Biomedical subjects

Joseph P Weir

Publications and source records attributed to Joseph P Weir.

At least 19 recordsLinked to original sources

PubMed2006

The effects of electrode placement and innervation zone location on the electromyographic amplitude and mean power frequency versus isometric torque relationships for the vastus lateralis muscle.

The purposes of this investigation were to examine the effects of electrode placement and innervation zone (IZ) location on: (a) the torque-related patterns of responses for absolute and normalized electromyographic (EMG) amplitude and mean power frequency (MPF) and (b) the mean absolute and normalized EMG amplitude and MPF values. In addition, the present study examined the variability between subjects for the location of the IZ for the vastus lateralis (VL). Eight men (mean+/-SD age=23.0+/-4.3yr) performed submaximal to maximal isometric muscle actions of the dominant leg extensors. During each muscle action, fifteen channels of bipolar surface EMG signals were detected from the vastus lateralis using a linear electrode array aligned with the long axis of the muscle fibers. The results indicated that there were differences among channels 1-15 for the patterns of responses and mean values for absolute and normalized EMG amplitude and MPF versus isometric torque. Thus, normalized EMG amplitude and MPF values from different individuals cannot be compared if the EMG signals were detected from different locations over the muscle. In addition, absolute and relative (to femur length) estimates of IZ location for the VL resulted in similar inter-subject variability.

Adult↗

PubMed2006

Blunted heart rate response to vagal withdrawal in persons with tetraplegia.

Cardiovascular autonomic mechanisms control heart rate (HR) and determination of heart rate variability (HRV) permits the quantitative assessment of relative shifts in autonomic cardiac control during head-up tilt (HUT). The study herein used HRV techniques to determine the vagal and sympathetic contribution to the change in HR during HUT in persons with tetraplegia (T; n = 7) paraplegia (P; n = 7) and a non-spinal cord injured (non-SCI; n = 8) control group. Heart rate (HR) was continuously monitored and cardiovascular autonomic responses were assessed for 5-minutes at supine and at 45 degrees HUT. Change associated with tilt from supine to 45 degrees HUT was calculated for HR (deltaHR), high & low frequency HRV (HF & LF) and the LF/HF ratio. HR and LF power were lower in the T compared to the P and non-SCI groups at 45 degrees HUT, whereas there were no group differences for HF at 45 degrees HUT. The LF/HF ratio was lower in the T compared to the non-SCI group at 45 degrees HUT. The relationship between delta HR and delta HF response differed between groups (significant group x delta HF interaction) such that the slope of this relationship was reduced in the T (-1.026: 95% CI: -2.623 to 0.571) compared with the non-SCI (-6.985: 95% CI: -11.25 to 2.72) and P (-5.218: 95% CI: -8.197 to -2.239) groups. There was no significant interaction effect for the relationships between deltaHR and deltaLF or deltaLF/HF. In summary, although the magnitude of vagal withdrawal was comparable among the groups, the increase in HR was attenuated in the group with tetraplegia, which may reflect reduced sympathetic cardiac modulation or altered SA node responsiveness to vagal withdrawal.

Adult↗

PubMed2006

An examination of the Runs Test, Reverse Arrangements Test, and modified Reverse Arrangements Test for assessing surface EMG signal stationarity.

The purpose of this study was to examine the accuracy of the Runs Test, Reverse Arrangements Test, and modified Reverse Arrangements Test for assessing stationarity of surface electromyographic (EMG) signals. Five stationary signals were generated by custom programs written with LabVIEW programming software. These signals consisted of sine waves, sums of sine waves, and sums of sine waves and random noise. The sixth signal was a stationary computer generated surface EMG signal downloaded from the surface EMG for the non-invasive assessment of muscles (SENIAM) project database. There were no changes in the amplitude or frequency contents of the stationary signals over time. Several nonstationary signals were also created, including a nonstationary chirp signal generated with LabVIEW programming software, a nonstationary computer generated surface EMG signal downloaded from the SENIAM project database, and a real surface EMG signal recorded from the biceps brachii during a concentric isokinetic muscle action of the forearm flexors at a velocity of 30 degrees s(-1). Both the stationary and nonstationary signals were tested for stationarity using the Runs Test, Reverse Arrangements Test, and modified Reverse Arrangements Test. The results indicated that each of the three stationarity tests demonstrated at least one form of inaccuracy (i.e. false positive and/or false negative results) in examining the stationarity of the test signals. These findings may reflect the fact that these tests were designed to determine whether or not a signal is random, rather than examine signal stationarity exclusively. Thus, the Runs Test, Reverse Arrangements Test, and modified Reverse Arrangements Test may not be appropriate for assessing stationarity in surface EMG signals.

