Radial Displacement Of Muscle Belly Research Articles

Tensiomyography: from muscle assessment to talent identification tool.

Introduction: Tensiomyography (TMG) is a non-invasive and cost-effective tool that is gaining popularity in fields such as sports science, physical therapy, and medicine. In this narrative review, we examine the different applications of TMG and its strengths and limitations, including its use as a tool for sport talent identification and development. Methods: In the course of crafting this narrative review, an exhaustive literature search was carried out. Our exploration spanned several renowned scientific databases, such as PubMed, Scopus, Web of Science, and ResearchGate. The materials we sourced for our review included a broad spectrum of both experimental and non-experimental articles, all focusing on TMG. The experimental articles featured varied research designs including randomized controlled trials, quasi-experiments, as well as pre-post studies. As for the non-experimental articles, they encompassed a mix of case-control, cross-sectional, and cohort studies. Importantly, all articles included in our review were written in English and had been published in peer-reviewed journals. The assortment of studies considered provided a holistic view of the existing body of knowledge on TMG, and formed the basis of our comprehensive narrative review. Results: A total of 34 studies were included in the review, organized into three sections: 1) assessing muscle contractile properties of young athletes, 2) using TMG in the talent identification and development process and 3) Future research and perspectives. According to data presented here, the most consistent TMG parameters for determining muscle contractile properties are radial muscle belly displacement, contraction time, and delay time. Biopsy findings from the vastus lateralis (VL) confirmed TMG as a valid tool for estimating the ratio of myosin heavy chain (%MHC-I). Conclusion: TMGs ability to estimate the ratio of %MHC-I has the potential to aid in the selection of athletes with the muscle characteristics best suited for a particular sport, eliminating the need for more invasive procedures. However, more research is warranted to fully understand TMG's potential and its reliability when used with young athletes. Importantly, the use of TMG technology in this process can positively impact health status, reducing the frequency and severity of injuries and the duration of recovery, and subsequently can reduce drop out rates among youth athletes. Future studies should look at twin youth athletes, as a model capable of discriminating between the influence of hereditary factors vs. environmental factors, in therms of muscle contractility and TMG's potential for instance.

Neuromuscular changes after a Long Distance Triathlon World Championship

ABSTRACT This study aimed to determine the neuromuscular changes in muscle contractile properties and countermovement jump (CMJ) performance after a long distance (LD) triathlon, inquiring to what extent it is influenced by gender and the evaluated muscle, and to explore for response differences. Four elite (2 females and 2 males) and 18 well-trained triathletes (3 females and 15 males) who competed in the 2019 LD Triathlon World Championship undergone, prior and post-race, a CMJ and a muscle contractile properties assessment in vastus lateralis (VL) and biceps femoris (BF) using tensiomyography. A mixed ANOVA was carried out to detect triathletes’ neuromuscular changes after the competition. A large decrease in jump height and flight time was found in CMJ (p = 0.001, ηp 2 = 0.767) with gender differences (ηp 2 = 0.308). contraction (Tc), delay (Td) and sustain times (Ts) also showed a large decrease (p = 0.001, ηp 2 = 0.174–0.413). However, maximum radial muscle belly displacement was not altered by the competition, but did greatly increase radial displacement velocity (p = 0.031; ηp 2 = 0.212). No gender differences were found in contractile properties. Correlation analysis between race performance and the jumping and tensiomyography parameters only showed a moderate negative correlation with Tc of the BF in pre- and post-competition (r = −0.44; −0.43; p = 0.05). In conclusion, triathletes after a LD World Championship suffer a sharp drop in jump performance and variations in VL’s and BF’s contractile properties, showing decreases in Tc, Td and Ts without gender differences. The regular use of these parameters can allow the monitoring of triathlete's neuromuscular fatigue and aid in the distribution of more efficient loads in their training cycles. Highlights Trainers and researchers in neuromuscular fatigue can have reference data of elite and well-trained triathletes after performing LD race. The magnitude of change in the CMJ and the contractile properties of BF and VL achieved in competition by these elite reference triathletes can guide to modulate triathletes training. The regular use of the parameters using these references can allow an exhaustive neuromuscular fatigue monitoring during the sessions or training cycles throughout the season.

