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Biomedical subjects

J E Graves

Publications and source records attributed to J E Graves.

At least 19 recordsLinked to original sources
PubMed2005

Black walnut extract-induced laminitis in horses is associated with heterogeneous dysfunction of the laminar microvasculature.

REASONS FOR PERFORMING STUDY: Equine laminitis purportedly involves haemodynamic dysfunction at the level of the laminar vasculature. However, to date, no studies have been performed characterising the function of laminar arteries and veins during the prodromal stages of equine laminitis. HYPOTHESIS: That the prodromal stages of laminitis are associated with contractile dysfunction of the equine laminar vasculature. OBJECTIVE: To assess contractile function of laminar arteries and veins to phenylephrine (PE) and 5-hydroxytryptamine (5-HT). METHODS: Horses were administered black walnut heartwood extract (BWHE) or water (control horses) via nasogastric intubation. After euthanasia, laminar vessels (100-800 microm internal diameter) were isolated and mounted on small vessel myographs to assess contractile function. RESULTS: Contractile responses to PE or 5-HT were identical in laminar arteries isolated from either control horses or those administered BWHE. In contrast, responses to PE or 5-HT were significantly reduced in laminar veins isolated from BWHE-administered horses when compared with laminar veins isolated from control horses. CONCLUSIONS AND POTENTIAL RELEVANCE: These results are consistent with the prodromal stages of laminitis being associated with selective dysfunction of laminar veins. Further studies are required to discern the precise nature of this dysfunction and its potential relevance to the pathogenesis of acute laminitis in the horse and possible therapeutic targets for treatment.

Animals↗
PubMed2002

Atrazine effects on in vitro maturation and in vitro fertilization in the bovine oocyte.

The effect of low levels of atrazine (2-chloro-4-ethylamino-6-isopropylamino-s-triazine) on in vitro oocyte maturation, in vitro capacitation of sperm, or in vitro fertilization of bovine oocytes and on the quality of blastocyst formation was studied. Bovine oocytes collected from abattoir ovaries were matured, fertilized, and developed to the blastocyst stage in vitro. Embryos that reached a morula or blastocyst stage were stained with Hoechst 33258 stain to determine the number of blastomeres per embryo. Three bulls whose fertilization rates were proven consistent among straws were used for this study. Atrazine was tested at concentrations of 0.01, 0.1, 1, and 10 microM in either the maturation medium, sperm capacitation medium, or the fertilization medium. Because atrazine was dissolved in ethanol, an ethanol control was used to determine any possible effects of ethanol on the in vitro process. The addition of atrazine to both the maturation and fertilization media did not result in any significant difference in fertilization rates between the controls and the treatments. In the capacitation medium, a significant difference between the controls and the atrazine levels of 0.1, 1, and 10 microM was noted for one bull. Atrazine did not affect the number of blastomeres per embryo. There was not a significant difference (p>0.05) in the number of blastomeres per embryo between the controls and the different levels of atrazine in each medium. This study indicates that low levels of atrazine do not have an effect on in vitro fertilization rates or the number of blastomeres per embryo produced in vitro.

Animals↗
PubMed2001

Reconciling patterns of inter-ocean molecular variance from four classes of molecular markers in blue marlin (Makaira nigricans).

Different classes of molecular markers occasionally yield discordant views of population structure within a species. Here, we examine the distribution of molecular variance from 14 polymorphic loci comprising four classes of molecular markers within approximately 400 blue marlin individuals (Makaira nigricans). Samples were collected from the Atlantic and Pacific Oceans over 5 years. Data from five hypervariable tetranucleotide microsatellite loci and restriction fragment length polymorphism (RFLP) analysis of whole molecule mitochondrial DNA (mtDNA) were reported and compared with previous analyses of allozyme and single-copy nuclear DNA (scnDNA) loci. Temporal variance in allele frequencies was nonsignificant in nearly all cases. Mitochondrial and microsatellite loci revealed striking phylogeographic partitioning among Atlantic and Pacific Ocean samples. A large cluster of alleles was present almost exclusively in Atlantic individuals at one microsatellite locus and for mtDNA, suggesting that, if gene flow occurs, it is likely to be unidirectional from Pacific to Atlantic oceans. Mitochondrial DNA inter-ocean divergence (FST) was almost four times greater than microsatellite or combined nuclear divergences including allozyme and scnDNA markers. Estimates of Neu varied by five orders of magnitude among marker classes. Using mathematical and computer simulation approaches, we show that substantially different distributions of FST are expected from marker classes that differ in mode of inheritance and rate of mutation, without influence of natural selection or sex-biased dispersal. Furthermore, divergent FST values can be reconciled by quantifying the balance between genetic drift, mutation and migration. These results illustrate the usefulness of a mitochondrial analysis of population history, and relative precision of nuclear estimates of gene flow based on a mean of several loci.

