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Forearm endurance training attenuates sympathetic nerve response to isometric handgrip in normal humans.

Recent evidence indicates that muscle ischemia and activation of the muscle chemoreflex are the principal stimuli to sympathetic nerve activity (SNA) during isometric exercise. We postulated that physical training would decrease muscle chemoreflex stimulation during isometric exercise and thereby attenuate the SNA response to exercise. We investigated the effects of 6 wk of unilateral handgrip endurance training on the responses to isometric handgrip (IHG: 33% of maximal voluntary contraction maintained for 2 min). In eight normal subjects the right arm underwent exercise training and the left arm sham training. We measured muscle SNA (peroneal nerve), heart rate, and blood pressure during IHG before vs. after endurance training (right arm) and sham training (left arm). Maximum work to fatigue (an index of training efficacy) was increased by 1,146% in the endurance-trained arm and by only 40% in the sham-trained arm. During isometric exercise of the right arm, SNA increased by 111 +/- 27% (SE) before training and by only 38 +/- 9% after training (P less than 0.05). Endurance training did not significantly affect the heart rate and blood pressure responses to IHG. We also measured the SNA response to 2 min of forearm ischemia after IHG in five subjects. Endurance training also attenuated the SNA response to postexercise forearm ischemia (P = 0.057). Sham training did not significantly affect the SNA responses to IHG or forearm ischemia. We conclude that endurance training decreases muscle chemoreflex stimulation during isometric exercise and thereby attenuates the sympathetic nerve response to IHG.

Adult↗

Effect of indomethacin on the pressor responses to sustained isometric contraction in humans.

The purpose of this study was to test the hypothesis that prostaglandins participate in metaboreceptor stimulation of the pressor response to sustained isometric handgrip contraction in humans. To accomplish this, mean arterial pressure, heart rate (n = 10), and plasma norepinephrine levels (n = 8) were measured in healthy male subjects during sustained isometric handgrip at 40% of maximal voluntary contraction force to exhaustion and during a period of postcontraction muscle ischemia. The subjects were given a double-blind and counterbalanced administration of placebo or a single 100-mg dose of indomethacin. A period of 1 wk was allowed for systemic clearance of the drug. Mean arterial pressure increased 25 +/- 5 vs. 22 +/- 4 mmHg during the final minute of isometric handgrip contraction and 26 +/- 2 vs. 21 +/- 5 during the last minute of postcontraction muscle ischemia in the placebo vs. the indomethacin trial (P > 0.05), respectively. Heart rate was increased 21 +/- 4 vs. 17 +/- 3 beats/min during the final minute of isometric handgrip contraction in the placebo vs. the indomethacin trial (P > 0.05), respectively, and returned to control values during postcontraction muscle ischemia. Plasma norepinephrine levels increased 343 +/- 89 vs. 289 +/- 89 pg/ml after isometric handgrip contraction and 675 +/- 132 vs. 632 +/- 132 pg/ml after postcontraction muscle ischemia (P > 0.05) in the placebo vs. the indomethacin trial, respectively. These results suggest that prostaglandin inhibition does not significantly modulate muscle contraction-induced stimulation of mean arterial pressure, heart rate, or plasma norepinephrine levels.

Adult↗

Musculotendinous stiffness: its relationship to eccentric, isometric, and concentric performance.

The purpose of this study was to quantify the relationship between musculotendinous stiffness and performance in eccentric, isometric, and concentric activities. Thirteen trained subjects performed a series of maximal effort eccentric, concentric, and isometric muscular contractions in a bench press-type movement. Additionally, subjects performed a series of quasi-static muscular contractions in a bench press movement. A brief perturbation was applied to the bar while these isometric efforts were maintained, and the resulting damped oscillations provided data pertaining to each subject's musculotendinous stiffness. Musculotendinous stiffness was significantly related to isometric and concentric performance (r = 0.57-0.78) but not to eccentric performance. These results are interpreted as demonstrating that the optimal musculotendinous stiffness for maximum concentric and isometric activities was toward the stiff end of the elasticity continuum. A stiffer musculotendinous unit may facilitate such performances by improving the force production capabilities of the contractile component, due to a combination of improved length and rate of shortening, and additionally by enhancing initial force transmission.

