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Incline Dumbbell Curl (IDC) and Dumbbell Preacher Curl (DPC) are two variations of the standard Dumbbell Biceps Curl (DBC), generally applied to optimize biceps brachii contribution for elbow flexion by fixing shoulder at a specific angle. The aim of this study is to identify changes in the neuromuscular activity of biceps brachii long head for IDC, DPC and DBC exercises, by taking into account the changes in load moment arm and muscle length elicited by each dumbbell curl protocol. A single cycle (concentric-eccentric) of DBC, IDC and DPC, was applied to 22 subjects using a submaximal load of 40% estimated from an isometric MVC test. The neuromuscular activity of biceps brachii long head was compared by further partitioning each contraction into three phases, according to individual elbow joint range of motion. Although all protocols elicited a considerable level of activation of the biceps brachii muscle (at least 50% of maximum RMS), the contribution of this muscle for elbow flexion/extension varied among exercises. The submaximal elbow flexion (concentric) elicited neuro muscular activity up to 95% of the maximum RMS value during the final phase of IDC and DBC and 80% for DPC at the beginning of the movement. All exercises showed significant less muscle activity for the elbow extension (eccentric). The Incline Dumbbell Curl and the classical Dumbbell Biceps Curl resulted in similar patterns of biceps brachii activation for the whole range of motion, whereas Dumbbell Preacher Curl elicited high muscle activation only for a short range of elbow joint angle. Key pointsThe Incline Dumbbell Curl and the Dumbbell Biceps Curl resulted in a considerable neuromuscular effort throughout the whole elbow range of motion.The Incline Dumbbell Curl and the Dumbbell Biceps Curl may be preferable for the improvement of biceps brachii force in training programs.
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©Journal of Sports Science and Medicine (2009) 8, 24-29
http://www.jssm.org
Received: 14 April 2008 / Accepted: 30 October 2008 / Published (online): 01 March 2009
Effect of the shoulder position on the biceps brachii EMG in different dumbbell
curls
Liliam F. Oliveira 1, Thiago T. Matta 1, Daniel S. Alves 1, Marco A.C. Garcia 1 and Taian M.M.
Vieira 1,2
1 Biomechanics Laboratory, Bioscience Department, Physical Education and Sports School, Federal University of Rio
de Janeiro, Rio de Janeiro, Brazil. 2 Laboratory for Engineering of the Neuromuscular System, Polytechnic of Turin,
Turin, Italy.
Abstract
Incline Dumbbell Curl (IDC) and Dumbbell Preacher Curl
(DPC) are two variations of the standard Dumbbell Biceps Curl
(DBC), generally applied to optimize biceps brachii contribution
for elbow flexion by fixing shoulder at a specific angle. The aim
of this study is to identify changes in the neuromuscular activity
of biceps brachii long head for IDC, DPC and DBC exercises,
by taking into account the changes in load moment arm and
muscle length elicited by each dumbbell curl protocol. A single
cycle (concentric-eccentric) of DBC, IDC and DPC, was ap-
plied to 22 subjects using a submaximal load of 40% estimated
from an isometric MVC test. The neuromuscular activity of
biceps brachii long head was compared by further partitioning
each contraction into three phases, according to individual
elbow joint range of motion. Although all protocols elicited a
considerable level of activation of the biceps brachii muscle (at
least 50% of maximum RMS), the contribution of this muscle
for elbow flexion/extension varied among exercises. The sub-
maximal elbow flexion (concentric) elicited neuro muscular
activity up to 95% of the maximum RMS value during the final
phase of IDC and DBC and 80% for DPC at the beginning of the
movement. All exercises showed significant less muscle activity
for the elbow extension (eccentric). The Incline Dumbbell Curl
and the classical Dumbbell Biceps Curl resulted in similar pat-
terns of biceps brachii activation for the whole range of motion,
whereas Dumbbell Preacher Curl elicited high muscle activation
only for a short range of elbow joint angle.
Key words: Biceps curl, EMG, biceps brachii.
Introduction
Resistance training exercises are mostly applied to over-
load the musculoskeletal system, leading to the acceler-
ated enhancement of muscle strength (Fleck and Kraemer,
1997). Equipments like dumbbells, barbells and cable
machines are often used in conditioning and strengthening
programs (Biscarini et al., 2005). However, the use of free
loads may be preferred in some occasions, since it does
not constrain the movement and different exercises can be
performed, eliciting the contribution of specific muscles
(Cotterman et al., 2005). Furthermore, free load-based
exercises mimics body movements in natural situations
and elicits joint and segments stabilization (Cotterman et
al., 2005). Many people are addicted to the benefits pro-
vided by training programs based on the use of free loads,
from experienced athletes to children and elderly
(Faigenbaum et al., 2003; Falk and Tenenbaum, 1996;
Fleck and Kraemer, 1997).
