Amplitude of the maximum motor response (Mmax) in human muscles typically decreases during the course of an experiment

 It was shown that the amplitude of the soleus M _max and H _max responses decreases in the course of long-lasting H-reflex studies. The peak-to-peak amplitudes of the M _max and H _max responses in the soleus muscle (and the M _max in the tibialis anterior muscle and small hand muscles) were measured repeatedly for 1–3 h in 20 subjects. 3–5 M _max responses and 5–10 H _max responses were elicited about every 3 min while the subject was at rest. Decreases in the soleus M _max response of up to 50.5% (mean 20.5% SEM 2.2) and of the soleus H _max of up to 49.7% (mean 19.1% SEM 3.7) in relation to the amplitudes measured at the beginning of the experiment were seen in 17 subjects. In 3 subjects no M _max amplitude decrease was seen. The maximum decrease was reached between 10 and 100 min (mean 44.2 min SEM 4.3). An M_max amplitude decrease was also seen in the tibialis anterior muscle and in two small hand muscles. In some subjects the decrease of the M _max response seemed to be initiated by the infrequent supramaximal stimulations. The possible causes for this amplitude reduction, as well as the methodological consequences of these findings for H-reflex studies and fatigue studies, are briefly discussed. Received: 1 July 1998 / Accepted: 9 October 1998     

The auditory startle response in post-traumatic stress disorder

Changes in the reflex amplitude throughout the day have been observed in non-human mammals. The present experiment tested whether diurnal fluctuations also occur in humans. Hoffmann reflex (H-reflex) amplitude was measured in soleus and flexor carpi radialis (FCR) muscles from the data collected over a 12-h period between 7:00–9:00 a.m. and 7:00–9:00 p.m. At 4-h intervals, M/H recruitment curves were obtained, and two measures of H-reflex excitability were calculated. The maximal H-reflex (H _max) was calculated as the average of the three largest H-reflexes. H-reflexes were also sampled from the ascending limb of the M/H recruitment curve (H _A, n=10), with a corresponding M-wave of 5% M _max. All values were normalized to the maximal M-wave (M _max). Soleus H-reflex amplitude and plantar flexion maximal voluntary isometric contraction force (MVIC) were significantly smaller (p<0.05) in the morning (H _max=57.2% M _max, H _A=42.3%, M _max, MVIC=162.1 Nm) than in the evening (H _max=69.1% M _max, a 20.1% increase, H _A=54.1% M _max, a 27.4% increase and MVIC=195.8 Nm, a 20.8% increase). In contrast, FCR H-reflex amplitude and FCR MVIC were unchanged across all testing sessions. The data show that diurnal fluctuations are present in the amplitude of the human soleus but not in the FCR H-reflex. Diurnal fluctuation in the human soleus H-reflex amplitude must be considered when interpreting H-reflex data, especially when a repeated measures design spanning several days is utilized.     

Differences in H-reflex between athletes trained for explosive contractions and non-trained subjects

Summary The efficacy of type la synapse on alpha-motoneurons of soleus and lateral gastrocnemius muscles has been investigated, using the H-reflex technique, in athletes engaged in sports requiring very rapid and intense contractions (sprinters and volley-ball players) as well as in non-trained subjects. It has been observed, in both muscles, that the ratio between the mean value of the maximal reflex response (H_max) and the mean value of the maximal direct response (M_max) elicited upon electrical stimulation of the tibial nerve is significantly smaller in athletes trained for explosive-type movements than in non-trained subjects. This difference in the H_max:M_max ratio was dependent on a smaller amplitude of H_max and not on a greater amplitude of M_max. No significant differences were observed between sprinters and volley-ball players. In both trained and non-trained subjects, soleus and lateral gastrocnemius muscles displayed significant differences in H_max: M_max ratio and M_max amplitude but not in H_max amplitude. Since the H-response is considered to be due mainly to activation of the smallest motoneurons in the motoneuronal pools, the difference in H_max amplitude and H_max:M_max ratio between athletes and non-trained subjects could have been dependent on a lower incidence of these motoneurons in the athletes. This is in accord with the mechanical needs of muscles during explosive-type power training. Although this difference ,ay have been wholly determined genetically, the possibility is discussed as to whether the lower incidence in sprinters and volley-ball players of small motoneurons could have been related to a training-induced transformation of small and slow motoneurons into large and fast ones.     

