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Review| Volume 20, ISSUE 10, P943-951, October 2017

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Skeletal muscle functional and structural adaptations after eccentric overload flywheel resistance training: a systematic review and meta-analysis

      Abstract

      Objectives

      The purpose of this meta-analysis was to examine the effect of flywheel (FW) resistance training with Eccentric Overload (FW-EOT) on muscle size and functional capacities (i.e. strength and power) in athletes and healthy subjects, and to compare FW-induced adaptations with those triggered by traditional resistance exercise interventions.

      Design

      A systematic review and meta-analysis of randomised controlled trials.

      Methods

      A search of electronic databases [PubMed, MEDLINE (SportDiscus), Web of Science, Scopus and PEDro] was conducted to identify all publications employing FW-EOT up to April 30, 2016. Outcomes were analyzed as continuous outcomes using a random effects model to calculate a standardized mean difference (SMD) and 95% CI. A total of 9 studies with 276 subjects and 92 effect sizes met the inclusion criteria and were included in the statistical analyses.

      Results

      The overall pooled estimate from the main effects analysis was 0.63 (95% CI 0.49–0.76) with a significant (p< 0.001) Z overall effect of 9.17. No significant heterogeneity (p value = 0.78) was found. The meta-analysis showed significant differences between FW-EOT vs. conventional resistance training in concentric and eccentric strength, muscle power, muscle hypertrophy, vertical jump height and running speed, favoring FW-EOT.

      Conclusions

      This meta-analysis provides evidence supporting the superiority of FW-EOT, compared with traditional weight-stack exercise, to promote skeletal muscle adaptations in terms of strength, power and size in healthy subjects and athletes.

