Effects of 12 Weeks of Essential Amino Acids (EAA)-Based Multi-Ingredient Nutritional Supplementation on Muscle Mass, Muscle Strength, Muscle Power and Fatigue in Healthy Elderly Subjects: A Randomized Controlled Double-Blind Study.

OBJECTIVE: To counteract muscle mass, muscle strength and power loss during aging, and to study age-related change of neuromuscular manifestation of fatigue in relation to nutritional supplementation. DESIGN: randomized controlled double-blind study. SETTING: Twice-daily consumption for 12 weeks of an Essential Amino Acids (EAA)-based multi-ingredient nutritional supplement containing EAA, creatine, vitamin D and Muscle Restore Complex®. PARTICIPANTS: 38 healthy elderly subjects (8 male, 30 female; age: 68.91±4.60 years; body weight: 69.40±15.58 kg; height: 1.60±0.09 m) were randomized and allocated in supplement (SUPP) or placebo (PLA) group. Mean Measurements: Vitamin D blood level; Appendicular Lean Mass (ALM); Visceral Adipose Tissue (VAT); Maximal Voluntary Contraction (MVC) and Peak Power (PP); myoelectric descriptors of fatigue: Fractal Dimension and Conduction Velocity initial values (FD iv, CV iv), their rates of change (FD slopes, CV slopes) and the Time to perform the Task (TtT). Mean Results: Significant changes were found in SUPP compared to baseline: Vitamin D (+8.73 ng/ml; p<0.001); ALM (+0.34 kg; p<0.001); VAT (-76.25 g; p<0.001); MVC (+0.52 kg; p<0.001); PP (+4.82 W; p<0.001). Between group analysis (SUPP Vs. PLA) showed improvements: vitamin D blood levels (+11,72 ng/ml; p<0.001); Legs FFM (+443.7 g; p<0.05); ALM (+0.53 kg; p<0.05); MVC (+1.38 kg; p<0.05); PP (+9.87 W; p<0.05). No statistical changes were found for FD iv, CV iv, FD and CV slopes and TtT, either compared to baseline or between groups. Significant correlations between mean differences in SUPP group were also found. CONCLUSION: The study demonstrates that in healthy elderly subjects an EAA-based multi-ingredient nutritional supplementation of 12 weeks is not effective to change myoelectric manifestation of fatigue and TtT failure but can positively affect muscle mass, muscle strength, muscle power and VAT, counterbalancing more than one year of age-related loss of muscle mass and strength.

Central and peripheral fatigue in knee and elbow extensor muscles after a long-distance cross-country ski race.

Although elbow extensors (EE) have a great role in cross-country skiing (XC) propulsion, previous studies on neuromuscular fatigue in long-distance XC have investigated only knee extensor (KE) muscles. In order to investigate the origin and effects of fatigue induced by long-distance XC race, 16 well-trained XC skiers were tested before and after a 56-km classical technique race. Maximal voluntary isometric contraction (MVC) and rate of force development (RFD) were measured for both KE and EE. Furthermore, electrically evoked double twitch during MVC and at rest were measured. MVC decreased more in KE (-13%) than in EE (-6%, P = 0.016), whereas the peak RFD decreased only in EE (-26%, P = 0.02) but not in KE. The two muscles showed similar decrease in voluntary activation (KE -5.0%, EE -4.8%, P = 0.61) and of double twitch amplitude (KE -5%, EE -6%, P = 0.44). A long-distance XC race differently affected the neuromuscular function of lower and upper limbs muscles. Specifically, although the strength loss was greater for lower limbs, the capacity to produce force in short time was more affected in the upper limbs. Nevertheless, both KE and EE showed central and peripheral fatigue, suggesting that the origins of the strength impairments were multifactorial for the two muscles.

An electromyographic study of the vastii muscles during open and closed kinetic chain submaximal isometric exercises.

