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PubMed2004

Changes in the angle-force curve of human elbow flexors following eccentric and isometric exercise.

The aim of this study was to explore and compare the magnitude and time-course of the shift in the angle-force curves obtained from maximal voluntary contractions of the elbow flexors, both before and 4 consecutive days after eccentric and isometric exercise. The maximal isometric force of the elbow flexors of fourteen young male volunteers was measured at five different elbow angles between 50 degrees and 160 degrees . Subjects were then divided into two groups: the eccentric group (ECC, n=7) and the isometric group (ISO, n=7). Subjects in the ECC group performed 50 maximal voluntary eccentric contractions of the elbow flexors on an isokinetic dynamometer (30 degrees x s(-1)), while subjects in the ISO group performed 50 maximal voluntary isometric muscle contractions with the elbow flexors at a lengthened position. Following the ECC and ISO exercise protocols, maximal isometric force at the five angles, muscle soreness, and the relaxed (RANG) and flexed (FANG) elbow angles were measured at 24 h intervals for 4 days. All results were presented as the mean and standard error, and a quadratic curve was used to model the maximal isometric force data obtained at the five elbow angles. This approach not only allowed us to mathematically describe the angle-force curves and estimate the peak force and optimum angle for peak force generation, but also enabled us to statistically compare the shift of the angle-force curves between and within groups. A large and persistent shift of the angle-force curve towards longer muscle lengths was observed 1 day after eccentric exercise ( P<0.01). This resulted in a approximately 16 degrees shift of the optimum angle for force generation, which remained unchanged for the whole observation period. A smaller but also persistent shift of the angle-force curve was seen after isometric exercise at long muscle length ( P<0.05; shift in optimum angle approximately 5 degrees ). ECC exercise caused more muscle damage than ISO exercise, as indicated by the greater changes in RANG and ratings of muscle soreness ( P<0.05). It was suggested that the shift in the angle-force curve was proportional to the degree of muscle damage and may be explained by the presence of overstretched sarcomeres that increased in series compliance of the muscle.

Adaptation, Physiological↗

PubMed1998

Heart rate and blood pressure responses to isometric exercise in young and older men.

The aim of this study was to examine the isometric endurance response and the heart rate and blood pressure responses to isometric exercise in two muscle groups in ten young (age 23-29 years) and seven older (age 54-59 years) physically active men with similar estimated forearm and thigh muscle masses. Isometric contractions were held until fatigue using the finger flexor muscles (handgrip) and with the quadriceps muscle (one-legged knee extension) at 20%, 40%, and 60% of the maximal voluntary contraction (MVC). Heart rate and arterial pressure were related to the the individual's contraction times. The isometric endurance response was longer with handgrip than with one-legged knee extension, but no significant difference was observed between the age groups. The isometric endurance response averaged 542 (SEM 57), 153 (SEM 14), and 59 (SEM 5) s for the handgrip, and 276 (SEM 35), 94 (SEM 10) and 48 (SEM 5) s for the knee extension at the three MVC levels, respectively. Heart rate and blood pressure became higher during one-legged knee extension than during handgrip, and with increasing level of contraction. The older subjects had a lower heart rate and a higher blood pressure response than their younger counterparts, and the differences were more apparent at a higher force level. The results would indicate that increasing age is associated with an altered heart rate and blood pressure response to isometric exercise although it does not affect isometric endurance.

Adult↗

PubMed1989

Disparate hemodynamic and sympathoadrenergic responses to isometric and mental stress in essential hypertension.

The hemodynamic and sympathoadrenergic responses during isometric handgrip and mental arithmetic tests were compared in 18 patients with mild essential hypertension. Mean blood pressure increased significantly after both maneuvers (27% during isometric stress and 10.7% during mental stress), but the increase was significantly higher during isometric stress (p less than 0.001). Both stressors increased the heart rate (p less than 0.001) and cardiac output (p less than 0.001). However, the total peripheral resistance behaved differently, for it increased during isometric stress (p less than 0.05) and remained unchanged during mental stress. Both stressors increased the epinephrine levels (p less than 0.005), but only isometric stress increased the norepinephrine levels (p less than 0.001). It is concluded that both stressors increase cardiac output by way of an increase in heart rate, but isometric stress also increases total peripheral resistance and thus causes a greater increase in arterial pressure. Isometric stress activates both the adrenergic and noradrenergic systems, thereby accounting for the exaggerated response in arterial pressure, whereas mental stress stimulates the adrenergic system only.

