men at maximum voluntary contraction (MVC), and the transverse relaxation time (T2) value was taken from mfMR images at rest and immediately after KEE with 4 sets of 10 repetitions at a load equal to 60% of their 10-rep maximum, with and without skin cooling. The cooling was carried out by ice pack on the surface of the skin of the VL for 3 min before resting mfMRI and MVC tests, and before KEE, during KEE, and during the KEE rest intervals. The percent change in T2 of the m. vastus intermedius was significantly increased by skin cooling in comparison to the change without skin cooling, p < 0.05. This result suggests that skin cooling alters the activation pattern of the different heads of the quadriceps.