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Effects of varying central command and muscle mass on the cardiovascular responses to isometric exercise.

To determine if the central command signal associated with isometric exercise is mass-dependent, 20 subjects (nine male, 11 female; 23 +/- 1 years) performed four 5-min bouts of supine isometric exercise with a large (quadriceps; LEG) and small (forearm; ARM) muscle mass. For each extremity, one bout entailed maintaining a constant force (CF; 20% maximal voluntary contraction) and the other constant electromyographic activity (CE; approximately 20% MVC initially). Central command was assumed to increase with CF and remain unchanged with CE. Heart rate increased more with LEG than ARM (P<0.001) and, in LEG, was higher in CF than CE at min 5 (P<0.001). Mean arterial pressure was higher in LEG (P<0.001) by min 2 and 10 +/- 3 mmHg higher in LEG CF than LEG CE by min 5 (P<0.001). Ratings of perceived exertion were highest in LEG CF (P<0.001); LEG CE did not differ from ARM CE (P<0.001) by min 4. The ARM responses did not differ between CF and CE in any variable. These data suggest that muscle mass influences the central command signal during isometric exercise and central command modulates this response in larger muscle masses.

Adult↗

Physical training increases isometric muscular strength and proprioceptive performance in haemophilic subjects.

Sufficient muscular strength and proprioception lessen the risk of joint damage, however, both are impaired in haemophilic subjects. The aim of the study was to investigate proprioceptive performance and isometric muscular strength before and after a specialized training in haemophilic subjects (H) compared with two groups of control subjects (C). Nine subjects with severe haemophilia A, and eight 'active' C (AC) without haemophilia took part in a physical training programme over a 6-month period. Eleven 'passive' C (PC) were requested to avoid any additional training during this period. Proprioceptive performance and isometric strength were determined before and after the training programme. The maximal isometric muscular strength in the legs, bilaterally measured by knee extensor (and leg press) was increased (P < 0.05) by 34% (29%) after training in the H and by 20% (28%) in the AC groups while remaining unchanged in the PC group. The performance in one-leg-stand tests after training was increased (P < 0.05) in the H and AC groups. An improvement of angle reproduction of 20 degrees and 40 degrees (P < 0.05) in the H compared with the PC groups was seen in the tests. Quantitative sensory testing by the tuning fork showed an increase (P < 0.05) in performance of both H and AC groups. The results of the present study confirm that specific sports therapy focused on proprioceptive function and accompanied by gentle strength training with low resistance and 20-25 repetitions is able to increase proprioceptive performance and muscular strength with a minimal stress to the joints. It is strongly recommended that specialized sports therapy be included as an integral component of the complete treatment regimen of haemophilic subjects.

Adolescent↗

Effect of electrical stimulation of high and low frequency on maximum isometric force and some morphological characteristics in men.

The effects of two methods of electrical stimulation on maximum isometric force, calf girth, and skinfold thickness of stimulated and nonstimulated (contralateral) legs were studied. Thirty-six male volunteers, divided into three groups, participated in the experiment. Groups I and II were subjected to the procedure of electrical stimulation of m. triceps surae daily for a period of 21 days. Group I was stimulated by an alternating current of low frequency (50 Hz); group II was also stimulated by an alternating current but of higher frequency (2000 Hz). Group III served as control group. In groups I and II significant increases of the maximum isometric force (as measured on an electronic dynamometer) of the stimulated (50.3% and 58.8%) and also of the nonstimulated (contralateral) muscles (39.7% and 32.2%) were found. In group III no significant increase of the maximum isometric force was registered. After the period of stimulation, the skinfold thickness was notably reduced by 21.6% in group II, and calf girth was enlarged in both experimental groups. Relatively large changes were realized in the calf girth and the skin-fold thickness of the nonstimulated legs. The changes in group III were insignificant. It is concluded that electrical stimulation with low as well as high frequencies exerts great effects on muscle force.

Adult↗

The relationship of serum creatine kinase, fiber type, and isometric exercise.

In 11 untrained subjects (mean age = 22.5 yr) serum creatine kinase (CK) was measured before and after two types of knee extension exercise regimens. One regimen consisted of 35 10-s maximal isometric contractions separated by a 20-s rest (10:20). This regimen provided adequate recovery time between trials so that strength loss amounted to only 23.4% over the 35 contractions. The other exercise regimen consisted of the same 35 maximal isometric contractions but separated by 5 s between trials (10:5), resulting in a 54.6% strength loss. Muscle fiber type was also determined to assess the relationship of fiber type with serum CK and strength loss. The fast-twitch (FT)/slow-twitch (ST) area ratio correlated with resting CK. Baseline strength correlated with strength loss over the 10:5 condition but not with strength loss over the 10:20 condition suggesting different mechanisms responsible for strength decline for the two exercise conditions. Although a greater strength loss was found for the 10:5 condition, serum CK levels were significantly higher following the 10:20 exercise. An analysis of covariance showed that the mean strength level over the 35 contractions was significantly related to CK increase in the two exercise conditions. Results suggest that mechanical factors associated with high tension levels may be responsible for CK efflux following isometric exercise.

