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Scand J Med Sci Sports 2007: 17: 547–555 Copyright & 2007 The Authors

Printed in Singapore . All rights reserved Journal compilation & 2007 Blackwell Munksgaard
DOI: 10.1111/j.1600-0838.2006.00614.x

Exhaustive stretch-shortening cycle exercise: no contralateral effects


on muscle activity in maximal motor performances
S. C. Regueme*, J. Barthèlemy, C. Nicol
Department of Biology of Physical Activity, University of the Mediterranean, Marseilles, France
Corresponding author: Caroline Nicol, Department of Biology of Physical Activity, University of the Mediterranean, 163,
Avenue de Luminy, CP 910, UPRES EA 3285, Marseilles, France. Tel: 133 491 828 415, Fax: 133 491 828 409,
E-mail: caroline.nicol@univmed.fr
Accepted for publication 5 October 2006

Minor cross-over effects of unilateral muscle fatigue have were repeated 2 days later (D2), at the expected time of
been reported after isometric exercises. The present study major inflammation and pain. The exercised (fatigued) leg
re-examined this possibility after an exhaustive stretch- analysis revealed significant declines in MVC and DJ
shortening cycle (SSC)-type exercise. Twenty-five subjects performances at POST and D2, the latter ones being
performed on a sledge apparatus a unilateral exhaustive associated with significant decreases in voluntary muscle
rebound exercise involving mostly the triceps surae muscle activity. In contrast, no significant change was found for the
group. Ipsilateral vs contralateral fatigue effects were non-fatigued leg. These results do not support the existence
compared in uni- and bilateral tests that included a maximal of cross-over effects after exhaustive SSC exercise, at least
isometric voluntary contraction (MVC) and a series of 10 when tested in maximal static and dynamic unilateral motor
maximal drop jumps (DJ). These tests were carried out just tasks.
before and after (POST) the exhaustive SSC exercise, and

The general existence of ‘‘contralateral irradiation’’ tary activity in maximal isometric tests (for a review,
of unilateral activation patterns has long been known see Nicol et al., 2006). Clear reductions in muscle
(e.g. Sherrington, 1906). Since then, growing evi- activity have also been observed in maximal SSC
dence exists that contralateral improvements in mo- testing tasks, both during the centrally programmed
tor skill and strength rely on ‘‘cross-over effects’’ of preactivation phase and the subsequent braking
unilateral motor and sensory activity (e.g. Hortobá- phase (Avela & Komi, 1998). Simultaneous reduc-
gyi et al., 2003). As muscle fatigue is typically tion in the short latency stretch–reflex response (M1)
associated with motor and/or sensory changes, suggests that the observed EMG changes in the SSC
cross-over effects have been examined by some stu- testing tasks are both central and reflex in nature
dies, but mostly after maximal isometric contractions (Avela et al., 1999). These overall observations do
(Zijdewind et al., 1998; Todd et al., 2003; Rattey suggest existence of neural attempts of protection of
et al., 2005). Their results have revealed minor cross- the fatigued muscle under maximal testing condi-
over effects on the voluntary activation of upper limb tions. When dealing with the hypothesis of potential
muscles (Rosenbaum, 1977; Zijdewind et al., 1998; cross-over effects, the delayed recovery period (start-
Todd et al., 2003). According to Rattey et al. (2005), ing 1–2 days post-exercise) is of particular interest.
the major implication of lower limb muscles in Lasting for a few days, this slow recovery period is
locomotion and balance should favor the occurrence usually associated with muscle pain, and attributed
of contralateral effects. Among other forms of fati- to the natural time course of inflammatory and/or
guing exercises, natural forms of stretch-shortening remodelling processes related to the exercise-induced
cycle (SSC)-type exercises such as running and jump- muscle damage (for a review, see Nicol & Komi,
ing (which combined eccentric and concentric muscle 2003). Muscle inflammation and pain have repeat-
actions) are typically associated with large acute and edly been shown to lead to contralateral effects in
delayed decrements in force production and volun- case of chronic unilateral perturbations (e.g. Woolf,
1984; Johansson & Sojka, 1991; Lund et al., 1991;
*Present address: Department of Motor Function, Interactions and
Performance, University of Nantes, Nantes Atlantic Universities, Radhakrishnan et al., 2003). The SSC recovery
Nantes, France. period is also very likely to result in an increased