Cortical and spinal adaptations induced by balance training: correlation between stance stability and corticospinal activation

Aim: To determine the sites of adaptation responsible for improved stance stability after balance (=sensorimotor) training, changes in corticospinal and spinal excitability were investigated in 23 healthy subjects. Methods: Neural adaptations were assessed by means of H‐reflex stimulation, transcranial magnetic stimulation (TMS) and conditioning of the H‐reflex by TMS (H_cond) before and after 4 weeks of balance training. All measurements were performed during stance perturbation on a treadmill. Fast posterior translations induced short‐ (SLR), medium‐ and long‐latency responses (LLR) in the soleus muscle. Motor‐evoked potential‐ (MEP) and H_cond‐amplitudes as well as H_max/M_max ratios were determined at SLR and LLR. Postural stability was measured during perturbation on the treadmill. Results: Balance training improved postural stability. H_max/M_max ratios were significantly decreased at LLR. MEPs and H_cond revealed significantly reduced facilitation at LLR following training. A negative correlation between adaptations of H_cond and changes in stance stability was observed (r = ?0.87; P < 0.01) while no correlation was found between stance stability and changes in H_max/M_max ratio. No changes in any parameter occurred at the spinally organized SLR and in the control group. Conclusion: The decrease in MEP‐ and H_cond‐facilitation implies reduced corticospinal and cortical excitability at the transcortically mediated LLR. Changes in cortical excitability were directly related to improvements in stance stability as shown by correlation of these parameters. The absence of such a correlation between H_max/M_max ratios and stance stability suggests that mainly supraspinal adaptations contributed to improved balance performance following training.     

Increased spinal excitability does not offset central activation failure

We hypothesized that if reduced spinal excitability contributes to central activation failure, then a caffeine-induced increase in spinal excitability would enhance postfatigue maximal voluntary activation and maximal voluntary contraction (MVC). Ten male volunteer subjects attended two laboratory sessions separated by at least 1 week. Contractile and electrical properties were assessed before, and 1 h after oral administration of caffeine (6 mg/kg) or placebo (all-purpose flour), and again following a fatigue protocol. The slope of the H reflex recruitment curve, normalized to that of the M wave (H _slp/M _slp), was used to estimate spinal excitability. Maximal voluntary activation was assessed using maximal EMG (EMG_max) and twitch interpolation. Postfatigue, MVC torque declined (P<0.05) to 75.2±12.7 and 70.2±9.3% of the prefatigue values in the placebo (PL) and caffeine (CF) trials, respectively, and remained depressed throughout the recovery period. This was accompanied by a decline in % activation (P<0.05) from 99.6±0.3% (PL) and 99.8±0.3% (CF) to 94.8±3.5% (PL) and 95.3±5.0% (CF), indicating the presence of central activation failure. Caffeine offset the decline in H _slp/M _slp observed in the placebo trial (P<0.05), but it did not prevent the decline in maximal voluntary activation or MVC torque. Furthermore, although the decline in spinal excitability was correlated to the decline in EMG_max (r=0.55, P<0.05) it was not correlated with the decline in % activation or MVC torque. Thus a fatigue-induced decline in spinal excitability did not limit maximal activation.This study was supported by a Reebok Research Grant on Human Performance and Injury Prevention from the American College of Sports Medicine Foundation and a NSERC PGS-B scholarship to J. Kalmar as well as NSERC grant A-6655 to E. Cafarelli.     

Eccentric exercise inhibits the H reflex in the middle part of the trapezius muscle

