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PubMed1997

A musculoskeletal model of the knee for evaluating ligament forces during isometric contractions.

A model of the knee in the sagittal plane was developed to study the forces in the ligaments induced by isometric contractions of the extensor and flexor muscles. The geometry of the distal femur was obtained from cadaver data. The tibial plateau and patellar facet were modeled as flat surfaces. Eleven elastic elements were used to describe the mechanical behavior of the anterior and posterior cruciate ligaments (ACL and PCL), the medial and lateral collateral ligaments (MCL and LCL), and the posterior capsule. The model knee was actuated by 11 musculotendinous units, each muscle represented by a Hill-type contractile element, a series-elastic element, and a parallel-elastic element. Tendon was assumed to be elastic. The response of the model to anterior-posterior drawer suggests that the geometrical and mechanical properties of the model ligaments approximate the behavior of real ligaments in the intact knee. Calculations for a simulated quadriceps leg raise indicate further that the two-dimensional model reproduces the response of the three-dimensional knee under similar conditions of loading and constraint. During maximum isometric contractions of the quadriceps, the model ACL is loaded from full extension to 80 degrees C of flexion; the model PCL is loaded at 70 degrees of flexion and greater. For maximum isometric extension, ACL forces in the range 0-20 degrees of flexion depend most heavily upon the force-length properties of the quadriceps. At flexion angles greater than 20 degrees, cruciate ligament forces are determined by the geometry of the articulating surfaces of the bones. During isolated contractions of the hamstrings and gastrocnemius muscles, the model ACL is loaded from full extension to 10 degrees of flexion; the model PCL is loaded at all flexion angles greater than 10 degrees. Isolated contractions of the flexor muscles cannot unload the ACL near full extension, as the behavior of the ACL in this region is governed by the shapes of the bones. At 10 degrees of flexion or greater, the overall pattern of PCL force is explained by the force length properties of the hamstrings and by the geometrical arrangement of the flexor muscles about the knee.

Adult↗

PubMed1999

Skeletal muscle transverse strain during isometric contraction at different lengths.

An important assumption in 2D numerical models of skeletal muscle contraction involves deformation in the third dimension of the included muscle section. The present paper studies the often used plane strain description. Therefore, 3D muscle surface deformation is measured from marker displacements during isometric contractions at various muscle lengths. Longitudinal strains at superficial muscle fibers ( - 14 +/- 2.6% at L0, n = 57) and aponeurosis (0.8 +/- 0.9% at L0) decrease with increasing muscle length. The same holds for transverse muscle surface strains in superficial muscle fibers and aponeurosis, which are comparable at intermediate muscle length, but differ at long and short muscle length. Because transverse strains during isometric contraction change with initial muscle length, it is concluded that the effect of muscle length on muscle deformation cannot be studied in plane strain models. These results do not counteract the use of these models to study deformation in contractions with approximately - 9 % longitudinal muscle fiber strain, as transverse strain in superficial muscle fibers and in aponeurosis tissue is minimal in that case. Aponeurosis surface area change decreases with increasing initial muscle length, but muscle fiber surface area change is - 11%, independent of muscle length. Assuming incompressible muscle material, this means that strain perpendicular to the muscle surface equals 11%. Taking the relationship between transverse and longitudinal muscle fiber strain into account, it is hypothesized that superficial muscle fibers flatten during isometric contractions.

Animals↗

PubMed2000

Moment distribution among human elbow extensor muscles during isometric and submaximal extension.

To understand better how the central nervous system (CNS) distributes a joint moment among muscles, moment distribution among the three heads of the triceps and the anconeus muscles during isometric elbow extension was quantified in vivo and noninvasively. Electrical stimulation was used to activate an individual muscle selectively at various contraction levels, and the relationship between the peak M-wave amplitude and peak elbow extension moment was established across various contraction levels for each muscle. The relationship was then used to calibrate the corresponding EMG signal and determine moment distribution among the muscles during voluntary isometric elbow extension. Results showed that moment distribution among muscles was not proportional to the muscles' physiological cross-sectional areas (PCSA) and the CNS favored uniarticular muscles for the isometric task performed: the uniarticular lateral and medial heads of the triceps were dominant (contributing approximately 70-90% of the total elbow extension moment) and the anconeus contributed significantly, especially at the lower levels of elbow extension moment (up to approximately 15% of the extension moment). In contrast, the two-joint long head of the triceps contributed significantly less than the uniarticular heads of the triceps. While the absolute contributions of all the muscles increased with the total elbow extension moment, the relative contributions of the muscles may increase or decrease with the elbow extension moment. Cross-validation using fresh data (not used in determining the moment distribution) showed close match between the measured and predicted elbow extension moment except for trials in which fatigue became significant.

