Neuromuscular function of braquial biceps in isometric contraction after termotherapy

Authors

  • Fábio Gonçalves Guedes Centro Universitário Estácio Juiz de Fora
  • Maraline Cristina de Andrade Centro Universitário Estácio Juiz de Fora
  • Maycon Rodrigo Felício de Almeida Centro Universitário Estácio Juiz de Fora
  • Hícaro Felizardo Amorim Centro Universitário Estácio Juiz de Fora
  • João Eduardo Machado da Costa Antunes Centro Universitário Estácio Juiz de Fora
  • Josimar Bento Machado Centro Universitário Estácio Juiz de Fora
  • Sílvia Regina Costa Dias Centro Universitário Estácio Juiz de Fora

DOI:

https://doi.org/10.5935/0104-7795.20170035

Keywords:

Electromyography, Ultrasonic Therapy, Cryotherapy, Muscle Strength

Abstract

The change in temperature of a biological tissue can promote physiological effects that lead to circulatory and nerve changes, such as vasodilation and increased flexibility. Objective: The objective of this study was to evaluate, through a noninvasive neuromuscular assessment, how thermotherapy influences the muscular strength and the myoelectric signals of the biceps brachial in isometric contraction. Methods: Seventeen volunteers were instructed to perform isometric contraction of the brachial biceps muscle concomitantly with surface electromyography. Electromyographic and force evaluation were performed before and after the intervention with thermotherapeutic resources that consisted of ice therapy for 15 minutes and continuous ultrasound (1MHz, 0.8W/cm2) for 7 minutes. Results: Women have less strength and fewer motor units. However, the frequency of electric inputs of the effector pathways is higher, which indicates a greater propensity to fatigue. After the application of heat, no differences were observed in the neuromuscular response of the contracting brachial biceps. The cryotherapy, however, promoted a significant reduction in the strength and number of motor units activated during the contraction. Conclusion: The cooling of muscle tissue promotes a decrease of muscle fibers activities, since there is a reduction in the velocity of nerve impulse conduction and the reflex of the myotatic arch. In addition, cryotherapy also decreases the sensitivity of the Golgi tendon organs, increases blood viscosity, and causes vasoconstriction. All these factors are combined to culminate in the decrease of neuromuscular activation and, consequently, in the reduction of muscle strength.

Downloads

Download data is not yet available.

References

Felice TD, Santana LR. Recursos fisioterapêuticos (crioterapia e termoterapia) na espasticidade: revisão de literatura. Rev Neurocienc. 2009;17(1)57-62.

Coelho MVC, Pereira LG, Pereira R. Crioterapia no tornozelo e atividade eletromiográfica do tibial anterior e fibular durante o apoio unipodálico no balancinho. Perspectivas Online. 2008; 2(7):98-101.

Matheus JPC, Oliveira FB, Gomide LB, Milani JGPO, Volpon JB, Shimano AC. Efeitos do ultra-som terapêutico nas propriedades mecânicas do músculo esquelético após contusão. Rev Bras Fisioter. 2008;12(3):241-7. DOI: http://dx.doi.org/10.1590/S1413-35552008000300013

Hedrick WR, Hykes DL, Starchman DE. Ultrasound physics and instrumentation. 3rd ed. Sant Louis: Mosby; 1995.

Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. Am J Sports Med. 2004;32(1):251-61. DOI: http://dx.doi.org/10.1177/0363546503260757

Hubbard TJ, Aronson SL, Denegar CR. Does Cryotherapy Hasten Return to Participation? A Systematic Review. J Athl Train. 2004;39(1):88-94.

Merrick MA, Bermardkd, Devor ST, Williams JM. Identical 3-MHz ultrasound treatments with different devices produce different intramuscular temperatures. J Orthop Sports Phys Ther. 2003;33(7):379-85. DOI: http://dx.doi.org/10.2519/jospt.2003.33.7.379

Knight KL. Crioterapia no tratamento das lesões esportivas. São Paulo: Manole; 2000.

Pereira GG, Rocha APA, Santos DGD, Andrade EA, Queiroz LSA, Faria VN. Influência da crioterapia na força muscular. Rev Saúde Com. 2013; 9(3): 227-233.

