Relationships of intracellular pH to oxygenated hemoglobin/myoglobin and to phosphate compounds in active muscle during forearm exercise / 体力科学

The purpose of this study is to find a key to clarifying the mechanism of lactic acid production during exercise. Five healthy men performed the grip and wrist flexion exercises at different occasions. Exercise intensities were increased by 5% MVC (maximum voluntary contraction force) per minute from 10% MVC. Intracellular pH, oxygenated hemoglobin/myoglobin (Oxy-Hb/Mb), inorganic phosphate (Pi), and phosphocreatin (PCr) in forearm flexor muscles were measured by <SUP>31</SUP>P-MRS and NIRS. The lowest Oxy-Hb/Mb concentrations during the grip and wrist flexion exercises were 40.7± 8.86% (average±SE) and 15.4 ± 2.26%, respectively. These results suggest that oxygen remain sufficient in the muscles at least during the grip exercise. Intracellular pH dropped as exercise intensity rose above 25% MVC for the grip and above 10% MVC for the wrist flexion exercise. These results support the idea that oxygen deficiency is not the only cause for lactic acid production during exercise. On the other hand, intracellular pH fell with either negative or positive relations to Pi/PCr ratio, Pi, and PCr in each exercise. These results support the suggestion that the main causes of lactic acid production during exercise are the changes in ADP, Pi, and PCr.

Study on the changes of nerve conduction with wrist fixation in carpal tunnel syndrome / 영남의대학술지

The author studied 20 healthy adults (20 hands) as a control and 30 patients (40 hands) with carpal tunnel syndrome to evaluate the clinical usefulness of measuring nerve conduction velocity after wrist flexion in diagnosis of carpal tunnel syndrome. The median nerve conduction velocity over wrist to finger segment was measured before and after wrist flexion for 1, 2 and 5 minutes, using belly-tendon method for motor nerve distal latency (MNDL) and antidromic method for sensory nerve conduction velocity (SNCV). The results were as follows: 1. In control group, MNDL increased in 1 hand and SNCV decreased in 2 hands after wrist flexion. In patient group, MNDL increased in 2 hands and SNCV decreased in 3 hands after wrist flexion. 2. In both control and patient group, there were no significant changes in mean values of SNCV and MNDL between before and after wrist flexion. 3. Phalen's wrist flexion test was positive in 5 percent of control and 60 percent of patient group. 4. Tinel's sign was present in 10 percent of control and 33 percent of patient group.