Animals↗
PubMed2000

Actin gene family evolution and the phylogeny of coleoid cephalopods (Mollusca: Cephalopoda).

Phylogenetic analysis conducted on a 784-bp fragment of 82 actin gene sequences of 44 coleoid cephalopod taxa, along with results obtained from genomic Southern blot analysis, confirmed the presence of at least three distinct actin loci in coleoids. Actin isoforms were characteri zed through phylogenetic analysis of representative cephalopod sequences from each of the three isoforms, along with translated actin cDNA sequences from a diverse array of metazoan taxa downloaded from GenBank. One of the three isoforms found in cephalopods was closely related to actin sequences expressed in the muscular tissues of other molluscs. A second isoform was most similar to cytoplasmic-specific actin amino acid sequences. The muscle type actins of molluscs were found to be distinct from those of arthropods, suggesting at least two independent derivations of muscle actins in the protostome lineage, although statistical support for this conclusion was lacking. Parsimony and maximum-likelihood analyses of two of the isoforms from which >30 orthologous coleoid sequences had been obtained (one of the cytoplasmic actins and the muscle actin) supported the monophyly of several higher-level coleoid taxa. These included the superorders Octopodiformes and Decapodiformes, the order Octopoda, the octopod suborder Incirrata, and the teuthoid suborder Myopsida. The monophyly of several taxonomic groups within the Decapodiformes was not supported, including the orders Teuthoidea and Sepioidea and the teuthoid suborder Oegopsida. Parametric bootstrap analysis conducted on the simulated cytoplasmic actin data set provided statistical support to reject the monophyly of the Sepioidea. Although parametric bootstrap analysis of the muscle actin isoform did not reject sepioid monophyly at the 5% level, the results (rejection at P: = 0.068) were certainly suggestive of sepioid nonmonophyly.

Actins↗
PubMed2000

Tonic regulation of vascular tone by nitric oxide and chloride ions in rat isolated small coronary arteries.

We have investigated the involvement of Cl(-) in regulating vascular tone in rat isolated coronary arteries mounted on a small vessel myograph. Mechanical removal of the endothelium or inhibition of nitric oxide (NO) synthase with N(omega)-nitro-L-arginine methyl ester (L-NAME, 10(-4) M) led to contraction of rat coronary arteries, and these contractions were sensitive to nicardipine (10(-6) M). This suggests that release of NO tonically inhibits a contractile mechanism that involves voltage-dependent Ca(2+) channels. In arteries contracted with L-NAME, switching the bathing solution to physiological saline solution with a reduced Cl(-) concentration potentiated the contraction. DIDS (5 x 10(-6)-3 x 10(-4) M) caused relaxation of L-NAME-induced tension (IC(50) = 55 +/- 10 microM), providing evidence for a role of Cl(-). SITS (10(-5)-5 x 10(-4) M) did not affect L-NAME-induced tension, suggesting that DIDS is not acting by inhibition of anion exchange. Mechanical removal of the endothelium led to contraction of arteries, which was sensitive to DIDS (IC(50) = 50 +/- 8 microM) and was not affected by SITS. This study suggests that, in rat coronary arteries, NO tonically suppresses a contractile mechanism that involves a Cl(-) conductance.

15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5↗
PubMed1999

Electromyographic activity of the lumbar extensor muscles: effect of angle and hand position during Roman chair exercise.

