The muscle pump indeed raises muscle blood flow during locomotion

Gender comparison of psychophysical forces, cardiopulmonary, and muscle metabolic responses during a simulated cart pushing task

The purpose was to compare psychophysiological responses between healthy male and female workers during dynamic pushing. Using a psychophysical approach, 27 participants chose an acceptable force that they could push over a 7.6m distance at a frequency of 1 push per min on a treadmill. On a separate day, cardiopulmonary (e.g., whole-body oxygen uptake, heart rate, ventilation volume) and muscle metabolic measurements (change in muscle blood volume [ΔtHb] and Tissue Oxygenation Index [TOI]) from the right and left gastrocnemius muscles were collected simultaneously while participants pushed the previously chosen acceptable force on the treadmill at a similar frequency and distance for 2h. Results showed no significant difference between men and women for integrated force exerted on the instrumented treadmill handle and cardiopulmonary responses. In contrast, women demonstrated 45.7% lower ΔtHb but 3.6% higher TOI in the gastrocnemius region as compared to men, suggesting a lower hemoglobin concentration in women and high venous oxygen saturation during pushing. When ΔtHb and TOI were corrected for both body mass and pushing force, the disparity in gender was retained, implying an increased muscle oxygen saturation per force development in women than men during pushing. In the left gastrocnemius region, ΔtHb was 60% lower and TOI was 5.7% higher in women than men, suggesting an uneven muscle loading during pushing. Overall, the gender similarity in cardiopulmonary responses versus disparity in muscle metabolic responses suggest the importance of evaluating human performance during physical work at both whole-body and localized muscle levels.

Psychophysiological responses in women during cart pushing on different frictional walkways

OBJECTIVE

The aim of this study was to evaluate psychophysically determined acceptable forces, cardiopulmonary, and calf muscle metabolic responses in 15 workers while they pushed an instrumented cart on two walkways.

BACKGROUND

In addition to the potential for increased musculoskeletal disorders in workers, pushing on various terrains is associated with occurrence of slips and falls at the workplace.

METHOD

Using a psychophysical approach, participants chose the maximum acceptable cart weight they could push without strain on walkways with coefficient of friction equaling 0.68 (plywood) and 0.26 (Teflon-coated.). Then, while participants pushed their psychophysically chosen cart weight for 2 hr on each walkway, horizontal and vertical forces applied on the cart handle and physiological responses were collected. Cardiopulmonary responses were measured using a telemetric metabolic cart. A tissue hemoglobin index (THI) and a tissue oxygenation index (TOI) from the right and left calf muscles were obtained using near-infrared spectroscopy.

RESULTS

Participants generated higher horizontal forces (by 26%) on plywood than that on Teflon. Cardiopulmonary and TOI and THI responses were similar between walkways. However, greater ratios of absolute oxygen uptake per force (by 19%) and TOI per force (by 24%) on Teflon were demonstrated in the horizontal direction than on plywood.

CONCLUSIONS

This increased muscle oxygenation-force ratio, coupled with increased oxygen uptake per force generated on Teflon, might suggest that pushing on the slippery surface results in higher metabolic demand.

APPLICATION

Findings from the present study will assist in revising previously established acceptable forces and in relating these forces to physiological responses with respect to pushing on different frictional walkways.

Haemodynamic responses to exercise, ATP infusion and thigh compression in humans: insight into the role of muscle mechanisms on cardiovascular function

The muscle pump and muscle vasodilatory mechanism are thought to play important roles in increasing and maintaining muscle perfusion and cardiac output ((.)Q) during exercise, but their actual contributions remain uncertain. To evaluate the role of the skeletal muscle pump and vasodilatation on cardiovascular function during exercise, we determined leg and systemic haemodynamic responses in healthy men during (1) incremental one-legged knee-extensor exercise, (2) step-wise femoral artery ATP infusion at rest, (3) passive exercise (n=10), (4)femoral vein or artery ATP infusion (n=6), and (5) cyclic thigh compressions at rest and during passive and voluntary exercise (n=7). Incremental exercise resulted in progressive increases in leg blood flow (DeltaLBF 7.4 +/- 0.7 l min(-1)), cardiac output (Delta (.)Q 8.7 +/- 0.7 l min(-1)), mean arterial pressure (DeltaMAP 51 +/- 5 mmHg), and leg and systemic oxygen delivery and (.)VO2 . Arterial ATP infusion resulted in similar increases in (.)Q , LBF, and systemic and leg oxygen delivery, but central venous pressure and muscle metabolism remained unchanged and MAP was reduced. In contrast,femoral vein ATP infusion did not alter LBF, (.)Q or MAP. Passive exercise also increased blood flow (DeltaLBF 0.7 +/- 0.1 l min(-1)), yet the increase in muscle and systemic perfusion, unrelated to elevations in aerobic metabolism, accounted only for approximately 5% of peak exercise hyperaemia.Likewise, thigh compressions alone or in combination with passive exercise increased blood flow (DeltaLBF 0.5-0.7 l min(-1)) without altering (.)Q, MAP or (.)VO2. These findings suggest that the skeletal muscle pump is not obligatory for sustaining venous return, central venous pressure,stroke volume and (.)Q or maintaining muscle blood flow during one-legged exercise in humans.Further, its contribution to muscle and systemic peak exercise hyperaemia appears to be minimal in comparison to the effects of muscle vasodilatation.