Adolescent↗

PubMed2001

Comparison of EMG activity of medial and lateral hamstrings during isometric contractions at various cuff weight loads.

Since both the medial head (MH) and lateral head (LH) of the hamstring muscles contribute to knee flexion, this study investigated whether the relative electrical activity of these heads remained constant with respect to each other or changed during isometric contractions at five different resistance levels. The relative electrical activity of these two heads was determined by comparing their integrated EMG (iEMG). Forty-two volunteers with no history of right lower extremity injury or disease, between the ages of 18 and 35, were studied. Following motor point location, surface electrodes were placed over the MH and LH. Subjects, positioned prone, flexed the knee to 45 degrees using a sawhorse as a tactile cue to help maintain this position. Three recordings, 8 s in length, were taken at each subject's maximum isometric contraction and then using cuff weights of 1, 3, 5, and 7% of their body weight. The average of the three recordings was used in the analysis. During maximum isometric contraction (at 45 degrees of knee flexion), the LH contributes a significantly greater percent of the total iEMG (63.4%) than the MH (P < 0.0001). Furthermore, within the four submaximal levels tested, the LH's contribution was significantly greater than the MH (P < 0.01). During submaximal isometric contractions, the LH percent contribution to total iEMG was less than its contribution during maximal isometric contraction, all P values < 0.005. As a result, during these same submaximal isometric contractions, the MH contribution to total iEMG was greater than its contribution during maximal isometric contraction, all P values < 0.005).

Adolescent↗

PubMed2000

Activation of blood platelets in response to maximal isometric exercise of the dominant arm.

Isometric exercise is a popular form of physical activity for many people. Only few studies exist on the effects of this type of exercise on the hemostatic system. Eleven male healthy subjects (21-42 years) of varying fitness levels were investigated before, immediately after and 10 min after strenuous isometric exercise of the dominant arm. Blood samples were drawn by repetitive puncture from both the exercising and the contralateral arm. The following variables were studied: Prothrombin time and partial thromboplastin time as group tests for the plasmatic coagulation system; platelet count as well as p-selectin expression for the platelet system; tissue plasminogen activator (t-PA) activity and antigen for the fibrinolytic system. The partial thromboplastin time was shortened immediately after maximal isometric exercise of the dominant arm, the prothrombin time remained unchanged. No change was found in the platelet count, but a marked p-selectin expression was observed immediately after maximal isometric exercise of the dominant arm (p < 0.05) and even in the resting contralateral arm. Values returned to baseline after 10 min. There was a slight increase of t-PA antigen concentration and white blood cell count at maximal isometric contraction which did not occur in the resting arm, although changes over the 3 time points were significant in both arms. Maximal isometric exercise leads to platelet activation in both arms, a slight aPTT decrease and t-PA antigen increase in local blood stream. As compensatory fibrinolytic changes do not occur, it is an open question whether isometric exercise increases the potential risk of thromboembolism.

Adult↗

PubMed1985

Improvement in isometric strength of the quadriceps femoris muscle after training with electrical stimulation.

The purpose of this investigation was to determine if training isometrically with electrical stimulation (ES) alone would significantly increase isometric strength of the quadriceps femoris muscle. The relationships between the strength changes and the relative force and duration of training contractions were also studied. An experimental group (Group 1) and a control group (Group 2), 12 subjects in each, underwent pretesting and posttesting to obtain their maximum voluntary isometric contractions (MVICs). Group 1 trained with maximally tolerable isometric contractions induced by ES, three days a week for four weeks. Results showed that although both groups demonstrated increases in isometric strength of their quadriceps femoris muscles, training isometrically with ES produced a significantly greater increase (p less than .01) than not training with ES. The relative strength improvement in Group 1 was positively and significantly correlated with training-contraction intensity and duration. The relative increase in isometric strength, using only ES, may be determined by the ability of the subjects to tolerate longer and more forceful contractions. Suggestions for further research and implications for the clinical use of ES for strength-training are discussed.