OBJECTIVE: To evaluate the effects of angle and hand position during variable-angle Roman chair (VARC) back extension exercise on lumbar paraspinal electromyographic (EMG) activity. DESIGN: Descriptive, repeated measures. SETTING: University-based musculoskeletal research laboratory. PARTICIPANTS: Two female and eight male volunteers recruited from a university setting. INTERVENTION AND OUTCOME MEASURES: Surface integrated EMG activity was recorded from the L3-L4 paraspinal region during 24 10-second repetitions of dynamic back extension exercise, each consisting of a unique VARC angle (six total) and subject hand position (four total). Lumbar paraspinal surface integrated EMG activity measured in millivolts per repetition was used for analysis. RESULTS: Significant lumbar paraspinal EMG activity was evident during each of the 24 repetitions (p < or = .05), with a 104% increase in activity noted between the lowest and highest. EMG activity increased progressively among hand positions and as the VARC angle became more horizontal. VARC angle affected EMG activity more than hand position, but the greatest impact on EMG activity was produced by modifying both angle and hand position. CONCLUSION: Lumbar paraspinal EMG activity can be altered during VARC back extension exercise by changing angle and hand position. Clinicians can use these data to develop progressive resistance exercise programs using the VARC apparatus.

Adult↗
PubMed1999

Pelvic restraint effect on lumbar gluteal and hamstring muscle electromyographic activation.

OBJECTIVE: To evaluate the influence of pelvic restraint on electromyographic activation (neural drive) of the lumbar extensor, gluteal, and hamstring muscles during submaximal dynamic lumbar extension in an upright seated position. DESIGN: Randomized, balanced, crossover trial comparing the electromyographic activation of the lumbar, gluteal, and hamstring muscles during dynamic lumbar extension exercise with and without pelvic restraint. SETTING: Research laboratory at a private research university. SUBJECTS: Twelve apparently healthy men (ages 18 to 50 yrs). INTERVENTION: Dynamic lumbar extension exercises. MAIN OUTCOME MEASURE: Electromyographic recordings. RESULTS: Pelvic restraint did not influence the relative activation of the lumbar, gluteal, or hamstring muscle groups (p< or =.05) during submaximal dynamic lumbar extension exercise. The relative activation of the gluteal muscles was significantly lower than that of the lumbar extensor and hamstring muscle groups. CONCLUSIONS: Pelvic restraint is not a requirement to promote neural drive to the lumbar musculature during submaximal dynamic lumbar extension exercise performed in an upright seated position. Submaximal lumbar extension exercise reduces the relative contribution of the gluteal muscles compared with a maximal voluntary isometric contraction.

Adult↗
PubMed1998

Endoscopic cauterization for treatment of fourth branchial cleft sinuses.

Fourth branchial cleft sinuses are rare, and the nature of their origin is controversial. Clinical presentation is varied because they may present as asymptomatic neck masses, recurrent neck abscesses, or suppurative thyroiditis. We describe herein 7 children who presented with abscesses on the left side of their necks, 3 of whom had abscesses that involved the thyroid gland. Direct laryngoscopy revealed that all 7 children had a sinus tract opening into the apex of the piriform sinus. Endoscopic obliteration of this tract was achieved using an insulated electrocautery probe either when the abscess was initially incised and drained or 4 to 6 weeks later. All 7 children recovered uneventfully. Four of the 7 children were followed up for more than 18 months without recurrence.

Abscess↗
PubMed1998

Quantification of full-range-of-motion unilateral and bilateral knee flexion and extension torque ratios.

OBJECTIVES: To evaluate the reliability and variability of repeated measurements of isometric knee flexion and extension strength, to quantify the extent of measurement error that may occur due to gravity, and to quantify isometric knee flexion/extension torque ratios at multiple angles through a full range of motion. DESIGN: Reliability assessment. SETTING: A university exercise center. PARTICIPANTS: Seventy-seven healthy men and women recruited from a university and surrounding community. INTERVENTION: Isometric knee flexion and extension strength tests. MAIN OUTCOME MEASURES: Knee flexion/extension strength was measured at 6 degrees, 24 degrees, 42 degrees, 60 degrees, 78 degrees, 96 degrees, and 108 of knee flexion. Before each contraction, subjects were instructed to completely relax the limbs to measure the mass of the lower leg. Torque values obtained during relaxation at each angle were added to or subtracted from "Total Torque" (TTQ) at peak exertion. The adjusted value was recorded as "Net Muscular Torque" (NMT). RESULTS: Reliability for the unilateral and bilateral tests was high (r =.88 to r=.98) and measurement variability low (SEM%=5.1% to 12.6%). There was a statistically significant difference at each angle of measurement between the TTQ and NMT values for both knee flexion and extension. Knee flexion/extension ratios were highly dependent on the angle tested, ranging from 1.30 (at 60) to .31 (at 1080). CONCLUSIONS: Isometric testing, using standardized angles, can reliably quantify knee flexion/extension strength. Furthermore, these findings emphasize the importance of correcting for the mass of the lower leg when assessing muscle function. Angle-specific knee flexion/extension torque ratios should provide clinicians with a more precise method of evaluating muscular balance (imbalance) throughout the range of motion.

