Abstract
Purpose
This study aimed to determine whether mild to moderate muscle damage accumulates on the knee extensors after two bouts of maximal eccentric contractions performed over two consecutive days.
Methods
Thirty participants performed an initial bout of maximal eccentric contractions of knee extensors during the first day of the protocol (ECC1). Then, they were separated in two groups. The Experimental (EXP) group repeated the eccentric bout 24 h later (ECC2) while the Control (CON) group did not. Indirect markers of muscle damage (i.e., strength loss, muscle soreness, and shear modulus) were measured to quantify the amount of muscle damage and its time course.
Results
Two days after the initial eccentric session, participants from EXP had a higher strength deficit (− 14.5 ± 10.6%) than CON (− 6.6 ± 8.7%) (P = 0.017, d = 0.9). Although both groups exhibited an increase in knee extensors shear modulus after ECC1, we found a significant increase in muscle shear modulus (+ 13.3 ± 22.7%; P < 0.01; d = 0.5) after ECC2 for the EXP group, despite the presence of mild to moderate muscle damage (i.e., strength deficit about 16%).
Conclusion
Although the markers of muscle damage used in the current study were indirect, they suggest that the repetition of two bouts of maximal eccentric contractions with 24 h apart induces additional muscle damage in the knee extensors in presence of mild to moderate muscle damage.
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Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
Abbreviations
- ANOVA:
-
Analysis of variance
- CON:
-
Control group
- D1, D2, D3, D4, D7 :
-
Day 1, Day 2, Day 3, Day 4, Day 7
- ECC1, ECC2 :
-
Eccentric training 1, Eccentric training number 2
- EXP:
-
Experimental group
- MVC:
-
Maximal voluntary contraction
- RF:
-
Rectus femoris
- VM:
-
Vastus medialis
- VL:
-
Vastus lateralis
References
Aagaard P (2018) Spinal and supraspinal control of motor function during maximal eccentric muscle contraction: Effects of resistance training. J Sport Health Sci 7(3):282–293. https://doi.org/10.1016/j.jshs.2018.06.003
Armstrong RB (1984) Mechanisms of exercise-induced delayed onset muscular soreness: a brief review. Med Sci Sports Exerc 16(6):529–538
Chalchat E, Siracusa J, Bourrilhon C, Charlot K, Martin V, Garcia-Vicencio S (2022) Muscle shear elastic modulus provides an indication of the protection conferred by the repeated bout effect. Front Physiol 13:877485. https://doi.org/10.3389/fphys.2022.877485
Chen TC (2003) Effects of a second bout of maximal eccentric exercise on muscle damage and electromyographic activity. Eur J Appl Physiol 89(2):115–121. https://doi.org/10.1007/s00421-002-0791-1
Chen TC (2006) Variability in muscle damage after eccentric exercise and the repeated bout effect. Res Q Exerc Sport 77(3):362–371. https://doi.org/10.1080/02701367.2006.10599370
Chen TC, Hsieh SS (2001) Effects of a 7-day eccentric training period on muscle damage and inflammation. Med Sci Sports Exer 33(10):1732–1738. https://doi.org/10.1097/00005768-200110000-00018
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
Cohen J (1988) Statistical Power Analysis for the Behavioral Sciences. 2nd ed. L. Erlbaum Associates.
