Applied Physiology

Correction to: Inert gas narcosis in scuba diving, different gases different reactions The original version of this article unfortunately contained a mistake.

Correction to: Suspension syndrome: a potentially fatal vagally mediated circulatory collapse—an experimental randomized crossover trial The original version of this article unfortunately contained a mistake. Information was missing in the acknowledgements section. The correct information is given below.

Hoffman MD, Snipe RM, Costa RJ (2018) Ad libitum drinking adequately supports hydration during 2 h of running in different ambient temperatures. Eur J Appl Physiol 118:2687–2697

Response to Armstrong and Bergeron

Reply to the Letter to the Editor: Utility of lacrimal caruncle infrared thermography when monitoring alterations in autonomic activity in healthy humans

Utility of infrared thermography when monitoring autonomic activity

Physiological comparison between non-athletes, endurance, power and team athletes Abstract We hypothesized that endurance athletes have lower muscle power than power athletes due to a combination of weaker and slower muscles, while their higher endurance is attributable to better oxygen extraction, reflecting a higher muscle oxidative capacity and larger stroke volume. Endurance (n = 87; distance runners, road cyclists, paddlers, skiers), power (n = 77; sprinters, throwers, combat sport athletes, body builders), team (n = 64; basketball, soccer, volleyball) and non-athletes (n = 223) performed a countermovement jump and an incremental running test to estimate their maximal anaerobic and aerobic power (VO2max), respectively. Dynamometry and M-mode echocardiography were used to measure muscle strength and stroke volume. The VO2max (L min−1) was larger in endurance and team athletes than in power athletes and non-athletes (p < 0.05). Athletes had a larger stroke volume, left ventricular mass and left ventricular wall thickness than non-athletes (p < 0.02), but there were no significant differences between athlete groups. The higher anaerobic power in power and team athletes than in endurance athletes and non-athletes (p < 0.001) was associated with a larger force (p < 0.001), but not faster contractile properties. Endurance athletes (20.6%) had a higher (p < 0.05) aerobic:anaerobic power ratio than controls and power and team athletes (14.0–15.3%). The larger oxygen pulse, without significant differences in stroke volume, in endurance than power athletes indicates a larger oxygen extraction during exercise. Power athletes had stronger, but not faster, muscles than endurance athletes. The similar VO2max in endurance and team athletes and similar jump power in team and power athletes suggest that concurrent training does not necessarily impair power or endurance performance.

Cross-education: effects of age on rapid and maximal voluntary contractile characteristics in males Abstract Purpose The purpose of this study was to determine the effect of age on the cross-education of rapid and maximal contractile properties for the knee extensors. Methods Young (n = 10; age = 21.1 ± 1.7 years) and older (n = 10; age = 65.3 ± 8.3 years) males performed unilateral isokinetic resistance training (RT) of the knee extensors for 4 weeks. Maximal voluntary isokinetic (45° s−1 and 300° s−1) and isometric testing was conducted for the trained and untrained leg before and after RT. Peak torque (PT) and acceleration were obtained from isokinetic testing as well as torque at 30 ms (TQ30) and 100 ms (TQ100) from the 45° s−1 contraction. PT and rate of torque development were recorded from the isometric contractions. Results Independent of age, isometric PT (10.1%; p = 0.006) as well as PT and acceleration at 300° s−1 (6.7%; p = 0.008 and 4.0%; p = 0.016, respectively) increased in the untrained leg. At 45° s−1, acceleration was increased (3.6%; p = 0.021), but PT remained unchanged (p = 0.227). TQ100 increased similarly between groups (4.5%; p = 0.014), but TQ30 increased only in the older group (9.5%; p = 0.022). Conclusions Cross-education of rapid and maximal contractile parameters can be achieved early during unilateral RT independent of age. These findings indicate the potential for particular unilateral RT protocols to be used for older adults in rehabilitative settings to offset disuse-related reductions in contractile function, which are most dramatic in this population.

The time course of cross-education during short-term isometric strength training Abstract Purpose This study examined the time course of contralateral adaptations in maximal isometric strength (MVC), rate of force development (RFD), and rate of electromyographic (EMG) rise (RER) during 4 weeks of unilateral isometric strength training with the non-dominant elbow flexors. Methods Twenty participants were allocated to strength training (n = 10, three female, two left hand dominant) or control (n = 10, three female, two left hand dominant) groups. Both groups completed testing at baseline and following each week of training to evaluate MVC strength, EMG amplitude, RFD and RER at early (RFD50, RER50) and late (RFD200, RER200) contraction phases for the dominant 'untrained' elbow flexors. The training group completed 11 unilateral isometric training sessions across 4 weeks. Results The contralateral improvements for MVC strength (P < 0.01) and RFD200 (P = 0.017) were evidenced after 2 weeks, whereas RFD50 (P < 0.01) and RER50 (P = 0.02) showed significant improvements after 3 weeks. Each of the dependent variables was significantly (P < 0.05) greater than baseline values at the end of the training intervention for the trained arm. No changes in any of the variables were observed for the control group (P > 0.10). Conclusions Unilateral isometric strength training for 2–3 weeks can produce substantial increases in isometric muscle strength and RFD for both the trained and untrained arms. These data have implications for rehabilitative exercise design and prescription.

Suspension syndrome: a potentially fatal vagally mediated circulatory collapse—an experimental randomized crossover trial Abstract Purpose Suspension syndrome describes a potentially life-threatening event during passive suspension on a rope. The pathophysiological mechanism is not fully understood and optimal treatment unknown. We aimed to elucidate the pathophysiology and to give treatment recommendations. Methods In this experimental, randomized crossover trial, 20 healthy volunteers were suspended in a sit harness for a maximum of 60 min, with and without prior climbing. Venous pooling was assessed by measuring the diameter of the superficial femoral vein (SFV), lower leg tissue oxygenation (StO2) and by determining localized bioelectrical impedance. Hemodynamic response was assessed by measuring heart rate, blood pressure, stroke volume, and left ventricular diameters. Signs and symptoms of pre-syncope were recorded. Results Twelve (30%) out of 40 tests were prematurely terminated due to pre-syncopal symptoms (mean 44.7 min, minimum 13.4, maximum 59.7). SFV diameter increased, StO2 and the capacitive resistance of the cells decreased indicating venous pooling. Heart rate and blood pressure did not change in participants without pre-syncope. In contrast, in participants experiencing pre-syncope, heart rate and blood pressure dropped immediately before the event. All symptoms dissolved and values returned to normal within 5 min with participants in a supine position. Conclusions Sudden pre-syncope during passive suspension in a harness was observed in 30% of the tests. Blood pools in the veins of the lower legs; however, a vagal mechanism finally leads to loss of consciousness. Time to pre-syncope is unpredictable and persons suspended on a rope should be rescued and put into a supine position as soon as possible.

Alexandros Sfakianakis
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alsfakia@gmail.com