Clinical trial NCT06573879: Effect of Eccentric Exercise on Musculus Triceps Surae Muscle Architecture, Muscle Strength, and Performance
Official title: Effect of Eccentric Exercise on Musculus Triceps Surae Muscle Architecture, Muscle Strength, and Performance in Young Volleyball Players
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Muscle Architecture
Keywords: Muscle architecture
Muscle strength
Jumping performance
Lead sponsor: Medipol University
Sponsor class: OTHER
First posted: 2024-08-27
Enrollment: 30
Sex: FEMALE
Minimum age (years): 14
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study participants will be divided into two different groups - a control group and an exercise group.

Control Group: 15 Exercise Group: 15 Exercise Program: A strength training program will be provided to the exercise group, carried out 3 days a week with 3 sets of 10 repetitions each day.

Total Duration: 8 Weeks (approximately 2 months)
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study investigates the architecture, muscle strength, and performance of skeletal muscles. Skeletal muscles constitute a mass of muscle fascicles connected to bones via tendons. Muscle architecture is defined as the geometric arrangement of muscle fiber bundles in relation to the axis that generates force. This arrangement influences the muscle's contraction speed, force generation capacity, and range of motion. Ultrasonography is a method for examining muscle morphology without radiation exposure. The architectural features of muscles have been a proven method for evaluating and enhancing muscle function. The purpose of this study is to examine the effects of eight weeks of eccentric exercises on the right and left triceps surae muscles in young volleyball players. This investigation aims to contribute to the literature concerning muscle architecture. The study will be conducted using statistical analysis and the SPSS program.

The study has obtained ethical approval and will be conducted at Istanbul Medipol University. Thirty healthy young volleyball players will be involved in this research. The participants' muscle architecture, strength, and performance will be measured. Additionally, the impact of eccentric exercises will be examined, and statistical data analysis will be carried out.

Ultimately, this study aims to explore the effects of eccentric exercise on the muscle architecture and performance of young volleyball players, aiming to contribute to the literature by understanding and enhancing muscle function and performance.

Detailed description: Skeletal muscles are organized masses of muscle fascicles covered with connective tissue, attached to bones at both ends through tendons. The volume of a muscle is largely determined by the total number of sarcomeres within that muscle. Sarcomeres are approximately 1 µm in diameter and 2-3 µm in length. These functional units are aligned end-to-end to form myofibrils, which are packed parallel to create muscle fibers (approximately 50 µm in diameter in humans). Bundling these muscle fibers in parallel forms fascicles (approximately 1 to 3 mm in diameter in humans), which, in turn, combine in parallel to create muscles.

Muscle architecture is defined as the geometric arrangement of muscle fiber bundles concerning the axis that generates force. Muscles with fibers extending longitudinally along the muscle length possess longitudinal muscle architecture, while muscles with fibers running at a certain angle along the muscle length and containing shorter fibers possess pennate or multipennate muscle architecture.

This arrangement affects a muscle's contraction speed, force generation capacity, and range of motion known as 'excursion'. In pennate muscles, bundles of fibers, referred to as fascicles, are positioned obliquely and attach to the muscle's aponeuroses. The angle at which a fascicle attaches to the aponeurosis defines the pennation angle. The distance between epimysiums (superficial and deep aponeuroses in ultrasonography) defines the anatomical muscle thickness. These parameters of skeletal muscle architecture are measured through muscle physiology and biomechanical studies to determine the anatomical and contractile characteristics of the muscles. Typical parameters included in architectural analysis are fiber length, pennation angle, and physiological cross-sectional area.

Ultrasonography enables the examination of muscle morphology without radiation exposure. Fascicle length, pennation angle, and muscle thickness can be measured in vivo using two-dimensional (2D) B-mode ultrasonography. In ultrasonographic imaging, normal muscle tissue appears as a structure with low echo intensity. As the epimysium surrounding the muscle is quite reflective, the muscle's boundaries are clearly visible.

While skeletal muscles show significant structural similarities at a microscopic level, muscle architecture is the fundamental factor creating differences in strength and functional capabilities. Understanding the architectural features of muscles allows for the effective assessment and improvement of muscle function. Loading placed on muscles results in an adaptive process leading to muscle development. Muscle architecture allows the macroscopic understanding and interpretation of this adaptation process.

Although muscle strength is primarily determined by genetic structure, it is also influenced by factors such as the level of physical activity, age, gender, motivation, and nutrition. The magnitude of the cross-sectional area of a muscle - which includes the number of engaged fibrils and the size of these fibrils - accounts for the muscle's strength. Developing these aspects is achievable through exercise.

Exercise is defined as a planned, structured, intentional, and continuous activity aimed at enhancing physical fitness. Strength training exercises are designed to increase muscle strength and endurance by applying resistance.

One type of exercise, eccentric exercises, involves movements against gravity using body weight or additional loads. Eccentric exercises are utilized to increase muscle strength and mass. More muscle strength can be generated through these exercises compared to concentric or isometric exercises. Due to their features in injury prevention, rehabilitation, and improving physical fitness in healthy individuals, eccentric training has become quite popular. However, findings regarding the effects of eccentric training on the m. triceps surae are contradictory. Some studies show that eccentric training promotes an increase in muscle fiber length, pennation angle, and muscle thickness, while others find no changes in these architectural outcomes. This might be due to the non-uniform distribution of loads among synergistic muscles and the observation of different mechanical loads for different components of the m. triceps surae. Additionally, short muscle fibers are more sensitive to muscle damage caused by eccentric training compared to long muscle fibers. Considering the differences in architectural features of m. triceps surae segments (GM, GL, SO, and PL), eccentric exercises may produce different results.

The aim of the study is to investigate the effects of 8 weeks of eccentric exercises, performed three times a week for a total of 24 sessions, on the muscle architecture of the m. triceps surae in healthy female participants. Ultrasonography will be utilized to measure fascicle length, pennation angle, and muscle thickness in the gastrocnemius medialis (GM), gastrocnemius lateralis (GL), soleus (SO), and plantaris (PL) muscles before and after the exercise program. It is hypothesized that an 8-week eccentric exercise program will increase fascicle length, pennation angle, and muscle thickness in the m. triceps surae muscles. The architectural adaptations to eccentric exercises must be understood to develop effective exercise programs for improving muscle strength and function.

Eligibility criteria: Inclusion Criteria:

* Having healthy lower extremities
* Being a volleyball athlete for at least the last 5 years
* Full range of motion in the lower extremity

Exclusion Criteria:

* Systemic inflammatory joint disease for both groups
* Having had an acute or chronic lower extremity injury during the last 6 months
* Having any orthopedic disorder in the lower extremity
* Severe pain or limitation of movement in the lower extremity
* Previous lower extremity surgery
* Participant noncompliance during testing
* Presence of severe effusion and severe limitation in joint movement

Primary outcomes:
measure: Muscle Architecture- muscle thickness
timeFrame: 5 months
measure: Muscle Architecture- fiber length
timeFrame: 5 months
measure: Muscle Architecture- pennation angle (degree)
timeFrame: 5 months
measure: Performance measurement- Single-leg hop test
timeFrame: 5 months
measure: Performance measurement- vertical jump tests
timeFrame: 5 months
measure: Muscle force measurement
timeFrame: 5 months
Secondary outcomes:
Other outcomes:
Locations:
city: İstanbul
country: Turkey
facility: Istanbul Medipol University
state: Kavacık
Study officials:
affiliation: İstanbul Medipol University
name: Seda Gözener Canbülbül, PhD(c)
role: PRINCIPAL_INVESTIGATOR
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