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PubMed1984

Respiratory and circulatory adaptation to isometric and dynamic exercise in chronic lung disease.

Changes at the beginning of isometric and dynamic low level exercise were studied in 23 patients with chronic lung disease. Ventilation, oxygen consumption and vascular pressures in systemic and pulmonary circulation were continuously monitored, and cardiac output was measured by thermodilution every minute. Circulatory changes took place suddenly at the beginning of isometric exercise and gradually during dynamic exercise. Ventilatory changes followed almost the same progressive pattern in both types of exercise. Ventilation increase in relation to oxygen uptake was slightly smaller during isometric exercise. Pulmonary artery pressure showed no further increase after the initial change, although ventilation was still rising.

Adaptation, Physiological↗

PubMed1984

The relative isometric strength of type I and type II muscle fibres in the human quadriceps.

In isometric contractions, the type II fibres of animal muscle may have a greater specific strength than the type I fibres. This paper reports two retrospective analyses of the influence of fibre-type composition on the ratio of the voluntary isometric strength of the quadriceps to its cross-sectional area at mid-thigh. In 15 normal quadriceps, the ratio of the muscle's strength to its cross-sectional area was weakly correlated with the percentage contribution of type II fibres to a biopsy from the lateral mass of the muscle (r = 0.55, P less than 0.05). Linear regression suggested that type II fibres might have about three times the specific strength of type I fibres. Measurements of the atrophied quadriceps of 11 patients with unilateral knee injury/immobilization were standardized by comparison with the contralateral muscles. Strength/cross-sectional area was again correlated with the percentage area as type II fibres (r = 0.62, P less than 0.05). The data suggested that type II fibres might have about twice the specific strength of type I fibres. Despite the wide confidence limits of each of the analyses, they agree that, in isometric contractions, the type II fibres of the human quadriceps seem stronger, for their cross-sectional area, than the type I fibers.

Adolescent↗

PubMed1993

A comparison of hand-held isometric strength measurement with isokinetic muscle strength measurement in the elderly.

OBJECTIVE: To compare hand-held isometric muscle strength measurement to an isokinetic muscle strength measurement in a healthy elderly population. DESIGN: Cross-sectional survey. SETTING: Retirement community in Southeastern Arizona. PARTICIPANTS: Thirty-two volunteers (16 men and 16 women) age 60 and over (mean age 70.3 years) who were free of musculoskeletal problems and did not have significant health problems. INTERVENTIONS: None. MEASUREMENTS: Isometric muscle strength was determined using a hand-held isometric strength device (Penny and Giles) for elbow flexion and extension and knee flexion and extension. Isokinetic muscle strength (average peak torque and average work per repetition) was measured on the same individuals using a Lido isokinetic dynamometer. RESULTS: Correlations between the strength measurement techniques were generally favorable with the lowest correlation being .72, (95 percent confidence interval .50-.86) and the highest being .85, (95 percent confidence interval .72-.93). However, there was substantial variability of hand-held strength reading at some levels of isokinetic strength. CONCLUSIONS: Hand-held dynamometry for strength measurement correlates strongly with measurement of strength using isokinetic dynamometry. Despite these high correlations, there is remaining variability of hand-held muscle strength readings when compared with isokinetic strength measurement at some levels of isokinetic muscle strength. Modification of the testing methodology or instrumentation used in this study is needed to improve the consistency of these measurements.

Aged↗

PubMed1998

Differential effects of cytochalasin D and 2,3 butanedione monoxime on isometric twitch force and transmembrane action potential in isolated ventricular muscle: implications for optical measurements of cardiac repolarization.