Databases, Factual↗

PubMed2006

The effects of innervation zone on electromyographic amplitude and mean power frequency during incremental cycle ergometry.

The purpose of this study was to examine the effects of electrode placements over the innervation zone (IZ), as well as proximal and distal to the IZ, on the patterns for the absolute and normalized electromyographic (EMG) amplitude and mean power frequency (MPF) versus power output relationships during incremental cycle ergometry. Fifteen men [mean +/- S.D. age = 24.3 +/- 2.4 years; VO2max = 47.3 +/- 4.9 ml kg(-1) min(-1)] performed incremental cycle ergometry tests to exhaustion. Surface EMG signals were recorded simultaneously from bipolar electrode arrangements placed on the vastus lateralis (VL) muscle over the IZ, as well as proximal and distal to the IZ. Polynomial regression analyses were used to describe the relationships for absolute and normalized EMG amplitude (microVrms and %max) and MPF (Hz and %max) versus power output (%max) for each subject at the three electrode placement sites. In addition, separate one-way repeated measures ANOVAs were used to examine mean differences between the three sites for absolute and normalized EMG amplitude and MPF at power outputs of 80, 110, 140, and 170 W. The results of the polynomial regression analyses revealed that the best fit model for each site for the absolute and normalized EMG amplitude versus power output relationship was linear for 11 subjects and quadratic for 2 subjects. The remaining two subjects exhibited both linear and quadratic patterns that were site-dependent. For EMG MPF, 10 subjects exhibited significant relationships (linear and/or quadratic) across power outputs for at least one site. In addition, there were significant (P < 0.05) mean differences between the electrode placement sites for absolute EMG amplitude, but not absolute EMG MPF at 80, 110, 140, and 170 W. There were no significant (P > 0.05) mean differences, however, between the three sites for normalized EMG amplitude or MPF at 80, 110, 140, and 170 W. These findings indicated that the placement of bipolar electrodes over the IZ, as well as proximal and distal to the IZ, had no effect on the pattern of the normalized EMG amplitude versus power output relationship or the mean normalized EMG amplitude and MPF values. Thus, during cycle ergometry, normalized EMG amplitude values (but not absolute values) can be compared between studies that have utilized various electrode placement sites on the VL.

Action Potentials↗

PubMed2006

Does the frequency content of the surface mechanomyographic signal reflect motor unit firing rates? A brief review.

The purpose of this review is to examine the literature that has investigated the potential relationship between mechanomyographic (MMG) frequency and motor unit firing rates. Several different experimental designs/methodologies have been used to address this issue, including: repetitive electrical stimulation, voluntary muscle actions in muscles with different fiber type compositions, fatiguing and non-fatiguing isometric or dynamic muscle actions, and voluntary muscle actions in young versus elderly subjects and healthy individuals versus subjects with a neuromuscular disease(s). Generally speaking, the results from these investigations have suggested that MMG frequency is related to the rate of motor unit activation and the contractile properties (contraction and relaxation times) of the muscle fibers. Other studies, however, have reported that MMG mean power frequency (MPF) does not always follow the expected pattern of firing rate modulation (e.g. motor unit firing rates generally increase with torque during isometric muscle actions, but MMG MPF may remain stable or even decrease). In addition, there are several factors that may affect the frequency content of the MMG signal during a voluntary muscle action (i.e. muscle stiffness, intramuscular fluid pressure, etc.), independent of changes in motor unit firing rates. Despite the potential influences of these factors, most of the evidence has suggested that the frequency domain of the MMG signal contains some information regarding motor unit firing rates. It is likely, however, that this information is qualitative, rather than quantitative in nature, and reflects the global motor unit firing rate, rather than the firing rates of a particular group of motor units.

