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Multiple sclerosis (MS) patients suffer from impaired muscle activation and lower limb strength. Strength training enhances muscle activation and muscle strength, but neural adaptations to strength training remain unexplored in MS patients. The hypothesis was that maximal strength training (MST) using high loads and few repetitions would improve central neural drive and thus strength capacity of MS patients. 14 MS patients staying at a national MS rehabilitation center were randomly assigned to a MST group or a control group (CG). Both groups received "today's treatment". In addition, the MST group trained 4 x 4 repetitions of unilateral dynamic leg press and plantar flexion 5 days a week for 3 weeks. Neural adaptations of the soleus muscle were assessed by surface electromyography (EMG) activity, and by superimposed H-reflexes and V-waves obtained during maximum voluntary isometric plantar flexor contractions (MVCs). H-reflexes and V-waves were normalized by the M-wave (H (SUP)/M (SUP), V/M (SUP), respectively). In the MST group, MVC increased by 20 +/- A 9% (P < 0.05). Soleus EMG activity and V/M (SUP) ratio increased by 40 and 55%, respectively, in the MST group compared to the CG (P a parts per thousand currency sign 0.05). The H (SUP)/M (SUP) ratio remained unchanged. No change was apparent in the CG. MST group subjects were able to complete all training sessions. No adverse effects were reported. This randomized study provides evidence that MST is effective of augmenting the magnitude of efferent motor output of spinal motor neurons in MS patients, alleviating some neuromuscular symptoms linked to the disease.
This study explores whether inactive individuals can experience flow, a rewarding, psychological state, during an exercise intervention and if there are differences according to the type of intervention they perform. Furthermore, the study investigates if experiencing flow is connected to physiological improvements attained during the exercise intervention. The 12- to 16-week interventions included six randomized intervention groups, two female and four male groups performing continuous running, football, interval running and strength training. The results indicate that all six randomized exercise intervention groups experience rather high levels of flow regardless of whether the intervention is a team or individual sport. Differences in experiencing flow, worry and exertion as well as physiological improvements could be found for the different types of sports and the two genders, with the male football group having the highest score for physiological improvement and the lowest score for worry. A connection between experiencing flow and physiological improvement could not be found. Future research should investigate the influence that the participant's gender and also the type of sport have on experiencing flow, worry and perceived exertion. Furthermore, it should be investigated whether experiencing flow is linked to the long-term compliance of regular physical activity.
During hopping an early burst can be observed in the EMG from the soleus muscle starting about 45 ms after touch-down. It may be speculated that this early EMG burst is a stretch reflex response superimposed on activity from a supra-spinal origin. We hypothesised that if a stretch reflex indeed contributes to the early EMG burst, then advancing or delaying the touch-down without the subject's knowledge should similarly advance or delay the burst. This was indeed the case when touch-down was advanced or delayed by shifting the height of a programmable platform up or down between two hops and this resulted in a correspondent shift of the early EMG burst. Our second hypothesis was that the motor cortex contributes to the first EMG burst during hopping. If so, inhibition of the motor cortex would reduce the magnitude of the burst. By applying a low-intensity magnetic stimulus it was possible to inhibit the motor cortex and this resulted in a suppression of the early EMG burst. These results suggest that sensory feedback and descending drive from the motor cortex are integrated to drive the motor neuron pool during the early EMG burst in hopping. Thus, simple reflexes work in concert with higher order structures to produce this repetitive movement.
Aim: The aim of this cross-sectional study was to assess the frequency of tendinopathy-typical Doppler sonographic changes in the Achilles tendons of long distance runners and to correlate these findings with anamnestic and anthropometric data of the subjects. Materials and Methods: 1906 Achilles tendons of 953 long distance runners were examined by ultrasound and power Doppler (Toshiba Aplio SSA-770A/80 12 MHz). Ultrasound images (spindle-shaped thickening, hypoechoic/hyperechoic lesions, neovascularizations) were analyzed in relation to the runners' anthropometrical data and history of Achilles tendon complaints. Results: In asymptomatic runners as well as in the overall group, there was a statistically significant correlation between tendon thickness and age, height and weight (CC 0.24 - 0.38, p < 0.001). Runners with current or healed Achilles tendon complaints displayed a statistically significant thickening of the tendons, as well as an increase in hypoechoic lesions and neovascularizations (p < 0.001). While grayscale abnormalities were rarely found in asymptomatic runners (< 10%), neovascularization was detected in 35% of healthy test persons using the high-resolution power Doppler "Advanced Dynamic Flow". Conclusion: Contrary to frequent assumption, neovascularization is often found in tendons of asymptomatic runners, using modern power Doppler equipment. The pathological relevance of single microvessels in asymptomatic tendons must, therefore, be critically discussed.
