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Isokinetic and isometric torque relationships in the human body.

To study the relationship between isokinetic and isometric torque, maximum voluntary contractions were elicited from 352 male volunteers. Knee extensors, knee flexors, elbow extensors, and elbow flexors were tested isometrically and at isokinetic velocities of 30 degrees/sec, 90 degrees/sec, and 180 degrees/sec on a modified Cybex II apparatus. Isokinetic torque declined with increasing velocity of contraction. Intercorrelations of the isometric and isokinetic torque showed a moderate to high relationship between these 2 modes of testing. A higher relationship was noted between the isometric tests and the low-velocity isokinetic tests and between isokinetic velocities that were closest together. The correlations decreased as the isokinetic velocities became more widely separated. These data suggest that the torque elicited at low-velocity isokinetic contractions can be predictive of the torque elicited during isometric contractions. Faster velocities are less related to isometric strength.

Adolescent↗

Distinct molecular processes associated with isometric force generation and rapid tension recovery after quick release.

It was proposed by Huxley and Simmons (Nature 1971, 233:533-538) that force-generating cross-bridges are attached to actin in several stable positions. In this concept, isometric force is generated by the same mechanism as the quick tension recovery after an abrupt release of length; i.e., when crossbridges proceed from the first postulated stable position to the second and/or subsequent positions, resulting in straining of the elastic elements within the cross-bridges. Therefore, isometric force is generated by cross-bridges in the second or even subsequent stable positions. However, through mechanical measurements of skinned rabbit psoas muscle fibers, we found that during isometric contraction only the first stable state is significantly occupied; i.e., isometric force is generated by cross-bridges in the first of the stable states. Thus, isometric force and the quick tension recovery appear to result from two distinctly different molecular processes. We propose that isometric force results from a structural change in the actomyosin complex associated with the transition from a weakly bound configuration to a strongly bound configuration before the reaction steps in the Huxley-Simmons model, whereas a major component of quick tension recovery originates from transitions among the subsequent strongly bound states. Mechanical, biochemical, and structural evidence for the two distinct processes is summarized and reviewed.

Actins↗

Forearm tremor during three different isometric loadings.

Forearm tremor was studied during a spring (stiffness 1090 N.m-1), a rigid isometric and a "dynamic" isometric (carrying a freely hanging mass) loading at the level of 50% of maximal isometric voluntary contraction. Thirteen physical education students ranging in age between 20 and 28 years flexed their dominant forearm isometrically towards the vertical direction (90 degree elbow angle) against the three different loads on three test occasions seated on a dynamometer which measured the force at the wrist together with vertical tremor (accelerometer). A power spectrum density function was established for the tremor (acceleration) between 1.0 and 19.9 Hz. A bandwidth of 6.9-19.9 Hz was subsequently analyzed in more detail including the determination of peak power (PMAX), peak power frequency (FMAX), mean power frequency (MPF), and average power (PAVER) as well as proposition (%) of the whole spectrum occupied by the selected bandwidth. The FMAX, MPF and band percentage variables had the best reproducibility (Cronbach's Alpha 0.85-0.95), while for the PMAX and PAVER the coefficients were lower but still satisfactory (0.69-0.89). The coefficients were rather similar for all three loading conditions. In the spring loading the spectrum components inside the analyzed frequency band occupied almost 90% of the whole spectrum, FMAX was more clearly distinguished from the rest of the spectrum, and tremor amplitude was higher and tremor frequency lower than in the rigid isometric and "dynamic" loadings. The respective tremor amplitude and frequency characteristics showed statistically significant correlations between the rigid isometric and "dynamic" loading conditions.(ABSTRACT TRUNCATED AT 250 WORDS)

Acceleration↗

Modulation of skin sensitivity by dynamic and isometric exercise in man.

