Concentric Strength Training Research Articles

Eccentric and Concentric Strength Training in Patients with Knee Osteoarthritis: A Systematic Review

To analyze the existing evidence on the effects of concentric and eccentric exercises on pain, strength, and functional outcomes in patients with knee osteoarthritis (OA). Searches were conducted in PubMed, Scopus, Cochrane, and Excerpta Medica Database (EMBASE), from inception to June 2022, for articles comparing the effectiveness of eccentric and concentric training for individuals with knee OA. The quality of the included studies was assessed using the PEDro scale. This study is registered on PROSPERO, number CRD42022351069. The search generated 211 results, of which 13 full-text articles were reviewed. The review includes four randomized controlled trials of high methodological quality that analysed the latest evidence on the benefits of eccentric and concentric strengthening in 239 people with knee OA grade 2 or 3. All of the examined studies indicated that both training programs improved pain, muscle strength, and functional activities and showed a statistical significance of <i>P</i> < 0.05. Concentrically focused resistance training lowered pain intensity after ambulation and daily activities. Both eccentric and concentric exercises enhanced functional performance and muscle strength. Although eccentric and concentric exercises can both aid OA patients in enhancing their functional abilities, the therapist must choose the approach that best fits the patient's objectives and other health-related variables.

Muscle fatique and muscle damage in strength training

Background and Study Aim. The aim of this study is to investigate the effects of different types of contractions on muscle damage and muscle fatigue in sedentary individuals.
 Material and Methods. Thirty healthy male sedentary individuals participated in the study. Strength training in different types of contractions applied in the study was applied 3 times a week for 8 weeks. Before the study, the training loads were determined by making maximal force measurements of all subjects. The 30 subjects participating in the study were divided into 3 groups: isometric (n = 10), concentric (n = 10) and eccentric (n = 10) contraction group. Appropriate amount of blood samples was taken from the elbow vein 2 times from all subjects, before the studies and at the end of the 8-week strength training.
 Results. It was observed that eight-week strength training did not cause muscle fatigue in all groups and did not create a statistically significant difference (P> 0.05). Strength training with isometric and concentric contractions for eight weeks significantly increased serum lactate dehydrogenase (LDH), C-reactive protein (CRP), myoglobin (Mb), interleukin 6 (IL-6) levels, while concentric strength training significantly reduced serum aspartate amino transferase (AST) levels. Strength training with eccentric contractions significantly increased serum LDH, CRP, AST, Mb and IL-6 levels, while significantly reducing serum tumor necrosis factor alpha (TNF-α) levels. Strength training with eccentric contractions significantly increased serum creatine kinase (CK), CRP, AST, IL-6 and Mb levels compared to strength training with isometric and concentric contractions at the end of the eight-week study period, but did not show the same significant effect in other parameters.
 Conclusions. As a result, it can be said that eccentric strength training performed in sedentary individuals leads to more muscle damage than isometric and concentric strength training.

Effects of Upper Body Eccentric versus Concentric Strength Training and Detraining on Maximal Force, Muscle Activation, Hypertrophy and Serum Hormones in Women.