Adult↗

Effects of isometric contraction on intramuscular level of neuropeptide Y and local pain perception.

OBJECTIVE: The release of neuropeptide Y (NPY) is reported to increase in ischemic conditions and may thus be involved in chronic myalgia. The purpose of this study was to investigate the effect of isometric contraction on intramuscular levels of NPY in relation to local pain development. MATERIAL AND METHODS: Intramuscular microdialysis was performed in the masseter and trapezius muscles to determine NPY levels before, during, and after isometric contraction in 16 healthy females. Pain intensity was assessed simultaneously with VAS. Repeated measures ANOVA, t-test, and Pearson correlation analysis were used for statistical analyses. RESULTS: The level of NPY in the trapezius muscle was increased during and after contraction, while there was no change in the masseter muscle. The level of NPY before contraction was higher in the masseter muscle than in the trapezius muscle, and the levels in the two muscles were correlated before and during contraction. Low-level pain in both muscles after probe insertion increased significantly during contraction, but the pain was not correlated to the NPY level. CONCLUSIONS: Pain is developed in the trapezius and masseter muscles during repeated isometric contraction. The NPY level is increased in the trapezius muscle but is not associated with the pain development.

Bite Force↗

Lumbosacral compression in maximal lifting efforts in sagittal plane with varying mechanical disadvantage in isometric and isokinetic modes.

Nine normal male subjects (mean age 28.2 years and mean weight 72.6 kg) performed 20 standardized maximal effort lifting tasks. They were asked to perform stoop and squat lifts at half, three-quarters and full individual horizontal reach distances in mid-sagittal plane in isometric and isokinetic modes (fixed velocity 60 cm/s). Both stoop and squat lifts were initiated at the floor level and terminated at the individual's knuckle height keeping the horizontal distance constant throughout the lift. The isometric stoop lifts were performed with hip at 60 degrees and 90 degrees of flexion with hands at preselected reach distances. The isometric squat lifts were performed with knees at 90 degrees and 135 degrees of flexion with hands at similarly preselected reach distances. The force was measured using a Static Dynamic Strength Tester with load cell (SM 1000). The postures were recorded using a two-dimensional Peak Performance System with an event synchronizing unit. The load cell was sampled at 60 Hz and the video filming was done at 60 frames per second. The force and postural data were fed to a biomechanical model (Cheng and Kumar 1991) to extract external moment and lumbosacral compression. The strengths generated in different conditions were significantly different (p < 0.01). The strength variation ranged by up to 73% whereas the lumbosacral compression varied by only up to 15%. A high level of lumbosacral compression was maintained in all conditions.

Adult↗

Influence of posture and training on the endurance time of a low-level isometric contraction.

Classically, the critical force of a muscle (the relative force below which an isometric contraction can be maintained for a very long time without fatigue) is comprised of between 15 and 20% of its maximum voluntary contraction (MVC). However, some authors believe that the value is below 10% MVC. If such is the case, signs that accompany the establishment of muscle fatigue (EMG changes, continuous increase in systolic blood pressure [SBP] and heart rate [HR]) would have to appear more rapidly and with a higher intensity if the muscle is already partially fatigued at the start of maintaining a contraction at 10% MVC. Twelve healthy untrained participants carried out two isometric contractions with the digit flexors: one (test A) began with a maximum contraction sustained for 4 min followed without interruption by a contraction at 10% MVC for 61 min; the other (test B) was a contraction maintained at 10% MVC for 65 min. For test B, after an initial increase of 4 bpm with respect to at rest, HR remained stable until the end of contraction, SBP progressively increased by 24 mm Hg in 28 min, then remained unchanged until the end, and there were no significant changes in EMG (absence of spectral deviation towards low frequencies). For test A, in spite of the initial maximum contraction, changes in the parameters being studied (total maintenance time, HR, SBP, EMG) during maintenance at 10% MVC were identical to those for test B. The results show that (1) when the number and intensity of the co-contractions are minimized by applying an appropriate posture, it is possible to sustain an isometric contraction at 10% MVC for at least 65 min without the appearance of signs of muscle fatigue; (2) the critical force of the digit flexors is higher than 10% MVC.

