Fatigability and Physiological Insights into Upright Standing Postural Control of Endurance Athletes Following Different High Intensity Interval Trainings

Abstract

Purpose

The primary aim of this study was to investigate the acute dose response of 4 different individualized high intensity interval training (HIIT) prescriptions on upright standing postural control. Further, due to the similarity between the factors contributing to the change in postural control and fatiguability, the secondary aim of this study was to evaluate the correlation between upright standing postural control and parameters of performance [electromyographic fatigue threshold (EMG_FT)] and perceived fatiguability [rate of perceived exertion (RPE), motivation, muscle soreness] in endurance athletes.

Methods

For this purpose, a sample of 40 trained endurance athletes (age: 21.47 ± 2.61 years; height: 164.77 ± 7.3 cm; weight: 57.53 ± 6.3 kg; BMI: 21.18 ± 7.4 kg/m²) was recruited for the study and randomly allocated into 4 groups. After assessing the demographic, physiological [height, weight, heart rate, blood pressure, maximal oxygen consumption (VO_2max), velocity at onset of blood lactate accumulation (vOBLA)] and fatigability parameters, different groups were assigned individualized HIIT sessions with varied recovery interval intensity and duration in between the pre- and post-postural control assessments.

Results

All HIIT protocols caused a significant increment in the postural sway in all four directions (front, back, left, and right) which was not significantly different from each other. A strong negative correlation between the change in postural control was reported with VO_2max, EMG_FT and a strong positive correlation with height, weight, body mass index, RPE, while the correlation coefficient revealed a moderate positive correlation with vOBLA.

Conclusion

This study concludes that all the four HIIT prescriptions have similar acute effect on the upright standing postural control and it is strongly correlated with fatiguability.

Keywords

EMG fatigue threshold / Maximal oxygen consumption / Motivation / Rate of perceived exertion / Velocity at onset of blood lactate accumulation

References

[1] AdlertonAK, MoritzU, Moe-NilssenR. Forceplate and accelerometer measures for evaluating the effect of muscle fatigue on postural control during one-legged stance. Physiotherapy Res Int, 2003, 8(4): 187-199.

[2] AlonsoAC, MochizukiL, Silva LunaNM, AyamaS, CanonicaAC, GreveJM. Relation between the sensory and anthropometric variables in the quiet standing postural control: is the inverted pendulum important for the static balance control?. BioMed Res Int, 2015, 2015. 985312

[3] AmannM, ProctorLT, SebranekJJ, PegelowDF, DempseyJA. Opioid-mediated muscle afferents inhibit central motor drive and limit peripheral muscle fatigue development in humans. J Physiol, 2009, 587: 271-283.

[4] AmannM, VenturelliM, IvesSJ, McDanielJ, LayecG, RossmanMJ, RichardsonRS. Peripheral fatigue limits endurance exercise via a sensory feedback-mediated reduction in spinal motoneuronal output. J Appl Physiol, 2013, 115: 355-364.

[5] Billat LV. Interval training for performance: a scientific and empirical practice. Special recommendations for middle- and long-distance running. Part I: aerobic interval training. Sports Med. 2001;31(1):13–31.

[6] BorgG, LjunggrenG, CeciR. The increase of perceived exertion, aches and pain in the legs, heart rate and blood lactate during exercise on a bicycle ergometer. Eur J Appl Physiol Occup Physiol, 1985, 54(4): 343-349.

[7] CaronO. Effects of local fatigue of the lower limbs on postural control and postural stability in standing posture. Neurosci Lett, 2003, 340(2): 83-86.

[8] CaronO, GélatT, RougierP, BlanchiJP. A comparative analysis of the center of gravity and center of pressure trajectory path lengths in standing posture: an estimation of active stiffness. J Appl Biomech, 2000, 16(3): 234-247.

[9] CrowellDH, GuskiewiczKM, PrenticeWE, OnateJA. The effect of fatigue on postural stability and neuropsychological function. J Athl Train, 2001, 36(Suppl 2): S31-S33

[10] DeraveW, De ClercqD, BouckaertJ, PannierJL. The influence of exercise and dehydration on postural stability. Ergonomics, 1998, 41(6): 782-789.

[11] DideriksenJL, EnokaRM, FarinaD. Neuromuscular adjustments that constrain submaximal EMG amplitude at task failure of sustained isometric contractions. J Appl Physiol, 2011, 111: 485-494.

[12] EnokaRM, DuchateauJ. Translating fatigue to human performance. Med Sci Sports Exerc., 2016, 48112228.

[13] FergusonB. ACSM’s guidelines for exercise testing and prescription 9th Ed. J Can Chiroprac Assoc, 2014, 583328

[14] FoxZG, MihalikJP, BlackburnJT, BattagliniCL, GuskiewiczKM. Return of postural control to baseline after anaerobic and aerobic exercise protocols. J Athl Train, 2008, 43(5): 456-463.

[15] Galen SS, Guffey DR, Coburn JW, Malek MH. Determining the electromyographic fatigue threshold following a single visit exercise test. J Vis Exp. 2015;(101):e52729.

[16] HarkinsKM, MattacolaCG, UhlTL, MaloneTR, McCroryJL. Effects of 2 ankle fatigue models on the duration of postural stability dysfunction. J Athl Train, 2005, 40(3): 191-194

[17] HeckH, MaderA, HessG, MückeS, MüllerR, HollmannW. Justification of the 4-mmol/l lactate threshold. Int J Sports Med, 1985, 6(03): 117-130.