Adolescent↗

PubMed1993

Changes in torque and electromyographic activity of the quadriceps femoris muscles following isometric training.

BACKGROUND AND PURPOSE: The purpose of this study was to examine the effect of isometric training of the quadriceps femoris muscles, at different joint angles, on torque production and electromyographic (EMG) activity. SUBJECTS: One hundred seven women were randomly assigned to one of four groups. Three groups trained with isometric contractions three times per week at a knee flexion angle of 30, 60, or 90 degrees. The fourth group, which served as a control, did not exercise. METHODS: Isometric torque was measured using a dynamometer, and EMG activity was measured using a multichannel EMG system. Measurements were obtained during maximal isometric contraction of the quadriceps femoris muscles at 15-degree increments from 15 to 105 degrees of knee flexion. Measurements were taken before and after 8 weeks of training. RESULTS: Following isometric exercise, increased torque and EMG activity occurred not only at the angle at which subjects exercised, but also at angles in the range of motion at which exercise did occur. Further analyses indicated that exercising in the lengthened position for the quadriceps femoris muscles (90 degrees of knee flexion) produced increased torque across all angles measured and appeared to be the more effective position for transferring strength and EMG activity to adjacent angles following isometric training as compared with the shorter positions of the muscle (30 degrees and 60 degrees of knee flexion). CONCLUSION AND DISCUSSION: These findings suggest that an efficient method for increasing isometric knee extension torque and EMG activity throughout the entire range of motion is to exercise with the quadriceps femoris muscles in the lengthened position.

Adult↗

PubMed2002

The effects of isometric exercise training on resting blood pressure and orthostatic tolerance in humans.

Isometric exercise training has been shown to reduce resting blood pressure, but the effect that this might have on orthostatic tolerance is poorly understood. Changes in orthostatic tolerance may also be dependent on whether the upper or lower limbs of the body are trained using isometric exercise. Twenty-seven subjects were allocated to either a training or control group. A training group first undertook 5 weeks of isometric exercise training of the legs, and after an 8 week intervening period, a second training group containing six subjects from the initial training group, undertook 5 weeks of isometric arm-training. The control group were asked to continue their normal daily activities throughout the 18 weeks of the study. In all subjects orthostatic tolerance, assessed using lower body negative pressure (LBNP), and resting blood pressure were measured before and after each of the 5 week training or control periods. Estimated lean leg volume was determined before and after leg-training. During all LBNP tests, heart rate and blood pressure were recorded each minute, and the time taken to reach the highest heart rate was derived (time to peak HR). Resting systolic blood pressure (mean +/- S.D.), when measured during the last week of training, was significantly reduced after both leg (-10 +/- 8.7 mmHg) and arm (-12.4 +/- 9.3 mmHg; P < 0.05) isometric exercise training, compared to controls. This reduction disappeared when blood pressure was measured immediately before the LBNP tests, which followed training. Orthostatic tolerance only increased after leg-training (20.8 +/- 16.4 LTI; P < 0.05) and was accompanied by an increased time to peak HR (119.8 +/- 106.3 beats min(-1); P < 0.05) in this group. Blood pressure responses to LBNP did not change after arm-training, leg-training or in controls (P > 0.05). There was a small but significant increase in estimated lean leg volume after leg-training (0.1 +/- 0.1 1; P < 0.05). These results suggest that lower resting blood pressure is probably not responsible for the increased orthostatic tolerance after isometric exercise training of the legs. Rather, it is possible that the training altered some other aspect of cardiovascular control during orthostatic stress that was apparent in the changes in heart rate. Leg-training was accompanied by increases in estimated lean leg volume. The effects of isometric training on orthostatic tolerance appear to be specific to limbs that are directly involved in LBNP testing.

