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Bentley RF, Bernal JB, Basile DC, Di Salvo AN, Schwartz JL. The effect of body position on cardiovascular, skeletal muscle and ventilatory responses to submaximal cycling. Exp Physiol 2025; 110:391-400. [PMID: 39690888 PMCID: PMC11868019 DOI: 10.1113/ep092256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2024] [Accepted: 11/20/2024] [Indexed: 12/19/2024]
Abstract
The completion of exercise in different body positions can impact the function of various components of the oxygen delivery pathway; however, the effect of the haemodynamic conditions induced by a semi-upright body position on the integrative physiological response to exercise is poorly understood. The purpose of this study was to explore the effect of a semi-upright body position on cardiac output (CO), vastus lateralis oxygen saturation (S m O 2 ${{S}_{{\mathrm{m}}{{{\mathrm{O}}}_2}}}$ ), oxygen consumption (V ̇ O 2 ${{\dot{V}}_{{{{\mathrm{O}}}_2}}}$ ) and ratings of perceived exertion (Borg RPE) during submaximal cycling. Twenty healthy individuals (22 ± 3 years, 50% female) each completed alternating 5-min bouts of submaximal upright and semi-upright (40° incline) cycling at 50 and 100 W. CO,S m O 2 ${{S}_{{\mathrm{m}}{{{\mathrm{O}}}_2}}}$ ,V ̇ O 2 ${{\dot{V}}_{{{{\mathrm{O}}}_2}}}$ and RPE were assessed at rest and at each exercise intensity during steady state. There was a main effect of intensity on the increase in CO,S m O 2 ${{S}_{{\mathrm{m}}{{{\mathrm{O}}}_2}}}$ ,V ̇ O 2 ${{\dot{V}}_{{{{\mathrm{O}}}_2}}}$ and RPE (all P < 0.001). In a semi-upright position, the increase in CO (7.9 ± 2.8 vs. 6.4 ± 2.6 L/min, P < 0.001), RPE (median (interquartile range): 11 (9-13) vs. 10 (8-12), P = 0.013) and the decrease inS m O 2 ${{S}_{{\mathrm{m}}{{{\mathrm{O}}}_2}}}$ (-38 ± 23 vs. -21% ± 18%, P < 0.001) were greater than upright, while the increase inV ̇ O 2 ${{\dot{V}}_{{{{\mathrm{O}}}_2}}}$ was attenuated (1.030 ± 0.130 vs. 1.154 ± 0.165 L/min, P < 0.001). These results suggest that while a semi-upright body position produces elevations in CO, these elevations do not seem to perfuse the active skeletal muscle. This may explain the elevation in RPE despite a blunting in the increase inV ̇ O 2 ${{\dot{V}}_{{{{\mathrm{O}}}_2}}}$ . Further work is required to understand the effects of a semi-upright exercise position on skeletal muscle activation and lower limb blood flow.
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Affiliation(s)
- Robert F. Bentley
- Faculty of Kinesiology & Physical EducationUniversity of TorontoTorontoOntarioCanada
| | - Jonaline B. Bernal
- Faculty of Kinesiology & Physical EducationUniversity of TorontoTorontoOntarioCanada
| | - Daniel C. Basile
- Faculty of Kinesiology & Physical EducationUniversity of TorontoTorontoOntarioCanada
| | - Adam N. Di Salvo
- Faculty of Kinesiology & Physical EducationUniversity of TorontoTorontoOntarioCanada
| | - Jacob L. Schwartz
- Faculty of Kinesiology & Physical EducationUniversity of TorontoTorontoOntarioCanada
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Chan HL, Meng LF, Kao YA, Chang YJ, Chang HW, Chen SW, Wu CY. Myoelectric, Myo-Oxygenation, and Myotonometry Changes during Robot-Assisted Bilateral Arm Exercises with Varying Resistances. SENSORS (BASEL, SWITZERLAND) 2024; 24:1061. [PMID: 38400219 PMCID: PMC10892273 DOI: 10.3390/s24041061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/25/2023] [Revised: 01/26/2024] [Accepted: 02/02/2024] [Indexed: 02/25/2024]
Abstract
Robot-assisted bilateral arm training has demonstrated its effectiveness in improving motor function in individuals post-stroke, showing significant enhancements with increased repetitions. However, prolonged training sessions may lead to both mental and muscle fatigue. We conducted two types of robot-assisted bimanual wrist exercises on 16 healthy adults, separated by one week: long-duration, low-resistance workouts and short-duration, high-resistance exercises. Various measures, including surface electromyograms, near-infrared spectroscopy, heart rate, and the Borg Rating of Perceived Exertion scale, were employed to assess fatigue levels and the impacts of exercise intensity. High-resistance exercise resulted in a more pronounced decline in electromyogram median frequency and recruited a greater amount of hemoglobin, indicating increased muscle fatigue and a higher metabolic demand to cope with the intensified workload. Additionally, high-resistance exercise led to increased sympathetic activation and a greater sense of exertion. Conversely, engaging in low-resistance exercises proved beneficial for reducing post-exercise muscle stiffness and enhancing muscle elasticity. Choosing a low-resistance setting for robot-assisted wrist movements offers advantages by alleviating mental and physiological loads. The reduced training intensity can be further optimized by enabling extended exercise periods while maintaining an approximate dosage compared to high-resistance exercises.
