The bilateral limb deficit (BLD) phenomenon during leg press: a preliminary investigation into central and peripheral factors

Background The bilateral limb deficit (BLD) phenomenon suggests that lower forces are produced with bilateral limb contractions compared to the summed force produced when the same muscles are contracted unilaterally. While interhemispheric inhibition has been suggested as a cause of BLD, the origin of the deficit is yet to be determined. The aim of this study was to investigate central and peripheral factors responsible for the BLD during leg press using surface electromyography (EMG) and electroencephalography (EEG). Methods Fourteen adults (age = 23.7 ± 4.7 years old) completed bilateral (BL), unilateral left (UL) and unilateral right (UR) isometric leg press exercises. Bilateral limb ratio (BLR) was calculated similar to previous studies and surface EMG from three muscles of the quadriceps femoris (vastus lateralis, vastus medialis and rectus femoris) was used to measure the level of muscle activation. Movement related cortical potentials (MRCPs) over the left and right motor cortex areas (C3 and C4, respectively) were used to assess brain activity asymmetries reflecting central factors. Results No significant difference was noted in the mean BLR (BLR = 94.8%), but a subset of ten participants did demonstrate a BLD (BLR = 81.4%, p < 0.01). Mean differences in relative activation were found among the three quadricep muscles (p < 0.001) with the right VM having significantly higher amplitude for the unilateral right (0.347 ± 0.318 mV) and bilateral right (0.436 ± 0.470 mV) conditions, respectively) than either the VL or RF (p < 0.05). The VL had significantly lower amplitudes in all conditions (0.127 ± 0.138 mV; 0.111 ± 0.104 mV; 0.120 ± 0.105 mV; 0.162 ± 0.147 mV for unilateral left, bilateral left, unilateral right, and bilateral right, respectively). However no overall significant differences were noted between bilateral and unilateral conditions. No significant differences in MRCPs were observed between brain activity of the C3 and C4 electrodes in any of the conditions. Conclusion While the sample size was low, this exploratory study noted the presence of BLD however the results did not provide evidence of significant limitations in either the EMG or EEG data.

The Bilateral Limb Deficit (BLD) Phenomenon During Leg Press: An Investigation Into Central And Peripheral Factors

Background: The bilateral limb deficit (BLD) phenomenon is the difference in maximal or near maximal force generating capacity of muscles when they are contracted alone or in combination with the contralateral muscles. It has been suggested that the BLD may be due to interhemispheric inhibition, however the origin of the deficit is yet to be determined. The aim of this study was to investigate central and peripheral factors responsible for the BLD during leg press using surface electromyography (EMG) and electroencephalography (EEG). Methods: Fourteen adults (age = 23.7 ± 4.7 years old) completed bilateral (BL), unilateral left (UL) and unilateral right (UR) isometric leg press exercises. Bilateral limb ratio (BLR) was calculated similar to previous studies and surface EMG from three muscles of the quadriceps femoris (vastus lateralis, vastus medialis and rectus femoris) were used to compare signal amplitude in each condition. Movement related cortical potentials (MRCPs) over the left and right motor cortex areas (C3 and C4, respectively) were used to assess brain activity asymmetries reflecting central factors. Results: The BLD was present in ten of the fourteen participants (mean BLR=81.4%). Mean RMS activity demonstrated differences in amplitudes between the quadriceps muscles, however no significant differences were noted between bilateral and unilateral conditions. No significant differences in MRCPs were observed between brain activity of the C3 and C4 electrodes in any of the conditions. Conclusion: This study noted the presence of BLD however the results did not provide evidence of significant limitations in either the EMG and EEG data.

Comparison of bilateral and unilateral contractions between swimmers and nonathletes during leg press and hand grip exercises

The bilateral limb deficit (BLD) is defined as the reduction in force production during bilateral compared with summed unilateral contractions of homologous muscles. The underlying mechanism for the BLD has been elusive to determine. The purpose of this study was to examine the presence of the BLD during maximal isometric leg press and handgrip exercises in female swimmers (n = 9, mean age = 20.1 ± 1.3 years) and nonathletes (n = 9, mean age = 21.7 ± 1.3 years) to gain further insight into this phenomenon. Force and electromyography (EMG) measures were collected from participants under bilateral and unilateral conditions for handgrip and leg press exercises. Bilateral limb ratios (BLR) were calculated for swimmers (BLRS) and nonathletes (BLRNA). A deficit was found for swimmers and nonathletes in leg force (BLRS = 79.84% ± 13.09% and BLRNA = 81.44% ± 19.23%) and leg EMG (BLRS = 88.45% ± 15.41% and BLRNA = 94.66% ± 13.62%); however, no BLD was seen in hand force (BLRS = 98.30% ± 11.21% and BLRNA = 95.91% ± 11.04%) and hand EMG (BLRS = 102.42% ± 11.20% and BLRNA = 103.30% ± 16.50%). Furthermore, no significant differences were found between groups for leg force, leg EMG, hand force, and hand EMG. In conclusion, a BLD was detected for both groups during bilateral isometric leg press. This suggests that while the BLD may be affected by neural influences, there may other factors involved such as postural stability requirements to perform the exercise.

An Investigation of the Bilateral Limb Deficit Phenomenon in Lower Limbs

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