Adult↗

PubMed1988

Control of blood-gas and acid-base status during isometric exercise in humans.

1. At a given level of pulmonary gas exchange, ventilation (VE) is appreciably higher during isometric exercise than during isotonic exercise. It is presently not clear whether the resultant hypocapnia represents a compensatory hyperventilation for an arterial metabolic acidaemia or whether it might reflect a primary respiratory alkalaemia. 2. To resolve this issue, five subjects performed isometric leg exercise designed to induce exhaustion in ca. 5 min and, on a separate occasion, ca. 8 min. VE, CO2 output (VCO2), O2 uptake (VO2) and end-tidal gas tensions (PET,CO2, PET,O2) were measured breath-by-breath during exercise and recovery; arterialized venous blood (drawn from the dorsum of the heated hand) was sampled frequently and analysed for PCO2, PO2, pH, bicarbonate and lactate. These response profiles were compared with those resulting from exhausting bouts of isotonic leg exercise (cycle ergometry) of similar duration. 3. The isotonic exercise induced a metabolic (lactic) acidaemia with partial respiratory compensation. In contrast, isometric exercise consistently resulted in a respiratory alkalaemia, with little or no increase of blood [lactate]. At the end of the isometric exercise, VE fell abruptly and then rose again after a short interval (20 s, on average). This secondary stimulation presumably reflected the acid-base consequences of the increased blood [lactate] (3-5 mM, on average) which occurred in the recovery phase. 4. We therefore conclude that a primary respiratory alkalaemia occurs during isometric exercise, and that this results from ventilatory stimulation at a time when the 'exercise' metabolites are trapped within the contracting muscles as a consequence of impeded blood flow. The initial rapid reduction of ventilation which occurred at the cessation of the isometric exercise is consistent with a washing-out of 'hyperpnoea-inducing' metabolites from the muscles. Allowing for transit to the central circulation, the reduced ventilation is subsequently supplemented by a powerful humoral drive to breathe which results in a further hyperpnoea and secondary hypocapnia. Because of its latency, we hypothesize that this secondary hypocapnia is of peripheral chemoreceptor origin. 5. The ventilatory response profile for isometric exercise, and the subsequent recovery phase, supports the contention that both the exercising muscles and the peripheral chemoreceptors can be important sites for inducing hyperpnoea in humans.

Acid-Base Equilibrium↗

PubMed1981

Isometric contractile properties and instantaneous stiffness of amphibian skeletal muscle in the temperature range from 0 to 20 degrees C.

The isometric contractile properties of frog (Rana pipiens) and toad (Bufo bufo) sartorii have been studied over the temperature range from 0 to 20 degrees C. The isometric twitch tension was found to vary considerably between these two species and between muscles in the same species. Between 0 and 4 degrees C there was very little change in maximum isometric twitch tension. Between 4 and 12 degrees C several muscles from frog or toad showed a potentiation of twitch tension whereas others showed a decline. Over this temperature range the toad sartorii consistently demonstrated a greater potentiation. By 12 degrees C a steady decline in twitch tension in both muscles was seen as the temperature range the toad sartorii consistently demonstrated a greater potentiation. By 12 degrees C a steady decline in twitch tension in both muscles was seen as the temperature approached 20 degrees C. The maximum isometric tetanic tension recorded between 18 and 20 degrees C increased fractionally to an average of 1.504 +/- 0.029 (n = 4) for frog sartorii and to 1.377 +/- 0.008 (n = 5) for toad sartorii. The time to peak twitch tension and the half-relaxation time decreased markedly with an increase in temperature. Moreover, the half-relaxation time was reduced by a greater proportion than the time to peak twitch tension. Measurements of instantaneous stiffness by controlled velocity releases from the plateau of isometric tetani revealed that the large increase in isometric tetanus tension as the muscle was warmed was not accompanied by a corresponding increase in the total number of active cross-bridges. The possibility that a decreased availability of intracellular Ca2+ ions at the contractile sites contributing to the fall of isometric twitch tension at elevated temperatures is discussed. The possibility exists that at elevated temperatures a change inthe intrinsic contractile ability of the muscle occurs which produces an increased tension per cross-bridge.

