Musculoskeletal effects of 5 days of bed rest with and without locomotion replacement training

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Autoren

  • E. Mulder
  • G. Clément
  • D. Linnarsson
  • W. H. Paloski
  • F. P. Wuyts
  • J. Zange
  • P. Frings-Meuthen
  • B. Johannes
  • V. Shushakov
  • M. Grunewald
  • N. Maassen
  • J. Buehlmeier
  • J. Rittweger

Externe Organisationen

  • Deutsches Zentrum für Luft- und Raumfahrt e.V. (DLR)
  • Université internationale de l'espace (ISU)
  • Karolinska Institutet
  • University of Houston
  • Universiteit Antwerpen (UAntwerpen)
  • Medizinische Hochschule Hannover (MHH)
  • Rheinische Friedrich-Wilhelms-Universität Bonn
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Details

OriginalspracheEnglisch
Seiten (von - bis)727-738
Seitenumfang12
FachzeitschriftEuropean Journal of Applied Physiology
Jahrgang115
Ausgabenummer4
Frühes Online-Datum26 Nov. 2014
PublikationsstatusVeröffentlicht - Apr. 2015
Extern publiziertJa

Abstract

Objectives: The present study evaluated the effectiveness of a short and versatile daily exercise regime, named locomotion replacement training (LRT), to maintain muscle size, isometric strength, power, and endurance capacity of the leg muscles following 5 days of head-down tilt (HDT) bed rest. Methods: 10 male subjects (age 29.4 ± 5.9 years; height 178.8 ± 3.7 cm; body mass 77.7 ± 4.1 kg) performed, in random order, 5 days of 6° head-down tilt bed rest (BR) with no exercise (CON), or BR with daily 25 min of upright standing (STA) or LRT. Results: Knee extensor and plantar flexor cross-sectional area (CSA) were reduced by 2–3 % following bed rest (P < 0.01) for CON and STA, yet maintained for LRT. Knee extensor isometric strength (MVC) decreased by 8 % for CON (P < 0.05), was maintained for STA, and increased with 12 % for LRT (P < 0.05). Plantar flexor MVC remained unaltered during the study. Maximum jump height declined (~1.5 cm) for all conditions (P < 0.001). Neural activation and knee extensor fatigability did not change with bed rest. Bone resorption increased during BR and neither LRT nor STA was able to prevent or attenuate this increase. Conclusion: LRT was adequate to maintain muscle size and to even increase knee extensor MVC, but not muscle power and bone integrity, which likely requires more intense and/or longer exercise regimes. However, with only some variables showing significant changes, we conclude that 5 days of BR is an inadequate approach for countermeasure assessments.

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Musculoskeletal effects of 5 days of bed rest with and without locomotion replacement training. / Mulder, E.; Clément, G.; Linnarsson, D. et al.
in: European Journal of Applied Physiology, Jahrgang 115, Nr. 4, 04.2015, S. 727-738.

