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Purpose: Drawing on correlations between the mechanomyographic (MMG) and the force signal, we devised a novel approach based on MMG signal analysis to detect voluntary activation (VA) of the synergistic superficial heads of the quadriceps muscle. We hypothesized that, after a fatiguing exercise, the changes in the evoked MMG signal of each quadriceps head would correlate with the changes in the level of VA in the whole quadriceps. Methods: Twenty-five men underwent a unilateral single-leg quadriceps exercise to failure. Before and after exercise, VA was assessed by interpolated-twitch-technique via nerve stimulation during and after maximum voluntary contraction (MVC). The force and MMG signal were recorded from vastus lateralis, vastus medialis, and rectus femoris. The MMG peak-to-peak was calculated and the voluntary activation index (VAMMG), defined as the superimposed/potentiated MMG peak-to-peak ratio, was determined from the MMG signal for each head. Results: VAMMG presented a very high intraclass correlation coefficient (0.981–0.998) and sensitivity (MDC95%: 0.42–6.97%). MVC and VA were decreased after exercise in both the exercising [MVC:−17(5)%, ES −0.92; VA: −7(3)%, ES −1.90] and the contralateral limb [MVC: −9(4)%, ES −0.48; VA: −4(1)%, ES −1.51]. VAMMG was decreased in both the exercising [~ −9(6)%, ES −1.77] and contralateral limb [~ −3(2)%, ES −0.57], with a greater decrease in VAMMG noted only in the vastus medialis of the exercising limb. Moderate-to-very high correlations were found between VAMMG and VA (R-range: 0.503–0.886) before and after exercise. Conclusion: VAMMG may be implemented to assess VA and provide further information when multiple synergistic muscle heads are involved in fatiguing exercises. [ABSTRACT FROM AUTHOR]

Purpose: To better understand neuromuscular characteristics of eccentric exercise-induced muscle damage, this study compared between concentric (CONC) and eccentric (ECC) exercises of knee extensor muscles, and the first (ECC1) and second bouts of the eccentric exercise (ECC2) for central and peripheral parameters associated with neuromuscular fatigue.Methods: Twelve young men performed three exercise bouts separated by at least 1 week between CONC and ECC1, and 2 weeks between ECC1 and ECC2. In each exercise, maximal voluntary concentric or eccentric contractions of the knee extensors were performed until a reduction in maximal voluntary isometric contraction (MVC) torque of at least 40% MVC was achieved immediately post-exercise. MVC torque, central (voluntary activation and normalised electromyographic activity), and peripheral neuromuscular indices (evoked torque and M-wave amplitude), and muscle soreness were assessed before (PRE), immediately after (POST), 1 h (1H), and 1-4 days after exercise (D1, D2, D3, and D4).Results: MVC torque decreased at only POST for CONC (- 52.8%), but remained below the baseline at POST (- 48.6%), 1H (- 34.1%), and D1-D4 (- 34.1 to - 18.2%) after ECC1, and at POST (- 45.2%), 1H (- 24.4%) and D1 (- 13.4%) after ECC2 (p < 0.05). Voluntary activation decreased immediately after ECC1 (- 21.6%) and ECC2 (- 21.1%), but not after CONC. Electrically evoked torques decreased similarly at POST and 1H for the three conditions, but remained below the baseline at D1 only post-ECC1.Conclusion: These results showed that both central and peripheral factors contributed to the MVC decrease after ECC1 and ECC2, but the decrease was mainly due to peripheral factors after CONC. [ABSTRACT FROM AUTHOR]

Purpose: The present study was designed to determine the stimulation intensity necessary for an adequate assessment of central and peripheral components of neuromuscular fatigue of the knee extensors. Methods: Three different stimulation intensities (100, 120 and 150 % of the lowest intensity evoking a plateau in M-waves and twitch amplitudes, optimal stimulation intensity, OSI) were used to assess voluntary activation level (VAL) as well as M-wave, twitch and doublet amplitudes before, during and after an incremental isometric exercise performed by 14 (8 men) healthy and physically active volunteers. A visual analog scale was used to evaluate the associated discomfort. Results: There was no difference ( p > 0.05) in VAL between the three intensities before and after exercise. However, we found that stimulating at 100 % OSI may overestimate the extent of peripheral fatigue during exercise, whereas 150 % OSI stimulations led to greater discomfort associated with doublet stimulations as well as to an increased antagonist co-activation compared to 100 % OSI. Conclusion: We recommend using 120 % OSI, as it constitutes a good trade-off between discomfort and reliable measurements. [ABSTRACT FROM AUTHOR]

The present study investigated the applicability of magnetic stimulation (MS) for estimating activation capacity. Ten men performed isometric knee extensions at 95% of maximum voluntary contraction level on two testing sessions. MS and electrical stimulation (ES) were applied by placing the coil and stimulating electrodes, respectively, on the quadriceps muscle group. In session 1, MS and ES were applied to allow a comparison between the two stimulating devices. During session 2, MS was applied again to assess the reproducibility of MS measurements. Activation level was estimated with the interpolated twitch technique (ITT) and the central activation ratio (CAR). Activation level determined with MS was highly repeatable, but was only comparable to ES when using ITT (standard error < 1.45%, mean difference < 0.63%, for all). MS with CAR overestimated activation by 3% compared to ES (standard error = 1.13%, mean difference = 2.76%) because the power of the magnetic field was limited. These results indicate that MS is a promising tool for reliable and valid quantification of activation levels when using the ITT approach and potentially suitable for studies involving children or other subjects where the pain of conventional ES is a problem. [ABSTRACT FROM AUTHOR]