INTRODUCTION: 2,3-Butanedione monoxime (BDM) has been widely used to inhibit contraction during optical recordings of cardiac membrane voltage changes, even though it markedly abbreviates cardiac action potentials. METHODS AND RESULTS: We compared the effects of BDM and of the F-actin disrupter cytochalasin D (cyto D) on isometric twitch force and transmembrane action potentials in isolated canine right ventricular trabeculae superfused with Tyrode's solution (2 mmol/L CaCl2, 37 degrees C) and stimulated at 0.5 Hz. BDM at 10 mmol/L and cyto D at 80 micromol/L were equally effective in reducing peak isometric force to 10%+/-3% (n = 6; mean+/-SEM) and 8%+/-1% (n = 8), respectively. Neither agent significantly altered resting tension. While 10 mmol/L BDM markedly shortened the action potential duration at 90% repolarization (APD90) from 198+/-7 msec to 146+/-9 msec (P < 0.001), 80 micromol/L cyto D had no significant effects on APD90 or on any other action potential parameter. The effects of BDM on peak isometric force and APD were completely reversible after 15 minutes of washout, whereas in the cyto D group contractile force continued to be reduced (13%+/-3%) and action potential characteristics did not show significant changes from control values after a 60-minute period of superfusion with cyto D-free Tyrode's solution. CONCLUSION: We conclude that cyto D should be considered an alternative excitation-contraction uncoupler for optical mapping studies of cardiac repolarization.

Action Potentials↗

PubMed2006

Effects of isometric training at different knee angles on the muscle-tendon complex in vivo.

The purpose of this study was to investigate the influences of isometric training at different joint angles on the muscle size and function of the human muscle-tendon complex in vivo. Furthermore, we tried to gain a better understanding of the mechanisms involved in angle specificity after isometric training from the aspect of neuromuscular adaptation and the changes in the properties of the muscle-tendon complex. Nine males completed 12-week unilateral training program (70% of maximal voluntary contraction (MVC) x 15 s x six sets) on the knee extensors at 50 degrees (shorter muscle length: ST) and 100 degrees (longer muscle length: LT). The internal muscle force (mechanical stress) is higher at 100 degrees than at 50 degrees because of the difference in the moment arm length, although there were no difference in the relative torque level, contraction and relaxation times, and repetition between ST and LT. Before and after training, isometric strength at eight angles and muscle volume were determined. Tendon elongation of knee extensors was measured by ultrasonography. There was no significant difference in the rate of increment of muscle volume between the protocols. Tendon stiffness increased significantly for LT, but not for ST. Although significant gain was limited to angles at or near the training angle for ST, increases in MVC at all angles were found for LT. These results suggest that only mechanical stress (internal muscle force imposed on muscle and tendon) contributes to adaptation in the tendon stiffness, although metabolic (relative torque level, etc.) and mechanical stress relate to muscle hypertrophy. Furthermore, increment of tendon stiffness for LT might contribute to increase torque output at smaller angles other than the training angle.

Adaptation, Physiological↗

PubMed1978

Isometric and dynamic endurance as a function of age and skeletal muscle characteristics.

The aim of the study was to investigate the influence of age on endurance of human skeletal muscle. An attempt was made to correlate muscular performance at various ages with some morphological and enzymatic characteristics of the muscle. Fifty healthy men, 22-65 years of age, with low daily physical activity (clerks) volunteered for the study. Isometric and dynamic endurance were determined under standardized conditions and measured in relation to maximum strength, thereby correcting for individual as well as age differences in maximum strength. Biopsies taken from the quadriceps muscle were used for muscle fibre classification, fibre area determinations, and measurements of some enzyme activities (Mg2+ stimulated ATPase, myokinase (MK), lactate dehydrogenase (LDH),LDH isozymes). Maximum isometric and dynamic strength decreased in the older groups while no significant change was seen in isometric or dynamic endurance. Significant correlations were observed between endurance and fibre type distribution, fibre areas, and LDH isozyme activities.

Adenosine Triphosphatases↗

PubMed1994

Potentiation of concentric plantar flexion torque following eccentric and isometric muscle actions.