Adult↗

Influence of isometric exercise on blood flow and sweating in glabrous and nonglabrous human skin.

The distribution of the reflex effects of isometric exercise on cutaneous vasomotor and sudomotor function is not clear. We examined the effects of isometric exercise by different muscle masses on skin blood flow (SkBF) and sweat rate (SR) in nonglabrous skin and in glabrous skin. The latter contains arteriovenous anastomoses (AVAs), which cause large fluctuations in SkBF. SkBF was measured by laser-Doppler flowmetry (LDF) and reported as cutaneous vascular conductance (CVC; LDF/mean arterial pressure). SR was measured by capacitance hygrometry. LDF and SR were measured at the sole, palm, forearm, and ventral leg during separate bouts of isometric handgrip (IHG) and isometric leg extension (ILE). CVC and its standard deviation decreased significantly during IHG and ILE in the palm and sole (P < 0.05) but not in the forearm or leg (P > 0.05). Only palmar SR increased significantly during IHG and ILE (P < 0.05). We conclude that the major reflex influences of isometric exercise on the skin include AVAs and palmar sweat glands and that this is true for both arm and leg exercise.

Adult↗

Knee angle-dependent oxygen consumption during isometric contractions of the knee extensors determined with near-infrared spectroscopy.

Fatigue resistance of knee extensor muscles is higher during voluntary isometric contractions at short compared with longer muscle lengths. In the present study we hypothesized that this would be due to lower energy consumption at short muscle lengths. Ten healthy male subjects performed isometric contractions with the knee extensor muscles at a 30, 60, and 90 degrees knee angle (full extension = 0 degrees ). At each angle, muscle oxygen consumption (m.VO2) of the rectus femoris, vastus lateralis, and vastus medialis muscle was obtained with near-infrared spectroscopy. m.VO2 was measured during maximal isometric contractions and during contractions at 10, 30, and 50% of maximal torque capacity. During all contractions, blood flow to the muscle was occluded with a pressure cuff (450 mmHg). m.VO2 significantly (P < 0.05) increased with torque and at all torque levels, and for each of the three muscles. m.VO2 was significantly lower at 30 degrees compared with 60 degrees and 90 degrees and m.VO2 was similar (P > 0.05) at 60 degrees and 90 degrees . Across all torque levels, average (+/- SD) m.VO2 at the 30 degrees angle for vastus medialis, rectus femoris, and vastus lateralis, respectively, was 70.0 +/- 10.4, 72.2 +/- 12.7, and 75.9 +/- 8.0% of the average m.VO2 obtained for each torque at 60 and 90 degrees . In conclusion, oxygen consumption of the knee extensors was significantly lower during isometric contractions at the 30 degrees than at the 60 degrees and 90 degrees knee angle, which probably contributes to the previously reported longer duration of sustained isometric contractions at relatively short muscle lengths.

Adult↗

Hemodynamic effects of isometric exercise in normotensive and hypertensive subjects.

Isometric exercise increases arterial pressure and heart rate in normotensive individuals and also in patients with labile and fixed essential hypertension. The hypertensinogenic effect of isometric exercise is mediated through an increase in cardiac output because the peripheral vascular resistance is usually not affected. The cardioaccelerating effects of isometric exercise are mediated through an initial vagal withdrawal and a later stimulation of the sympathetic system. However hypertensive patients with defective sympathetic adjustments are not immune to the hypertensinogenic and cardioaccelerating effects of isometric exercise. Since isometric exercises are performed several times during daily activities, they may result in dangerous elevations in arterial pressure in patients with already increased arterial pressure, and this may eventually lead to cerebrovascular accidents and/or cardiac decompensation. It is therefore recommended that patients with elevated arterial pressure, or persons prone to hypertension, should refrain from such activities.

Blood Pressure↗

Measurement of isometric wrist muscle strength--a systematic review of starting position and test protocol.

