FIT Exercise in 30d of ULLS-induced Muscle Disuse

Официальное название

Use of Velocity Monitoring to Prescribe Appropriate Flywheel-based Inertial Training (FIT) Workloads for Exercise in Space Flight

Обзор

This study aims to determine how flywheel-based inertial training (FIT) implemented according to principles of velocity-based training (VBT) and High-Intensity Interval Training (HIIT) affects disuse-induced physical de-conditioning including loss of voluntary muscle strength, aerobic capacity, and balance regulation.

Подробное описание

The primary objectives of this project are:

1. To assess how 30d of unilateral lower limb suspension (ULLS) with and without FIT exercise affects voluntary and electrically-evoked twitch force, motor unit recruitment, and anisotropic measures. 2. To determine how muscle anisotropy (assessed through diffusion tensor imaging) and motor unit action potential train (MUAPT) characteristics relate to contractile function in loaded and unloaded limbs

Secondary objectives include:

1. To assess impact of ULLS with and without FIT on aerobic capacity 2. To assess impact of ULLS with and without FIT on balance regulation during single-leg stance

This study aims to recruit 10 healthy, physically active participants (both male and female). Participants will undergo 30d of ULLS to unload the left limb during daily living activities. Subjects will wear a specially modified shoe with a 5cm rocker-style stack on the right leg and ambulate using crutches. Participants will be randomly assigned to either a control or exercise group. Those in the exercise group will perform Flywheel-based Inertial Training (FIT) leg press three times per week. Moment of inertia of the flywheel will be adjusted to elicit movement speeds of 0.4 m/s for resistance training (four sets of 10 repetitions). For High Intensity Interval Training, flywheel moment of inertia will be adjusted to elicit movement speed of 1.0m/s during upright squats (four sets of 3 min).

Before and after the intervention, subjects will complete a series of tests including:

1. Body Composition - height, weight, waist circumference, and tetrapolar bioelectrical impedance analysis will be conducted. 2. Balance assessment - center of pressure will be assessed using portable force decks during single leg stance with eyes open and closed. This test will be repeated in the shod and unshod conditions. MUAPT data (high density surface electromyography) will be collected for the soleus and tibialis anterior during this test. 3. Aerobic capacity test - VO2max will be determined during a graded exercise test on a cycle ergometer (3 min per stage). Gas exchange and heart rate data will be collected continuously throughout the test. Pedal force will also be assessed. Additional outcomes such as ventilatory threshold and substrate utilization will be assessed. 4. Muscle Imaging - Diffusion tensor imaging (DTI), a magnetic resonance technique will be used to assess anisotropic measures, muscle volume, fascicle length, and fascicle orientation of the mid-thigh. 5. Muscle strength testing - Maximal voluntary isometric and isokinetic strength of the knee extensors, flexors, and ankle plantar- and dorsi-flexors will be assessed. Interpolated twitch (electrical stimulation of the femoral nerve) will be used to assess twitch characteristics and voluntary activation of the quadriceps

Вмешательства

• Другое velocity-based FIT (VBFIT)
  Participants will ambulate unilaterally using a shoe modified with a 5cm rocker-style stack and forearm crutches for the duration of the study. All participants will complete two testing sessions prior to ULLS, one testing session at day 13, and two testing sessions at the end of the study. Those assigned to the exercise group will perform a both high-intensity resistance and aerobic exercise three times per week
• Другое No Exercise
  Participants will ambulate unilaterally using a shoe modified with a 5cm rocker-style stack and forearm crutches for the duration of the study. All participants will complete two testing sessions prior to ULLS, one testing session at day 13, and two testing sessions at the end of the study.

Первичные конечные точки

• Voluntary activation [Срок оценки: Baseline, day 13, and day 30]
• Twitch Properties-Electromechanical Delay [Срок оценки: Baseline, day 13, and day 30]
• Twitch Properties-Rate of Torque Development [Срок оценки: Baseline, day 13, and day 30]
• Twitch Properties-Time to peak Tension [Срок оценки: Baseline, day 13, and day 30]
• Twitch Properties-Peak Twitch Torque [Срок оценки: Baseline, day 13, and day 30]
• Twitch Properties-Relaxation Rate [Срок оценки: Baseline, day 13, and day 30]
• Post activation Potentiation [Срок оценки: Baseline, day 13, and day 30]
• Motor unit action potential train (MUAPT) firing rate [Срок оценки: Baseline, day 13, and day 30]
• Motor unit action potential train (MUAPT) recruitment threshold. [Срок оценки: Baseline, day 13, and day 30]
• Motor unit action potential train (MUAPT) de-recruitment threshold. [Срок оценки: Baseline, day 13, and day 30]

Вторичные конечные точки (11)

• Aerobic Capacity [Срок оценки: Baseline and day 30]
• Ventilatory Threshold [Срок оценки: Baseline and day 30]
• Substrate utilization [Срок оценки: Baseline and day 30]
• Body Composition [Срок оценки: Baseline and day 30]
• Postural sway area [Срок оценки: Baseline, day 13, and day 30]
• Postural Sway Velocity [Срок оценки: Baseline, day 13, and day 30]
• Motor unit firing rate - single leg stance [Срок оценки: Baseline, day 13, and day 30]
• Change in heart rate at rest [Срок оценки: Baseline and day 30]
• Change in blood pressure at rest [Срок оценки: Baseline and day 30]
• Change in heart rate variability [Срок оценки: Baseline and day 30]
• Change in heart rate recovery after exercise [Срок оценки: Baseline and day 30]

Критерии участия

Критерии включения

• Regularly engaging in aerobic exercise (> 150min/wk) and resistance exercise (>1 time per week) for the past 12 months
• Education greater than or equal to bachelor's degree (any field)

Критерии исключения

• Waist circumference < 55cm or > 90cm (F) and < 75cm or > 100cm (M)
• Body mass index < 18.5 or > 29.9
• Shoe size < 25 or >29cm.
• Not regularly engaging in exercise for previous 12 months
• Tobacco use within previous 6 months
• Blood clotting disorder
• Heart arrhythmia
• Implanted device which could negatively be affected by electrical impulse or strong magnetic field such as pacemaker, internal defibrillator, or cochlear implant
• Diagnosed cardiovascular, pulmonary, renal, or metabolic disease
• Pregnancy (within previous 6 months)
• Oral contraceptive use (within previous three months)
• High resting blood pressure (>140 systolic and/or > 90 diastolic)
• Currently or previously undergone gender-affirming therapy (hormone therapy or sexual reassignment surgery)
• Low back or leg injury in previous 6 months
• Currently taking medication to assist with sleep
• Muscle, bone, or joint injury that limits physical activity within previous 6 months
• Neurological disorder which affects balance (such as multiple sclerosis or Parkinson's disease)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

США · 1 центр

• University of Kentucky — Lexington

Идентификаторы

NCT: NCT06631053 · 97289 · 80NSSC24M0149

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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