El Entrenamiento híbrido modificado y la estimulación eléctrica neuromuscular aumentan la hipertrofia muscular de los cuádriceps femorales e isquiotibiales en sujetos sanos no entrenados

Autores/as

  • Johanna Chrestella Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital https://orcid.org/0009-0001-4539-3608
  • R. A. Meisy Andriana Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,
  • I Putu Alit Pawana Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,
  • Lydia Arfianti Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital https://orcid.org/0000-0001-9136-7438
  • Abdul Jabbar Al Hayyan Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,
  • Soenarnatalina Melaniani Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia

DOI:

https://doi.org/10.47197/retos.v65.110058

Palabras clave:

Hipertrofia muscular, Sistema de Entrenamiento Híbrido, estimulación rusa, cuádriceps, isquiotibiales

Resumen

Propósito: La baja actividad física conduce a la atrofia muscular debido a la falta de tiempo para el ejercicio y de instalaciones deportivas. Para abordar este problema, existen métodos alternativos con menor tiempo de entrenamiento y menos equipamiento para inducir hipertrofia muscular, como la estimulación eléctrica neuromuscular (NMES) con protocolo ruso y el entrenamiento híbrido modificado. Analizamos la diferencia en la hipertrofia muscular de los cuádriceps e isquiotibiales entre estos dos métodos en sujetos sanos no entrenados.

Métodos: Este estudio experimental se realizó en 22 hombres sanos no entrenados de 18 a 40 años, asignados aleatoriamente al grupo de entrenamiento híbrido y al grupo de NMES. Cada grupo incluyó a 11 personas que realizaron la intervención tres veces por semana durante 4 semanas. Al inicio y al final de la intervención, se midió el grosor muscular mediante ultrasonografía en modo B. Los resultados se compararon entre los grupos.

Resultados: Hubo un aumento significativo en la hipertrofia muscular en el grupo de entrenamiento híbrido, tanto en los cuádriceps (pierna dominante p=0.019, pierna no dominante p=0.007) como en los isquiotibiales (pierna dominante p=0.013, pierna no dominante p=0.002). En el grupo de NMES, se encontró un aumento significativo en los cuádriceps (pierna dominante p=0.011, pierna no dominante p=0.002). Hubo una diferencia significativa en el cambio de grosor muscular de los isquiotibiales en la pierna no dominante (p=0.004) entre los dos grupos.

Conclusión: El entrenamiento híbrido modificado y el protocolo ruso de NMES demostraron aumentar la hipertrofia de los cuádriceps y los isquiotibiales después de una intervención de 4 semanas. Además, el entrenamiento híbrido modificado mostró un mayor aumento en la hipertrofia de los isquiotibiales del lado no dominante en comparación con el protocolo ruso de NMES.

Biografía del autor/a

R. A. Meisy Andriana, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,

Neuromuscular Division, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,

I Putu Alit Pawana, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,

Musculoskeletal Division, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,

Lydia Arfianti, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital

Musculoskeletal Division, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,

Abdul Jabbar Al Hayyan, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,

Muskuloskeletal Division, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital,

Soenarnatalina Melaniani, Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia

Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia

Citas

Abe, T., Loenneke, J. P., Thiebaud, R. S., & Loftin, M. (2014). Morphological and functional relationships with ultrasound measured muscle thickness of the upper extremity and trunk. Ultrasound (Leeds, England), 22(4), 229–235. https://doi.org/10.1177/1742271X14554678

Bogdanis, G. C. (2012). Effects of physical activity and inactivity on muscle fatigue. Frontiers in Physiology, 1–15. https://doi.org/10.3389/fphys.2012.00142

Cameron, M. H. (2018). Physical Agents in Rehabilitation : an Evidence-Based Approach to Practice (Fifth Edit). Elsevier Health Sciences.

Del Vecchio, A., Casolo, A., Negro, F., Scorcelletti, M., Bazzucchi, I., Enoka, R., & Felici, F., et al. (2019). The increase in muscle force after 4 weeks of strength training is mediated by adaptations in motor unit recruitment and rate coding. Journal of Physiology, 597(7), 1873–1887. https://doi.org/10.1113/JP277250

Fisher, J., Steele, J., Bruce-Low, S., & Smith, D. (2013). Evidence-Based Resistance Training Recommendations. Medicina Sportiva, 15(3), 217–235. https://doi.org/10.2478/v10036-011-0025-x