BACKGROUND: Isometric strength of the wrist musculature is frequently used in the clinical setting as a primary outcome measure following a wrist disorder. OBJECTIVE: A systematic search of the literature was undertaken to review published starting positions and test protocols used in assessing isometric strength of the wrist musculature. METHODS: AMED, CINAHL, Current Contents, EMBASE and MEDLINE computerized databases were searched for literature published between January 1980 and September 2002 that described the methodologies used to assess isometric wrist muscle strength. Papers were excluded if they explored motor unit recruitment, strength was assessed via manual muscle testing or no information regarding starting position or test protocol was included. RESULTS: A total of 15 papers met the inclusion criteria. Starting position varied between papers, with little justification for the positions assumed. Test protocols used also were variably described, with some not meeting accepted standards for the assessment of isometric strength. Many of the reports lacked information regarding starting position and test protocol used, which precluded replication of the methodology. CONCLUSIONS: Further research is required to determine the optimum starting position and test protocol for the assessment of isometric wrist muscle strength. These should subsequently be assessed for reliability, to ensure that consistent results are produced over different occasions of testing.

Humans↗

Isometric and isovelocity contractile performance of red muscle fibres from the dogfish Scyliorhinus canicula.

Maximum isometric tetanic force produced by bundles of red muscle fibres from dogfish, Scyliorhinus canicula (L.), was 142.4+/-10.3 kN m(-2) (N=35 fibre bundles); this was significantly less than that produced by white fibres 289.2+/-8.4 kN m(-2) (N=25 fibre bundles) (means +/- S.E.M.). Part, but not all, of the difference is due to mitochondrial content. The maximum unloaded shortening velocity, 1.693+/-0.108 L(0) s(-1) (N=6 fibre bundles), was measured by the slack-test method. L(0) is the length giving maximum isometric force. The force/velocity relationship was investigated using a step-and-ramp protocol in seven red fibre bundles. The following equation was fitted to the data: [(P/P(0))+(a/P(0))](V+b)=[(P(0)(*)/P(0))+(a/P(0))]b, where P is force during shortening at velocity V, P(0) is the isometric force before shortening, and a, b and P(0)(*) are fitted constants. The fitted values were P(0)(*)/P(0)=1.228+/-0.053, V(max)=1.814+/-0.071 L(0) s(-1), a/P(0)=0.269+/-0.024 and b=0.404+/-0.041 L(0) s(-1) (N=7 for all values). The maximum power was 0.107+/-0.005P(0)V(max) and was produced during shortening at 0.297+/-0.012V(max). Compared with white fibres from dogfish, the red fibres have a lower P(0) (49%) and V(max) (48%), but the shapes of the force/velocity curves are similar. Thus, the white and red fibres have equal capacities to produce power within the limits set by the isometric force and maximum velocity of shortening of each fibre type. A step shortening of 0.050+/-0.003L(0) (N=7) reduced the maximum isometric force in the red fibres' series elasticity to zero. The series elasticity includes all elastic structures acting in series with the attached cross-bridges. Three red fibre bundles were stretched at a constant velocity, and force (measured when length reached L(0)) was 1.519+/-0.032P(0). In the range of velocities used here, -0.28 to -0.63V(max), force varied little with the velocity.

Animals↗

Mechanomyographic responses of the vastus medialis to isometric and eccentric muscle actions.

PURPOSE: The mechanomyographic (MMG) signal may be used to examine the motor control strategies used to modulate torque during various types of muscle actions. Therefore, the purpose of this study was to examine the MMG amplitude and mean power frequency (MPF) versus torque relationships during isometric and eccentric isokinetic muscle actions. METHODS: Eleven adults (mean age +/- SD = 20.8 +/- 1.4 yr) volunteered to perform isometric and eccentric isokinetic leg extension muscle actions at 10, 20, 30, 40, 50, 60, 70, 80, 90, and 100% of peak torque on a Cybex 6000 dynamometer. A piezoelectric crystal contact sensor was placed on the vastus medialis to detect the MMG signal. RESULTS: Polynomial regression analyses indicated that for the isometric muscle actions, the relationships for MMG amplitude (r2 = 0.984) and MPF (r2 = 0.989) versus torque were linear. For the eccentric isokinetic muscle actions, the relationships for MMG amplitude (r2 = 0.580) and MPF (r2 = 0.961) versus torque were also linear. CONCLUSION: The patterns for MMG amplitude and MPF may reflect the motor control strategies that modulate torque production for isometric and eccentric isokinetic muscle actions. Based on the results of this and previous studies, it appears that for the vastus medialis, torque is modulated in a similar manner for isometric, concentric, and eccentric isokinetic muscle actions. Specifically, these findings suggest that gradation of torque involves increases in recruitment and firing rate to 100% voluntary torque production.

