Nov 03, 2020

Public workspaceEffects of Whole-Body Vibrations on Neuromuscular Fatigue

  • 1University of Maribor, Faculty of Medicine, Institute of Sport Medicine;
  • 2Department of Biomechanics, Rennbahnklinik;
  • 3University of Ljubljana, Faculty of sport
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Protocol CitationMilos Kalc, Ramona Ritzmann, Vojko Strojnik 2020. Effects of Whole-Body Vibrations on Neuromuscular Fatigue. protocols.io https://dx.doi.org/10.17504/protocols.io.beadjaa6
Manuscript citation:
Kalc M, Ritzmann R, Strojnik V, Effects of whole-body vibrations on neuromuscular fatigue: a study with sets of different durations. PeerJ doi: 10.7717/peerj.10388
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: March 26, 2020
Last Modified: November 03, 2020
Protocol Integer ID: 34853
Keywords: Level of voluntary activation, Maximum voluntary contraction, Whole bodt vibration, Double interpolated twitch technique, Doublets, high to low frequency ratio, neuromuscular fatigue, single twitch, double twitch, electrical stimulation
Abstract
Purpose: The aim of the study was to investigate the origin and magnitude of neuromuscular fatigue induced by half-squat whole-body vibration.
Methods: Ten young, recreationally trained adults participated in six fatiguing protocols, each consisting of several sets of 30, 60 or 180 s static squatting superimposed with vibration (WBV30, WBV60, WBV180) or without vibration (SHAM30, SHAM60, SHAM180) for a total exercise exposure of 9-minutes in each trial. Maximum voluntary contraction (MVC), level of voluntary activation (%VA), single twitch peak torque (TWPT), low- (T20) and high-frequency (T100) doublets, and low-to-high-frequency fatigue ratio (T20/100) were assessed before, immediately after, 15 and 30 minutes after each fatiguing protocol.
Guidelines
Study design:

each subject performed three different fatiguing exercises interventions with WBV and three exercise interventions in a SHAM condition without WBW (SHAM) to discriminate the effect of WBV. Each intervention contained a cumulative exercise period with a duration of 9 minutes divided into different sets (either 18 x 30 s or 9 x 60 s or 3 x 180 s), with 120 s rest between sets. Each intervention was randomly executed on different visits at the same day-time with at least 7 days rest in-between.


Materials

Equipment
DS7A
NAME
HV Constant Current Stimulator
TYPE
Digitimer
BRAND
1
SKU

Equipment
10 mm Ag–AgCl electrode
NAME
Type 0601000402
TYPE
Controle Graphique Medical
BRAND
1
SKU
LINK
Cathode
SPECIFICATIONS

Equipment
ELECTRODES PERFORMANCE 50 X 100MM PIN
NAME
Electrode
TYPE
Compex
BRAND
1
SKU

Equipment
Isometric machine with a force transducer
NAME
Isometric dynamometer
TYPE
Custom Made
BRAND
1
SKU
Force transducer (MES, Maribor, Slovenia)
SPECIFICATIONS

Equipment
Galileo Fit
NAME
Whole body vibration platform - WBV
TYPE
Novotec Medical GmbH
BRAND
1
SKU

Equipment calibration
Equipment calibration
We calibrated the
Equipment
Isometric machine with a force transducer
NAME
Isometric dynamometer
TYPE
Custom Made
BRAND
1
SKU
Force transducer (MES, Maribor, Slovenia)
SPECIFICATIONS
prior to each measuring session.
The signal of the dynamometer was connected to


Equipment
PowerLab 16/35 (PL3516)
NAME
DAQ - data acquisition hardware
TYPE
ADInstruments
BRAND
1
SKU
Download PowerLab 35 series Owners Guide- Jan 2019.pdf

running
Software
LabChart
NAME
Windows XP
OS
ADInstruments Australia
DEVELOPER


The same machine has been used in several other studies
CITATION
Tomazin K, Dolenec A, Strojnik V (2008). High-frequency fatigue after alpine slalom skiing.. European journal of applied physiology.

CITATION
García-Ramos A, Tomazin K, Feriche B, Strojnik V, de la Fuente B, Argüelles-Cienfuegos J, Strumbelj B, Štirn I (2016). The Relationship Between the Lower-Body Muscular Profile and Swimming Start Performance.. Journal of human kinetics.


We calibrated the force transducer, by hanging a Amount20 kg weight. We read the Voltage transformation to calculate the exerted torque.