547
Regueme et al.
effort perception for a given task that should Materials and methods
favor the occurrence of cross-over effects (Dettmers Participants
et al., 1995; Zijdewind et al., 1998). These overall Twenty-five healthy male subjects (aged 20–25 years) volun-
observations support the hypothesis of cross- teered for the experiment. The study was consistent with the
over effects of the unilateral motor, and sensory Declaration of Helsinki (2002), and was approved by the
changes associated with neural effects during the Local Committee for Human Protection in Biomedical Re-
search (visa No. 04 008). All subjects gave their informed
delayed recovery period of fatiguing SSC exercise. written consent.
Although there is no consensus on the exact neural
mechanisms that produce contralateral effects in case
of unilateral muscle inflammation and pain, small- Experimental design
diameter groups III and IV muscle afferents appear The testing part of the experimental design (Fig. 1) included
as potential candidates. This relies on the fact that maximal isometric voluntary contraction (MVC) and maximal
these afferents are for some of them nociceptive and drop jump (DJ) tests that were both performed unilaterally
(on each leg, separately) as well as on both legs (bilateral test).
mostly polymodal, being sensitive to several chemi-
cal, thermal, and mechanical parameters associated
with muscle damage (Mense, 1977; Kniffki et al.,
Practice session
1978). Additional evidence exists in the literature to - 2 weeks
Maximal Drop Jumps (DJ)
support their contribution to both ipsi- and contral- Submaximal rebounds (70%)
ateral neural effects at the spinal (Djupsjobacka
et al., 1995, Pedersen et al., 1997; Wenngren et al.,
1998) and supraspinal (Iadarola et al., 1998) levels. It Days -15 to -10 Pain scoring
is also worth noting that pain perception is usually
associated with bilateral responses of several struc-
tures of the central nervous system (for reviews, see 15 min warm'up
Verne et al., 2004; Kakigi et al., 2005).
Therefore, this study examined the possibility of PRE TESTS
2-day delayed cross-over effects of an exhaustive SSC MVC + DJ
exercise performed with one lower limb on the (Uni- & Bilaterally)
homologous contralateral voluntary muscle activity. Day 0
The fatiguing protocol consisted of series of unilat- Exhaustive SSC
eral rebounds repeated on a sledge apparatus until fatiguing exercise
exhaustion. This protocol has previously been re- POST TESTS
ported to lead to delayed sensation of muscle pain DJ + MVC
and to large decrements in maximal force and muscle (Uni- & Bilaterally)
activity of the triceps surae muscle group (Regueme Pain scoring
et al., 2005a, b). Ipsilateral vs contralateral SSC
fatigue effects were compared in two testing tasks Pain scoring
Day 1
for both uni- and bilateral testing conditions. The
first (single joint) task consisted of a commonly
used maximal isometric test of voluntary plantarflex- Pain scoring
ion. The second (multi-joint) SSC testing task in- 15 min warm'up
cluded an intermittent series of 10 maximal drop Day 2
D2 TESTS
jumps. The latter SSC testing task was chosen
MVC + DJ
to examine fatigue-induced neural adjustments
(Uni- & Bilaterally)
and more specifically those occurring during the
preactivation phase and the intervention of the
short latency M1 stretch–reflex response. When
such a stressful task is performed with both legs, Days 3 to 8 Pain scoring
two additional and opposite trends of compensatory
Fig. 1. Schematic representation of the experimental design.
contralateral strategies may be expected to occur: Fatigue was induced by an intermittent stretch-shortening
(i) an increased activity of the contralateral leg cycle (SSC) exercise, with series of 30 rebounds repeated
muscles in order to limit the risk of further injury until exhaustion. The fatigue tests included maximal iso-
of the fatigued/damaged muscles or (ii) a decreased metric voluntary contraction (MVC) and maximal drop
contralateral muscle activity in order to either jump (DJ) tests performed unilaterally (on each leg, sepa-
rately) as well as with both legs (bilateral test). These tests
reduce the inter-leg imbalance (McCabe et al., were carried out just before (PRE) and after (POST) the
1972) or to ensure maintained coordination (Rattey exhaustive SSC exercise, and were repeated 2 days later
et al., 2005). (D2).

