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A methodologic approach for the comparison between dynamic contractions: influences on the neuromuscular system.

CONTEXT: Although isotonic and isokinetic exercises are commonly used in sports medicine and rehabilitation, studies comparing their effects on the neuromuscular system have provided conflicting results. OBJECTIVE: To compare responses of the neuromuscular system to isotonic and isokinetic contractions by controlling the total external amount of work performed and the mean angular movement velocity. DESIGN: A familiarization session was followed by isotonic and isokinetic sessions of tests performed on an isokinetic dynamometer. Each subject participated in 3 sessions. SETTING: A sport sciences research laboratory. PATIENTS OR OTHER PARTICIPANTS: Nine healthy adult males with no history of knee injury. INTERVENTION(S): The isotonic session consisted of 3 sets of 8 knee extensions at 80% of each subject's maximal voluntary isotonic contraction. The isokinetic session involved 3 sets of n knee extensions at a preset velocity equivalent to the mean velocity measured during the corresponding isotonic sets; n represented the number of repetitions subjects had to achieve to equalize the total external amount of work performed during the corresponding isotonic sets. MAIN OUTCOME MEASURE(S): We recorded mechanical parameters, n, and surface electromyographic signals from the vastus medialis, rectus femoris, and vastus lateralis muscles. Then root mean square, mean power frequency, and neuromuscular efficiency values were calculated for each repetition. RESULTS: As expected, the total external amount of work and mean angular velocity were similar between the isotonic and isokinetic sessions. The number of repetitions performed was equivalent in both sessions. In addition, although no "shift" of mean power frequency occurred, mean neuromuscular efficiency decreased linearly with repetitions for both modes in no differentiated way. CONCLUSIONS: Standardization of isotonic and isokinetic contractions based on total external amount of work and movement velocity is possible. This method can be applied by future investigators aiming to compare chronic effects of these 2 contraction modes on the neuromuscular system.

Journal Article↗

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↗

A phenomenological model for estimating metabolic energy consumption in muscle contraction.

A phenomenological model for muscle energy consumption was developed and used in conjunction with a simple Hill-type model for muscle contraction. The model was used to address two questions. First, can an empirical model of muscle energetics accurately represent the total energetic behavior of frog muscle in isometric, isotonic, and isokinetic contractions? And second, how does such a model perform in a large-scale, multiple-muscle model of human walking? Four simulations were conducted with frog sartorius muscle under full excitation: an isometric contraction, a set of isotonic contractions with the muscle shortening a constant distance under various applied loads, a set of isotonic contractions with the muscle shortening over various distances under a constant load, and an isokinetic contraction in lengthening. The model calculations were evaluated against results of similar thermal in vitro experiments performed on frog sartorius muscle. The energetics model was then incorporated into a large-scale, multiple-muscle model of the human body for the purpose of predicting energy consumption during normal walking. The total energy estimated by the model accurately reflected the observed experimental behavior of frog muscle for an isometric contraction. The model also accurately reproduced the experimental behavior of frog muscle heat production under isotonic shortening and isokinetic lengthening conditions. The estimated rate of metabolic energy consumption for walking was 29% higher than the value typically obtained from gait measurements.

Animals↗

Electron microscopical study of skeletal muscle during isotonic (afterload) and isometric contraction.

Bundles of the curarized semitendinosus muscle of the frog were fixed during isotonic (afterload) and isometric contraction and the length of the A and I bands investigated by electron microscopy. The sarcomere length, during afterload contraction initiated at 25 per cent stretch, varied depending on the afterload applied between 3.0 and 1.2 micro, i.e. the shortening amounted to 5 to 50 per cent. The shortening involved both the A and I bands. Between a sarcomere length of 3.0 to 1.7 micro (shortening 5 to 35 per cent) the A bands remained practically constant at about 1.5 micro (6 to 8 per cent shortening); the length of the I bands decreased from 1.4 to 0.3 micro (80 per cent shortening). Below a sarcomere length of 1.7 to 1.2 micro the A bands shortened from 1.5 to 1.0 micro (from 6 to 8 to 25 per cent). At sarcomere lengths 1.6 to 1.2 micro the I band was replaced by a contraction band. During isometric contraction the A bands shortened by about 8 to 10 per cent; the I bands were correspondingly elongated.

Animals↗

Effects of a quantitative progressive rehabilitation program applied unilaterally to the osteoarthritic knee.

Decreases in muscular strength, endurance, and angular velocity have previously been demonstrated in the elderly. Osteoarthritis (OA), especially of the knee, may cause further reductions in these parameters and lead to functional limitations. This study measured the effects of a quantitative progressive exercise muscle rehabilitation program (QPE) that was added to a physical therapy (PT) program. Forty subjects (20 men and 20 women) with OA of the knees were randomly selected from a group of volunteers (N = 437) for the 3-month program. Measurements of strength, endurance, angular velocity, and the Jette Functional Status Index were determined before and after 1, 2, and 3 months of the program. The QPE program was composed of isometric, isotonic, isotonic with resistance, endurance, and speed contractions prescribed in a progressive sequence. Muscle strength (14% and 29%) and endurance (38% and 43%) increased significantly (p < 0.05, ANOVA for repeated measures) for both the quadriceps and hamstrings, respectively, after rehabilitation. There were marked decreases in walking time and the difficulty and pain experienced during functional activities.