The objectives of this study were to (1) investigate the modulation of the H reflex immediately after and 24 h after eccentric exercise in the presence of delayed-onset muscle soreness (DOMS) and (2) test the reproducibility of the H reflex in trapezius across days. H reflexes were recorded from the dominant middle trapezius muscle by electrical stimulation of the C3/4 cervical nerve in ten healthy subjects. DOMS was induced by eccentric exercise of the dominant shoulder. H reflexes were obtained in four sessions: “24 h before”, “Pre”, “Post”, and “24 h after” eccentric exercise. Ratios of maximal H reflex and M wave responses (H _max/M _max) were compared between sessions. In addition, a between session comparison was done for the ratios of H reflex amplitudes (H _{i_75}/M _max, and H _{i_50}/M _max) obtained from the stimulus intensity needed to obtain 75 and 50 % of H _max at “24 h before”. No ratio changes were found when comparing “24 h before” and “Pre” recordings. A decrease in H _{i_50}/M _max was found at “Post” (P < 0.05) and decreases in both H _{i_75}/M _max and H _{i_50}/M _max were observed at “24 h after” (P < 0.05). This study presented evidence that an acceptable day-to-day reproducibility of the H reflex could be obtained with the applied experimental setup. Furthermore, immediately after and 24 h after exercise a stronger stimulus intensity was needed to reach the same magnitude of the H reflex reflecting that the recruitment curve was shifted to the right. This modulation of the stimulus–response relationship could be caused by presynaptic inhibition of Ia afferent fibres’ input to the motoneuron by group III and IV afferents.     

Acute passive stretching alters the mechanical properties of human plantar flexors and the optimal angle for maximal voluntary contraction

The purpose of this study was to investigate whether acute passive stretching (APS) reduced maximal isometric voluntary contraction (MVC) of the plantar flexors (PF) and if so, by what mechanisms. The PF in 15 female volunteers were stretched for 10 min (5×120 s) by a torque motor to within 2° of maximum dorsiflexion (D) range of motion (ROM). MVC with twitch interpolation, maximal Hoffmann reflex (H_max) and compound action potentials (M_max) were recorded at 20° D. Stretch reflexes (SR) were mechanically induced at 200° s^–1 between 0° and 10° D and SR torque and EMG amplitude were determined. All tests were assessed pre- (pre) and post-APS (post-test₁). MVC, SR, and M_max were again assessed after additional stretch was applied [mean 26 (1)° D; post-test₂] to test if the optimal angle had been altered. EMG was recorded from soleus (SOL), medial gastrocnemius (MG) and tibialis anterior (TA) using bipolar surface electrodes. APS resulted in a 27% decrease in mean peak passive torque (P<0.05). MVC and SR torque were 7% (P<0.05) and 13% lower at post-test₁ (P<0.05), respectively. SR EMG amplitude of SOL and MG was reduced by 27% (P<0.05) and 22% (P<0.05), respectively. The H_max/M_max EMG and H_max/M_max torque ratios were unchanged at post-test₁. At post-test₂, MVC and SR EMG recovered to pre-APS values, while the SR and M_max torque increased by 19% and 13%, respectively (P<0.05). The decrease in MVC during post-test₁ was attributed to changes in the mechanical properties of PF and not to reduced muscle activation.     

Threshold of the soleus muscle H-reflex is less sensitive to the change in excitability of the motoneuron pool during plantarflexion or dorsiflexion in humans

In the present study, we investigated whether weak (10% of maximal voluntary contraction) tonic dorsiflexion (DF) and plantarflexion (PF) affects the two conventional parameters used for evaluating the excitability of the soleus motoneuron (MN) pool, i.e. the ratio of the threshold of H-reflex to that of M-response (H_th:M_th) and the ratio of the maximal amplitude of H-reflex to that of M-response (H_max:M_max) in human subjects. The results showed that the H_max:M_max decreased during DF and increased during PF compared with that during rest, whereas no clear alteration was observed in H_th:M_th. These results are consistent with the scheme proposed by earlier workers, who have argued that neither inhibitory nor facilitatory effects of the conditioning stimulus apply to specific spinal reflex circuits occurring around the threshold of the test H-reflex. It is suggested, therefore, that the conventional use of the H_th:M_th ratio as a parameter reflecting the excitability of the MN pool should be reconsidered.     

Muscle triacylglycerol and hormone-sensitive lipase activity in untrained and trained human muscles