In a stretch-shortening cycle (SSC) the concentric muscle action is enhanced by a preceding eccentric muscle action. The hypothesis of the present study is that a preceding isometric action can also have an effect on a following concentric action, but to a lesser degree. A KINetic-COMmunicator II dynamometer was used to test muscle strength of the plantar flexion of the right foot in 20 healthy women. Maximal voluntary torque measurements were made at different angular velocities (120 degrees s-1 and 240 degrees s-1) and the range of motion of the ankle joint was 78-125 degrees. The assessment was based on concentric torque output and EMG recording from the gastrocnemius muscle under three different types of testing conditions (concentric actions with and without preceding eccentric or isometric actions, all with maximal efforts). The results showed that preceding muscle actions led to greater concentric torque output (P < 0.01) between 90 and 99 degrees plantar flexion. However, the increase in the concentric action was significantly (P < 0.01) larger with eccentric than with isometric preceding action, regardless of velocity. The EMG activity of the concentric action showed unchanged or lower values when preceded by a muscle action. In this model our conclusion is that the main reason for larger concentric torque values after a preceding muscle action is that time is sufficient for maximal muscle tension development; in addition, elastic energy is stored, particularly during the preceding eccentric action. Our results show that the effect of preceding muscle actions should be taken into account when measuring isokinetic muscle strength at relatively small angular movements.

Adolescent↗

PubMed1989

Fatigue of isolated mouse muscle due to isometric tetani and tetani with high power output.

The fatiguing effect of a series of isometric tetani and of tetani with shortening and maximum power output were compared using soleus and extensor digitorum longus muscle of mouse. Mean force in test isometric tetani after the series was reduced by up to 35% compared with pre-series controls. Tetani with shortening were always more fatiguing than isometric tetani.

Animals↗

PubMed1989

Respiratory responses to sustained isometric muscle contractions in man: the effect of muscle mass.

1. Respiratory responses to sustained isometric contractions of a small mass of muscle (the finger flexors) during handgripping, and of a larger mass of muscle (the quadriceps) during extension of the leg at the knee, have been studied in man. 2. For both masses of muscle the increases of ventilation and of oxygen consumption were greater for contractions at 40% maximum voluntary contraction (MVC) than for contractions at 20% MVC. 3. The increase of ventilation was not related to the mass of muscle involved. 4. At 20% MVC oxygen consumption during contraction of the quadriceps was greater than that during handgripping. At 40% MVC the oxygen consumptions were similar. The oxygen debts following both handgrip and knee extensor contractions at 20% MVC were negligible. Following 40% MVC contractions of the quadriceps a significant oxygen debt was recorded but no debt was apparent following 40% MVC contractions of the finger flexors. 5. The increases of ventilation during isometric exercise were generally inappropriately high for the increases of gas exchange. This led to reductions of the end-tidal carbon dioxide pressure (PET,CO2), especially towards the end of exercise. 6. Following 40% MVC handgripping hyperventilation continued despite the reduced alveolar PCO2. By contrast, following 40% MVC knee extension PET,CO2 transiently rose above the resting level, but did not stimulate ventilation. 7. It appears that following fatiguing isometric contractions hyperventilation continues and appears to be independent of alveolar PCO2. It is suggested that stimuli which increase ventilation during exercise may continue to act during the early phase of recovery.

Adult↗

PubMed1991

Motor units of the fourth deep lumbrical muscle of the adult rat: isometric contractions and fibre type compositions.

