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Purpose: The effectiveness of a 12-month home-exercise program on trunk muscle strength after lumbar spine fusion surgery was evaluated. Three months postoperatively, 98 patients were randomized either to the exercise group (EG), with a progressive 12-month home-based exercise program, or to usual care group (UCG), with one guidance session for light home-exercises. Maximal trunk muscle strength was measured by a strain-gauge dynamometer and trunk extensor endurance was measured by Biering-Sørensen's test at baseline and after the intervention. The mean change in extension strength during the intervention was 75 N in EG and 58 N in UCG. Flexion strength improved 50 N in UCG and 45 N in EG. Trunk extension/flexion strength ratio changed from 0.90 to 1.02 in EG and from 0.98 to 1.00 in UCG. In EG, Biering-Sørensen's test improved by 17 s, and in UCG, it improved by 24 s. No statistically significant between-group differences were found in any variables. Median exercise frequency in EG decreased from 2.5×/week during the first two intervention months to 1.7×/week during the last two intervention months. Twelve-month progressive exercise program was equally effective as usual care in improving trunk muscle strength. Home exercise adherence decreased, which may have influenced the strength changes. The 12-month home-based exercise program was equally as effective as usual care after lumbar spine fusion (LSF) in improving trunk muscle strength, however, the back-specific exercises led to better trunk muscle strength balance in exercise group only. The adherence to the home based exercise program is a challenge; therefore, different techniques could be implemented to provide purposeful support for each individual in their long-term exercising. It is important to recognize those who need more individualized rehabilitation in recovery of the spine function, while others may manage with subtle intervention after LSF. [ABSTRACT FROM AUTHOR]

It has been clearly established that maximal force and power is lower in the morning compared to noon or afternoon hours. This morning neuromuscular deficit can be diminished by regularly training in the morning hours. However, there is limited and contradictory information upon hypertrophic adaptations to time-of-day-specific resistance training. Moreover, no cellular or molecular mechanisms related to muscle hypertrophy adaptation have been studied with this respect. Therefore, the present study examined effects of the time-of-day-specific resistance training on muscle hypertrophy, phosphorylation of selected proteins, hormonal concentrations and neuromuscular performance. Twenty five previously untrained males were randomly divided into a morning group (n = 11, age 23 ± 2 yrs), afternoon group (n = 7, 24 ± 4 yrs) and control group (n = 7, 24 ± 3 yrs). Both the morning and afternoon group underwent hypertrophy-type of resistance training with 22 training sessions over an 11-week period performed between 07:30-08:30 h and 16:00-17:00 h, respectively. Isometric MVC was tested before and immediately after an acute loading exclusively during their training times before and after the training period. Before acute loadings, resting blood samples were drawn and analysed for plasma testosterone and cortisol. At each testing occasion, muscle biopsies from m. vastus lateralis were obtained before and 60 min after the acute loading. Muscle specimens were analysed for muscle fibre cross-sectional areas (CSA) and for phosphorylated p70S6K, rpS6, p38MAPK, Erk1/2, and eEF2. In addition, the right quadriceps femoris was scanned with MRI before and after the training period. The control group underwent the same testing, except for MRI, between 11:00 h and 13:00 h but did not train. Voluntary muscle strength increased significantly in both the morning and afternoon training group by 16.9% and 15.2 %, respectively. Also muscle hypertrophy occurred by 8.8% and 11.9% (MRI, p < 0.001) and at muscle fibre CSA level by 21% and 18% (p < 0.01) in the morning and afternoon group, respectively. No significant changes were found in controls within these parameters. Both pre- and post-training acute loadings induced a significant (p < 0.001) reduction in muscle strength in all groups, not affected by time of day or training. The post-loading phosphorylation of p70S6Thr421/Ser424 increased independent of the time of day in the pre-training condition, whereas it was significantly increased in the morning group only after the training period (p < 0.05). Phosphorylation of rpS6 and p38MAPK increased acutely both before and after training in a time-of-day independent manner (p < 0.05 at all occasions). Phosphorylation of p70S6Thr389, eEF2 and Erk1/2 did not change at any time point. No statistically significant correlations were found between changes in muscle fibre CSA, MRI and cell signalling data. Resting testosterone was not statistically different among groups at any time point. Resting cortisol declined significantly from pre- to post-training in all three groups (p < 0.05). In conclusion, similar levels of muscle strength and hypertrophy could be achieved regardless of time of the day in previously untrained men. However, at the level of skeletal muscle signalling, the extent of adaptation in some parameters may be time of day dependent. [ABSTRACT FROM AUTHOR]

