CO2 does not affect passive exercise ventilatory decline

Differential control of respiratory frequency and tidal volume during exercise

The lack of a testable model explaining how ventilation is regulated in different exercise conditions has been repeatedly acknowledged in the field of exercise physiology. Yet, this issue contrasts with the abundance of insightful findings produced over the last century and calls for the adoption of new integrative perspectives. In this review, we provide a methodological approach supporting the importance of producing a set of evidence by evaluating different studies together-especially those conducted in 'real' exercise conditions-instead of single studies separately. We show how the collective assessment of findings from three domains and three levels of observation support the development of a simple model of ventilatory control which proves to be effective in different exercise protocols, populations and experimental interventions. The main feature of the model is the differential control of respiratory frequency (f_R) and tidal volume (V_T); f_R is primarily modulated by central command (especially during high-intensity exercise) and muscle afferent feedback (especially during moderate exercise) whereas V_T by metabolic inputs. Furthermore, V_T appears to be fine-tuned based on f_R levels to match alveolar ventilation with metabolic requirements in different intensity domains, and even at a breath-by-breath level. This model reconciles the classical neuro-humoral theory with apparently contrasting findings by leveraging on the emerging control properties of the behavioural (i.e. f_R) and metabolic (i.e. V_T) components of minute ventilation. The integrative approach presented is expected to help in the design and interpretation of future studies on the control of f_R and V_T during exercise.

The effect of pedalling cadence on respiratory frequency: passive vs. active exercise of different intensities

PURPOSE

Pedalling cadence influences respiratory frequency (f_R) during exercise, with group III/IV muscle afferents possibly mediating its effect. However, it is unclear how exercise intensity affects the link between cadence and f_R. We aimed to test the hypothesis that the effect of cadence on f_R is moderated by exercise intensity, with interest in the underlying mechanisms.

METHODS

Ten male cyclists performed a preliminary ramp incremental test and three sinusoidal experimental tests on separate visits. The experimental tests consisted of 16 min of sinusoidal variations in cadence between 115 and 55 rpm (sinusoidal period of 4 min) performed during passive exercise (PE), moderate exercise (ME) and heavy exercise (HE). The amplitude (A) and phase lag (φ) of the dependent variables were calculated.

RESULTS

During PE, f_R changed in proportion to variations in cadence (r = 0.85, P < 0.001; A = 3.9 ± 1.4 breaths·min^-1; φ = - 5.3 ± 13.9 degrees). Conversely, the effect of cadence on f_R was reduced during ME (r = 0.73, P < 0.001; A = 2.6 ± 1.3 breaths·min^-1; φ = - 25.4 ± 26.3 degrees) and even more reduced during HE (r = 0.26, P < 0.001; A = 1.8 ± 1.0 breaths·min^-1; φ = - 70.1 ± 44.5 degrees). No entrainment was found in any of the sinusoidal tests.

CONCLUSION

The effect of pedalling cadence on f_R is moderated by exercise intensity-it decreases with the increase in work rate-and seems to be mediated primarily by group III/IV muscle afferents, at least during passive exercise.

Central and peripheral hemodynamic responses to passive limb movement: the role of arousal

The exact role of arousal in central and peripheral hemodynamic responses to passive limb movement in humans is unclear but has been proposed as a potential contributor. Thus, we used a human model with no lower limb afferent feedback to determine the role of arousal on the hemodynamic response to passive leg movement. In nine people with a spinal cord injury, we compared central and peripheral hemodynamic and ventilatory responses to one-leg passive knee extension with and without visual feedback (M+VF and M-VF, respectively) as well as in a third trial with no movement or visual feedback but the perception of movement (F). Ventilation (Ve), heart rate, stroke volume, cardiac output, mean arterial pressure, and leg blood flow (LBF) were evaluated during the three protocols. Ve increased rapidly from baseline in M+VF (55 ± 11%), M-VF (63 ± 13%), and F (48 ± 12%) trials. Central hemodynamics (heart rate, stroke volume, cardiac output, and mean arterial pressure) were unchanged in all trials. LBF increased from baseline by 126 ± 18 ml/min in the M+VF protocol and 109 ± 23 ml/min in the M-VF protocol but was unchanged in the F protocol. Therefore, with the use of model that is devoid of afferent feedback from the legs, the results of this study reveal that, although arousal is invoked by passive movement or the thought of passive movement, as evidenced by the increase in Ve, there is no central or peripheral hemodynamic impact of this increased neural activity. Additionally, this study revealed that a central hemodynamic response is not an obligatory component of movement-induced LBF.

