Superimposed Whole-Body Electrostimulation Augments Strength Adaptations and Type II Myofiber Growth in Soccer Players During a Competitive Season

Background The improvement of strength and athletic performance during a competitive season in elite soccer players is a demanding task for the coach. Aims As whole-body electrostimulation (WB-EMS) training provides a time efficient stimulation potentially capable in exerting skeletal muscle adaptations we aimed to test this approach over 7 weeks in trained male soccer players during a competitive season. Hypothesis We hypothesized that a superimposed WB-EMS will increase maximal strength and type I and type II myofiber hypertrophy. Methods Twenty-eight male field soccer players were assigned in either a WB-EMS group (EG, n = 10), a training group (TG, n = 10), or a control group (CG, n = 8). The regular soccer training consists of two to four sessions and one match per week. In concurrent, the EG performed 3 × 10 squat jumps superimposed with WB-EMS twice per week, TG performed 3 × 10 squat jumps without EMS twice per week, and the CG only performed the regular soccer training. Muscle biopsies were collected and strength tests were performed under resting conditions before (Baseline) and after the intervention period (Posttest). Muscle biopsies were analyzed via western blotting and immunohistochemistry for skeletal muscle adaptive responses. To determine the effect of the training interventions a 2 × 3 (time ∗ group) mixed ANOVA with repeated measures was conducted. Results Maximal strength in leg press (p = 0.009) and leg curl (p = 0.026) was significantly increased in EG along with a small but significant increase in type II myofiber diameter (p = 0.023). All of these adaptations were not observed in TG and CG. Conclusion WB-EMS can serve as a time efficient training method to augment strength capacities and type II fiber myofiber growth in soccer players when combined with specific resistance training. This combination may therefore be a promising training modification compared to traditional strength training for performance enhancement.

[1]  D. Malatesta,et al.  Effects of Electromyostimulation Training and Volleyball Practice on Jumping Ability , 2003, Journal of strength and conditioning research.

[2]  Alain Martin,et al.  Effects of an Electrostimulation Training Program on Strength, Jumping, and Kicking Capacities in Soccer Players , 2010, Journal of strength and conditioning research.

[3]  J. Hawley,et al.  Concurrent exercise training: do opposites distract? , 2017, The Journal of physiology.

[4]  Yongseok Jee,et al.  The efficacy and safety of whole-body electromyostimulation in applying to human body: based from graded exercise test , 2018, Journal of exercise rehabilitation.

[5]  L. Donath,et al.  Effects of an Eight-Week Superimposed Submaximal Dynamic Whole-Body Electromyostimulation Training on Strength and Power Parameters of the Leg Muscles: A Randomized Controlled Intervention Study , 2018, Front. Physiol..

[6]  T. Hortobágyi,et al.  Neural adaptations to electrical stimulation strength training , 2011, European Journal of Applied Physiology.

[7]  J. Bergstrom Percutaneous needle biopsy of skeletal muscle in physiological and clinical research. , 1975, Scandinavian journal of clinical and laboratory investigation.

[8]  Alain Martin,et al.  Activation of human plantar flexor muscles increases after electromyostimulation training. , 2002, Journal of applied physiology.

[9]  Wilhelm Bloch,et al.  Ca2+-Dependent Regulations and Signaling in Skeletal Muscle: From Electro-Mechanical Coupling to Adaptation , 2015, International journal of molecular sciences.

[10]  P. P. Puche,et al.  PERCUTANEOUS ELECTRICAL STIMULATION IN STRENGTH TRAINING: AN UPDATE , 2005, Journal of strength and conditioning research.

[11]  L. Donath,et al.  Seven Weeks of Jump Training with Superimposed Whole-Body Electromyostimulation Does Not Affect the Physiological and Cellular Parameters of Endurance Performance in Amateur Soccer Players , 2020, International journal of environmental research and public health.

[12]  H. Appell,et al.  Effect of electrical stimulation of high and low frequency on maximum isometric force and some morphological characteristics in men. , 1987, International journal of sports medicine.

[13]  W. Bloch,et al.  Induction and adaptation of chaperone-assisted selective autophagy CASA in response to resistance exercise in human skeletal muscle , 2015, Autophagy.

[14]  W. Bloch,et al.  Effects of a Whole-Body Electrostimulation Program on Strength, Sprinting, Jumping, and Kicking Capacity in Elite Soccer Players. , 2016, Journal of sports science & medicine.

[15]  Julien S. Baker,et al.  Creatine-Kinase- and Exercise-Related Muscle Damage Implications for Muscle Performance and Recovery , 2012, Journal of nutrition and metabolism.

[16]  P. Aagaard,et al.  Effects of strength training on muscle fiber types and size; consequences for athletes training for high‐intensity sport , 2010, Scandinavian journal of medicine & science in sports.