Objective: To examine aerobic capacity and neuromuscular performance in physically active females with early or long-term rheumatoid arthritis (RA) and healthy women.Methods: Twenty-three RA-patients (12 early RA patients (ERA). 11 long-term RA (LRA) and 12 healthy controls (HC) performed maximal aerobic oxygen uptake (VO2max), muscle force production. walking and jump tests.Results: The VO2max ranged between 23-27 ml x kg(-1) min(-1) and did not differ between the groups. Isometric grip strength was 25% (p = 0.017) and bilateral leg extension strength 19% (p = 0.031) lower in LRA patients compared to ERA. In LRA the explosive force (p = 0.023) and relaxation times (p = 0.025-0.032) of bilateral leg extension and vertical squat jump (p = 0.015) did not reach the level of HC or ERA. The trunk muscle forces did not differ between the groups.Conclusions: The physically active females even with LRA could maintain their aerobic fitness comparable to that of age matched healthy subjects. However, the neuromuscular profile suggests that especially explosive strength characteristics of the leg extensors cannot be maintained at the normal level with habitual physical activities. [ABSTRACT FROM AUTHOR]

Background: Nutrition intake in the context of a resistance training (RT) bout may affect body composition and muscle strength. However, the individual and combined effects of whey protein and carbohydrates on long-term resistance training adaptations are poorly understood. Methods: A four-week preparatory RT period was conducted in previously untrained males to standardize the training background of the subjects. Thereafter, the subjects were randomized into three groups: 30 g of whey proteins (n = 22), isocaloric carbohydrates (maltodextrin, n = 21), or protein + carbohydrates (n = 25). Within these groups, the subjects were further randomized into two whole-body 12-week RT regimens aiming either for muscle hypertrophy and maximal strength or muscle strength, hypertrophy and power. The post-exercise drink was always ingested immediately after the exercise bout, 2–3 times per week depending on the training period. Body composition (by DXA), quadriceps femoris muscle cross-sectional area (by panoramic ultrasound), maximal strength (by dynamic and isometric leg press) and serum lipids as basic markers of cardiovascular health, were analysed before and after the intervention. Results: Twelve-week RT led to increased fat-free mass, muscle size and strength independent of post-exercise nutrient intake (P < 0.05). However, the whey protein group reduced more total and abdominal area fat when compared to the carbohydrate group independent of the type of RT (P < 0.05). Thus, a larger relative increase (per kg bodyweight) in fat-free mass was observed in the protein vs. carbohydrate group (P < 0.05) without significant differences to the combined group. No systematic effects of the interventions were found for serum lipids. The RT type did not have an effect on the adaptations in response to different supplementation paradigms. Conclusions: Post-exercise supplementation with whey proteins when compared to carbohydrates or combination of proteins and carbohydrates did not have a major effect on muscle size or strength when ingested two to three times a week. However, whey proteins may increase abdominal fat loss and relative fat-free mass adaptations in response to resistance training when compared to fast-acting carbohydrates. [ABSTRACT FROM AUTHOR]