The effect of dynamic cycle ergometer exercise and isometric leg exercise on skin sensitivity was studied in man. Exercise was performed at different loads. Cutaneous sensitivity to innocuous and noxious thermal stimuli was tested using a contact thermostimulator and sensitivity to tactile stimuli was tested using electrical stimuli. During isometric exercise a segmental (the exercising limb), but not a multisegmental, phasic decrease of cutaneous thermal sensitivity to innocuous stimuli was found. At the isometric forces used the effect on tactile and heat pain sensitivity was not significant. During dynamic exercise a multisegmental, load-dependent decrease of sensitivity in all tested sensory modalities was found and this attenuation disappeared gradually after the end of exercise. In contrast to isometric exercise, the decrease of sensitivity produced by dynamic exercise was most evident in tactile sensitivity. The size of the stimulus area (7.9 vs 11.8 cm2) did not have a significant effect on the magnitude of the exercise-induced decrease of cutaneous thermal sensitivity to innocuous stimuli. It was concluded that underlying the modulation of skin sensitivity by dynamic and isometric exercise were mechanisms that were different, at least to a small extent. Isometric exercise produced a segmental modulation of skin sensitivity due to central neuronal mechanisms, independent of exercise-induced stress. Exercise-induced stress could have caused the modulation of skin sensitivity by dynamic exercise.

Adult↗

Development of force-velocity relation, stiffness and isometric tension in frog single muscle fibres.

The force-velocity (T-V) relation and the force-extension (T1) relation from single fibres isolated from the muscle tibialis anterior of the frog were determined at present times during the rise of tension and the plateau of an isometric tetanus. During the rise of an isometric tetanus the value of V0 (the velocity of shortening at zero load) remained constant, whereas both the force T exerted during shortening at a given velocity lower than V0 and the slope of the instantaneous T1 curve increased with time after the beginning of the stimulus volley. However, while the value of T (a measure of the level of activation) attained its final value much before the isometric tension attained the plateau, the slope of the T1 curve (the fibre stiffness, a measure of the number of attached crossbridges) increased throughout the course of tension development. In six muscle fibres, at 2.25 microns sarcomere length and at about 4 degrees C, at a time during the tetanus rise when T had attained 81% of its final value, the fibre stiffness and the isometric tension had risen, respectively, to 50% and to 38% of the values attained at the tetanus plateau. Later, when T had already attained 99% of its final value, the fibre stiffness and the isometric tension had risen, respectively, to 80% and to 76% of their plateau values. In the same muscle fibres, the average value for the amount of step release required to drop the plateau tetanic tension to zero was only 8.62 nm (observed) or 6.16 nm (extrapolated from the linear part of the T1 curves) per half sarcomere. It is concluded that the large delay in the development of the isometric tension with respect to the development of T, and therefore with respect to the development of the whole T-V relation, cannot be attributed to the passive series compliance of the muscle fibres. It is likely that this delay is due to a specific event in the contractile process.

Animals↗

Effects of unilateral isometric strength training on joint angle specificity and cross-training.

The purpose of this study was to examine the effects of unilateral isometric leg extension strength training on the strength and integrated electromyogram (IEMG) of both the trained and untrained limbs at multiple joint angles. A training (TRN) group [nine women; mean (SD) age, 20(1) years] exercised for 6 weeks with isometric leg extensions at 80% of maximal isometric torque. A control (CTL) group [eight women; 21(1) years] did not exercise. The training was performed three times per week on a Cybex II isokinetic dynamometer at a joint angle where the lever arm was 0.79 rad below the horizontal plane. The subjects were tested pre- and posttraining for maximal unilateral isometric torque in both limbs at joint angles of zero, 0.26, 0.79, 1.31, and 1.57 rad below the horizontal plane. Bipolar surface electrodes were used to record the IEMG of the vastus lateralis (VL) and vastus medialis (VM) during the isometric tests. Three univariate (torque, IEMG-VL, and IEMG-VM) four-way (group x time x limb x angle) mixed factorial ANOVAs were used to analyze the data. The results indicated joint angle specificity for isometric torque in the TRN group only, with significant increases in torque at 0.79 (P = 0.0004) and 1.31 (P = 0.0039) rad. No significant increases in torque were found in the untrained limb of the TRN group or in either limb of the CTL group. Similarly, there were no significant changes in IEMG as a result of the training for the VL or VM.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Changes in isometric function following rhythmic exercise.

