Abstract
Introduction
Eccentric leg cycling (cycle ergometry adapted to impose muscle lengthening contractions) offers an effective exercise for restoring lower-body muscular function, maintaining health, and improving performance in clinical and athletic populations.
Purpose
We extended this model to the upper body and evaluated the effectiveness of a 7-week eccentric arm cycling (ECCarm) intervention to improve upper-body muscular function. We also explored whether ECCarm would alter arterial function.
Methods
Participants performed ECCarm (n = 9) or concentric arm cycling (CONarm; n = 8) 3×/week while training intensity increased (5–20 min, 60–70% upper-body peak heart rate). Maximum elbow extensor strength, upper-body concentric power, and peripheral and central arterial stiffness were assessed before and after training.
Results
During training, heart rates and perceived exertion did not differ between groups (~68% upper-body peak heart rate, ~12 Borg units, both P > 0.05), whereas power during ECCarm was ~2× that for CONarm (122 ± 43 vs. 59 ± 20 W, P < 0.01). Muscle soreness for ECCarm was greater than CONarm (P = 0.02), however, soreness was minimal for both groups (<0.50 cm). Following training, ECCarm exhibited greater changes in elbow extensor strength (16 ± 10 vs. 1 ± 9%, P = 0.01) and upper-body power (6 ± 8 vs. −3 ± 7%, P < 0.01) compared to CONarm. Peripheral and central arterial stiffness did not change for either group (both P > 0.05).
Conclusion
Upper-body eccentric exercise improved dynamic muscular function while training at low exertion levels. Results occurred with minimal soreness and without compromising arterial function. ECCarm findings parallel eccentric leg cycling findings and indicate that eccentric cycle ergometry offers a robust model for enhancing upper-body muscular function. ECCarm could have applications in rehabilitation and sport training.
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Abbreviations
- \( \dot{V}{\text{O}}_{{ 2 {\text{peak}}}} \) :
-
Peak oxygen consumption
- RPE:
-
Rating of perceived exertion
- RM:
-
Repetition maximum
- pPWV:
-
Peripheral pulse wave velocity
- cPWV:
-
Central pulse wave velocity
References
Abbiss CR, Quod MJ, Levin G, Martin DT, Laursen PB (2009) Accuracy of the Velotron ergometer and SRM power meter. Int J Sports Med 30:107–112
Baechle TR, Earle RW (eds) (2000) Essentials of strength training and conditioning. Human Kinetics, Champaign
Chen CH, Nevo E, Fetics B, Pak PH, Yin FC, Maughan WL et al (1997) Estimation of central aortic pressure waveform by mathematical transformation of radial tonometry pressure. Validation of generalized transfer function. Circulation 95:1827–1836
Davis JW, Ross PD, Preston SD, Nevitt MC, Wasnich RD (1998) Strength, physical activity, and body mass index: relationship to performance-based measures and activities of daily living among older Japanese women in Hawaii. J Am Geriatr Soc 46:274–279
Dibble LE, Hale TF, Marcus RL, Gerber JP, LaStayo PC (2009) High intensity eccentric resistance training decreases bradykinesia and improves quality of life in persons with Parkinson’s disease: a preliminary study. Parkinsonism Relat Disord 15:752–757
Dufour SP, Lampert E, Doutreleau S, Lonsdorfer-Wolf E, Billat VL, Piquard F et al (2004) Eccentric cycle exercise: training application of specific circulatory adjustments. Med Sci Sports Exerc 36:1900–1906
Elmer SJ, Madigan ML, LaStayo PC, Martin JC (2010) Joint-specific power absorption during eccentric cycling. Clin Biomech (Bristol, Avon) 25:154–158
Elmer SJ, Hahn SA, McAllister PD, Leong C, Martin JC (2012) Improvements in multi-joint leg function following chronic eccentric exercise. Scand J Med Sci Sports 22:653–661
Elmer SJ, Danvind J, Holmberg HC (2013a) Development of a novel eccentric arm cycle ergometer for training the upper body. Med Sci Sports Exerc 45:206–211