Goreau V, Pigne R, Bernier N, Nordez A, Hug F, Lacourpaille L (2022) Hamstring muscle activation strategies during eccentric contractions are related to the distribution of muscle damage. Scand J Med Sci Sports 32(9):1335–1345. https://doi.org/10.1111/sms.14191
Green MA, Sinkus R, Gandevia SC, Herbert RD, Bilston LE (2012) Measuring changes in muscle stiffness after eccentric exercise using elastography. NMR Biomed 25(6):852–858. https://doi.org/10.1002/nbm.1801
Heales LJ, Badya R, Ziegenfuss B, Hug F, Coombes JS, van den Hoorn W, Tucker K, Coombes BK (2018) Shear-wave velocity of the patellar tendon and quadriceps muscle is increased immediately after maximal eccentric exercise. Eur J Appl Physiol 118(8):1715–1724. https://doi.org/10.1007/s00421-018-3903-2
Herzog W (2014) Mechanisms of enhanced force production in lengthening (eccentric) muscle contractions. J Appl Physiol 116(11):1407–1417. https://doi.org/10.1152/japplphysiol.00069.2013
Hubal MJ, Rubinstein SR, Clarkson PM (2007) Mechanisms of variability in strength loss after muscle-lengthening actions. Med Sci Sports Exerc 39(3):461–468. https://doi.org/10.1249/01.mss.0000247007.19127.da
Kataoka R, Vasenina E, Hammert WB, Ibrahim AH, Dankel SJ, Buckner SL (2022) Is there Evidence for the Suggestion that Fatigue Accumulates Following Resistance Exercise? Sports Med 52(1):25–36. https://doi.org/10.1007/s40279-021-01572-0
Kulig K, Powers CM, Shellock FG, Terk M (2001) The effects of eccentric velocity on activation of elbow flexors: Evaluation by magnetic resonance imaging. Med Sci Sports Exerc 33:196–200. https://doi.org/10.1097/00005768-200102000-00004
Labeit D, Watanabe K, Witt C, Fujita H, Wu Y, Lahmers S, Funck T, Labeit S, Granzier H (2003) Calcium-dependent molecular spring elements in the giant protein titin. Proc Natl Acad Sci 100(23):13716–13721. https://doi.org/10.1073/pnas.2235652100
Lacourpaille L, Hug F, Bouillard K, Hogrel J-Y, Nordez A (2012) Supersonic shear imaging provides a reliable measurement of resting muscle shear elastic modulus. Physiol Meas 33(3):19–28. https://doi.org/10.1088/0967-3334/33/3/N19
Lacourpaille L, Nordez A, Hug F, Couturier A, Dibie C, Guilhem G (2014) Time-course effect of exercise-induced muscle damage on localized muscle mechanical properties assessed using elastography. Acta Physiol 211(1):135–146. https://doi.org/10.1111/apha.12272
Lacourpaille L, Nordez A, Hug F, Doguet V, Andrade R, Guilhem G (2017) Early detection of exercise-induced muscle damage using elastography. Eur J Appl Physiol 117(10):2047–2056. https://doi.org/10.1007/s00421-017-3695-9
Le Sant G, Ates F, Brasseur J-L, Nordez A (2015) Elastography study of hamstring behaviors during passive stretching. PLoS ONE 10(9):e0139272. https://doi.org/10.1371/journal.pone.0139272
Linke WA, Krüger M (2010) The giant protein titin as an integrator of myocyte signaling pathways. Physiology 25(3):186–198. https://doi.org/10.1152/physiol.00005.2010
Lovell R, Knox M, Weston M, Siegler JC, Brennan S, Marshall PWM (2018) Hamstring injury prevention in soccer: Before or after training? Scand J Med Sci Sports 28(2):658–666. https://doi.org/10.1111/sms.12925
Maeo S, Saito A, Otsuka S, Shan X, Kanehisa H, Kawakami Y (2018) Localization of muscle damage within the quadriceps femoris induced by different types of eccentric exercises. Scand J Med Sci Sports 28(1):95–106. https://doi.org/10.1111/sms.12880
McHugh MP (2003) Recent advances in the understanding of the repeated bout effect: The protective effect against muscle damage from a single bout of eccentric exercise: repeated bout effect. Scand J Med Sci Sports 13(2):88–97. https://doi.org/10.1034/j.1600-0838.2003.02477.x