The weight of dumbbells or barbells is constantly
oriented in a vertical direction, so that the load torque
changes with joint angle and the peak of the load torque
changes for different body positions (i.e. horizontal or
inclined benches). According to a biomechanical model
for simulating Dumbbell Biceps Curl (DBC) exercise
(Biscarini et al., 2005), the force produced by elbow flex-
ors in quasi-static exercises increases with the load mo-
ment arm, which highly affects the direction and magni-
tude of joint internal forces. Moreover, the classic length-
tension relationship is critical for muscle force produc-
tion, especially during low velocity/high intensity exer-
cises (Lieber, 2002). Although such relationship holds for
isometric contractions, it can still be used to predict mus-
cle force from joint angle during low velocity contrac-
tions.
Incline Dumbbell Curl (IDC) and Dumbbell
Preacher Curl (DPC) are two variations of the standard
DBC, generally applied to optimize biceps brachii contri-
bution for elbow flexion by fixing shoulder angle at a
specific value. These different protocols for dumbbell curl
may impose different demands to the neuromuscular
system, resulting in different solutions for the load shar-
ing between elbow flexors.
The aim of this study is to identify changes in the
neuromuscular activity of biceps brachii long head for
IDC, DPC and DBC exercises, by taking into account the
changes in load moment arm and muscle length elicited
by each dumbbell curl protocol. In the IDC protocol the
biceps brachii long head is initially lengthened, whereas
in DPC the shoulder is flexed and, thus, the biceps long
head is initially shortened. Therefore, we expect to ob-
serve greater neuromuscular activity for the beginning of
IDC and DPC exercises than for DBC, mainly due to
different postural demands.
Methods
Subject
A group of 22 male subjects (23.0 ± 3.5 years, 79.6 ± 11.6
kg and 1.8 ± 0.1 m) participated of the study after provid-
ing written consent. All participants were right handed,
did not relate any history of osteomyoarticular injuries
and were engaged in strength programs for at least one
year. This experiment was approved by the University
Ethical Committee.
Research article
Oliveira et al.
25
Figure 1. Schematics of the experimental setup. a) Body orientation for each dumbbell curl protocol and for the MVC trial
including electrodes placement; b) Time sequence of each test trial (randomized) and rest periods; c) Partition of the dumb-
bell curls cycle into concentric and eccentric contractions and further division into three phases according to elbow joint
angle.
Experimental setup
A single cycle (concentric-eccentric) of DBC and its
variations, IDC and DPC, was applied to each subject
using a submaximal load of 40%, estimated from a single
6s isometric MVC test (Kamen, 2004). Although in
practical situations most lifters may choose a different
load for each exercise, the use of a fixed load was
compulsory to compare the neuromuscular demand
elicited between DPC, IDC and DBC protocols. The 40%
MVC load was chosen on empirical basis, since with this
load all subjects could perform one or two cycles of
dumbbell curl with slow speed. Dumbbell curls were
randomly applied with two minutes (2 min) interval, after
the three minutes (3 min) rest period following the MVC
trial. A complete schematic of trials sequence is shown in
Figure 1b, whereas body orientation for each trial is out-
lined in Figure 1a and is defined as: MVC – seated posi-
tion with right elbow at 90° and forearm supinated; IDC –
seated with trunk in vertical position and right shoulder
flexed at 50°; IDC – seated with 50° of trunk hyperexten-
sion and the right arm hanging freely; DBC – standing
with a comfortable support base and the arms alongside
the body.
The display of force output was provided during
MVC trials and all subjects were allowed to track it be-
fore starting the test. Each subject performed the whole
cycle of dumbbell curls at his preferred speed, thus repro-
ducing the movement observed in practical situations.
EMG signal of biceps brachii.
26
Although the use of a metronome is important for control-
ling movement speed, it likely provides biased compari-
sons between subjects, since individual strategies may
emerge to compensate the fixed pace imposed by an
external stimulus.
Single differential surface EMG (gain = 1k, CMRR
= 106 dB, and bandwidth of 10-500 Hz) and elbow joint
angle were synchronously sampled at 1 kHz by a 16 bits
A/D converter (±10V dynamic range). Elbow joint angle
was estimated from changes in the direction of the uniax-
ial accelerometer (0-200 Hz bandwidth and 315
mVg-1 sensitivity) with respect to gravity acceleration
vector, assuming that all subjects flexed and extended the
elbow with constant velocity. The accelerometer was
fixed to the subject’s wrist with a tape and with its normal
axis orientated vertically. Two circular (20 mm diameter,
20 mm interelectrodes distance) Ag-AgCl pre-gelled
electrodes were positioned on biceps brachii long head
according to SENIAM recommendations, after skin
preparation (Freriks et al., 1999). A load cell (200 Kgf
fullscale) was used to measure the peak force during the
MVC trial.
Data analysis
The neuromuscular activity of biceps brachii long head
was compared by dividing a curl cycle into concentric and
eccentric contractions, and by further partitioning each
contraction into three phases, according to individual
elbow joint range of motion (Figure 1c; i.e. phase 1 = 0 –
33%; phase 2 = 34 – 67% and phase 3 = 68 – 100% of
ROM). The sEMG root mean square (RMS) was esti-
mated for each phase and contraction according to the
following equation:
=
+
=
pe
psn
pc nx
pspe
RMS ][
1
12
, (1)
where x[n] is the raw sEMG, c and p stands for contraction type
(concentric or eccentric) and contraction phase (1, 2 or 3), re-
spectively, and n is the sample number ranging from phase start
(ps) to phase end (pe), for each one within each contraction
type. To avoid the effect of geometrical and physiological factor
on sEMG data, the RMS amplitude was normalized for the
maximum RMS value estimated from the MVC trial, by using
equation 1 with n ranging from 1000 (1s) to 5000 (5s).