It has been clearly established that maximal force varies during the day in human muscles but the exact mechanisms behind the diurnal rhythms are still not fully clarified. Therefore, the aim of this study was to examine the diurnal rhythms in maximal isometric force production in a large group of participants and also by separating the high morning performance types (n = 8) and the high evening performance types (n = 19) from the neutral types (n = 45) based on their actual maximal isometric force levels. Measurements were performed in the morning (7:26 h ± 63 min) and in the evening (17:57 h ± 74 min) for maximal bilateral isometric leg press force (MVCLP) together with myoelectric activity (EMGLP), maximal unilateral isometric knee extension force (MVCKE) and maximal voluntary activation level (VA%) during maximal unilateral isometric knee extension force (MVCVA) together with myoelectric activity (EMGVA). In addition, venous blood samples were drawn four times a day and serum testosterone and cortisol concentrations were analyzed. None of the participants belonged to the extreme morning or evening chronotype according to the Munich Chronotype Questionnaire. In the total group of participants, MVCLPand MVCKEwere 4.4 ± 12.9% (p < 0.01) and 4.3 ± 10.6% (p < 0.01) higher in the evening compared to the morning. MVCVAand VA% did not show significant diurnal variation. The high morning performance types showed lower force values in the evening compared to the morning for MVCLP(10.8 ± 9.1%;p < 0.05) and MVCKE(5.7 ± 4.9%;p < 0.05). No significant diurnal variation was observed for MVCVAand VA%. The high evening performance types showed higher force values in the evening for MVCLP(16.1 ± 15.9%;p < 0.001), MVCKE(13.5 ± 11.3%;p < 0.001) and MVCVA(6.2 ± 9.9%;p < 0.05) with a concomitant higher VA% in the evening (p < 0.05). The neutral types showed significantly higher evening force values for the MVCLP(2.1 ± 6.7%;p < 0.05). All the other neuromuscular variables did not show significant diurnal variations. EMGLPand EMGVAdid not show significant diurnal fluctuations in any group. Serum testosterone and cortisol concentrations showed normal daily rhythms with higher values observed in the morning in all of the groups (p < 0.001). Between-group differences were observed for MVCLP(p < 0.001) and MVCKE(p < 0.001) between all of the three groups. Diurnal changes in VA% differed between the high evening performance types and the neutral types (p < 0.05) and the testosterone/cortisol ratio (p < 0.05) as well as vastus lateralis EMGVA(p < 0.05) differed between the high morning and high evening performance types. In conclusion, we were able to identify the high morning performance types, the high evening performance types and the neutral types who showed significantly different diurnal rhythms in force production, irrespective of their actual chronotype. Therefore, the questionnaires designed to determine the chronotype may not always be sensitive enough to determine the “morningness” or “eveningness” in maximal neuromuscular performance. In general, central factors could partially explain the diurnal fluctuations in maximal strength performance, but peripheral mechanisms were also possibly involved. [ABSTRACT FROM PUBLISHER]

The study examined the acute neuromuscular and metabolic responses and recovery (24 and 48 h) to combined strength and endurance sessions (SEs). Recreationally endurance trained men (n= 12) and women (n= 10) performed: endurance running followed immediately by a strength loading (combined endurance and strength session (ES)) and the reverse order (SE). Maximal strength (MVC), countermovement jump height (CMJ), and creatine kinase activity were measured pre-, mid-, post-loading and at 24 and 48 h of recovery. MVC and CMJ were decreased (P< 0.05) at post-ES and SE sessions in men. Only MVC decreased in ES and SE women (P< 0.05). During recovery, no order differences in MVC were observed between sessions in men, but MVC and CMJ remained decreased. During recovery in women, a delayed decrease in CMJ was observed in ES but not in SE (P< 0.01), while MVC returned to baseline at 24 h. Creatine kinase increased (P< 0.05) during both ES and SE and peaked in all groups at 24 h. The present combined ES and SE sessions induced greater neuromuscular fatigue at post in men than in women. The delayed fatigue response in ES women may be an order effect related to muscle damage. [ABSTRACT FROM AUTHOR]