1. Isometric twitch and tetanic tensions were recorded from whole muscles and single motor units in fourth deep lumbrical muscles isolated from young adult (60 days) rats. Muscles were superfused with oxygenated Ringer solution at 25 degrees C except where stated otherwise. 2. It was confirmed that the muscle is supplied most commonly by eleven motor axons, nine via the lateral plantar nerve (LPN), and two via the sural nerve (SN). Motor units whose axons were isolated from either LPN or SN were studied. There was no difference in mean motor unit size. 3. In their unfused tetani most units showed 'sag' and some 'no sag', with no segregation between LPN and SN. 'No sag' units were always small (unit tetanic tension less than 8% whole-muscle tetanic tension), tended to be relatively slowly contracting and relaxing during an isometric twitch, and tended to have relatively low twitch:tetanus ratios. Units showing sag ranged from large to small. 4. In some motor units muscle fibres were depleted of their glycogen by repetitive stimulation at 30 degrees C in glucose-free Ringer solution, and the muscle and its unstimulated control frozen and sectioned. Neighbouring sections were stained for glycogen and for binding of two myosin-specific antibodies, one specific for slow myosin and the other for type IIA myosin. Myosin ATPase and succinic dehydrogenase histochemistry were also carried out in some muscles. 5. Serial reconstructions showed that all or virtually all extrafusal fibres in the muscle were present in a midbelly section, and that the myosin type of individual fibres did not change significantly along their length. Spindle profiles were seen frequently and in two muscles eight and twelve spindles were identified. 6. Of twenty-six motor units examined twenty contained almost exclusively muscle fibres of the recently described type IIX. All these units showed sag in their isometric tetani. 7. Six units each contained 50% or more of slow myosin-containing fibres (IIC and a few type I). The remaining fibres in these units were IIA. All these units were therefore of mixed fibre composition, and are discussed as IIC/IIA units. In whole muscles slow-myosin-containing fibres were generally distributed evenly (non-randomly) throughout the muscle cross-section. 8. Whole muscles contained on average 970 fibres (S.D. +/- 70) of which 82 (+/- 9) were slow-myosin-containing. A few muscles from older rats (3-24 months) contained very few such fibres.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗

PubMed1993

Influence of force on muscle and skin sympathetic nerve activity during sustained isometric contractions in humans.

1. Our purpose was to test the hypothesis that efferent sympathetic nerve activity to non-active skeletal muscle (MSNA) and skin (SSNA) is independent of the level of force during sustained submaximal isometric contractions in humans. 2. In twelve healthy subjects, arterial blood pressure, heart rate, and MSNA (n = 6) or SSNA (n = 6) (peroneal microneurography) were recorded before and during isometric handgrip contractions sustained to exhaustion at 20, 40 and 60% of maximal force. Responses were examined at similar percentages of endurance time at each level of force. 3. Contraction duration decreased progressively with increasing force (495 +/- 54, 140 +/- 13, 73 +/- 8 s, respectively), but peak ratings of perceived effort were similar for the three force levels. 4. The peak increases in systolic pressure were not different among the three levels of force. The increases in diastolic and mean pressure were similar at 40 and 60% of maximal force, but were smaller at the end of 20% of maximal force. The contraction-induced rise in heart rate was directly related to the level of force. 5. The contraction-evoked stimulation of both MSNA and SSNA was similar during handgrip at 40 and 60% of maximal force, but was much less during handgrip at 20% of maximal force. The increases in SSNA were associated with increases in both skin blood flow and skin electrical conductance suggesting primarily sudomotor fibre activation. 6. These findings indicate that there is a minimum force necessary to elicit peak levels of MSNA and SSNA during sustained isometric contractions in humans. When normalized to endurance time, however, the regulation of these sympathetic outflows appears to be independent of force above this minimum level. The results also indicate that during this type of muscle activity the relationship between force and heart rate is different to that between force and peripheral sympathetic discharge.

Adult↗

PubMed1996

In vivo human gastrocnemius architecture with changing joint angle at rest and during graded isometric contraction.