Statistical analysis
A multifactorial ANOVA design 3x2x3 (exercises x con-
traction types x contraction phases) was applied to com-
pare changes in RMS amplitude according to different
contraction types and phases, within and between the
dumbbell curl protocols. Significant changes in the size or
duration of the elbow flexion/extension cycles between
exercises were assessed by applying the one-way
ANOVA design. The Tukey Post Hoc test was applied to
identify significant difference between means with p
value set to 0.05 (Statistica 6.0 - StatSoft, Inc.).
Results
The maximal force achieved during the MVC trial was
34.4 ± 5.0 Kg. The load corresponding to 40% of the
MVC score, which was applied in this study for the
dumbbell curl exercises, represented about 43.6 % of
individual body mass.
Figure 2. Mean and SD of RMS values for all phases of
concentric contractions, divided according to each exercise
(DBC, IDC and DPC). * p < 0.05 between exercises, † p < 0.05
between phases.
When comparing RMS values for the concentric
contractions between IDC and DBC exercises, no statisti-
cal differences were observed, even when considering
each phase independently (Figure 2). On the other hand,
the sEMG amplitude increased for both IDC and DBC
protocols from the beginning to the end of concentric
contraction, reaching statistical significance (p <0.05) at
phase 3. Interestingly, for DPC protocol the RMS mean
values showed an opposite trend throughout the three
phases, decreasing from phase 1 to phase 3 (p < 0.05). In
addition, statistical difference was observed between DPC
and the other two exercises. RMS amplitude was higher
and lower for DPC at phase 1 and 3, respectively, when
compared to RMS values for IDC and DBC, suggesting
that shoulder flexion angle affects biceps brachii activa-
tion.
Figure 3. Mean and SD (whiskers) of RMS values for all
phases of eccentric contractions, divided according to each
exercise (DBC, IDC and DPC). * p < 0.05 between exercises, † p <
0.05 between phases.
Oliveira et al.
27
Figure 3 shows the RMS values for all phases of
the eccentric contraction. Even for the eccentric contrac-
tion, IDC and DBC presented no differences for the
muscle activation between the three phases. The RMS
value for the initial phase of DPC was significantly lower
when compared to that measured for DBC and IDC.
Table 1 shows the amplitude and time duration
(mean values and standard deviation) of both concentric
and eccentric contractions. A significant increase of curl
duration was observed for the eccentric contraction, inde-
pendent of the exercise. IDC protocol was performed
within a statistical smaller ROM of the elbow joint, with
respect to the other two dumbbell curl exercises.
Table 1. Mean (SD) of duration and range of motion (ROM)
of the concentric end eccentric phases of each exercise.
Exercise Duration (sec) ROM (degrees)
Concentric Eccentric
DBC 3.59 (.91) * 4.05 (.93) 131.9 (18.3)
IDC 3.81 (1.13)* 4.67 (1.57) 134.3 (19.5)
DPC 4.47 (1.60)† 4.65 (1.68) 115.5 (11.2) *
* p < 0.05 between phases, † p < 0.05 between exercises.
Discussion
By dividing elbow flexion and extension in three different
phases, according to joint ROM, we expected to observe
changes in modulation of neuromuscular activity for the
three dumbbell curl protocols. Dumbbell Biceps Curl and
Inclined Dumbbell Curl elicited similar pattern of increas-
ing and decreasing muscle activation along the three
phases, for the concentric and eccentric contractions re-
spectively, whereas an opposite trend of sEMG RMS
amplitude was observed for the Dumbbell Preacher Curl.
Concerning the choice of an appropriate load rep-
resenting 40% of individual maximum, the mean MVC
score observed in this study (43.6 ± 7.7% of individual
body mass) was far higher than that reported by Kasprisin
and Grabiner (2000) (30.6 ± 4.7% for 10 healthy adults).
This difference likely results from the elbow joint angle
considered for the MVC trial, since at 90° of elbow flex-
ion the biceps brachii fibers may be closer to optimal
length for isometric force production (Hay, 1991; Inman
et al., 1982; Langenderfer et al., 2005; Oliveira, 2004),
with respect to the 75° elbow flexion considered by
Kasprisin and Grabiner (2000).
The submaximal elbow flexion elicited neuromus-
cular activity up to 95% of the maximum RMS value
during the phase 3 of the concentric contraction for the
IDC and DBC protocols. This relatively high neuromus-
cular activity suggests that the 40% MVC load was suffi-
cient to elicit high modulation of sEMG amplitude.
The mean duration and size of either concentric or
eccentric contractions ranged from 3.59 ± 0.91 to 4.65 ±
1.68 s and from 115.50 ± 11.20 to 131.91 ± 18.25°, re-
spectively, therefore characterizing a quasi-isometric
movement (Siff, 2004). Since force production is criti-
cally affected by muscle tension-length relationship, only
for movements performed at low velocities (Lieber,
2002), the neuromuscular activity for all protocols was
expected to be highly dependent on muscle length.