Elbow↗

PubMed1999

Reproducibility of isometric strength: measurement of neck muscles.

OBJECTIVE: To evaluate the repeatability of an advanced method of measuring the strength of functionally different groups of neck muscles using an isometric apparatus. DESIGN: A repeated measures design was used within and between sessions. BACKGROUND: Chronic neck pain has been associated with poor isometric neck strength. In rehabilitation, strength measurements may thus help to evaluate the basic condition and show whether or not treatments and exercises have been beneficial for improving strength. Previous tests have concentrated on testing strength while trying to bend forwards and backwards, but no biomechanics device, able to test rotator muscles, has been presented. METHOD: The new isometric measurement device was used to test flexion, extension and also rotation strengths of normal subjects (n = 33). RESULTS: Intratester repeatability was good with regard to all measured parameters. CONCLUSIONS: With both tests performed on the same day and test comparisons between days, intratest repeatability was good with regard to all measured parameters.

Adolescent↗

PubMed2000

A mathematical model of forces in the knee under isometric quadriceps contractions.

OBJECTIVE: To predict the knee's response to isometric quadriceps contractions against a fixed tibial restraint.Design. Mathematical modelling of the human knee joint. BACKGROUND: Isometric quadriceps contraction is commonly used for leg muscle strengthening following ligament injury or reconstruction. It is desirable to know the ligament forces induced but direct measurement is difficult. METHODS: The model, previously applied to the Lachmann or 'drawer' tests, combines an extensible fibre-array representation of the cruciate ligaments with a compressible 'thin-layer' representation of the cartilage. The model allows the knee configuration and force system to be calculated, given flexion angle, restraint position and loading. RESULTS: Inclusion of cartilage deformation increases relative tibio-femoral translation and decreases the ligament forces generated. For each restraint position, a range of flexion angles is found in which no ligament force is required, as opposed to a single flexion angle in the case of incompressible cartilage layers. CONCLUSIONS: Knee geometry and ligament elasticity are found to be the most important factors governing the joint's response to isometric quadriceps contractions, but cartilage deformation is found to be more important than in the Lachmann test. RELEVANCE: Estimation of knee ligament forces is important when devising exercise regimes following ligament injury or reconstruction. The finding of a 'neutral zone' of zero ligament force may have implications for rehabilitation of the ligament-injured knee.

Cartilage↗

PubMed2003

Gradual increment/decrement of isometric force modulates soleus stretch reflex response in humans.

We investigated how a gradual isometric force-increment and -decrement task modulates the behavior of a soleus stretch reflex. Six healthy subjects performed isometric plantar-flexion torque exertion tasks in which they adjusted the torque level to a target changing triangularly (3 s/cycle; the amplitude is 15% of maximal voluntary isometric contraction (MVC)) or to constant targets (3.75, 7.5, and 11.25% of MVC). The magnitude of the short latency stretch reflex evoked by dorsi-flexing mechanical perturbation was strongly modulated by the muscle contraction states; it was the largest and the smallest for the torque-increment and -decrement phases, respectively. On the other hand, within each muscle contraction, the magnitude was independent of the torque level. Similar results were observed for the medium latency stretch reflex. These results indicate that when the central nervous system increases or decreases the muscular force, it simultaneously regulates the sensitivity of the stretch reflex.

Adult↗

PubMed1984

Effects of dynamic and isometric exercise on the radionuclide-determined regurgitant fraction in aortic insufficiency.