Passive limb movement augments ventilatory response to CO2 via sciatic inputs in anesthetized rats

Passive limb movement (PLM) in humans induces a phasic hyperpnea, but the underlying physiological mechanisms remain unclear. We asked whether PLM in anesthetized rats would produce a similar phasic hyperpnea associated with an augmented ventilatory (V(E)) response to CO(2) that is dependent on sciatic afferents. The animals underwent 5 min threshold PLM, 3 min hypercapnia (5% CO(2)), and their combination (CO(2) exposure at the end of 2nd min of 5-min PLM) before and after bilateral transection of the sciatic nerves. We found that a threshold PLM evoked a phasic hyperpnea, similar to that denoted in humans, and an augmented V(E) response to CO(2). Both responses were greatly diminished by sciatic nerve transection. Moreover, similar responses were also evoked by electrically stimulating the central end of the transected sciatic nerve. Our findings suggest an ability of the sciatic afferents to augment the V(E) response to CO(2) that likely contributes to the PLM-induced hyperpnea.

Ventilatory and circulatory responses at the onset of dominant and non-dominant limb exercise

We compared the ventilatory and circulatory responses during 20 s of light dynamic leg and arm exercises performed separately using dominant and non-dominant limbs. Seventeen subjects performed a 20-s single-leg knee extension-flexion exercise with a load of 5% of maximal muscle strength attached to the ankle. Fifteen of the seventeen subjects also did a single-arm elbow flexion-extension exercise in which a load was attached to the wrist in the same way as in the leg exercise. Similar movements were passively performed on the subjects by experimenters to avoid the effects of central command. The magnitude of change from rest (gain) in minute ventilation during passive movement (PAS) was significantly smaller in the dominant limbs than in the non-dominant limbs, though a significant difference was not detected during voluntary exercise (VOL). In contrast, heart rate and blood pressure responses did not show any differences between the dominant and non-dominant limbs during either VOL or PAS. In conclusion, the initial ventilatory response to PAS in the dominant limbs was lower than that of the non-dominant limbs, though the ventilatory response to VOL was not. Circulatory responses were not different between the dominant and non-dominant limbs. These results suggest that peripheral neural reflex during exercise could be different between dominant and non-dominant limbs and that ventilatory response at the onset of exercise might be controlled by the dual neural modulation of central command and peripheral neural reflex, resulting in the same ventilatory response to both dominant and non-dominant limb exercise.

Ventilatory and circulatory responses at the onset of exercise after eccentric exercise

The purpose of this study was to clarify whether delayed onset muscle soreness (DOMS) and muscle damage after eccentric exercise (ECC) could affect the ventilatory and circulatory responses at the onset of exercise, and whether those effects would continue after the disappearance of DOMS. Ten males participated in this study. We measured ventilatory and circulatory responses at the onset of exercise, for the first 20 s, during knee extension-relaxation voluntary exercise (VOL) and passive movement (PAS), which was achieved by the experimenter alternatively pulling ropes connected to the subjects' ankles for the same period and frequency as during VOL. VOL and PAS were performed before, 2 days after, and 7 days after ECC. The following results were found: (1) the gain of minute ventilation at the onset of VOL at 2 days after ECC was significantly larger than that of before ECC; (2) the gain of minute ventilation at 7 days after ECC during both VOL and PAS was also enhanced significantly as compared to that of before ECC; and (3) heart rate and blood pressure responses were unchanged throughout the experimental period. In conclusion, ventilatory response at the onset of exercise is augmented during DOMS and EIMD after ECC and the enhanced ventilatory response continued after the disappearance of DOMS. It is suggested that enhanced ventilatory response during exercise after ECC is attributed to at least the changes in neural factors and that the mechanisms inducing these augmented ventilatory responses should be different during the period after ECC.

