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Isometric Exercises for Tendinopathies: A Systematic Literature Review.

PURPOSE: Musculoskeletal disorders are among the most common reasons for medical consultation, with tendinopathies accounting for up to 30% of such presentations. Although exercise remains the cornerstone of management, the most effective modality continues to be debated. Eccentric exercise has long been the mainstay, but the role of isometric exercise in pain modulation and functional recovery remains unclear. This systematic review aims to evaluate the current evidence on the efficacy of isometric exercises in the management of tendinopathies across various anatomic sites. METHODS: A systematic search was conducted in PubMed, MEDLINE, Embase, and the Cochrane Library from inception to August 1, 2025. Eligible studies included randomized controlled trials and prospective or retrospective cohort studies assessing isometric exercise interventions for tendinopathy, with or without comparator groups. Case series and case reports were excluded. Data extracted included participant demographic characteristics, site of tendinopathy, symptom duration, treatment duration, adherence, and outcome measures such as Victorian Institute of Sports Assessment (A, P, or G), visual analog scale, Patient-Specific Functional Scale, 36 item short form health survey (SF-36), and EuroQol 5-Dimension questionnaires. Imaging outcomes (ultrasound or magnetic resonance imaging) were recorded where available. Methodological quality and risk of bias were assessed using the Cochrane Risk of Bias tool in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. FINDINGS: The search identified 304 articles, of which 13 randomized controlled trials met the inclusion criteria, encompassing 336 participants (40% female). Tendinopathy sites included the patellar (n = 4), Achilles (n = 3), lateral elbow (n = 2), rotator cuff (n = 2), wrist extensor (n = 1), and gluteal (n = 1) tendons. Median symptom duration was 23 months (interquartile range, 3-51 months). Intervention periods ranged from a single 45-minute session to 4-month exercise programs. Treatment adherence was high initially (nearly 100%) but declined over time, with 70% of participants in the isometric and 58% in the control (isotonic) groups completing ≥80% of sessions. Pain reduction and functional improvement were statistically significant in only 3 studies. Imaging-based outcomes were inconsistently reported, and study heterogeneity precluded meta-analysis. Overall methodological quality was rated as good in 3 studies and poor in 10. IMPLICATIONS: Current evidence provides limited support for the superiority of isometric exercise in tendinopathy management. Although isometric regimens appear tolerable and may confer short-term analgesic benefits, their long-term efficacy relative to eccentric or isotonic protocols remains uncertain. Future research should prioritize standardized outcome measures, longer follow-up, and uniform diagnostic criteria to strengthen the evidence base for exercise prescription in tendinopathies.

Humans↗

The effects of muscle stretching and shortening on isometric forces on the descending limb of the force-length relationship.

The purpose of this study was to examine the effects of stretching and shortening on the isometric forces at different lengths on the descending limb of the force-length relationship. Cat soleus (N = 10) was stretched and shortened by various amounts on the descending limb of the force-length relationship, and the steady-state forces following these dynamic contractions were compared to the isometric forces at the corresponding muscle lengths. We found a shift of the force-length relationship to greater force values following muscle stretching, and to smaller force values following muscle shortening. Shifts in both directions critically depended on the magnitude of stretching/shortening and the final muscle length. We confirm recent findings that the steady-state isometric force following some stretch conditions clearly exceeded the maximal isometric forces at optimum muscle length, and that force enhancement was associated with an increase in the passive force, i.e., a passive force enhancement. When the passive force enhancement was subtracted from the total force enhancement, forces following stretch were always equal to or smaller than the isometric force at optimum muscle length. Together, these findings led to the conclusions: (a). that force enhancement is composed of an "active and a "passive" component; (b). that the "passive" component of force enhancement allows for forces greater than the maximal isometric forces at the muscle's optimum length; and (c). that force enhancement and force depression are critically affected by muscle length and stretch/shortening amplitude.

Animals↗

Comparison of a piezoelectric contact sensor and an accelerometer for examining mechanomyographic amplitude and mean power frequency versus torque relationships during isokinetic and isometric muscle actions of the biceps brachii.