Action Potentials↗

PubMed2006

Mechanomyographic and electromyographic responses to eccentric muscle contractions.

Little is known regarding the modulation of torque during eccentric muscle actions. Mechanomyographic (MMG) and electromyographic (EMG) signals have been used to examine motor control strategies. The purpose of this study was to examine the MMG and EMG amplitude and frequency in relation to torque during eccentric muscle contractions. Eight women performed eccentric leg extension muscle contractions at 10-100% of peak torque (PT). A piezoelectric crystal contact sensor and bipolar surface electrodes were placed on the vastus medialis to detect the MMG and EMG signals. Polynomial regression analyses indicated that EMG amplitude (r(2)=0.994) and MMG wavelet center frequency (CF) (r(2)=0.846) increased linearly to 100% eccentric PT, whereas there were no significant relationships for EMG wavelet CF or MMG amplitude and eccentric torque. These results suggested that eccentric torque is primarily modulated through changes in motor unit firing rate.

Adult↗

PubMed2006

Autonomic recovery from peak arm exercise in fit and unfit individuals with paraplegia.

INTRODUCTION: Altered autonomic cardiovascular control in persons with paraplegia may reflect peripheral sympathetic denervation caused by the injury or deconditioning due to skeletal muscle paralysis. Parameters of autonomic cardiovascular control may be improved in fit persons with paraplegia similar to effects reported in the noninjured population. PURPOSE: To determine differences in resting and recovery HR and cardiac autonomic control in fit and unfit individuals with paraplegia. METHODS: Eighteen healthy males with paraplegia below T6 were studied; nine participated in aerobic exercise conditioning (fit: >or=30 min.d, >or=3 d.wk, >or=6 months), and nine were sedentary (unfit). Analysis of heart rate variability (HRV) was used to determine spectral power (ln transformed) in the high- (lnHF) and low-frequency (lnLF) bandwidths, and the LF/HF ratio was calculated. Data were collected at baseline (BL) and at 2, 10, 30, 60, and 90 min of recovery from peak arm cycle ergometry. RESULTS: The relative intensity achieved on the peak exercise test was comparable between the groups (i.e., 88% peak predicted HR). However, peak watts (P<0.001) and oxygen consumption (P<0.01) were higher in the fit compared with the unfit group (56 and 51%, respectively). Recovery lnHF was increased (P<0.05), and recovery lnLF (P<0.01) and LF/HF (P<0.05) were reduced in the fit compared with the unfit group. Mean recovery autonomic activity was not different from BL in the fit group. In the unfit group, mean recovery lnHF was reduced, and mean recovery lnLF and LF/HF remained elevated above BL. CONCLUSION: These data suggest that fit individuals with paraplegia have improved cardiac autonomic control during the postexercise recovery period compared with their unfit counterparts.

Adult↗

PubMed2006

Mechanomyographic and electromyographic responses during submaximal to maximal eccentric isokinetic muscle actions of the biceps brachii.

The purpose of this investigation was to determine the mechanomyography (MMG) and electromyography (EMG) amplitude and mean power frequency (MPF) vs. eccentric isokinetic torque relationships for the biceps brachii muscle. Nine adults (mean +/- SD age = 23.1 +/- 2.9 years) performed submaximal to maximal eccentric isokinetic muscle actions of the dominant forearm flexors. After determination of isokinetic peak torque (PT), the subjects randomly performed submaximal step muscle actions in 10% increments from 10 to 90% PT. Polynomial regression analyses indicated that the MMG amplitude vs. eccentric isokinetic torque relationship was best fit with a quadratic model (R(2) = 0.951), where MMG amplitude increased from 10 to 60% PT and then plateaued from 60 to 100% PT. There were linear increases in MMG MPF (r(2) = 0.751) and EMG amplitude (r(2) = 0.988) with increases in eccentric isokinetic torque, but there was no significant change in EMG MPF from 10 to 100% PT. The results suggested that for the biceps brachii, eccentric isokinetic torque was increased to approximately 60% PT through concurrent modulation of the number of active motor units and their firing rates, whereas additional torque above 60% PT was produced only by increases in firing rates. These findings contribute to current knowledge of motor-control strategies during eccentric isokinetic muscle actions and could be useful in the design of training programs.