During exercise, triacylglycerol (TG) is recruited in skeletal muscles. We hypothesized that both muscle hormone-sensitive lipase (HSL) activity and TG recruitment would be higher in trained than in untrained subjects in response to prolonged exercise. Healthy male subjects (26 ± 1 years, body moss index 23.3 ± 0.5 kg m⁻²), either untrained (N = 8, VO_2max 3.8 ± 0.2 l min⁻¹) or trained (N = 8, VO_2max 5.1 ± 0.1 l min⁻¹), were studied. Before and after 3-h exercise (58 ± 1% VO_2max), a biopsy was taken. Muscle citrate synthase (32 ± 2 vs. 47 ± 6 μmol g⁻¹ min⁻¹ d.w.) and β-hydroxy-acyl-CoA-dehydrogenase (38 ± 3 vs. 52 ± 5 μmol g⁻¹ min⁻¹ d.w.) activities were lower in untrained than in trained subjects (p < 0.05). Throughout the exercise, fat oxidation was higher in trained than in untrained subjects (p < 0.05). Muscle HSL activity was similar at rest (0.72 ± 0.08 and 0.74 ± 0.03 mU mg⁻¹ protein) and after exercise (0.71 ± 0.1 and 0.68 ± 0.03 mU mg⁻¹ protein) in untrained and trained subjects. At rest, the chemically determined muscle TG content (37 ± 8 and 26 ± 5 mmol g⁻¹ d.w.) was similar (p > 0.05), and after exercise it was unchanged in untrained and lower (p < 0.05) in trained subjects (41 ± 9 and 10 ± 2 mmol g⁽¹ d.w.). Determined histochemically, TG was decreased (p < 0.05) after exercise in type I and II fibres. Depletion of TG was not different between fibre types in untrained, but tended to be higher (p = 0.07) in type I compared with type II fibres in trained muscles. In conclusion, HSL activity is similar in untrained and trained skeletal muscles both before and after prolonged exercise. However, the tendency to higher muscle TG recruitment during exercise in the trained subjects suggests a difference in the regulation of HSL or other lipases during exercise in trained compared with untrained subjects.     

The stability of M<Subscript>max</Subscript> and H<Subscript>max</Subscript> amplitude over time

The stability of the maximal muscle response (M_max) is critical to H reflex methodology. It has previously been reported that the amplitude of M_max declines over time. If reproducible, this finding would have implications for all experimental studies that normalise the output of the motoneurone pool against the M wave. We investigated the effect of time on changes in M_max and the maximal H reflex (H_max) evoked at 4-s intervals over 60 min. To identify an influence of homosynaptic depression, we extended the interstimulus interval to 10 s and the time to 100 min. Two recording montages over soleus were used to ensure that interelectrode distance was not a critical factor. The soleus M_max and H reflex were evoked by stimulation of the tibial nerve in the popliteal fossa in 7 subjects who sat with the knee flexed to 30° and the ankle plantar flexed by ~30°. We found no change in the pooled data for M_max, H_max, a reflex 50% of maximal, or the current required to produce it. However, one subject had a statistically significant increase in M_max and a concurrent decrease in H_max regardless of the interstimulus interval. On average, there was no change in the H_max/M_max ratio over time. While both M_max and H_max may change in response to many factors, these results suggest that, typically, time is not one of them.     

Ventilatory threshold and work efficiency during exercise on cycle and paddling ergometers in young female kayakists

The aim of this study was to assess the effects of increasing specific (paddling erogmeter) and non-specific (cycle ergometer) exercise on parameters relating to the ventilatory threshold (Th_vent) and work efficiency in 11 young female flat-water kayakists. When these trained subjects were tested using non-specific workloads, their oxygen uptake (VO₂) values at Th_vent, as a percentage ofVO_2max (%VO_2max), were close to those of untrained subjects [74.2 (5.6) %VO_2max, mean (SD)]. However, when we tested the same subjects using specific exercise, we recorded values typical of highly trained athletes [84.8 (4.7) %VO_2max). For the non-specific exercise on the cycle erogmeter, we recorded work efficiency values close to those of untrained subjects [22.3 (2.5) %]; however, for the specific exercise on the paddling ergometer, we recorded much lower values [13.4 (3.0) %] both at the level of Th_vent. The work efficiency at two warm-up submaximal exercise loads on the paddling ergometer was non-significantly lower than values at Th_vent [12.3 (2.8) % and 12.9 (2.9) % respectively]. Significant correlations were found between maximal-performanceVO₂ (ml · kg^–1 · min^–1) and performance at Th_vent during paddling and race performance (0.623, 0.630 and 0.648 respectively, allP<0.05). Because the results of both specific and non-specific submaximal exercise tests are different, we suggest caution in the interpretation of physiological variables that may be sensitive to training status. The evaluation of Th_vent and work efficiency as supplementary parameters during laboratory studies enables the determination of the effectiveness of the training process and the specific adaptation of the subjects.     