Franchi, M. V., Raiteri, B. J., Longo, S., Sinha, S., Narici, M. V., & Csapo, R. (2018). Muscle Architecture Assessment: Strengths, Shortcomings and New Frontiers of in Vivo Imaging Techniques. Ultrasound in Medicine and Biology, 44(12), 2492–2504. https://doi.org/10.1016/j.ultrasmedbio.2018.07.010

Ghozy, S., Abdelaal, A., Shah, J., Parker, K. E., & Islam, S. M. S. (2021). COVID-19 and physical inactivity: Teetering on the edge of a deadlier pandemic? Journal of Global Health, 11, 10–12. https://doi.org/10.7189/jogh.11.03031

Hasni, H., Putra, H. L., & Nugraheni, N. (2019). Comparison of Acute Level of CK After Five Weeks Eccentric vs Concentric High Intensity Strength Exercise in Healthy Subject. Surabaya Physical Medicine and Rehabilitation Journal, 1(2), 38–43. https://doi.org/10.20473/spmrj.v1i2.16171

Haun, C. T., Vann, C. G., Roberts, B. M., Vigotsky, A. D., Schoenfeld, B. J., & Roberts, M. D. (2019). A critical evaluation of the biological construct skeletal muscle hypertrophy: Size matters but so does the measurement. Frontiers in Physiology, 10(MAR), 1–23. https://doi.org/10.3389/fphys.2019.00247

Ito, T., Tagawa, Y., Tanaka, S., Shiba, N., Umezu, Y., Yamamoto, T., & Basford, J. R. (2004). Development of practical and effective hybrid exercise for use in weightless environment. Annual International Conference of the IEEE Engineering in Medicine and Biology, 4252–4255. https://doi.org/10.1109/iembs.2004.1404185

Kisner, C., Colby, L. A., & Borstad, J. (2018). Therapeutic exercise Foundations and Techniques Seventh Edition. F. A. Davis Company.

Kristiana, T., Widajanti, N., & Satyawati, R. (2020). Association between Muscle Mass and Muscle Strength with Physical Performance in Elderly in Surabaya. Surabaya Physical Medicine and Rehabilitation Journal, 2(1), 24–34. https://doi.org/10.20473/spmrj.v2i1.16313

Matsuse, H., Tajima, H., Baba, E., Iwanaga, S., Omoto, M., Hashida, R., & Nago, T.,et al. (2024). Hybrid Training System Consisting of Synchronized Neuromuscular Electrical Stimulation for Voluntary Exercise Using an Articular Motion Sensor. The Kurume Medical Journal. https://doi.org/10.2739/kurumemedj.ms7034006

Modesto, K. A. G., de Oliveira, P. F. A., Fonseca, H. G., Azevedo, K. P., Guzzoni, V., Bottaro, M., & Babault, N., et al. (2020). Russian and low-frequency currents induced similar neuromuscular adaptations in soccer players: A randomized controlled trial. Journal of Sport Rehabilitation, 29(5), 594–601. https://doi.org/10.1123/JSR.2018-0314

Mohammadi Nia Samakosh, H., Oliveira, R., Shahabi , S. ., Sarvarifar, B. ., Moddares Gorji, S. ., Amirkhanloo, A. ., & Badicu, G.,et al. (2024). Effects of High-intensity Training and Electrical Stimulation on Pain, Disability, Knee Kinematic and Performance in Patellofemoral Pain: A Randomized Controlled Trial. Retos, 55, 978–991. https://doi.org/10.47197/retos.v55.105913

Prabha, P., Sarkar, B., & Kumar, P. (2019). Efficacy of Russian Current on Pain, Strength of Quadriceps and Function in Subjects with Primary Knee Osteoarthritis: A Randomized Clinical Trial. International Journal of Health Sciences & Research (Www.Ijhsr.Org), 9(8), 140. www.ijhsr.org

Prentice, W. E. (2009). Therapeutic Modalities For Sports Medicine and Athletic Training —6th ed. In McGraw-Hill. https://doi.org/10.1007/978-3-642-24001-0_7

Pringga, G. A., Andriana, R. A. M., Wardhani, I. L., & Arfianti, L. (2021). Comparison of Hamstrings and Quadriceps Femoris Muscle Thickness Increment between Agonist-Antagonist Paired Set and Traditional Set Resistance Training in Untrained Healthy Subjects. Surabaya Physical Medicine and Rehabilitation Journal, 3(2), 60. https://doi.org/10.20473/spmrj.v3i2.20976