Adult↗

PubMed2006

Neuromuscular responses to three days of velocity-specific isokinetic training.

The purpose of this investigation was to examine the effects of 3 days of velocity-specific isokinetic training on peak torque (PT) and the electromyographic (EMG) signal. Thirty adult women were randomly assigned to a slow-velocity training (SVT), fast-velocity training (FVT), or control (CON) group. All subjects performed maximal, concentric, isokinetic leg extension muscle actions at 30 and 270 degrees .s(-1) for the determination of PT on visits 1 (pretest) and 5 (posttest). Electromyographic signals were recorded from the vastus lateralis, rectus femoris, and vastus medialis muscles during each test. The training groups performed 4 sets of 10 maximal repetitions at 30 degrees .s(-1) (SVT group) or 270 degrees .s(-1) (FVT group) on visits 2, 3, and 4. For the SVT group, PT increased from pretest to posttest at 30 and 270 degrees .s(-1). The increase in PT at 30 degrees .s(-1) was greater than at 270 degrees .s(-1). For the FVT group, PT increased at 270 degrees .s(-1) only. For the CON group, there were no changes in PT at either velocity. There were no pretest to posttest changes in EMG amplitude or mean power frequency (MPF) for any group at any velocity, with the exception of an increase in EMG MPF from the vastus medialis muscle at 270 degrees .s(-1) for the FVT group. The results indicated that 3 sessions of slow velocity (30 degrees .s(-1)) isokinetic training resulted in an increase in PT at slow and fast velocities (30 and 270 degrees .s(-1)), whereas training at the fast velocity (270 degrees .s(-1)) increased PT only at 270 degrees .s(-1). The lack of consistent increases in EMG amplitude or MPF suggested that the training-induced increases in leg extension PT were not caused by increased activation of the superficial muscles of the quadriceps femoris. The important implication for coaches, trainers, and physical therapists is that significant muscular performance gains may be achieved even after very short training periods, but determination of the specific physiological adaptation(s) underlying these performance gains requires further investigation.

Adult↗

PubMed2005

Electromyographic instantaneous amplitude and instantaneous mean power frequency patterns across a range of motion during a concentric isokinetic muscle action of the biceps brachii.

The purpose of this study was to examine the electromyographic (EMG) instantaneous amplitude (IA) and instantaneous mean power frequency (IMPF) patterns for the biceps brachii muscle across a range of motion during maximal and submaximal concentric isokinetic muscle actions of the forearm flexors. Ten adults (mean +/- SD age = 22.0 +/- 3.4 years) performed a maximal and a submaximal [20% peak torque (PT)] concentric isokinetic forearm flexion muscle action at a velocity of 30 degrees s(-1). The surface EMG signal was detected from the biceps brachii muscle with a bipolar electrode arrangement, and the EMG IA and IMPF versus time relationships were examined for each subject using first- and second-order polynomial regression models. The results indicated that there were no consistent patterns between subjects for EMG IA or IMPF with increases in torque across the range of motion. Some of the potential nonphysiological factors that could influence the amplitude and/or frequency contents of the surface EMG signal during a dynamic muscle action include movement of the muscle fibers and innervation zone beneath the skin surface, as well as changes in muscle fiber length and the thickness of the tissue layer between the muscle and the recording electrodes. These factors may affect the EMG IA and IMPF patterns differently for each subject, thereby increasing the difficulty of drawing any general conclusions regarding the motor control strategies that increase torque across a range of motion.

Adult↗

PubMed2005

Mechanomyographic amplitude and frequency responses during dynamic muscle actions: a comprehensive review.