Effects of eccentric (ECC) versus concentric (CON) strength training of the upper body performed twice a week for 10 weeks followed by detraining for five weeks on maximal force, muscle activation, muscle mass and serum hormone concentrations were investigated in young women (n = 11 and n = 12). One-repetition bench press (1RM), maximal isometric force and surface electromyography (EMG) of triceps brachii (TB), anterior deltoid (AD) and pectoralis major (PM), cross-sectional area (CSA) of TB (Long (LoH) and Lateral Head (LaH)) and thickness of PM, as well as serum concentrations of free testosterone, cortisol, follicle-stimulating hormone, estradiol and sex hormone-binding globulin were measured. ECC and CON training led to increases of 17.2 ± 11.3% (p < 0.001) and 13.1 ± 5.7% (p < 0.001) in 1RM followed by decreases of -6.6 ± 3.6% (p < 0.01) and -8.0 ± 4.5% (p < 0.001) during detraining, respectively. Isometric force increased in ECC by 11.4 ± 9.6 % (p < 0.05) from week 5 to 10, while the change in CON by 3.9±6.8% was not significant and a between group difference was noted (p < 0.05). Maximal total integrated EMG of trained muscles increased only in the whole subject group (p < 0.05). CSA of TB (LoH) increased in ECC by 8.7 ± 8.0% (p < 0.001) and in CON by 3.4 ± 1.6% (p < 0.01) and differed between groups (p < 0.05), and CSA of TB (LaH) in ECC by 15.7 ± 8.0% (p < 0.001) and CON by 9.7 ± 6.6% (p < 0.001). PM thickness increased in ECC by 17.7 ± 10.9% (p < 0.001) and CON by 14.0 ± 5.9% (p < 0.001). Total muscle sum value (LoH + LaH + PM) increased in ECC by 12.4 ± 6.9% (p < 0.001) and in CON by 7.1 ± 2.9% (p < 0.001) differing between groups (p < 0.05) and decreased during detraining in ECC by -6.5 ± 4.3% (p < 0.001) and CON by -6.1 ± 2.8% (p < 0.001). The post detraining combined sum value of CSA and thickness was in ECC higher (p < 0.05) than at pre training. No changes were detected in serum hormone concentrations, but baseline free testosterone levels in the ECC and CON group combined correlated with changes in 1RM (r = 0.520, p < 0.016) during training. Large neuromuscular adaptations of the upper body occurred in women during ECC, and CON training in 10 weeks. Isometric force increased only in response to ECC, and total muscle sum value increased more during ECC than CON training. However, no changes occurred in serum hormones, but individual serum-free testosterone baseline concentrations correlated with changes in 1RM during strength training in the entire group. Both groups showed significant decreases in neuromuscular performance and muscle mass during detraining, while post detraining muscle sum value was only in ECC significantly higher than at pre training.

Contralateral strength training attenuates muscle performance loss following anterior cruciate ligament (ACL) reconstruction: a randomised-controlled trial.

To investigate the effects of cross-education (CE) exercise on strength and performance at 10 and 24weeks post anterior cruciate ligament (ACL) surgery. Design: randomised controlled trial. N = 44 ACL-reconstruction patients, randomly-allocated into: CE: strength training of the non-operative limb, or CON: sham exercise of upper limb stretching. Each patient underwent standardised ACL rehabilitation, plus 8weeks of thrice weekly CE or CON, commencing at 2weeks post surgery. The primary outcome was quadriceps peak force (QPF) of the ACL-reconstructed limb at 10weeks post surgery. Secondary measures were hamstrings peak force (HPF), rate of force development (RFD) and International Knee Documentation Committee score (IKDC) at 10 and 24weeks; QPF and hop for distance (HOP) at 24weeks post surgery. CE significantly attenuated the decline in QPF of the ACL-reconstructed limb at 10weeks compared to CON (16.6% decrease vs. 32.0%, respectively); that advantage was not retained at 24weeks. A training effect was observed in the trained limb for HPF and QPF, which was retained at 24weeks. No significant differences were observed for IKDC, HOP, RFD, or HPF of the reconstructed limb. Inter-limb symmetry (ILS) ranged from 0.78 to 0.89 and was not significantly different between groups. High-intensity CE strength training attenuated the post-operative decline in QPF and should be considered in early-phase ACL rehabilitation. ILS data showed good symmetry, but it masked significantly inferior performance between groups and should be used with caution. NCT02722876.

Contralateral Strength Training as Preparation for Direct Strength Training in a Patient With Unilateral Foot-Drop Because of Multiple Sclerosis: A Case Report

Direct strength training (DST) is effective in managing unilateral weakness in people with multiple sclerosis (MS). Its feasibility, however, is considerably reduced if one limb is too compromised to train. In this case, contralateral strength training (CST) of the unaffected side to induce a strength transfer to the untrained homologous muscles can help to establish a strength baseline in the weaker limb, eventually allowing direct training. Limited effects for CST, however, have been reported on patient functioning. We tested the effects on dynamometric, electromyographic, and functional outcomes of a sequential combination of CST and DST of the ankle dorsiflexors in a case of MS-related foot-drop. A 56-year-old man diagnosed with relapsing-remitting MS exhibited severe weakness of the right dorsiflexors impairing functional dorsiflexion. The intervention consisted of a 6-week CST of the unaffected dorsiflexors followed by 2 consecutive 6-week DST cycles targeting the weaker dorsiflexors. At baseline, the participant could not dorsiflex his right ankle but could do so after CST. Maximal strength of the affected dorsiflexors increased by 80% following CST, by 31.1% following DST-1, and by a further 44.6% after DST-2. Neuromuscular recruitment was found progressively increased, with the largest changes occurring after DST-1. Improvements in mobility and walking speed were also detected, although plantar flexors' spasticity on the Modified Ashworth Scale increased from 1+ to 2. In this case, the sequential combination of CST and DST proved a feasible approach to manage severe unilateral weakness in a patient who was not able, at least initially, to dorsiflex his weaker ankle. In this perspective, CST may prime a minimum gain in strength necessary to allow subsequent direct training.