Is Asymmetry Different Depending on How It Is Calculated?

This study aimed to (1) determine the magnitude and direction of asymmetry in volleyball players, (2) establish asymmetry thresholds, and (3) explore differences depending on the test used and the players’ category. Twenty-nine junior and senior male volleyball players were assessed through a muscle asymmetry battery test: active knee extension test (AKE), single-leg countermovement jump (SL-CMJ), single-leg squat jump (SL-SJ), triple hop test for distance (THTD), modified 20-yard shuttle run, Y-balance test, single-leg one-repetition maximum in leg press test (1RM-SL), and lateral symmetry in radial muscle belly displacement through Tensiomyography in the biceps femoris and rectus femoris. A two-way ANOVA alongside an individual analysis of asymmetry thresholds was used to analyze the test and categorize the influence on the magnitude and the direction of asymmetry. The 1RM-SL, SL-SJ, and the lateral symmetry in radial muscle belly displacement showed a clear asymmetry towards the non-dominant side, while the AKE, SL-CMJ, and THTD showed an asymmetry towards the dominant side. The magnitude of the asymmetry was highly variable between tests (1.46–30.26%). The individualized asymmetry thresholds revealed that the percentage of asymmetrical players varied depending on the type of test used. In conclusion, the type of test used determines the magnitude and direction of asymmetry in well-trained volleyball players.

Countermovement jump variables not tensiomyography can distinguish between sprint and endurance focused track cyclists.

This study investigated the reliability and discriminative ability of tensiomyography and countermovement jump variables as measures of a muscles contractile properties in a cohort of elite endurance and sprint track cyclists. Tensiomyography was performed on the vastus lateralis (VL) and rectus femoris (RF) muscles in sprint track cyclists (N = 8) and endurance track cyclists (N = 8). Additionally, the participants completed a countermovement jump on a force plate. Tensiomyography measurements obtained from the RF displayed greater reliability (ICC = 0.879–0.997) than VL (ICC = 0.746–0.970). Radial muscle belly displacement (Dm), contraction time (Tc) and delay time (Td) demonstrated the most reliable TMG measurements. Only two variables displayed acceptable coefficient of variation (RF Td = 8.89, VL Td = 6.88), other variables presented as unacceptable. The TMG variables were unable to discriminate between endurance and sprint track cyclists whilst the CMJ variables could. Due to the high variability in measurements and its inability to distinguish between sprint and endurance based track cyclists TMG should be used cautiously in this athlete population and if available the CMJ is a more appropriate assessment of leg muscle function.

A Maximal Incremental Test in Cyclists Causes Greater Peripheral Fatigue in Biceps Femoris

ABSTRACT Purpose: The aim of this study was to determine the changes in neuromuscular contractile properties in elite cyclists associated to the peripheral fatigue produced in a maximal incremental test in cycle ergometer. Methods: Forty-eight volunteers’ well-trained male cyclists were evaluated during the competition season within a recovery microcycle. Tensiomyography was used before and after performing an incremental test until exhaustion in cycle ergometer to measure the radial muscle belly displacement of the vastus lateralis (VL), rectus femoris (RF), and biceps femoris (BF) on the dominant leg. Maximum radial muscle belly displacement (Dm), contraction time (Tc), delay time (Td), sustain time (Ts), and radial displacement velocity (Vrd) were measured. Mixed-design factorial analysis of variance was used to detect changes in the mechanical and neuromuscular characteristics after a maximal incremental exercise test. Results: The results show in the evaluated muscles a moderate-large decrease (p < .01, η2 = 0.06–0.51) in Tc, Td, Dm, Ts, and Vrd. This decrease occurs more sharply in the BF than in RF or VL. Conclusion: An incremental effort until exhaustion produces peripheral fatigue associated with a decrease in Dm, Tc, Td, Ts, and Vrd, being more pronounced in biceps femoris than in vastus lateralis and rectus femoris. Coaches can use these changes found in the contractile properties as a reference to detect the muscle fatigue degree that certain training models pose for the cyclist.