Elmer SJ, Marshall CS, McGinnis KR, Van Haitsma TA, LaStayo PC (2013b) Eccentric arm cycling: physiological characteristics and potential applications with healthy populations. Eur J Appl Physiol 113:2541–2552
Gabriel DA, Kamen G, Frost G (2006) Neural adaptations to resistive exercise: mechanisms and recommendations for training practices. Sports Med 36:133–149
Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM et al (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359
Gerber JP, Marcus RL, Dibble LE, Greis PE, Burks RT, LaStayo PC (2007) Safety, feasibility, and efficacy of negative work exercise via eccentric muscle activity following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 37:10–18
Gross M, Luthy F, Kroell J, Muller E, Hoppeler H, Vogt M (2010) Effects of eccentric cycle ergometry in alpine skiers. Int J Sports Med 31:572–576
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA et al (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39:1423–1434
Isner-Horobeti ME, Dufour SP, Vautravers P, Geny B, Coudeyre E, Richard R (2013) Eccentric exercise training: modalities, applications and perspectives. Sports Med 43:483–512
Jamurtas AZ, Theocharis V, Tofas T, Tsiokanos A, Yfanti C, Paschalis V et al (2005) Comparison between leg and arm eccentric exercises of the same relative intensity on indices of muscle damage. Eur J Appl Physiol 95:179–185
LaStayo PC, Reich TE, Urquhart M, Hoppeler H, Lindstedt SL (1999) Chronic eccentric exercise: improvements in muscle strength can occur with little demand for oxygen. Am J Physiol 276:R611–R615
LaStayo PC, Pierotti DJ, Pifer J, Hoppeler H, Lindstedt SL (2000) Eccentric ergometry: increases in locomotor muscle size and strength at low training intensities. Am J Physiol Regul Integr Comp Physiol 278:R1282–R1288
LaStayo PC, Ewy GA, Pierotti DD, Johns RK, Lindstedt S (2003a) The positive effects of negative work: increased muscle strength and decreased fall risk in a frail elderly population. J Gerontol A Biol Sci Med Sci 58:M419–M424
LaStayo PC, Woolf JM, Lewek MD, Snyder-Mackler L, Reich T, Lindstedt SL (2003b) Eccentric muscle contractions: their contribution to injury, prevention, rehabilitation, and sport. J Orthop Sports Phys Ther 33:557–571
LaStayo PC, Meier W, Marcus RL, Mizner R, Dibble L, Peters C (2009) Reversing muscle and mobility deficits 1 to 4 years after TKA: a pilot study. Clin Orthop Relat Res 467:1493–1500
LaStayo P, Marcus R, Dibble L, Frajacomo F, Lindstedt S (2014) Eccentric exercise in rehabilitation: safety, feasibility, and application. J Appl Physiol (1985) 116:1426–1434
Leong CH, McDermott WJ, Elmer SJ, Martin JC (2014) Chronic eccentric cycling improves quadriceps muscle structure and maximum cycling power. Int J Sports Med 35:559–565
Lindstedt SL, Reich TE, Keim P, LaStayo PC (2002) Do muscles function as adaptable locomotor springs? J Exp Biol 205:2211–2216
Magel JR, McArdle WD, Toner M, Delio DJ (1978) Metabolic and cardiovascular adjustment to arm training. J Appl Physiol Respir Environ Exerc Physiol 45:75–79
Marcus RL, Smith S, Morrell G, Addison O, Dibble LE, Wahoff-Stice D et al (2008) Comparison of combined aerobic and high-force eccentric resistance exercise with aerobic exercise only for people with type 2 diabetes mellitus. Phys Ther 88:1345–1354
Martin JC, Diedrich D, Coyle EF (2000) Time course of learning to produce maximum cycling power. Int J Sports Med 21:485–487
McNair PJ, Depledge J, Brettkelly M, Stanley SN (1996) Verbal encouragement: effects on maximum effort voluntary muscle action. Br J Sports Med 30:243–245
Meyer K, Steiner R, LaStayo P, Lippuner K, Allemann Y, Eberli F et al (2003) Eccentric exercise in coronary patients: central hemodynamic and metabolic responses. Med Sci Sports Exerc 35:1076–1082
Miles DS, Cox MH, Bomze JP (1989) Cardiovascular responses to upper body exercise in normals and cardiac patients. Med Sci Sports Exerc 21:S126–S131
Mitchell WK, Taivassalo T, Narici MV, Franchi MV (2017) Eccentric exercise and the critically ill patient. Front Physiol 8:120
