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Biomedical subjects

O Girard

Publications and source records attributed to O Girard.

17 recordsLinked to original sources

Failed excitability of spinal motoneurons induced by prolonged running exercise.

The main purpose of this study was to investigate the modulations in H-reflex and V-wave responses (spinal loop properties) induced by prolonged locomotion activities. The second purpose was to compare the development of central fatigue between continuous and intermittent running modes. Eleven males randomly performed two 90-min running exercises either continuously (CONT, first ventilatory threshold) or intermittently (INT, 150 s at a velocity 20% higher than that during CONT/30 s of recovery). Neuromuscular tests of the plantar flexors [including M-wave and H-reflex at rest and M-wave and V-wave during maximal voluntary contraction (MVC)] were performed before and 5 and 30 min after the running exercises. During MVC, the torque significantly decreased (P < 0.05) from preexercise to 5 and 30 min postexercise (-11 and -9%, respectively), as did the RMS/M ratio (-11 and -13%, respectively) and the V/M ratio (-19 and -37%, respectively) for the soleus muscle. At rest, the H/M ratio also decreased significantly (P < 0.001) from preexercise to 5 and 30 min postexercise (-61 and -55%, respectively). Last, no difference in the alteration of spinal loop properties was noted between CONT and INT. In conclusion, the results regarding H-reflex and V-wave suggest for the first time a modulation in spinal loop properties after prolonged running.

Action Potentials↗

Specific incremental field test for aerobic fitness in tennis.

OBJECTIVES: To compare metabolic and cardiorespiratory responses between subjects undergoing incremental treadmill (non-specific) and tennis field based (sport specific) tests. METHODS: Nine junior competitive tennis players randomly performed two incremental protocols to exhaustion: a treadmill test (TT) and a tennis specific fitness test (FT). The FT consisted of repeated displacements replicating the game of tennis at increasing speed on a court. In both tests, ventilatory variables and heart rate (HR) were determined at the ventilatory threshold (VT), respiratory compensation point (RCP), and maximal loads (max). Blood lactate concentration was determined at the point of volitional fatigue. RESULTS: Percentage (mean (SD)) maximal HR (83.6 (5.1) v 83.0 (2.8) and 92.1 (2.1) v 92.3 (2.1)%, respectively) and percentage maximal oxygen uptake (VO2max) (69.4 (8.1) v 73.5 (6.1) and 84.4 (6.5) v 85.5 (8.7)%, respectively) at the VT and RCP were not different between the FT and TT subjects, whereas VO2max was higher in the FT than in the TT (63.8 (3.0) v 58.9 (5.3) ml/min/kg; p<0.05). Blood lactate concentration (10.7 (3.0) v 10.6 (4.3) mmol/l) did not differ between the TT and FT. CONCLUSIONS: Although cardiorespiratory variables were not different at submaximal intensities between the two tests, VO2max values derived from laboratory measurements were underestimated. Using field testing in addition to treadmill testing provides a better measurement of a player's individual fitness level and may be routinely used to accurately prescribe appropriate aerobic exercise training.

Adolescent↗

Changes in exercise characteristics, maximal voluntary contraction, and explosive strength during prolonged tennis playing.

OBJECTIVES: To examine changes in exercise characteristics, maximal voluntary contraction, and explosive strength during prolonged tennis playing. METHODS: Maximal isometric voluntary contraction (MVC), leg stiffness (hopping), and peak power in squat (SJ) and countermovement (CMJ) jumps were measured before, every 30 minutes during, and 30 minutes after a three hour tennis match in 12 well trained players. Heart rate (HR), the effective playing time (EPT), rating of perceived exertion (RPE), and muscle soreness of knee extensors were also measured. RESULTS: Decreases in MVC (-9%; p < 0.05) and leg stiffness (-9%; p = 0.17) were observed after the match and were significantly correlated (r = 0.66; p = 0.05). Peak power in SJ and CMJ tests was maintained during the match but was lower (p < 0.001) 30 minutes after. Average HR and EPT were 144 (8) beats/min and 21 (4)% respectively. A strong correlation was found between EPT and HR (r = 0.93; p < 0.05). RPE and muscle soreness increased linearly during the exercise and were significantly correlated (r = 0.99; p < 0.001). CONCLUSIONS: Progressive reductions in maximal voluntary strength and leg stiffness highly correlated with increases in perceived exertion and muscle soreness were observed throughout a three hour tennis match, whereas explosive strength was maintained and decreased only after the match. These alterations may result in less efficient on-court movement and stroke production. They are, however, lower than those reported during continuous exercise of the same duration. The intermittent pattern of tennis and the numerous stretch-shortening cycle movements partly explain these results.