The purpose of this study was to compare a piezoelectric contact sensor with an accelerometer for measuring the mechanomyographic (MMG) signal from the biceps brachii during submaximal to maximal isokinetic and isometric forearm flexion muscle actions. Following determination of isokinetic peak torque (PT) and the isometric maximum voluntary contraction (MVC), 10 adults (mean+/-SD age=22.8+/-2.7yrs) performed randomly ordered, submaximal step muscle actions of the dominant forearm flexors in 20% increments from 20% to 80% PT and MVC. Surface MMG signals were recorded simultaneously from a contact sensor and an accelerometer placed over the belly of the biceps brachii muscle. During the isokinetic and isometric muscle actions, the contact sensor and accelerometer resulted in linear increases in normalized MMG amplitude with torque (r(2) range=0.84-0.97) but the linear slope of the normalized MMG amplitude versus isokinetic torque relationship for the accelerometer was less (p<0.10) than that of the contact sensor. There was no significant (p>0.05) relationship for normalized MMG mean power frequency (MPF, %max) versus isokinetic and isometric torque for the contact sensor, but the accelerometer demonstrated a quadratic (R(2)=0.94) or linear (r(2)=0.83) relationship for the isokinetic and isometric muscle actions, respectively. There were also a number of significant (p<0.05) mean differences between the contact sensor and accelerometer for normalized MMG amplitude or MPF values. These findings indicated that in some cases involving dynamic and isometric muscle actions, the contact sensor and accelerometer resulted in different torque-related responses that may affect the interpretation of the motor control strategies involved.

Adult↗

Structural features of cross-bridges in isometrically contracting skeletal muscle.

Two-dimensional x-ray diffraction was used to investigate structural features of cross-bridges that generate force in isometrically contracting skeletal muscle. Diffraction patterns were recorded from arrays of single, chemically skinned rabbit psoas muscle fibers during isometric force generation, under relaxation, and in rigor. In isometric contraction, a rather prominent intensification of the actin layer lines at 5.9 and 5.1 nm and of the first actin layer line at 37 nm was found compared with those under relaxing conditions. Surprisingly, during isometric contraction, the intensity profile of the 5.9-nm actin layer line was shifted toward the meridian, but the resulting intensity profile was different from that observed in rigor. We particularly addressed the question whether the differences seen between rigor and active contraction might be due to a rigor-like configuration of both myosin heads in the absence of nucleotide (rigor), whereas during active contraction only one head of each myosin molecule is in a rigor-like configuration and the second head is weakly bound. To investigate this question, we created different mixtures of weak binding myosin heads and rigor-like actomyosin complexes by titrating MgATPgammaS at saturating [Ca2+] into arrays of single muscle fibers. The resulting diffraction patterns were different in several respects from patterns recorded under isometric contraction, particularly in the intensity distribution along the 5.9-nm actin layer line. This result indicates that cross-bridges present during isometric force generation are not simply a mixture of weakly bound and single-headed rigor-like complexes but are rather distinctly different from the rigor-like cross-bridge. Experiments with myosin-S1 and truncated S1 (motor domain) support the idea that for a force generating cross-bridge, disorder due to elastic distortion might involve a larger part of the myosin head than for a nucleotide free, rigor cross-bridge.

Actins↗

Isometric detrusor pressure in the male patient: a comparison between voluntary urethral sphincter contraction and forced penile compression techniques.

Different functions of detrusor contraction are estimated by measurement of maximum isometric detrusor pressure with voluntary urethral sphincter contraction and forced penile compression flow-stop techniques. Maximum isometric pressure curves with these 2 techniques consist of 2 and 3 phases, respectively. The first phase of each method is a linearly increasing curve whose slope seems to indicate the speed of isometric detrusor contractions. The second phase in the curve obtained by the voluntary flow-stop technique is considered to be an inhibitory phase, while that obtained by the forced technique is considered to be a continuing phase followed by a plateau, the third phase. The maximum isometric pressures obtained with the forced flow-stop technique were statistically higher than those obtained with the voluntary flow-stop technique in patients with enuresis and prostatic obstruction. Although in volunteers the maximum isometric pressure measured with the forced flow-stop technique showed higher values than that measured with the voluntary method there was no statistical difference. There was no statistical difference in the speed of detrusor contractions obtained with either technique in all of the patients except those with urethral stricture, in whom the speed of detrusor contraction measured with the forced flow-stop technique showed a lower value than that obtained with the voluntary method. We believe that the penile urethra distal to the stricture acts as a reservoir when urinary flow is poor. The forced flow-stop technique was necessary to measure maximum isometric pressure in patients with neurogenic bladder dysfunction, many of whom could not stop urinary flow voluntarily.