Miyachi M (2013) Effects of resistance training on arterial stiffness: a meta-analysis. Br J Sports Med 47:393–396
Montero D, Vinet A, Roberts CK (2015) Effect of combined aerobic and resistance training versus aerobic training on arterial stiffness. Int J Cardiol 178:69–76
Mueller M, Breil FA, Vogt M, Steiner R, Lippuner K, Popp A et al (2009) Different response to eccentric and concentric training in older men and women. Eur J Appl Physiol 107:145–153
Neville V, Pain MT, Folland JP (2009) Aerobic power and peak power of elite America’s Cup sailors. Eur J Appl Physiol 106:149–157
Okamoto T, Masuhara M, Ikuta K (2006) Effects of eccentric and concentric resistance training on arterial stiffness. J Hum Hypertens 20:348–354
Okamoto T, Masuhara M, Ikuta K (2009) Upper but not lower limb resistance training increases arterial stiffness in humans. Eur J Appl Physiol 107:127–134
Pollock ML, Franklin BA, Balady GJ, Chaitman BL, Fleg JL, Fletcher B et al (2000) AHA Science Advisory. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription: an advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association; Position paper endorsed by the American College of Sports Medicine. Circulation 101:828–833
Ratamess NA, Alvar BA, Evetoch TK, Housh TJ, Kibler WB, Kraemer WJ et al (2009) American College of Sports Medicine position stand. Progression models in resistance training for health adults. Med Sci Sports Exerc 41:687–708
Roig M, O’Brien K, Kirk G, Murray R, McKinnon P, Shadgan B et al (2009) The effects of eccentric versus concentric resistance training on muscle strength and mass in healthy adults: a systematic review with meta-analyses. Br J Sports Med 43:556–568
Steiner R, Meyer K, Lippuner K, Schmid JP, Saner H, Hoppeler H (2004) Eccentric endurance training in subjects with coronary artery disease: a novel exercise paradigm in cardiac rehabilitation? Eur J Appl Physiol 91:572–578
Twist C, Eston R (2005) The effects of exercise-induced muscle damage on maximal intensity intermittent exercise performance. Eur J Appl Physiol 94:652–658
Vlachopoulos C, Aznaouridis K, Stefanadis C (2010) Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis. J Am Coll Cardiol 55:1318–1327
Vogt M, Hoppeler HH (2014) HH (2014) Eccentric exercise: mechanisms and effects when used as training regime or training adjunct. J Appl Physiol (1985) 116:1446–1454
Acknowledgements
The authors would like to sincerely thank the participants who took part in this study for their enthusiastic efforts during the exercise training intervention and the students (Ryan Vanlandschoot, Jennifer Dannenbring, Lydia Lytle) in the Human Performance Laboratory and Clinical and Applied Human Physiology Laboratory for their assistance with the data collection. This study was supported by the Michigan Tech Research Excellence Fund and Michigan Tech Summer Undergraduate Research Fellowship.
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Two of the authors (PCL and SLL) are co-inventors on a lower-body ergometer licensed to Eccentron; BTE Technologies, Inc., Hanover, MD, USA. Neither PCL, SLL nor any of the other authors have received any financial incentives (e.g., reimbursements, fees, royalties, funding, or salary) from the company or stemming from the contents of this manuscript or any related published papers. The remaining authors report no conflicts of interest.
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Communicated by Olivier Seynnes.
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Elmer, S.J., Anderson, D.J., Wakeham, T.R. et al. Chronic eccentric arm cycling improves maximum upper-body strength and power. Eur J Appl Physiol 117, 1473–1483 (2017). https://doi.org/10.1007/s00421-017-3642-9
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DOI: https://doi.org/10.1007/s00421-017-3642-9
Keywords
- Exercise training
- Lengthening contractions
- Neuromuscular function
- Arterial stiffness
- Cycle ergometry