This study examined the effect of morning versus afternoon exercise on acute responses in phosphorylation of proteins regulating muscle size and metabolism. Twenty-two untrained men, divided into the morning (n = 11) or afternoon (n = 11) group, performed maximal isometric leg extensions before and after resistance loading at 07:30–08:30 h and 16:00–17:00 h, respectively. Muscle pre- and postloading biopsies were analyzed for phosphorylated Akt, p70S6K, rpS6, p38 mitogen-activated protein kinase (MAPK), Erk1/2, and eukaryotic elongation factor (eEF) 2. Muscle force declined after exercise in both groups (p < 0.001). p70S6K Thr389(p < 0.05) and Thr421/Ser424and rpS6 (allp < 0.001) increased after exercise in both groups. The afternoon but not morning group showed postloading decrease (p < 0.05) and increase (p < 0.01) in eEF2 and p38MAPK, respectively. Akt and Erk1/2 were statistically unchanged. In conclusion, the time of day did not have an overall effect on protein synthesis signaling, but morning phosphorylated eEF2 and p38MAPK showed significantly larger between-subject variability in the exercise response compared to the afternoon. [ABSTRACT FROM PUBLISHER]

The purpose of this study was to assess the effects of heavy resistance, explosive resistance, and muscle endurance training on neuromuscular, endurance, and high-intensity running performance in recreational endurance runners. Twenty-seven male runners were divided into one of three groups: heavy resistance, explosive resistance or muscle endurance training. After 6 weeks of preparatory training, the groups underwent an 8-week resistance training programme as a supplement to endurance training. Before and after the 8-week training period, maximal strength (one-repetition maximum), electromyographic activity of the leg extensors, countermovement jump height, maximal speed in the maximal anaerobic running test, maximal endurance performance, maximal oxygen uptake ([Vdot]O2max), and running economy were assessed. Maximal strength improved in the heavy (P = 0.034, effect size ES = 0.38) and explosive resistance training groups (P = 0.003, ES = 0.67) with increases in leg muscle activation (heavy: P = 0.032, ES = 0.38; explosive: P = 0.002, ES = 0.77). Only the heavy resistance training group improved maximal running speed in the maximal anaerobic running test (P = 0.012, ES = 0.52) and jump height (P = 0.006, ES = 0.59). Maximal endurance running performance was improved in all groups (heavy: P = 0.005, ES = 0.56; explosive: P = 0.034, ES = 0.39; muscle endurance: P = 0.001, ES = 0.94), with small though not statistically significant improvements in [Vdot]O2max (heavy: ES = 0.08; explosive: ES = 0.29; muscle endurance: ES = 0.65) and running economy (ES in all groups < 0.08). All three modes of strength training used concurrently with endurance training were effective in improving treadmill running endurance performance. However, both heavy and explosive strength training were beneficial in improving neuromuscular characteristics, and heavy resistance training in particular contributed to improvements in high-intensity running characteristics. Thus, endurance runners should include heavy resistance training in their training programmes to enhance endurance performance, such as improving sprinting ability at the end of a race. [ABSTRACT FROM PUBLISHER]

The main aim of this study was to assess neuromuscular fatigue during a typical high-load, low-repetition loading protocol. Muscle stimulations were used to assess maximum voluntary contraction, resting single- and double-pulse twitch characteristics, and superimposed double-pulse twitch force (used to calculate voluntary activation) before and after an acute knee extension loading protocol. In our participants, who had previous resistance training experience, the mean voluntary activation level was 96.2% in an unfatigued state. Maximum voluntary contraction (-11.8%), resting double-pulse twitch force (-10.6%), and voluntary activation (-2.1%) were markedly decreased as a consequence of loading (P < 0.05). In addition, although potentiated twitch characteristics were observed during the loading protocol, this was short-lived, as fatigue surpassed the potentiation mechanisms. Our results show that both central and peripheral mechanisms contributed to neuromuscular fatigue during the present loading protocol. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess fatigue during a simulated cross-country skiing sprint competition based on skating technique. Sixteen male skiers performed a 30-m maximal skiing speed test and four 850-m heats with roller skies on a tartan track, separated by 20 min recovery between heats. Physiological variables (heart rate, blood lactate concentration, oxygen consumption), skiing velocity, and electromyography (EMG) were recorded at the beginning of the heats and at the end of each 200-m lap during the heats. Maximal skiing velocity and EMG were measured in the speed test before the simulation. No differences were observed in skiing velocity, EMG or metabolic variables between the heats. The end (820-850 m) velocities and sum-iEMG of the triceps brachii and vastus lateralis in the four heats were significantly lower than the skiing velocity and sum-iEMG in the speed test. A significant correlation was observed between mean oxygen consumption and the change in skiing velocity over the four heats. Each single heat induced considerable neuromuscular fatigue, but recovery between the heats was long enough to prevent accumulation of fatigue. The results suggest that the skiers with a high aerobic power were less fatigued throughout the simulation. [ABSTRACT FROM AUTHOR]