      Keywords

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      References

        • Roig M.
        • O’Brien K.
        • Kirk G.
        • et al.
        The effects of eccentric versus concentric resistance training on muscle strength and mass in healthy adults: a systematic review with meta-analysis.
        Br J Sports Med. 2009; 43: 556-568
        • Hollander D.B.
        • Kraemer R.R.
        • Kilpatrick M.W.
        • et al.
        Maximal eccentric and concentric strength discrepancies between young men and women for dynamic resistance exercise.
        J Strength Cond Res. 2007; 21: 34-40
        • Hortobagyi T.
        • Hill J.P.
        • Houmard J.A.
        • et al.
        Adaptive responses to muscle lengthening and shortening in humans.
        J Appl Physiol. 1996; 80: 765-772
        • Higbie E.J.
        • Cureton K.J.
        • Warren 3rd, G.L.
        • et al.
        Effects of concentric and eccentric training on muscle strength, cross-sectional area, and neural activation.
        J Appl Physiol. 1996; 81: 2173-2181
        • Dudley G.A.
        • Tesch P.A.
        • Harris R.T.
        • et al.
        Influence of eccentric actions on the metabolic cost of resistance exercise.
        Aviat Space Environ Med. 1991; 62: 678-682
        • Duchateau J.
        • Baudry S.
        Insights into the neural control of eccentric contractions.
        J Appl Physiol. 2014; 116: 1418-1425
        • Hortobagyi T.
        • Lambert N.J.
        • Hill J.P.
        Greater cross education following training with muscle lengthening than shortening.
        Med Sci Sports Exerc. 1997; 29: 107-112
        • Fang Y.
        • Siemionow V.
        • Sahgal V.
        • et al.
        Greater movement-related cortical potential during human eccentric versus concentric muscle contractions.
        J Neurophysiol. 2001; 86: 1764-1772
        • Paulsen G.
        • Crameri R.
        • Benestad H.B.
        • et al.
        Time course of leukocyte accumulation in human muscle after eccentric exercise.
        Med Sci Sports Exerc. 2010; 42: 75-85
        • Garcia-Lopez D.
        • Cuevas M.J.
        • Almar M.
        • et al.
        Effects of eccentric exercise on NF-kappaB activation in blood mononuclear cells.
        Med Sci Sports Exerc. 2007; 39: 653-664
        • Jimenez-Jimenez R.
        • Cuevas M.J.
        • Almar M.
        • et al.
        Eccentric training impairs NF-kappaB activation and over-expression of inflammation-related genes induced by acute eccentric exercise in the elderly.
        Mech Ageing Dev. 2008; 129: 313-321
        • Fernandez-Gonzalo R.
        • Bresciani G.
        • de Souza-Teixeira F.
        • et al.
        Effects of a 4-week eccentric training program on the repeated bout effect in young active women.
        J Sports Sci Med. 2011; 10: 692-699
        • Farthing J.P.
        • Chilibeck P.D.
        The effects of eccentric and concentric training at different velocities on muscle hypertrophy.
        Eur J Appl Physiol. 2003; 89: 578-586
        • Franchi M.V.
        • Atherton P.J.
        • Reeves N.D.
        • et al.
        Architectural, functional and molecular responses to concentric and eccentric loading in human skeletal muscle.
        Acta Physiol (Oxf). 2014; 210: 642-654
        • Meylan C.M.
        • Nosaka K.
        • Green J.P.
        • et al.
        Variability and influence of eccentric kinematics on unilateral vertical, horizontal, and lateral countermovement jump performance.
        J Strength Cond Res. 2010; 24: 840-845
        • Roig M.
        • Shadgan B.
        • Reid W.D.
        Eccentric exercise in patients with chronic health conditions: a systematic review.
        Physiother Can. 2008; 60: 146-160
        • Meylan C.
        • Cronin J.
        • Nosaka K.
        Isoinertial assessment of eccentric muscular strength.
        Strength Cond J. 2008; 30: 56-64
        • Hortobagyi T.
        The positives of negatives: clinical implications of eccentric resistance exercise in old adults.
        J Gerontol A Biol Sci Med Sci. 2003; 58: M417-M418
        • Hortobagyi T.
        • Devita P.
        • Money J.
        • et al.
        Effects of standard and eccentric overload strength training in young women.
        Med Sci Sports Exerc. 2001; 33: 1206-1212
        • Gillies E.M.
        • Putman C.T.
        • Bell G.J.
        The effect of varying the time of concentric and eccentric muscle actions during resistance training on skeletal muscle adaptations in women.
        Eur J Appl Physiol. 2006; 97: 443-453
        • Dias C.P.
        • Toscan R.
        • de Camargo M.
        • et al.
        Effects of eccentric-focused and conventional resistance training on strength and functional capacity of older adults.
        Age (Dordrecht). 2015; 37: 99
        • Guilhem G.
        • Cornu C.
        • Maffiuletti N.A.
        • et al.
        Neuromuscular adaptations to isoload versus isokinetic eccentric resistance training.