The Effects of Eccentric Training on Biceps Femoris Architecture and Strength: A Systematic Review With Meta-Analysis.

To determine the effects of an eccentric hamstrings strength-training program, performed for at least 4 weeks by healthy adults, on muscle architecture and eccentric strength. A systematic search was performed up to October 2018 in the following electronic databases: PubMed, PEDro, CINAHL and SPORTDiscus. Combinations of the following search terms were used: eccentric strength training, eccentric loading, nordic hamstring, hamstring strength, fascicle length, pennation angle, muscle thickness, muscle architecture, biceps femoris long head, biceps femoris, and hamstring muscles. Included articles were randomized controlled trials that allowed comparisons between isolated eccentric strength training of the biceps femoris muscle and other programs. Data from the included studies were extracted by 2 independent reviewers. These data included the study design, participant characteristics, inclusion and exclusion criteria of clinical studies, exercise and intervention characteristics, outcome measures, and the main results of the study. When meta-analysis was possible, we performed quantitative analysis. Ten randomized controlled trials were included. Limited to moderate evidence indicated that eccentric strength training was associated with an increase in fascicle length (mean difference [MD] = 1.97; 95% confidence interval [CI] = 1.48, 2.46), an increase in muscle thickness (MD = 0.10; 95% CI = 0.06, 0.13), and a decrease in pennation angle (MD = 2.36; 95% CI = 1.61, 3.11). Conflicted to moderate evidence indicated that eccentric hamstrings strength was increased after eccentric strength training compared with concentric strength training (standardized mean difference [SMD] = 1.06; 95% CI = 0.26, 1.86), usual level of activity (SMD = 2.72; 95% CI = 1.68, 3.77), and static stretching (SMD = 0.39; 95% CI = -0.97, 1.75). In healthy adults, an eccentric strength-training program produced architectural adaptations on the long head of the biceps femoris muscle and increased eccentric hamstrings strength.

Gait changes following direct versus contralateral strength training: A randomized controlled pilot study in individuals with multiple sclerosis

BackgroundContralateral strength training (CST) is increasingly investigated and employed as a non-conventional way to induce an indirect gain in strength in the weakened untrained limb. However, its effects on gait performance are more controversial. Research questionTo assess and compare the effects of contralateral (CST) and direct (DST) strength training on spatio-temporal parameters, kinematic and kinetic descriptors of gait in persons with relapsing-remitting multiple sclerosis (PwMS). MethodsTwenty-eight PwMS (EDSS 2.0–5.5) with inter-side difference in ankle dorsiflexors’ strength ≥ 20 % and moderate gait impairment (walking speed 0.70-0.94 m/s), were randomly assigned to a CST (undergoing training of the less-affected dorsiflexors) or DST group (where the most-affected dorsiflexors were trained). Before and after a 6-week high-intensity resistance training (three 25-minute sessions/week), PwMS underwent bilateral measurements of dorsiflexors’ maximal strength and assessment of gait spatio-temporal parameters, lower limb joint kinematics and kinetics. Results and significanceFollowing the training period, muscle strength increased significantly in both groups (on average, CST + 29.5 %, p < 0.0005; DST + 15.7 %, p = 0.001) with no difference between the two interventions. Significant changes in gait speed (+16.5 %; p < 0.0001) and stride length (+6.0 %; p = 0.04) were detected only after DST, while no difference was detected in the CST group. Ankle moment and ROM were unaffected by the training. In PwMS with mild to moderate disability and lower limb dorsiflexors’ strength asymmetry, CST was not inferior to DST in inducing significant strength gains in the untrained most-affected limb. However, only DST significantly improved gait performance and, specifically, walking speed. Even though CST did not worsen asymmetry, data suggest that contralateral approaches should not be recommended straightaway if the training goal is to improve outcomes other than strength and, specifically, walking speed.