Seven male subjects exercised for 1, 3, 10 and 20 min on a cycle ergometer at 20, 60 and 80% VO2max, and then held to fatigue a sustained contraction of the quadriceps at 40% maximal voluntary contraction in order to determine what influence various levels of dynamic exercise would have on isometric function of the same group of muscles. Muscle temperature was measured before and within 15 s of the completion of the cycling to determine whether changes in muscle temperature might influence the subsequent isometric performance. Isometric endurance was shorter as the severity of the cycling increased beyond 20% VO2max, and as the duration of cycling increased up to 10 min. There were discrete linear relationships between muscle temperature and isometric endurance associated with cycling at 60% and 80% VO2max. There was a direct inverse relationship between quadriceps strength after cycling and muscle temperature, yet a significant reduction in strength occurred only after cycling at 80% VO2max. These results suggest that the encroachment on endurance and strength are controlled by different mechanisms. The heart rates during the isometric contractions were dependent on the preceding rhythmic exercise and decreased after exercise at 60 or 80% VO2max. In contrast, the blood pressure always increased during the isometric contractions, reaching similar values at the point of fatigue, regardless of the severity of the previous rhythmic exercise. These data provide additional evidence that separate mechanisms control changes in heart rate and blood pressure.

Blood Pressure↗

A comparative study of 'isometric' points for anterior cruciate ligament graft attachment.

Anterior cruciate ligament (ACL) reconstruction depends critically on isometric graft placement. Unfortunately, different supposedly isometric points have been published, and no prior work has compared them to find out which are really isometric. The purpose of this study was to compare the isometry of previously published 'isometric' points for ACL reconstruction. The isometric points and knee loadings of previous studies were reproduced accurately in 12 fresh cadaveric knees. The length changes were measured through 140 degrees knee flexion, using an intra-articular suture attached to a displacement transducer. Six points had less than 1 mm length change and were located proximally in the natural ACL attachment at the posterior end of Blumensaat's line. The other seven points had length change patterns that would cause ACL graft tightening or slackening with knee flexion if they were used as the sites of bone tunnels for graft placement. This study confirms the existence of an isometric zone close to the posterior end of Blumensaat's line under several loading conditions. Other graft attachment points are less suitable for ACL reconstruction.

Aged↗

Effects of isokinetic, isotonic and isometric submaximal exercise on heart rate and blood pressure.

The purpose of the present study was to compare arterial pressure (AP) and heart rate (HR) responses to submaximal isokinetic, isotonic and isometric exercises currently employed in physical rehabilitation therapy in terms of both magnitude and time-course. To this aim AP and HR were continuously and noninvasively measured in ten healthy subjects performing isokinetic, isotonic and isometric exercises at the same relative intensity. Isokinetic and isotonic exercises consisted of 30 knee extension/flexion repetitions at 40% of maximal effort. Isokinetic speed was set at 180 degrees s(-1). Isometric exercise consisted of a 60-s knee extension at 40% maximal voluntary contraction. The AP showed a rapid and marked increase from the onset of all types of exercise progressing throughout the exercises. Peak systolic (SAP) and diastolic (DAP) arterial pressure were 190.7 (SEM 8.9) and 121.6 (SEM 7.8) mmHg during isokinetic and 197.6 (SEM 11.2) and 128.3 (SEM 7.7) mmHg during isotonic exercise, respectively. During isometric exercise peak SAP and DAP were 168.1 (SEM 6.3) and 102.1 (SEM 3.7) mmHg, respectively [both lower compared to isokinetic and isotonic exercise (P < 0.05)]. The HR rose abruptly and after five isokinetic and isotonic repetitions it had already increased by about 30 beats min(-1), continuing to rise throughout the exercises. The HR response to isometric exercise was significantly less (P < 0.05) at all times. An immediate fall in AP, undershooting resting levels, was observed at the cessation of all types of exercise, being more marked after isokinetic and isotonic exercise. These results indicate that submaximal exercise of a dynamic type induces greater AP responses than intensity-matched isometric exercise and that even submaximal endurance-type rehabilitation exercise yields an elevated functional stress on the cardiovascular system which could precipitate hazardous events particularly in subjects with unrecognized cardiac diseases.

