The purpose of this study was to investigate whether the voluntary neural drive and the excitability of the reflex arc could be modulated by training, even in old age. To this aim, the effects of a 16-wk strengthening program on plantar flexor voluntary activation (VA) and on the maximum Hoffman reflex (H(max))-to-maximum M wave (M(max)) ratio were investigated in 14 elderly men (65-80 yr). After training, isometric maximum voluntary contraction (MVC) increased by 18% (P < 0.05) and weight-lifting ability by 24% (P < 0.001). Twitch contraction time decreased by 8% (P < 0.01), but no changes in half relaxation time and in peak twitch torque were observed. The VA, assessed by twitch interpolation, increased from 95 to 98% (P < 0.05). Pretraining VA, also evaluated from the expected MVC for total twitch occlusion, was 7% higher (P < 0.01) than MVC. This discrepancy persisted after training. The interpolated twitch torque-voluntary torque relationship was fitted by a nonlinear model and was found to deviate from linearity for torque levels >65% MVC. Compared with younger men (24-35 yr), the H(max)- to M(max) ratio and nerve conduction velocity (H index) of the older group were significantly lower (42%, P < 0.05; and 29%, P < 0.001, respectively) and were not modulated by training. In conclusion, older men seem to preserve a high VA of plantar flexors. However, the impaired functionality of the reflex pathway with aging and the lack of modulation with exercise suggest that the decrease in the H(max)- to M(max) ratio and H index may be related to degenerative phenomena.

Hence, hypertrophy cannot alone justify the increase in torque, and other factors, such as an increase in individual fibre-specific tension (in the case of KE), a decrease in antagonist muscles' coactivation, an improved co-ordination and an increased neural drive of the other heads of quadriceps may have contributed to the increments in strength. The significant increase in muscle power seems particularly noteworthy with respect to daily activities involving the displacement of the body over time, namely, the generation of muscle power.

This study was designed to investigate the effect of ageing on the mechanical and electromyographic (EMG) characteristics of the soleus motor units (MUs) activated by the maximal Hoffmann reflex (Hmax) and by the direct muscle compound action potential (Mmax). Eleven young (mean age 25 +/- 4 years) and ten elderly (mean age 73 +/- 5 years) males took part in this investigation. The senior group presented lower amplitudes of Mmax (-57 %, P < 0.001) and Hmax (-68 %, P < 0.001) waves compared to the younger population. These were associated with a depression of relative twitch torque of the plantar flexors. The average values of the Hmax/Mmax ratio did not statistically differ between the two populations, despite a tendency for lower values (~23 %) in the senior group. However, the older adults showed a greater relative amplitude of the sub-maximal M wave evoked at Hmax (MatHmax) than did the younger males (young 5 % vs. elderly 29 % of the Mmax, P < 0.01). This finding suggests an increased homogeneity between the excitability threshold of sensory and motor axons. The twitch torque at Hmax (PtH-M) was subsequently calculated by subtraction from the total twitch torque of the mechanical contamination associated with MatHmax. The resulting PtH-M was significantly lower in the elderly (-59 %, P < 0.001). Despite a discrepancy of 20 % between the two groups, the mechanical ratio (PtH-M/PtM; PtM, twitch tension related to the Mmax compound action potential), like the EMG ratio, did not statistically differ between the young and older individuals. Nevertheless, the senior subjects exhibited a higher twitch/EMG ratio for the reflexively activated MUs (PtH-M/Hmax) than the younger individuals (+40 %, P < 0.05). This finding suggests an on-going neuromuscular remodelling, resulting in an increased innervation ratio. The neural rearrangement may be viewed as a compensatory adaptation of the motor system to preserve the mechanical efficiency of the surviving MUs, despite the age-related impairment of the segmental reflex system. This phenomenon is confirmed by the maintenance, with senescence, of the approximately constant values of the twitch/EMG ratio for the entire motor pool (PtM/Mmax).