The effects of strength training session with different types of muscle action on white blood cells counting and Th1/Th2 response

This research investigated the effects of a strength training session with two different types of muscle actions, predominantly concentric or eccentric in the physiological variables, including the counting of white blood cells and inflammatory mediators; and consequently, changes in the Th1/Th2 balance. Twelve healthy adult men performed a strength training session, using two different protocols: predominantly concentric with 5 s of the concentric phase by 1 s of the eccentric phase, and a predominantly eccentric with 1 s of the concentric phase by 5 s of the eccentric phase. Blood samples were collected, before, immediately after and 2 h after the end of the session to analyze subpopulations of white blood cells, creatine kinase (CK), irisin and the levels of anti- and pro-inflammatory mediators. Both strength training protocols were able to increase the heart rate, lactate concentration, rate of perceived exertion and the levels of circulating creatine kinase. The predominantly concentric strength training exercises increased the number of total white blood cells, and neutrophils 2 h after the end of the session. The plasmatic levels of interleukin-2 (IL-2), interleukin-4 (IL-4), interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor-α (TNF-α), interferon-γ (INF-γ), irisin, soluble tumor necrosis factor receptor-1 (sTNFR1) and sTNFR2 did not change after the strength training protocols. Therefore, the present study demonstrates that a strength training session is able to disturb the body homeostasis.

Concentric strength training at optimal or short muscle length improves strength equally but does not reduce fatigability of hamstring muscles.

The purpose of this study was to compare the effect of a 6‐week period of knee flexion strength training at either optimal or short muscle length, on length‐specific muscle strength and fatigue. Twelve healthy volunteers performed dynamic (isokinetic concentric) training with one leg at short and the contralateral leg at optimal muscle length for 6 weeks. Knee flexor muscle strength was assessed before and after training, comprising maximal voluntary isometric and dynamic contractions at short, intermediate and near optimal muscle length and electrically evoked, contractions at near optimal length only. Fatigability was tested by performing 60 maximal concentric contractions at either short or optimal muscle length. Isometric torque at all muscle lengths improved equally by training at short and optimal muscle length, for example, tested at short 18 (17) versus 21 (17) % (CI) and at optimal 14 (8) versus 17 (16) % muscle length, respectively. Likewise, equal improvements were observed for dynamic contractions in both groups. Prior to training, fatigue induced at optimal muscle length tended to be more pronounced than at short muscle length (fatigue‐indexes −41 (6) vs. −34 (7) %, respectively, P = 0.05). However, training at either length did not reduce fatigability. Training with maximal concentric contractions at either short or optimal muscle length for 6 weeks improved isometric and dynamic muscle strength in the entire range of motion without inducing any discernible length‐specific adaptations. However, strength training at restricted muscle length did not reduce relative fatigue when induced at either short or optimal muscle length.

Perspectives on neurorehabilitation of unilateral impairments through cross-education

Background: Cross-education is being increasingly investigated as an unconventional, exercise-based intervention to manage severely lateralized weakness. To date, however, cross-education seems more important to research than clinical practice.Aim: To provide foundation and context for an informed employment of cross-education in severely or predominantly unilateral weakness or motor impairment.Method: Qualitative, narrative commentary.Results: Based on the comprehensive overview on contralateral strength training approaches to hemiplegia and unilateral weakness in stroke survivors performed by Russell and colleagues as well as on our experiences in multiple sclerosis, there is a potential for cross-education as a useful training approach to hemiplegia and unilateral weakness in stroke survivors and multiple sclerosis patients and, overall, in neurorehabilitation. However, some limitations of this non-conventional approach have to be pointed out, such as the apparent lack of translation of the performance gains of the weaker untrained side into functional improvement, particularly for the lower limb.Conclusion: Cross-education may serve as a viable option for those patients presenting severe unilateral weakness who are not able to fully exercise their weaker side directly. However, it should not be recommended straightaway if the training goal is to improve outcomes other than strength. As such, contralateral training may prove as a primer to establish a minimum level of strength that may suffice to sustain direct training, which has been proved to prompt more meaningful functional changes.Implications for rehabilitationCross-education consists of training the stronger limb to increase strength in the untrained weaker homologous muscles.This unconventional strategy is receiving increasing attention for possible applications in neurological populations exhibiting severe unilateral impairment.For those patients who are not able to fully exercise their weaker side it may represent a viable exercise option.However, cross-education should not be recommended straightaway if the training goal is to improve outcomes other than strength.

