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Prince of Wales Medical Research Institute, Sydney, New South Wales 2031, Australia
The effects of
changes in arterial perfusion across the physiological range on the
fatigue of a working human hand muscle were studied in seven normal
subjects. With the hand above heart level, subjects made
repeated isometric contractions of the adductor pollicis muscle at 50%
of maximal voluntary contraction in a 6-s on, 4-s off cycle. To assess
fatigue, a maximal isometric twitch was elicited in each "off"
period by electrical stimulation of the ulnar nerve. The experiment was
repeated at least 2 days later with the hand at heart level. Five
subjects showed faster fatigue with the arm elevated, and two subjects
showed little difference in fatigue for the two conditions. Central
blood pressure rose in proportion to fatigue for the subjects overall
and returned quickly to its initial level afterwards. We conclude that
human muscle fatigue can be increased by physiological reductions in perfusion pressure. Central blood pressure increases as the muscle fatigues, a response that may partially offset declining muscle performance.
muscle fatigue; blood pressure
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