Furthermore, Prilutsky (2004) observed a similar level of
neuromuscular activity of biceps brachii muscle for
eccentric contractions with constant speed, corroborating
the almost constant RMS values (Figure 3) observed for
the eccentric contractions performed in this study. This
evidence supports the effect of muscle length on the
muscle force production, since dumbbell curls may have
been performed with minimal changes at movement
velocity.
Although subjects were instructed to start from
full elbow extension, their movements started from a
slightly flexed position (around 20°), suggesting a com-
pensation mechanism to optimize the contribution of
elbow flexors and passive tension. Some studies reported
similar strategy for starting the movement, with elbow
joint angle ranging from 15° to 48° (Hansen et al., 2003;
Keeler et al., 2001; Uchiyama et al., 1998).
During isometric contractions, the increase of
muscle force heavily relies on both motor unit firing rate
and recruitment, according to the size principle (Henne-
man, 1985). However, the use of these strategies seems to
be reweighted in a different way during dynamic contrac-
tion, with the recruitment of additional motor units play-
ing a critical role in muscle force production (Sbriccoli et
al. 2003; Søgaard et al., 1998). Such changes in motor
unit recruitment pattern, in addition to different load shar-
ing strategies, may have contributed to the high variability
of RMS values between subjects (coefficient of variation
ranged from 31 to 69 %, for all phases and contractions).
Regarding the changes in sEMG amplitude for dif-
ferent dumbbell curl protocols, it was expected an in-
crease of neuromuscular activity during IDC, especially
when elbow joint was close to full extension. The shoul-
der hyperextension, elicited by the IDC protocol, stretches
the long head of biceps brachii muscle beyond its optimal
length, leading to an inefficient actin-myosin coupling.
On the other hand, the similar RMS values between IDC
and DBC (Figure 2) indicates an increased contribution of
other elbow flexors, besides the contribution of passive
tension from muscle and soft tissues, at the beginning of
concentric and at the end of eccentric contraction. The
low values of sEMG amplitude observed for the begin-
ning of concentric contractions, independent of the dumb-
bell curl protocol, may be explained by the reduced load
moment arm and/or the right shift of muscle length value
with respect to the muscle tension-length relationship
(Falk and Tenenbaum, 1996). Although at about 90o of
elbow flexion the moment arm of biceps brachii is close
to its highest value (Murray et al., 1995; 2002), such posi-
tion was not sufficient to compensate the increment of the
resistance torque, which is maximal for this joint angle,
and thus resulting in high RMS values.
The shoulder flexed position in the DPC exercise
elicited a particular pattern of muscle activation, which
significantly decreased and increased from the initial to
the final phases of the concentric and eccentric contrac-
tions, respectively. Although the early phase of the con-
centric contraction elicited high muscle activity to over-
come the load torque, the neuromuscular demand de-
creased rapidly for the biceps brachii throughout the mid-
dle and late phases. The main reason for this pattern of
activation is likely linked to the initial moment arm of the
load, resulting from the shoulder flexion at the starting
EMG signal of biceps brachii.
28
position (phase 1), and the inefficient length of elbow
flexors. As the elbow flexes the load torque reduces, until
the hand crosses elbow line, thus shifting the force pro-
duction from elbow flexors to extensors (phase 3). There-
fore, DPC exercise seems to have elicited high myoelec-
tric activity only within a short range of elbow joint angle
(i.e. the beginning of concentric and ending of eccentric
contractions), which may be disadvantageous for training
programs focused on the improvement biceps brachii
ability to produce force.
The use of a couple of electrodes could have been
a limiting factor in this study. The shift of the innervation
zone (IZ), inherent to dynamic contractions, attenuates or
enlarges sEMG amplitude as the IZ gets closer or farer
from the electrodes (Farina et al., 2001). However, the IZ
effect on the RMS values estimated in this study was
minimized by positioning the electrodes on the location
recommended by SENIAM, since this location is close to
half way between the biceps brachii IZ and the distal
tendon (Merletti and Parker, 2004).
Conclusion
Although all protocols elicited a considerable level of
activation of the biceps brachii muscle (at least 50% of
maximum RMS), the contribution of this muscle for el-
bow flexion depended of the dumbbell curl protocol. For
the Dumbbell Preacher Curl cycle, the activation of bi-
ceps brachii long head was maximal, only for elbow joint
angles close to full extension, and the elbow joint range of
motion was shorter. The Incline Dumbbell Curl and the
Dumbbell Biceps Curl resulted in a considerable neuro-
muscular effort throughout the whole elbow range of
motion and, thus, may be preferable for the improvement
of biceps brachii force in training programs.
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Key points
The Incline Dumbbell Curl and the Dumbbell Bi-
ceps Curl resulted in a considerable neuromuscular
effort throughout the whole elbow range of motion.
The Incline Dumbbell Curl and the Dumbbell Bi-
ceps Curl may be preferable for the improvement of
biceps brachii force in training programs.
Oliveira et al.
29
AUTHORS BIOGRAPHY
Liliam F. DE OLIVEIRA
Employment
Biomechanics Laboratory, Bioscience De-
partment, Physical Education and Sports
School, Federal University of Rio de Janeiro,
Rio de Janeiro, Brazil.