Adult↗

Modeling variability of force during isometric contractions of the quadriceps femoris.

The authors modeled variability of force during continuous isometric contractions of the quadriceps femoris. Twenty adults (aged 25 +/- 6 years old) performed isometric leg extensions. Target forces were 11 percentages of maximum voluntary contraction (%MVC), ranging from 2 to 95%, and 5 absolute levels, from 25 to 225 N. The authors used standard deviation of absolute force, coefficient of variation, and signal-to-noise ratio as measures of variability. The results suggested a nonlinear relationship between variability and level of force, which could best be expressed as %MVC and not as absolute force. Variability for continuous isometric contractions was described best by a sigmoidal logistic function. The sigmoidal pattern of variability as a function of %MVC is consistent with physiological mechanisms.

Adult↗

Muscle oxygenation and EMG activity during isometric exercise in children.

The aim of this study was to examine the time-course of and the relationships between muscle oxygenation, blood volume and myoelectrical manifestations during isometric exercise in children. Twelve healthy children aged 12.5 +/- 1.2 years (mean +/- s) performed an isometric knee extension at 50% of their maximal voluntary contraction (MVC) until exhaustion to assess endurance time (limit time, T(lim)). Changes in muscle oxygenation and blood volume were assessed by near infrared spectroscopy (NIRS). The root mean square (RMS) amplitude and the mean power frequency (MPF) from electromyogram (EMG) signals were obtained, as NIRS parameters, from the vastus lateralis. Mean T(lim) was 117 +/- 34 s. The muscle oxygenation and blood volume curves decreased immediately at the beginning of exercise. Maximal deoxygenation occurred at 50% T(lim), and fell by 76.9% from the resting value. Similarly, minimal blood volume was observed at 50% T(lim); it reached a plateau that lasted until the end of exercise. The kinetics of the MPF and RMS curves were inversely related to time. At the last set of exercises (after 75% T(lim)), a steeper RMS curve and an abrupt decrease in the MPF curve were observed. Significant correlations (r) between muscle oxygenation, blood volume, root mean square amplitude and mean power frequency were observed, which ranged from 0.72 to 0.99. These findings suggest that the fatigue resulting from sustained isometric exercise is related to a decrease in oxygenation and blood volume.

Blood Volume↗

Strength and bite, Part 2: Testing isometric strength using a MORA set to a functional criterion.

The effect on isometric strength of biting on three intraoral devices and habitual occlusion was analyzed. Only subjects who showed a relative weakness to the Isometric Deltoid Press (IDP) when biting as opposed to maintaining the mandible in an unsupported rest position were included in the study. Both in the original 35 subjects and the 23 subjects returning on the second day, performance wearing the appliance set by a functional criterion of peak strength (locking) to the IDP was significantly greater than wearing a placebo appliance and a bite raising appliance that deflected the mandible 1 mm to the left. Strength biting on the appliance set by a functional criterion was significantly greater than all these conditions. Strength biting in habitual trials that were matched with the deflection condition was found to be significantly greater than that biting in the placebo condition. It was concluded that a relationship does exist between bite and isometric strength. Previous speculation about the role of placebo effect was not substantiated by the data gathered in this experiment.

Adolescent↗

The effect of stepwise increases in vertical dimension of occlusion on isometric strength of cervical flexors and deltoid muscles in nonsymptomatic females.

This mixed, single-double blind study examined the effect of a stepwise increase in vertical dimension of occlusion (VDO) on the isometric strength of cervical flexor and deltoid muscles in 20 asymptomatic females with deep bite (age range 20-40 years). Vertical dimension of occlusion was increased by mandibular acrylic bite plates, 2, 4, 6 and 12 mm. Subjects were instructed to bite while resisting: 1. an increasing horizontal force was applied to the forehead; and 2. an increasing vertical downward force to the wrist of each extended arm. Forces were applied by a hand-held strain gauge until resistance yielded. The force applied at the point of yielding was recorded as isometric peak strength of that trial. The peak strength for each muscle group was measured twice and averaged to produce a mean peak strength measure. This procedure was repeated in the subject's habitual occlusion and for the four increased VDOs. Mean strength of cervical flexors with increased VDO (12.0 kg) was significantly greater than that for existing vertical dimension occlusion (9.6 kg). With the exception of pre-experimental existing VD of occlusion, strength for right and left deltoids did not differ, but mean deltoid strength in the increased condition (8.6 kg) was significantly greater than biting in without a bite plate (6.6 kg). In the peak condition, cervical flexor strength increased 24% and deltoid strength increased an average of 29% from that of biting without an increase. As VDO increased further, strength in all sites was found to diminish. Repeating the strength test without a bite plate, after all trials were administered, did not show differences from pre-experimental levels, indicating that fatigue was not an important factor. The findings demonstrate that isometric strength of the cervical flexors and deltoids increases significantly from habitual occlusion as the VDO is increased, then diminishes as VDO is increased further. The strength of both cervical flexors and deltoids varied in concert with changes of VDO.