[18] HrysomallisC. Balance ability and athletic performance. Sports Med, 2011, 41(3): 221-232.

[19] HugF, LaplaudD, LuciaA, GrelotL. EMG threshold determination in eight lower limb muscles during cycling exercise: a pilot study. Int J Sports Med, 2005, 27(6): 456-462.

[20] IaiaFM, RampininiE, BangsboJ. High-intensity training in football. Int J Sports Physiol Perform., 2009, 4(3): 291-306.

[21] JoD, BilodeauM. Rating of perceived exertion (RPE) in studies of fatigue-induced postural control alterations in healthy adults: scoping review of quantitative evidence. Gait Posture, 2021, 90: 167-178.

[22] KeirDA, FontanaFY, RobertsonTC, MuriasJM, PatersonDH, KowalchukJM, et al.. Exercise intensity thresholds: identifying the boundaries of sustainable performance. Med Sci Sports Exerc., 2015, 47(9): 1932-1940.

[23] KeithDJ, RinchuseDJ, KennedyM, ZulloT. Effect of text message follow-up on patient's self-reported level of pain and anxiety. Angle Orthod., 2013, 83(4): 605-610.

[24] LeeAJ, LinWH. The influence of gender and somatotype on single-leg upright standing postural stability in children. J Appl Biomech, 2007, 23(3): 173-179.

[25] LepersR, BigardAX, DiardJP, GouteyronJF, GuezennecCY. Posture control after prolonged exercise. Eur J Appl Physiol Occup Physiol, 1997, 76(1): 55-61.

[26] MarcolinG, PanizzoloFA, BiancatoE, CognolatoM, PetroneN, PaoliA. Moderate treadmill run worsened static but not dynamic postural stability of healthy individuals. Eur J Appl Physiol, 2019, 119: 841-846.

[27] McNeilCJ, ButlerJE, TaylorJL, GandeviaSC. Testing the excitability of human motoneurons. Front Hum Neurosci, 2013, 7152.

[28] Midgley AW, McNaughton LR. Time at or near VO2max during continuous and intermittent running. A review with special reference to considerations for the optimisation of training protocols to elicit the longest time at or near VO2max. J Sports Med Phys Fitness. 2006;46(1):1–14.

[29] MullerEA. The physiological basis of rest pauses in heavy work. Q J Exp Physiol Cognate Med Sci., 1953, 38(3): 205-215.

[30] Muntner P, Einhorn PT, Cushman WC, Whelton PK, Bello NA, Drawz PE, Green BB, Jones DW, Juraschek SP, Margolis KL, Miller ER 3rd, Navar AM, Ostchega Y, Rakotz MK, Rosner B, Schwartz JE, Shimbo D, Stergiou GS, Townsend RR, Williamson JD, Wright JT Jr, Appel LJ; 2017 National Heart, Lung, and Blood Institute Working Group. Blood pressure assessment in adults in clinical practice and clinic-based research: JACC scientific expert panel. J Am Coll Cardiol. 2019;73(3):317–335.

[31] NardoneA, TarantolaJ, GiordanoA, SchieppatiM. Fatigue effects on body balance. Electroencephalogr Clin Neurophysiol, 1997, 105(4): 309-320.

[32] NardoneA, TarantolaJ, GalanteM, SchieppatiM. Time course of stabilometric changes after strenuous treadmill exercise. Arch Phys Med Rehabil, 1998, 79(8): 920-924.

[33] OliveiraVND, BessaA, JorgeMLMP, OliveiraRJDS, de MelloMT, De AgostiniGG, EspindolaFS. The effect of different training programs on antioxidant status, oxidative stress, and metabolic control in type 2 diabetes. Appl Physiol Nutr Metab, 2012, 37(2): 334-344.

[34] PaillardT. Effects of general and local fatigue on postural control: a review. Neurosci Biobehav Rev, 2011, 36(1): 162-176.

[35] SaifA, KhanZ, ParveenA. Fatigue thresholds as a marker for transition from aerobic to anaerobic exercise intensity in intermittent sport players: an electrophysiological study. Trends Sport Sci, 2023, 30(2): 69-75

[36] TaylorHL, BuskirkE, HenschelA. Maximal oxygen intake as an objective measure of cardio-respiratory performance. J Appl Physiol., 1955, 8(1): 73-80.

[37] WhyteE, BurkeA, WhiteE, MoranK. A high-intensity, intermittent exercise protocol and dynamic postural control in men and women. J Athl Train, 2015, 50(4): 392-399.

[38] WilkinsJC, Valovich McLeodTC, PerrinDH, GansnederBM. Performance on the balance error scoring system decreases after fatigue. J Athl Train, 2004, 39(2): 156-161

[39] WinterDA, PatlaAE, PrinceF, IshacM, Gielo-PerczakK. Stiffness control of balance in quiet standing. J Neurophysiol, 1998, 80(3): 1211-1221.

[40] YaggieJA, McGregorSJ. Effects of lower extremity fatigue on indices of balance. J Sport Rehabil, 2004, 13(4): 312-322.

Funding

pmrf(Prime Minister Research Fellowship (PMRF) (Scheme code- 3268))

RIGHTS & PERMISSIONS

Beijing Sport University