Cadence Modulation during Eccentric Cycling Affects Perception of Effort But Not Neuromuscular Alterations.

INTRODUCTION: A recent study showed that cadence modulation during short eccentric cycling exercise affects oxygen consumption (V̇O 2 ), muscular activity (EMG), and perception of effort (PE). This study examined the effect of cadence on V̇O 2 , EMG, and PE during prolonged eccentric cycling and exercise-induced neuromuscular alterations. METHODS: Twenty-two participants completed three sessions 2-3 wk apart: 1) determination of the maximal concentric peak power output, familiarization with eccentric cycling at two cadences (30 and 60 rpm at 60% peak power output), and neuromuscular testing procedure; 2) and 3) 30 min of eccentric cycling exercise at a cadence of 30 or 60 rpm. PE, cardiorespiratory parameters, and vastus lateralis and rectus femoris EMG were collected during exercise. The knee extensors' maximal voluntary contraction torque, the torque evoked by double stimulations at 100 Hz (Dt100) and 10 Hz (Dt10), and the voluntary activation level were evaluated before and after exercise. RESULTS: V̇O 2 , EMG, and PE were greater at 30 than 60 rpm (all P < 0.05). Maximal voluntary contraction torque, evoked torque, and Dt10/Dt100 ratio decreased (all P < 0.01) without cadence effect (all P > 0.28). Voluntary activation level remained constant after both eccentric cycling exercises ( P = 0.87). CONCLUSIONS: When performed at the same power output, eccentric cycling exercise at 30 rpm elicited a greater PE, EMG, and cardiorespiratory demands than pedaling at 60 rpm. Exercise-induced fatigability was similar in both eccentric cycling conditions without neural impairments, suggesting that eccentric cycling seemed to alter more specifically muscular function, such as the excitation-contraction coupling process. In a rehabilitation context, eccentric cycling at 60 rpm seems more appropriate because it will induce lower PE for similar strength loss compared with 30 rpm.

FES-rowing: a well-tolerated and highly beneficial exercise for a patient with Brown-Sequard syndrome.

CONTEXT: Brown-Séquard Syndrome (BSS) is a rare neurological condition associated with Spinal Cord Injury (SCI). Hemisection of the spinal cord causes paralysis of the homolateral side, and thermoalgesic dysfunction on the opposite side. Cardiopulmonary and metabolic alterations have been reported. For all these patients, regular physical activity is highly recommended and functional electrical stimulation (FES) may be a good option, especially for those with paraplegia. However, to our knowledge, the effects of FES have primarily been studied in those with complete SCI and data regarding application and effects in patients with incomplete lesions (with sensory feedback) is lacking. The present case report therefore evaluated the feasibility and effectiveness of a 3-month FES-rowing program in a patient with BSS. METHODS: Knee extensor muscle strength and thickness, walking and rowing capacities as well as quality of life were evaluated before and after 3 months of FES-rowing (two sessions per week) in a 54 year old patient with BSS. RESULTS: The individual had excellent tolerance and adherence to the training protocol. All measured parameters were greatly improved after 3 months: on average, + 30% rowing capacity, + 26% walking capacity, + 24.5% isometric strength, + 21.9% quadriceps muscle thickness, + 34.5% quality of life. CONCLUSION: FES-rowing appears to be well tolerated and highly beneficial for a patient with incomplete SCI and could therefore be considered as an appealing exercise option for these patients.

Effect of Cadence on Physiological and Perceptual Responses during Eccentric Cycling at Different Power Outputs.

INTRODUCTION: The effect of cadence in eccentric (ECC) cycling on physiological and perceptual responses is, to date, poorly understood. This study aimed to evaluate the effect of cadence during ECC cycling on muscular activation (EMG), oxygen consumption (V̇O 2 ), and perceived effort (PE) for two different levels of power output. METHODS: Seventeen participants completed four sessions 1 wk apart: 1) determination of the maximal concentric peak power output (PPO) and familiarization with ECC cycling at five cadences (30, 45, 60, 75, and 90 rpm); 2) second familiarization with ECC cycling; 3) and 4) ECC cycling exercise consisting of 5 min at the five different cadences at either 40% or 60% PPO. PE was reported, and V̇O 2 and EMG of seven muscles were calculated over the exercise's last minute. RESULTS: PE, V̇O 2 , and global lower limb muscles activation (EMG ALL ) showed an effect of cadence ( P < 0.001) and followed a curvilinear function. Both low and high cadences increased PE and V̇O 2 responses compared with intermediate cadences. Although muscle activation of vastus lateralis follows a U-shaped curve with cadence, it was greater at low cadence for rectus femoris and biceps femoris, greater at high cadence for tibialis anterior and gastrocnemius medialis, and was not altered for soleus. The estimated optimal cadence was greater (all P < 0.01) for V̇O 2 (64.5 ± 7.9 rpm) than PE (61.7 ± 9.4 rpm) and EMG ALL (55.9 ± 9.3 rpm), but power output had no effect on the optimal cadences. CONCLUSIONS: The physiological and perceptual responses to changes in cadence during ECC cycling followed a U-shaped curve with an optimal cadence depending on the parameter considered.

Corticospinal Excitability Is Lower During Eccentric Than Concentric Cycling in Men.