Action Potentials↗

PubMed2002

Muscle inflammatory cells after passive stretches, isometric contractions, and lengthening contractions.

We tested the hypotheses that lengthening contractions, isometric contractions, and passive stretches increase muscle inflammatory cells (neutrophils and macrophages) and that prior conditioning with lengthening contractions, isometric contractions, or passive stretches reduces neutrophils and macrophages after subsequent lengthening contractions. Extensor digitorum longus muscles in anesthetized mice were subjected in situ to lengthening contractions, isometric contractions, or passive stretches. Six hours or 3 days after a protocol of contractions or passive stretches, neutrophils and macrophages were quantified in muscle cross sections. Three days after isometric contractions or passive stretches, neutrophils were elevated (P < 0.05) 3.7- and 5.5-fold, respectively, relative to controls. Both macrophages and neutrophils were increased 51.2- and 7.9-fold, respectively, after lengthening contractions. Prior lengthening contractions, isometric contractions, or passive stretches reduced inflammatory cells after lengthening contractions performed 2 wk later. The major finding of this study was that passive stretches and isometric contractions elevated neutrophils without causing overt signs of injury. Because both passive stretches and isometric contractions elevated neutrophils and afforded some protection from contraction-induced muscle injury, neutrophils and/or the related inflammatory events may contribute to the induction of a protective mechanism.

Animals↗

PubMed1992

The potentiating effect of prestretch on the contractile performance of rat gastrocnemius medialis muscle during subsequent shortening and isometric contractions.

The aim of the present study was to investigate the effect of an active stretch during the onset of a muscle contraction on subsequent active behaviour of the contractile machinery within an intact mammalian muscle-tendon complex. Muscle length and shortening velocity were studied because they may be important variables affecting this so-called prestretch effect. Seven gastrocnemius medialis (GM) muscles of the rat were examined. Tetanic, isovelocity shortening contractions from 3 mm above muscle optimum length (l0) to l0 - 2 mm, at velocities of 10-50 mm s-1 (dynamic experiments), were preceded by either an isometric contraction (PI) or an active stretch (PS). By imposing quick length decreases between the prephase and the concentric phase, all excess force generated in the prephase was instantaneously eliminated. This procedure only allowed small force changes during subsequent shortening (caused by the intrinsic properties of the contractile machinery). In this way, the influence of series elastic structures on subsequent muscle performance was minimized. Experiments were also performed at lengths ranging from l0 + 2.5 mm to l0 - 1.5 mm, keeping the length constant after the initial quick length changes (isometric experiments). For the dynamic experiments, enhancement of the performance of the contractile machinery (potentiation) was calculated as the ratio of the average force level over each millimetre of shortening during PS to that during PI conditions (PS/PI). For the isometric experiments, the PS/PI force ratio after 300 ms of stimulation was used. The main result of the present study confirmed results reported in the literature and experiments on isolated muscle fibres. For all conditions, a potentiation effect was found, ranging from about 2 to 16%. Muscle length appeared to have a large positive effect on the degree of potentiation. At the greatest lengths potentiation was largest, but at lengths below optimum a small effect was also found. A negative influence of shortening velocity was mainly present at increased muscle lengths (l0 + 2.5 mm and l0 + 1.5 mm). For the dynamic experiments, no interaction was found between the effects of muscle length and shortening velocity on potentiation. However, there was a clear difference between the isometric and dynamic responses: the dependence of potentiation on muscle length was significantly greater for the isometric contractions than for the dynamic ones. These isometric-dynamic differences indicate that the processes underlying prestretch effects operate differently under isometric and dynamic conditions.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed1999

Isometric and concentric performance of electrically stimulated ankle plantar flexor muscles in intact rat.

