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Mitigating the bilateral deficit: reducing neural deficits through residual force enhancement and activation reduction

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Abstract

Purpose

The bilateral deficit (BLD) is characterized by a reduction in maximal voluntary torque during a bilateral contraction relative to the sum of left and right unilateral contractions. The BLD has been attributed to interhemispheric inhibition as a result of unilateral torque differences between limbs. If the BLD is the result of interhemispheric inhibition, lowering activation for a torque matching task, as shown in residual force enhancement (RFE), may help overcome the decrease in neural drive during bilateral contractions. Therefore, the purpose of the present study was to determine whether RFE could reduce the BLD.

Methods

Participants (n = 12) performed both isometric and RFE MVCs of the elbow flexors under three conditions: (1) unilateral-left; (2) unilateral-right; and (3) bilateral. To directly address the purpose of the study, a sub-group of participants that displayed both RFE and a BLD (“Responders”, n = 6) were selected from the participant pool.

Results

“Responders” displayed RFE (7.1 ± 5.3%) and an isometric BLD (BI: − 9.9 ± 3.2%). In the RFE state, the BLD was no longer significant (− 5.8 ± 7.9%), accompanied by the elimination of differences in biceps brachii EMG between arms (left: − 11.7 ± 10.3%; right: − 11.5 ± 13.2%), as seen during isometric contractions (left: − 12.0 ± 23.2%; right: − 21.1 ± 16.6%).

Conclusion

Residual force enhancement appears to mitigate the BLD, alleviating the effects of a decrease in neural drive by allowing more force for a given level of muscle activation when compared to a purely isometric contraction.

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Abbreviations

RMS:

Root mean square

BLD:

Bilateral deficit

EMG:

Electromyography

MVC:

Maximal voluntary contraction

RFE:

Residual force enhancement

References

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Acknowledgements

We would like to thank all of the participants in this study. This project was supported by the Natural Sciences and Engineering Research Council of Canada (NSERC), Ontario Graduate Scholarship Program, Alberta Innovates Health Solutions (AIHS), and Eyes High Doctoral Recruitment Scholarship. Infrastructure was provided by the University of Guelph start-up funding.

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Authors and Affiliations

Authors

Contributions

GZM was responsible for the design of the study, execution of the study, data collection, data analysis, interpretation of data, drafting the manuscript, revising the manuscript, and approving the final submitted version. NM was responsible for data analysis, interpretation of data, drafting the manuscript, revising the manuscript, and approving the final submitted version. WH was interpretation of data, drafting the manuscript, revising the manuscript, and approving the final submitted version. GAP was responsible for the design of the study, execution of the study, data collection, data analysis, interpretation of data, drafting the manuscript, revising the manuscript, and approving the final submitted version.

Corresponding author

Correspondence to Geoffrey A. Power.

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Ethical approval

All participants gave written informed consent and all procedures were approved by the local Research Ethics Board and conformed to the Declaration of Helsinki.

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Communicated by Toshio Moritani.

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Cite this article

MacDonald, G.Z., Mazara, N., Herzog, W. et al. Mitigating the bilateral deficit: reducing neural deficits through residual force enhancement and activation reduction. Eur J Appl Physiol 118, 1911–1919 (2018). https://doi.org/10.1007/s00421-018-3924-x

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  • DOI: https://doi.org/10.1007/s00421-018-3924-x

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