Adolescent↗

Effects of real and imagined training on voluntary muscle activation during maximal isometric contractions.

In this study we directly tested the hypothesis that isometric strength training increases voluntary drive to muscles. In addition, it was attempted to replicate the findings of an earlier study that showed imagined training increases voluntary strength as much as actual training, as this finding provides key support for the hypothesis that training increases voluntary drive (Yue & Cole 1992). Fifty-four subjects were randomly allocated to groups that performed 8 weeks of isometric training of the elbow flexor muscles, imagined isometric training, or a control task involving the lower limbs. Voluntary isometric strength and activation of the elbow flexor muscles were measured before and after training. Voluntary activation was measured with a sensitive form of twitch interpolation. Training, imagined training and control groups increased voluntary isometric elbow flexor strength by means of 17.8% (+/- 3.1 SEM), 6.8% (+/- 2.6) and 6.5% (+/- 3.0), respectively. The training group increased in strength significantly more than imagined training and control groups (P = 0.01 for both comparisons), but the small difference between imagined training and control groups was not significant (P = 0.31). Prior to training, voluntary activation of all subjects was high (96.2 +/- 0.5%). This did not change significantly with training and there were no significant differences between groups. These data challenge the hypothesis that training of the elbow flexor muscles increases isometric strength by inducing adaptations of the central nervous system, because they show that training does not increase voluntary activation and imagined training does not increase strength.

Adult↗

Swelling of sarcoplasmic reticulum in the periphery of muscle fibres after isometric contractions in rat semimembranosus lateralis muscle.

The decline in isometric force, swelling of sarcoplasmic reticulum and loss of desmin was measured in semimembranosus lateralis muscle of male Wistar rats immediately after a short series of brief (500 ms) maximal isometric contractions. For the active muscle, the series ended below (protocol A) and just over muscle optimum length (protocol AA). In one protocol, the muscle remained passive and was extended to lengths just over muscle optimum length (protocol P). After all experimental protocols, no loss of desmin was observed and sarcomere appearance was normal. Protocol A produced swelling (87%) of the sarcoplasmic reticulum but no decline in isometric force. Protocol AA produced larger swelling (147%) of the sarcoplasmic reticulum and an isometric force decline (<49%) at short muscle lengths. Swelling of sarcoplasmic reticulum was observed mainly in the periphery of muscle fibres. Protocol P did not result in swelling of the sarcoplasmic reticulum and isometric force decline. It is concluded that swelling of the sarcoplasmic reticulum in the periphery of muscle fibres after brief maximal isometric contractions is associated with muscle force and not muscle length.

Animals↗

Muscle performance following fatigue induced by isotonic and quasi-isometric contractions of rat extensor digitorum longus and soleus muscles in vitro.