Adolescent↗
PubMed1998

Peroxynitrite-mediated vasorelaxation: evidence against the formation of circulating S-nitrosothiols.

Peroxynitrite-induced relaxation of isolated vessels may involve the formation of S-nitrosothiols. This study characterized the hemodynamic effects of systemically injected peroxynitrite in penotobarbital sodium-anesthetized rats and determined whether these effects were due to the formation of S-nitrosothiols. We utilized L-penicillamine, which attenuates the hemodynamic effects of systemically injected S-nitrosothiols. The hemodynamic effects of peroxynitrite and the S-nitrosothiols L-S-nitrosocysteine, L-S-nitrosoglutathione, and S-nitrosoalbumin were determined before and 25 min after the administration of L-penicillamine or saline. Peroxynitrite and the S-nitrosothiols produced dose-dependent reductions in mean arterial pressure and mesenteric and hindquarter vascular resistances. The hypotensive and vasodilator effects of the S-nitrosothiols were significantly reduced by L-penicillamine. In contrast, the hemodynamic actions of peroxynitrite were unaffected by L-penicillamine. Therefore, peroxynitrite produces hypotensive and vasodilator responses in anesthetized rats that are unlikely to be due to the formation of circulating S-nitrosothiols. The mechanisms by which peroxynitrite produces vasodilatation in vivo remain to be determined.

Animals↗
PubMed1997

Isometric torso rotation strength: effect of training frequency on its development.

OBJECTIVE: To examine training frequency's effect on torso rotation muscle strength. DESIGN: The study followed a pretest-posttest randomized-group design. SETTING: University laboratory. PATIENTS: Subjects, 33 men (age 30 +/- 11yr) and 25 women (age 28 +/- 10yr) with no history of low back pain, volunteered to participate in the study and were tested for isometric (IM) torso rotation strength before (T1) and after (T2) 12 weeks of training. Measurements of maximal voluntary IM torso rotation torque (N.m) were made through a 108 degrees range of motion (54 degrees, 36 degrees, 18 degrees, 0 degree, -18 degrees, -36 degrees, -54 degrees). Subjects were stratified by peak torque at T1, and randomized to a nonexercising control group (C, n = 10), or groups that trained once a week (1x/wk, n = 16), twice a week (2x/wk, n = 17), or three times a week (3x/wk, n = 15); and all groups were similar in strength. INTERVENTIONS: Training consisted of 8 to 12 repetitions of full range dynamic variable resistance exercise to volitional fatigue, for both left and right rotation. MAIN OUTCOME: To determine the best training frequency for the development of torso rotation strength. RESULTS: Relative improvements (average increase in strength gained at each angle) for the training groups were 4.9%, 16.3%, and 11.9% for the 1, 2, and 3x/wk groups, respectively. The 1x/wk group did not increase in IM torso rotation strength compared to the control group at any angle. Both the 2 and 3x/ wk groups increased their IM torso rotation strength compared to the control group at all but one angle. There were no significant differences in IM torso rotation strength between the groups that trained 2 or 3x/wk. During the training period, the 2 and 3x/wk groups increased their dynamic training load significantly more than the 1x/wk group. CONCLUSIONS: Posttraining dynamic strength was not different between training frequencies of 2 and 3x/wk. Therefore, training the rotary torso muscles 2x/wk is recommended.

Adult↗
PubMed1997

'Total evidence' refutes the inclusion of Perkinsus species in the phylum Apicomplexa.

The phylogenetic affinities of the oyster pathogen Perkinsus marinus were investigated with morphology, 18S-like rDNA data and actin sequence data. Morphological investigations revealed that Perkinsus species do not have a conoid and that other criteria which have been used to place them in the Apicomplexa are general to alveolates. When considered separately, 18S-like rDNA and actin data sets each support a closer affinity for Perkinsus marinus with the dinoflagellates. However, each of these separate analyses possess their own biases and weaknesses. Use of the phylogenetic principle of 'total evidence' in which data sets are combined in simultaneous analysis yielded a more robust hypothesis that is stable both to character and taxonomic sampling. The resulting cladogram strongly corroborates the placement of Perkinsus species with the Dinoflagellida and not with the Apicomplexa.