Twenty-five patients with aortic insufficiency and eight asymptomatic control subjects underwent radionuclide ventriculography at rest and during dynamic and isometric exercise to clarify the mechanisms for preservation of exercise capacity in aortic insufficiency. Regardless of symptomatic state or severity of regurgitation, patients with aortic insufficiency had no significant increase in left ventricular ejection fraction or relative left ventricular end-diastolic volume during dynamic or isometric exercise. The radionuclide stroke count ratio (ratio of left ventricular to right ventricular stroke counts) progressively decreased in patients with aortic insufficiency from 2.98 +/- 1.14 (mean +/- 1 standard deviation) at a mean heart rate at rest of 69.6 beats/min to 2.48 +/- 0.59 (p = not significant [NS]) at a mean submaximal bicycle exercise heart rate of 129 beats/min and to 1.97 +/- 0.57 (p less than 0.005) at a mean maximal bicycle exercise heart rate of 145 beats/min. The decrease in stroke count ratio with bicycle exercise was significantly related to the severity of valvular regurgitation at rest (p less than 0.005). Although achieving lower bicycle exercise heart rates and comparable diastolic blood pressures, symptomatic patients had a lower mean stroke count ratio compared with asymptomatic patients with aortic insufficiency, suggesting that an elevation left ventricular diastolic pressure significantly decreased the regurgitant fraction in symptomatic patients during bicycle exercise. In patients with aortic insufficiency, the mean heart rate (92 beats/min) was significantly lower with isometric exercise than during the submaximal stage of bicycle exercise (129 beats/min). However, diastolic blood pressures, left ventricular diastolic counts and ejection fractions were comparable.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed2002

SEMG power spectrum changes during a sustained 50% Maximum Voluntary Isometric Torque do not depend upon the prior knowledge of the exercise duration.

Endurance time (Tlim) is a relevant indicator of muscular resistance to fatigue. It has been recently shown that SEMG changes computed during shorter periods (sub-maximal durations) than the whole test duration could serve to predict Tlim. The aim of the present study was to test whether the prior knowledge of the sub-maximal duration had any influence on Tlim prediction throughout SEMG changes. For this purpose, we compared myoelectric changes estimated over a 30-s isometric contraction whose duration was known by the subjects, to those changes measured during the first 30 s of a test prolonged until exhaustion. The effort intensity was set at 50% of the maximal voluntary isometric torque (MVIT). The myoelectric manifestations of muscle fatigue appeared to change in a similar way during both sessions for temporal and spectral analyses. In conclusion, the prior knowledge of the duration of sustained isometric contraction did not influence the motor unit recruitment strategy throughout surface EMG evaluation. These results confirmed that the use of SEMG changes computed over shorter periods than expected endurance time may be applied to investigate the capability of the initial rate of SEMG changes to predict muscle endurance capacity at 50%MVIT. This may be of particular interest for patient evaluation in the clinical field.

Adult↗

PubMed2003

Posture-dependent trunk extensor EMG activity during maximum isometrics exertions in normal male and female subjects.

Posture-dependent trunk function data are important for appropriate normalization of submaximal trunk exertions, and is also necessary to define a more precise and specific use for strength testing in the prevention and diagnosis of spinal disorders. The aim of the current study was to quantify maximal effort trunk muscle extensor activity and trunk isometric extension torque over a functional range of sagittal standing postures. Twenty healthy, young adult male and female subjects performed isometric extension tasks over a sagittal posture range of -20 degrees extension to +50 degrees flexion, in 10 degrees increments. Erector spinae muscle activity was recorded bilaterally at the level of L3 using surface EMG electrodes. Isometric trunk extension torque was measured using a trunk dynamometer. EMG and trunk torque differed significantly between genders, but there were no differences between male and female subjects when the data were normalized with respect to the upright posture. For the combined male and female population, upright posture normalized L3 EMG activity (EMGn) and trunk extension torque (Tn) increased 1.7-fold and 3.5-fold, respectively, over the 70 degrees range of sagittal postures examined. The ratio (Tn/EMGn) increased two-fold (0.83 to 1.67) from -20 degrees extension to +50 degrees flexion, indicating that the neuromuscular efficiency increases with flexion. Trunk extension torque normalized with respect to the upright posture was linearly and positively correlated (r = 0.59, P < 0.001) to similarly normalized L3 EMG activity. This relatively weak correlation suggests that trunk muscle synergism and/or intrinsic muscle length-tension relationships are also modulated by posture. This study provides data that can be used to estimate trunk extensor muscle function over a broad range of sagittal postures. Our findings indicate that appropriate postural normalization of trunk extensor EMG activity is necessary for studies where submaximal trunk exertions are performed over a range of upright postures.

Adult↗

PubMed1999

EMG spectral characteristics of spinal muscles during isometric axial rotation.