AIM: To study the effect of contraction mode on fatigue development. METHODS: Muscle fatigue was induced by isotonic and quasi-isometric contractions in rat soleus (SOL) and extensor digitorum longus (EDL) muscles, using identical stimulation protocol (60 Hz, 400 ms s-1) for 100 s in SOL and 60 s in EDL. Fatigue was quantified as the decline in peak values of shortening, shortening velocity, relaxation and work during the isotonic contractions, and, correspondingly, of force, rate of force development, relaxation and work during the quasi-isometric contractions. Maximal test contractions (60 Hz, 1.5 s) performed before and after fatigue were analysed for decline in force development (Fmax), rate of force development (dF/dtmax) and relaxation (-dF/dtmax). RESULTS: Fmax declined to significantly lower values after isotonic than after quasi-isometric fatiguing contractions (fatigued in percentage of unfatigued): 58.5 +/- 6.4% vs. 64.4 +/- 7.0% in SOL, and 30.4 +/- 4.1% vs. 33.3 +/- 3.6% in EDL, respectively. The same pattern was seen for dF/dtmax which decreased to: 46.3 +/- 9.9% vs. 52.3 +/- 8.5% in SOL, and 19.1 +/- 4.3% vs. 22.3 +/- 3.2% in EDL after isotonic and quasi-isometric contractions, respectively. Similarly, when comparing fatigue development during the two contraction modes, the respective fatigue variables decreased more rapidly and to lower levels during isotonic vs. quasi-isometric contractions. During maximal test contractions, the dynamic fatigue variables (+/-dF/dtmax) declined to significantly lower levels than Fmax. CONCLUSIONS: Fatigue development was significantly larger during isotonic vs. quasi-isometric contractions. The use of force as the only experimental fatigue variable may underestimate the functional impairment of fatigued muscle, neglecting the fatigue effect on time and length dimensions.

Animals↗

Effect of scapular protraction and retraction on isometric shoulder elevation strength.

OBJECTIVES: To examine the effect of scapular protraction (SP) and scapular retraction (SR) on isometric shoulder elevation strength measured in the sagittal plane and to test the hypothesis that strength would be significantly reduced when tested in the SP position relative to the neutral resting scapular position (SN). DESIGN: Prospective before-after trial. SETTING: Multidisciplinary sports medicine center. PARTICIPANTS: Ten healthy volunteers (5 men, 5 women) ages 26 to 43 years recruited from the Mayo Clinic, Rochester, MN. INTERVENTIONS: Subjects completed 3 maximal isometric shoulder elevation contractions at 90 degrees of sagittal plane elevation in the SN, SP, and SR positions. The order of scapular positions was varied to minimize fatigue effects. Mean isometric strength values were compared by using Student t tests. MAIN OUTCOME MEASURES: Isometric shoulder elevation strength for the 3 scapular positions. RESULTS: Isometric strength was significantly lower for the SP position compared with the SN position (8.5 +/- 3.4 kg vs 11.1 +/- 4.0 kg, P <.0005) and for the SR position relative to the SN position (7.8 +/- 3.3 kg vs 11.1 +/- 4.0 kg, P <.00003). Strength values did not differ between the SP and SR positions (P =.38). CONCLUSIONS: Movement of the scapula into a protracted or retracted position results in a statistically significant reduction in isometric shoulder elevation strength as measured in this study. Further research is warranted to examine the relationship between scapular position and shoulder muscle function.

Adult↗

Isometric contraction induces the Ca2+-independent activation of the endothelial nitric oxide synthase.

Shear stress and tyrosine phosphatase inhibitors have been shown to activate the endothelial NO synthase (eNOS) in a Ca2+/calmodulin-independent manner. We report here that isometric contraction of rabbit aorta activates eNOS by a pharmacologically identical pathway. Endothelium-intact aortic rings were precontracted under isometric conditions up to 60% of the maximal phenylephrine-induced tone. The NO synthase inhibitor NGnitro-L-arginine (L-NA) and the soluble guanylyl cyclase inhibitor NS 2028 induced an additional contraction, the amplitude of which depended on the level of precontraction. The maximal production of NO by isometrically contracted aortic rings (as estimated by the increase in cGMP in detector smooth muscle cells in a superfusion bioassay) was observed during the initial phase of isometric contraction and was greater than that detected following the application of acetylcholine. The supplementary L-NA-induced increase in vascular tone was inhibited by the nonselective kinase inhibitor staurosporine and the tyrosine kinase inhibitors erbstatin A and herbimycin A. Another tyrosine kinase inhibitor, genistein, the calmodulin antagonist calmidazolium, and the selective protein kinase C inhibitor, Ro 31-8220, had no effect. Coincident with the enhanced NO formation during isometric contraction was an increase in the tyrosine phosphorylation of endothelial proteins, which also correlated with the level of precontraction. Thus, isometric contraction activates eNOS via a Ca2+-independent, tyrosine kinase inhibitor-sensitive pathway and, like shear stress, seems to be an independent determinant of mechanically induced NO formation.

