Skip to main content
Log in

Differentiating swelling and hypertrophy through indirect assessment of muscle damage in untrained men following repeated bouts of resistance exercise

  • Original Article
  • Published:
European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

Purpose

To examine the swelling response and other markers of muscle damage throughout the early portions of a training program (Experiment 1). We also determined if a “swollen” muscle could swell further following additional exercise (Experiment 2).

Methods

Nine males performed four sets of biceps curls (or time-matched rest on control arm) at 70% of their one-repetition maximum three times over 8 days. Muscle thickness and torque were measured before and after exercise as well as on the days in between. Soreness was measured at the beginning of each day (Experiment 1). On the final day (Experiment 2), participants performed two bouts of exercise, followed by additional measures of muscle thickness.

Results

Following three bouts of exercise, muscle thickness was elevated over baseline (mean of visit 9 pre to visit 2 pre, 95% CI) at the 50% [0.21 (0.07, 0.34) cm], 60% [0.21 (0.02, 0.39) cm], and 70% [0.21 (0.06, 0.36) cm] sites. However, differences from a non-exercise control were only observed immediately following bouts of exercise (indicative of acute swelling). Torque was lower at every time point following the first bout of exercise and remained suppressed relative to pre at visit 9 [−6.1 (−11.7, −0.47 Nm] in the experimental arm. Experiment 2 found that a swollen muscle could not appreciably swell more.

Conclusion

Resting levels of muscle thickness do not appear to change beyond what occurs following the first naïve bout of exercise. Also, the acute swelling response may be used to differentiate swelling from muscle growth.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Abbreviations

CSA:

Cross-sectional area

1RM:

One-repetition maximum

MTH:

Muscle thickness

MVC:

Maximal voluntary contraction

References

  • Abe T, DeHoyos DV, Pollock ML, Garzarella L (2000) Time course for strength and muscle thickness changes following upper and lower body resistance training in men and women. Eur J Appl Physiol 81(3):174–180

    Article  CAS  PubMed  Google Scholar 

  • Ahtiainen JP, Walker S, Peltonen H, Holviala J, Sillanpää E, Karavirta L, Sallinen J, Mikkola J, Valkeinen H, Mero A (2016) Heterogeneity in resistance training-induced muscle strength and mass responses in men and women of different ages. AGE 38(1):1–13

    Article  Google Scholar 

  • Brook MS, Wilkinson DJ, Mitchell WK, Lund JN, Szewczyk NJ, Greenhaff PL, Smith K, Atherton PJ (2015) Skeletal muscle hypertrophy adaptations predominate in the early stages of resistance exercise training, matching deuterium oxide-derived measures of muscle protein synthesis and mechanistic target of rapamycin complex 1 signaling. FASEB J 29(11):4485–4496

    Article  CAS  PubMed  Google Scholar 

  • Buckner SL, Dankel SJ, Counts BR, Jessee MB, Mouser JG, Mattocks KT, Laurentino GC, Abe T, Loenneke JP (2016) Influence of cuff material on blood flow restriction stimulus in the upper body. J Physiol Sci. doi:10.1007/s12576-016-0457-0

    PubMed  Google Scholar 

  • Chen TC, Chen HL, Pearce AJ, Nosaka K (2012) Attenuation of eccentric exercise-induced muscle damage by preconditioning exercises. Med Sci Sports Exerc 44(11):2090–2098

    Article  PubMed  Google Scholar 

  • Clarkson PM, Hubal MJ (2002) Exercise-induced muscle damage in humans. Am J Phys Med Rehabil 81(11 Suppl):S52–S69

    Article  PubMed  Google Scholar 

  • Clarkson PM, Nosaka K, Braun B (1992) Muscle function after exercise-induced muscle damage and rapid adaptation. Med Sci Sports Exerc 24(5):512–520

    CAS  PubMed  Google Scholar 

  • Counts BR, Dankel SJ, Barnett BE, Kim D, Mouser JG, Allen KM, Thiebaud RS, Abe T, Bemben MG, Loenneke JP (2015) The influence of relative blood flow restriction pressure on muscle activation and muscle adaptation. Muscle Nerve 53(3):438–445

    Article  PubMed  Google Scholar 

  • Counts BR, Buckner SL, Dankel SJ, Jessee MB, Mattocks KT, Mouser JG, Laurentino GC, Loenneke JP (2016) The acute and chronic effects of “NO LOAD” resistance training. Physiol Behav 164(Pt A):345–352

    Article  CAS  PubMed  Google Scholar 

  • Damas F, Phillips SM, Lixandrao ME, Vechin FC, Libardi CA, Roschel H, Tricoli V, Ugrinowitsch C (2015a) Early resistance training-induced increases in muscle cross-sectional area are concomitant with edema-induced muscle swelling. Eur J Appl Physiol 116(1):49–56

    Article  PubMed  Google Scholar 

  • Damas F, Phillips SM, Lixandrao ME, Vechin FC, Libardi CA, Roschel H, Tricoli V, Ugrinowitsch C (2015b) An inability to distinguish edematous swelling from true hypertrophy still prevents a completely accurate interpretation of the time course of muscle hypertrophy. Eur J Appl Physiol 116(2):445–446