Activities of Daily Living↗

The effect of free isotonic and maximal isometric contraction exercises of the hip adduction on vastus medialis oblique muscle: an electromyographic study.

The purpose of this study was to analyse the activity of the vastus medialis oblique (VMO) muscle electromyographically during free isotonic and maximal isometric contraction of the hip adduction with knee extension performing exercises at sitting and in decubitus lateralis positions. Using a 8 channels Nicolet Electromyograph and Beckman surface mini electrodes, the activity of the vastus medialis oblique muscle was recorded among 15 healthy subjects, aged 19 to 33 years, (mean = 24.4, SD = 4.1) without prior knee and hip joints pathology. The sign was recorded in root mean square (RMS), expressed in microvolts. The data were statistically calculated employing an analysis of variance (ANOVA) and the Tukey test, at 5% of significance. The results showed that the electromyographic (EMG) activity of the vastus medialis oblique muscle was significantly greater in both exercises of maximal contraction when compared with free isotonic at decubitus lateralis. On the other hand, there was no significant difference of the electromyographic activity of the vastus medialis oblique muscle between the two exercises of maximal isometric contraction. These findings, within the experimental conditions used, suggest that prior stages of patellofemoral dysfunction, the exercises of hip adduction with knee extension could be performed isometrically or isotonically, at sitting and in decubitus lateralis positions, depending on the biological conditions of each patient.

Adult↗

[Behavior of the discharge of the Golgi tendon organs during subtetanic muscular contraction].

In a series of isotonic muscle contractions induced by repetitive stimulation at frequencies higher than 0.1 Hz the pause in the afferent discharge of the muscle spindles tends to decrease as a function of time and as a function of frequency, while the afferent discharge of the Golgi tendon organs, as measured in the same experimental conditions, remains constant. The results support the hypothesis that the changes in the spindle are due to changes in the visco-elastic properties of the intrafusal muscle fibers (1). Since no muscolar tissue is present within the Golgi tendon organs (4) their afferent discharge and the pause, which occurs during the relaxation phase (3) do not change as seen in the spindles.

Achilles Tendon↗

Effect of hypothermia on the twitch and tetanic contractions of denervated rat diaphragm muscle under isotonic conditions.

Effect of hypothermia was studied on the twitch and tetanic contractions of the chronically denervated rat diaphragm muscles under isotonic conditions. The muscles were denervated for 15-20 days and the temperature was lowered from 35 degrees C to 15 degrees C. The results showed that hypothermia and chronic denervation had very little effect on the isotonic contraction parameters since these were found to be unaltered at all temperatures except at 15 degrees C. It is suggested that denervation has no significant effect on the contractile component of our experimental muscles.

Journal Article↗

Feasibility of measuring relative right ventricular volumes and ejection fraction with implantable rhythm control devices.

Ejection fraction (EF), the ratio between stroke volume (SV) and end-diastolic volume (EDV), is a valuable contractility indicator. Unlike SV, the Frank-Starling effect is automatically compensated in the calculation of EF. It was the aim of this study to evaluate the physiological behavior of impedance derived measurements of relative right ventricular (RV) volumes and EF, obtained with standard pacing leads. Seven patients were evaluated at the time of pacemaker implant or replacement. Since no absolute standard of comparison was available for RV volumes, the value of the measurements was assessed by observing their behavior under cardio-circulatory challenges. A 2.5-kHz carrier was fed to the ring and tip electrodes of standard bipolar pacing leads and the resulting voltage was digitized and stored. The peak-to-peak voltage (PPV) of the carrier at the time of QRS was used as EDV, and the largest PPV as end-systolic volume (ESV). Relative SV was the difference between EDV and ESV, and EF = SV/EDV x 100. Pacing was used to reduce EDV, and the effect of contractility was tested with isometric hand grip, recumbent leg exercise, or isoproterenol drip. Only minimal changes in EF were noted during incremental pacing; relative SV and EDV decreased as expected; and EF increased significantly during contractility challenges. A high correlation coefficient was observed between EDV and SV changes induced by incremental pacing at rest (r values from 0.62 to 0.98, P from < 0.01 to 0.001). The study revealed that impedance volumetry, utilizing conventional bipolar pacing leads, yields useful hemodynamic data related to EDV, ESV, and EF. Given the simplicity of the method, it is reasonable to conclude on the feasibility of using said impedance derived hemodynamic parameters in implantable rhythm control devices.

Adult↗