1-Methyl-3-isobutylxanthine↗

Changes in blood pressure during isometric contractions to fatigue in the cat after brain stem lesions: effects of clonidine.

STUDY OBJECTIVE: The aim was to determine whether areas in the periaqueductal grey matter, medial dorsal raphe, or ventrolateral medulla might be involved with the integration of blood pressure and heart rate during isometric exercise. DESIGN: Cats were anaesthetised with alpha chloralose (75 mg.kg-1) and catheters inserted into the right jugular vein and carotid artery. Isometric contractions were generated using a microprocessor controlled stimulator and sleeve electrode around the tibial nerve. Bilateral lesions were made in the dorsal periaqueductal grey matter (P1.0, LR2.0, HD + 1.5 mm) or two sites in the ventrolateral medulla (P12.0, RL 2.0, HD -10 mm; or P12.0, RL 2.0, HD -8.5 mm). Lesions were also made in the medial dorsal raphé nuclei (P1.0, RL 0.0, HD +1.5 mm). Clonidine was injected into the cerebral aqueduct to determine whether it would exert an antipressor effect during muscle contraction after the lesions were made. Only one site of lesion was made in a group of animals. Bilateral injections of clonidine (250 ng in 0.5 microliter) were made into the intact ventrolateral medulla (P11.5, RL 4.0, HD -8.5 mm) to explore its role further. Fatiguing contractions were performed before and after the lesions were made, or clonidine was injected, and changes in arterial blood pressure and heart rate were measured. Verification of the lesion sites or the microinjection sites, and the extent of the lesion or spread of the clonidine, was made from histological examination of brain tissue after each experiment. EXPERIMENTAL MATERIAL: Adult cats of either sex, n = 20, weight 2.4 (SD 0.4) kg, were used. MEASUREMENTS AND MAIN RESULTS: Fatiguing isometric contractions in control conditions caused mean arterial pressure to increase by 45-50 mm Hg and heart rates by 20-25 beats.min-1. Bilateral lesions in the dorsal periaqueductal grey matter did not alter resting mean arterial pressure but attenuated the pressor response during contractions. Injections of clonidine into the cerebral aqueduct had no further antipressor effects after the lesions. Lesions of the medial dorsal raphé nuclei or injections of clonidine into the intact medial dorsal raphé nuclei did not affect the pressor response to fatiguing isometric contractions. Injections of clonidine into the intact ventrolateral medulla eliminated the pressor response to isometric contractions. Bilateral lesions of the ventrolateral medulla near the rostral lateral border of the inferior olivary tract nuclei (P12.0, LR 2.0, HD -10 mm) also attenuated the muscle pressor response, while subsequent injections of clonidine into the cerebral aqueduct depressed the changes in blood pressure further. CONCLUSIONS: Ergoreceptor information may be processed through the periaqueductal grey matter through the ventrolateral medulla to control arterial blood pressure during isometric exercise to fatigue.

Animals↗

The influence of age on isometric and isotonic rat detrusor contractions.

BACKGROUND: Reductions in detrusor shortening velocity and detrusor contractility have been observed in association with aging. The reasons for these changes are unclear. METHODS: We examined the isometric and isotonic responses of detrusor, taken from the bladder body, to adenosine 5'-triphosphate (ATP), noradrenaline (NA), serotonin, and acetylcholine (Ach) in vitro, using bladders from young (30 days) and old (365 days) Sprague-Dawley rats, to determine whether there were any significant age-related differences. RESULTS: Isometric contractions with ATP at doses of 10(-3) to 10(-2) molar concentrations produced greater contractile forces in old rats when compared to young rats (p = .0136 at 10(-2) mole of ATP). Isotonic contractions at similar concentrations also produced significant differences between the young and the old rats, the latter being faster (p = .0225). Isometric contraction with noradrenaline produced significant differences between young and old rats, the latter being stronger. This became apparent at 10(-4) molar concentration of noradrenaline (p = .0043). Isometric contractions with serotonin also produced significantly greater contractions in the old rats when compared to young rats. The differences became apparent at 10(-4) molar concentration of serotonin (p = .045). There were no age-related differences in isotonic and isometric contractile responses to acetylcholine in the doses used in our experimental setup. CONCLUSIONS: Age-related differences in isometric function were detected in response to ATP, NA, and serotonin. Differences in isotonic function were only found in response to ATP and Ach.