1. Human gastrocnemius medialis architecture was analysed in vivo, by ultrasonography, as a function of joint angle at rest and during voluntary isometric contractions up to the maximum force (MCV). maximum force (MVC). 2. At rest, as ankle joint angle increased from 90 to 150 deg, pennation increased from 15.8 to 27.7 deg, fibre length decreased from 57.0 to 34.0 mm and the physiological cross-sectional area (PCSA) increased from 42.1 to 63.5 cm2. 3. From rest to MVC, at a fixed ankle joint angle of 110 deg, pennation angle increased from 15.5 to 33.6 deg and fibre length decreased from 50.8 to 32.9 mm, with no significant change in the distance between the aponeuroses. As a result of these changes the PCSA increased by 34.8%. 4. Measurements of pennation angle, fibre length and distance between the aponeuroses of the gastrocnemius medialis were also performed by ultrasound on a cadaver leg and found to be in good agreement with direct anatomical measurements. 5. It is concluded that human gastrocnemius medialis architecture is significantly affected both by changes of joint angle at rest and by isometric contraction intensity. The remarkable shortening observed during isometric contraction suggests that, at rest, the gastrocnemius muscle and tendon are considerably slack. The extrapolation of muscle architectural data obtained from cadavers to in vivo conditions should be made only for matching muscle lengths.

Adult↗

PubMed2007

Electromyography of superficial and deep neck muscles during isometric, voluntary, and reflex contractions.

Increasingly complex models of the neck neuromusculature need detailed muscle and kinematic data for proper validation. The goal of this study was to measure the electromyographic activity of superficial and deep neck muscles during tasks involving isometric, voluntary, and reflexively evoked contractions of the neck muscles. Three male subjects (28-41 years) had electromyographic (EMG) fine wires inserted into the left sternocleidomastoid, levator scapulae, trapezius, splenius capitis, semispinalis capitis, semispinalis cervicis, and multifidus muscles. Surface electrodes were placed over the left sternohyoid muscle. Subjects then performed: (i) maximal voluntary contractions (MVCs) in the eight directions (45 deg intervals) from the neutral posture; (ii) 50 N isometric contractions with a slow sweep of the force direction through 720 deg; (iii) voluntary oscillatory head movements in flexion and extension; and (iv) initially relaxed reflex muscle activations to a forward acceleration while seated on a sled. Isometric contractions were performed against an overhead load cell and movement dynamics were measured using six-axis accelerometry on the head and torso. In all three subjects, the two anterior neck muscles had similar preferred activation directions and acted synergistically in both dynamic tasks. With the exception of splenius capitis, the posterior and posterolateral neck muscles also showed consistent activation directions and acted synergistically during the voluntary motions, but not during the sled perturbations. These findings suggest that the common numerical-modeling assumption that all anterior muscles act synergistically as flexors is reasonable, but that the related assumption that all posterior muscles act synergistically as extensors is not. Despite the small number of subjects, the data presented here can be used to inform and validate a neck model at three levels of increasing neuromuscular-kinematic complexity: muscles generating forces with no movement, muscles generating forces and causing movement, and muscles generating forces in response to induced movement. These increasingly complex data sets will allow researchers to incrementally tune their neck models' muscle geometry, physiology, and feedforward/feedback neuromechanics.

Adult↗

PubMed1978

Plasma noradrenaline concentrations during isometric exercise.

Blood was collected simultaneously from the left ventricle and pulmonary artery in 12 patients undergoing routine cardiac catheterisation and was analysed for noradrenaline concentrations at rest, during, and after isometric stress (hand grip). Moderate isometric exercise resulted in a significant rise in plasma noradrenaline with a return to basal values 10 minutes after discontinuing the grip test. There were no significant differences in noradrenaline levels between the left ventricular and pulmonary arterial samples either at rest or during exercise. Three patients with evident left ventricular dysfunction had the highest plasma noradrenaline concentrations, in contrast to the much lower levels in 2 patients on beta-blockers and in 1 patient with a normal heart. As moderate isometric effort results in an important increase in noradrenaline level, this form of exercise could be dangerous in subjects suffering from ischaemic heart disease or in those with impaired left ventricular function since these patients are particularly susceptible to arrhythmias.

Adult↗

PubMed1979

Ventricular response to isometric and isotonic exercise. Echocardiographic assessment.

