Effect of co-contractions on the cardiovascular response to submaximal static handgrip

The aim of this study was to investigate the influence of concomitant involuntary contractions of different muscles on heart rate (HR) and blood pressure (BP) during a sustained, submaximal handgrip. Nine male subjects [23.6 (0.4) years, 177.0 (1.5) cm, and 73.0 (2.7) kg, means (SE)] participated in the experiment. The maximal integrated electromyographic activity (IEMG max) of four ipsilateral muscles, flexor digitorum (FD), biceps brachii (BB), rectus abdominalis (RA) and vastus lateralis (VA), was recorded. Then, after 30 min of rest, the subjects maintained a submaximal isometric handgrip for 2 min. Heart rate (HR), systolic (SBP) and diastolic (DBP) blood pressure and surface electromyography (EMG) of the four muscles were recorded. The amplitude and power spectrum of the EMG were analysed. During the handgrip the force was kept constant at 43 (1)% of the maximum voluntary contraction (MVC) only for 90 (12) s. After that time, the subjects were unable to maintain the target force which decreased continuously up to the end of the contraction (P<0.01) with a residual force of 27 (3)% MVC at t = 120 s. HR increased from 75 (3) beats x min(-1) at rest to 109 (6) beats x min(-1) at t = 120 s (P<0.01). SBP and DBP also increased from 112 (5) and 81 (2) mm Hg to 176 (5) and 133 (7) mm Hg, respectively (P<0.01). The EMG activity rose significantly for both FD and BB with a moderate increase for RA and VL. In fact, the individual contributions of FD and BB to the EMG activity of the four muscles were 52 (2)% and 37 (2)%, respectively, whereas the RA and VL contributed only 9 (1)% and 1.4 (0.1)%. The amplitude ratio of FD's EMG to the total EMG activity of the four muscles from which recordings were made decreased with time from 72% to 33% (P<0.01). The central command's level of activation, as reflected by the increased EMG activity of the four recorded muscles, was probably high enough to stimulate the cardiovascular centres through cortical spread (sometimes known as cortical irradiation). On the other hand, maintaining an isometric handgrip at 43% MVC reduced local muscle blood flow and metabolites known to stimulate type III and IV afferents then accumulated, which in turn induced a reflex-mediated elevation of blood pressure. However, the relative forces developed by the co-contracting muscles were of low intensity (less than 20% MVC) and short duration compared to those of the muscle group under study. These results suggest that the mass of the muscle groups recruited during a fatiguing submaximal handgrip contributes little to the cardiovascular response.