Acetylcholine↗

Age-related differences in isometric and dynamic strength and endurance.

To measure age-related skeletal muscle changes, 30 healthy, moderately active women performed isometric and dynamic strength and endurance tests of their left quadriceps femoris muscle groups. Fifteen of the subjects were ages 20 to 29 years and 15 were ages 50 to 80 years. A cybex II isokinetic dynamometer was used to measure the torque output isometrically with the knee at 90 degrees of flexion on three trials. In addition, each subject performed three trials from 90 degrees of knee flexion to full knee extension and back to 90 degrees of knee flexion with the velocity of the isokinetic dynamometer set at 10 rpms. Endurance time was calculated to be the length of time a torque output of at least 50 percent of the maximal strength could be maintained. The t tests done revealed a significant difference between the two groups on isometric and dynamic strength, while no significant difference was found on isometric or dynamic endurance. Statistically correcting for the extraneous variables, height and weight, through a partial correlation revealed a significant negative correlation between age and strength. The younger subjects had higher torque outputs, both isometrically and dynamically, than the older subjects. The same partial correlation between isometric endurance and age and dynamic endurance and age demonstrated no significant correlation. The fact that endurance did not change in this older population while strength did may be the result of fast-twitch and slow-twitch muscle fibers changing with age.

Adult↗

Comparison of isometric exercise and high volt galvanic stimulation on quadriceps femoris muscle strength.

The purpose of this study was to compare the effectiveness of both high volt galvanic current (HVG) and isometric exercise to strengthen the quadriceps femoris muscles in 17 healthy subjects. The subjects were divided into three groups. The Control Group (n = 6) received no exercise or stimulation. The Isometric Exercise Group (n = 5) performed 15 sessions of maximum isometric contractions, and the Electrical Stimulation Group (n = 6) engaged in 15 sessions of electrically stimulated isometric contractions. The Isometric Exercise Group was found to have an increase in strength significantly greater (p less than .05) than either the Control or Electrical Stimulation Group. No increase in strength was observed in either the Control or Electrical Stimulation Group. This study indicates that HVG stimulation is not as effective as isometric exercise in increasing strength in muscle.

Adult↗

Effect of training frequency and specificity on isometric lumbar extension strength.

To investigate the effects of training frequency and specificity of training on isolated lumbar extension strength, 72 men (age = 31 +/- 9 years) and 42 women (age = 28 +/- 9 years) were tested before and after 12 weeks of training. Each test involved the measurement of maximum voluntary isometric torque at 72 degrees, 60 degrees, 48 degrees, 36 degrees, 24 degrees, 12 degrees, and 0 degrees of lumbar flexion. After the pretraining tests, subjects were randomly stratified to groups that trained with variable resistance dynamic exercise every other week (1X/2 weeks, n = 19), once per week (1X/week, n = 22), twice per week (2X/week, n = 23) or three times per week (3X/week, n = 21); a group that trained isometrically once per week (n = 14); or a control group that did not train (n = 15). Analysis of covariance showed that all training groups improved their ability to generate isometric torque at each angle measured when compared with controls (P less than 0.05). There was no statistical difference in adjusted posttraining isometric torques among the groups that trained (P greater than 0.05), but dynamic training weight increased to a lesser extent (P less than 0.08) for the 1X/2 weeks group (26.6%) than for the groups that trained 1X/week, 2X/week, and 3X/week (37.2 to 41.4%). These data indicate that a training frequency as low as 1X/week provides an effective training stimulus for the development of lumbar extension strength. Improvements in strength noted after isometric training suggest that isometric exercise provides an effective alternative for developing lumbar strength.

Adult↗

Blood flow in "red" and "'white" calf muscles in cats during isometric and isotonic exercise.