Tensiomyography Derived Parameters Reflect Skeletal Muscle Architectural Adaptations Following 6-Weeks of Lower Body Resistance Training.

Measurement of muscle specific contractile properties in response to resistance training (RT) can provide practitioners valuable information regarding physiological status of individuals. Field based measurements of such contractile properties within specific muscle groups, could be beneficial when monitoring efficacy of training or rehabilitation interventions. Tensiomyography (TMG) quantifies contractile properties of individual muscles via an electrically stimulated twitch contraction and may serve as a viable option in the aforementioned applications. Thus, aims of this study were; (i) to investigate the potential use of TMG to quantify training adaptations and differences, in response to exercise specific lower limb RT; and (ii) investigate any associations between TMG parameters and accompanying muscle architectural measures. Non-resistance trained male participants (n = 33) were randomly assigned to 1 of 3 single-exercise intervention groups (n = 11 per group); back squat (BS), deadlift (DL), or hip thrust (HT). Participants completed a 6-week linearized training program (2× per week), where the assigned exercise was the sole method of lower body training. Pre- and post-intervention testing of maximal dynamic strength was assessed by one repetition maximum (1RM) of BS, DL, and HT. Radial muscle belly displacement (Dm) and contraction time (Tc) were obtained via TMG from the rectus femoris (RF) and vastus lateralis (VL) pre- and post-intervention, alongside muscle architectural measures (pennation angle and muscle thickness). All three groups displayed significant increases all 1RM strength tests (p < 0.001; pη2 = 0.677–0.753). Strength increases were accompanied by significant overall increases in RF muscle thickness (p < 0.001, pη2 = 0.969), and pennation angle (p = 0.007, pη2 = 0.220). Additionally, an overall reduction in RF Dm (p < 0.001, pη2 = 0.427) was observed. Significant negative relationships were observed between RF Dm and pennation angle (p = 0.003, r = −0.36), and with RF Dm and muscle thickness (p < 0.001, r = −0.50). These findings indicate that TMG is able to detect improved contractile properties, alongside improvements in muscle function within an untrained population. Furthermore, the observed associations between Dm and muscle architecture suggest that TMG contractile property assessments could be used to obtain information on muscle geometry.

Contractile properties of superficial skeletal muscle affect postural control in healthy young adults: A test of the rambling and trembling hypothesis.

The rambling and trembling analysis separates the center of pressure (COP) fluctuations into two components: rambling (supraspinal contribution) and trembling (muscle stiffness / reflexive properties contribution). We examined whether the trembling component is correlated to the contractile properties (muscle stiffness and contraction time) of lower limb superficial skeletal muscles to experimentally test the rambling and trembling hypothesis. We hypothesized that muscle stiffness and contraction time, would be: (a) more correlated with; and (b) have a greater impact on the trembling component compared to the rambling component. Thirty-two healthy young adults were recruited for the study and tensiomyography was used to assess mechanical muscle responses to a single electrical stimulus to calculate muscle stiffness and contraction time based on radial muscle belly displacement measurements of lower limb muscles unilaterally. Moreover, upright postural control was assessed using a force plate to record ground reaction forces and moments and calculate the COP fluctuations during two 30 seconds trials. From the COP fluctuations, rambling and trembling time series were extracted, and all fluctuation time series were described using a number of different time-domain and frequency-domain parameters in both the anterior-posterior and medial-lateral directions. Our results demonstrated that both muscle stiffness and contraction time were moderately correlated with time-domain and frequency-domain parameters of the trembling component, as compared with those of the rambling component which was not as well correlated. Moreover, they also predicted the trembling component better. Overall, these results imply that postural control during quiet stance is, in part, related to intrinsic muscle stiffness in the lower extremities. Moreover, we showed that the rambling and trembling hypothesis is effective in separating postural sway fluctuations during upright posture to extract the contributions of muscle stiffness / reflexive properties (trembling), and likely the supraspinal contribution (rambling).

Acute muscle fatigue and CPR quality assisted by visual feedback devices: A randomized-crossover simulation trial.