The aim of this study was to determine whether elite 1500-m runners differ in their running kinematics from national-standard 1500-m runners. Six national-standard male runners (seasonal best: 3 min 49.2 s ± 3.2 s) were assessed during the second lap of a 1500-m race. Their running kinematics was then compared with those of five elite runners (seasonal best: 3 min 35.6 s ± 2.6 s) analysed during the second lap of the men's 1500-m final at the 2005 World Championships. Data were collected using two high-speed cameras operating at 200 Hz with a three-dimensional pan and tilt system. Running speed was the same for both groups. Despite the similar contact times, the minimum knee angle during the stance phase was greater and the average extension velocity of the knee angle in the same phase slower in the elite runners than in the national-standard runners. In addition, the running technique of the elite runners appears to be characterized by a more efficient function of the hip joint. In conclusion, elite runners may utilize elastic energy more effectively, which, in combination with minimum concentric work, leads to improvements in their running performance. [ABSTRACT FROM AUTHOR]

In this study, we examined the effects of time-of-day-specific strength training on maximum strength and electromyography (EMG) of the knee extensors in men. After a 10-week preparatory training period (training times 17:00-19:00 h), 27 participants were randomized into a morning (07:00-09:00 h, n = 14) and an evening group (17:00-19.00 h, n = 13). Both groups then underwent 10 weeks of time-of-day-specific training. A matched control group (n = 7) completed all testing but did not train. Unilateral isometric knee extension peak torque (MVC) and one-repetition maximum half-squat were assessed before and after the preparatory training and after the time-of-day-specific training at times that were not training-specific (between 09:00 and 16:00 h). During training-specific hours, peak torque and EMG during MVC and submaximum isometric contraction at 40% MVC were assessed before and after the time-of-day-specific training. The main finding was that a significant diurnal difference (P < 0.01) in peak torque between the 07:00 and 17:00 h tests decreased after time-of-day-specific training in the morning group but not in the evening or control groups. However, the extent of this time-of-day-specific adaptation varied between individuals. Electromyography during MVC did not show any time-of-day-specific adaptation, suggesting that peripheral rather than neural adaptations are the main source of temporal specificity in strength training. [ABSTRACT FROM AUTHOR]