548
Exhaustive SSC exercise and contralateral effects
These tests were carried out just before (PRE) and after level scale – from no pain (0) to extremely sore muscle (6) –
(POST) the exhaustive SSC exercise, and were repeated 2 under three testing conditions: palpation, contraction, and
days later (D2). Considering the well-known ‘‘protective effect passive stretch.
of a given eccentric bout on the subsequent ones’’ (Nosaka
et al., 2001), the practice session performed 2 weeks before the
testing protocol was limited to four to six maximal rebounds Data recordings and analysis
on the sledge to determine the maximal hmax rebound height
and to the practice of a rapid isometric rise in force. The analogue signals that were recorded simultaneously in-
cluded the normal component of the reaction force from the
sledge force plate and the EMG activity recorded from the
Exhaustive SSC protocol soleus (SOL) and the gastrocnemius medialis (GAM) muscles.
The positions of the active surface electrodes (Contrôle Graphi-
As schematically shown in Fig. 1, a sledge ergometer (Komi et que Médical, Brie-Comte-Robert, France), which followed the
al., 1987) inclined at 241 from the horizontal was used to recommendations of SENIAM (1999), were marked carefully
repeat until exhaustion series of 30 unilateral rebounds per- on the skin to ensure identical positioning at D2. The EMG
formed in a sitting position. The target rebound height was set signals were preamplified (  375) close to the electrodes, band-
at 70% of the maximal rebound (hmax) individually measured pass filtered (8–500 Hz), and amplified (  412) in a special
in a previous practice session (h70 5 h0170%(hmax–h0) with h0 measurement unit (ME3000P, MEGA, Kuoplo, Finaland). All
as the height reached with straight legs on the force plate). To signals were recorded at 1 kHz sampling frequency and trans-
ensure that the triceps surae muscle group was involved in the ferred on line to a microcomputer via an optic fiber cable.
SSC exercise, no heel contact was allowed and an imposed 901 Data analysis was performed using Matlab programs
knee flexion angle had to be reached during each contact phase (MathWorks, version 6.5, Release 13). MVC analysis was
on the force plate. Based on previous experience (Nicol et al., based on the trial that presented the highest peak torque. This
2003; Regueme et al., 2005a), implication of both hip and knee trial was quantified through MVC performance (maximal
extensors was limited by setting the resting seat inclination at voluntary peak force) and mean SOL and GAM muscle
1201 and by instructing the subjects to let their knee flex freely activities during the 500 ms that preceded the peak force.
between take-off and the subsequent impact. Visual feedback The DJ trial was quantified through DJ performance (max-
was provided to help subjects maintain the target range of imal rebound height). As illustrated in the results section of
motion. To ensure that our protocol would lead each subject Fig. 4, SOL and GAM muscle activities were rectified and then
to exhaustion, inter-series recovery periods of 3 min were used integrated over the preactivation (100 ms before the impact),
to delay the progressive development of a metabolic source of the short-latency stretch–reflex response, (M1: from 40 to
muscle fatigue and avoid having subjects stop the SSC exercise 70 ms after the impact), and the braking phase (from impact
prematurely (Nicol et al., 2003). Exhaustion was reached when to the lower sledge position) periods. To allow the analysis of
the subject could not reach the 70% set rebound height for the stretch–reflex response the rectified EMG signals were
more than 10 successive rebounds. This protocol has been filtered using a 75 Hz low-pass Butterworth filter (second
shown to result in several hundreds of rebounds, with mostly order, Matlab toolbox). Each of the DJ parameters was
delayed fatigue effects (Regueme et al., 2005a, b). calculated separately for each DJ trial before being averaged
for the series of 10 DJ.