[17]  I. Vogiatzis,et al.  Resistance exercise-induced increase in muscle mass correlates with p70S6 kinase phosphorylation in human subjects , 2007, European Journal of Applied Physiology.

[18]  Alain Martin,et al.  Electromyostimulation training effects on neural drive and muscle architecture. , 2005, Medicine and science in sports and exercise.

[19]  S. W. Stevenson,et al.  Use of Electrical Stimulation in Strength and Power Training , 2008 .

[20]  H. Mascher,et al.  The degree of p70S6k and S6 phosphorylation in human skeletal muscle in response to resistance exercise depends on the training volume , 2010, European Journal of Applied Physiology.

[21]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[22]  B Drust,et al.  Analysis of High Intensity Activity in Premier League Soccer , 2009, International journal of sports medicine.

[23]  M. Jubeau,et al.  Neuromuscular Adaptations to Electrostimulation Resistance Training , 2006, American journal of physical medicine & rehabilitation.

[24]  J. Bagley Fibre type‐specific hypertrophy mechanisms in human skeletal muscle: potential role of myonuclear addition , 2014, The Journal of physiology.

[25]  G. Cometti,et al.  The influence of electrostimulation on mechanical and morphological characteristics of the triceps surae. , 1994, Journal of sports sciences.

[26]  D. Bishop,et al.  Interference between Concurrent Resistance and Endurance Exercise: Molecular Bases and the Role of Individual Training Variables , 2014, Sports Medicine.

[27]  J. Petrella,et al.  Potent myofiber hypertrophy during resistance training in humans is associated with satellite cell-mediated myonuclear addition: a cluster analysis. , 2008, Journal of applied physiology.

[28]  C. Zinner,et al.  Effects of Loaded Squat Exercise with and without Application of Superimposed EMS on Physical Performance. , 2016, Journal of sports science & medicine.

[29]  W. Bloch,et al.  Phosphorylation of αB-crystallin and its cytoskeleton association differs in skeletal myofiber types depending on resistance exercise intensity and volume. , 2019, Journal of applied physiology.

[30]  Michael P Reiman,et al.  Eccentric training for prevention of hamstring injuries may depend on intervention compliance: a systematic review and meta-analysis , 2014, British Journal of Sports Medicine.

[31]  Stuart M Phillips,et al.  Are acute post-resistance exercise increases in testosterone, growth hormone, and IGF-1 necessary to stimulate skeletal muscle anabolism and hypertrophy? , 2013, Medicine and science in sports and exercise.

[32]  Christopher R. Bellon,et al.  The Importance of Muscular Strength: Training Considerations , 2018, Sports Medicine.

[33]  S. B. Wilkinson,et al.  Hypertrophy with unilateral resistance exercise occurs without increases in endogenous anabolic hormone concentration , 2006, European Journal of Applied Physiology.

[34]  A. Martín,et al.  Electrical stimulation and swimming performance. , 1995, Medicine and science in sports and exercise.

[35]  Martin Hägglund,et al.  Epidemiology of Muscle Injuries in Professional Football (Soccer) , 2011, The American journal of sports medicine.

[36]  Effect of injury prevention programs that include the Nordic hamstring exercise on hamstring injury rates in soccer players: A systematic review and meta-analysis , 2017 .

[37]  Marc Jubeau,et al.  Comparison between voluntary and stimulated contractions of the quadriceps femoris for growth hormone response and muscle damage. , 2008, Journal of applied physiology.

[38]  K. Häkkinen,et al.  Training-Load-Guided vs Standardized Endurance Training in Recreational Runners. , 2017, International journal of sports physiology and performance.

[39]  Joshua Berger,et al.  Efficacy and Safety of Low Frequency Whole-Body Electromyostimulation (WB-EMS) to Improve Health-Related Outcomes in Non-athletic Adults. A Systematic Review , 2018, Front. Physiol..

[40]  K. Häkkinen,et al.  Cytokine and hormone responses to resistance training , 2009, European Journal of Applied Physiology.

[41]  A. Knicker,et al.  High force development augments skeletal muscle signalling in resistance exercise modes equalized for time under tension , 2014, Pflügers Archiv: European Journal of Physiology.

[42]  Margarita Pérez,et al.  Effects of transcutaneous short-term electrical stimulation on M. vastus lateralis characteristics of healthy young men , 2002, Pflügers Archiv.

[43]  Effect of combined electrostimulation and plyometric training on vertical jump height. , 2002, Medicine and science in sports and exercise.

[44]  S. Colson,et al.  Re-examination of training effects by electrostimulation in the human elbow musculoskeletal system. , 2000, International journal of sports medicine.

[45]  M. Tartaruga,et al.  Perceived Exertion in Different Strength Exercise Loads in Sedentary, Active, and Trained Adults , 2010, Journal of strength and conditioning research.