Actins↗
PubMed1997

Effects of age, physical training, and physical fitness on coronary heart disease risk factors in older track athletes at twenty-year follow-up.

OBJECTIVE: To compare current coronary heart disease (CHD) risk factor values in older athletes with mid-life measures and to examine the associations between changes in CHD risk factors with aging, physical training, and physical fitness. DESIGN: Prospective study with three longitudinal evaluation points: initial (T1), 10-year (T2), and 20-year (T3). Subjects were selected because of their elite status in Masters track competition. SETTING: University and medical center laboratories. PARTICIPANTS: Participants were 60 to 92 years of age and included 21 of the initial 27 subjects. At T3, subjects were divided into three groups, based on physical activity levels: high intensity (H), remained elite in national and international competition (n = 9); moderate intensity (M) continued frequent rigorous endurance training but rarely competed (n = 10); and low intensity (L) greatly reduced their training volume and intensity (n = 2). MEASUREMENTS: Smoking history; family history of coronary or cerebrovascular disease; resting blood pressure; resting electrocardiogram (ECG); serum total cholesterol, plasma glucose; body weight, % body fat, body mass index, waist:hip ratio; training pace and mileage; maximal oxygen consumption VO2 max). MAIN RESULTS: Several risk factors (smoking, diabetes, obesity) were never present, and the prevalence of other risk factors (family history of cardiovascular disease, abnormal resting ECG) remained low through T3 (< or = 14% of subjects). Mean systolic and diastolic blood pressure remained low without medication, but diastolic blood pressure measurements had the greatest redistribution between evaluation periods of any risk factor (r = .16, P = .479, T1 to T2). Mean total cholesterol was lower at T2 (-13%, P = .005) and T3 (-14%, P = .019) compared with T1. Change in VO2 max was correlated with changes in body weight (r = -.44, P = .048) and % fat (r = -.52, P = .015) from T1 to T2, whereas age was correlated to changes in systolic blood pressure (r = -.61, P = .003) and total cholesterol (r = -.49, P = .023) from T2 to T3. CONCLUSIONS: The prevalence of CHD risk factors remained low, and mean risk factor values remained low and generally stable in older athletes who had maintained habitual exercise training.

Age Factors↗
PubMed1997

Twenty-year follow-up of aerobic power and body composition of older track athletes.

The purpose was to determine the aerobic power (maximal oxygen uptake) and body composition of older track athletes after a 20-yr follow-up (T3). At 20 yr, 21 subjects [mean ages: 50.5 +/- 8.5 yr at initial evaluation (T1), 60.2 +/- 8.8 yr at 10-yr follow-up (T2), and 70.4 +/- 8.8 yr at 20-yr follow-up (T3)] were divided into three intensity groups: high (H; remained elite; n = 9); moderate (M; continued frequent moderate-to-rigorous endurance training; n = 10); and low (L; greatly reduced training; n = 2). All groups decreased in maximal oxygen uptake at each testing point (H, 8 and 15%; M, 13 and 14%; and L, 18 and 34% from T1 to T2 and T2 to T3, respectively). Maximal heart rate showed a linear decrease of approximately 5-7 beats.min-1.decade-1 and was independent of training status. Body weight remained stable for the H and M groups and percent fat increased approximately 2-2.5%/decade. Although fat-free weight decreased at each testing point, there was a trend for those who began weight-training exercise to better maintain it. Cross-sectional analysis at T3 showed that leg strength and bone mineral density were generally maintained from age 60 to 89 yr. Those who performed weight training had a greater arm region bone mineral density than those who did not. These longitudinal data show that the physiological capacities of older athletes are reduced despite continued vigorous endurance exercise over a 20-yr period (approximately 8-15%/decade). Changes in body composition appeared to be less than those shown for the healthy sedentary population and were related to changes in training habits.

Aged↗
PubMed1997

Phylogenetic analysis of Perkinsus based on actin gene sequences.