Degree
D.Sc. in Bioengineering
Research interests
Biomechanics, muscle modelling, EMG
E-mail: liliam@eefd.ufrj.br
Thiago T. DA MATTA
Employment
Biomechanics Laboratory, Bioscience Department, Physical
Education and Sports School, Federal University of Rio de
Janeiro, Rio de Janeiro, Brazil.
Degree
Ms.C. student in Biomechanics
Research interests
Biomechanics.
E-mail: ttmatta@yahoo.com.br
Daniel DE SOUZA ALVES
Employment
Biomechanics Laboratory, Bioscience Department, Physical
Education and Sports School, Federal University of Rio de
Janeiro, Rio de Janeiro, Brazil.
Degree
M.Sc. student in Biomedical Engineering
Research interests
Biomechanics.
E-mail: danielves@ig.com.br
Marco A.C. GARCIA
Employment
Biomechanics Laboratory, Bioscience De-
partment, Physical Education and Sports
School, Federal University of Rio de Janeiro,
Rio de Janeiro, Brazil.
Degree
D.Sc. student in Biomedical Engineering
Research interests
EMG, mechanomyography, spasticity.
E-mail: marcoacg@unisys.com.br
Taian M.M. VIEIRA
Employment
Laboratory for Engineering of the Neuro-
muscular System, Polytechnic of Turin,
Turin, Italy
Degree
Ph.D. candidate in Biomedical Engineering
Research interests
Electromyography, postural balance
E-mail: taian.vierira@polito.it
Liliam Fernandes De Oliveira
Rua Lauro Muller 96 apt 105, RJ, Brasil. CEP 22290-160
... To our knowledge, this biceps curl test, has not been applied in schoolchildren, nor included in any battery of physical tness tests, although it has been widely used in young adult, middle-aged and elderly populations [9][10][11][12] . Therefore, evidencing the reliability of the biceps curl test in school children and adolescents is a crucial process to ensure that the results obtained are accurate and reproducible. ...
... The standard biceps curl test is a commonly used test to measure the strength and function of the biceps brachii and is widely used to control and monitor intervention programs in various populations 9 . This test is characterized by being eld-based, rapid and serves to measure the strength endurance of the upper body (arms) and provides essential information about the physical condition and health level of a person 6,13 . ...
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To verify the reliability of the biceps curl test in children and adolescents and to provide reference values according to chronological age and sex. A total of 1103 schoolchildren aged 6 to 17 years (500 boys and 603 girls) were evaluated. Weight and height were evaluated and Body Mass Index (BMI) and Tri Ponderal Index (TPI) were calculated. The right and left hand biceps curl was evaluated in 30 seconds. Children aged 6 to 11 years used a 1 kg dumbbell and those aged 12 to 17 years used a 2 kg dumbbell. Percentiles were calculated using the LMS method. The values of the relative Technical Error of Measurement (TEM%) of the biceps curl test of both hands ranged from 0.48 to 2.89%. The intraclass correlation coefficient (ICC) evidenced high values of 0.93 to 0.99. The Bland-Altman plot showed wide limits of agreement (-1.28 to 1.29 rep). It was verified that the biceps curl is a reliable test to evaluate strength endurance in children and adolescents. The values showed stability and wide limits of agreement. In addition, the proposed percentiles are useful to evaluate and monitor the strength endurance performance of both arms.
... We induced cumulative muscle fatigue in the biceps brachii of the non-preferred arm of the participants on day 1 and day 2. They were seated on a chair, with posture adjusted to keep the spine straight, arms along the body, hip, and knee flexed at 90 • , and feet parallel aligned with the hips width (Oliveira et al., 2009). The task was to perform a bicep curl with a 2 kg dumbbell under a rhythm controlled by the beep of a metronome at 20 bpm, and the exercise range of motion was from the maximal elbow extension to the maximal elbow flexion, with 50% of the cycle involving an eccentric action (Marri and Swaminathan, 2016). ...
... The load cell was attached in the middle of a chain fixed to the ground and held by the hand of the participant at the other end with a handle. The strength assessment was performed with the same positioning and posture as for the fatigue induction exercise, except for the arm positioned at 90 • of elbow flexion (Oliveira et al., 2009). ...
Article
Muscle fatigue can limit performance both in sports and daily life activities. Consecutive days of exercise without a proper recovery time may elicit cumulative fatigue. Although it has been speculated that skin temperature could serve as an indirect indicator of exercise-induced adaptations, it is unclear if skin temperature measured by infrared thermography (IRT) could be an outcome related to the effects of cumulative fatigue. In this study, we recruited 21 untrained women and induced cumulative fatigue in biceps brachii over two consecutive days of exercise. We measured delayed onset muscle soreness (DOMS, using a numeric rate scale), maximal strength (using a dynamometer), and skin temperature (using IRT) in exercise and non-exercise muscles. Cumulative fatigue reduced muscle strength and increased DOMS. Skin temperature in the arm submitted to cumulative fatigue was higher for minimum and mean temperature, being asymmetrical in relation to the control arm. We also observed that the variations in the minimum and mean temperatures correlated with the strength losses. In summary, skin temperature measured by IRT seems promising to help detect cumulative fatigue in untrained women, being useful to explain strength losses. Future studies should provide additional evidence for the potential applications not only in trained participants but also in patients that may not be able to report outcomes of scales or precisely report DOMS.
