Effects of Eccentric Pedaling at Different Rates on Neuromuscular Function (Exo-Mode 3)

The recent appearance of ergocycles that can be used for eccentric pedaling (Cyclus type) has aroused a growing interest in the field of rehabilitation. The mechanical, metabolic, and cardiorespiratory characteristics of eccentric exercises make them an exercise of choice when the goal is to improve locomotor muscle function and exercise capacity. Despite its potential advantages, the optimal modalities of eccentric pedaling, in particular the choice of pedaling frequency, are still poorly understood, especially its effects on the neuromuscular system. Indeed, most training protocols impose a fixed pedaling power but with highly variable pedaling rates, ranging from 15 to 60 rpm (Besson et al., 2013; MacMillan et al., 2017). For a given pedaling power level (P), the choice of pedaling frequency (F) directly impacts the force torque (C) and thus the force applied to the pedals, since power is equal to the product of pedaling frequency and force torque (P = F.C). For frequencies varying from 15 to 60 rpm, the level of muscular tension during pedaling therefore varies from single to quadruple. These very large variations in force can influence the neuromuscular adaptations induced during a prolonged training period. For example, the use of low pedaling frequencies corresponding to high muscle tension could favor peripheral muscular adaptations (e.g. contractility) whereas higher pedaling frequencies could favor central (i.e. nervous) adaptations.

A better understanding of the neuromuscular adaptations induced by a period of eccentric pedaling at different cadences will allow for a more precise definition of training protocols for populations likely to undergo this type of training (e.g. elderly people, patients with heart failure).

Study Overview

• Status: Recruiting
• Conditions: Volunteers Who Can do Moderate Physical Activity
• Intervention / Treatment: Other: Neuromuscular evaluation; Other: Assessment of aerobic capacity, muscle architecture and habituation to the eccentric pedaling task; Other: Pedaling at 15 rpm; Other: Pedaling at 60rpm; Other: No pedaling, usual activity

• Study Type: Interventional
• Enrollment (Estimated): 35
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Davy LAROCHE; Phone Number: 03 80 29 56 65; Email: davy.laroche@chu-dijon.fr

Study Locations

• France
  • Dijon, France, 21000
    • Recruiting
    • CHU Dijon Bourgogne
    • Contact: Davy LAROCHE; Phone Number: 03 80 29 56 65; Email: davy.laroche@chu-dijon.fr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 40 years (Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Person who has given oral consent
• Subject capable of understanding simple commands and giving consent
• Subject (male or female) between 18 and 40 years of age.
• Subject able to do moderate physical activity

Exclusion Criteria:

• Person not affiliated to national health insurance.
• Physical disabilities affecting the lower limbs or the pelvis, and which may hinder or prevent the practice of exercise on an ergocycle, whether neurological (central or peripheral), arterial (in particular, arterial disease of the lower limbs with a systolic index < 0.6) or orthopedic (degenerative or inflammatory rheumatism).
• Person under legal protection (curatorship, guardianship)
• Person under court order (sauvegarde de justice)
• Pregnant, parturient or breastfeeding women
• Major unable to express consent
• Minor

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Control	Other: Neuromuscular evaluation; Before and after training. Muscle function: voluntary maximal isometric force of the knee extensors; evoked force in the knee extensors by double percutaneous electrical stimulation at 100 and 10 Hz; level of voluntary activation; voluntary maximum force in concentric and eccentric mode at an angular speed of 60°.s-1; squat jump and counter-movement jump; Other: Assessment of aerobic capacity, muscle architecture and habituation to the eccentric pedaling task; Before and after training. Cardiovascular-respiratory function: Oxygen consumption during the incremental concentric pedaling test conducted to high effort perception.; heart rate during pedaling tasks Muscle architecture: - Pennation angle and thickness of vastus lateralis, rectus femoris, gastrocnemius medialis and lateralis muscles, before and after training. Familiarization with eccentric pedaling; Other: No pedaling, usual activity; Maintain usual physical activity and diet for a period of 6 weeks.
Experimental: Eccentric pedalling group at 15 rpm	Other: Neuromuscular evaluation; Before and after training. Muscle function: voluntary maximal isometric force of the knee extensors; evoked force in the knee extensors by double percutaneous electrical stimulation at 100 and 10 Hz; level of voluntary activation; voluntary maximum force in concentric and eccentric mode at an angular speed of 60°.s-1; squat jump and counter-movement jump; Other: Assessment of aerobic capacity, muscle architecture and habituation to the eccentric pedaling task; Before and after training. Cardiovascular-respiratory function: Oxygen consumption during the incremental concentric pedaling test conducted to high effort perception.; heart rate during pedaling tasks Muscle architecture: - Pennation angle and thickness of vastus lateralis, rectus femoris, gastrocnemius medialis and lateralis muscles, before and after training. Familiarization with eccentric pedaling; Other: Pedaling at 15 rpm; 3 training sessions per week for 6 weeks
Experimental: Eccentric pedalling group at 60 rpm	Other: Neuromuscular evaluation; Before and after training. Muscle function: voluntary maximal isometric force of the knee extensors; evoked force in the knee extensors by double percutaneous electrical stimulation at 100 and 10 Hz; level of voluntary activation; voluntary maximum force in concentric and eccentric mode at an angular speed of 60°.s-1; squat jump and counter-movement jump; Other: Assessment of aerobic capacity, muscle architecture and habituation to the eccentric pedaling task; Before and after training. Cardiovascular-respiratory function: Oxygen consumption during the incremental concentric pedaling test conducted to high effort perception.; heart rate during pedaling tasks Muscle architecture: - Pennation angle and thickness of vastus lateralis, rectus femoris, gastrocnemius medialis and lateralis muscles, before and after training. Familiarization with eccentric pedaling; Other: Pedaling at 60rpm; 3 sessions per week of training for 6 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Maximum isometric force developed in the quadriceps	6 weeks of training

Collaborators and Investigators

• Sponsor: Centre Hospitalier Universitaire Dijon

Study record dates

Study Major Dates

• Study Start (Actual): February 7, 2022
• Primary Completion (Estimated): June 1, 2025
• Study Completion (Estimated): June 1, 2025

Study Registration Dates

• First Submitted: May 10, 2021
• First Submitted That Met QC Criteria: May 10, 2021
• First Posted (Actual): May 13, 2021

Study Record Updates

• Last Update Posted (Actual): February 20, 2024
• Last Update Submitted That Met QC Criteria: February 16, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: LAROCHE 2021

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No