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The overall objective of this pilot study is to establish the feasibility and methodological validity of using high-density surface electromyography to characterize motor unit behavior of the quadriceps under thermoneutral and locally cooled conditions, and to generate preliminary data to inform the design of a larger, hypothesis-driven study.
This randomized, cross-over pilot study will recruit 24 healthy young adults (12 men and 12 women) between the ages of 18 and 35 years. Participants will attend two in-person laboratory visits separated by a minimum of 48 hours. Visit 1 will include informed consent, eligibility confirmation, baseline assessments, and familiarization procedures. Visit 2 will include experimental testing under thermoneutral and cooled conditions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sequence A | Experimental | Those randomized to Group A (n=12, 50% men) will perform the thermoneutral condition first, followed by the cooled condition. |
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| Sequence B | Experimental | Those randomized to Group B (n=12, 50% men) will perform the cooled condition first, followed by the thermoneutral condition. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cryotherapy | Procedure | For the cold condition, an Aircast Thigh Pad (Aircast), connected to the Cryo Cuff IC cooler (DJO Global, Vista, California, USA) will be applied to the dominant thigh. The system circulates ice water maintained at approximately 10-15°C with intermittent compression. Cooling duration will be individualized based on mid-thigh skinfold thickness, consistent with published recommendations that account for the effect of subcutaneous tissue on intramuscular cooling9. Participants with a mid-thigh skinfold thickness of 0-10 mm will receive 10 minutes of cooling; those with a skinfold thickness of 11-20 mm will receive 25 minutes of cooling; those with a skinfold thickness of 21-30 mm will receive 40 minutes of cooling; and those with a skinfold thickness of 31-40 mm will receive 60 minutes of cooling. Participants will remain seated for the duration of the cooling treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Motor Unit (MU) Yield | Number of unique motor units successfully identified (decomposed) from quadriceps HDsEMG recordings during maximal voluntary contractions (MVCs) under thermoneutral and cooled conditions. | Immediately after the intervention |
| HDsEMG Decomposition Accuracy | Quality/accuracy of motor unit decomposition from quadriceps HDsEMG recorded during MVCs under thermoneutral and cooled conditions, based on decomposition quality metrics generated by the Delsys Neuromap Precision Decomposition III algorithm. | Immediately after the intervention |
| Proportion of Analyzable MVC Trials | Percentage of MVC trials that yield HDsEMG data suitable for motor unit decomposition and analysis under thermoneutral and cooled conditions (successful decomposition and acceptable signal quality). | Immediately after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Slope of MUAP-FR relationship | Slope of the linear regression relating MU firing rate to MU action potential amplitude during MVCs under thermoneutral and cooled conditions. | Immediately after the intervention |
| Y-intercept of MUAP-FR relationship |
| Measure | Description | Time Frame |
|---|---|---|
| Maximal Voluntary Contraction (MVC) Force | Peak knee extensor force (N) achieved during MVC testing under thermoneutral and cooled conditions. | Immediately after the intervention |
Inclusion Criteria:
Exclusion Criteria:
Current diagnosis or history of:
Current or recent musculoskeletal injury (e.g. fracture, sprain, dislocation) or any physical disability that precludes safe and adequate testing.
Pregnancy or breastfeeding.
Thigh circumference greater than 23 inches
Mid-thigh skinfold thickness greater 40 mm
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eliott Arroyo, PhD | Contact | 336-758-5847 | arroyoe@wfu.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Health and Exercise Science at Wake Forest University | Recruiting | Winston-Salem | North Carolina | 27109 | United States |
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| ID | Term |
|---|---|
| D017679 | Cryotherapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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|
Y-intercept of the linear regression relating MU firing rate to MU action potential amplitude during MVCs under thermoneutral and cooled conditions.
| Immediately after the intervention |