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Affiliation(s)
- Hsiao-Lung Chan
- Department of Electrical Engineering, Chang Gung University, Taoyuan 33302, Taiwan; (H.-L.C.); (Y.-A.K.); (H.-W.C.)
- Neuroscience Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan;
| | - Ling-Fu Meng
- Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan 33302, Taiwan;
- Division of Occupational Therapy, Department of Rehabilitation, Chiayi Chang Gung Memorial Hospital, Chiayi 61363, Taiwan
| | - Yung-An Kao
- Department of Electrical Engineering, Chang Gung University, Taoyuan 33302, Taiwan; (H.-L.C.); (Y.-A.K.); (H.-W.C.)
| | - Ya-Ju Chang
- Neuroscience Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan;
- School of Physical Therapy and Graduate Institute of Rehabilitation Science, Chang Gung University, Taoyuan 33302, Taiwan
| | - Hao-Wei Chang
- Department of Electrical Engineering, Chang Gung University, Taoyuan 33302, Taiwan; (H.-L.C.); (Y.-A.K.); (H.-W.C.)
| | - Szi-Wen Chen
- Neuroscience Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan;
- Department of Electronic Engineering, Chang Gung University, Taoyuan 33302, Taiwan
| | - Ching-Yi Wu
- Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan 33302, Taiwan;
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan
- Healthy Aging Research Center, Chang Gung University, Taoyuan 33302, Taiwan
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Gasibat Q, Rani B, Čaušević D, Perveen W, Alexe CI, Albina AE, Alexe DI. A Comparative Electromyographic Analysis of Flying Squirrel and 3-Point Quadripod Exercise for Lumbar Multifidus Muscle Activations among Healthy Female Subjects. Healthcare (Basel) 2023; 11:healthcare11060833. [PMID: 36981490 PMCID: PMC10048022 DOI: 10.3390/healthcare11060833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Revised: 03/01/2023] [Accepted: 03/10/2023] [Indexed: 03/14/2023] Open
Abstract
Physical therapists employ several exercises to alleviate low back pain (LBP). Electromyography (EMG) examination of exercises can monitor muscle activation to help clinicians determine the exercise’s effect on stabilisation, endurance, or strength. This study evaluated surface EMG activity comparison for Flying Squirrel Exercise (FSE) and the novel 3-Point Quadripod Exercise (3-PQE) to find the most effective exercise for stimulating the lumbar multifidus (LM) muscle. The study recruited 64 healthy young females (19–24 years). Raw data were normalized and are expressed as the percentage of maximum voluntary isometric contraction (%MVIC). The test–retest reliability of the EMG recordings was estimated using intraclass correlation coefficient (ICC3,1). One-way ANOVA was used to statistically analyse and compare the EMG amplitudes during the two exercises. The ICCs for 3-PQE and FSE were 0.94 (SEM, 21.7% MVIC) and 0.87 (SEM, 19.05% MVIC), respectively. The 3-PQE (69 ± 26% MVIC) demonstrated significantly higher activity than did FSE (30 ± 18% MVIC) (F = 15.573, p = 0.001). Thus, 3-PQE might be a feasible strategy for the prevention and rehabilitation of LBP in females.
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Affiliation(s)
- Qais Gasibat
- Department of Sports Studies, Universiti Putra Malaysia UPM, Selangor 43400, Malaysia
| | - Babina Rani
- Department of Physical Rehabilitation & Medicine (Physiotherapy), Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
| | - Denis Čaušević
- Faculty of Sport and Physical Education, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | - Wajida Perveen
- School of Allied Health Sciences, CMH Lahore Medical College & IOD (NUMS Rawalpindi), Lahore 54810, Pakistan
| | - Cristina Ioana Alexe
- Department of Physical Education and Sports Performance, Faculty of Movement, Sports and Health Sciences, “Vasile Alecsandri” University of Bacău, 600115 Bacău, Romania
- Correspondence: (C.I.A.); (A.E.A.)
| | - Alina Elena Albina
- Department of Theory and Methodology of Motor Activities, Faculty of Physical Education and Sports, University of Craiova, Alexandru Ioan Cuza nr.13, 200585 Craiova, Romania
- Correspondence: (C.I.A.); (A.E.A.)
| | - Dan Iulian Alexe
- Department of Physical and Occupational Therapy, Faculty of Movement, Sports and Health Sciences, “Vasile Alecsandri” University of Bacău, 600115 Bacău, Romania
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