How corticospinal excitability changes during eccentric locomotor exercise is unknown. In the present study, 13 volunteers performed 30-min strenuous concentric and eccentric cycling bouts at the same power output (60% concentric peak power output). Transcranial magnetic and electrical femoral nerve stimulations were applied at exercise onset (3rd min) and end (25th min). Motor-evoked potentials (MEPs) amplitude was measured for the rectus femoris (RF) and vastus lateralis (VL) muscles with surface electromyography (EMG) and expressed as a percentage of maximal M-wave amplitude (MMAX). EMG amplitude 100 ms prior to MEPs and the silent period duration were calculated. There was no change in any neural parameter during the exercises (all P > 0.24). VL and RF MMAX were unaffected by exercise modality (all P > 0.38). VL MEP amplitude was greater (26 ± 11.4 vs. 15.2 ± 7.7% MMAX; P = 0.008) during concentric than eccentric cycling whereas RF MEP amplitude was not different (24.4 ± 10.8 vs. 17.2 ± 9.8% MMAX; P = 0.051). While VL EMG was higher during concentric than eccentric cycling (P = 0.03), RF EMG showed no significant difference (P = 0.07). Similar silent period durations were found (RF: 120 ± 30 ms; VL: 114 ± 27 ms; all P > 0.61), but the silent period/MEP ratio was higher during eccentric than concentric cycling for both muscles (all P < 0.02). In conclusion, corticospinal excitability to the knee extensors is lower and relative silent period longer during eccentric than concentric cycling, yet both remained unaltered with time.

Concentric versus eccentric cycling at equal power output or effort perception: Neuromuscular alterations and muscle pain.

This study aimed to compare neuromuscular alterations and perceptions of effort and muscle pain induced by concentric and eccentric cycling performed at the same power output or effort perception. Fifteen participants completed three 30-min sessions: one in concentric at 60% peak power output (CON) and two in eccentric, at the same power output (ECCPOWER ) or same perceived effort (ECCEFFORT ). Muscle pain, perception of effort, oxygen uptake as well as rectus femoris and vastus lateralis electromyographic activities were collected when pedaling. The knee extensors maximal voluntary contraction (MVC) torque, the torque evoked by double stimulations at 100 Hz and 10 Hz (Dt100; Dt10), and the voluntary activation level (VAL) were evaluated before and after exercise. Power output was higher in ECCEFFORT than CON (89.1 ± 23.3% peak power). Muscle pain and effort perception were greater in CON than ECCPOWER (p < 0.03) while muscle pain was similar in CON and ECCEFFORT (p > 0.43). MVC torque, Dt100, and VAL dropped in all conditions (p < 0.04). MVC torque (p < 0.001) and the Dt10/ Dt100 ratio declined further in ECCEFFORT (p < 0.001). Eccentric cycling perceived as difficult as concentric cycling caused similar muscle pain but more MVC torque decrease. A given power output induced lower perceptions of pain and effort in eccentric than in concentric yet similar MVC torque decline. While neural impairments were similar in all conditions, eccentric cycling seemed to alter excitation-contraction coupling. Clinicians should thus be cautious when setting eccentric cycling intensity based on effort perception.

Effect of Cycling Cadence on Neuromuscular Function: A Systematic Review of Acute and Chronic Alterations.

There is a wide range of cadence available to cyclists to produce power, yet they choose to pedal across a narrow one. While neuromuscular alterations during a pedaling bout at non-preferred cadences were previously reviewed, modifications subsequent to one fatiguing session or training intervention have not been focused on. We performed a systematic literature search of PubMed and Web of Science up to the end of 2020. Thirteen relevant articles were identified, among which eleven focused on fatigability and two on training intervention. Cadences were mainly defined as "low" and "high" compared with a range of freely chosen cadences for given power output. However, the heterogeneity of selected cadences, neuromuscular assessment methodology, and selected population makes the comparison between the studies complicated. Even though cycling at a high cadence and high intensity impaired more neuromuscular function and performance than low-cadence cycling, it remains unclear if cycling cadence plays a role in the onset of fatigue. Research concerning the effect of training at non-preferred cadences on neuromuscular adaptation allows us to encourage the use of various training stimuli but not to say whether a range of cadences favors subsequent neuromuscular performance.

Effect of a Fatiguing Ultratrail on the Graded Energetically Optimal Stride Frequency.

PURPOSE: To study the consequences of a fatiguing ultratrail run of 6 hours on self-optimizing capability during uphill and downhill (DR) running. METHODS: The authors collected temporal stride kinematics and metabolic data in 8 (experimental group) male runners before and after the ultratrail run and in 6 (control group) male ultramarathon runners who did not run but stayed awake and performed normal, daily physical activities avoiding strenuous exercises over the 6-hour period. For each subject, preferred and optimal stride frequencies were measured, where stride frequency was systematically varied above and below the preferred one (±4% and ±8%) while running 3 conditions on level, 5% uphill, or 5% DR in a randomized order. RESULTS: Preferred and optimal stride frequencies across grade, group, and time showed no significant differences (P ≥ .184). Metabolic cost and the energetically optimum metabolic cost showed a grade × group × time interaction (P ≥ .011), with an ∼11% increase in the 2 variables only during the DR bouts (P ≥ .037). CONCLUSIONS: Despite maintaining similar dynamics of stride frequency adjustments during the DR bout, the experimental group was not able to optimize its gait. This suggests that the DR section of ultratrail runs can introduce a perturbing factor in the runners' optimization process, highlighting the need for incorporating DR bouts in the training programs of ultratrail runners to minimize the deleterious effects of DR on the energetically optimal gait.