Pre experiment procedures
Pre experiment procedures


We invited the subject to seat on the Isometric dynamometer in order to adjust the seating position and lever arm. The subject was positioned in an upright sitting position, the trunk at 100° leaning against the backrest of the isometric dynamometer, fixed by straps over the pelvis and a horizontal pad over the distal third of the thigh. The knee joint axis was aligned with the mechanical axis of the dynamometer. The shin pad was placed just above to the medial malleolus. The right knee joint was fixed at a 60° angle (0° = full extension)
Femoral nerve stimulation electrode placement

We invited the participants to flex their hip from in a seated position, while we palpated the iliac fossa



Schematic view of the leg and the stimulation
electrode placement
and placed the electrode (cathode) into the femoral triangle.

Equipment
10 mm Ag–AgCl electrode
NAME
Type 0601000402
TYPE
Controle Graphique Medical
BRAND
1
SKU
LINK
Cathode
SPECIFICATIONS

A larger self-adhesive electrode placed over the gluteal fold served as an anode.

Equipment
ELECTRODES PERFORMANCE 50 X 100MM PIN
NAME
Electrode
TYPE
Compex
BRAND
1
SKU




Femoral nerve test stimulation

Electrical impulses (single, square wave, 1-ms duration) elicited by a high voltage constant current electrical stimulator

Equipment
DS7A
NAME
HV Constant Current Stimulator
TYPE
Digitimer
BRAND
1
SKU
were used to trigger the muscle response, which was detected as a change in knee extensors torque.

We elicited several impulses (3 in average, max 6) at a fixed intensity of Amount20 mA at a frequency of Amount0.1 Hz and slightly moving the cathode in order to find the spot which produced the highest response (highest torque).

Warm-up
Warm-up
Duration00:06:00 warm-up routine consisting of bench stepping (Amount20 cm high) at a frequency of Amount0.5 Hz , with a leg exchange each minute

Duration00:02:00 rest

Pre experiment procedure
Pre experiment procedure
The stimulation intensity to elicit the maximum knee extensor isometric twitch was determined in each subject after Warm-up (starting from Amount10 mA ) progressively increasing the stimulation intensity by Amount10 mA until no further increase in torque was observed despite further increment in current. The current at maximal twitch torque was additionally increased by a factor of 1.5 to obtain a supra-maximal stimulus. This intensity was maintained for the entire visit.

PRE - assessment (t0)
PRE - assessment (t0)




Schematic representation of the assessment timeline and the change in knee extensors torque

Maximal voluntary contraction with double twitch interpolated techniques

Subjects were asked to perform a 5 s maximal isometric voluntary (MVC) knee extension

CITATION
Verges S, Maffiuletti NA, Kerherve H, Decorte N, Wuyam B, Millet GY (2009). Comparison of electrical and magnetic stimulations to assess quadriceps muscle function.. Journal of applied physiology (Bethesda, Md. : 1985).
The signal was smoothed using a 0.5 s window moving average filter and peak torque (MVC) was retained for analysis. The double twitch interpolated technique

CITATION
Allen DG, Lännergren J, Westerblad H (1995). Muscle cell function during prolonged activity: cellular mechanisms of fatigue.. Experimental physiology.



was performed by superimposing a Amount100 Hz doublet on the isometric plateau (TMVC). A second analogous stimulation Amount100 Hz (T100) on the relaxed muscle followed after 3 s.

The ratio of the amplitude of the TMVC over T100 was then calculated to obtain the level of voluntary activation (%VA):

High- and low-frequency doublets


The torque change induced by the paired high- (Amount100 Hz , i.e. Amount10 ms interstimulus interval) and low-frequency (Amount20 Hz , i.e. Amount50 ms interstimulus interval) supramaximal electrical stimuli were analyzed.

CITATION
Place N, Maffiuletti NA, Martin A, Lepers R (2007). Assessment of the reliability of central and peripheral fatigue after sustained maximal voluntary contraction of the quadriceps muscle.. Muscle & nerve.

CITATION
Verges S, Maffiuletti NA, Kerherve H, Decorte N, Wuyam B, Millet GY (2009). Comparison of electrical and magnetic stimulations to assess quadriceps muscle function.. Journal of applied physiology (Bethesda, Md. : 1985).

The following parameters were obtained: peak torque from Amount100 Hz doublet (T100), peak torque from Amount20 Hz doublet (T20) and the low- to thehigh-frequency ratio (T20/100) was calculated using the following formula:


This ratio was then used as a surrogate of low- to high-frequency tetanic stimulation.

CITATION
Verges S, Maffiuletti NA, Kerherve H, Decorte N, Wuyam B, Millet GY (2009). Comparison of electrical and magnetic stimulations to assess quadriceps muscle function.. Journal of applied physiology (Bethesda, Md. : 1985).

Single twitch


The torque change induced by the single supramaximal femoral nerve stimuli was analysed.