Adult↗

Kinetic model for isometric contraction in smooth muscle on the basis of myosin phosphorylation hypothesis.

A kinetic model was proposed to simulate an isometric contraction curve in smooth muscle on the basis of the myosin phosphorylation hypothesis. The Ca2+-calmodulin-dependent activation of myosin light-chain kinase and the phosphorylation-dephosphorylation reaction of myosin were mathematically treated. Solving the kinetic equations at a steady state, we could calculate the relationship between the Ca2+ concentration and the myosin phosphorylation. Assuming that two-head-phosphorylated myosin has an actin-activated Mg2+-ATPase activity and that this state corresponds to an active state, we computed the time courses of the myosin phosphorylation and the active state for various Ca2+ transients. The time course of the active state was converted into that of isometric tension by use of Sandow's model composed of a contractile element and a series elastic component. The model could simulate not only the isometric contraction curves for any given Ca2+ transient but also the following experimental results: the calmodulin-dependent shift of the Ca2+ sensitivity of isometric tension observed in skinned muscle fibers, the disagreement between the Ca2+ sensitivity of myosin phosphorylation and that of isometric tension at a steady state, and the disagreement between the time course of myosin phosphorylation and that of isometric tension development.

Animals↗

Effects of an applied kinesiology technique on quadriceps femoris muscle isometric strength.

The effect of either the muscle spindle cell receptor technique of applied kinesiology or a placebo technique on isometric strength of the right quadriceps femoris muscle group was studied among 20 normal human subjects. Peak, perpendicular maximal values of isometric quadriceps femoris muscle force was measured by a force transducer. Three training sessions consisting of three trials of peak maximal contractions of the isometric quadriceps femoris muscle were performed by all subjects. After the three training sessions, matched pairs of subjects were formed from a rand order list of each subject's mean values of isometric quadriceps femoris muscle strength on the third session. One subject of a matched pair was then randomly assigned to either an experimental (applied kinesiology) or control (placebo) group for the testing session. No significant differences in mean values of isometric quadriceps femoris muscle strength between the matched pairs for control and experimental subjects were noted. Within the context of a normal population, the applied kinesiology technique does not appear to augment isometric quadriceps femoris muscle strength.

Adult↗

Isotonic and isometric responses of different tonic muscles to agonists and antagonists.

1 With isotonic recording the percentage of muscle shortening as compared with the maximal possible shortening, and with isometric recording the percentage of developed tension were determined. In relatively 'thick' muscles, such as dorsal leech muscle, frog rectus abdominis or protractor pharynx of holothuria (0.3-0.8 mm thick), the concentrations of a full agonist (carbachol) producing a given percentage of tension, (e.g. 50%) are about 5 times greater than the concentrations, producing the same percentage of shortening. In 'thin' muscles the difference between the percentage of shortening and tension is either small (retractor dentis of the sea urchin, 0.1 mm thick, response to carbachol) or absent (guinea-pig ileum, 0.06 mm thick, responses to methylfurmethide). The possible mechanism underlying this difference is discussed. 2 With partial agonists (dodecamethonium and heptamethonium) the fractional tension of the frog rectus abdominis is always less than the fractional shortening and the correlation between shortening and tension is the same as in the case of full agonists. 3 The blocking activity of (+)-tubocurarine on the frog rectus abdominis is the same in isotonic and in isometric conditions. 4 On the frog rectus abdominis the alkylating agent, decamethonium mustard, does not produce any 'parallel shift' of the dose-response curve for carbachol, the only result of alkylation being a decrease in maximal response, which is more pronounced in isometric than in isotonic conditions. The degree of decrease is in accordance with the correlation between percentage of shortening and percentage of tension in the absence of alkylating agent. Probably this muscle does not possess any 'spare receptors'. 5 On the frog muscle the dose-isometric response curve for acetylcholine (ACh) is shifted toward greater concentration about 33-fold as compared with the dose-isotonic response curve but after the inhibition of cholinesterases the shift is only about 6-fold. The same shift (5-fold) is observed for carbachol, which is not hydrolysed by cholinesterases. The results with ACh are due to the fact, that after cholinesterase inhibition the sensitivity to ACh increases in isotonic conditions only 13-fold, but in isometric conditions it increases 71-fold. Probably under isometric conditions, when the muscle remains in the extended state, the rate of hydrolysis of ACh is much greater than under isotonic conditions when the muscle is shortened during contraction.