The effects of supine isometric handgrip and graded isotonic bicycle ergometer exercise on left ventricular performance were studied echocardiographically in 20 normal subjects, aged 18 to 36. Measurements of the left ventricular minor axis diameter were taken from recordings performed at rest, during each form of exercise, and during recovery. At the completion of isometric exercise, the pressure-rate product increased significantly. There was no significant change in percentage of fractional shortening (%deltaD), while there was a small but significant fall in peak velocity of circumferential fibre shortening (peak Vcf). Isotonic exercise resulted in a significant increase in %deltaD and peak Vcf. The pressure-rate product also increased and showed a positive correlation with peak Vcf. Isotonic exercise produced a much greater stimulus to left ventricular contractility than isometric exercise and may be a useful means of detecting latent left ventricular dysfunction echocardiographically.

Adolescent↗

PubMed1986

Left ventricular function during isometric hand grip and cold stress in normal subjects.

Both isometric exercise and cold stress have been suggested as alternatives to dynamic exercise for the detection of obstructive coronary artery disease. A non-imaging nuclear probe was used to measure left ventricular ejection fraction and relative left ventricular volumes continuously during both of these stress tests in 24 normal subjects. There was a significant fall in left ventricular ejection fraction within 15 seconds of subjects starting a two minute isometric hand grip test at 50% maximal voluntary contraction, with a mean (SE) maximal fall of 10% (1.8) after 90 seconds. During two minutes immersion of the hand and wrist in iced water left ventricular ejection fraction fell significantly within 30 seconds with a mean maximal fall of 7% (1.7) after one minute. Nine subjects underwent repeat tests under identical conditions approximately two weeks later. The standard error of the change in ejection fraction on two occasions was 5.4% at rest, 7.0% at the peak of isometric exercise, and 4.8% at peak cold stress. These results indicate that the reproducibility of both of these stress tests is acceptable when they are performed under carefully controlled conditions. The resulting changes in ejection fraction are transient, however, and moreover depend upon the choice of stress protocol. The discrepancies between published reports of such studies in coronary artery disease may be mainly due to methodological differences, and neither test is likely to be of sufficient discriminative ability to distinguish between individuals with obstructive coronary artery disease and normal subjects.

Adult↗

PubMed1992

A component analysis of the generation and release of isometric force in Parkinson's disease.

Paradigms of isometric force control allow study of the generation and release of movement in the absence of complications due to disordered visuomotor coordination. The onset and release of isometric force in Parkinson's disease (PD) was studied, using computerised determinants of latency of response and rate of force generation and release. Components of isometric force control were related to measures of cognitive, affective and clinical motor disability. The effects of treatment were determined by longitudinal study of de novo patients. Patients with PD showed impairment in latency and rate of force change for movement release as well as onset. Rate of force change correlated with depression, clinical motor disability and memory quotient but latency showed no correlation with any of these measures. Treatment improved rate of force release, in concert with clinical motor disability, but not latency. These results suggest dissociations between latency and rate of force change that may be linked to different neurochemical deficits. Further, they demonstrate akinetic deficits in force release that argue against the "neural energy hypothesis" of akinesia.

Bromocriptine↗

PubMed1981

Failure of anti-hypertensive drugs to control blood pressure rise with isometric exercise in hypertension.

Isometric exercise causes a substantial rise in BP in normotensive and untreated hypertensives. The authors studied the isometric hand-grip test in 5 groups of treated hypertensives, namely beta-blockers, beta-blockers + diuretics, beta-blockers + diuretics + vasodilators, alpha-methyldopa alone and labetalol. All groups showed a substantial rise in both systolic and diastolic BP, and the increments in BP differed little from that in normotensives. Some patients, despite multiple therapy, achieved increments of up to 60 mmHg from rest. Treated hypertensives with cardiac and cerebro-vascular disease are at risk performance isometric exercise.

Adrenergic beta-Antagonists↗