    Article  PubMed  Google Scholar 

  • DeFreitas JM, Beck TW, Stock MS, Dillon MA, Kasishke PR 2nd (2011) An examination of the time course of training-induced skeletal muscle hypertrophy. Eur J Appl Physiol 111(11):2785–2790

    Article  PubMed  Google Scholar 

  • DeFreitas JM, Beck TW, Stock MS (2016) The findings of Damas et al. have not influenced the previously proposed time course of skeletal muscle hypertrophy. Eur J Appl Physiol 116(2):443–444

    Article  PubMed  Google Scholar 

  • Erskine RM, Fletcher G, Folland JP (2014) The contribution of muscle hypertrophy to strength changes following resistance training. Eur J Appl Physiol 114(6):1239–1249

    Article  PubMed  Google Scholar 

  • Foley JM, Jayaraman RC, Prior BM, Pivarnik JM, Meyer RA (1999) MR measurements of muscle damage and adaptation after eccentric exercise. J Appl Physiol (1985) 87(6):2311–2318

    CAS  Google Scholar 

  • Krentz JR, Farthing JP (2010) Neural and morphological changes in response to a 20-day intense eccentric training protocol. Eur J Appl Physiol 110(2):333–340

    Article  PubMed  Google Scholar 

  • Loenneke JP, Thiebaud RS, Fahs CA, Rossow LM, Abe T, Bemben MG (2013) Blood flow restriction does not result in prolonged decrements in torque. Eur J Appl Physiol 113(9):923–931

    Article  PubMed  Google Scholar 

  • Loenneke JP, Kim D, Fahs CA, Thiebaud RS, Abe T, Larson RD, Bemben DA, Bemben MG (2016) The influence of exercise load with and without different levels of blood flow restriction on acute changes in muscle thickness and lactate. Clin Physiol Funct Imaging. doi:10.1111/cpf.12367

    Google Scholar 

  • McHugh MP, Connolly DA, Eston RG, Gleim GW (2000) Electromyographic analysis of exercise resulting in symptoms of muscle damage. J Sports Sci 18(3):163–172

    Article  CAS  PubMed  Google Scholar 

  • Moritani T, deVries HA (1979) Neural factors versus hypertrophy in the time course of muscle strength gain. Am J Phys Med 58(3):115–130

    CAS  PubMed  Google Scholar 

  • Nosaka K, Newton M (2002a) Concentric or eccentric training effect on eccentric exercise-induced muscle damage. Med Sci Sports Exerc 34(1):63–69

    Article  PubMed  Google Scholar 

  • Nosaka K, Newton M (2002b) Difference in the magnitude of muscle damage between maximal and submaximal eccentric loading. J Strength Cond Res 16(2):202–208

    PubMed  Google Scholar 

  • Ogasawara R, Thiebaud RS, Loenneke JP, Loftin M, Abe T (2012) Time course for arm and chest muscle thickness changes following bench press training. Interv Med Appl Sci 4(4):217–220

    PubMed  PubMed Central  Google Scholar 

  • Phillips SM (2000) Short-term training: when do repeated bouts of resistance exercise become training? Can J Appl Physiol 25(3):185–193

    Article  CAS  PubMed  Google Scholar 

  • Rasch PJ (1955) The problem of muscle hypertrophy: a review. J Am Osteopath Assoc 54(9):525–528

    CAS  PubMed  Google Scholar 

  • Thiebaud RS, Yasuda T, Loenneke JP, Abe T (2013) Effects of low-intensity concentric and eccentric exercise combined with blood flow restriction on indices of exercise-induced muscle damage. Interv Med Appl Sci 5(2):53–59

    PubMed  PubMed Central  Google Scholar 

  • Weir JP (2005) Quantifying test–retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res Natl Strength Cond Assoc 19:231–240. doi:10.1519/15184.1

    Google Scholar 

  • Whitesides TE, Heckman MM (1996) Acute compartment syndrome: update on diagnosis and treatment. J Am Acad Orthop Surg 4(4):209–218

    Article  CAS  PubMed  Google Scholar 

  • Yasuda T, Loenneke JP, Thiebaud RS, Abe T (2012) Effects of blood flow restricted low-intensity concentric or eccentric training on muscle size and strength. PLoS One 7(12):e52843. doi:10.1371/journal.pone.0052843

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeremy P. Loenneke.

Ethics declarations

Conflict of interest

None.

Source of funding

This manuscript was partially supported by funding from the BioLayne Foundation (J.P.L and S. J. D.).

Additional information

Communicated by William J. Kraemer.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Buckner, S.L., Dankel, S.J., Mattocks, K.T. et al. Differentiating swelling and hypertrophy through indirect assessment of muscle damage in untrained men following repeated bouts of resistance exercise. Eur J Appl Physiol 117, 213–224 (2017). https://doi.org/10.1007/s00421-016-3521-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00421-016-3521-9

Keywords

Navigation