Training-induced changes in muscle contraction patterns enhance exercise performance after short-term neuromuscular electrical stimulation

2020 ◽  
Vol 28 (4) ◽  
pp. 339-350
Author(s):  
Gökhan Umutlu ◽  
Nevzat Demirci ◽  
Nasuh Evrim Acar

BACKGROUND: Neuromuscular electrical stimulation (NMES) is a complementary tool for therapeutic exercise for muscle strengthening and may potentially enhance exercise performance. OBJECTIVE: To determine whether high-intensity interval training (HIIT) and continuous aerobic training (CA) coupled with NMES enhance the changes in the eccentric/concentric muscle contraction patterns of hamstring and quadriceps. METHODS: Forty-five healthy sedentary male participants performed cycling training 3 times per week for 8 weeks combined with/without NMES performed at a load equivalent to 65% and 120% of IVO2max (intensity associated with the achievement of maximal oxygen uptake). Anthropometrics, blood lactate measurements, IVO2max, TLimVO2max (time-to-exhaustion) and isokinetic strength parameters were measured at baseline and post-training using a randomized controlled trial. RESULTS: The conventional hamstring-to-quadriceps-ratio (HQR: Hcon/Qcon) at 60∘/s and the Dynamic Control Ratio (DCR: Hecc/Qcon) at 180∘/s significantly increased both in the dominant (D) and non-dominant (ND) limb in the HIIT + NMES group (p< 0.05). There was a positive significant correlation between the individual changes in D HQR at 60∘/s and IVO2max (r= 0.94, p= 0.005) and the DCR at 180∘/s and TLimVO2max (r= 0.90, p= 0.015), respectively. CONCLUSIONS: The increases in the eccentric muscle contraction and DCR following HIIT + NMES seem to improve fatigue tolerance, cause less fatigue and oxidative stress on the lower limb during pedaling at high intensities.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Gomes da Silva Machado ◽  
Marom Bikson ◽  
Abhishek Datta ◽  
Egas Caparelli-Dáquer ◽  
Gozde Unal ◽  
...  

AbstractTranscranial direct current stimulation (tDCS) has been used aiming to boost exercise performance and inconsistent findings have been reported. One possible explanation is related to the limitations of the so-called “conventional” tDCS, which uses large rectangular electrodes, resulting in a diffuse electric field. A new tDCS technique called high-definition tDCS (HD-tDCS) has been recently developed. HD-tDCS uses small ring electrodes and produces improved focality and greater magnitude of its aftereffects. This study tested whether HD-tDCS would improve exercise performance to a greater extent than conventional tDCS. Twelve endurance athletes (29.4 ± 7.3 years; 60.15 ± 5.09 ml kg−1 min−1) were enrolled in this single-center, randomized, crossover, and sham-controlled trial. To test reliability, participants performed two time to exhaustion (TTE) tests (control conditions) on a cycle simulator with 80% of peak power until volitional exhaustion. Next, they randomly received HD-tDCS (2.4 mA), conventional (2.0 mA), or active sham tDCS (2.0 mA) over the motor cortex for 20-min before performing the TTE test. TTE, heart rate (HR), associative thoughts, peripheral (lower limbs), and whole-body ratings of perceived exertion (RPE) were recorded every minute. Outcome measures were reliable. There was no difference in TTE between HD-tDCS (853.1 ± 288.6 s), simulated conventional (827.8 ± 278.7 s), sham (794.3 ± 271.2 s), or control conditions (TTE1 = 751.1 ± 261.6 s or TTE2 = 770.8 ± 250.6 s) [F(1.95; 21.4) = 1.537; P = 0.24; η2p = 0.123]. There was no effect on peripheral or whole-body RPE and associative thoughts (P > 0.05). No serious adverse effect was reported. A single session of neither HD-tDCS nor conventional tDCS changed exercise performance and psychophysiological responses in athletes, suggesting that a ceiling effect may exist.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Michael Tuttor ◽  
Simon von Stengel ◽  
Michael Hettchen ◽  
Wolfgang Kemmler

Background/Objective. Not only but particularly due to their time efficiency, High-Intensity Interval Training (HIIT) is becoming increasingly popular in fitness-oriented endurance sports. The purpose of this study was to determine the effect of a HIIT running program versus a Moderate Intensity Continuous Exercise (MICE) training running program (16 weeks each) on lactate kinetics in untrained males. Methods. 65 healthy but untrained males (30-50 years, BMI: 27.2 ± 3.7kg/m2) were randomly assigned to either an HIIT (n=33) or a waiting-control/MICE group (n=32). HIIT consisted of intervals and intense continuous running bouts at or above the individual anaerobic threshold (IANS, 95-110% of IANS-HR), while MICE focused on continuous running at 70-82.5% IANS-HR. Both programs were adjusted for “total workload”. Study endpoints were time to IANS and time from IANS till “time to exhaustion” (TTE) as assessed by stepwise treadmill test. Results. In both exercise groups time to reach IANS (MICE: 320 ± 160 s versus HIIT: 198 ± 118 s) increased significantly (p<.001), with the groups differing significantly (p<.001). Time from IANS until TTE was prolonged significantly among the HIIT group (27 ± 66s, p=.030), while among the MICE group a significant reduction of time from IANS until TTE (59 ± 109s; p=.017) was determined. Between-group difference is significant (p=.003) for this parameter. In both groups TTE increased significantly (HIIT: 27.2 ± 17.7% versus MICE: 29.0 ± 19.4%, both p<.001) at a similar level (p=.279). Conclusion. HIIT and MICE protocols, when adjusted for total workload, similarly increased running performance in untrained male subjects; however, the underlying mechanisms differ fundamentally. Due to its effects on aerobic and anaerobic performance improvement, HIIT can be recommended for untrained individuals as a time-efficient alternative or complementary training method to MICE. However, our protocol did not confirm the general superiority of HIIT versus MICE on the key endurance parameter “time to exhaustion” that has been reported by other comparative exercise studies.


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