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Patients in rehabilitation may undergo periods of prolonged limb immobilization in response to injury, surgery, or illness. Due to disuse, the size and strength of muscles controlling the affected limb can decrease significantly, possibly resulting in physical impairment or lower quality of life during the recovery phase. Prior immobilization studies have shown that the rate and degree of decline in muscle strength exceeds that of muscle size, indicating that determinants of muscle strength unrelated to muscle size may further contribute to functional changes during immobilization.
The purpose of this study is to describe the changes in muscle strength, muscle size, corticospinal excitability, voluntary activation, M1 cortical thickness, and resting state functional connectivity following a 2-week limb immobilization period in young women.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immobilized arm | Experimental | Left arm of participant |
|
| Non-immobilized arm | No Intervention | Right arm of participant |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immobilization | Behavioral | Immobilization of left arm using a brace and sling. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in isometric elbow flexion and extension peak torque, both arms | Measured using an isokinetic dynamometer; peak torque during static contraction of the elbow flexors and extensors | Comparison between before and after 2 weeks of left arm immobilization |
| Change in isokinetic elbow flexion and extension peak torque, both arms | Measured using an isokinetic dynamometer; peak torque during dynamic contraction of the elbow flexors and extensors | Comparison between before and after 2 weeks of left arm immobilization |
| Change in cross-sectional area of the elbow flexor and extensor muscles, both arms | Obtained from magnetic resonance images of each arm | Comparison between before and after 2 weeks of left arm immobilization |
| Change in volume of the elbow flexor and extensor muscles, both arms | Obtained from magnetic resonance images of each arm | Comparison between before and after 2 weeks of left arm immobilization |
| Voluntary activation of biceps brachii, both arms | Measured using peripheral nerve stimulation and an isokinetic dynamometer; estimation of the capacity to voluntarily activate the force-generating elements of the biceps brachii during maximal effort elbow flexion | Comparison between before and after 2 weeks of left arm immobilization |
| Change in corticospinal excitability of biceps brachii, both arms | Measured using transcranial magnetic stimulation; estimation of the efficacy of the corticospinal tract to relay electrical signals to the biceps brachii muscle |
| Measure | Description | Time Frame |
|---|---|---|
| Change in right and left primary motor cortex thickness | Obtained from magnetic resonance image of the brain | Comparison between before and after 2 weeks of left arm immobilization |
| Change in whole brain resting state functional connectivity |
| Measure | Description | Time Frame |
|---|---|---|
| 2-day caloric and macronutrient intake, before immobilization | Obtained using self-reported dietary intake records | Measured during the 2-day period right before left arm immobilization |
| 2-day caloric and macronutrient intake, during immobilization |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Exercise Metabolism and Nutrition Research Laboratory | Montreal | Quebec | H2W 1S4 | Canada |
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| ID | Term |
|---|---|
| D009133 | Muscular Atrophy |
| ID | Term |
|---|---|
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001284 | Atrophy |
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| ID | Term |
|---|---|
| D007103 | Immobilization |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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| Comparison between before immobilization and 24 hours of left arm immobilization, and before and after 2 weeks of left arm immobilization |
Obtained from magnetic resonance image of the brain
| Comparison between before and after 2 weeks of left arm immobilization |
Obtained using self-reported dietary intake records
| Measured during the last 2 days of left arm immobilization |
| Ovarian hormone concentrations (estradiol, progesterone) | Obtained using blood samples | Measured on day of left arm immobilization, before putting on the arm brace |
| Ovarian hormone concentrations (estradiol, progesterone) | Obtained using blood samples | Measured after 2 weeks of left arm immobilization |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |