Intramuscular pressures during exercise: an evaluation of a fiber optic transducer-tipped catheter system

SummaryThe efficacy of a modified fibre optic transducer-tipped catheter system for measuring intramuscular pressures during exercise was determined. A microcapillary infusion technique using a catheter was employed as the standard of comparison due to its established dynamic properties. Pressures were measured in the tibialis anterior muscle of six healthy adults at rest before exercise, during isometric and concentric exercise, and at rest after exercise. The fibre optic system measured contraction pressures equal to the microcapillary infusion technique during all phases of the exercise protocols but recorded a lower relaxation pressure during isometric exercise and a lower rest pressure following 20 min of concentric exercise. Negative relaxation pressures were recorded by the fibre optic system for two subjects during continuous concentric exercise. It is hypothesized that a piston effect, due to the sliding of muscle fibres at the catheter tip following a contraction, rendered falsely low pressures during relaxation and that this artefact was reflected in the subsequent rest pressure following exercise. The larger volume (157 mm3) and area (3.49 mm2) of the fibre optic catheter in the muscle made it more prone to this effect than the conventional catheter (39 mm3 and 0.87 mm2, respectively). The fibre optic system may be preferred when recording the musclecontraction pressures during complex limb movements but should not be used when assessing the relaxation pressures or the pressure at rest following exercise.

[1]  A. Crenshaw,et al.  A new “transducer‐tipped” fiber optic catheter for measuring intramuscular pressures , 1990, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[2]  J. Lundvall,et al.  Fluid transfer between blood and tissues during exercise. , 1972, Acta physiologica Scandinavica.

[3]  G. Sjøgaard,et al.  Water and ion shifts in skeletal muscle of humans with intense dynamic knee extension. , 1985, The American journal of physiology.

[4]  O. Sejersted,et al.  Intramuscular fluid pressure during isometric contraction of human skeletal muscle. , 1984, Journal of applied physiology: respiratory, environmental and exercise physiology.

[5]  A. Crenshaw,et al.  Intramuscular pressures during exercise. Comparison of measurements with and without infusion. , 1989, Acta orthopaedica Scandinavica.

[6]  R Kadefors,et al.  Intramuscular pressure in the supraspinatus muscle , 1988, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[7]  L. Körner,et al.  Diagnosis of chronic anterior compartment syndrome in the lower leg. , 1987, Acta orthopaedica Scandinavica.

[8]  A. Marble,et al.  Monitoring dynamic anterior compartment pressures during exercise , 1982, The American journal of sports medicine.

[9]  G Sjøgaard,et al.  Intramuscular pressure, EMG and blood flow during low-level prolonged static contraction in man. , 1986, Acta physiologica Scandinavica.

[10]  L. Körner,et al.  Microcapillary infusion technique for measurement of intramuscular pressure during exercise. , 1986, Clinical orthopaedics and related research.

[11]  J. Styf Chronic exercise-induced pain in the anterior aspect of the lower leg. An overview of diagnosis. , 1989, Sports medicine.

[12]  R Kadefors,et al.  Intramuscular pressure and electromyography in the supraspinatus muscle at shoulder abduction. , 1989, Clinical orthopaedics and related research.

[13]  Rorabeck Ch Exertional tibialis posterior compartment syndrome. , 1986 .

[14]  C. Rorabeck,et al.  Compartmental pressure measurements: an experimental investigation using the slit catheter. , 1981, The Journal of trauma.

[15]  R. Reneman The anterior and the lateral compartmental syndrome of the leg due to intensive use of muscles. , 1975, Clinical orthopaedics and related research.

[16]  K. Mayo,et al.  Monitoring of intramuscular pressure. , 1976, Surgery.

[17]  G. Andersson,et al.  Relation of intramuscular pressure to the force output and myoelectric signal of skeletal muscle , 1984, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[18]  S. Jacobsson,et al.  ACCUMULATION OF FLUID IN EXERCISING SKELETAL MUSCLE. , 1964, Acta physiologica Scandinavica.

[19]  J B Finlay,et al.  The role of tissue pressure measurement in diagnosing chronic anterior compartment syndrome , 1988, The American journal of sports medicine.

[20]  G. Nicolaysen,et al.  Interstitial fluid volume: local regulatory mechanisms. , 1981, Physiological reviews.