... Twenty-seven studies used electromyography (EMG) to investigate the activity of the biceps brachii, as detailed in Supplementary Table 4. Thirteen studies differentiated long head vs. short head of biceps activity. Sixteen studies used surface electromyography (sEMG) to record biceps brachii activity during functional tasks of the shoulder [21,29,42,44,70,83,84,103,112,114,116,117,121,159,190,213]. Four studies used fine wire electromyography (fwEMG) to record biceps brachii muscle activity [20,23,25,51]. ...
... Two studies of biceps brachii activity during common therapeutic shoulder exercises demonstrated the highest biceps activity in the sagittal plane, during unsupported elbow flexion and supination, from an extended position (e.g., shoulder extension) or during high-velocity explosive exercises such as underarm throwing [117,159]. Two studies reported more significant activity and strength production of biceps brachii during biceps curl variations in shoulder elevation [83,112]. One study reported more significant biceps brachii activity during isometric shoulder external rotation in sitting than supine. ...
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Background This review aimed to explore the available literature to update our understanding of the long head of biceps (LHB) at the shoulder. Synthesise our findings to identify emergent themes and knowledge gaps to inform future research and management directions. Methods PubMed, Embase, Cinahl, SportDiscus, CENTRAL, and Web of Science were searched from inception to 31st December 2021. Articles were included if they referenced adult participants > 18 years of age and were written in English. Results 214 articles were included in the final analysis, and results were categorised into six emergent themes: (1) Anatomy - Normal anatomical variation of the biceps from aberrant origins, third and fourth accessory heads, and an absence of the LHB tendon (LHBT) are not necessarily benign, with shoulder pain and instability a commonly reported theme. (2) Function - Bicep’s role in glenohumeral elevation and stability in healthy shoulders is minimal. In contrast, LHB has a more significant role in shoulder stability and humeral head depression in subjects with rotator cuff failure or an absent LHBT. (3) Pathology - There is an association between LHB tendinopathy, rotator cuff disease, LHBT instability and occult rotator cuff tears. Early recruitment and hyperactivity of the LHB in subjects with symptomatic rotator cuff tears and instability suggest a potential compensatory role. (4) Assessment - The limited diagnostic utility of special orthopaedic tests in assessing LHBT pathology was a consistent theme. The utility of magnetic resonance imaging and ultrasound to identify full-thickness tendon tears and instability of the LHBT was moderate to high. However, the utility of clinical tests and imaging may be underestimated due to arthroscopy’s limitations in fully visualising the proximal LHBT. (5) Non-Surgical Management - Ultrasound-guided injections into the biceps sheath show greater accuracy and patient outcomes than blinded injections; however, the entry of injectate into the intraarticular glenohumeral joint may have unwanted complications. (6) Surgical management - For the surgical management of biceps pathology with or without rotator cuff pathology, both biceps tenodesis and tenotomy report similar improvements in pain without any significant adverse effect on strength or function. Tenodesis favoured higher overall constant scores and a lower incidence of Popeye deformity and cramping arm pain, with tenotomy trending to be more cost and time effective. For patients with a healthy LHBT, rotator cuff repair with adjunctive tenodesis or tenotomy fails to provide additional clinical improvements compared to rotator cuff repair in isolation. Conclusions The scoping review highlights the variability of biceps anatomy, which is not necessarily benign and suggests a minimal role of the LHB in shoulder elevation and stability in healthy individuals. In contrast, individuals with rotator cuff tears experience proximal humeral migration and demonstrate hyperactivity of the LHB, suggesting a potential compensation role. The observed prevalence of LHBT pathology with rotator cuff tears is well established; however, the cause-and-effect relationship between LHBT pathology and rotator cuff disease is undetermined. The diagnostic utility of clinical tests and imaging to exclude LHBT pathology may be understated due to the limitations of arthroscopy to visualise the proximal LHBT fully. Rehabilitation programs for the LHB are understudied. Similar post-surgical clinical outcomes are observed for tenodesis and tenotomy for biceps and rotator cuff-related shoulder pain. Subjects undergoing biceps tenodesis are less likely to have cramping arm pain and a Popeye deformity than patients undergoing biceps tenotomy. The significance of routine surgical removal of the LHBT and sequelae on rotator cuff tear progression to failure and long-term shoulder function is unknown, and further research is required. Pre-registration OSF: https://osf.io/erh9m
... From a mechanistic standpoint, Oliveira et al. (2009) provided evidence that the preacher curl exercise induced the highest levels of muscle activation as assessed via electromyography, particularly at the onset of the concentric phase, with muscle resting in stretched position. ...