BACKGROUND: Rehabilitation programs for patients with patellofemoral dysfunction aim to recruit the vastus medialis obliquus muscle (VMO) in an attempt to reduce pain and to improve patellar tracking. OBJECTIVES: The aim of the present study was to use surface EMG to assess the effectiveness of two isometric submaximal contractions (10% and 60% of maximal voluntary contraction, MVC) in promoting preferential activation of VMO over vastus medialis longus (VML) and vastus lateralis (VL) in open and closed kinetic chain isometric exercises with the knee joint fixed at 30, 60 and 90 degrees of flexion. METHODS AND MEASURES: Surface electromyography (EMG) signals were recorded with linear adhesive arrays of four electrodes from fourteen healthy young men (age 23.5±3.2, mean±SD) during isometric knee extension contractions at 10% and 60% of the maximum voluntary contraction (MVC) for 1 min and 20 s respectively at 30, 60 and 90 degrees of knee flexion. Initial values and rate of change (slope) of mean frequency (MNF), average rectified value (ARV) and conduction velocity (CV) of the EMG signal were calculated. RESULTS: Comparisons between the force levels produced at 10% and 60% MVC revealed that the initial values of ARV and CV for the VL, VML and VMO muscle were greater at 60% MVC compared to 10% MVC (3-way ANOVA; F=536; p<0.001, F=49: p<0.01 for ARV and CV respectively). Comparisons between the different muscles demonstrated lower initial values of CV for VMO compared to VL and VLM at 10% and 60% of MVC (F=15; p<0.05). In addition, initial estimates of ARV were higher for VMO compared to VML at both force levels (F=66; p<0.05). Comparisons between open and closed kinetic chain exercises revealed higher initial estimates of ARV for open kinetic chain knee extension at both force levels (F=62; p<0.01). In addition, the absolute value of MNF slope appeared to increase at higher angles for closed kinetic chain at 60% MVC while it was minimum at 60° degrees for open kinetic chain. No significant differences were observed in the rate of change of CV and MNF among the three muscles. CONCLUSIONS: Based on the results of this study, both open and closed kinetic chain exercise similarly activate the three portions of the quadriceps muscle, suggesting that selective training of the vastii muscle is not achievable in these conditions.

Non-invasive assessment of single motor unit mechanomyographic response and twitch force by spike-triggered averaging.

A method for non-invasive assessment of single motor unit (MU) properties from electromyographic (EMG), mechanomyographic (MMG) and force signals is proposed. The method is based on the detection and classification of single MU action potentials from interference multichannel surface EMG signals and on the spike-triggered average of the MMG (detected by an accelerometer) and force signals. The first dorsal interosseous (FDI) and abductor digiti minimi (ADM) muscles were investigated at contraction levels of 2% and 5% of the maximum voluntary contraction (MVC) force. A third contraction was performed by selective activation of a single MU with surface MU action potential visual feedback provided to the subject. At 5% MVC, the mean (+/-standard error) single MU MMG peak-to-peak value was 11.0+/-1.8 mm s(-2) (N= 17) and 32.3+/-6.5 mm s(-2) (N=20) for the FDI and ADM muscles, respectively. The peak of the twitch force was, at the same contraction level, 7.41+/-1.34 mN and 14.42+/-2.92 mN, for the FDI and ADM muscles, respectively. The peak-to-peak value of the MMG was significantly different for the same MU at different contraction levels, indicating a non-linear summation of the single MU contributions. For the FDI muscle, the MMG peak-to-peak value of individual MUs was 21.5+/-7.8 mm s(-2), when such MUs were activated with visual feedback provided to the subject, whereas, for the same MUs, it was 11.8+/-3.8 mm s(-2), when the subject maintained a constant force level of 2% MVC. The method proposed allows the non-invasive assessment of single MU membrane and contractile properties during voluntary contractions.

Multichannel surface EMG for the non-invasive assessment of the anal sphincter muscle.

BACKGROUND/AIMS: This work focuses on recording, processing and interpretation of multichannel surface EMG detected from the external anal sphincter muscle. The aim is to describe the information that can be extracted from signals recorded with such a technique. METHODS: The recording of many signals from different locations on a muscle allows the extraction of additional information on muscle physiology and anatomy with respect to that obtained by classic bipolar recordings. Multichannel EMG methods have been recently developed for the assessment of the external anal sphincter. An anal probe was used in this study to record signals at different depths within the anal canal during contractions at different effort levels. The plug is 150 mm in length and 14 mm in diameter, holding a circumferential array of 16 equally spaced silver bar electrodes, located at a distance of 20 mm from the probe tip and aligned with the probe axis. RESULTS: Information about localization of the innervation zone, fiber length, EMG amplitude, muscle fiber conduction velocity and single motor unit analysis can be obtained from the signals recorded with the circumferential array by means of innovative signal processing techniques. CONCLUSIONS: The type of information extracted from multichannel surface EMG signals cannot be obtained with other currently available techniques. The technological innovation described in this work is promising for a further insight into the investigation of pelvic floor pathologies and rehabilitation treatments.