Rainoldi A, Melchiorri G, Caruso I. A method for positioning electrodes during surface EMG recordings in lower limb muscles. J Neurosci Methods. 2004;134(1):37-43. DOI: http://dx.doi.org/10.1016/j.jneumeth.2003.10.014

Silva SRD, Gonçalves M. Análise da fadiga muscular pela amplitude do sinal eletromiográfico. Rev Bras Ci Mov. 2003; 1(3):15-20.

Freitas Filho CHB, Silva JRT, Silva ML. Princípios etiológicos e de diagnose em fibromialgia e seu tratamento através da acupuntura. Sobrafisa. 2004;1(5):11-8.

De Lucca CJ. The use of Surface Electromyography in biomechanics. J Ap Biomech. 1997;13(2):135-63. DOI: http://dx.doi.org/10.1123/jab.13.2.135

Ervilha UF, Duarte M, Amadio AC. Estudos sobre procedimentos de normalização do sinal eletromiográfico durante o movimento humano. Rev Bras Fisioter. 1998;3(1):15-20.

De Luca CJ, Adam A, Wotiz R, Gilmore LD, Nawab SH. Decomposition of surface EMG signals. J Neurophysiol. 2006;96(3):1646-57. DOI: http://dx.doi.org/10.1152/jn.00009.2006

Prentice WE. Modalidades terapêuticas em medicina esportiva. 4 ed. São Paulo: Manole; 2002.

Weineck J. Treinamento ideal. 9 ed. Barueri: Manole; 2003.

Achour Junior A. Exercícios de alongamento: anatomia e fisiologia. 2 ed. São Paulo: Manole; 2006.

ter Haar G. Therapeutic applications of ultrasound. Prog Biophys Mol Biol. 2007;93(1-3):111-29.

Starkey C. Recursos terapêuticos em fisioterapia. Barueri: Manole; 2001.

Lioce EE, Novello M, Durando G, Bistolfi A, Actis MV, Massazza G, et al. Therapeutic ultrasound in physical medicine and rehabilitation: characterization and assessment of its physical effects on joint-mimicking phantoms. Ultrasound Med Biol. 2014;40(11):2743-8. DOI: http://dx.doi.org/10.1016/j.ultrasmedbio.2014.07.004

Johns LD, Straub SJ, Howard SM. Analysis of effective radiating area, power, intensity, and field characteristics of ultrasound transducers. Arch Phys Med Rehabil. 2007;88(1):124-9. DOI: http://dx.doi.org/10.1016/j.apmr.2006.09.016

Kollmann C, Vacariu G, Schuhfried O, Fialka-Moser V, Bergmann H. Variations in the output power and surface heating effects of transducers in therapeutic ultrasound. Arch Phys Med Rehabil. 2005;86(7):1318-24. DOI: http://dx.doi.org/10.1016/j.apmr.2005.02.001

Guirro E, Guirro R. As variáveis físicas do ultra-som terapêutico: uma revisão. Rev Ciência Tecnol. 1996;9(5):31-41.

Young S. Terapia por ultrassom. In: Kitchen S, Bazin S. Eletroterapia de Clayton. 10 ed. São Paulo: Manole; 1998. p.235-58.

Agne JE. Eletrotermoterapia: teoria a prática. Santa Maria: Orium; 2005.

Maggi LE, Omena TP, von Krüger MA, Pereira WCA. Software didático para modelagem do padrão de aquecimento dos tecidos irradiados por ultra-som fisioterapêutico Rev Bras Fisioter. 2008;12(3):204-14.

Low J, Reed A. Eletroterapia explicada: princípios e prática. 3 ed. São Paulo: Manole; 2001.

Amâncio ACG, Barbieri CH, Mazzer N, Garcia SB, Thomazini JA. Estimulação ultra-sônica da integração de enxertos de pele total: estudo experimental em coelhos. Acta Ortop Bras. 2006; 14(5): 276-9. DOI: http://dx.doi.org/10.1590/S1413-78522006000500010

Kitchen S. Eletroterapia: prática baseada em evidência. São Paulo: Manole; 2003.