Adult↗

Fast unilateral isometric knee extension torque development and bilateral jump height.

PURPOSE: We hypothesized that the initial rate (first 40 ms) of unilateral knee extensor torque development during a maximally fast isometric contraction would depend on the subjects' ability for fast neural activation and that it would predict bilateral jumping performance. METHODS: Nine males (21.8 +/- 0.9 yr, means +/- SD) performed unilateral fast isometric knee extensions (120 degrees knee angle) without countermovement on a dynamometer and bilateral squat jumps (SJ) and countermovement jumps (CMJ) starting from 90 and 120 degrees knee angles (full extension = 180 degrees ). The dynamometer contractions started either from full relaxation or from an isometric pre-tension (15% maximal isometric torque, Tmax). Torque time integral for the first 40 ms after torque onset (TTI-40, normalized to Tmax) and averaged normalized rectified knee extensor EMG for 40 ms before fast torque onset (EMG-40) were used to quantify initial torque rise and voluntary muscle activation. RESULTS: TTI-40 without pre-tension (range: 0.02-0.19% Tmax per second) was significantly lower than TTI-40 with pre-tension, and both were significantly (r = 0.81 and 0.80) related to EMG-40. During jumping, similar significant positive relations were found between jump height and knee extensor EMG during the first 100 ms of the rise in ground reaction force. There also were significant positive linear relations between dynamometer TTI-40 and jump height (r = 0.75 (SJ 90), 0.84 (SJ 120), 0.76 (CMJ 90), and 0.86 (CMJ 120)) but not between dynamometer Tmax and jump height (-0.16 < r < 0.02). CONCLUSION: One-legged TTI-40 to a large extent explained the variation in jump height. The ability to produce a high efferent neural drive before muscle contraction seemed to dominate performance in both the simple single-joint isometric task and the complex multijoint dynamic task.

Adult↗

Isometric training in human elbow flexor muscles. The effects on voluntary and electrically evoked forces.

The elbow flexor muscles of four men were trained using maximal voluntary isometric contractions. Thirty contractions a day were performed for five weeks. The four men and four control subjects were tested once a week: measurements of the supramaximally stimulated isometric twitch force, the time taken for the twitch force to peak and the tetanic force were carried out; simultaneously, measurements of the force of maximal voluntary isometric contraction and resistance to fatigue were made. The testing sessions produced no training effect on control subjects. Training produced a 20 per cent increase in the force of maximal voluntary isometric contraction after five weeks, but the forces of electrically evoked twitch and tetanus showed no increase. It was concluded that the increase in the force of maximal voluntary isometric contraction must be related to factors other than the force-generating capacity of the muscle fibres themselves.

Adult↗

Force-time curve characteristics of dynamic and isometric muscle actions of elite women olympic weightlifters.

Six elite women weightlifters were tested to evaluate force-time curve characteristics and intercorrelations of isometric and dynamic muscle actions. Subjects performed isometric and dynamic mid-thigh clean pulls at 30% of maximal isometric peak force and 100 kg from a standardized position on a 61.0 x 121.9 cm AMTI forceplate. Isometric peak force showed strong correlations to the athletes' competitive snatch, clean and jerk, and combined total (r = 0.93, 0.64, and 0.80 respectively). Isometric rate of force development showed moderate to strong relationships to the athletes' competitive snatch, clean and jerk, and combined total (r = 0.79, 0.69, and 0.80 respectively). The results of this study suggest that the ability to perform maximal snatch and clean and jerks shows some structural and functional foundation with the ability to generate high forces rapidly in elite women weightlifters.