The purpose of this review is to examine the literature that has investigated mechanomyographic (MMG) amplitude and frequency responses during dynamic muscle actions. To date, the majority of MMG research has focused on isometric muscle actions. Recent studies, however, have examined the MMG time and/or frequency domain responses during various types of dynamic activities, including dynamic constant external resistance (DCER) and isokinetic muscle actions, as well as cycle ergometry. Despite the potential influences of factors such as changes in muscle length and the thickness of the tissue between the muscle and the MMG sensor, there is convincing evidence that during dynamic muscle actions, the MMG signal provides valid information regarding muscle function. This argument is supported by consistencies in the MMG literature, such as the close relationship between MMG amplitude and power output and a linear increase in MMG amplitude with concentric torque production. There are still many issues, however, that have yet to be resolved, and the literature base for MMG during both dynamic and isometric muscle actions is far from complete. Thus, it is important to investigate the unique applications of MMG amplitude and frequency responses with different experimental designs/methodologies to continually reassess the uses/limitations of MMG.

Animals↗

PubMed2005

Comparison of a piezoelectric contact sensor and an accelerometer for examining mechanomyographic amplitude and mean power frequency versus torque relationships during isokinetic and isometric muscle actions of the biceps brachii.

The purpose of this study was to compare a piezoelectric contact sensor with an accelerometer for measuring the mechanomyographic (MMG) signal from the biceps brachii during submaximal to maximal isokinetic and isometric forearm flexion muscle actions. Following determination of isokinetic peak torque (PT) and the isometric maximum voluntary contraction (MVC), 10 adults (mean+/-SD age=22.8+/-2.7yrs) performed randomly ordered, submaximal step muscle actions of the dominant forearm flexors in 20% increments from 20% to 80% PT and MVC. Surface MMG signals were recorded simultaneously from a contact sensor and an accelerometer placed over the belly of the biceps brachii muscle. During the isokinetic and isometric muscle actions, the contact sensor and accelerometer resulted in linear increases in normalized MMG amplitude with torque (r(2) range=0.84-0.97) but the linear slope of the normalized MMG amplitude versus isokinetic torque relationship for the accelerometer was less (p<0.10) than that of the contact sensor. There was no significant (p>0.05) relationship for normalized MMG mean power frequency (MPF, %max) versus isokinetic and isometric torque for the contact sensor, but the accelerometer demonstrated a quadratic (R(2)=0.94) or linear (r(2)=0.83) relationship for the isokinetic and isometric muscle actions, respectively. There were also a number of significant (p<0.05) mean differences between the contact sensor and accelerometer for normalized MMG amplitude or MPF values. These findings indicated that in some cases involving dynamic and isometric muscle actions, the contact sensor and accelerometer resulted in different torque-related responses that may affect the interpretation of the motor control strategies involved.

Adult↗

PubMed2005

The effects of interelectrode distance on electromyographic amplitude and mean power frequency during incremental cycle ergometry.

The purpose of this study was to examine the effects of interelectrode distance (IED) on the relationships of absolute and normalized EMG amplitude and mean power frequency (MPF) versus power output during incremental cycle ergometry. Eleven adults (mean +/- S.D. age = 24.2 +/- 2.6 y; V(O2max) = 49.4 +/- 8.3 ml kg(-1) min(-1)) performed incremental cycle ergometry tests. Surface EMG signals were recorded simultaneously from bipolar electrode arrangements placed over the VL muscle with IEDs of 20, 40, and 60 mm. Polynomial regression analyses were used to describe the relationships for absolute and normalized EMG amplitude (muV(rms) and % max) and MPF (Hz and % max) versus power output (%max) for each subject at the three IEDs. In addition, separate one-way repeated measures ANOVAs were used to examine mean differences between the three IEDs for absolute and normalized EMG amplitude and MPF at power outputs of 80, 110, 140, and 170 W. The results of the polynomial regression revealed that the best fit model for each IED for the absolute and normalized EMG amplitude was linear for six of the 11 subjects and quadratic for five of the subjects. For EMG MPF, four of the 11 subjects exhibited significant relationships (linear or quadratic) across power outputs for at least one IED. The one-way repeated measures ANOVAs revealed significant mean differences between the IEDs for absolute EMG amplitude and MPF at 80, 110, 140, and 170 W. There were no significant mean differences, however, between the IEDs for normalized EMG amplitude or MPF at 80, 110, 140, and 170 W. The results of the study indicated that there were no consistent patterns of responses between individual subjects for EMG amplitude or MPF versus power output relationships for IEDs of 20, 40, and 60 mm during incremental cycle ergometry. The current findings supported the process of normalization for EMG amplitude and MPF data obtained during cycle ergometry when comparisons are made for different IEDs.