Non-exercise daily energy expenditure and physical activity pattern in male endurance athletes

Summary The present study was performed to determine whether differences in non-exercise daily energy expenditure (M _d,ne) exist between trained and untrained individuals. The data from seven cross-country skiers were compared with those from eight sedentary men. Daily energy expenditure (M _d) was determined using the heart rate-oxygen consumption relationship; resting metabolic rate (M _r) was measured using indirect calorimetry. A physical activity questionnaire and ratios of M _d or M _d,ne to M _r were used as indices of physical activity. M _d and M _r were significantly higher in the trained subjects whereas M _d,ne was identical in the two groups. The ratio of M _d,ne to M _r and the data from the physical activity questionnaire showed that there was no significant difference in daily energy expenditure and physical activity pattern during the non-exercise time. These results suggest that the exercise-induced increase in daily energy requirements is not compensated by a more sedentary life during the other daily activities in these trained men.Supported by Sport Canada and NSERC of Canada     

Respiratory muscle function in trained and untrained adolescents during short-term high intensity exercise

Summary The breathing pattern and respiratory muscle function were investigated in ten trained and ten untrained adolescents (aged 15–16 years) while undergoing an incremental intensity exercise test on a cycle ergometer up to 80% maximal oxygen consumption ( O_2max), maintained to exhaustion. Before and after exercise, maximal inspiratory (P _{I max}) and expiratory (P _{E max}) pressures were measured at residual volume and total lung capacity, respectively. During exercise, the breathing pattern [tidal volume (V _T), respiratory frequency (f _R), ventilation] and the relative contribution of ribcage and abdomen to V _T were assessed using inductance plethysmography. Electromyographic activities of transversus abdominis (EMG_tr) and diaphragm (EMG_di) muscles were recorded and analysed during exercise. There was a difference in the change in the pattern of breathing between the trained and the untrained group; f _R increased significantly (P < 0.05) at 40% O_2maxfor the untrained group. Before exercise there was no difference in the maximal respiratory pressures. Up to 60% and 80% O_2max, transversus abdominis and diaphragm muscle activity increased significantly in the trained adolescents. However in this group, no evidence of respiratory muscle fatigue appeared: P _{I max}, P _{E max} and the frequency spectrum of EMG_tr and EMG_di were not altered by exercise up to exhaustion. In the untrained group, who had high ventilatory responses, expiratory muscle function was unchanged at the end of the exercise, but signs of inspiratory muscle fatigue appeared in that P _{I max} was significantly decreased after exercise.     

Thermoregulation during exercise in relation to sex and age

Summary The thermoregulatory responses to 1 h exercise of 14 male (age range 18–65 year) and 7 female (age range 18–46 year) athletes and 4 (3 and 1 ) non-athletic subjects have been investigated in a moderate environment (T _db=21 C, T _wb=15 C and rh<50%) and analysed in relation to age, sex, and maximum aerobic power output (VO₂ max).The maximal sweat loss (M _{sw max}) under the given conditions was closely related (r=+0.90) to VO_{2 max} and for a given relative work load (%VO_{2 max}), rectal (T _re) and mean skin (¯T _sk) temperatures was the same in all subjects.Sweat loss (004d _sw) was linearly related to total heat production (H) and to peripheral tissue heat conductance (K) and if expressed in relative terms (%M _{sw max}) was linearly related to T _re. For a given T _re relative sweat rate was identical in the groups studied. From these results it would seem that during exercise T _re rises to meet the requirements of heat dissipation by establishing a thermal gradient from core to skin and stimulating sweating in proportion to maximal capacity of the system. Thus provided the thermal responses to work were standardised using the appropriate physiological variables, there was no evidence to be found for differences in thermoregulatory function which could be ascribed to sex or age.     