Muscle blood flow was measured with the radioactive microspheres technique in plantar flexors of seven cats. Right leg performed rhythmic isotonic and left leg sustained isometric contractions. Flows were determined at rest, during stimulation periods, and immediately after 90 sec of high frequency stimulation. During isotonic contraction, flow to m. soleus (a "red muscle") increased progressively as stimulation increased: 0.06 +/- 0.02, 0.21 +/- 0.05, 0.42 +/- 0.12, and 0.26+/- 0.06 ml/min/g during rest, 10 Hz, 50 Hz, and after 50 Hz stimulation frequencies, respectively. Corresponding values for gastrocnemius medialis were 0.06 +/- 0.01, 0.38 +/- 0.05, 0.27 +/- 0.03, and 0.28 +/- 0.06 (x +/- S.E.). These last values were characteristic also for the other "'white" muscles investigated: gastrocnemius lateralis, and plantaris. During sustained isometric exercise at 5 and 25 Hz stimulation frequency the patterns were similar, except that higher flows were observed, and during recovery flows actually increased again in the "white" muscles. Blood pressure did not change. Resting flows were similar in innervated and denervated muscles. These data demonstrate that during isotonic as well as isometric exercise there is an increased resistance to flow with increasing muscle tension in "white" but not in "red" muscles. This supports the notion that a condition of relative ischaemia exists in "white" muscles during both isometric and isotonic contractions which is more pronounced during isometric exercise. The results corroborate previous studies on isometric exercise and suggest that the pattern during isotonic exercise is similar.

Animals↗

Temperature effect on isometric tension is mediated by regulatory proteins tropomyosin and troponin in bovine myocardium.

The effect of temperature on isometric tension with and without the regulatory proteins tropomyosin and troponin was studied in bovine myocardium using a thin filament removal and reconstitution protocol. In control bovine myocardium, isometric tension increased linearly with temperature in the range 5-40 degrees C: isometric tension at 10 and 30 degrees C was 0.65 and 1.28 times that at 20 degrees C, respectively, with a Q10 of about 1.4. In actin filament-reconstituted myocardium without regulatory proteins, the temperature effect on isometric tension was less: isometric tension at 10 and 30 degrees C was 0.96 and 1.17 times that at 20 degrees C, respectively, with a Q10 of about 1.1. The temperature dependence of the apparent rate constants was studied using sinusoidal analysis. The temperature dependence of 2pi(b) (rate constant of delayed tension phase) did not vary significantly with the regulatory proteins under the standard activating condition (5 mM MgATP, 8 mM P(i), 200 mM ionic strength, pCa 4.66, pH 7.00). Q10 for 2pi(b) in control and actin filament-reconstituted myocardium was 3.8 and 4.0, respectively. There were two phases to the temperature dependence of 2pi(c) (rate constant of quick recovery). In control and thin filament-reconstituted myocardium, Q10 for 2pi(c) was approximately 5.5 in the low temperature range (< or = 25 degrees C) and 2.7 in the high temperature range (> or = 30 degrees C). In actin filament-reconstituted myocardium, Q10 for 2pi(c) was 8.5 in the low temperature range and 3.6 in the high temperature range. The above results demonstrate that regulatory proteins augment the temperature dependence of isometric tension, indicating that the regulatory proteins may modify the actomyosin interaction.

Actin Cytoskeleton↗

Muscular endurance and surface electromyogram in isometric and dynamic exercise.

In nine male volunteers, the endurance time for sustained isometric exercise (right-angle elbow flexion) and dynamic exercise (continuous concentric and eccentric elbow flexions) was measured at different contraction levels. Intermittent isometric exercises were also performed by four of the subjects in whom surface electromyographic elbow flexor recordings were obtained during the three types of exercise. A rapid decrease of the endurance time was seen at contraction levels above 15-20% of the maximum voluntary contraction for both the sustained isometric and dynamic exercise. There were no significant difference between the regression of the endurance time vs. the contraction level for the sustained isometric exercise and that of the dynamic exercise. However, the endurance time was enhanced in the intermittent isometric exercise compared with the sustained isometric exercise. The development of muscle fatigue was well correlated to change of the myoelectric rootmean-square amplitude and the mean power frequency. Differences in exercise did not significantly affect the relation between the time constant of the mean power frequency decrease and the endurance time.

Adult↗