Adult↗

Specific incremental test in elite squash players.

OBJECTIVES: To compare cardiorespiratory responses between incremental treadmill (non-specific) and field (sport specific) tests in elite squash players. METHODS: Seven elite players (ranked 1 to 25 in their national federation including the World number 1) randomly performed an incremental treadmill test (TT) and a squash specific graded test (ST) to exhaustion. The ST consisted of repeated displacements replicating the game of squash, at increasing speed on the court. In both tests, ventilatory variables and heart rate were determined at the ventilatory threshold, respiratory compensation point, and maximal loads (max). RESULTS: Heart rate and percentage maximal oxygen uptake (VO2MAX) at the ventilatory threshold and respiratory compensation point were not different between the ST and TT, whereas VO2MAX was higher in the ST than in the TT (63.6 (3.0) v 54.9 (2.5) ml/kg/min; p < 0.001). Time to exhaustion was not different between the ST and TT (1056 (180) v 962 (71) seconds) but correlated with the ranking of the players only in the ST (r = -0.96, p < 0.001). CONCLUSIONS: VO2MAX values derived from laboratory testing were not relevant for accurately estimating fitness in elite squash players. So the ST may be used as an additional test for determination of training intensity. Improved training advice for prescribing aerobic exercise or perfecting stroke technique may result from these results.

Adult↗

[Studies of immunological status, following autologous bone marrow transplantation in man (author's transl)].

Following transplant, circulating immunoglobulin levels fell moderately and remained depressed less than 2 months for IgG, and for variable and longer periods of time for IgM and IgA. Repeated quantitative determinations of antibodies against multiple antigens did not show any decrease in the pretransplant levels. Indeed some patients developed herpes and cytomegalovirus infections to which they responded by a sharp increase in antibody titers. In 2 cases, a primary immunization was demonstrated (against CMV and BK virus) with increasing levels of IgM and IgG antibodies. Lymphocyte counts in peripheral blood returned to 500 mm# between day 10 and 29 (median day 18) and to pretransplant values within 6 weeks. Non specific stimulation of lymphocytes by mitogens in the immediate post-transplant period showed a decreased response to PHA and Con A, whereas the responses to pokeweek mitogens and alloantigens were only slightly diminished. The degree of the responses was related to the dose of cryopreserved marrow infused. We conclude that:--although the minimum dose for autologous bone marrow transplantation in man is around 0,5 10(8) nucleated bone marrow cells/Kg, much higher doses should be used to ensure faster and better restoration of immune reactivity.--The similarity of the immunological dysfunction following autologous and allogeneous bone marrow transplantation suggest that, in the immediate post-transplant period, the role of GVHD in cellular immunity depression may be minimal.

Bone Marrow Transplantation↗

[Changes in anti-tetanus antibodies under sero-toxoid therapy. Study in 50 patients with tetanus].

A study concerning changes in anti-tetanus antibody (ATA) levels in 50 patients with tetanus following the injection of antitetanic serum of equine origin and of toxoid, the first dose of the latter being given 24 hours after the administration of serum and the others at intervals of 5 to 7, 15 and 30 days. Repeated estimation of ATA demonstrated, regardless of the toxoid dose protocol adopted, that levels did not reach 0.1 IU/ml on the 30th day and that they only rose late. By contrast, after a booster, the increase was the same as that seen in subjects who had not acquired tetanus. The various factors which may underly defective active immunisation during the acute phase of tetanus are discussed. Heterologue serum therapy, which has been held responsible, cannot be considered to be a responsible factor since patients who did not receive serum behaved in exactly the same way as those who had. By virtue of this "gap" in the acquisition of immunity, the use of heterologue serum is recommended to neutralise any remaining circulating toxin as rapidly as possible.

Age Factors↗

[Vitamin D and pregnancy: value of a single dose in the third trimester. Comparative study of 100 cases].

A comparative study (100 treated subjects, 100 controls) was carried out at the Centre Hospitalier at Meaux during the winter of 1984-85 in which pregnant women were given single doses of vitamin D to be taken at the seventh month of pregnancy. The results obtained for neonatal blood calcium levels clearly demonstrated the value of vitamin D supplements in pregnant women. This study was original in that a single dose of vitamin D was provided; this led to almost perfect therapeutic observance (99%).

Delivery, Obstetric↗