Surface EMG alterations induced by underwater recording.

BACKGROUND AND PURPOSE: This study aims to verify if amplitude and spectral characteristics of surface EMG signal are modified due to recording in a wet environment. METHODS: Isometric contractions of the biceps brachii muscle of ten subjects were performed in several different set-up combinations, both in dry (D) and in water from hydrotherapy pools (PW), with (PWM) or without moving the pool water and with (T) or without water-resistant adhesive taping. RESULTS: In PW condition the amplitude of the recorded signal is reduced to 5-10% of the corresponding signal recorded in D condition. In PWM the power spectrum is drastically reduced and altered by the water movement that introduces an increase of spectral power in the frequency range 0-20 Hz. The use of T modality allows to record signals with both amplitude and spectral frequencies comparable with those obtained in the D conditions. DISCUSSION AND CONCLUSION: This work demonstrates the need for water resistant taping when EMG signals are recorded in water. Signals recorded without such a protective film are strongly affected in their amplitude and frequency characteristics by the conductivity and the movement of water.

Effect of accelerometer location on mechanomyogram variables during voluntary, constant-force contractions in three human muscles.

To understand better the features of the mechanomyogram (MMG) with different force levels and muscle architectures, the MMG signals detected at many points along three muscles were analysed by the application of a linear array of MMG sensors (up to eight) over the skin. MMG signals were recorded from the biceps brachii, tibialis anterior and upper trapezius muscles of the dominant side of ten healthy male subjects. The accelerometers were aligned along the direction of the muscle fibres. One accelerometer was located over the distal muscle innervation zone, and the other six or seven accelerometers were placed over the muscle, forming an array of sensors with fixed distances between them. The array covered almost the entire muscle length in all cases. MMG signals detected from adjacent accelerometers had similar shapes, with correlation coefficients ranging from about 0.5 to about 0.9. MMG amplitude and characteristic spectral frequencies significantly depended on accelerometer location. The MMG amplitude was maximum at the muscle belly for the biceps brachii and the tibialis anterior. Higher MMG characteristic spectral frequencies were associated with higher amplitudes in the case of the biceps brachii, whereas the opposite was observed for the tibialis anterior muscle. In the upper trapezius, the relationship between characteristic spectral frequencies, MMG amplitude and contraction force depended on the accelerometer location. This suggested that MMG spectral features do not only reflect the mechanical properties of the recruited muscle fibres but depend on muscle architecture and motor unit territorial distribution. It was concluded that the location of the accelerometer can have an influence on both amplitude and spectral MMG features, and this dependence should be considered when MMG signals are used for muscle assessment.

Concentric-ring electrode systems for noninvasive detection of single motor unit activity.

New recording techniques for detecting surface electromyographic (EMG) signals based on concentric-ring electrodes are proposed in this paper. A theoretical study of the two-dimensional (2-D) spatial transfer function of these recording systems is developed both in case of rings with a physical dimension and in case of line rings. Design criteria for the proposed systems are presented in relation to spatial selectivity. It is shown that, given the radii of the rings, the weights of the spatial filter can be selected in order to improve the rejection of low spatial frequencies, thus increasing spatial selectivity. The theoretical transfer functions of concentric systems are obtained and compared with those of other detection systems. Signals detected with the ring electrodes and with traditional one-dimensional and 2-D systems are compared. The concentric-ring systems show higher spatial selectivity with respect to the traditional detection systems and reduce the problem of electrode location since they are invariant to rotations. The results shown are very promising for the noninvasive detection of single motor unit (MU) activities and decomposition of the surface EMG signal into the constituent MU action potential trains.