Testing tasks
The ipsi- and contralateral effects of the exhaustive SSC Statistics
exercise were examined on the sledge ergometer through The muscle soreness rating was analyzed using a two-way
MVC and DJ tests performed successively in the following ANOVA analysis [Leg (2)  Days (6: from D0 to
order (fatigued leg, non-fatigued leg, and with both legs). D5)  Conditions (3)] with repeated measures for the two
In the MVC test, the sledge seat was bolted to the rails so former factors. The exercise-induced changes in all variables
that the subjects’ knees were fully extended, with both hip and of the unilateral MVC and DJ tests were analyzed using a two-
ankle joints at 901. The test included three trials of maximal way ANOVA analysis [Testing time (PRE, POST, D2)  Leg
voluntary plantar flexion performed at a 45-s interval. The (fatigued, non-fatigued)] with repeated measures for both
subjects were instructed to develop their maximal plantar factors. For the bilateral tests, the same analysis was used
flexion force as fast as possible. for the EMG data, whereas a one-way ANOVA analysis
The DJ test included 10 DJs performed at 30-s intervals. In (Testing time) with repeated measures was applied to the
each DJ, the subject was held by the experimenter before being performance ones. Newman–Keuls and HSD Tuckey post-
released from his optimal dropping height (height leading to hoc tests were used in case of significant interactions and main
the maximal hmax rebound and individually predetermined effect, respectively. As the practice session could not be used to
during the practice session). Once dropped, the subjects had to provide reliable reference EMG values, the MVC EMG data
rebound with maximal effort while respecting the imposed 901 of the PRE test were used instead. For this reason, the
knee flexion angle during the contact phase. When the subject absolute EMG data of the fatigued and non-fatigued leg could
had reached his maximal rebound height, the sledge seat was not be compared in the PRE testing condition. In all the other
caught by the experimenter and replaced at the initial optimal testing conditions, the SOL and GAM muscle activity values
dropping height. Individual dropping heights were identical in were individually expressed as percentages of their mean
all testing sessions. activity measured in the PRE test of MVC, and the subsequent
ANOVA analyses were performed on the normalized values.
The size of the effect of the SSC fatigue was calculated using
Muscle soreness the omega square coefficient (o2) known as the proportion of
Soreness levels of the quadriceps and triceps surae muscle variance in the dependent variable, which accounted for the
groups were rated by each subject every day for 5 days independent variable (Abdi, 1987) (see equation in appendix).
following the practice session and the fatiguing exercise at For each leg, correlation tests using a general linear model
D0. The subjects were instructed to rate their soreness on a six- were also performed to examine the possibility of a relation-

549
Regueme et al.
ship between the fatigue-induced changes of the measured The post hoc analysis revealed significant inter-leg
parameters. For all statistical analyses, a P value of 0.05 (a) difference (Po0.05–0.001) in each testing condition.
was accepted as the level of significance. If a difference was not
statistically significant at the chosen a level, the b risk of an
erroneous conclusion of equivalence was chosen as a P value Maximal isometric (MVC) tests
lesser than or equal to 0.2.
The specific analysis of the unilateral MVC perfor-
mance (maximal peak force) revealed a significant
Results interaction between Testing time and Leg
Exhaustive SSC performance (F2, 48 5 9.38, Po0.001), explaining 36% (o2) of the
On average, the subjects performed 14  5 series of total variance. In the bilateral testing condition, a
30 rebounds, that is, 432  178 rebounds for a net significant Testing time effect (F2, 48 5 4.24, Po0.05)
working time of 11  5 min. was found that explained 23% of the total variance.
As shown in Fig. 3(a), the post hoc analysis revealed
significant performance decreases at both POST and
Muscle soreness
None of the subjects reported any muscle soreness
during the week that followed the practice session UNILATERAL BILATERAL
(P40.2). In contrast, the fatiguing protocol did CONDITION CONDITION

result for each of the 25 subjects in muscle pain (a) MVC Performance
40 40
within the triceps surae muscle group of the fatigued
##
leg. The two-way ANOVA analysis revealed a sig-

Delta % PRE
20 20

Delta % PRE
nificant interaction between Days and Leg
(F5, 120 5 22.6, Po0.001). As shown in Fig. 2, the 0 0
muscle pain sensation developed on the first day
− 20 − 20
post-exercise, peaked on day 2 or 3 in the palpation,
contraction and passive stretch conditions (Po0.05– − 40 − 40
0.001), and disappeared on day five. No significant *** *
difference was observed between each condition (b) Mean SOL activity
(P40.2). Nine subjects reported slight pain in the 40 40
quadriceps muscle group. No muscle pain sensation ##
Delta % PRE

20 20

Delta % PRE
was reported in any of the non-fatigued leg muscles.
0 0

Fatigue leg Non-fatigue leg − 20 − 20


Contraction Contraction
Palpation Palpation − 40 − 40
Passive stretch Passive stretch ** ***
(c) Mean GAM activity
6 Pain scoring-TS muscle group