ObjectiveTo analyse the acute muscular fatigue (AMF) in triceps brachii and rectus abdominis during compression-only and standard cardiopulmonary resuscitation (CPR) performed by certified basic life support providers.MethodsTwenty-six subjects were initially recruited and randomly allocated to two study groups according to the muscles analysed; eighteen finally met the inclusion criteria (nine in each group). Both groups carried out two CPR tests (compression-only and standard CPR) of 10 min divided into five 2-min intermittent periods. The ventilation method was freely chosen by each participant (mouth-to-mouth, pocket-mask or bag-valve-mask). CPR feedback was provided all the time. AMF was measured by tensiomyography at baseline and after each 2-min period of the CPR test, in triceps brachii or rectus abdominis according to the study group.ResultsRectus abdominis’ contraction time increased significantly during the fifth CPR period (p = 0.020). Triceps brachii’s radial muscle belly displacement (p = 0.047) and contraction velocity (p = 0.018) were lower during compression-only CPR than during standard CPR. Participants who had trained previously with feedback devices achieved better CPR quality results in both protocols. Half of participants chose bag-valve-mask to perform ventilations but attained lower significant ventilation quality than the other subjects.ConclusionsCompression-only CPR induces higher AMF than standard CPR. Significantly higher fatigue levels were found during the fifth CPR test period, regardless of the method. Adequate rescuer’s strength seems to be a requisite to take advantage of CPR quality feedback devices. Training should put more emphasis on the quality of ventilation during CPR.

Neuromuscular Parameters Predict the Performance in an Incremental Cycling Test.

The aim was to determine the predictive capacity of neuromuscular parameters on physiological predictors of performance related to pedaling power. The sample comprised fifty elite cyclists. On the same day, they were given a neuromuscular evaluation with tensiomyography (TMG) and then performed an effort test on a cycle ergometer until exhaustion. The TMG recorded the maximum radial muscle belly displacement, contraction time, delay time, derivative normalized response speed, and lateral symmetry. Peak power output (Wpeak·kg-1), effort time, maximum lactate concentration, power in the first lactate threshold, and power in the second lactate threshold were recorded in the effort test. Linear regression analysis was used to determine the explanatory capacity of neuromuscular parameters on potential cycling performance indicators. A higher Wpeak·kg-1 during a maximal incremental test on the cycle ergometer can be predicted moderately (R2=0.683; R2a=0.615; R=0.826; Std. Error=0.26017; p<0.001) by a longer rectus femoris contraction time and a greater radial muscle belly displacement of the vastus lateralis and vastus medialis as well as a slower normalized response speed of the biceps femoris. In conclusion, neuromuscular parameters can partially explain performance in a specific cycling test until exhaustion.

Effect of high-load and high-volume resistance exercise on the tensiomyographic twitch response of biceps brachii

The purpose of the present study was to assess the ability of TMG in detecting mechanical fatigue induced by two different resistance exercises on biceps brachii: high-volume (HV), and high-load (HL). Sixteen healthy subjects (age 25.1±2.6years; body mass 79.9±8.9kg; height 179±7.4cm) performed arm-curl in two different protocols (HV: 8×15×10kg, HL: 5×3×30kg). Tensiomyography was used to assess muscle response to both exercise protocols. The contractile capacity of biceps brachii significantly varied by means of the effects of potentiation and fatigue mechanisms that take place at different exercise phases. The most significant changes correspond to values of maximum radial displacement of muscle belly (Dm), sustained contraction time (Ts), relaxation time (Tr), and contraction velocity (Vc). The behavior of these parameters is, in general, similar in both exercise protocols, but they show subtle differences among them. During the first set, in both protocols, values for Vc increase, along with a decrease in Tr, Ts, and Dm values. Fatigue onset was evident from changes in such parameters, with HL being the first in showing these mechanisms. Tensiomyography has been shown to be highly sensitive in detecting fatigue-induced changes.