Acetylcholine↗

Force-velocity relation in deuterium oxide-treated frog single muscle fibres during the rise of tension in an isometric tetanus.

1. The force-velocity (P-V) relation from a single fibres isolated from the semitendinosus muscle of the frog was determined at pre-set times during the rise of tension and the plateau of isometric tetani. The controlled-velocity release method was used. Experiments were performed at about 2.25 micrometers sarcomere length and at 3-4 degrees C or at 19-21 degrees C. 2. Replacing H2O with D2O resulted in a rapid large reduction of the peak twitch tension and of the speed of development of twitch and tetanic tensions. The tetanic tension (P0) was usually reduced, in certain fibres to as low as 5% of the value in H2O-Ringer solution. 3. The depression of twitch and tetanus characteristics was followed by a recovery, the duration of which varied greatly in different fibres. During the recovery period previous conditioning activity potentiated the tetanus characteristics. 4. After the end of the recovery period in D2O-Ringer solution both the peak twitch tension and the speed of development of tetanic tension was still greatly depressed, whereas the value of P0 was slightly greater than in H2O-Ringer. The speed of rise of isometric tension after a quick release imposed at the tetanus plateau was reduced in D2O-Ringer, usually to about 50% of the value in H2O-Ringer. 5. D2O increased the development time of the P-V relation and produced a conspicuous increase in the degree of its curvature. The value of V0 (the velocity of shortening at zero load) was not significantly depressed by D2O and it was the same independent both of the time after the beginning of stimulation and of the isometric tension at which the measurement was made. The P-V relation attained its final characteristics before the isometric tension reached the plateau. During the recovery period in D2O-Ringer, at the plateau of isometric tetani of different size, the relative force exerted at a given velocity of shortening was constant. 6. In D2O-treated fibres, NO3- and caffeine (i) potentiated the peak twitch tension and the speed of development of tetanic tension without affecting significantly the speed of the redevelopment of tension after a quick release imposed at the tetanus plateau and (ii) reduced the development time of the P-V relation, but did not affect either the degree of its curvature or the value of V0 and P0. 7. The results are discussed by assuming that the release of Ca2+ from the sarcoplasmic reticulum is a rate-limiting process for the development of activation and in turn for the development of isometric tension. In terms of the cross-bridge model of Huxley (1957), the time or Ca2+-dependent factor of activation appears to be the recruitment of actin sites for cross-bridge formation, whereas the value of the rate constants regulating the cross-bridge kinetics appears to be time and Ca2+-independent.

Animals↗

Cutaneous vascular responses to isometric handgrip exercise.