Morning to evening changes in the electrical and mechanical properties of human soleus motor units activated by H reflex and M wave

The aim of the present study was to compare the relative contribution of the soleus motor units (MUs) activated by H and M waves to the plantar-flexion torque in the morning and in the evening. Twelve healthy male subjects (physical education students) took part in this investigation. The electromechanical properties of the plantar flexor muscles were recorded at two different times of day: between 06:00 and 08:00 h and between 17:00 and 19:00 h. Plantar-flexion torque and concomitant electromyographic activity of soleus muscle were assessed under voluntary and evoked conditions. The results indicated a significant decrease in maximal voluntary muscle torque of triceps surae and associated soleus EMG in the evening as compared with the morning. The mean values of MVC ranged from 131.6±9.6 N m in the morning to 125.1±9.0 N m in the evening. Peak-to-peak values of soleus H _max and M _max potentials were comparable in the morning and in the evening (2.97 vs 3.18 mV and 7.95 vs 7.44 mV for H _max and M _max, respectively). The H _max/M _max ratio was not modified between the two experimental test sessions (34.8 vs 41.3%). The peak amplitude of the twitch produced by the H _max wave decreased significantly. When estimating the mechanical contribution to of the slowest and fastest-twitch MUs reflexively and directly activated, we observed that the contribution of the slowest MUs did not change while those of the fastest decreased significantly in the evening. To conclude, a weaker reflex twitch torque caused by higher fatigue state of the MUs directly activated by the M wave which accompanied H _max in the evening may be regarded as a possible explanation of the weaker plantar-flexion torque production in the evening.     

Effects of Atropine and Β-blockade on temperature regulation and performance during prolonged exercise

Summary The effects of intravenous injections of Atropine (1.8 mg) and practolol (15 mg) on the thermoregulatory responses to 1 h of exercise on a motordriven treadmill have been investigated on six healthy subjects.The results show that -blockade had little effect on thermal responses to work except for a small but significant (p<0.05) decrease in mean skin temperature (¯T _sk ) and peripheral tissue heat conductance (K). Metabolic (M) and total heat (H) production, and evaporative sweat loss (E) and rectal temperature (T _re ) were similar to control values. In contrast, atropine, particularly at work loads beyond 60% maximal aerobic power output (VO_{2 max}), raised T _re (p<0.001), ¯T _sk (p<0.001) and reduced E by approximately 50%. At the highest work loads T _re increased as a linear function of time during the latter part of exercise, and at the 60th min was almost independent of relative stress (expressed as % VO_{2 max}) imposed on the subjects. At the lower work loads the majority of subjects reached thermal equilibrium before the end of exercise by maintaining their convective heat transfer from core to periphery by increasing peripheral blood flow (as indicated by K), and raising their heat losses to environment by convection and radiation. The latter pathways for heat dissipation were enhanced by the subjects ability to sustain a ¯T _sk 4 C above control values independently of M. Atropine had no effect on M or H but greatly affected work performance, no subject was able to exercise at loads >70% VO_{2 max} for 1 h. These results demonstrate the ability of the thermoregulatory system to adapt to -adrenergic and to parasympathetic blockade during light exercise, and underline the effects of a reduction in the capacity of the sweating mechanism on physiological performance at higher rates of work.List of Abbreviations used in the Text M Metabolic heat production - H Total heat production - E Evaporative sweat loss - T _re Rectal temperature - ¯T _sk Mean skin temperature - K Peripheral tissue heat conductance - PBF Peripheral blood flow - VO_{2 max} Maximal aerobic power output - f _H Cardiac frequency     

Incidence of exercise induced hypoxemia in elite endurance athletes at sea level

Summary Recent evidence suggests that exercise-induced hypoxemia (EIH) may occur in healthy trained endurance athletes. However, at present, no data exist to describe the regularity of EIH in athletes or non-athletes. Therefore, the purpose of the present investigation was to determine the incidence of EIH during exercise in healthy subjects varying in physical fitness. Subjects (N=68) performed an incremental cycle ergometer test to volitional fatigue with percent arterial oxyhemoglobin saturation (%SaO₂) measured min-by-min. For the purpose of data analysis subjects were divided into three groups according to their level of physical training: 1) untrained (N=16), 2) moderately trained (N=27), and 3) elite highly trained endurance athletes (N=25). EIH was defined as a %SaO₂ of 91% during exercise. EIH did not occur in any of the untrained subjects or the moderately trained subjects. However, EIH occurred in 52% of the highly trained endurance athletes tested and was highly reproducible (r=0.95; P<0.05). These findings further confirm the existence of EIH in healthy highly trained endurance athletes and suggests a rather high incidence of EIH in this healthy population. Hence, it is important that the clinician or physiologist performing exercise testing in elite endurance athletes recognize that EIH can and does occur in the elite endurance athlete in the absence of lung disease.     