CITATION
Place N, Maffiuletti NA, Martin A, Lepers R (2007). Assessment of the reliability of central and peripheral fatigue after sustained maximal voluntary contraction of the quadriceps muscle.. Muscle & nerve.

The following parameters were obtained: 1) the maximum torque value (TWPT);
Intervention
Intervention
Intervention

The interventions were performed on
Equipment
Galileo Fit
NAME
Whole body vibration platform - WBV
TYPE
Novotec Medical GmbH
BRAND
1
SKU
which was switched on (or off for SHAM conditions) at a frequency of Amount26 Hz . Subjects were instructed to maintain a half-squat position with their knees flexed at an angle of 60°. Subjects stood with their feet 40 cm apart where the tilting platform reaches peak-to-peak displacement amplitude of 5 mm.

CITATION
Ritzmann R, Gollhofer A, Kramer A (2012). The influence of vibration type, frequency, body position and additional load on the neuromuscular activity during whole body vibration.. European journal of applied physiology.

POST assessments - (tf)
POST assessments - (tf)
15m
15m
Repete assessment procedure
Go togo to step #8
15m
POST 15 assessments - (tf15)
POST 15 assessments - (tf15)
15m
15m
Repete assessment procedure

15m
POST 30 assessments - (tf30)
POST 30 assessments - (tf30)
15m
15m
Repete assessment procedure Go togo to step #8

15m
Data analysis
Data analysis

A two-way factorial ANOVA was conducted in

Software
R programming language
NAME
The R Foundation
DEVELOPER
with the

Software
afex: Analysis of Factorial Experiments
NAME
Henrik Singmann
DEVELOPER
to compare the main effects of time and trial and the interaction effect of time x trial.
Generalized eta squared (η2) effect sizes were calculated for the ANOVA main and interaction effects.

Software
emmeans: Estimated Marginal Means, aka Least-Squares Means
NAME
Russell Lenth [aut, cre, cph], Henrik Singmann [ctb], Jonathon Love [ctb], Paul Buerkner [ctb], Maxime Herve [ctb]
DEVELOPER

The emmeans package (Lenth et al. 2018) was used to perform follow-up post hoc analysis. Planned comparisons were performed using Sidak corrected linear contrasts comparing. Statistical significance was set at p < 0.05. Standardized changes in the mean of each measure were used to assess magnitudes of effects and were calculated using Cohen’s d and interpreted using thresholds of 0.2, 0.5, 0.8 for small, moderate and large, respectively (Batterham and Hopkins 2006). An effect size of ± 0.2 was considered the smallest worthwhile effect with an effect size of < 0.2 considered to be trivial. The effect was considered unclear if its 95% confidence interval overlapped the thresholds for small positive and small negative effects.

Citations
Step 1
García-Ramos A, Tomazin K, Feriche B, Strojnik V, de la Fuente B, Argüelles-Cienfuegos J, Strumbelj B, Štirn I. The Relationship Between the Lower-Body Muscular Profile and Swimming Start Performance.
https://doi.org/10.1515/hukin-2015-0152
Step 1
Tomazin K, Dolenec A, Strojnik V. High-frequency fatigue after alpine slalom skiing.
https://doi.org/10.1007/s00421-008-0685-y
Step 8.1
Verges S, Maffiuletti NA, Kerherve H, Decorte N, Wuyam B, Millet GY. Comparison of electrical and magnetic stimulations to assess quadriceps muscle function.
https://doi.org/10.1152/japplphysiol.01051.2007
Step 8.1
Allen DG, Lännergren J, Westerblad H. Muscle cell function during prolonged activity: cellular mechanisms of fatigue.
Step 8.2
Verges S, Maffiuletti NA, Kerherve H, Decorte N, Wuyam B, Millet GY. Comparison of electrical and magnetic stimulations to assess quadriceps muscle function.
https://doi.org/10.1152/japplphysiol.01051.2007
Step 8.2
Place N, Maffiuletti NA, Martin A, Lepers R. Assessment of the reliability of central and peripheral fatigue after sustained maximal voluntary contraction of the quadriceps muscle.
Step 8.2
Verges S, Maffiuletti NA, Kerherve H, Decorte N, Wuyam B, Millet GY. Comparison of electrical and magnetic stimulations to assess quadriceps muscle function.
https://doi.org/10.1152/japplphysiol.01051.2007
Step 8.3
Place N, Maffiuletti NA, Martin A, Lepers R. Assessment of the reliability of central and peripheral fatigue after sustained maximal voluntary contraction of the quadriceps muscle.
Step 9
Ritzmann R, Gollhofer A, Kramer A. The influence of vibration type, frequency, body position and additional load on the neuromuscular activity during whole body vibration.
https://doi.org/10.1007/s00421-012-2402-0