Cutaneous vascular responses to dynamic exercise have been well characterized, but it is not known whether that response pattern applies to isometric handgrip exercise. We examined cutaneous vascular responses to isometric handgrip and dynamic leg exercise in five supine men. Skin blood flow was measured by laser-Doppler velocimetry and expressed as laser-Doppler flow (LDF). Arterial blood pressure was measured noninvasively once each minute. Cutaneous vascular conductance (CVC) was calculated as LDF/mean arterial pressure. LDF and CVC responses were measured at the forearm and chest during two 3-min periods of isometric handgrip at 30% of maximum voluntary contraction and expressed as percent changes from the preexercise levels. The skin was normothermic (32 degrees C) for the first period of handgrip and was locally warmed to 39 degrees C for the second handgrip. Finally, responses were observed during 5 min of dynamic two-leg bicycle exercise (150-175 W) at a local skin temperature of 39 degrees C. Arm LDF increased 24.5 +/- 18.9% during isometric handgrip in normothermia and 64.8 +/- 14.1% during isometric handgrip at 39 degrees C (P less than 0.05). Arm CVC did not significantly change at 32 degrees C but significantly increased 18.1 +/- 6.5% during isometric handgrip at 39 degrees C (P less than 0.05). Arm LDF decreased 12.2 +/- 7.9% during dynamic exercise at 39 degrees C, whereas arm CVC fell by 35.3 +/- 4.6% (in each case P less than 0.05). Chest LDF and CVC showed similar responses.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Cutaneous vascular responses to isometric handgrip exercise during local heating and hyperthermia.

The dramatic increase in skin blood flow and sweating observed during heat stress is mediated by poorly understood sympathetic cholinergic mechanisms. One theory suggests that a single sympathetic cholinergic nerve mediates cutaneous active vasodilation (AVD) and sweating via cotransmission of separate neurotransmitters, because AVD and sweating track temporally and directionally when activated during passive whole body heat stress. It has also been suggested that these responses are regulated independently, because cutaneous vascular conductance (CVC) has been shown to decrease, whereas sweat rate increases, during combined hyperthermia and isometric handgrip exercise. We tested the hypothesis that CVC decreases during isometric handgrip exercise if skin blood flow is elevated using local heating to levels similar to that induced by pronounced hyperthermia but that this does not occur at lower levels of skin blood flow. Subjects performed isometric handgrip exercise as CVC was elevated at selected sites to varying levels by local heating (which is independent of AVD) in thermoneutral and hyperthermic conditions. During thermoneutral isometric handgrip exercise, CVC decreased at sites in which blood flow was significantly elevated before exercise (-6.5 +/- 1.8% of maximal CVC at 41 degrees C and -10.5 +/- 2.0% of maximal CVC at 43 degrees C; P < 0.05 vs. preexercise). During isometric handgrip exercise in the hyperthermic condition, an observed decrease in CVC was associated with the level of CVC before exercise. Taken together, these findings argue against withdrawal of AVD to explain the decrease in CVC observed during isometric handgrip exercise in hyperthermic conditions.

Adult↗

Evoked H-reflex and V-wave responses during maximal isometric, concentric, and eccentric muscle contraction.

This study was designed to investigate the modulations of H-reflex and V-wave responses during passive and maximal active dynamic actions. Experiments were performed on 16 healthy males [age: 24 +/- 4 (SD) yr]. Maximal H-reflexes (Hmax) and M-waves (MmaxR) were evoked at the same muscle length during passive isometric, shortening and lengthening actions and during maximal voluntary isometric, concentric, and eccentric plantar-flexion. In all contraction types, supra-maximal stimulus intensity was used to evoke the superimposed maximal M wave (MmaxA) and V wave (V) of the soleus muscle. At rest, the Hmax/MmaxR ratio was significantly reduced during lengthening with respect to isometric and shortening actions (P < 0.05). For each action type, the ratio between H reflex superimposed to the contraction (Hsup) and MmaxA was not different from Hmax/MmaxR ratio. When plantar flexors were maximally voluntary activated, the Hsup/MmaxA ratio was still lower during eccentric contraction as compared with isometric and concentric efforts (0.33 +/- 0.03 vs. 0.47 +/- 0.02 and 0.50 +/- 0.03, P < 0.001), whereas V/MmaxA ratios were similar for all contraction types (isometric 0.26 +/- 0.02; concentric 0.23 +/- 0.03, and eccentric 0.24 +/- 0.02; P > 0.05). The V/MmaxA ratio was significantly lower than Hsup/MmaxA during isometric and concentric MVC (P < 0.001). No difference was observed between V/MmaxA and Hsup/MmaxA ratios during eccentric efforts. The H-reflex modulations, present during lengthening actions, were mainly attributed to presynaptic inhibition of Ia afferents and to homosynaptic postactivation depression. Results on V wave and H reflex suggest that during eccentric MVC, the spinal loop is specifically modulated by the supra-spinal centers and/or neural mechanisms at spinal level.

