Abstract

This preliminary study examined the effect of chronic ischemic preconditioning (IPC) on neuromuscular responses to high-intensity exercise. In a parallel-group design, twelve endurance-trained males (VO2max 60.0 ± 9.1 mL·kg−1·min−1) performed a 30-s Wingate test before, during, and after 4 weeks of sprint-interval training. Training consisted of bi-weekly sessions of 4 to 7 supra-maximal all-out 30-s cycling bouts with 4.5 min of recovery, preceded by either IPC (3 × 5-min of compression at 220 mmHg/5-min reperfusion, IPC, n = 6) or placebo compressions (20 mmHg, PLA, n = 6). Mechanical indices and the root mean square and mean power frequency of the electromyographic signal from three lower-limb muscles were continuously measured during the Wingate tests. Data were averaged over six 5-s intervals and analyzed with Cohen’s effect sizes. Changes in peak power output were not different between groups. However, from mid- to post-training, IPC improved power output more than PLA in the 20 to 25-s interval (7.6 ± 10.0%, ES 0.51) and the 25 to 30-s interval (8.8 ± 11.2%, ES 0.58), as well as the fatigue index (10.0 ± 2.3%, ES 0.46). Concomitantly to this performance difference, IPC attenuated the decline in frequency spectrum throughout the Wingate (mean difference: 14.8%, ES range: 0.88–1.80). There was no difference in root mean square amplitude between groups. These preliminary results suggest that using IPC before sprint training may enhance performance during a 30-s Wingate test, and such gains occurred in the last 2 weeks of the intervention. This improvement may be due, in part, to neuromuscular adjustments induced by the chronic use of IPC.

Highlights

  • As athletes advance in competitive level, improvements in performance become smaller and harder to achieve

  • Before sprint training may enhance performance during a 30-s Wingate test, and such gains occurred in the last 2 weeks of the intervention. This improvement may be due, in part, to neuromuscular adjustments induced by the chronic use of ischemic preconditioning (IPC)

  • The changes in peak power output (PPO) after two and four weeks of training appear slightly greater in PLA (↑7.4 ± 11.8%, ES 0.48, chances to observe greater/trivial/lower score 85/13/1%) than IPC (↑3.9 ± 11.2%, ES 0.16, 37/62/1), but there was no clear difference between groups

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Summary

Introduction

As athletes advance in competitive level, improvements in performance become smaller and harder to achieve. Resting application of IPC for 3 to 7 days can improve VO2 max, maximal aerobic power (MAP) and performance during repeated Wingate tests [2] and repeated swimming sprints [3] in an active population. Such improvements are mostly derived from blood flow and O2 kinetics changes [4,5,6,7,8]. This is not always the case, especially in an athletic population. 3 to 9 days of IPC failed to enhance 4 and 5-km time-trial performances in trained individuals [9,10] and 600-m on-ice time trial in elite speed skaters [11]

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