Watson T. Ultrasound in contemporary physiotherapy practice. Ultrasonics. 2008;48(4):321-9.

Gallo JA, Draper DO, Brody LT, Fellingham GW. A comparison of human muscle temperature increases during 3-MHz continuous and pulsed ultrasound with equivalent temporal average intensities. J Orthop Sports Phys Ther. 2004;34(7):395-401.

Wilkin LD, Merrick MA, Kirby TE, Devor ST. Influence of therapeutic ultrasound on skeletal muscle regeneration following blunt contusion. Int J Sports Med. 2004;25(1):73-7.

Watson T. Current concepts in electrotherapy. Haemophilia. 2002;8(3):413-8.

Watson T. The role of electrotherapy in contemporary physiotherapy practice. Man Ther. 2000;5(3):132-41.

ter Haar G.Therapeutic ultrasound. Eur J Ultrasound. 1999;9(1):3-9.

Nussbaum E. The influence of ultrasound on healing tissues. J Hand Ther. 1998;11(2):140-7.

Frizzell LA, Dunn F. Biophysics of ultrasound. In: Lehmann JF. Therapeutic heat and cold. Baltimore: William Wilkins; 1990. p. 362-97.

Garrett CL, Draper DO, Knight KL. Heat distribution in the lower leg from pulsed short-wave diathermy and ultrasound treatments. J Athlet Train. 2000; 35(1):50-5.

Rodrigues A. Crioterapia. São Paulo: Cefespar; 1995.

Rutkove SB. Effects of temperature on neuromuscular electrophysiology. Muscle Nerve. 2001;24(7):867-82.

Ruiz DH, Myrer JW, Durrant E, Fellingham GW. Cryotherapy and sequential exercise bouts following cryotherapy on concentric and eccentric strength in the quadriceps. J Athl Train. 1993;28(4):320-3.

Sanya AO, Bello AO. Effects of cold application on isometric strength and endurance of quadriceps femoris muscle. Afr J Med Med Sci. 1999;28(3-4):195-8.

Becher C, Springer J, Feil S, Cerulli G, Paessler HH. Intra-articular temperatures of the knee in sports - an in-vivo study of jogging and alpine skiing. BMC Musculoskelet Disord. 2008;9:46.

Barbosa L, Gomes EB, Carvalho GA, Pinheiro HA. Efeitos da imersão em gelo na força de preensão palmar em adultos jovens. Acta Fisiatr. 2013; 20(3):138-41.

Guirro R, Abib C, Máximo C. Os efeitos fisiológicos da crioterapia: uma revisão. Rev Fisioter Univ São Paulo. 1999;6(2):164-70.

Andrews JR, Harrelson GL, Wilk L. Reabilitação física de lesões desportivas. Rio de Janeiro: Guanabara Koogan; 2000.

Rubley MD, Denegar CR, Buckley WE, Newell KM. Cryotherapy, Sensation, and Isometric-Force Variability. J Athl Train. 2003;38(2):113-119.

Duarte R, Macedo R. Efeito do gelo no momento máximo de força durante o movimento concêntrico de extensão do joelho. EssFisiOnline. 2005;1(3):21-37.

Silva ALP, Imoto DM, Croci AT. Estudo comparativo entre a aplicação de crioterapia, cinesioterapia e ondas curtas no tratamento da osteoartrite de joelho. Acta Ortop Bras. 2007; 15(4):204-9.

Hatzek BM, Kaminski TW. The effects of ice immersion on concentric and eccentric isokinetic muscle performance in the ankle. Isok Exerc Sci. 2000; 8(2): 103-7.

Published

2017-12-27

Issue

Section

Original Article

How to Cite

1.
Guedes FG, Andrade MC de, Almeida MRF de, Amorim HF, Antunes JEM da C, Machado JB, et al. Neuromuscular function of braquial biceps in isometric contraction after termotherapy. Acta Fisiátr. [Internet]. 2017 Dec. 27 [cited 2024 Jul. 18];24(4):186-92. Available from: https://periodicos.usp.br/actafisiatrica/article/view/154212