5 40 40
Subjective scale

4
Delta % PRE

*** 20 20
Delta % PRE

***
***
3
0 0
### ***
2
### ### − 20 −20
1 ###
##
###
− 40 −40
0
D-15 D0 D1 D2 D3 D4 D5 *
to -10
Fig. 3. Maximal isometric voluntary contraction test.
Fig. 2. Pain scoring Group-averaged values (  SD) of Group-averaged values (  SD) of peak force (Performance:
subjective pain [on a six-level scale – from no pain (0) to a), mean SOL (b), and GAM (c) muscle activities in the
extremely sore muscle (6)] of the triceps surae (TS) muscle maximal isometric plantarflexion tests carried out immedi-
group under three testing conditions (palpation, contraction, ately before (PRE) and after (POST) the fatiguing exercise,
and passive stretch). The SOL and gastrocnemius medialis and repeated 2 days later (D2) ( & , fatigued leg; &, non-
(GAM) muscle pain sensations have been rated separately fatigued leg; and , bilateral data). *Po0.05, **Po 0.01,
by the subjects, and then averaged for the clarity of the ***Po0.001, significantly different from the pre-fatigue
figure. ***Po0.001, significantly different from the pre- (PRE) absolute values; ##Po0.01, ###Po0.001, significant
fatigue (PRE) absolute values; ##Po0.01, ###Po0.001, sig- inter-leg difference. SOL, soleus; GAM, gastrocnemius
nificant inter-leg difference. medialis.

550
Exhaustive SSC exercise and contralateral effects
D2 as compared with the PRE, when performed the stretch–reflex M1 response period (F2, 48 5 3.92;
unilaterally (upper left panel) with the fatigued leg o2 5 9% and F2, 48 5 3.87; o2 5 14%, Po0.05), and
(PRE: 1034N; POST: 927N; D2: 821N) as well as the braking phase (F2, 48 5 3.75; o2 5 17% and
with both legs (PRE: 1515N; POST: 1359N; D2: F2, 48 5 3.90; o2 5 50%, Po0.05). As shown in Fig.
1332N) (upper right panel). No significant change 4, this reflected the general trend of significant EMG
was observed in the unilateral performance of the decreases observed in the fatigued leg that contrasted
non-fatigued leg (PRE: 999N; POST: 1001N; D2: with an absence of significant change in the non-
942N, P40.2). This resulted in a significant inter-leg fatigued one (P40.2). At POST, the DJ performance
difference in MVC performance at D2. No significant was significantly decreased (Po0.001) when per-
correlation was observed between the fatigued leg formed either with the fatigued leg (  8  7%,
and non-fatigued leg changes (P40.2). from 40.5 to 35.9 cm) or with both legs (  6  4%,
The EMG data analysis examined at first the from 63.1 to 58 cm), but not with the non-fatigued
possibility of different EMG SOL and GAM muscle one (  1  6%, from 38.5 to 37.7 cm). These perfor-
activities during the PRE session between the uni- mance decrements were not associated with any
and the bilateral testing condition. This analysis did significant change in SOL and GAM muscle activity
not reveal any significant difference (P40.2): fati- (P40.2). As shown in Fig. 4(a) and (b), significant
gued SOL: 0.26 mV and 0.23 mV; non-fatigued SOL: decreases in DJ performance were also observed at
0.22 mV and 0.20 mV; fatigued GAM: 0.35 mV and D2 in the bilateral testing condition (  7%) and in
0.66 mV; non-fatigued GAM: 0.35 mV and 0.62 mV, the unilateral test of the fatigued leg (  13%), but
respectively. On the other hand, significant interac- not in the non-fatigued one (  1%, P40.2). In
tions were found between the Testing time and Leg, contrast to the POST testing session, these uni- and
under both uni- and bilateral conditions: SOL bilateral reductions in DJ performance were asso-
(F2, 48 5 4.14, o2 5 23% and F2, 48 5 5.56, o2 5 17%, ciated with clear decreases in SOL EMG activity, and
Po0.01) and GAM (F2, 48 5 7.05, o2 5 13%, for the fatigued leg only (P40.2 for the non-fatigued
Po0.01 and F2, 48 5 4.82, o2 5 9%, Po0.05), respec- leg SOL EMG data). Under both uni- and bilateral
tively. As illustrated in Fig. 3(b) and (c), the fatigued testing conditions, the observed decrease in SOL
leg was characterized by significant decreases in SOL preactivation was not correlated to the subsequent
and GAM voluntary activities in both uni- and decrease in SOL stretch–reflex M1 response (P40.2).
bilateral testing conditions, but at D2 only. In con- The inter-leg analysis revealed in the unilateral
trast, no significant change was observed for the non- testing condition (Fig. 4(a), upper right panel) sig-
fatigued leg in the unilateral testing condition nificant differences in both DJ performance and SOL
(P40.2) and the bilateral ones (Po0.2). Because of preactivation (a). No inter-leg correlation was found
the b risk of potential fatigue effects on the non- in any of the recorded changes (P40.2). In the
fatigued leg muscle activities in the bilateral testing bilateral testing condition (Fig. 4(b), lower right
condition, one-way ANOVA analyses were per- panel), significant inter-leg differences were observed
formed on the non-fatigued leg EMG data only, in SOL activation during the preactivation phase (a),
with repeated measures for the Testing time factor the M1 response (b), and the braking phase (c). No
(PRE, D2). When the significance of P value was set significant inter-leg correlation was found (a:
at 0.2, the analyses revealed a significant main Test- P 5 0.18; b: P 5 0.17; c: P 5 0.10). The respective
ing time effect for both SOL (F1, 24 5 2.01, P 5 0.16, analysis of the GAM muscle activity did not reveal
o2 5 1.9%) and GAM (F1, 24 5 1.95, P 5 0.17, any significant fatigue-induced change, and no inter-
o2 5 1.8%). leg correlation (P40.2).