The objective of this study was to determine the frequency profile, median frequency (MF) and mean power frequency (MPF) of trunk muscles in an isometric graded maximal voluntary contraction (MVC) in isometric axial trunk rotation from a neutral upright seated posture. Twelve young healthy subjects (seven males, five females) were instrumented with surface electrodes on their external obliques, internal obliques, rectus abdominis, pectoralis, latissimus dorsi and erector spinae at T10 and L3 levels bilaterally. These subjects were stabilized in seated posture in an axial rotation tester (AROT) and asked to perform a graded isometric contraction of their maximal value to both right and left directions from a neutral posture within a period of 10s. EMG from all 14 channels were sampled at 1 kHz at 10% intervals of MVC from 10% to MVC. These samples were subjected to fast Fourier transform analysis. The frequency profile plots demonstrated the power of muscles involved in agonistic and antagonistic activity. However, the frequency composition showed little difference between them. The MF was higher in agonists of the same muscle. The MPF was always higher than MF. Both values were generally insignificantly different between different levels of contraction. However, with increasing level of contraction there was increase in power.

Adult↗

PubMed2002

Oscillatory cortical drive to isometrically contracting muscle in Unverricht-Lundborg type progressive myoclonus epilepsy (ULD).

OBJECTIVE: We investigated with whole-scalp magnetoencephalography (MEG) oscillatory cortical drive to isometrically contracting muscle in 8 genetically verified, and thus etiologically homogeneous, Unverricht-Lundborg type progressive myoclonus epilepsy (ULD) patients suffering from cortical myoclonus and generalized tonic-clonic seizures. The results were compared with those of 8 healthy control subjects. METHODS: Cortical MEG signals were measured simultaneously with surface electromyography (EMG) during isometric contraction of the left and right first dorsal interosseus muscles. Cortex-muscle coherence and cross-correlograms between MEG and EMG signals were calculated as indicators of oscillatory cortical drive to muscle. The cortical areas involved in the maximum cortex-muscle coherence were also identified. RESULTS: In patients, the strengths of the dominant coherent peaks were 2-4 fold compared with the healthy controls. Whereas the coherence was found strictly in the contralateral primary motor cortex in controls, additional coherent activity was observed ipsilaterally in 5 out of 8 patients. CONCLUSIONS: The remarkably increased MEG-EMG coherence in ULD patients suggests altered oscillatory cortical drive to the muscle during isometric contraction. We suggest that the enhanced cortex-muscle coherence in ULD patients reflects reduced inhibition in the motor cortex, and may contribute to disturbed voluntary movements.

Adolescent↗

PubMed2003

What do we learn by studying the temperature effect on isometric tension and tension transients in mammalian striated muscle fibres?

The significance of transient analysis of isometric tension and its temperature dependence on the molecular mechanisms of contraction is reviewed. The kinetic analysis of tension transient is essential to establish the elementary steps of the cross-bridge cycle. The temperature study is essential to deduce thermodynamic parameters of the force generation step, from which surface area changes associated with hydrophobic interaction and ionic interaction can be calculated. Experimental evidence suggests that a large scale hydrophobic and stereospecific interaction takes place at the time of force generation. This interaction is promoted by regulatory proteins troponin and tropomyosin, which is the basis for endothermic force generation. The six state cross-bridge model with two apparent rate constants is capable of explaining the temperature dependence of isometric tension and tension transients induced by temperature jump experiments. This model was previously proposed to account for the tension transients induced by sinusoidal length changes [Kawai and Halvorson (1991) Biophys J 59: 329-342]. The series compliance model is suitable for explaining the temperature effect on the stiffness data as the function of temperature, leading to the conclusion that the series compliance accounts for 40 +/- 5% of the total compliance in activated psoas fibres at 20 degrees C. These results are consistent with the hypothesis that tension per cross-bridge remains the same at different temperatures, and that it is the population shift that gives rise to the characteristic temperature effect on isometric tension.

Algorithms↗

PubMed1984

Guanfacine in essential hypertension: effects during rest and isometric exercise.

The antihypertensive effects of guanfacine (0.5 to 4 mg daily) were investigated for 1 yr in 13 patients with essential hypertension. Blood pressure (BP) and heart rate (HR) response was measured during isometric exercise (handgrip) before starting the therapy, after 1 yr of treatment, and 2 wk after withdrawal. Guanfacine in once-daily dosage reduced BP during rest (supine BP: control, 175 +/- 6/103 +/- 4 mm Hg; 1 yr guanfacine, 161 +/- 5/91 +/- 3 mm Hg). Steady-state plasma concentrations after 1 yr were 4.1 +/- 0.59 ng/ml. Resting plasma norepinephrine (NE) and epinephrine (E) levels were lower during active therapy than 2 wk after withdrawal (guanfacine and control: plasma NE, 0.27 +/- 0.03/0.64 +/- 0.13 ng/ml; plasma E, 0.09 +/- 0.02/0.17 +/- 0.05 ng/ml). The relative reduction of plasma catecholamines (guanfacine and withdrawal) was of the same order during handgrip exercise as during supine rest. During isometric handgrip exercise, BP was lower during guanfacine therapy than before treatment and 2 wk after withdrawal, but the increment in BP during handgrip exercise was not affected by the drug despite the lower BP values on therapy. Our data indicate that the central alpha 2-agonist action of guanfacine reduces sympathoadrenal function equally during rest and isometric exercise.