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This study explored the regional muscle hypertrophic effect of the preacher curl training between two distinct program designs. Twenty healthy young males (age: 21.1±0.4 years; height: 174.1±5.1 cm, weight: 69.1±11.3kg) were recruited and randomly allocated to the 6-week programs of either mechanical tension program (MT) or mechanical tension with metabolic stress program (MTMS). Biceps brachii cross-sectional area (CSA) and thickness at proximal and distal regions were assessed by magnetic resonance imaging (MRI) and B-mode ultrasonography (US), respectively. Furthermore, fascia thickness was measured together with muscle thickness. Results indicated significant increases in biceps brachii CSA at both the proximal and distal regions in both programs (p < 0.05). Interestingly, muscle CSA at the distal region exhibited a more pronounced growth with larger effect sizes compared to the proximal region in both MT (∆12.15%, p = 0.000, ES = Moderate vs ∆8.26%, p = 0.038, ES = Small) and MTMS (∆16.92%, p = 0.008, ES = Moderate vs ∆9.02%, p = 0.005, ES = Small). Moreover, US further confirmed these findings, both MT and MTMS showed only significant increases in biceps brachii thickness at the distal region (∆25.95%, p = 0.000, ES = Large, and ∆21.76%, p = 0.009, ES = Large, respectively). Interestingly, fascia remodeling interestingly showed that significant thickness increased at distal region only in MTMS (∆47.27%, p = 0.006, ES = Large). In conclusion, our study confirmed that the preacher curl exercise per se induced regional hypertrophy preferentially in the distal region of the biceps brachii muscle, while resistance training program design had no discernible effect on this hypertrophic pattern.
... 2,16,17,20,29 Nevertheless, most studies indicate that muscle hypertrophy is optimized when RT is conducted at long versus short muscle lengths. 21 This might be attributed to the greater overall mechanical tension that occurs when a muscle is tensioned as it is lengthened, presumably due to active and passive tension overlapping, 22,30 although others speculate that muscle hypertrophy is likely attributable to greater metabolic stress and insulin-like growth factor-1 expression associated with exercise at long muscle lengths. 11,30 The vast majority of studies comparing muscle hypertrophy response with RT at long versus short muscle lengths adopted a lower-body exercise protocol, or a partial versus full range of motion training at different joint angles about the same joint (eg, knee extensors trained at knee 0°-60° vs 0°-100°). ...
Article
Background: We compared the regional hypertrophy response of the elbow flexor muscles after unilateral elbow flexion training performed in the extended versus flexed shoulder position under vascular occlusion, a method known to induce muscle hypertrophy in the absence of muscle damage-induced edema/swelling. Hypothesis: Hypertrophy of the elbow flexor muscles would be greater in the extended compared to flexed shoulder position. Study Design: Randomized within-subject trial. Level of Evidence: Level 2. Methods: Twenty-one recreationally resistance-trained men (25±5 y; 1.78±0.07 m; 79.3±13.1 kg) were submitted to unilateral elbow flexions with one shoulder extended/elbow flexor muscles lengthened/long muscle length (LONG) and the other shoulder flexed/elbow flexor muscles shortened/short muscle length (SHORT) under a low-load (30% one-repetition maximum) vascular occlusion training regimen. Training consisted of 15 reps/set, 4 sets/session, 4 sessions/week for 3 weeks, using 80% of the vascular occlusion pressure. The elbow flexor muscles cross sectional area (EFCSA) was measured pre- and post-training at 45%, 65% and 85% of humerus length through magnetic resonance imaging. Results: EFCSA significantly increased in both SHORT and LONG at 45% (respectively, P=0.04 and P=0.05) and 85% lengths (respectively, P=0.0001 and P=0.001). Changes in EFCSA between SHORT and LONG were statistically similar at the 45% (respectively, +6.20% vs. +5.08%, Cohen's d=0.006, P=0.984), 65% (respectively, +5.91% vs. +3.83%, Cohen's d=0.28, P=0.301) and 85% lengths (respectively, +8.51% vs. +7.38%, Cohen's d=0.18, P=0.563). Conclusions: Muscle hypertrophy of the elbow flexor muscles displayed a similar behavior after low-load elbow flexion training with vascular occlusion performed in the extended versus flexed shoulder position. Clinical Relevance: Therapists, clinicians and coaches may choose elbow flexion exercises expecting to achieve similar results for hypertrophy in this muscle group, implying that exercise selection may rely on the availability of equipment in the training room or personal preference.
... However, one possible explanation for such findings may be explained by the exercise performed for these two studies (i.e., the dumbbell preacher curl exercise). There is some acute data to suggest that the biceps brachii produce greater levels of force and experience greater levels of muscle activation at the beginning portion of the dumbbell preacher curl exercise, while force production and muscle activation levels drop off towards the end of the concentric range of motion [41,46]. Therefore, it is possible that results may be explained more so by exercise selection and the resistance profile of the biceps brachii than simply training exclusively at LML. Future studies comparing different exercises and manipulating the ROM of the biceps brachii are needed to test such a thesis. ...