A time-of-day influence on the neuromuscular response to strength training has been previously reported. However, no scientific study has examined the influence of the time of day when strength training is performed on hormonal adaptations. Therefore, the primary purpose of this study was to examine the effects of time-of-day-specific strength training on resting serum concentrations and diurnal patterns of testosterone (T) and cortisol (CORT) as well as maximum isometric strength of knee extensors. Thirty eight diurnally active healthy, previously untrained men (age 20-45 yrs) underwent a ten-week preparatory strength training period when sessions were conducted between 17:00-19:00 h. Thereafter, these subjects were randomized into either a morning (n=20, training times 07:00-09:00 h) or afternoon (n=18, 7:00-19:00 h) training group for another ten-week period of time-of-day-specific training (TST). Isometric unilateral knee extension peak torque (MVC) was measured at 07:00, 12:00, 17:00, and 20:30 h over two consecutive days (Day 1 & Day 2) before and after TST. Blood samples were obtained before each clock-time measurement to assess resting serum T and CORT concentrations. A matched control group (n=11) did not train but participated in the tests. Serum T and CORT concentrations significantly declined from 07:00 to 20:30 h on all test days (Time effect, p<.001). Serum CORT at 07:00 h was significantly higher on Day 1 than Day 2 in the control and afternoon group, both in Pre and Post conditions (Day×Time interaction, p<.01). In the morning group, a similar day-to-day difference was present in the Pre but not Post conditions (Time×Group interaction, p<.05). MVC significantly increased after TST in both the morning and afternoon groups (Pre to Post effect, p<.001). In both groups, a typical diurnal variation in MVC (Time effect, p<.001) was found, especially on Day 2 in the Pre condition, and this feature persisted from Pre to Post in the afternoon group. In the morning group, however, diurnal variation was reduced after TST on both Day 1 and Day 2 (Pre to Post×Day×Time×Group interaction, p<.05). In conclusion, 10 weeks of morning time-of-day-specific strength training resulted in reduced morning resting CORT concentrations, presumably as a result of decreased masking effects of anticipatory psychological stress prior to the morning testing. The typical diurnal pattern of maximum isometric strength was blunted by the TST period in the morning but not the afternoon group. However, the TST period had no significant effect on the resting total T concentration and its diurnal pattern and on the absolute increase in maximum strength. [ABSTRACT FROM AUTHOR]

The present study was designed to examine physiological responses during motocross riding. Nine Finnish A-level motocross riders performed a 15-min ride at a motocross track and a test of maximal oxygen uptake ([Vdot]O2max) in the laboratory. Cardiopulmonary strain was measured continuously during the ride as well as in the [Vdot]O2max test. During the ride, mean [Vdot]O2 was 32 ml · kg-1 · min-1 (s = 4), which was 71% (s = 12) of maximum, while ventilation (VE) was 73% (s = 15) of its maximum. The relative [Vdot]O2 and VE values during the riding correlated with successful riding performance (r = 0.80, P < 0.01 and r = 0.79, P < 0.01, respectively). Mean heart rate was maintained at 95% (s = 7) of its maximum. Mean blood lactate concentration was 5.0 mmol · l-1 (s = 2.0) after the ride. A reduction of 16% (P < 0.001) in maximal isometric handgrip force was observed. In conclusion, motocross causes riders great physical stress. Both aerobic and anaerobic metabolism is required for the isometric and dynamic muscle actions experienced during a ride. [ABSTRACT FROM AUTHOR]

Maximal strength, power, muscle cross-sectional area, maximal and submaximal cycling endurance characteristics and serum hormone concentrations of testosterone, free testosterone and cortisol were examined in three groups of men: weightlifters ( n  = 11), amateur road cyclists ( n  = 18) and age-matched controls ( n  = 12). Weightlifters showed 45-55% higher power values than road cyclists and controls, whereas the differences in maximal strength and muscle mass were only 15% and 20%, respectively. These differences were maintained when average power output was expressed relative to body mass or relative to muscle cross-sectional area. Road cyclists recorded 44% higher maximal workloads, whereas submaximal blood lactate concentration was 50-55% lower with increasing workload than in controls and weightlifters. In road cyclists, workloads associated with blood lactate concentrations of 2 and 4 mmol · l -1 were 50-60% higher and occurred at a higher percentage of maximal workload than in weightlifters or controls. Basal serum total testosterone and free testosterone concentrations were lower in elite amateur cyclists than in age-matched weightlifters or untrained individuals. Significant negative correlations were noted between the individual values of maximal workload, workloads at 2 and 4 mmol · l -1 and the individual values of muscle power output ( r  = -0.37 to -0.49), as well as the individual basal values of serum total testosterone and free testosterone ( r  = -0.39 to -0.41). These results indicate that the specific status of the participants with respect to training, resistance or endurance is important for the magnitude of the neuromuscular, physiological and performance differences observed between weightlifters and road cyclists. The results suggest that, in cycling, long-term endurance training may interfere more with the development of muscle power than with the development of maximal strength, probably mediated by long-term cycling-related impairment in anabolic hormonal status. [ABSTRACT FROM AUTHOR]