Adult↗

An in vivo comparison between intraoperative isometric measurement and local elongation of the graft after reconstruction of the anterior cruciate ligament.

This study was designed to determine if isometric measurement can be used to predict the pattern of elongation (the change in length) of a bone-patellar ligament-bone graft during passive flexion-extension of the knee at the time of reconstruction of the anterior cruciate ligament in vivo. A standard operative reconstruction technique was performed on nine patients. The tunnel sites for the grafts were selected, and the change in the distance between these sites was measured, with use of a CA-5000 drill-guide isometer as the knee was subjected to passive flexion-extension. After the reconstruction was completed, a Hall-effect transducer was implanted in the graft to measure the local displacement in the mid-substance of the graft that was produced by passive flexion-extension of the knee. For comparison, the isometric measurements and the values for local displacement of the graft were normalized by calculation of the percentage change in the length. With the knee in 10 to 30 degrees of flexion, the average isometric measurements and the measurements of local displacement demonstrated a decrease in length; however, the two techniques of measurement deviated at angles of flexion of 40 degrees and more. On the average, the isometric measurement of elongation between the trial insertion sites predicted that the graft would increase in length in flexion relative to extension, in contrast to the response of the graft after fixation. There was no significant correlation between the isometric measurements and the local elongation of the graft (r2 = 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Isometric back extension endurance testing: reasons for test termination.

STUDY DESIGN: Cross-sectional study. OBJECTIVE: The self-reported reasons for terminating isometric back extension endurance testing and their associations with test performance and other factors were investigated to gain insight into determinants of test performance. BACKGROUND: Factors limiting isometric back extension endurance performance remain unclear. Better understanding the reasons for termination of isometric extension endurance testing could provide insights into what the test actually reflects. METHODS AND MEASURES: Lifetime work, leisure activities and back pain questionnaire data, isometric back extension endurance testing (holding time, as measured in seconds), and reasons for test termination were obtained for a population-based sample of 544 working-age men. RESULTS: The most common reason for test termination was fatigue (62.5%), followed by pain in various parts of the lower extremities (12.6%) and back (3.2%). A history of daily low back pain over the prior 12 months and greater pain intensity of the worst back pain episode over the same period were associated with a greater likelihood of termination due to back pain. In a regression analysis, longer holding time was associated with stopping due to fatigue rather than low back pain, with a trend of 19 seconds (95% confidence interval [CI], -2-40) longer holding time. After controlling for low back pain history, those previously involved in competitive sports were 2.6 times more likely to stop due to pain. Those with a competitive sport history had 14 seconds (95% CI, 5-23) greater holding time than those without such a history. CONCLUSIONS: Isometric back extension endurance testing is most commonly reported to be terminated due to muscle-related capacity as indicated by fatigue. Back pain is more likely to decrease performance time in men with a history of significant (frequent, intense) low back symptoms.

Adult↗

Isometric strength of the cervical flexor, extensor, and rotator muscles in 220 healthy females aged 20 to 59 years.

STUDY DESIGN: Cross-sectional descriptive study. OBJECTIVES: To determine the maximal isometric strength of the flexor, extensor, and rotator muscles of the cervical spine in healthy females of working age to document reference values for diagnostic and rehabilitation purposes. BACKGROUND: Reference values for the isometric strength of the cervical muscles have often been based on small samples. To date, reference values for rotator muscles of the cervical spine have not been published. METHODS AND MEASURES: The group consisted of 220 volunteer healthy females in 4 age groups (20-29 years, n = 57; 30-39 years, n = 51; 40-49 years, n = 51; 50-59 years, n = 61) from Jyadskyla, Finland. Isometric cervical muscle strength in flexion, extension, and rotation was evaluated with a specially designed measurement system. RESULTS: Across all age groups, mean (+/-SD) maximal isometric neck strength was 73.8 +/- 20.0 N in flexion and 190.8 +/- 31.3 N in extension. Mean (+/-SD) rotation strength was 8.1 +/- 2.3 Nm to the right and 7.9 +/- 2.3 Nm to the left. Absolute strength values did not differ among the age groups. A weak but significant correlation between body mass and neck flexion (r = 0.31, P<.01) and extension (r = 0.25, P<.01) strength was found. Intratester reliability varied from 0.87 to 0.96. CONCLUSIONS: Women aged 20 to 59 years appear to have similar absolute isometric neck muscle strength levels. Thus these values can be used as reference for the working-age female population.