Adult↗

PubMed2005

Comparison of the fast Fourier transform and continuous wavelet transform for examining mechanomyographic frequency versus eccentric torque relationships.

The purpose of this study was to compare the eccentric torque-related patterns for mechanomyographic (MMG) center frequencies (mean power frequency (MPF), median frequency (MDF), and average instantaneous mean power frequency (AIMPF)) determined by the fast Fourier transform (FFT) and continuous wavelet transform (CWT). Eight adults (mean+/-S.D. age=22.5+/-2.4 years) performed submaximal to maximal, eccentric isokinetic muscle actions of the biceps brachii on a Cybex 6,000 dynamometer. The mean MMG MPF, MDF, and AIMPF values for both the absolute and normalized data from 10 to 100% eccentric peak torque (PT) were highly intercorrelated at r=0.908-0.985. Linear models provided the best fit for the absolute MMG MPF (r=0.873), MDF (r=0.831), and AIMPF (r=0.924), as well as normalized MMG MPF (r=0.869), MDF (r=0.816), and AIMPF (r=0.920) versus percentage eccentric PT relationships. There were no significant differences (p>0.05) among the linear slope coefficients for the MMG MPF, MDF, and AIMPF versus percentage eccentric PT relationships for either the absolute or normalized data. These results suggested that Fourier or wavelet transform procedures can be used to examine the patterns of MMG responses during eccentric muscle actions of the biceps brachii.

Adult↗

PubMed2005

The effects of interelectrode distance on electromyographic amplitude and mean power frequency during isokinetic and isometric muscle actions of the biceps brachii.

The purpose of this study was to examine the effects of interelectrode distance (IED) on the absolute and normalized electromyographic (EMG) amplitude and mean power frequency (MPF) versus isokinetic and isometric torque relationships for the biceps brachii muscle. Ten adults [mean+/-SD age=22.0+/-3.4 years] performed submaximal to maximal, isokinetic and isometric muscle actions of the dominant forearm flexors. Following determination of isokinetic peak torque (PT) and the isometric maximum voluntary contraction (MVC), the subjects performed randomly ordered, submaximal step muscle actions in 10% increments from 10% to 90% PT and MVC. Surface EMG signals were recorded simultaneously from bipolar electrode arrangements placed over the biceps brachii muscle with IEDs of 20, 40, and 60mm. Absolute and normalized EMG amplitude (muVrms and %max) increased linearly with torque during the isokinetic and isometric muscle actions (r(2) range=0.988-0.998), but there were no significant changes for absolute or normalized EMG MPF (Hz or %max) from 10% to 100% PT and MVC. In some cases, there were significant (p<0.05) differences among the three IED arrangements for absolute EMG amplitude and MPF values, but not for the normalized values. These findings suggested that for the biceps brachii muscle, IEDs between 20 and 60mm resulted in similar patterns for the EMG amplitude or MPF versus dynamic and isometric torque relationships. Furthermore, unlike the absolute EMG amplitude and MPF values, the normalized EMG data were not influenced by changes in IED between 20 and 60mm. Thus, normalized EMG data can be compared among previous studies that have utilized different IED arrangements.

Adult↗

PubMed2005

Comparison of Fourier and wavelet transform procedures for examining the mechanomyographic and electromyographic frequency domain responses during fatiguing isokinetic muscle actions of the biceps brachii.