It is well known that center of pressure (CoP) displacement correlates negatively with the maximal isometric torque (MIT) of ankle muscles. This relationship has never been investigated in elderly fallers (EF). The purpose of this study was thus to analyze the relationship between the MIT of ankle muscles and CoP displacement in upright stance in a sample aged between 18 and 90 years old that included EF. The aim was to identify a threshold of torque below which balance is compromised. The MIT of Plantar flexors (PFs) and dorsal flexors (DFs) and CoP were measured in 90 volunteers: 21 healthy young adults (YA) (age: 24.1 ± 5.0), 12 healthy middle-aged adults (MAA) (age: 50.2 ± 4.5), 27 healthy elderly non-fallers (ENF) (age: 75.5 ± 7.0) and 30 EF (age: 78.8 ± 6.7). The MIT of PF and DF were summed to obtain the overall maximal ankle muscle strength. Body weight and height were used to normalize MIT (nMIT) and CoP (nCoP), respectively. nCoP correlated negatively with nMIT. 90% of EF generated an nMIT <3.1 N·m·kg−1, whereas 85% of non-fallers generated an nMIT >3.1 N·m·kg−1. The relationship between nMIT and nCoP implies that ankle muscle weakness contributes to increased postural instability and the risk of falling. We observed that below the threshold of 3.1 N·m·kg−1, postural stability was dramatically diminished and balance was compromised. Our results suggest that measuring ankle torque could be used in routine clinical practice to identify potential fallers.

These results clearly demonstrate that i) the neural activation dependence on quadriceps muscle length is maintained with fatigue, and ii) neuromuscular fatigue after maximal isometric contractions is dependent on the muscle length at which the exercise is performed: short length preferentially induces neural activation impairment, whereas long length leads to higher contractile failure.

This study was designed to investigate the effect of ageing on the mechanical and electromyographic (EMG) characteristics of the soleus motor units (MUs) activated by the maximal Hoffmann reflex (H max ) and by the direct muscle compound action potential (M max ). Eleven young (mean age 25 ± 4 years) and ten elderly (mean age 73 ± 5 years) males took part in this investigation. The senior group presented lower amplitudes of M max (_57 %, P < 0.001) and H max (_68 %, P < 0.001) waves compared to the younger population. These were associated with a depression of relative twitch torque of the plantar flexors. The average values of the H max /M max ratio did not statistically differ between the two populations, despite a tendency for lower values (~23 %) in the senior group. However, the older adults showed a greater relative amplitude of the sub-maximal M wave evoked at H max (M atHmax ) than did the younger males (young 5 % vs. elderly 29 % of the M max , P < 0.01). This finding suggests an increased homogeneity between the excitability threshold of sensory and motor axons. The twitch torque at H max (Pt H-M ) was subsequently calculated by subtraction from the total twitch torque of the mechanical contamination associated with M atHmax . The resulting Pt H-M was significantly lower in the elderly (_59 %, P < 0.001). Despite a discrepancy of 20 % between the two groups, the mechanical ratio (Pt H-M /Pt M ; Pt M , twitch tension related to the M max compound action potential), like the EMG ratio, did not statistically differ between the young and older individuals. Nevertheless, the senior subjects exhibited a higher twitch/EMG ratio for the reflexively activated MUs (Pt H-M /H max ) than the younger individuals (+40 %, P < 0.05). This finding suggests an on-going neuromuscular remodelling, resulting in an increased innervation ratio. The neural rearrangement may be viewed as a compensatory adaptation of the motor system to preserve the mechanical efficiency of the surviving MUs, despite the age-related impairment of the segmental reflex system. This phenomenon is confirmed by the maintenance, with senescence, of the approximately constant values of the twitch/EMG ratio for the entire motor pool (Pt M /M max ). Journal of Physiologyageing (Sabbahi & Sedgwick, 1982;Schmidt et al. 1982;Vandervoort & Hayes, 1989;Koceja & Mynark, 2000;Scaglioni et al. 2002), an attenuation of its normalised index (H max /M max ) does not necessarily follow. Indeed, some studies showed no effect of age on the proportion of reflexively recruited motor units (deVries et al. 1985;Vandervoort & Hayes, 1989) while others reported a reduction of the EMG ratio pointing to a defective reflex function (Sabbahi & Sedgwick, 1982;Koceja et al. 1995;Angulo-Kinzler et al. 1998;Scaglioni et al. 2002). Hence, if ageing can be associated with a reduced neural excitability, it might be speculated that the kinetics of the twitches associated with the H max and M max waves are affected to a similar extent as their related compound muscle potentials. As re...

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Long-term mixed-strength programmes can improve MF and FA in elderly females, and FA in elderly males.