Adaptation, Physiological↗

Motor-unit activation patterns in lengthening and isometric contractions of hindlimb extensor muscles in the decerebrate cat.

1. Multiunit integrated electromyographic (EMG) signals and single-unit EMG potentials were recorded during isometric and lengthening (stretch reflex) contractions of soleus and medial gastrocnemius (MG) muscles in 20 decerebrate cats. Patterns of motor-unit recruitment and rate modulation were examined in isometric muscles and during constant-velocity stretches. 2. Analysis of multiunit EMG activity and its relationship to active force revealed a marked difference between isometric and lengthening contractions. While the force-EMG relationship for isometric contractions was characteristically linear, the relation recorded during stretch-reflex responses showed a disproportionate early EMG increase, which was most obvious at low force levels, suggesting that the efficacy of force production is reduced in lengthening muscle. 3. Single-unit recruitment patterns were found to be qualitatively similar in isometric and lengthening contractions. In each case, motor units were recruited in order of increasing spike voltage. The numbers of newly recruited units declined steeply with each successive increment in active force. For a given unit, the force at which recruitment occurred was found to be greater in lengthening contractions than in isometric contractions, and in lengthening contractions it was also found to depend on the level of initial force. 4. Two patterns of motor-unit rate modulation were observed during muscle stretch, depending on whether a given unit was firing before the beginning of stretch or whether it was recruited during the course of stretch. Motor units that were active prior to stretch were found to increase firing rate at stretch onset and to vary their rate very little thereafter. Motor units recruited in the course of stretch began firing at an initial rate proportional to their force threshold, gradually increased their firing rate with increasing force, and sometimes reached an apparent maximum rate. 5. These results are discussed in terms of the mechanical properties of lengthening muscle and reflex regulation of these properties. Each identified pattern of motor-unit recruitment and rate modulation is evaluated for its potential contribution to the regulation of muscle properties, especially the prevention of muscle yield. We conclude that at low to moderate levels of initial force, recruitment of new motor units is likely to be the most effective compensatory mechanism.

Animals↗

Evaluation of cervical range of motion and isometric neck muscle strength: reliability and validity.

OBJECTIVE: To examine the test-retest reliability and construct validity of cervical active range of motion and isometric neck muscle strength as measured by the Multi Cervical Rehabilitation Unit (Hanoun Medical Inc., Ontario). DESIGN: A cross-sectional study. SETTING: Institutional practice. SUBJECTS: Twenty-one patients with neck pain and 25 healthy volunteers. METHODS: After a trial-run session, active range of motion (AROM) was measured in the subsequent two sessions, with 2-3 days in between. During each session, three measurements were taken for each direction (flexion, extension, lateral flexions and rotations). The measurement of isometric strength was after a 15-minute break following completion of the measurement of AROM. Three measurements were made for each of the six directions (flexion, extension, lateral flexions, protraction and retraction). The software of the Multi Cervical Rehabilitation Unit automatically recorded and calculated the maximum AROM and isometric strength. RESULTS: There was a good to high level of reliability in the measurement of AROM for both groups of subjects, with intraclass correlation coefficients (ICCs) ranging from 0.81 to 0.96. Results also demonstrated very good to excellent reliability in isometric strength measurement (ICCs ranged from 0.92 to 0.99). Moreover, there was a significant difference in isometric neck muscle strength (p = 0.001) and in AROM (p = 0.034) between the two groups. CONCLUSIONS: The Multi Cervical Rehabilitation Unit was found to be reliable and valid for testing the cervical active range of motion and isometric neck muscle strength for both normal and patient subjects.

Adult↗