Oxygen Consumption During Machine-Assisted and Unassisted Walking: A Pilot Study in Hemiplegic and Healthy Humans

OBJECTIVE

To determine whether a gait-training (GT) machine influenced walking time duration and oxygen consumption in hemiplegic patients.

DESIGN

Repeated measures with comparison of 2 groups.

SETTING

Physiology laboratories in a rehabilitation hospital.

PARTICIPANTS

Seven patients with stroke-related hemiplegia (2 men, 5 women; age, 46+/-11y; time since stroke, 12+/-9wk) and 7 healthy subjects (3 men, 4 women; age, 30+/-7y).

INTERVENTIONS

Floor walking (FW) and GT-assisted walking with and without 50% body-weight support (BWS).

MAIN OUTCOME MEASURES

Walking time duration, oxygen consumption (Vo(2)), minute ventilation (V(E)), and heart rate.

RESULTS

When the condition effect was analyzed independently from the group, mean Vo(2) was higher during FW than during the GT tests (post hoc analysis: FW vs GT, P=.017; FW vs GT+BWS, P<.002). When the groups were compared independently of the condition, the group with hemiplegia had a significantly shorter walking time duration (analysis of variance [ANOVA], P<.001) and a significantly higher Vo(2) as a percentage of baseline (ANOVA, P=.03), compared with the controls. Walking time duration was influenced by walking condition (ANOVA, P<.001; post hoc analysis: FW vs GT, P<.001; FW vs GT+BWS, P<.001). Ve was influenced by walking condition (ANOVA, P=.043; not significant in the post hoc analysis) and was higher in the group with hemiplegia (ANOVA, P=.02). Heart rate was not influenced by walking condition (P=.11). A group effect was found with heart rate in cycles per minute (P=.035) but not as a percentage of baseline. No interaction was found between the ANOVA group-effect factor and the ANOVA walking-condition effect factor.

CONCLUSIONS

Compared with FW, GT assistance increased walking time duration and reduced Vo(2) in patients with severe hemiplegia.

Respiratory control at exercise onset: an integrated systems perspective

The near-immediate increase in breathing that accompanies the onset of constant load, dynamic exercise has remained a topic of interest to respiratory physiologists for the better part of a century. During this time, several theories have been proposed and tested in an attempt to explain what has been called the phase I response of exercise hyperpnoea, or the fast neural drive to breathe, and much controversy still remains as to what mediates this response. 'Central motor command' and 'afferent feedback' mechanisms, as described in animal models, have been centre stage in the debate, with much supportive evidence for their involvement. This review presents three relatively recent and controversial mechanisms and examines the increasing evidence for their involvement in the initial phase of exercise hyperpnoea: (1) the vascular distension hypothesis, (2) the vestibular feedback hypothesis and (3) the behavioral state hypothesis. Some outstanding fundamental questions and directions for future research are presented throughout, always with a focus on mechanistic efficacy in the integrated system response.

Rapid increases in ventilation accompany the transition from passive to active movement

We used a novel movement transition technique to look for evidence of a rapid onset drive to breathe related to the active component of exercise in humans. Ten volunteers performed the following transitions in a specially designed tandem exercise chair apparatus: rest to passive movement, passive to active movement, and rest to active movement. The transition from rest to active exercise was accompanied by an immediate increase in ventilation, as was the transition from rest to passive leg movement (Delta = 6.06 +/- 1.09 l min(-1), p < 0.001 and Delta = 3.30 +/- 0.57 l min(-1), p = 0.002, respectively). When subjects actively assumed the leg movements, ventilation again increased immediately and significantly (Delta = 2.55 +/- 0.52 l min(-1), p = 0.032). Ventilation at the first point of active exercise was the same when started either from rest or from a background of passive leg movement (p = 1.00). We conclude that the use of a transition from passive to active leg movements in humans recruits a ventilatory drive related to the active component of exercise, and this can be discerned as a rapid increase in breathing.