Resistance Training for Muscle Weakness in Multiple Sclerosis: Direct Versus Contralateral Approach in Individuals With Ankle Dorsiflexors' Disparity in Strength

ObjectiveTo compare effects of contralateral strength training (CST) and direct strength training of the more affected ankle dorsiflexors on muscle performance and clinical functional outcomes in people with multiple sclerosis (MS) exhibiting interlimb strength asymmetry. DesignRandomized controlled trial. SettingUniversity hospital. ParticipantsIndividuals with relapsing-remitting MS (N=30) and mild-to-moderate disability (Expanded Disability Status Scale score ≤6) presenting with ankle dorsiflexors' strength disparity. InterventionsParticipants were randomly assigned to a CST (n=15) or direct strength training (n=15) group performing 6 weeks of maximal intensity strength training of the less or more affected dorsiflexors, respectively. Main Outcome MeasuresMaximal strength, endurance to fatigue, and mobility outcomes were assessed before, at the intervention end, and at 12-week follow-up. Strength and fatigue parameters were measured after 3 weeks of training (midintervention). ResultsIn the more affected limb of both groups, pre- to postintervention significant increases in maximal strength (P≤.006) and fatigue endurance (P≤.04) were detected along with consistent retention of these improvements at follow-up (P≤.04). At midintervention, the direct strength training group showed significant improvements (P≤.002), with no further increase at postintervention, despite training continuation. Conversely, the CST group showed nonsignificant strength gains, increasing to significance at postintervention (P≤.003). In both groups, significant pre- to postintervention improvements in mobility outcomes (P≤.03), not retained at follow-up, were observed. ConclusionsAfter 6 weeks of training, CST proved as effective as direct strength training in enhancing performance of the more affected limb with a different time course, which may have practical implications in management of severely weakened limbs where direct strength training is not initially possible.

Effect of Contralateral Strength Training on Muscle Weakness in People With Multiple Sclerosis: Proof-of-Concept Case Series.

The contralateral strength training (CST) effect is a transfer of muscle performance to the untrained limb following training of the contralateral side. The aim of this study was to explore, in individuals with multiple sclerosis (MS) presenting marked lower limb strength asymmetry, the effectiveness of CST on management of muscle weakness of the more-affected limb following training of the less-affected limb. A single-subject research design was used. Eight individuals with MS underwent 16 to 18 high-intensity training sessions of the less-affected ankle dorsiflexor muscles. The primary outcome measure of this single-system case series was maximal strength expressed as peak moment and maximal work. Secondary outcome measures were: Six-Minute-Walk Test, Timed "Up & Go" Test, 10-Meter Timed Walk Test, and Multiple Sclerosis Quality of Life-54 questionnaire. After the 6-week intervention, the contralateral more affected (untrained) limb showed a 22% to 24% increase in maximal strength. From pretest-posttest measurements, participants also performed significantly better on the clinical and functional secondary outcome measures. At the 12-week follow-up, the strength levels of the weaker untrained limb remained significantly superior to baseline levels in the majority (5 out of 8) of the outcome parameters. Considering the design used, the absence of a control group, and the sample size, these findings should be cautiously generalized and will need confirmation in a properly planned randomized controlled trial. The present proof-of-concept study shows, for the first time, the occurrence of the CST effect on muscle performance of ankle dorsiflexor muscles in people with MS. These preliminary findings reveal new potential implications for CST as a promising rehabilitation approach to those conditions where unilateral muscle weakness does not allow or makes difficult performing conventional strength training of the weaker limb.

Increased cross-education of muscle strength and reduced corticospinal inhibition following eccentric strength training