Study of mechanical characteristics of the knee extensor and flexor musculature of volleyball players

The aim of the present study was to analyse differences in muscle response and mechanical characteristics of the vastus medialis, rectus femoris, vastus lateralis, and biceps femoris in elite volleyball players of both sexes using tensiomyography. To this end, 47 players of nine nationalities playing for teams in the men's and women's Spanish Superleagues were assessed. The sample comprised 22 women (age 24.6±4.3 years; weight 72.14±10.06 kg; height 178.40±8.50 cm) and 25 men (age 25.0±4.3 years; weight 88.76±9.07 kg; height 194.71±7.84 cm). Tensiomyography was used to assess muscular response and muscular mechanical characteristics. For this purpose, the following variables were analysed: maximum radial displacement of muscle belly and normalized response speed. The findings show, both in men and women, a higher normalized response speed score in the vastus lateralis and vastus medialis compared with the rectus femoris and biceps femoris. A marked lateral symmetry of maximum radial displacement of the muscle belly was also observed in the musculature of the lower limbs, with no statistically significant differences being detected in either men or women. There were, however, clear differences in terms of normalized response speed between male and female volleyball players: women displayed a more pronounced difference in the normalized response speed of the musculature responsible for extension (vastus medialis, rectus femoris, and vastus lateralis) and flexion (biceps femoris) of the knee joint than men. Moreover, tensiomyography proved to be a highly sensitive tool for detecting such changes.

Study of extensor and flexor musculature in the knees of male and female volleyball players

ObjectiveThe aim of the present study was to analyse differences in muscle response and mechanical characteristics of the vastus medialis (VM), rectus femoris (RF), vastus lateralis (VL) and biceps femoris...

Inter-rater reliability of muscle contractile property measurements using non-invasive tensiomyography

Tensiomyography (TMG) is a relatively novel technique to assess muscle mechanical response based on radial muscle belly displacement consecutive to a single electrical stimulus. Although intra-session reliability has been found to be good, inter-rater reliability and the influence of sensor repositioning and electrodes placement on TMG measurements is unknown. The purpose of this study was to analyze the inter-rater reliability of vastus medialis muscle contractile property measurements obtained with TMG as well as the effect of inter-electrode distance (IED). Five contractile parameters were analyzed from vastus medialis muscle belly displacement–time curves: maximal displacement (Dm), contraction time (Tc), sustain time (Ts), delay time (Td), and half-relaxation time (Tr). The inter-rater reliability and IED effect on these measurements were evaluated in 18 subjects. Intra-class correlation coefficients, standard errors of measurement, Bland and Altman systematic bias and random error as well as coefficient of variations were used as measures of reliability. Overall, a good to excellent inter-rater reliability was found for all contractile parameters, except Tr, which showed insufficient reliability. Alterations in IED significantly affected Dm with a trend for all the other parameters. The present results legitimate the use of TMG for the assessment of vastus medialis muscle contractile properties, particularly for Dm and Tc. It is recommended to avoid Tr quantification and IED modifications during multiple TMG measurements.

Short-term repeatability of parameters extracted from radial displacement of muscle belly

The aim of this study is to analyse the short-term repeatability of the parameters extracted from radial muscle belly response on a stimulation pulse. The method uses a prefixed tension of a displacement sensor tip to the muscle and is being developed for noninvasive and selective evaluation of skeletal muscle contraction properties. Five parameters were extracted and statistically evaluated from the measured displacement: maximal displacement, delay time, contraction time, sustain time and half relaxation time. Care has been taken to leave sufficient time between stimulation pulses in order to reduce the effect of muscle fatigue and a constant pre-tension was assured by controlled step motor in consecutive measurement by withdrawal and anew placement of the sensor to the muscle belly after each measurement. Intra-class correlation coefficient (ICC) and normalized squared error (NSEM) were used as measures of short-term repeatability and accuracy (precision) of the measurements while fatigue rate was evaluated using area ratio fatigue index and normalized slope. All five measured parameters have been found highly repeatable (ICC from 0.86 to 0.98) and can be measured with high precision (NSEM from 0.43 to 1.93). Maximal displacement and half relaxation time show largest influence to muscle fatigue rate and are also expected to be the best measure of the fatigue rate. This investigation should serve as an initial study of repeatability of the presented method that should help in subsequent investigations and use of the method.