The initial phase of exercise hyperpnoea in humans is depressed during a cognitive task

Increased wakefulness is known to suppress the initial ventilatory response to passive movement and the steady-state ventilatory response to exercise. However, the effect of increased wakefulness upon the integrated ventilatory response at the onset of exercise is not known. We hypothesized that increasing wakefulness via a cognitive task would attenuate the initial ventilatory response to exercise, and so we examined the response to active leg extensions under two conditions: with and without concurrently solving a puzzle. At rest before exercise, subjects demonstrated greater minute ventilation while solving a puzzle (mean +/- S.E.M., 12.38 +/- 0.55 versus 10.12 +/- 0.51 l min(-1), P < 0.001), due to a higher mean breathing frequency (mean +/- S.E.M., 17.1 +/- 0.93 versus 13.6 +/- 0.59 breaths min(-1), P < 0.001). At the start of exercise, subjects did not increase their ventilation significantly while solving the puzzle (P = 0.170), but did by a mean +/-s.e.m. of 6.16 +/- 1.12 l min(-1) (P < 0.001) when not puzzle solving. The ventilation achieved at the start of exercise in absolute terms was also lower while solving the puzzle (14.6 +/- 1.1 versus 16.3 +/- 1.3 l min(-1), P = 0.047). Despite differences in the rapid ventilatory response to exercise between conditions, the steady-state responses were not different. We conclude that the performance of a cognitive task decreases the initial phase of exercise hyperpnoea, and suggest that this might occur because of either a competitive interaction between drives to breathe or a behavioural distraction from the 'task' of exercise.

Respiratory response to passive limb movement is suppressed by a cognitive task

Feedback from muscles stimulates ventilation at the onset of passive movement. We hypothesized that central neural activity via a cognitive task source would interact with afferent feedback, and we tested this hypothesis by examining the fast changes in ventilation at the transition from rest to passive leg movement, under two conditions: 1) no task and 2) solving a computer-based puzzle. Resting breathing was greater in condition 2 than in condition 1, evidenced by an increase in mean +/- SE breathing frequency (18.2 +/- 1.1 vs. 15.0 +/- 1.2 breaths/min, P = 0.004) and ventilation (10.93 +/- 1.16 vs. 9.11 +/- 1.17 l/min, P < 0.001). In condition 1, the onset of passive movement produced a fast increase in mean +/- SE breathing frequency (change of 2.9 +/- 0.4 breaths/min, P < 0.001), tidal volume (change of 233 +/- 95 ml, P < 0.001), and ventilation (change of 6.00 +/- 1.76 l/min, P < 0.001). However, in condition 2, the onset of passive movement only produced a fast increase in mean +/- SE breathing frequency (change of 1.3 +/- 0.4 breaths/min, P = 0.045), significantly smaller than in condition 1 (P = 0.007). These findings provide evidence for an interaction between central neural cognitive activity and the afferent feedback mechanism, and we conclude that the performance of a cognitive task suppresses the respiratory response to passive movement.

Ventilatory and circulatory responses at the onset of voluntary exercise and passive movement in sprinters

The purpose of this study was to clarify the characteristics of ventilatory and circulatory responses at the onset of voluntary exercise and passive movement in sprinters. Eleven male university sprinters and 11 male untrained subjects participated in the present study. Voluntary exercise consisted of leg extension-flexion movement for 20 s with weights corresponding to 5% of each subject's body mass attached to each ankle. Passive movement was achieved without weights by the experimenter alternately pulling ropes that were connected to the subject's ankles for the same period and frequency as during voluntary exercise. In the present study, the following results were found: (1) the magnitude of relative changes (gain) of minute ventilation at the onset of passive movement in the sprinters was significantly smaller than that in the untrained subjects [mean (SEM) 33.3 (2.9) vs 61.7 (6.4)%, P<0.05]; (2) the time for reaching one-half of the gain (response time) of heart rate at the onset of voluntary exercise and passive movement in the sprinters was significantly slower than that in the untrained subjects [2.5 (0.2) vs 1.7 (0.2) s in voluntary exercise and 3.4 (0.8) vs 1.5 (0.1) s in passive movement, P<0.05]; (3) the gain and response time of mean blood pressure at the onset of voluntary exercise and passive movement showed no significant differences between the two groups. It is concluded that sprinters show slowed heart rate response at the onset of voluntary exercise, and attenuated ventilatory and slowed heart rate responses at the onset of passive movement as compared with untrained subjects.