[46]  S. Achtzehn,et al.  Acute metabolic, hormonal, and psychological responses to strength training with superimposed EMS at the beginning and the end of a 6 week training period , 2015, Journal of musculoskeletal & neuronal interactions.

[47]  Chris M Gregory,et al.  Recruitment patterns in human skeletal muscle during electrical stimulation. , 2005, Physical therapy.

[48]  Trevor C. Chen,et al.  Muscle damage induced by electrical stimulation , 2011, European Journal of Applied Physiology.

[49]  W. Bloch,et al.  Resistance exercise-induced muscle fatigue is not accompanied by increased phosphorylation of ryanodine receptor 1 at serine 2843 , 2018, PloS one.

[50]  L. Donath,et al.  Effects of Whole-Body Electromyostimulation on Strength-, Sprint-, and Jump Performance in Moderately Trained Young Adults: A Mini-Meta-Analysis of Five Homogenous RCTs of Our Work Group , 2019, Front. Physiol..

[51]  D. Rassier Sarcomere mechanics in striated muscles: from molecules to sarcomeres to cells. , 2017, American journal of physiology. Cell physiology.

[52]  Håvard D. Johansen,et al.  Quantified Soccer Using Positional Data: A Case Study , 2018, Front. Physiol..

[53]  D. Willoughby,et al.  Supplemental EMS and Dynamic Weight Training: Effects on Knee Extensor Strength and Vertical Jump of Female College Track & Field Athletes , 1998 .

[54]  A. Bigard,et al.  Effects of surface electrostimulation on the structure and metabolic properties in monkey skeletal muscle. , 1993, Medicine and science in sports and exercise.

[55]  A. Samal,et al.  Morphometric analysis of gastrocnemius muscle biopsies from patients with peripheral arterial disease: objective grading of muscle degeneration. , 2013, American journal of physiology. Regulatory, integrative and comparative physiology.

[56]  P. Krustrup,et al.  Match performance of high-standard soccer players with special reference to development of fatigue , 2003, Journal of sports sciences.

[57]  R. C. Lehman,et al.  Electrical stimulation of quadriceps femoris in an elite weight lifter: a single subject experiment. , 1989, International journal of sports medicine.

[58]  T. Hornberger,et al.  The mechanical activation of mTOR signaling: an emerging role for late endosome/lysosomal targeting , 2014, Journal of Muscle Research and Cell Motility.

[59]  M. Frame,et al.  p70S6K is regulated by focal adhesion kinase and is required for Src-selective autophagy , 2015, Cellular signalling.

[60]  A. Martín,et al.  The Effects of Electromyostimulation Training and Basketball Practice on Muscle Strength and Jumping Ability , 2000, International journal of sports medicine.

[61]  M. Egerman,et al.  Signaling pathways controlling skeletal muscle mass , 2013, Critical reviews in biochemistry and molecular biology.

[62]  M. Teschler,et al.  [(Very) high Creatinkinase concentration after exertional whole-body electromyostimulation application: health risks and longitudinal adaptations]. , 2015, Wiener medizinische Wochenschrift.

[63]  Thierry Paillard,et al.  Combined Application of Neuromuscular Electrical Stimulation and Voluntary Muscular Contractions , 2008, Sports medicine.

[64]  W. Kemmler,et al.  Whole-Body Electromyostimulation – The Need for Common Sense! Rationale and Guideline for a Safe and Effective Training , 2016 .

[65]  G. D’Antona,et al.  Neuromuscular electrical stimulation training induces atypical adaptations of the human skeletal muscle phenotype: a functional and proteomic analysis. , 2011, Journal of applied physiology.

[66]  Joachim Mester,et al.  Electromyostimulation—A Systematic Review of the Effects of Different Electromyostimulation Methods on Selected Strength Parameters in Trained and Elite Athletes , 2012, Journal of strength and conditioning research.

[67]  B. Roberts,et al.  Molecular Regulation of Exercise-Induced Muscle Fiber Hypertrophy. , 2018, Cold Spring Harbor perspectives in medicine.

[68]  W. Kemmler,et al.  Hohe Kreatinkinase-Werte nach exzessiver Ganzkörper-Elektromyostimulation: gesundheitliche Relevanz und Entwicklung im Trainingsverlauf , 2015, Wiener Medizinische Wochenschrift.

[69]  J. Finsterer,et al.  Side effects of whole-body electro-myo-stimulation , 2018, Wiener Medizinische Wochenschrift.

[70]  E. Sáez De Villarreal,et al.  Match-play activity profile in professional soccer players during official games and the relationship between external and internal load. , 2015, The Journal of sports medicine and physical fitness.

[71]  J. Chatard,et al.  EFFECTS OF ELECTROMYOSTIMULATION TRAINING ON MUSCLE STRENGTH AND POWER OF ELITE RUGBY PLAYERS , 2007, Journal of strength and conditioning research.