Aging Clinical Trial
Official title:
Effect of Different Strength Training Intensities on Achilles and Patellar Tendon Adaptations With Aging
Tendons are essential structures for transmitting muscle forces to skeletal structures. A stiffer tendon will transmit muscle force faster, and then allow faster movement. Moreover, tendons are a living tissue and respond to mechanical forces by changing their metabolism as well as their structural and mechanical properties. The aim of the present study is to answer essential questions remaining unanswered that are necessary in order to optimize physical activity with ageing in humans, and thus improve quality of life in elderly. The main questions are: What is the minimal training intensity leading to tendon adaptations? What is the time-course of tendon adaptations? Does the same loading protocol lead to similar tendon adaptations for different tendons (Achilles vs Patellar) and does the same training program lead to identical tendon adaptations with age (25yrs vs 75yrs)? To answer these questions, tendon architecture and mechanical properties will be investigated in humans of different age and applying different training intensities. The kinematic of the tendon adaptations due to these different training characteristics will also be investigated. The training protocol will be applied on plantar flexors and knee extensors. MRI and ultrasound techniques as well as the use of ankle and knee ergometers will allow the quantification of possible modifications in tendon architecture and mechanical properties (tendon stiffness and Young's Modulus). This will be assessed in vivo, using ultrasound images to assess tendon displacement during an incremental maximal contraction.
Given the aging population demographics, and the barriers that exist in this population in
terms of exercise participation, determining the level of exercise intensity required and
the time-course to induce tendon adaptations is of paramount importance in this population.
Therefore the purpose of this study is to:
1. determine whether a low intensity exercise training program (resistance 55% 1RM)
affects tendon architecture and mechanical properties with aging,
2. compare these effects to those of a higher intensity exercise training protocol
(resistance 80% 1RM) with a match training work with regards to the low intensity
exercise training group,
3. evaluate the time course of tendon adaptations (architecture and mechanical properties)
for the two training conditions with aging,
4. compare the effect of an identical training protocol applied on two different muscle
groups (triceps surae vs quadriceps muscles) on Patellar and Achilles tendon
adaptations.
Every subject recruited (Two groups composed of males aged between 65 and 85 years, and one
group of young subjects (between 18 and 30 years)) will be asked to take part in a training
program applied on the calf and quadriceps muscle groups on both legs. All subjects will be
assessed 4 weeks before starting the intervention program (T-4w), at time zero (T0) and
every four weeks during 12 weeks (T4w, and T8w). The investigation 4 weeks before starting
the training program will allow using each subject as its own control. The intervention will
involve a maximum of forty five (45) minutes training sessions 3 times per week. Subjects
will be subjected to the same battery of baseline assessments (T-4w, and T0), during the
training procedure (T4w, and T8w), and following the 12-weeks intervention period (T12w).
The effect of aging and different loading interventions on Achilles and Patellar tendon will
be investigated for the following parameters:
- Tendon mechanical properties (stiffness and Young's Modulus) using US technique to
assess Achilles and Patellar tendon displacement during an incremental maximal
contraction.
- Tendon architecture using MRI technique to assess Achilles and Patellar tendon
cross-sectional area, tendon length and moment arm.
- Maximal voluntary contraction (MVC)
- Muscle architecture using MRI technique.
Thus all these data will allow defining an optimal training intensity for physical activity
of elderly persons.
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