Mohr M, Draganidis D, Chatzinikolaou A, Barbero-Álvarez JC, Castagna C, Douroudos I, Avloniti A, Margeli A, Papassotiriou I, Flouris AD, Jamurtas AZ, Krustrup P, Fatouros IG (2016) Muscle damage, inflammatory, immune and performance responses to three football games in 1 week in competitive male players. Eur J Appl Physiol 116(1):179–193. https://doi.org/10.1007/s00421-015-3245-2
Noakes TD (2005) From catastrophe to complexity: A novel model of integrative central neural regulation of effort and fatigue during exercise in humans: summary and conclusions. Br J Sports Med 39(2):120–124. https://doi.org/10.1136/bjsm.2003.010330
Nosaka K, Newton M (2002) Repeated eccentric exercise bouts do not exacerbate muscle damage and repair. J Strength Cond Res 16(1):117–122
Opar DA, Williams MD, Shield AJ (2012) Hamstring strain injuries: factors that lead to injury and re-injury. Sports Med 42(3):209–226. https://doi.org/10.2165/11594800-000000000-00000
Paddon-Jones D, Muthalib M, Jenkins D (2000) The effects of a repeated bout of eccentric exercise on indices of muscle damage and delayed onset muscle soreness. J Sci Med Sport 3(1):35–43
Page RM, Marrin K, Brogden CM, Greig M (2019) Physical response to a simulated period of soccer-specific fixture congestion. J Strength Cond Res 33(4):1075–1085. https://doi.org/10.1519/JSC.0000000000002257
Paulsen G, Mikkelsen UR, Raastad T, Peake JM (2012) Leucocytes, cytokines and satellite cells: What role do they play in muscle damage and regeneration following eccentric exercise? Exerc Immunl Rev 18:42–97
Prior BM, Jayaraman RC, Reid RW, Cooper TG, Foley JM, Dudley GA, Meyer RA (2001) Biarticular and monoarticular muscle activation and injury in human quadriceps muscle. Eur J Appl Physiol 85(1–2):185–190. https://doi.org/10.1007/s004210100434
Shoji M, Ema R, Nosaka K, Kanda A, Hirata K, Akagi R (2021) Muscle damage indicated by maximal voluntary contraction strength changes from immediately to 1 day after eccentric exercise of the knee extensors. Frontiers in Physiol 12:775157. https://doi.org/10.3389/fphys.2021.775157
Vila Pouca MCP, Parente MPL, Jorge RMN, Ashton-Miller JA (2021) Injuries in muscle-tendon-bone units: a systematic review considering the role of passive tissue fatigue. Orthop J Sports Med 9(8):232596712110207. https://doi.org/10.1177/23259671211020731
Warren GL, Hermann KM, Ingalls CP, Masselli MR, Armstrong RB (2000) Decreased EMG median frequency during a second bout of eccentric contractions. Med Sci Sports Exerc 32(4):820–829. https://doi.org/10.1097/00005768-200004000-00015
Whitehead NP, Weerakkody NS, Gregory JE, Morgan DL, Proske U (2001) Changes in passive tension of muscle in humans and animals after eccentric exercise. J Physiol 533(2):593–604. https://doi.org/10.1111/j.1469-7793.2001.0593a.x
Xu J, Fu SN, Zhou D, Huang C, Hug F (2019) Relationship between pre-exercise muscle stiffness and muscle damage induced by eccentric exercise. Eur J Sport Sci 19(4):508–516. https://doi.org/10.1080/17461391.2018.1535625
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The authors thank all the participants for their participation.
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Lilian Lacourpaille conceived and designed research. Titouan Morin and Inès Boulaouche conducted the experiments and collected the data. Lilian Lacourpaille and Titouan Morin analyzed the data. Antoine Nordez, Marc Jubeau, Robin Souron, Lilian Lacourpaille and Titouan Morin drafted the manuscript. All authors provided critical appraisal to the manuscript and approved the final version.
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Morin, T., Souron, R., Boulaouche, I. et al. Mild to moderate damage in knee extensor muscles accumulates after two bouts of maximal eccentric contractions. Eur J Appl Physiol 123, 2723–2732 (2023). https://doi.org/10.1007/s00421-023-05257-6
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DOI: https://doi.org/10.1007/s00421-023-05257-6