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Background  Technological advancements in modern military and acrobatic jet planes have resulted in extraordinary psychophysiological loads being exerted upon flying personnel, including inducing neck and back pain. The purpose of this study was to examine the effects of 12 weeks of functional strength training on 1) the volume and strength of the neck and shoulder muscles and 2) muscular activity upon exposure to helmets of different masses and elevated G z  forces in a long-arm centrifuge in high-performance aircraft personnel.    Methods  Eighteen participants underwent 12 weeks of functional strength training ( n  = 12) or the control protocol ( n  = 6) without additional strength training. Pre- and post-intervention tests included evaluations of isometric strength of the head extensor muscles, flexion, and lateral flexion and rotation, as well as magnetic resonance imaging (MRI) to measure the volume of the  m. sternocleidomastoideus ,  m. trapezius , and deep neck muscles. Furthermore, during a long-arm centrifuge (+ 1.4 and + 3 G z ) protocol, the muscular activity levels of the  m. sternocleidomastoideus ,  m. trapezius  and  m. erector spinae  muscles were assessed without a flight helmet, with a helmet, and with a helmet and night vision goggles. Each participant’s perception of muscular strain was noted immediately after the long-arm centrifuge protocol.    Results  The maximal isometric strength in all exercises and muscle volumes increased in the training group but not the control group ( P  < 0.05). Relative muscle activity (%MVC) with a helmet decreased after the intervention in the training but not the control group ( P  = 0.01). Relative muscle activity while wearing a helmet and night vision goggles was higher after intervention in the control group than in the training group ( P  < 0.01). The perceived muscular strain of the neck muscles induced by the long-arm centrifuge did not differ between the groups.    Conclusion  Twelve weeks of functional strength training improves the maximal isometric strength and volume of neck and shoulder muscles and leads to lower relative muscle activation upon exposure to elevated G z  forces in a long-arm centrifuge.    Supplementary Information  The online version contains supplementary material available at 10.1186/s40779-021-00305-8.

military medical research/military medical research

The effects of 12 weeks of functional strength training on muscle strength, volume and activity upon exposure to elevated Gz forces in high-performance aircraft personnel