Abstract
Purpose
Controversy remains about whether exercise-induced muscle damage (EIMD) and the subsequent repeated bout effect (RBE) are caused by the stretching of an activated muscle, or the production of high force at long, but constant, muscle lengths. The aim of this study was to determine the influence of muscle fascicle stretch elicited during different muscle contraction types on the magnitude of EIMD and the RBE.
Methods
Fourteen participants performed an initial bout of lower limb exercise of the triceps surae. One leg performed sustained static contractions at a constant long muscle length (ISO), whereas the contralateral leg performed a bout of eccentric heel drop exercise (ECC). Time under tension was matched between the ECC and ISO conditions. Seven days later, both legs performed ECC. Plantar flexor twitch torque, medial gastrocnemius (MG) fascicle length and muscle soreness were assessed before, 2 h and 2 days after each exercise bout. MG fascicle length and triceps surae surface electromyography were examined across the bouts of exercise.
Results
We found that both ECC and ISO conditions elicited EIMD and a RBE. ISO caused less damage 2 h after the initial bout (14% less drop in twitch torque, P = 0.03) and less protection from soreness 2 days after the repeated bout (56% higher soreness, P = 0.01). No differences were found when comparing neuromechanical properties across exercise bouts.
Conclusion
For MG, the action of stretching an active muscle seems to be more important for causing damage than a sustained contraction at a long length.
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Availability of data and material
Data are available upon reasonable request.
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Abbreviations
- ANOVA:
-
Analysis of variance
- BW:
-
Backward downhill walking
- ECC:
-
Eccentric bout
- EIMD:
-
Exercise-induced muscle damage
- EMG:
-
Electromyography
- IB:
-
Initial bout
- ISO:
-
Isometric bout
- LG:
-
Lateral gastrocnemius
- MG:
-
Medial gastrocnemius
- MVC:
-
Maximal voluntary contraction
- PRE:
-
Before the exercise bout
- RB:
-
Repeated bout
- RBE:
-
Repeated bout effect
- RMS:
-
Root mean square
- SOL:
-
Soleus
- 2H:
-
2 hours
- 2D:
-
2 days
References
Allen T, Jones T, Tsay A et al (2014) Factors influencing muscle damage from isometric exercise. Br J Sports Med 48:561–561. https://doi.org/10.1136/bjsports-2014-093494.4
Allen TJ, Jones T, Tsay A et al (2017) Muscle damage produced by isometric contractions in human elbow flexors. J Appl Physiol 124:388–399. https://doi.org/10.1152/japplphysiol.00535.2017
Barreto RV, de Lima LCR, Greco CC, Denadai BS (2019) Protective effect conferred by isometric preconditioning against slow- and fast-velocity eccentric exercise-induced muscle damage. Front Physiol. https://doi.org/10.3389/fphys.2019.01203
Chen C-H, Nosaka K, Chen H-L et al (2011) Effects of flexibility training on eccentric exercise-induced muscle damage. Med Sci Sports Exerc 43:491–500. https://doi.org/10.1249/MSS.0b013e3181f315ad
Chen TC, Chen H-L, Lin M-J et al (2016) Contralateral repeated bout effect of eccentric exercise of the elbow flexors. Med Sci Sports Exerc 48:2030–2039. https://doi.org/10.1249/MSS.0000000000000991
Chen TC, Lin M-J, Chen H-L et al (2018) Contralateral repeated bout effect of the knee flexors. Med Sci Sports Exerc 50:542–550. https://doi.org/10.1249/MSS.0000000000001470
Dartnall TJ, Nordstrom MA, Semmler JG (2011) Adaptations in biceps brachii motor unit activity after repeated bouts of eccentric exercise in elbow flexor muscles. J Neurophysiol 105:1225–1235. https://doi.org/10.1152/jn.00854.2010
Farris DJ, Lichtwark GA (2016) UltraTrack: software for semi-automated tracking of muscle fascicles in sequences of B-mode ultrasound images. Comput Methods Programs Biomed 128:111–118. https://doi.org/10.1016/j.cmpb.2016.02.016
Fukunaga T, Roy RR, Shellock FG et al (1992) Physiological cross-sectional area of human leg muscles based on magnetic resonance imaging. J Orthop Res 10:928–934. https://doi.org/10.1002/jor.1100100623
Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G (2000) Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol 10:361–374. https://doi.org/10.1016/S1050-6411(00)00027-4
Hill AV (1938) The heat of shortening and the dynamic constants of muscle. Proc R Soc London Ser B Biol Sci 126:136–195. https://doi.org/10.1098/rspb.1938.0050
Hoffman BW, Lichtwark GA, Carroll TJ, Cresswell AG (2012) A comparison of two Hill-type skeletal muscle models on the construction of medial gastrocnemius length-tension curves in humans in vivo. J Appl Physiol 113:90–96. https://doi.org/10.1152/japplphysiol.00070.2012
Hoffman BW, Cresswell AG, Carroll TJ, Lichtwark GA (2014) Muscle fascicle strains in human gastrocnemius during backward downhill walking. J Appl Physiol 116:1455–1462. https://doi.org/10.1152/japplphysiol.01431.2012