Adult↗

Impaired vasodilator capacity and exaggerated pressor response to isometric exercise in subjects with family history of hypertension.

The nature of the cardiovascular response to isometric exercise is still debated. An adequate blood supply to exercising muscles at the onset of contraction seems to be an important factor controlling the extent of pressor response to isometric contraction. In comparison to normotensive subjects without familiar hypertensive history (F-), normotensive subjects with family history of hypertension (F+) have a reduced peripheral vasodilator capacity which impairs the possibility to adjust the muscular blood flow during exercise. An enhanced pressor response to handgrip test was observed in F+ and this hyperresponsivity was inversely related to the extent of forearm vasodilation capacity and largely prevented by the pretest increase of blood flow in exercising muscles. Our results suggest the importance of local vasodilating capacity as a determinant of reflex pressor response to isometric exercise.

Adult↗

Control of isometric finger force in patients with cerebellar disease.

Control of isometric forces during grasping or handling of objects is an essential feature of all skilled manual performances. Previous studies of hand function in cerebellar patients were restricted to movements; force control was only investigated under isotonic conditions in combination with movements. Control of isometric forces during voluntary contraction of finger muscles was investigated in 31 patients with chronic cerebellar disease and in 20 normal controls. Eight patients with Friedreich's ataxia were considered to be typical for a disease affecting the afferents to the cerebellum; 4 patients with anterior lobe atrophy, which affects leg movements to a greater extent than finger movements, were compared with 3 patients with hemisphere lesions; 16 patients suffered from diffuse cerebellar atrophy. Using a recently developed microcomputer system for the continuous measurement of finger force, control of isometric force was studied in several tasks within the same subjects. The tasks included the maintenance of constant force output at different force levels with and without visual feedback, fast repetitive force changes, tracking of a sinusoidal target presented visually, and measurement of maximum grip force. The amount of voluntary contraction in terms of muscular power was normal in all patients; in all other tasks clear deficits were observed. The extent of the disturbances was highly variable between patients even within the same clinical subgroup. The detailed analysis of force traces revealed a great variety in types of disturbance. The frequently observed slowing of the speed in repetitive force changes can be attributed to different components in different patients and not only to difficulties at turning points as might be predicted from comparable movement studies. In addition, performance deficits across different tasks were not uniform, indicating dissociation of impairment. Deficits in maintaining force, which may be interpreted as dysmetria or due to tremor, do not necessarily imply an abnormality in diadochokinesis, as measured in fast repetitive force changes, nor does the converse apply.

Adolescent↗

Effects of carotid artery occlusion on the pressor response induced by sustained isometric contraction in the cat.

The effects of clonidine, a central alpha 2 agonist, on changes in blood pressure caused by muscle afferent nerve (ergoreceptor) activation and baroreceptor manipulation were studied in cats. Prolonged isometric contractions (ergoreceptor activation) of the gastrocnemius and plantaris muscles increased mean arterial pressure by 53 mmHg. This pressor response was not altered by naloxone (0.5 mumol.litre-1) but was eliminated by clonidine (0.5-2.0 micrograms) when injected into the cerebral aqueduct. Brief occlusion of the carotid artery (15-30 s) caused mean arterial pressure to increase by 32-42 mmHg at rest. Neither naloxone nor clonidine altered the magnitude of the reflex pressor response to carotid occlusion. Similar increases in pressure were measured when occlusion was applied during fatiguing isometric contractions; thus baroreceptor induced increases in pressure were superimposed on the ergoreceptor induced blood pressure changes. Naloxone did not affect the changes in pressure caused by either reflex response. Clonidine continued to eliminate the pressor response to muscular contraction but did not affect the pressure increase when the carotid occlusion was applied during contractions. Electrical stimulation of the carotid sinus nerve caused blood pressure to decrease by 36 mmHg during rest and by 41 mmHg during fatiguing isometric contractions. Clonidine did not alter the depressor response to carotid sinus nerve stimulation. These data may indicate that separate pathways centrally mediate the changes in blood pressure caused by ergoreceptor and baroreceptor afferent activation. The integration of the ergoreceptor pathway may involve a catecholaminergic-opioidergic system but the present results do not suggest a similar interaction for the baroreceptor integration.

