Clos Pierre, Laroche Davy, Stapley Paul J, Lepers Romuald
CAPS UMR1093, Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Bourgogne-Franche Comté, Dijon, France.
INSERM CIC 1432, Plateforme d'Investigation Technologique, University Hospital of Dijon, Dijon, France.
Front Physiol. 2019 Mar 28;10:354. doi: 10.3389/fphys.2019.00354. eCollection 2019.
Eccentric (ECC) cycle-ergometers have recently become commercially-available, offering a novel method for rehabilitation training. Many studies have reported that ECC cycling enables the development of higher levels of muscular force at lower cardiorespiratory and metabolic loads, leading to greater force enhancements after a training period. However, fewer studies have focused on the specific perceptual and neuromuscular changes. As the two latter aspects are of major interest in clinical settings, this review aimed to present an overview of the current literature centered on the neuromuscular and perceptual responses to submaximal ECC cycling in comparison to concentric (CON) cycling.
Narrative review of the literature.
At a given mechanical workload, muscle activation is lower in ECC than in CON while the characteristics of the musculo-articular system (i.e., muscle-tendon unit, fascicle, and tendinous tissue length) are quite similar. At a given heart rate or oxygen consumption, ECC cycling training results in greater muscular hypertrophy and strength gains than CON cycling. On the contrary, CON cycling training seems to enhance more markers of muscle aerobic metabolism than ECC cycling performed at the same heart rate intensity. Data concerning perceptual responses, and neuromuscular mechanisms leading to a lower muscle activation (i.e., neural commands from cortex to muscular system) at a given mechanical workload are scarce.
Even though ECC cycling appears to be a very useful tool for rehabilitation purposes the perceptual and neural commands from cortex to muscular system during exercise need to be further studied.
离心(ECC)循环测力计最近已商业化,为康复训练提供了一种新方法。许多研究报告称,离心骑行能够在较低的心肺和代谢负荷下产生更高水平的肌肉力量,从而在训练期后带来更大的力量增强。然而,较少有研究关注特定的感知和神经肌肉变化。由于后两个方面在临床环境中至关重要,本综述旨在概述当前以与向心(CON)骑行相比时,对次最大离心骑行的神经肌肉和感知反应为中心的文献。
文献叙述性综述。
在给定的机械负荷下,离心运动时的肌肉激活低于向心运动,而肌肉 - 关节系统的特征(即肌肉 - 肌腱单元、肌束和肌腱组织长度)非常相似。在给定心率或耗氧量时,离心骑行训练比向心骑行能带来更大的肌肉肥大和力量增长。相反,在相同心率强度下进行的向心骑行训练似乎比离心骑行能增强更多肌肉有氧代谢的指标。关于感知反应以及在给定机械负荷下导致较低肌肉激活的神经肌肉机制(即从皮层到肌肉系统的神经指令)的数据很少。
尽管离心骑行似乎是康复的一种非常有用的工具,但运动期间从皮层到肌肉系统的感知和神经指令仍需进一步研究。