Hoffman BW, Cresswell AG, Carroll TJ, Lichtwark GA (2016) Protection from muscle damage in the absence of changes in muscle mechanical behavior. Med Sci Sports Exerc 48:1495–1505. https://doi.org/10.1249/MSS.0000000000000920
Hyldahl RD, Hubal MJ (2014) Lengthening our perspective: morphological, cellular, and molecular responses to eccentric exercise. Muscle Nerve 49:155–170. https://doi.org/10.1002/mus.24077
Hyldahl RD, Nelson B, Xin L et al (2015) Extracellular matrix remodeling and its contribution to protective adaptation following lengthening contractions in human muscle. FASEB J. https://doi.org/10.1096/fj.14-266668
Hyldahl RD, Chen TC, Nosaka K (2017) Mechanisms and mediators of the skeletal muscle repeated bout effect. Exerc Sport Sci Rev 45:24–33. https://doi.org/10.1249/JES.0000000000000095
Lavender AP, Nosaka K (2008) A light load eccentric exercise confers protection against a subsequent bout of more demanding eccentric exercise. J Sci Med Sport 11:291–298. https://doi.org/10.1016/j.jsams.2007.03.005
Lima LCR, Denadai BS (2015) Attenuation of eccentric exercise-induced muscle damage conferred by maximal isometric contractions: a mini review. Front Physiol. https://doi.org/10.3389/fphys.2015.00300
Mackey AL, Kjaer M (2016) Connective tissue regeneration in skeletal muscle after eccentric contraction-induced injury. J Appl Physiol 122:533–540. https://doi.org/10.1152/japplphysiol.00577.2016
Morgan DL (1990) New insights into the behavior of muscle during active lengthening. Biophys J 57:209–221. https://doi.org/10.1016/S0006-3495(90)82524-8
Nagahisa H, Ikezaki K, Yamada R et al (2018) Preconditioning contractions suppress muscle pain markers after damaging eccentric contractions. Pain Res Manag 2018:9
Nosaka K, Clarkson PM (1995) Muscle damage following repeated bouts of high force eccentric exercise. Med Sci Sports Exerc 27:1263–1269
Philippou A, Maridaki M, Bogdanis GC (2003) Angle-specific impairment of elbow flexors strength after isometric exercise at long muscle length. J Sports Sci 21:859–865. https://doi.org/10.1080/0264041031000140356
Pincheira PA, Hoffman BW, Cresswell AG et al (2018) The repeated bout effect can occur without mechanical and neuromuscular changes after a bout of eccentric exercise. Scand J Med Sci Sports 28:2123–2134. https://doi.org/10.1111/sms.13222
Proske U, Morgan DL (2001) Muscle damage from eccentric exercise: mechanism, mechanical signs, adaptation and clinical applications. J Physiol 537:333–345. https://doi.org/10.1111/j.1469-7793.2001.00333.x
Proske U, Morgan DL, Gregory JE (1993) Thixotropy in skeletal muscle and in muscle spindles: a review. Prog Neurobiol 41:705–721. https://doi.org/10.1016/0301-0082(93)90032-N
Seynnes OR, Cronin NJ (2020) Simple muscle architecture analysis (SMA): an imageJ macro tool to automate measurements in B-mode ultrasound scans. PLoS ONE 15:e0229034. https://doi.org/10.1371/journal.pone.0229034
Toigo M, Boutellier U (2006) New fundamental resistance exercise determinants of molecular and cellular muscle adaptations. Eur J Appl Physiol 97:643–663. https://doi.org/10.1007/s00421-006-0238-1
Tran QT, Docherty D, Behm D (2006) The effects of varying time under tension and volume load on acute neuromuscular responses. Eur J Appl Physiol 98:402–410. https://doi.org/10.1007/s00421-006-0297-3
Tseng K, Tseng W, Lin M et al (2016) Protective effect by maximal isometric contractions against maximal eccentric exercise-induced muscle damage of the knee extensors. Res Sports Med 24:243–256. https://doi.org/10.1080/15438627.2016.1202826
Van Hooren B, Teratsias P, Hodson-Tole EF (2020) Ultrasound imaging to assess skeletal muscle architecture during movements: a systematic review of methods, reliability, and challenges. J Appl Physiol 128:978–999. https://doi.org/10.1152/japplphysiol.00835.2019
Acknowledgements
The authors would like to thank to all participants of this study for their time and effort, especially those within the Centre for Sensorimotor Performance, School of Human Movement and Nutrition Sciences, The University of Queensland.
Funding
This research was supported by an Australian Research Council Linkage Grant (LP140100260).
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All authors contributed to the study conception and design. PAP collected the data. PAP, GAL, and AGC analysed the data. PAP wrote the initial draft of the manuscript. All authors provided revisions and contributed to the final manuscript.
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Pincheira, P.A., Hoffman, B.W., Cresswell, A.G. et al. Cyclic eccentric stretching induces more damage and improved subsequent protection than stretched isometric contractions in the lower limb. Eur J Appl Physiol 121, 3349–3360 (2021). https://doi.org/10.1007/s00421-021-04787-1
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DOI: https://doi.org/10.1007/s00421-021-04787-1