        Med Sci Sports Exerc. 2013; 45: 326-335
        • Berg H.E.
        • Tesch A.
        A gravity-independent ergometer to be used for resistance training in space.
        Aviat Space Environ Med. 1994; 65: 752-756
        • Berg H.E.
        • Tesch A.
        Force and power characteristics of a resistive exercise device for use in space.
        Acta Astronaut. 1998; 42: 219-230
        • Chiu L.Z.
        • Salem G.J.
        Comparison of joint kinetics during free weight and flywheel resistance exercise.
        J Strength Cond Res. 2006; 20: 555-562
        • Naczk M.
        • Brzenczek-Owczarzak W.
        • Arlet J.
        • et al.
        Training effectiveness of the inertial training and measurement system.
        J Hum Kinet. 2014; 44: 19-28
        • Tous-Fajardo J.
        • Maldonado R.A.
        • Quintana J.M.
        • et al.
        The flywheel leg-curl machine: offering eccentric overload for hamstring development.
        Int J Sports Physiol Perform. 2006; 1: 293-298
        • Tesch P.A.
        • Ekberg A.
        • Lindquist D.M.
        • et al.
        Muscle hypertrophy following 5-week resistance training using a non-gravity-dependent exercise system.
        Acta Physiol Scand. 2004; 180: 89-98
        • Seynnes O.R.
        • de Boer M.
        • Narici M.V.
        Early skeletal muscle hypertrophy and architectural changes in response to high-intensity resistance training.
        J Appl Physiol. 2007; 102: 368-373
        • Norrbrand L.
        • Fluckey J.D.
        • Pozzo M.
        • et al.
        Resistance training using eccentric overload induces early adaptations in skeletal muscle size.
        Eur J Appl Physiol. 2008; 102: 271-281
        • Fernandez-Gonzalo R.
        • Lundberg T.R.
        • Alvarez-Alvarez L.
        • et al.
        Muscle damage responses and adaptations to eccentric-overload resistance exercise in men and women.
        Eur J Appl Physiol. 2014; 114: 1075-1084
        • Maroto-Izquierdo S.
        • Garcia-Lopez D.
        • De Paz Fernandez J.A.
        Functional and muscle-size effects of flywheel resistance training with eccentric overload in professional handball players.
        J Hum Kinet. 2016; (in press)
        • Romero-Rodriguez D.
        • Gual G.
        • Tesch P.A.
        Efficacy of an inertial resistance training paradigm in the treatment of patellar tendinopathy in athletes: a case-series study.
        Phys Ther Sport. 2011; 12: 43-48
        • Naczk M.
        • Naczk A.
        • Brzenczek-Owczarzak W.
        • et al.
        Impact of inertial training on strength and power performance in young active men.
        J Strength Cond Res. 2013; (Epub ahead of Print)
        • de Hoyo M.
        • Pozzo M.
        • Sanudo B.
        • et al.
        Effects of a 10-week in-season eccentric-overload training program on muscle-injury prevention and performance in junior elite soccer players.
        Int J Sports Physiol Perform. 2015; 10: 46-52
        • Askling C.
        • Karlsson J.
        • Thorstensson A.
        Hamstring injury occurrence in elite soccer players after preseason strength training with eccentric overload.
        Scand J Med Sci Sports. 2003; 13: 244-250
        • Norrbrand L.
        • Tous-Fajardo J.
        • Vargas R.
        • et al.
        Quadriceps muscle use in the flywheel and barbell squat.
        Aviat Space Environ Med. 2011; 82: 13-19
        • Pozzo M.
        • Alkner B.
        • Norrbrand L.
        • et al.
        Muscle-fiber conduction velocity during concentric and eccentric actions on a flywheel exercise device.
        Muscle Nerve. 2006; 34: 169-177
        • Rittweger J.
        • Frost H.M.
        • Schiessl H.
        • et al.
        Muscle atrophy and bone loss after 90 days’ bed rest and the effects of flywheel resistive exercise and pamidronate: results from the LTBR study.
        Bone. 2005; 36: 1019-1029
        • Alkner B.A.
        • Tesch P.
        Knee extensor and plantar flexor muscle size and function in response to 90 d bed rest with or without resistance exercise.
        Eur J Appl Physiol. 2004; 93: 294-305
        • Tesch P.A.
        • Trieschmann J.T.
        • Ekberg A.
        Hypertrophy of chronically unloaded muscle subjected to resistance exercise.
        J Appl Physiol. 2004; 96: 1451-1458
        • Onambele G.L.
        • Maganaris C.N.
        • Mian O.S.
        • et al.
        Neuromuscular and balance responses to flywheel inertial versus weight training in older persons.
        J Biomech. 2008; 41: 3133-3138
        • Brzenczek-Owczarzak W.
        • Naczk M.
        • Arlet J.
        • et al.
        Estimation of the efficacy of inertial training in older women.
        J Aging Phys Act. 2013; 21: 433-443
        • Fernandez-Gonzalo R.
        • Nissemark C.
        • Aslund B.
        • et al.
        Chronic stroke patients show early and robust improvements in muscle and functional performance in response to eccentric-overload flywheel resistance training: a pilot study.