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Mulder, E, Clément, G, Linnarsson, D, Paloski, WH, Wuyts, FP, Zange, J, Frings-Meuthen, P, Johannes, B, Shushakov, V, Grunewald, M, Maassen, N, Buehlmeier, J & Rittweger, J 2015, 'Musculoskeletal effects of 5 days of bed rest with and without locomotion replacement training', European Journal of Applied Physiology, Jg. 115, Nr. 4, S. 727-738. https://doi.org/10.1007/s00421-014-3045-0
Mulder, E., Clément, G., Linnarsson, D., Paloski, W. H., Wuyts, F. P., Zange, J., Frings-Meuthen, P., Johannes, B., Shushakov, V., Grunewald, M., Maassen, N., Buehlmeier, J., & Rittweger, J. (2015). Musculoskeletal effects of 5 days of bed rest with and without locomotion replacement training. European Journal of Applied Physiology, 115(4), 727-738. https://doi.org/10.1007/s00421-014-3045-0
Mulder E, Clément G, Linnarsson D, Paloski WH, Wuyts FP, Zange J et al. Musculoskeletal effects of 5 days of bed rest with and without locomotion replacement training. European Journal of Applied Physiology. 2015 Apr;115(4):727-738. Epub 2014 Nov 26. doi: 10.1007/s00421-014-3045-0
Mulder, E. ; Clément, G. ; Linnarsson, D. et al. / Musculoskeletal effects of 5 days of bed rest with and without locomotion replacement training. in: European Journal of Applied Physiology. 2015 ; Jahrgang 115, Nr. 4. S. 727-738.
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abstract = "Objectives: The present study evaluated the effectiveness of a short and versatile daily exercise regime, named locomotion replacement training (LRT), to maintain muscle size, isometric strength, power, and endurance capacity of the leg muscles following 5 days of head-down tilt (HDT) bed rest. Methods: 10 male subjects (age 29.4 ± 5.9 years; height 178.8 ± 3.7 cm; body mass 77.7 ± 4.1 kg) performed, in random order, 5 days of 6° head-down tilt bed rest (BR) with no exercise (CON), or BR with daily 25 min of upright standing (STA) or LRT. Results: Knee extensor and plantar flexor cross-sectional area (CSA) were reduced by 2–3 % following bed rest (P < 0.01) for CON and STA, yet maintained for LRT. Knee extensor isometric strength (MVC) decreased by 8 % for CON (P < 0.05), was maintained for STA, and increased with 12 % for LRT (P < 0.05). Plantar flexor MVC remained unaltered during the study. Maximum jump height declined (~1.5 cm) for all conditions (P < 0.001). Neural activation and knee extensor fatigability did not change with bed rest. Bone resorption increased during BR and neither LRT nor STA was able to prevent or attenuate this increase. Conclusion: LRT was adequate to maintain muscle size and to even increase knee extensor MVC, but not muscle power and bone integrity, which likely requires more intense and/or longer exercise regimes. However, with only some variables showing significant changes, we conclude that 5 days of BR is an inadequate approach for countermeasure assessments.",
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T1 - Musculoskeletal effects of 5 days of bed rest with and without locomotion replacement training

AU - Mulder, E.

AU - Clément, G.

AU - Linnarsson, D.

AU - Paloski, W. H.

AU - Wuyts, F. P.

AU - Zange, J.

AU - Frings-Meuthen, P.

AU - Johannes, B.

AU - Shushakov, V.

AU - Grunewald, M.

AU - Maassen, N.

AU - Buehlmeier, J.

AU - Rittweger, J.

N1 - Funding Information: We thank the subjects for participating in this study and the staff of the DLR operational study team for supervising the bed rests. The study was funded by the European Space Agency (Contract Number 22126/08/NL/VJ). Publisher Copyright: © 2014, The Author(s).

PY - 2015/4

Y1 - 2015/4

N2 - Objectives: The present study evaluated the effectiveness of a short and versatile daily exercise regime, named locomotion replacement training (LRT), to maintain muscle size, isometric strength, power, and endurance capacity of the leg muscles following 5 days of head-down tilt (HDT) bed rest. Methods: 10 male subjects (age 29.4 ± 5.9 years; height 178.8 ± 3.7 cm; body mass 77.7 ± 4.1 kg) performed, in random order, 5 days of 6° head-down tilt bed rest (BR) with no exercise (CON), or BR with daily 25 min of upright standing (STA) or LRT. Results: Knee extensor and plantar flexor cross-sectional area (CSA) were reduced by 2–3 % following bed rest (P < 0.01) for CON and STA, yet maintained for LRT. Knee extensor isometric strength (MVC) decreased by 8 % for CON (P < 0.05), was maintained for STA, and increased with 12 % for LRT (P < 0.05). Plantar flexor MVC remained unaltered during the study. Maximum jump height declined (~1.5 cm) for all conditions (P < 0.001). Neural activation and knee extensor fatigability did not change with bed rest. Bone resorption increased during BR and neither LRT nor STA was able to prevent or attenuate this increase. Conclusion: LRT was adequate to maintain muscle size and to even increase knee extensor MVC, but not muscle power and bone integrity, which likely requires more intense and/or longer exercise regimes. However, with only some variables showing significant changes, we conclude that 5 days of BR is an inadequate approach for countermeasure assessments.

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