Neural adaptations to long-term resistance training: evidence for the confounding effect of muscle size on the interpretation of surface electromyography

This study compared elbow flexor (EF; Experiment 1) and knee extensor (KE; Experiment 2) maximal compound action potential (Mmax) amplitude between long-term resistance trained (LTRT; n=15 and n=14, 6±3 and 4±1 years of training) and untrained (UT; n=14 and n=49) men; and examined the effect of normalising electromyography (EMG) during maximal voluntary torque (MVT) production to Mmax amplitude on differences between LTRT and UT. EMG was recorded from multiple sites and muscles of EF and KE, Mmax was evoked with percutaneous nerve stimulation, and muscle size was assessed with ultrasonography (thickness, EF) and magnetic resonance imaging (cross-sectional area, KE). Muscle-electrode distance (MED) was measured to account for the effect of adipose tissue on EMG and Mmax. LTRT displayed greater MVT (+66-71%, p<0.001), muscle size (+54-56%, p<0.001), and Mmax amplitudes (+29-60%, p≤0.010) even when corrected for MED (p≤0.045). Mmax was associated with the size of both muscle groups (r≥0.466, p≤0.011). Compared to UT, LTRT had higher absolute voluntary EMG amplitude for the KE (p