        J Neuroeng Rehabil. 2014; 11: 150
        • Fernandez-Gonzalo R.
        • Fernandez-Gonzalo S.
        • Turon M.
        • et al.
        Muscle, functional and cognitive adaptations after flywheel resistance training in stroke patients: a pilot randomized controlled trial.
        J Neuroeng Rehabil. 2016; 13: 37
        • Shamseer L.
        • Moher D.
        • Clarke M.
        • et al.
        Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation.
        BMJ. 2015; 349: g7647
        • Moher D.
        • Shamseer L.
        • Clarke M.
        • et al.
        Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement.
        Syst Rev. 2015; 4: 1
        • Goode A.P.
        • Reiman M.P.
        • Harris L.
        • et al.
        Eccentric training for prevention of hamstring injuries may depend on intervention compliance: a systematic review and meta-analysis.
        Br J Sports Med. 2015; 49: 349-356
        • Elkins M.R.
        • Moseley A.M.
        • Sherrington C.
        • et al.
        Growth in the Physiotherapy Evidence Database (PEDro) and use of the PEDro scale.
        Br J Sports Med. 2013; 47: 188-189
        • Lundberg T.R.
        • Fernandez-Gonzalo R.
        • Gustafsson T.
        • et al.
        Aerobic exercise does not compromise muscle hypertrophy response to short-term resistance training.
        J Appl Physiol. 2013; 114: 81-89
        • Lundberg G.
        • Fernandez-Gonzalo R.
        • Tesch P.
        Exercise-induced AMPK activation does not interfere with muscle hypertrophy in response to resistance training in men.
        J Appl Physiol. 2014; 116: 611-620
        • Naczk M.
        • Naczk A.
        • Brzenczek-Owczarzak W.
        • et al.
        Efficacy of inertial training in elbow joint muscles: influence of different movement velocities.
        J Sports Med Phys Fitness. 2016; 56: 223-231
        • Norrbrand L.
        • Pozzo M.
        • Tesch P.A.
        Flywheel resistance training calls for greater eccentric muscle activation than weight training.
        Eur J Appl Physiol. 2010; 110: 997-1005
        • Lundberg T.R.
        • Fernandez-Gonzalo R.
        • Tesch P.A.
        Exercise induced AMPK activation does not interfere with muscle hypertrophy in response to resistance training in men.
        J Appl Physiol. 2014; 116: 611-620
        • Dudley G.A.
        • Tesch P.A.
        • Miller B.J.
        • et al.
        Importance of eccentric actions in performance adaptations to resistance training.
        Aviat Space Environ Med. 1991; 62: 543-550
        • Hather B.M.
        • Tesch P.A.
        • Buchanan P.
        • et al.
        Influence of eccentric actions on skeletal muscle adaptations to resistance training.
        Acta Physiol Scand. 1991; 143: 177-185
        • Martinez-Aranda L.M.
        • Fernandez-Gonzalo R.
        Effects of inertial setting on power, force, work and eccentric overload during flywheel resistance exercise in women and men.
        J Strength Cond Res. 2016; (Epub ahead of Print)
        • Alkner B.
        • Tesch P.A.
        Efficacy of a gravity-independent resistance exercise device as a countermeasure to muscle atrophy during 29-day bed rest.
        Acta Physiol Scand. 2004; 181: 345-357
        • Alkner B.A.
        • Berg H.E.
        • Kozlovskaya I.
        • et al.
        Effects of strength training, using a gravity-independent exercise system, performed during 110 days of simulated space station confinement.
        Eur J Appl Physiol. 2003; 90: 44-49
        • Bloomquist K.
        • Langberg H.
        • Karlsen S.
        • et al.
        Effect of range of motion in heavy load squatting on muscle and tendon adaptations.
        Eur J Appl Physiol. 2013; 113: 2133-2142
        • Noorkoiv M.
        • Nosaka K.
        • Blazevich A.J.
        Neuromuscular adaptations associated with knee joint angle-specific force change.
        Med Sci Sports Exerc. 2014; 46: 1525-1537
        • McMahon G.E.
        • Morse C.I.
        • Burden A.
        • et al.
        Impact of range of motion during ecologically valid resistance training protocols on muscle size, subcutaneous fat, and strength.
        J Strength Cond Res. 2014; 28: 245-255
        • de Hoyo M.
        • Sanudo B.
        • Carrasco L.
        • et al.
        Effects of traditional versus horizontal inertial flywheel power training on common sport-related tasks.
        J Hum Kinet. 2015; 47: 155-167
        • Tous-Fajardo J.
        • Gonzalo-Skok O.
        • Arjol-Serrano J.L.
        • et al.
        Change of direction speed in soccer players is enhanced by functional inertial eccentric overload and vibration training.
        Int J Sports Physiol Perform. 2016; 11: 66-73
        • Friedmann-Bette B.
        • Bauer T.
        • Kinscherf R.
        • et al.
        Effects of strength training with eccentric overload on muscle adaptation in male athletes.
        Eur J Appl Physiol. 2010; 108: 821-836