Aim: Strength training of one limb results in a substantial increase in the strength of the untrained limb, however, it remains unknown what the corticospinal responses are following either eccentric or concentric strength training and how this relates to the cross-education of strength. The aim of this study was to determine if eccentric or concentric unilateral strength training differentially modulates corticospinal excitability, inhibition and the cross-transfer of strength. Methods: Changes in contralateral (left limb) concentric strength, eccentric strength, motor-evoked potentials, short-interval intracortical inhibition and silent period durations were analyzed in groups of young adults who exercised the right wrist flexors with either eccentric (N=9) or concentric (N=9) contractions for 12 sessions over 4weeks. Control subjects (N=9) did not train. Results: Following training, both groups exhibited a significant strength gain in the trained limb (concentric group increased concentric strength by 64% and eccentric group increased eccentric strength by 62%) and the extent of the cross-transfer of strength was 28% and 47% for the concentric and eccentric group, respectively, which was different between groups (P=0.031). Transcranial magnetic stimulation revealed that eccentric training reduced intracortical inhibition (37%), silent period duration (15–27%) and increased corticospinal excitability (51%) compared to concentric training for the untrained limb (P=0.033). There was no change in the control group. Conclusion: The results show that eccentric training uniquely modulates corticospinal excitability and inhibition of the untrained limb to a greater extent than concentric training. These findings suggest that unilateral eccentric contractions provide a greater stimulus in cross-education paradigms and should be an integral part of the rehabilitative process following unilateral injury to maximize the response.

Neuromuscular adaptations to 8-week strength training: isotonic versus isokinetic mode

Previous studies attempted to compare the effectiveness of isokinetic and isotonic training. However, they have provided conflicting results. The purpose of this study was to compare the effects of isotonic versus isokinetic standardized concentric strength training programs of the knee extensors on the neuromuscular system. The standardization of these two training programs was ensured by the equalization of the total external amount of work performed and the mean angular movement velocity. Thirty healthy male students were randomly assigned to the isotonic (IT; n = 11), the isokinetic (IK; n = 11) or the control (C; n = 8) group. Both IT and IK groups trained their dominant lower leg 3 sessions/week for 8 weeks on a dynamometer. The IT group exercised using a preset torque of 40% of the maximal voluntary isometric torque at 70 degrees (0 degrees = leg in horizontal position). The IK group exercised at a velocity ranging between 150 degrees and 180 degrees s(-1). Isotonic, isokinetic and isometric tests were performed on a dynamometer before and after strength training. Surface electromyographic activity of vastus lateralis, vastus medialis, rectus femoris, semitendinosus and biceps femoris muscles was recorded during the tests. Significant strength increases in both dynamic and static conditions were noticed for IT and IK groups without any significant difference between the two trained groups. Agonist muscle activity also increased with training but no change in antagonist muscle co-activity was observed. The two training methods could be proposed by clinicians and athletic coaches to improve concentric muscle strength in dynamic and static conditions.

Unilateral strength training increases voluntary activation of the opposite untrained limb

We investigated whether an increase in neural drive from the motor cortex contributes to the cross-limb transfer of strength that can occur after unilateral strength training. Twitch interpolation was performed with transcranial magnetic stimulation to assess changes in strength and cortical voluntary activation in the untrained left wrist, before and after 4 weeks of unilateral strength-training involving maximal voluntary isometric wrist extension contractions (MVCs) for the right wrist (n=10, control group=10). Wrist extension MVC force increased in both the trained (31.5+/-18%, mean+/-SD, p<0.001) and untrained wrist (8.2+/-9.7%, p=0.02), whereas wrist abduction MVC did not change significantly. The amplitude of the superimposed twitches evoked during extension MVCs decreased by 35% (+/-20%, p<0.01), which contributed to a significant increase in voluntary activation (2.9+/-3.5%, p<0.01). Electromyographic responses to cortical and peripheral stimulation were unchanged by training. There were no significant changes for the control group which did not train. Unilateral strength training increased the capacity of the motor cortex to drive the homologous untrained muscles. The data show for the first time that an increase in cortical drive contributes to the contralateral strength training effect.

Contralateral effects of unilateral strength training: evidence and possible mechanisms

If exercises are performed to increase muscle strength on one side of the body, voluntary strength can increase on the contralateral side. This effect, termed the contralateral strength training effect, is usually measured in homologous muscles. Although known for over a century, most studies have not been designed well enough to show a definitive transfer of strength that could not be explained by factors such as familiarity with the testing. However, an updated meta-analysis of 16 properly controlled studies (range 15-48 training sessions) shows that the size of the contralateral strength training effect is approximately 8% of initial strength or about half the increase in strength of the trained side. This estimate is similar to results of a large, randomized controlled study of training for the elbow flexors (contralateral effect of 7% initial strength or one-quarter of the effect on the trained side). This is likely to reflect increased motoneuron output rather than muscular adaptations, although most methods are insufficiently sensitive to detect small muscle contributions. Two classes of central mechanism are identified. One involves a "spillover" to the control system for the contralateral limb, and the other involves adaptations in the control system for the trained limb that can be accessed by the untrained limb. Cortical, subcortical and spinal levels are all likely to be involved in the "transfer," and none can be excluded with current data. Although the size of the effect is small and may not be clinically significant, study of the phenomenon provides insight into neural mechanisms associated with exercise and training.