Priyantono, W.I., Tinduh, D., Sulistiawati, N.N., Melaniani, S. (2023). Effects of modified hybrid resistance training on dynamic control ratio of knee joint in untrained healthy subjects. Bali Medical Journal 12(3): 3463-3469. DOI: 10.15562/bmj.v12i3.4145

Rabe, K. G., Matsuse, H., Jackson, A., & Segal, N. A. (2018). Evaluation of the Combined Application of Neuromuscular Electrical Stimulation and Volitional Contractions on Thigh Muscle Strength, Knee Pain, and Physical Performance in Women at Risk for Knee Osteoarthritis: A Randomized Controlled Trial. PM and R, 10(12), 1301–1310. https://doi.org/10.1016/j.pmrj.2018.05.014

Refalo, M., Nuckols, G., Science, S. B., Gallagher, I. J., & Hamilton, D. L. (2024). Sex Differences in Absolute and Relative Changes in Muscle Size following Preprint Sex Differences in Absolute and Relative Changes in Muscle Size following Resistance Training in Healthy Adults : A Systematic Review with Bayesian Meta-Analysis. April. https://doi.org/10.51224/SRXIV.400

Riebe, D. (2018). ACSM’s guidelines for exercise testing and prescription. In American College of Sports Medicine (Tenth edit). Wolters Kluwer Health. https://doi.org/10.5860/choice.35-6295

Riskawati, Y. K., Prabowo, E. D., & Al-Rasyid, H. (2018). Physical Activity Level of the Second , Third , and Fourth Years Students At Study Program of Medicine. Majalah Kesehatan Fakultas Kedokteran Universitas Brawijaya, 5(1), 26–32.

Tajima, H., Matsuse, H., Hashida, R., Nago, T., Bekki, M., Iwanaga, S., & Higashi, E.,et al. (2021). Electrically stimulated eccentric contraction during non-weight bearing knee bending exercise in the supine position increases oxygen uptake: A randomized, controlled, exploratory crossover trial. PLoS ONE, 16(11 November), 1–11. https://doi.org/10.1371/journal.pone.0259856

Takano, Y., Haneda, Y., Maeda, T., Sakai, Y., Matsuse, H., Kawaguchi, T., & Tagawa, Y., et al. (2010). Increasing muscle strength and mass of thigh in elderly people with the hybrid-training method of electrical stimulation and volitional contraction. Tohoku Journal of Experimental Medicine, 221(1), 77–85. https://doi.org/10.1620/tjem.221.77

Thoirs, K., & English, C. (2009). Ultrasound measures of muscle thickness: Intra-examiner reliability and influence of body position. Clinical Physiology and Functional Imaging, 29(6), 440–446. https://doi.org/10.1111/j.1475-097X.2009.00897.x

Tsukada, Y., Matsuse, H., Shinozaki, N., Takano, Y., Nago, T., & Shiba, N. (2018). Combined application of electrically stimulated antagonist muscle contraction and volitional muscle contraction prevents muscle strength weakness and promotes physical function recovery after total knee arthroplasty: A randomized controlled trial. Kurume Medical Journal, 65(4), 145–154. https://doi.org/10.2739/kurumemedj.MS654007

van Melick, N., Meddeler, B. M., Hoogeboom, T. J., Nijhuis-van der Sanden, M. W. G., & van Cingel, R. E. H. (2017). How to determine leg dominance: The agreement between self-reported and observed performance in healthy adults. PLoS ONE, 12(12), 1–9. https://doi.org/10.1371/journal.pone.0189876

Wiriawan, O., Rusdiawan, A., Kusuma, D. A., Firmansyah, A., García-Jiménez, J. V., Zein, M. I., Pavlovic, R., Nowak, A. M., Susanto, N., & Pranoto, A. (2024). Unilateral Hamstring Muscle Strengthening Exercises Can Improve Hamstring Asymmetry and Increase Jumping Performance in Sub-Elite Badminton Athletes. Retos, 54, 761–770. https://doi.org/10.47197/retos.v54.103783

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Publicado

2025-02-15

Cómo citar

Chrestella, J., Meisy Andriana, R. A., Alit Pawana, I. P., Arfianti, L., Al Hayyan, A. J., & Melaniani, S. (2025). El Entrenamiento híbrido modificado y la estimulación eléctrica neuromuscular aumentan la hipertrofia muscular de los cuádriceps femorales e isquiotibiales en sujetos sanos no entrenados. Retos, 65, 498–507. https://doi.org/10.47197/retos.v65.110058

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Artículos de carácter científico: investigaciones básicas y/o aplicadas

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