Blood Pressure↗

PubMed2000

Essential role of L-arginine uptake and protein tyrosine kinase activity for NO-dependent vasorelaxation induced by stretch, isometric tension and cyclic AMP in rat pulmonary arteries.

1. The NO-dependent component of cyclic AMP-induced vasorelaxation in rat pulmonary arteries is critically dependent on extracellular L-arginine but independent of endothelial cell intracellular [Ca(2+)]. We examined whether L-arginine uptake was also essential for NO production induced by passive stretch or isometric tension, processes also reported to be Ca(2+)-independent. 2. The passive length-tension curve was depressed by physiological concentrations of L-arginine (400 microM; P<0.05). Inhibition of the y(+) transporter with 10 mM L-lysine, NO synthase with L-NAME (100 microM), or protein tyrosine kinase with erbstatin A (30 microM) caused identical upward shifts (P<0.001), alone or in combination. Tyrphostin 23 was similar to erbstatin A, whilst the inactive analogue tyrphostin A1 and genistein were without effect. 3. L-arginine (400 microM) shifted the PGF(2 alpha) concentration-response curve under isometric conditions to the right (P<0.05), whereas L-NAME or L-lysine caused a leftward shift (P<0.001). Tyrphostin 23 (30 microM) more than reversed the L-arginine-induced suppression of PGF(2 alpha)-induced tension; subsequent addition of L-NAME had no effect. The L-lysine-sensitive component of CPT cyclic AMP-induced vasorelaxation was abolished by erbstatin A. 4. ACh-induced vasorelaxation was approximately 80% inhibited by L-NAME, but was not affected by L-lysine or 400 microM L-arginine. Erbstatin A reduced the vasorelaxation by only approximately 25%. 5. We conclude that activation of NO production by stretch, isometric tension, or cyclic AMP in rat pulmonary arteries is critically dependent on the presence and uptake of physiological concentrations of extracellular L-arginine, and protein tyrosine kinase activity. This directly contrasts with ACh-induced vasorelaxation, which was independent of extracellular L-arginine, and relatively unaffected by tyrosine kinase inhibition.

Acetylcholine↗

PubMed1997

Use of shoulder flexors to achieve isometric elbow extension in C6 tetraplegic patients during weight shift.

The anterior deltoid muscle has been found to be active during elbow extension in normal volunteers and in C6 tetraplegic patients lacking a functional triceps. Using surface electromyography (EMG) on normal volunteers and on patients with spinal cord injury (SCI) at the C6 motor level, we evaluated whether the anterior deltoid and biceps brachii muscles are active during closed chain elbow extension in a simulated weight shift position. Thirteen normal volunteers performed isometric contractions at 5 submaximal levels of force ranging from 4-25 kg. Six SCI patients performed isometric contractions at force levels of 20%, 40%, 60%, 80% and 100% maximum voluntary contraction (MVC). Surface EMG over the right biceps, triceps, and anterior deltoid muscles was recorded for each participant and the root mean square (rms) electromyographic activity level for each muscle was determined at each level of force. Statistical analyses using repeated ANOVA with Tukey HSD post-hoc tests were performed for each level of force. The results indicated increasing rms activity of the triceps and anterior deltoid muscles with increasing force in normal volunteers to a significant degree (P < 0.05). SCI patients showed significant increasing activity of the anterior deltoid with increasing force, but showed minimal triceps rms activity. In both groups, the biceps showed minimal rms activity. SCI patients exhibited significantly greater rms activity of the anterior deltoid at low force compared with normal volunteers. The results suggest that the anterior deltoid aids in isometric elbow extension during a simulated weight shift maneuver.

Activities of Daily Living↗

PubMed1997

Isometric contraction of arm flexor muscles as a method of evaluating cardiac vagal tone in man.