Article
Over the past few years, the effects of manipulating range of motion (ROM) on muscle hypertrophy has garnered a considerable amount of attention within the scientific community. When seeking to maximize muscle hypertrophy, it has previously been suggested that individuals should perform a given exercise over the largest possible degrees of movement (i.e., full ROM), however, recent review papers have suggested that performing a partial ROM at long muscle lengths (LML) could potentially promote superior hypertrophy compared to other ROM configurations. We sought to examine the evidence for such suggestions as well as possible physiological mechanisms underpinning such phenomena. When assessing the literature, it appears that (1) there are not compelling data to support the suggestion that a partial ROM at LML is superior to full ROM, (2) it may be the case that a partial ROM at LML promotes greater distal hypertrophy when compared to a partial ROM at short muscle lengths (SML) but may promote comparable hypertrophy at more proximal sites, and (3) this phenomena (i.e., partial ROM at LML being the optimal ROM for hypertrophy) may not be generalizable to all muscle groups. Future research should seek to directly compare the different ROM configurations across a variety of exercises for all major muscle groups to understand whether an “optimal ROM for muscle hypertrophy” is dependent on both muscle group and exercise selection.
... To prevent gimbal lock during the exercise, the range of motion was limited by lifting the arm from 0°to 100°relative to the starting position. 31,32 Figure 5 shows the names of the muscles and the angle of the elbow during the biceps barbell curl. ...
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Resistance training is becoming increasingly important and widespread. Decomposition of the muscle loads applied is important for injury prevention and determining the load on the targeted muscles. In this study, a flexible textile PET (polyethylene terephthalate)/SP(Spandex) SWCNT (Single-walled carbon nanotube) stretch sensor was fabricated and attached at four locations: the elbow, brachioradialis/flexor carpi radialis, biceps brachii, and triceps brachii. The stretch sensors attached to the elbow can measure the angle of elbow flexion without an IMU 9-axis sensor using quadratic fitting. A Multi-Layer Perceptron (MLP) was used to decompose the muscle volume expansions of the 3muscle by angle. The model provided a good fit for all three muscles, with R-squared values ranging from Test set 0.98725 to 0.99815. Through one input and three ouput fitting, the muscle volume expansion quantities during the bicep barbell curl were decomposed and compared with data. The results showed that the brachioradialis/flexor carpi radialis muscle maintained 13% of the arm muscle volume up to 60°, then increased to 44% at 100°. The biceps brachii muscle steadily increased to 70% from 0° up to 60°, and then maintained 40% at 100° due to the volume increase of other muscles. The triceps brachii muscle maintained 9% of the arm muscle volume up to 90°, then increased to 20% at 100°. This study shows that muscle volume expansion can be easily measured with a non-body contact wearable device, unlike many existing contact methods for measuring muscle activity like EMG (electro-myography), etc. This study provides a novel approach for easily measuring muscle volume expansion and decomposition in wearable devices, which can indirectly indicate injury prevention and muscle loading in target areas through balance optimization among local muscles.
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The goal of human pose estimation is to locate human body parts and create a human body representation (e.g., a body skeleton) from input data such as images and videos. It has received a lot of attention in the last decade, and it's been used in a variety of applications like human-computer interface, motion analysis, augmented reality, and virtual reality. Even though newly developed deep learning-based algorithms have achieved great performance in human pose estimation, insufficient training data, depth ambiguities, and occlusion remain problems. Another challenge with human pose estimation was implementing evaluations during workouts and physical treatment. Evaluation aids in determining the most appropriate and correct ways to undertake physical workouts. To leverage the human pose estimation neural network to identify human joints and give users instructions on how to exercise properly, this study proposes to analyze bicep curls by measuring elbow flexion angle and identifying key points at the shoulder, elbow, and hand. Thereby, compare with the standard angle to determine if the user has reached the correct amplitude of the exercise or not. This evaluation is essential when the user is doing a bicep curls exercise. For this problem, two different solutions, which are using OpenPose open source and using MediaPipe open source, are presented. After testing on the COCO dataset and our dataset, results show that the MediaPipe method provides better results for bicep curls workout evaluation. In the future, MediaPipe will be used for developing a new application software on a mobile phone to support humans in training.KeywordsOpen PoseMediaPipeBicep Curlstracking movementHuman pose
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We performed a randomized exercise training study to assess the effects of traditional Nautilus-style (TR) or superslow (SS) strength training on muscular strength, body composition, aerobic capacity, and cardiovascular endurance. Subjects were 14 healthy, sedentary women, 19-45 years of age (mean +/- SD age, 32.7 +/- 8.9 years), randomized to either the SS or TR training protocols and trained 3 times per week for 10 weeks. Measurements were taken both before and after training, which included a maximal incremental exercise test on a cycle ergometer, body composition, and 1 repetition maximum (1RM) tests on 8 Nautilus machines. Both groups increased their strength significantly on all 8 exercises, whereas the TR group increased significantly more than the SS group on bench press (34% vs. 11%), torso arm (anterior lateral pull-down) (27% vs. 12%), leg press (33% vs. 7%), leg extension (56% vs. 24%), and leg curl (40% vs. 15%). Thus, the TR group's improvement in total exercise weight lifted was significantly greater than that of the SS group after testing (39% vs. 15%). Exercise duration on the cycle ergometer and work rate significantly improved for both groups, but there was no group-by-training interaction. No significant differences were found for body composition or additional aerobic variables measured. Both strength training protocols produced a significant improvement in strength during a 10-week training period, but the TR protocol produced better gains in the absence of changes in percentage of body fat, body mass index, lean body mass, and body weight. In addition, strength training alone did not improve Vo2max, yet short-term endurance increased.