Self-leadership and volition are conceptually similar concepts. Both propose self-influence strategies that aim to improve the motivation and self-direction necessary to perform well. The present study assesses whether self- leadership strategies maintain construct-specific variance when compared with the similar strategies of volition. Results from a questionnaire study (N=320) indicate that self-leadership and volitional strategies are distinguishable and only moderately (r=.33) correlated. Self-leadership, therefore, supplements volition during goal attainment. Findings are discussed in light of the Rubicon model of action phases.
Einleitung: Vorliegende empirische Daten verdeutlichen, dass in der Fachwelt zwar weites gehend Einigkeit über die Wirkung des Mediums Wasser auf den Organismus in Ruhe (metabolisch und endokrin) besteht, aber differente Aussagen bei Immersion und Bewegung (hämodynamisch, metabolisch und endokrin) getroffen werden. Wie unterscheidet sich die physische Beanspruchung an Land und im Wasser? Gelten die allgemeingültigen Empfehlungen an Land zur Steuerung erwünschter Trainings- bzw. Belastungseffekte auch für aquale Bewegungs- und Trainingsformen? Ergebnisse und Diskussion: Die Herzfrequenz, der systolische Blutdruck und der Sauerstoffverbrauch waren in Ruhe (baseline) an der anaeroben Schwelle und während der Ausbelastung auf dem Land und im Wasser ähnlich. Der Respiratorische Quotient wurde gering reduziert, als die Probanden im Wasser trainierten. Die Glukose- und Laktatkonzentration wurden vermindert, wohingegen die freie Fettsäurekonzentration mit der Belastung im Wasser erhöht wurde. Wasserimmersion senkte die Adrenalin- und Noradrenalinkonzentration und erhöhte die vermehrte ANP-Produktion während der Belastung. Belastungsinduzierte Anstiege endokriner Parameter (Adrenalin und Noradrenalin) sind im Wasser geringer ausgeprägt als an Land. Hinsichtlich der Stoffwechselregulation konnte beobachtet werden, dass ANP eine Rolle bei der Regulation des Fettstoffwechsels spielt. Die Ergebnisse lassen vermuten, dass Belastungen im Wasser vor allem eine spezifische humorale und metabolische Antwort des Organismus entlocken. Belastungsinduzierte Anstiege endokriner Parameter (Katecholamine) im Wasser sind geringer ausgeprägt als an Land. Immersions- und Belastungseffekte scheinen teilweise konträre Reize zu sein. Es sind daher weiterhin experimentelle Untersuchungen notwendig, um die Regulationsmechanismen des Organismus zur Kompensation eines erhöhten venösen Rückstroms bei Immersion ohne und vor allem mit Bewegung zu klären. Auf Grund der geringen Unterschiede in der hämodynamischen Reaktion des Körpers bei vergleichbarer körperlicher Belastung Land vs. Wasser kann sich an den allgemeingültigen Empfehlungen an Land zur Steuerung erwünschter Trainings-bzw. Belastungseffekte auch für aquale Bewegungs- und Trainingsformen orientiert werden.
There is growing evidence that aging and muscle fatigue result in impaired postural reflexes in humans. Therefore, the objective of this study was to examine the effects of ankle fatigue on functional reflex activity (ERA) during gait perturbations in young and elderly men. Twenty-eight young (27.0 +/- 3.1 years, n = 14) and old (67.2 +/- 3.7 years, n = 14) healthy active men participated in this study. Fatigue of the plantarflexors and dorsiflexors was induced by isokinetic contractions. Pre and post-fatigue, subjects were tested for their ability to compensate for decelerating gait perturbations while walking on a treadmill. Latency, ERA of lower extremity muscles and angular velocity of the ankle joint complex were analysed by means of surface electromyography and goniometry. After the fatigue protocol, no significant main and interaction effects were detected for the parameter latency in m. tibialis anterior (TA). For both groups, a significant pre to post-test decrease in ERA in TA (P<.001) was observed coming along with increases in antagonist coactivity (P=.013) and maximal angular velocity of the ankle joint (p=.007). However, no significant group x test interactions were found for the three parameters. Ankle fatigue has an impact on the ability to compensate for gait perturbations in young and elderly adults. However, no significant differences in all analysed parameters were detected between young and elderly subjects. These results may imply that age-related deteriorations in the postural control system do not specifically affect the ability to compensate for gait perturbations under fatigued condition.
In this article, five cases of odontogenous dysfunctions and musculoskeletal complaints are presented. A common finding in all patients of this study was that the presence of joint complaints was related to deficits in the corresponding muscular function. These deficits were determined by manual muscle tests as described by Kendall et al. [Muscles - Testing and Function, ed 4. Baltimore, Williams and Wilkins, 1993] and were eliminated immediately by a neural therapeutic test injection into the disturbed dental region. The therapy provided solely aimed to eliminate the odontogenous dysfunction. No other therapeutic measures were carried out with regard to the patients' respective muscle, tendon, or joint complaints.