1. We have previously shown that brief voluntary isometric contractions of upper arm flexor muscles performed for one respiratory cycle elicit a significant decrease in the R-R interval. The present study was designed to determine if similar changes are produced by non-voluntary electrically evoked contractions and, if so, to establish the consistency and repeatability of the associated changes in the R-R interval. 2. The heart rate (R-R interval) response to voluntary or non-voluntary brief isometric contraction equivalent to 40% of the maximum voluntary contraction was studied in 10 healthy young male subjects during controlled ventilation at supine rest. 3. The absolute values of R-R intervals occurring in any one of 10 arbitrary phases of a respiratory cycle were measured and plotted by a computer. 4. Both voluntary and non-voluntary contractions elicited similar changes in heart rate and R-R interval, which were greater during expiration than during inspiration. 5. This confirms our previous finding that the magnitude of the R-R interval changes, with brief isometric contraction, is positively related to the degree of cardiac vagal tone. 6. Analysis of the variability between repeated tests initiated in either inspiration or expiration revealed that there was significantly less variability with the electrically induced contraction. 7. It was concluded that electrically induced contractions of 40% maximal voluntary contraction are a viable alternative to voluntary contractions and provide a more controllable means of measuring cardiac vagal withdrawal.

Adult↗

PubMed2007

Isometric handgrip training does not improve flow-mediated dilation in subjects with normal blood pressure.

Isometric HG (handgrip) training lowers resting arterial BP (blood pressure), yet the mechanisms are elusive. In the present study, we investigated improved systemic endothelial function as a mechanism of arterial BP modification following isometric HG training in normotensive individuals. This study employed a within-subject repeated measures design primarily to assess improvements in BA FMD (brachial artery flow-mediated dilation; an index of endothelium-dependent vasodilation), with the non-exercising limb acting as an internal control. Eleven subjects performed four 2-min unilateral isometric HG contractions at 30% of maximal effort, three times per week for 8 weeks. Pre-, mid- and post-training resting ABP and BA FMD (exercised arm and non-exercised arm) were measured via automated brachial oscillometry and ultrasound respectively. BA FMD (normalized to the peak shear rate experienced in response to the reactive hyperaemic stimulus) remained unchanged [exercised arm, 0.029+/-0.003 to 0.026+/-0.003 to 0.029+/-0.004%/s(-1) (pre- to mid- to post-training respectively); non-exercised arm, 0.023+/-0.003 to 0.023+/-0.003 to 0.024+/-0.003%/s(-1) (pre- to mid- to post-training respectively); P=0.22]. In conclusion, improved systemic endothelial function is unlikely to be responsible for lowering arterial BP in this population.

Adult↗

PubMed1998

Creatine supplementation enhances maximum voluntary isometric force and endurance capacity in resistance trained men.

The present study examined the hypothesis that creatine (Cr) supplementation can increase the performance of isometric exercise in subjects engaged in a strength training program. Ten male subjects were tested in three experimental trials 7 days apart (days 1, 8 and 15). In each trial the subjects' maximum voluntary force of contraction (MVC) was measured in both legs and isometric endurance capacity at 80, 60, 40 and 20% of MVC of their stronger leg (knee extensor group) was measured with a 4-min rest between contractions. Additionally, the subjects' isometric endurance capacity at 80% of MVC of their weaker leg was measured in 10 repeated bouts interspersed with 2-min rest. A double-blind cross-over design was adopted for administering Cr or placebo. Subjects were randomized into either the Cr-placebo (Group A: days 2-6: 10 g day-1 of Cr; days 9-13: 10 g day-1 of glucose polymers) or the placebo-Cr group (Group B reverse supplementation order). The daily diet was analysed, and urine samples from 24-h collections were subjected to Cr and creatinine analysis. In each subject, approximately 18 g (35%) of Cr was eliminated in the urine during the Cr supplementation period. MVC increased by about 10% (P < 0.01 in the weaker leg, P < 0.05 in the stronger leg) and body mass increased by 1.7 +/- 0.4 kg (2.3%, P < 0.01) and 1.8 +/- 0.3 kg (2.1%, P < 0.01) in groups A and B, respectively, after Cr supplementation, while energy intake and diet composition remained constant throughout the study. The subjects' endurance capacity increased (P < 0.05) in all the bouts after Cr supplementation. Muscle hypertrophy in response to Cr supplementation and weight training may explain the findings of the present study.

Adult↗