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Effects of Exercise-Induced Muscle Damage on Neuromuscular Complexity

Effects of Exercise-Induced Muscle Damage Induced by Eccentric Exercise on Knee Extensor Torque, Oxygenation, and Electromyographic Properties: A Complexity-Based Approach

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07565376
Acronym
EIMD-NMC
Enrollment
11
Registered
2026-05-04
Start date
2025-08-20
Completion date
2026-03-30
Last updated
2026-05-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Eccentric Exercise, Muscle Damage

Keywords

muscle damage, complexity, variability, Peak torque, muscle oxygenation

Brief summary

This study will examine the effects of exercise-induced muscle damage, induced by eccentric exercise, on torque production, muscle oxygenation, and electromyographic activity of the knee extensors in healthy young men. Eleven participants will perform a sustained submaximal isometric contraction before and 48 hours after a muscle-damaging eccentric exercise protocol. It is anticipated that the eccentric exercise will confirm the presence of muscle damage, by decrease in maximal voluntary isometric torque, increase in muscle soreness, and reduction in pain-free range of motion. The effect of eccentric exercise on the complexity of torque output, which could be reflected by decreased Sample Entropy and increased DFA α, will be indicated by a possible shift toward more predictable and less adaptable motor control patterns. Based on these results, the investigators will know about the effect of eccentric exercise induced muscle damage on neuromuscular efficiency, that is greater neural input could be required to maintain the same mechanical output, as well as increased oxygen consumption in the active muscle.

Detailed description

The present study was designed to investigate the impact of exercise-induced muscle damage , caused by eccentric exercise, on neuromuscular and physiological function of the knee extensor muscles. The research was based on the contemporary theoretical framework of the "loss of complexity," which proposes that physiological signal variability is not merely random noise, but rather an essential characteristic of healthy and adaptable biological systems. According to this approach, greater signal complexity reflects a more flexible and efficient neuromuscular control strategy, whereas reduced complexity indicates impaired adaptability and a more rigid functional state. A total of eleven healthy young men (N = 11, age 27.8 ± 2.5 years) participated in the study. During the initial session, anthropometric characteristics were recorded and maximal voluntary isometric torque of the knee extensors was measured. The main testing procedure involved a sustained submaximal isometric contraction performed at 50% of maximal voluntary contraction for 60 seconds. During this task, torque output, muscle oxygenation, and electromyographic activity of the vastus lateralis were continuously was recorded in order to assess both mechanical and neuromuscular responses. Following baseline testing, participants completed a muscle damage induction protocol consisting of five sets of fifteen maximal eccentric contractions performed at an angular velocity of 60°/s. This protocol was designed to induce structural and functional muscle impairment characteristic of exercise induced muscle damage. Forty-eight hours after the intervention, all measurements were repeated to determine the effects of muscle damage on the same variables. Data were processed and analyzed in MATLAB, with statistical significance set at p \< .05. The results are anticipated to confirm the successful induction of muscle damage. The investigators wanted to show the effect of exercise induced muscle damage on torque complexity through changes in Sample Entropy, and changes on detrended fluctuation analysis exponent, which indicate that torque fluctuations will became more regular, predictable, and less complex. A possible reduction in complexity it expected to be accompanied by a change in neuromuscular efficiency, meaning that a greater level of neural activation will be needed to produce the same relative mechanical output. A likely explanation is that damage to muscle fibers and sarcomeres would reduce the effectiveness of force transmission, forcing the nervous system to compensate through increased neural drive. In parallel, it is expected that muscle oxygenation measurements will show increased deoxygenated hemoglobin, indicating higher oxygen extraction and a greater metabolic burden on the remaining functional muscle fibers. This finding would suggest that, after exercise induced muscle damage, fewer intact fibers may be available to share the workload, thereby increasing the relative demand placed on those still functioning effectively. An additional important observation will be the possible changes in traditional linear variability indices, such as standard deviation and coefficient of variation. This will highlight the limitation of conventional linear measures in detecting subtle but functionally meaningful changes in neuromuscular regulation.

Interventions

OTHERIsokinetic eccentric exercise

Isokinetic eccentric exercise consisted of 5 sets of 15 repetitions using the knee extensors. The intensity of the exercise was the maximal voluntary and an interval of 1 minute was applied between sets.

Sponsors

National and Kapodistrian University of Athens
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

* No experience of resistance exercise with heavy loads the past 6 months

Exclusion criteria

* History of lower-limb injury * Taking any medication * Suffered from any pathological condition * Participation in a systematic eccentric exercise program during the previous 6 months

Design outcomes

Primary

MeasureTime frameDescription
Isokinetic sub maximal exerciseFrom enrollment to the end of the treatment at 48 hoursIsokinetic exercise of 60 seconds using the sub maximal intensity of 50% MVC. The knee joint will be set at 90 degrees and the values will be in Nm.
ElectromyographyFrom enrollment to the end of treatment at 48 hoursContinuous recording of EMG during the 60 seconds isometric exercise. Patches will be placed in vastus laterals and the recording will be at 100 Hz
Muscle oxygenationrom enrollment to the end of treatment at 48 hoursMuscle oxygenation measured using near infrared spectroscopy (NIRS) of the knee extensors during the 60 seconds isometric exercise. The main parameters that will be recored are the oxygenated haemoglobin, the deoxygenated haemoglobin, the total haemoglobin and the difference between oxygenated and deoxygenated haemoglobin.

Secondary

MeasureTime frameDescription
Delayed onset muscle sorenessFrom enrollment to the end of treatment at 48 hoursAssessment of subjective pain feeling assessed by palpation of knee extensors muscle belly. The scale was set between 1 (no pain at all) to 10 (extreme pain).
Range of MotionFrom enrollment to the end of treatment at 48 hoursThe angles the knee joint may be flexed without the feeling of any pain. The starting position was set at full extension.
Peak torque outputFrom enrollment to the end of treatment at 48 hoursIsometric peak torque output was assessed at 90 degrees knee joint angle (0 degrees was set at full extension). The assessments was consisted of 3 set of 5 seconds each. The higher performance was recorded for the data analysis

Countries

Greece

Contacts

PRINCIPAL_INVESTIGATORVassilis Paschalis, Dr.

National and Kapodistrian Univesity of Athens

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 5, 2026