Hypercapnic impairment of neuromuscular function is related to afferent depression

Acetazolamide (ACZ), a carbonic anhydrase inhibitor, results in altered neuromuscular function secondary to depressed afferent transmission in intact humans. One effect of ACZ is hypercapnia. Thus, to test if the neuromuscular depression observed following ACZ treatment is related to elevated CO₂, human subjects (n=10) were exposed to 15 min of room air (0% CO₂) or hypercapnia (7% inspired CO₂), and neuromuscular function was evaluated. Isometric force (36.8 to 31.1 N) and peak-to-peak electromyographic amplitude (EMG, 1.5 to 1.0 mV) associated with an Achilles tendon tap, and soleus H_max:M_max ratio (69.0 to 62.2%) were depressed, while EMG latency (34.8 to 39.8 ms) was increased by hypercapnia. Reflex recovery profiles (following a conditioning tap to the contralateral Achilles tendon), motor nerve conduction velocity, amplitude of the maximum M-wave, and peak twitch tension at M_max were unaltered by hypercapnia. We conclude that elevated CO₂ impairs neuromuscular function through effects on afferent transmission or synaptic integrity between type Ia fibers of the muscle spindle and the alpha motor neuron, without affecting the muscle spindle, efferent conduction or skeletal muscle force-generating capacity.     

Enhanced systolic myocardial function in elite endurance athletes during combined arm-and-leg exercise

The aim here was to employ color tissue velocity imaging (TVI), to test the hypothesis that highly trained endurance athletes exhibit enhanced systolic function of the left ventricular (LV) myocardium both at rest and during combined arm-and-leg exercise in comparison with untrained subjects. For each of the ten elite male (EG) and ten matched control participants (CG), LV dimensions and systolic function were assessed at rest using echocardiography. Subsequently, these subjects exercised continuously on a combined arm-and-leg cycle ergometer for 3 min each at 50, 60, 70, 80, 90 and 100% of VO_2max. Oxygen uptake, heart rate, systolic blood pressure (SBP) and peak contraction systolic velocities of the LV myocardium (PSV) were recorded in the end of each level. At rest, the trained and untrained groups differed with respect to LV dimensions, but not systolic function. At 60–100% VO_2max, the EG group demonstrated both higher PSV and SBP. The observation that the EG athletes had higher PSV than CG during exercise at 60–100% VO_2max, but not at rest or at 50% of VO_2max, suggested an enhanced systolic capacity. This improvement is likely to be due to an enhanced inotropic contractility, which only becomes apparent during exercise.     

Effect of electromyostimulation training on soleus and gastrocnemii H- and T-reflex properties

When muscle is artificially activated, as with electromyostimulation (EMS), action potentials are evoked in both intramuscular nerve branches and cutaneous receptors, therefore activating spinal motoneurons reflexively. Maximal soleus and gastrocnemii H- and T-reflex and the respective mechanical output were thus quantified to examine possible neural adaptations induced at the spinal level by EMS resistance training. Eight subjects completed 16 sessions of isometric EMS (75 Hz) over a 4-week period. Maximal soleus and gastrocnemii M wave (M_max), H reflex (H_max) and T reflex (T_max) were compared between before and after training, together with the corresponding plantar flexor peak twitch torque. No significant changes were observed for electromechanical properties of H_max reflex following EMS. On the other hand, peak twitch torque produced by T_max, but not by equal-amplitude H reflex, significantly increased as a result of training (+21%, P<0.05). These changes were associated with a trend towards a significant increase for normalized gastrocnemii (+21%, P=0.07) but not soleus T_max reflex. It is concluded that, contrary to results previously obtained after voluntary physical training, EMS training of the plantar flexor muscles did not affect alpha motoneuron excitability and/or presynaptic inhibition, as indicated by H-reflex results. On the other hand, in the absence of change in a control group, T_max electromechanical findings indicated that: (1) equal-amplitude H- and T-reflex adapted differently to EMS resistance training; and (2) EMS had an effect on gastrocnemii but not on soleus muscle, perhaps because of the differences in respective motor unit characteristics (e.g., axon diameter).