Perkinsus species presently are classified within the phylum Apicomplexa. This placement, however, is controversial. Based upon morphological observations and phylogenetic analyses of the small subunit ribosomal RNA gene, it has been suggested that Perkinsus may be more closely related to dinoflagellates. To reevaluate the phylogenetic position of Perkinsus, we obtained nucleotide sequence data for actin genes from Perkinsus marinus and 2 dinoflagellates, Prorocentrum minimum and Amphidinium carterae. Results indicated that there are 2 closely related actin genes in the genome of P. marinus. Phylogenetic comparisons of these actin gene fragments of P. marinus to available actin gene sequences for several ciliates and apicomplexans and to the 2 actin gene sequences from dinoflagellates obtained in this study supported a closer affinity of P. marinus to dinoflagellates than to apicomplexans.

Actins↗
PubMed1996

Relative heart rate, heart rate reserve, and VO2 during submaximal exercise in the elderly.

BACKGROUND: The purpose of this study was to examine the relationships among relative maximal heart rate (%HRmax), maximal heart rate reserve (%HRmax reserve), and maximal oxygen uptake (%VO2max) during submaximal exercise by elderly subjects. METHODS: VO2max and HRmax were determined on 36 women and 19 men, 60 to 80 yrs of age, by a maximal treadmill test to volitional exhaustion. On a separate day, subjects underwent a submaximal treadmill protocol consisting of three 6-min exercise stages at treadmill speeds and grades estimated to elicit 40%, 60%, and 80% of HRmax reserve. Cardiorespiratory responses were determined during mins 4-5 and 5-6 of each stage. RESULTS: Measured exercise intensities expressed by the three methods were: %HRmax reserve = 36, 55, and 79%; %HRmax = 65, 75, and 88%; %VO2max = 53, 69, and 88%. %HRmax was greater (p < .05) than %VO2max at 53 and 69% of VO2max. %HRmax reserve was less (p < .05) than %VO2max for all three intensities. Slopes and intercepts for the linear regression equations relating %VO2max with %HRmax and with %HRmax reserve differed between men and women (p < .05). The regression equation relating %VO2max and %HRmax was y = -22.8 + 1.2 (%HRmax) -13.0 (Gender) + 0.2 (%HRmax x Gender): standard error of the estimate (SEE) = 9.7% and R2 = .71. The regression equation relating %VO2max and %HRmax reserve was y = 32.4 + 0.7 (%HRmax reserve) -10.9 (Gender) + 0.2 (%HRmax reserve x Gender): SEE = 9.8% and R2 = .70 (Gender: F = 0; M = 1). CONCLUSIONS: The data indicate that there is considerable variability among methods of expressing exercise intensity and that %HRmax more closely represents %VO2max than does %HRmax reserve (p < .05) in older adults. These results are in contrast to what has been shown with younger subjects and with American College of Sports Medicine guidelines for exercise prescription.

Aged↗
PubMed1996

Effect of resistance training volume on strength and muscle thickness.

The purpose of this study was to determine the effects of different volumes of high-intensity resistance training on isometric torque and muscle thickness. Training was conducted three times per week using one set (low volume, EX-1, N = 18) or three sets (high volume, EX-3, N = 20) of dynamic variable resistance exercise. Ten subjects acted as nontraining controls (CONT). Bilateral knee extension (KEXT) and flexion (KFLEX) exercise was performed to fatigue within 8-12 repetitions for 14 wk. Maximal isometric KEXT and KFLEX torque was tested at 6 degrees, 24 degrees, 42 degrees, 60 degrees, 78 degrees, 96 degrees, and 108 degrees of KFLEX using a MedX (Ocala, FL) KEXT/KFLEX ergometer. The anterior (ANT), lateral (LAT), and posterior (POST) right thigh, the medialis muscle (MED), and the lateralis muscle (LATER) were assessed for thickness by B-mode ultrasound (ULTRA). Both training groups improved torque output at most angles, but there was no difference between EX-1 and EX-3 (P > or = 0.05). ULTRA detected increases in muscle thickness for EX-1 at 60% LAT and 40% and 60% POST. EX-3 increased muscle thickness at the MED, and 40% and 60% POST. In conclusion, one set of high intensity resistance training was as effective as three sets for increasing KEXT and KFLEX isometric torque and muscle thickness in previously untrained adults.

Adolescent↗