The primary purpose of the present study was to compare the fast Fourier transform (FFT) with the discrete wavelet transform (DWT) for determining the mechanomyographic (MMG) and electromyographic (EMG) center frequency [mean power frequency (mpf), median frequency (mdf), or wavelet center frequency (cf)] patterns during fatiguing isokinetic muscle actions of the biceps brachii. Seven men (mean+/-SD age=23+/-3 years) volunteered to perform 50 consecutive maximal, concentric isokinetic muscle actions of the dominant forearm flexors at a velocity of 180 degrees s(-1). Non-parametric "run" tests indicated significant (p<0.05) trends in the MMG and EMG signals for the 5th, 25th, and 45th muscle actions for all subjects, thereby confirming non-stationarity of the MMG and EMG signals. There were significant (p<0.05) correlations among the average normalized mpf, mdf, and cf values for contractions 1-50 for both MMG (r=0.671-0.935) and EMG (r=0.956-0.987). Polynomial regression analyses demonstrated quadratic decreases in normalized MMG mpf (R2=0.439), MMG mdf (R2=0.258), MMG cf (R2=0.359), EMG mpf (R2=0.952), EMG mdf (R2=0.914) and EMG cf (R2=0.888) across repetitions. The primary finding of this study was the similarity in the mpf, mdf, and cf patterns for both MMG and EMG, which suggested that, despite the concerns over non-stationarity, Fourier based methods are acceptable for determining the patterns for normalized MMG and EMG center frequency during fatiguing dynamic muscle actions at moderate velocities.

Adult↗

PubMed2005

Partial angiotensin-converting enzyme inhibition during acute orthostatic stress in persons with tetraplegia.

INTRODUCTION: Individuals with tetraplegia rely on the renin-angiotensin system for orthostatic blood pressure control. OBJECTIVES: To determine the effect of partial angiotensin-converting enzyme (ACE) inhibition on heart rate (HR), active plasma renin (PR), and mean arterial blood pressure (MAP) during acute orthostasis in subjects with tetraplegia (n = 7) and nondisabled persons (n = 8). METHODS: Subjects were instructed to avoid caffeine and alcohol for 24 hours before testing and to report to the laboratory between 10 AM and 1 PM. Progressive head-up tilt (15 degrees, 25 degrees, 35 degrees, and 45 degrees) was performed on 2 separate days; Day 1: without ACE inhibition; Day 2: after intravenous (IV) infusion of enalaprilat (0.625 mg). RESULTS: HR was reduced during orthostasis in the tetraplegia compared with the nondisabled group (P < 0.0001), and was unaffected by ACE inhibition in either group. PR was not increased with orthostasis in either group, but was increased after ACE inhibition in both groups (P < 0.001). MAP was not affected by orthostasis in either group, but was reduced with ACE inhibition in both groups (P < 0.01). In the tetraplegia group, MAP was initially reduced after ACE inhibition, but was maintained thereafter with increasing angles of tilt, and no subject complained of symptomatic orthostatic hypotension. CONCLUSION: Subjects with tetraplegia were tolerant of an acute bout of orthostatic stress after partial ACE inhibition. This may have clinical relevance because of the increased prevalence of type 2 diabetes mellitus in this population and the use of ACE inhibitors for the treatment of progressive renal and cardiovascular disease.

Adult↗

PubMed2005

Gender comparisons of mechanomyographic amplitude and mean power frequency versus isometric torque relationships.

This study compared the patterns of mechanomyographic (MMG) amplitude and mean power frequency vs. torque relationships in men and women during isometric muscle actions of the biceps brachii. Seven men (mean age 23.9 +/- 3.5 yrs) and 8 women (mean 21.0 +/- 1.3 yrs) performed submaximal to maximal isometric muscle actions of the dominant forearm flexors. Following determination of the isometric maximum voluntary contraction (MVC), they randomly performed submaximal step muscle actions in 10% increments from 10% to 90% MVC. Polynomial regression analyses indicated that the MMG amplitude vs. isometric torque relationship for the men was best fit with a cubic model (R(2) = 0.983),,where MMG amplitude increased slightly from 10% to 20% MVC, increased rapidly from 20% to 80% MVC, and plateaued from 80% to 100% MVC. For the women, MMG amplitude increased linearly (r(2) = 0.949) from 10% to 100% MVC. Linear models also provided the best fit for the MMG mean power frequency vs. isometric torque relationship in both the men (r(2) = 0.813) and women (r(2) = 0.578). The results demonstrated gender differences in the MMG amplitude vs. isometric torque relationship, but similar torque-related patterns for MMG mean power frequency. These findings suggested that the plateau in MMG amplitude at high levels of isometric torque production for the biceps brachii in the men, but not the women, may have been due to greater isometric torque, muscle stiffness, and/or intramuscular fluid pressure in the men, rather than to differences in motor unit activation strategies for modulating isometric torque production.

Adult↗