Maximal drop jump tests


Discussion
In the DJ tests, the specific analysis of the perfor-
mance (maximal rebound height) revealed a signifi- The present study aimed to examine the possibility
cant interaction (Testing time  Leg) in the that an exhaustive unilateral SSC exercise would lead
unilateral testing condition (F2, 48 5 32.36, to both ipsi- and contralateral neural effects. As
Po0.001), and a significant main Testing time effect previously observed (Regueme et al., 2005a), this
in the bilateral one (F2, 48 5 37.16, Po0.001), ex- protocol did succeed in inducing limited performance
plaining, respectively, 45% and 49% (o2) of the total decrements at POST and large ones at D2, as
variance. In both uni- and bilateral testing condi- indicated by the overall o2 statistic values. The D2
tions, the EMG analysis revealed significant interac- testing session corresponded to the peak sensation of
tions, but for the SOL EMG data only, in the muscle pain (Fig. 2), and was characterized by large
preactivation phase (F2, 48 5 5.32, Po0.01; decreases in muscle activity of the exercised (fati-
o2 5 26% and F2, 48 5 12.48, Po0.001; o2 5 33%), gued) triceps surae muscle group in both MVC and

551
Regueme et al.
(a) Unilateral DJ Test
Fatigued Leg Performance
SOL 1600 10
Fz
EMG PRE
(N)
D2

D2 (delta % PRE)
(mV)
1200 0
0.4
−10
800

0.2 −20
400 ***
−30 ##
0.0 0
−200 0 200 400 600 800

Non-Fatigued Leg 40 SOL EMG


SOL Fz 1600
EMG (N) ##

D2 (delta % PRE)
(mV) 20
1200
0.4 a b c b c
0
a
800

0.2 −20
400

−40 **
0.0 0 ** ***
−200 0 200 400 600 800
Non-Fatigued Leg
Fatigued Leg
both Legs
(b) Bilateral DJ Test
SOL Fz 2000 Performance
PRE 10
EMG (N)
D2
(mV) 1600
D2 (delta % PRE)

0.4 0
1200

800
0.2 −10

400
***
−20
0.0 0
−200 0 200 400 600 800
SOL EMG
SOL Fz 2000 40
EMG (N) ##
(mV) 1600 #
D2 (delta % PRE)

20 ##
0.4
1200
a b c
0
800 a b c
0.2
400 −20

0.0 0 −40 ***


−200 0 200 400 600 800 *** ***

Fig. 4. Maximal drop jump test. Left panel: D2 vs PRE group mean absolute Fz and SOL EMG recordings from the fatigued
and non-fatigued legs in the unilateral (a) and bilateral (b) DJ tests. Right panel: For each testing condition, the D2 relative
changes (delta % PRE) (  SD) of the maximal rebound performance (hmax–h0), with h0, height reached with straight legs on
the force plate are presented. The D2 relative EMG changes (delta % PRE) are presented successively for the preactivation (a),
stretch–reflex M1 response (b), and the braking phase (c). ( & , fatigued leg; &, non-fatigued leg; and , bilateral data).
**Po0.01, ***Po0.001, significantly different from the pre-fatigue (PRE) normalized EMG values (% MVC PRE). #Po0.05,
##
Po0.01, ###Po0.001, significant inter-leg difference. SOL, soleus; DJ, maximal drop jump; MVC, maximal isometric
voluntary contraction.