The relationship between muscle force and ankle position during isometric and pre-loaded slow concentric contractions (angular velocity, 0.52 rad s-1; range of motion, 1.22 rad) and the recovery of isometric force following concentric contractions at different velocities were determined for electrically stimulated plantar flexor muscles in intact rats. Pre-loaded refers to the isometric contraction which immediately precedes the concentric contraction. Ankle position was controlled by a dynamometer and force was recorded under the sole of the foot. The peak isometric force (19.2 N) was nearly constant at all ankle positions (range of motion, 1.57 rad). The muscle length and distal fibre length of gastrocnemius medialis at ankle positions between 0.79 rad and 2.01 rad were increased by 12.6 % and 20.3 %, respectively. During slow concentric contractions, the force progressively decreased (23.1+/-2.1 %); the force decreased by only 6.3 +/-0.9% during sustained isometric contractions of similar duration (3400 ms). The recovery of isometric force following concentric contractions with similar stimulation frequencies (80 Hz) was velocity dependent (i.e. more rapid at higher velocities). It is concluded that pre-loaded slow concentric contractions of the plantar flexor muscles in intact rats do not follow the same relationship as that of isometric force and ankle position. Our results in intact rats show that the force output of electrically stimulated ankle plantar flexor muscles measured under the sole of the foot can be used to study the physiological properties of skeletal muscle working in situ.

Animals↗

PubMed1999

Associations of isometric and isoinertial trunk muscle strength measurements and lumbar paraspinal muscle cross-sectional areas.

The relationships of dynamic and static trunk muscle strength measurements and muscle geometry are studied. Physiologically, isometric muscle strength is directly related to muscle cross-sectional area. We measured isometric and isoinertial trunk muscle strength of 111 former elite male athletes, aged 45-68, by Isostation B-200. Paraspinal muscle cross-sectional areas were measured from axial magnetic resonance images at the L3-L4 level. Isometric and isoinertial torques were closely related, but angular velocities were not predicted by isometric maximal torque. The area of the psoas muscles correlated with isometric maximal flexion, as well as with isoinertial maximal torque. angular velocity, and power in flexion (r = 0.24-0.27). The area of the extensor group correlated with isometric maximal extension and with isoinertial maximal torque and power in extension (r = 0.24-0.25). We conclude that dynamic and static strength measurements are closely related, with angular velocity giving additional information on muscle function. Paraspinal muscle cross-sectional area is one determinant of isometric and isoinertial trunk muscle strength.

Aged↗

PubMed1992

[Reconstructive interventions of the posterior cruciate ligament--experimental studies of isometric aspects. Part II: Studies of the posterior cruciate ligament replacement model].

Isometric positioning of the posterior cruciate ligament (PCL) graft is important for successful reconstruction of the PCL-deficient knee. This study documents the relationship between graft placement and changes in intra-articular graft length during passive range of motion of the knee. In eight cadaveric knees the PCL was identified and cut. The specimens were mounted in a stabilizing rig. PCL reconstruction was performed using a 9-mm-thick synthetic cord that was passed through tunnels 10 mm in diameter. Three different femoral graft placement sites were evaluated: (1) in four specimens the tunnel was located around the femoral isometric point, (2) in two specimens the tunnel was positioned over the guide wire 5 mm anterior to the femoral isometric point, (3) in two specimens the tunnel was positioned over the guide wire 5 mm posterior to the isometric femoral point. In all knees only one tibial tunnel was created around the isometric tibial point. The location of the isometric points was described in part I of the study. The proximal end of the cord was fixed to the lateral aspect of the femur. Distally the cord was attached to a measuring unit. The knees were flexed from 0 degree to 110 degrees, and the changes in the graft distance between the femoral attachment sites were measured in 10 degrees steps. Over the entire range of motion measured the femoral tunnels positioned around the isometric point produced femorotibial distance changes of within 2 mm. The anteriorly placed tunnels produced considerable increases in femorotibial distance with knee flexion, e.g. about 8 mm at 110 degrees of flexion.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

PubMed1975

The role of isometric muscle tension in the production of muscle toxicity by phencyclidine and restraint stress.