Animals↗

A myothermal analysis of the myosin crossbridge cycling rate during isometric tetanus in normal and hypothyroid rat hearts.

Hypertrophied rabbit heart papillary muscles (thyrotoxicosis), with a high V1/V3 myosin isoenzyme ratio and contractile protein ATPase activity, have a high velocity of unloaded shortening and a decrease in the myothermal economy of isometric twitch force development and dissipation; in hypertrophied hearts (pressure overload) with a low V1/V3 isoenzyme ratio and ATPase activity, the converse was found to be true (Am J Cardiol 1979; 44:947-953; Fed Proc 1982; 41:192-198). In the present study the confounding problem of internal shortening, which takes place during force development and dissipation in the isometric twitch, is minimized by carrying out measurements of the rate of heat liberation during the plateau phase of tetanic force maintenance. The studies are further extended to another species (rat) where the V1/V3 myosin isoenzyme ratio is altered by treating the animal with propyl thiouracil added to the drinking water (PTU); here the contractile protein alteration occurs with myocardial atrophy rather than hypertrophy. High resolution, rapid temperature measurements are made in tetanically stimulated isometrically contracting rat heart papillary muscles from normal (high V1/V3 ratio) and PTU treated (low V1/V3 ratio) rats to assess the relationship between contractile protein performance (crossbridge cycling rate) in the intact muscle and that under controlled conditions in isolated myofibrils. In papillary muscles from the normal heart the crossbridge cycling rate (+/- SEM) during force maintenance was 6.53 (+/- 1.73) cycles/second compared with 3.13 (+/- 0.24) and 0.53 (+/- 0.17) cycles s-1 in the myofibril at high and low ionic strength, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Adenosine Triphosphatases↗

Old adults exhibit greater motor output variability than young adults only during rapid discrete isometric contractions.

The purpose of this study was to examine the ability of young and elderly individuals to control submaximum levels of force (5-90%) during continuous and rapid discrete isometric contractions of the quadriceps femoris. Participants were 24 young (25.3 +/- 2.8 years) and 24 elderly individuals (73.3 +/- 5.5 years) that were healthy and active. The strength of elderly participants was approximately 40% lower than young participants. The standard deviation and coefficient of variation (CV) of force were greater during discrete contractions than during continuous isometric contractions. During continuous isometric contractions, young and elderly participants exhibited similar CVs of force. During discrete contractions, however, elderly participants exhibited greater CVs for peak force and impulse and greater standard deviations and CVs for temporal characteristics than young participants. Results suggest that the control of force in active elderly people declines only during rapid discrete contractions and that this decline may be associated with declines in temporal characteristics of the force production.

Adult↗

Comparison of the effectiveness of two pelvic stabilization systems on pelvic movement during maximal isometric trunk extension and flexion muscle contractions.

The purpose of this study was to compare the effectiveness of two pelvic fixation systems to limit pelvic movement during isometric trunk extension and flexion muscle strength testing. We developed a prototypal pelvic fixation system and compared it with a pelvic strap stabilization system. The prototypal pelvic fixation system consisted of fixation of the anterior superior iliac spines and sacrum, and the pelvic strap stabilization system consisted of a strap across the anterior superior iliac spines and a posterior pad. Small, but statistically significant, pelvic position changes occurred during isometric trunk extension and flexion muscle strength testing with the two stabilization systems. The pelvic angle changes were greater in extension than in flexion and greater when only the pelvic strap stabilization system rather than the prototypal pelvic fixation system was used. Our findings indicate that a more extensive prototypal pelvic fixation system minimizes pelvic movement to a greater extent during isometric trunk extension and flexion muscle contractions compared with the strap stabilization system.

Abdominal Muscles↗

Isometric exercise for an individual with hemophilic arthropathy.

Several authors have described nonsurgical rehabilitative techniques for individuals with hemophilia who have single or recurrent hemarthroses. The effects of these low intensity exercise programs are not stated clearly in the literature. In this single-case experimental study, we investigated the effects of a training program of isometric exercise of at least two thirds of maximum voluntary contraction on the knee joint and surrounding muscles of a patient with hemophilia. A 12-year-old subject with severe factor-VIII deficiency and chronic knee arthroses was seen for baseline measurements, three weeks of treatment, and follow-up baseline measurements. The isometric exercise program safely increased right hamstring and quadriceps femoris muscle group strength 40% to 70% without adversely affecting knee range of motion, circumference, or skin temperature and without causing bleeding or discomfort. The use of isometric exercise programs during rehabilitation and maintenance is a promising treatment component for the total care of the individual with hemophilia.

Child↗