DJ tests. These observations are typically associated When dealing with the possibility of contralateral
with the progressive development of inflammation fatigue effects, it is worth noting that none of
and/or regenerative muscle process, which usually the measured parameters of the contralateral leg
accompanies the delayed recovery phase following revealed any significant PRE–POST changes. As
exhaustive SSC exercises (Nicol & Komi, 2003). the absence of POST fatigue effect also applies to

552
Exhaustive SSC exercise and contralateral effects
the activity of the fatigued leg muscles, the possibility the subsequent braking phase. In contrast, to reduce
of contralateral effects will not be further investi- the inter-leg imbalance (McCabe et al., 1972) or to
gated at POST, and the discussion will concentrate ensure maintained coordination (Rattey et al., 2005),
on the D2 data. This testing session is of a decreased contralateral muscle activity could
particular interest as it belongs to the delayed recov- have been observed during the same time
ery phase and corresponds to the peak of muscle periods. Although the exercise-induced changes in
soreness. the fatigued and non-fatigued legs were not
At D2, large and significant neuromuscular im- significantly correlated to each other, the analysis
pairments were observed for the fatigued leg under revealed a b II type error in SOL muscle activity
all testing conditions (Figs 3 and 4). In contrast, in (Po0.2). In this respect, the observed trend
both static and dynamic testing tasks, the contral- of increased SOL preactivation in the non-fatigued
ateral leg did not seem to be affected when tested leg (Fig. 4(b)) might reveal a central attempt
unilaterally. However, potential contralateral effects to compensate for the contractile failure of the
might be suspected in the bilateral testing condition fatigued leg.
as the statistical analysis revealed P values lesser than Two major but not exclusive reasons may be
0.2. In the bilateral MVC test, however, the o2 considered to explain why we did not observe any
coefficient indicated that the SSC effects may be clear contralateral neural change. Firstly, it is sug-
considered as negligible as they would explain less gested that the present SSC fatiguing exercise did not
than 2% of the total variance (Abdi, 1987). In the lead to sufficient inflammation and pain to affect the
bilateral DJ test, significant reductions were observed contralateral side clearly. This refers to the fact that
for the fatigued leg in the SOL muscle activity during in animal studies, acute contralateral effects were not
the pre-programmed preactivation phase and the examined after natural voluntary exercise, but after
subsequent braking phase. As evidenced by the local injections of either inflammatory or pain-modu-
statistical o2 coefficient values (from 17% to 50%), lated substances (Djupsjobacka et al., 1995, Pedersen
these reductions can be partly attributed to the et al., 1997; Wenngren et al., 1998). Although the
exhaustive SSC exercise. These observations are in present MVC test revealed large decrements in plan-
line with the findings of Avela and Komi (1998), and tarflexion performance at D2, it should be mentioned
support the existence of neural adjustments on a that this test was performed at a short muscle
supra-spinal level (Melvill Jones & Watt, 1971) to the length relative to the optimal 201 dorsiflexed testing
exercise-induced contractile failure. The absence of position. Owing to the expected right shift in the
covariance between the respective decreases in SOL muscle length–tension relationship after fatiguing
preactivation and stretch–reflex M1 response eccentric exercise (Morgan et al., 2002; McHugh &
(P40.2) might suggest the influence of additional Tetro, 2003), the observed strength loss might
neural changes on a spinal level. This refers to the have been overestimated. Also supporting the im-
fact that the present analysis of the M1 response was portance of the present ispsilateral neuromuscular
based on the global EMG, which included both defects at D2 (Figs 3 and 4), only half of the SSC
central and reflex EMG components. However, de- fatigue studies of the literature are reporting persist-
spite these ipsilateral neural adjustments to fatigue, ing drops in both MVC and voluntary activity at that
we did not observe any significant change in the time (Nicol et al., 2006). Furthermore, none of the
contralateral leg data. Furthermore, similar EMG subjects felt any pain sensation after the practice
changes were observed under the unilateral and session whereas all of them reported still clear
bilateral testing conditions (Figs 3 and 4), with pain sensation at D2 (Fig. 2). The first observation
associated intermediate reductions in the bilateral is quite common after this type of SSC practice and
MVC and DJ performances as compared with the does not support the potential influence of a protec-
unilateral ones. The absence of contralateral fatigue tive effect such as the one reported for a few weeks
effects was particularly surprising in the bilateral after either two to six maximal eccentric actions
DJ test as several studies investigating central lower of the elbow extensors (Nosaka et al., 2001) or 10
limb coupling have showed that perturbations to eccentric actions of the knee extensors (Brown et al.,
one leg invoke a coordinated response of the same 1997). On the other hand, the exercise-induced
latency in both legs during stance (Dietz et al., 1989) sensation of muscle pain at D2 could have favored
and locomotion (Berger et al., 1984). In the present the occurrence of neural inhibition (Le Pera et al.,
stressful bilateral DJ task, two opposite trends of 2001). The occurrence of contralateral effects there-
compensatory contralateral strategies could have fore remains questionable in human beings when
potentially occurred. In order to limit the risk of using natural forms of locomotion such as exhaustive
further injury of the fatigued muscles, an increased SSC exercise.
activity of the contralateral leg muscles was expected Secondly, the dynamic DJ test was used as this
prior to the impact (preactivation) and during task requires synchronized muscle activation to