Editorial

Editorial

Effects of Eccentric versus Concentric Training on Thigh Muscle Strength and EMG

The purpose of this study was to compare pure eccentric and concentric strength training regarding possible specific effects of muscle action type on neuromuscular parameters, such as a decreased inhibition during maximal voluntary eccentric actions. Two groups of young healthy adult men performed 10 weeks of either eccentric or concentric unilateral isokinetic knee extensor training at 90 degrees.s(-1), 4 sets of 10 maximal efforts, 3 days a week. Knee extensor torque and surface EMG from the quadriceps and hamstring muscle groups were collected and quantified in a window between 30 and 70 degrees knee angle (range of motion 90-5 degrees ) during maximal voluntary eccentric and concentric knee extensor actions at 30, 90, and 270 degrees.s(-1). Changes in strength of the trained legs revealed more signs of specificity related to velocity and contraction type after eccentric than concentric training. No major training effects were present in eccentric to concentric ratios of agonist EMG or in relative antagonist (hamstring) activation. Thus, for the trained leg, the muscle action type and speed specific changes in maximal voluntary eccentric strength could not be related to any effects on neural mechanisms, such as a selective increase in muscle activation during eccentric actions. Interestingly, with both types of training there were specific cross-education effects, that is, action type and velocity specific increases in strength occurred in the contralateral, untrained, leg, accompanied by a specific increase in eccentric to concentric EMG ratio after eccentric training.

Effects of isokinetic strength training on concentric and eccentric torque development in the ankle dorsiflexors of older adults.

This study quantifies concentric and eccentric dorsiflexor muscle torque at various movement velocities and determines the neuromuscular effects from short-term practice of repeated maximal voluntary contractions using an isokinetic resisted exercise program in older adults. Twenty-eight subjects (76.3+/-4.6 years) trained concentric and eccentric dorsiflexion 3 days per week for 2 weeks at 30 degrees, 90 degrees, and 180 degrees/s through 40 degrees of dorsiflexion range of motion. Peak torque, rate of torque development, surface electromyography, and strength curves at each velocity were compared before and after training. Increases were found for concentric (27%) and eccentric (20%) dorsiflexor peak torque and concentric rate of torque production (20%-53%) across all movement velocities (p < .01). Training also significantly increased dorsiflexor concentric (64%) and eccentric (55%) surface electromyography; taken together, this is evidence of apparent adaptation of neural factors in older adults with short-term training. These findings support that eccentric and concentric strength training enhances the control and production of ankle muscle dorsiflexor torque in older adults, with implications for improving functional mobility of the ankle joint.

The effects of unilateral velocity-specific concentric strength training.

There is conflicting evidence regarding the efficacy of various resistance training programs for increasing strength in trained and contralateral limbs. The purposes of this investigation were to examine the effects of unilateral velocity-specific concentric isokinetic training of the extensor and flexor muscles of the elbow and knee on: 1) the carry-over effect in strength increases to velocities other than the training velocity in the trained limbs and 2) the cross-training effect at various velocities in the contralateral limbs. Twelve adult men (mean age +/- SD = 24 +/- 6 years) volunteered to train their nondominant extremities three times per week (six sets of 10 maximal repetitions) for 8 weeks at 120 degrees/sec using a Cybex II isokinetic dynamometer. The subjects were tested for increases in peak torque at 60, 120, 180, 240, and 300 degrees/sec. The training resulted in significant (p < 0.05) increases in peak torque on the trained side of the body for elbow extension and flexion as well as knee extension and flexion at all velocities tested. These findings indicated that the velocity-specific training resulted in increases in peak torque at velocities that were both greater and less than the training velocity. In addition, there was a cross-training effect, with significant (p < 0.05) increases in peak torque on the contralateral side of the body for elbow extension (all velocities except 300 degrees/sec) as well as knee extension and flexion (all velocities). These results indicate that unilateral velocity-specific concentric isokinetic training is adequate stimulus for eliciting strength gains at a wide range of velocities in both the trained and contralateral limbs.(ABSTRACT TRUNCATED AT 250 WORDS)