Adult↗

[Comparative evaluation of the isometric test and of dynamic exercise in the diagnosis of coronary insufficiency (author's transl)].

Fifty patients with exertional coronary insufficiency performed an exercise test on a bicycle-ergometer and an isometric exercise with an instrument set up by the authors with the collaboration of the technical laboratory of the hospital. All cases had EKG positivity during dynamic exercise and only 2 patients had a positive EKG answer during isometric exercise. Angina occured in 70% of cases during dynamic exercise and in 12% of cases during isometric exercise. The difference in the increasing heart rate of the two types of exercise was statistically significant, as was the difference between absolute values of heart rate reached at the end of the exercise. The difference in the values of arterial pressure reached in the two types of exercise was also statistically significant. Moreover the comparison of product heart rate, time arterial pressure, time 10(-2) bordered on statistical significance. 31 of the 50 patients who underwent coronary angiography, demonstrated severe impairment. During isometric exercise a higher percentage of disturbances was observed. The authors came to the conclusion that isometric exercise is not advisable for the diagnosis of coronary insufficiency, either for the low specificity or the potential risk.

Adult↗

Effects of cold application on isometric strength and endurance of quadriceps femoris muscle.

This study was carried out to investigate the effect of cold therapy on isometric strength and endurance of the quadriceps femoris muscle group. Sixty volunteer healthy normal subjects participated in the study, 30 were males and 30 were females. They were aged between 20 and 27 years. The subjects were screened for previous knee injuries or abnormalities through history taking and physical examination. The baseline isometric strength and endurance of the quadriceps was tested before application of cold on the thigh. Immediate post and 10-minute post cold application isometric strength and endurance were measured using an adapted cable tensiometer. The result of the study showed that cold increased the isometric strength of the quadriceps in all the subjects immediate post and 10-minute post cold application (P < 0.05) and the immediate post cooling endurance index of male and combined male and female subjects (P < 0.05). No significant increase was seen in the immediate post cooling endurance for female subjects (P > 0.05). Also no significant difference was seen in 10-minute post cooling endurance of all the subjects when compared with the pre-cooling endurance. This study therefore concluded that cold application increased isometric muscle strength and endurance post cold application. It was therefore recommended that application of cold on muscle should be employed while rehabilitating an individual with musculoskeletal pathology or deficit particularly while training for muscle endurance, strength and restoration of muscle function.

Adult↗

Muscle sympathetic nerve activity (MSNA) during high-intensity, isometric leg exercise in humans.

Muscle sympathetic nerve activity (MSNA) is activated during mild-intensity isometric handgrip exercise, but not during isometric leg exercise at a similarly relative intensity. It is unclear whether MSNA is increased by leg exercise at heavy intensity in humans. We aimed to examine how MSNA responds to high-intensity, isometric leg exercise in humans. Eight young healthy male volunteers performed isometric plantar flexions of high intensity (70% of MVC) for 2 min, followed by 2 min of post-exercise muscle ischemia (PEMI; isolated muscle metaboreflex stimulation), with monitoring of muscle sympathetic nerve activity (MSNA), heart rate and arterial blood pressure. MSNA was increased at the onset of exercise (p<0.05), and further increased to 512 +/- 111% of baseline at the second min of exercise (p<0.05). Furthermore, MSNA remained elevated above baseline during PEMI (259 +/- 41 % of baseline, p<0.05). Heart rate also rose at the onset of the test (P<0.05) and gradually increased all through the test (p<0.05), but decreased to baseline level during PEMI. Mean blood pressure was progressively increased from the onset to the end of test (p<0.05), and remained elevated above baseline during PEMI (p<0.05). In summary, MSNA was increased progressively throughout high-intensity, isometric plantar flexion in humans, primarily due to muscle metaboreflex.

Adult↗