553
Regueme et al.
optimize the rebound performance. This dynamic test laterally in either maximal static or dynamic inter-
does not appear, however, to be more appropriate mittent tasks. However, as the absence of
than the maximal isometric test to reveal contralateral contralateral effects is not so clear when tested in
effects. In the present DJ test, the subjects rebounded tasks involving both legs, it should not be generalized
in a well-secured sitting position along the rails of the to other (upper limb) muscle groups and motor tasks.
sledge ergometer. This did not require from the It is suggested that ‘‘close loop motor tasks’’ (requir-
subjects the high bipedal balance control that char- ing the use of sensory feedback) associated with
acterizes standing and locomotion tasks, in which muscle pain perception might be more appropriate
contralateral compensatory changes in muscle activ- to reveal contralateral neural changes.
ity have been reported to maintain balance and
stabilization of the body (Dietz & Berger, 1984). In
addition, each drop jump rebound lasted only 0.6 s. Perspectives
This duration might have been, as in the isometric test According to Rattey et al. (2005), anticipatory regula-
condition (3 s), too short to allow for contralateral tion exists to avoid cellular damage during fatiguing
changes to take place. As suggested by Zijdewind and muscular work that would reduce in a coordinated
Kernell (2001) and recently confirmed by Rattey et al. manner the neural drive to the fatigued and non-
(2005), it seems that ‘‘cross-over’’ of central fatigue is fatigued lower limbs. In natural forms of locomotion,
more likely to occur in moderate but sustained con- this may be considered of major importance to limit
tractions than in maximal but brief motor tasks. potential risks of either falls or injuries. One of the
Supporting this hypothesis, a positive correlation challenges for the future will be to determine whether
between the fatigued and the non-fatigued leg changes locomotor tasks requiring both anticipation strategies
in EMG activity has recently been reported (Regueme and the use of sensory feedback may be more appro-
et al., 2005b) at D2 when the testing task consisted of priate than the present testing tasks to lead to cross-
a continuous series of 15 sub-maximal rebounds on over fatigue effects. Furthermore, based on the recent
the sledge apparatus. In this specific test, the subjects data of Regueme et al. (2005b), additional emphasis
were instructed to reach precisely the upper and lower should be placed on the potential influence of pain
rebound targets (a 70% rebound height and a 901 of sensation and pain anticipation.
knee flexion angle during the contact phase) via visual
feedback. This precise rebound task, which required Key words: SSC fatigue, muscle damage, pain, con-
high visual attention and effort levels for at least 15 s, tralateral, muscle activity.
might have favored the occurrence of contralateral
neural adjustments.
To summarize, exhaustive SSC exercise leading for
the exercised leg muscles to clear pain sensation and Acknowledgements
functional defects for a few days does not seem to The authors gratefully acknowledge Dr. Nancy St-Onge and
affect contralateral muscle activity when tested uni- Dr. Cathy Craig for revising the English manuscript.

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Appendix

½ðSSbetween subjects  ðk  1Þ  MSwithin subjects Þ


o2 ¼  100
ðSStotal þ MSwithin subjects Þ

where SS is the sum of squares, MS is the mean square, and k is the number of testing times.

555

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