A restraint cage with a strain gauge attached to a movable roof to record the isometric force exerted by rats during restraint is described. The isometric activity score, an integral of the total upward force exerted during restraint, correlated significantly with plasma creatine phosphokinase (CPK) activity in rats following restraint. Phencyclidine 5 mg/kg administered intraperitoneally to rats 15 min prior to 1/2 hr restraint has been shown to produce muscle damage associated with large increases of plasma CPK activity. Dose-response curves for the effects of phencyclidine on isometric activity score and plasma CPK activity were essentially parallel, and isometric activity scores were linearly related to plasma CPK activity. Rats restrained and painfully stimualted on the tail developed both elevated isometric activity scores and elevations of plasma CPK activity. Slopes of the curves relating isometric activity to plasma CPK activity were identical for painfully stimulated and phencyclidine treated rats. Phencyclidine has been reported to produce large increases in locomotor activity. Thus, increased isometric muscle tension developed during phencyclidine plus restraint is related to the production of muscle damage and increased efflux of CPK in rats.

Animals↗

PubMed1992

Usefulness of heavy isometric exercise echocardiography for assessing left ventricular wall motion patterns late (> or = 6 months) after acute myocardial infarction.

The aim of this prospective study was to determine the effects of heavy isometric exercise on left ventricular (LV) wall motion patterns in patients who have had myocardial infarction, and to compare heavy isometric exercise with dynamic exercise for competence in eliciting LV wall motion abnormalities at equivalent rate-pressure products. Echocardiography was performed in 42 patients during supine bicycle ergometry and during heavy dynamometer stretching at 50% of maximal voluntary contraction. Systemic vascular resistance increased from 1,484 to 1,649 dynes s cm-5 (p < 0.05) during isometric exercise, and decreased significantly during dynamic exercise. Wall motion abnormalities or new asynergy were induced by isometric exercise in 120 segments, 107 of which (89%) showed significant stenosis of the perfusing coronary artery. Hypokinesia was the dominant pattern in the range of 76 to 90% narrowing; akinesia was dominant at 91 to 100% narrowing. Wall motion abnormalities were also documented in 13 segments (11%) assumed to be supplied by vessels with nonsignificant stenosis. Dyskinesia, seen in 7% of the segments, was equally distributed between both groups with significant stenosis. Sensitivity and positive predictive value in identifying specific coronary vessel disease was similar for both isometric and dynamic exercise. In conclusion, heavy isometric exercise in patients who have had myocardial infarction induces wall motion abnormalities of a severity proportional to the degree of coronary narrowing. This exercise method is similar to dynamic exercise for ability in identifying obstructions in a specific vessel. Furthermore, when compared at near-equal rate-pressure products, heavy isometric exercise is far superior in sensitivity to dynamic exercise.

Adult↗

PubMed1997

[Dynamic postural adjustments associated with the development of isometric forces in sitting subjects].

The present study was undertaken to determine whether dynamic postural adjustments in sitting subjects occur during the development of isometric forces and whether the performance, i.e., the maximal isometric force, is related to the surface of contact of the ischio-femoral region with the seat. The subjects were asked to exert maximal horizontal two-handed isometric pushes on a bar. External force (Fx), antero-posterior reaction force (Rx) and antero-posterior displacement of the center of pressure (Xp) were measured continuously during the development of isometric forces, the subsequent hold state lasting 5 s. Two postural conditions were studied that differed by the ischio-femoral contact with the seat (100 or 30%), the foot support being bipodal (BP). It was observed that: a) Fx and Rx increased during the development of isometric forces while Xp moved backwards; b) the instantaneous variations in Fx, in relation to Rx and Xp were linearly related; c) the maximal force reached at the end of the ramp effort and the maximal values of Rx and Xp were significantly increased when the ischio-femoral contact was reduced from 100 to 30 BP. It is concluded that isometric ramp efforts are accompanied by dynamic postural adjustments and that the greater these adjustments, the larger the maximal isometric force. These observations are interpreted as supporting the view that any variation in the external force perturbs the balance of the subject, and that the maximal value of this force depends on the intensity of the dynamic postural counter-perturbation.

Adult↗