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King's College Hospital, London SE5 9PJ, and Royal Brompton Hospital, London SW3 6NP, United Kingdom
Received 18 July 1995; accepted in final form 17 April 1996.
Kyroussis, Dimitris, Gary H. Mills, Michael I. Polkey,
Carl-Hugo Hamnegard, Nicholaos Koulouris, Malcolm Green, and John Moxham. Abdominal muscle fatigue after maximal ventilation in
humans. J. Appl. Physiol. 81(4):
1477-1483, 1996.
Abdominal muscles are the principal muscles of
active expiration. To investigate the possibility of abdominal muscle
low-frequency fatigue after maximal ventilation in humans, we
stimulated the nerve roots supplying the abdominal muscles. We used a
magnetic stimulator (Magstim 200) powering a 90-mm circular coil and
studied six normal subjects. To assess the optimum level of stimulation
and posture, we stimulated at each intervertebral level between
T7 and
L1 in the prone, supine, and
seated positions. At T10, we used
increasing power outputs to assess the pressure-power relationship.
Care was taken to avoid muscle potentiation. Twitch gastric pressure
(Pga) was recorded with a balloon-tipped catheter. Mean (±SD)
baseline twitch Pga measured with the subjects in the prone position at
T10 was 23.5 ± 5.4 cmH2O. Within-occasion mean twitch
Pga coefficient of variation was 4.6 ± 1.1%. Twitch Pga was
measured with the subjects in the prone position with stimulation over
T10 before and after 2 min of
maximal isocapnic ventilation (MIV). Twenty minutes after MIV, mean
twitch Pga fell by 17 ± 9.1%
(P = 0.03) and remained low 90 min
after MIV. We conclude that after maximal ventilation in humans there
is a reduction of twitch Pga and, therefore, of low-frequency fatigue
in abdominal muscles.
magnetic stimulation; low-frequency fatigue; twitch gastric pressure
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