The time course of the effects of constant-angle and constant-torque stretching on the muscle-tendon unit.

The purpose of the present study was to examine the time course of passive range of motion (PROM), passive torque (PASTQ), and musculo-tendinous stiffness (MTS) responses during constant-angle (CA) and constant-torque (CT) stretching of the leg flexors. Eleven healthy men [mean ± standard deviation (SD): age = 21.5 ± 2.3 years] performed 16 30-s bouts of CA and CT stretching of the leg flexors. PROM, PASTQ , and MTS were measured during stretches 1, 2, 4, 8, and 16. For PROM and PASTQ , there were no differences between CA and CT stretching treatments (P > 0.05); however, there were stretch-related differences (P < 0.001). PROM increased following one 30-s bout of stretching (collapsed across CA and CT stretching) with additional increases up to 8 min of stretching. PASTQ decreased following one 30-s bout of stretching (collapsed across CA and CT stretching) and continued to decrease up to 4 min of stretching. In contrast, only the CT stretching treatment resulted in changes to MTS (P < 0.001). MTS decreased after one 30-s bout of CT stretching, with subsequent decreases in MTS up to 6 min of stretching. These results suggested that CT stretching may be more appropriate than a stretch held at a constant muscle length for decreasing MTS.

Acute effects of static stretching on peak torque and the hamstrings-to-quadriceps conventional and functional ratios.

Recent evidence has shown acute static stretching may decrease hamstring-to-quadriceps (H:Q) ratios. However, the effects of static stretching on the functional H:Q ratio, which uses eccentric hamstrings muscle actions, have not been investigated. This study examined the acute effects of hamstrings and quadriceps static stretching on leg extensor and flexor concentric peak torque (PT), leg flexor eccentric PT, and the conventional and functional H:Q ratios. Twenty-two women (mean ± SD age=20.6 ± 1.9 years; body mass=64.6 ± 9.1 kg; height=164.5 ± 6.4 cm) performed three maximal voluntary unilateral isokinetic leg extension, flexion, and eccentric hamstring muscle actions at the angular velocities of 60 and 180°/s before and after a bout of hamstrings, quadriceps, and combined hamstrings and quadriceps static stretching, and a control condition. Two-way repeated measures ANOVAs (time × condition) were used to analyze the leg extension, flexion, and eccentric PT as well as the conventional and functional H:Q ratios. Results indicated that when collapsed across velocity, hamstrings-only stretching decreased the conventional ratios (P<0.05). Quadriceps-only and hamstrings and quadriceps stretching decreased the functional ratios (P<0.05). These findings suggested that stretching may adversely affect the conventional and functional H:Q ratios.

Dynamics of viscoelastic creep during repeated stretches.

The present study examined the viscoelastic creep responses in vivo during repeated constant-torque stretches in human skeletal muscle. Twelve healthy participants completed four consecutive 30-s constant-torque passive stretches of the right plantar flexor muscles. Position and surface electromyographic (EMG) amplitude values were quantified at every 5-s period and the percent change in position was quantified for each 5-s epoch relative to the total increase in ankle joint position for each stretch. In addition, the absolute changes in position were plotted on a logarithmic time scale and fit with a linear regression line to examine both the rate of increase (slope) and the overall increase in position over the entire stretch (y-intercept). The percent change and slope were similar (P>0.05) over all four stretches, with the majority of increases in position occurring within the initial 15-20 s of each stretch (84%). Absolute ankle joint position and the y-intercept increased (P<0.05) following both the first and second stretch but plateaued (P>0.05) after the third stretch. In addition, EMG amplitude values did not change (P>0.05) during or between each 30-s stretch. These data indicate that the amount and rate of viscoelastic creep were similar during practical durations of constant-torque stretching despite no change in ankle joint position following three 30-s stretches.

Prevalence of Coxiella burnetii (Q fever) antibodies in bovine serum and bulk-milk samples.

Q fever (Coxiella burnetii) is a zoonotic disease of increasing public health importance. The objective of this study was to estimate the prevalence of, and risk factors associated with, exposure to C. burnetii in cattle in the Republic of Ireland. Bulk-tank milk samples from 290 dairy herds and 1659 sera from 332 dairy and beef herds, randomly sampled, were tested by indirect ELISA to detect antibodies to C. burnetii. In total, 37·9% of bulk-milk sample herds and 1·8% of sera (from 6·9% of herds) were antibody positive. Of risk factors tested using logistic regression analysis, only large herd size (bulk-milk analysis) and dairy breed (serum analysis) significantly increased the odds of being positive for antibodies to C. burnetii. Herds with positive milk or serum samples were randomly distributed throughout the Republic of Ireland and no clustering was observed. The use of an ELISA to test bulk-milk samples collected by randomized stratified sampling is a cost-effective method by which national herd prevalence can be estimated by active surveillance.

Influence of acute eccentric exercise on the H:Q ratio.

The purpose of the present study was to examine the effects of an acute bout of eccentric exercise on maximal isokinetic concentric peak torque (PT) of the leg flexors and extensors and the hamstrings-to-quadriceps (H:Q) strength ratio. Sixteen male (mean±SD: age=20.9±2 years; stature=177.0±4.4 cm; mass=76.8±10.0 kg) volunteers performed maximal, concentric isokinetic leg extension and flexion muscle actions at 60°·sec - 1 before and after (24-72 h) a bout of eccentric exercise. The eccentric exercise protocol consisted of 4 sets of 10 repetitions for the leg press, leg extension, and leg curl exercises at 120% of the concentric one repetition maximum (1-RM). The results indicated that the acute eccentric exercise protocol resulted in a significant (P<0.05) decrease in isokinetic leg flexion (13-19%) and leg extension (11-16%) PT 24-72 h post-exercise. However, the H:Q ratios were unaltered by the eccentric exercise protocol. These findings suggest that an acute bout of eccentric exercise utilizing both multi - and single - joint dynamic constant external resistance (DCER) exercises results in similar decreases in maximal isokinetic strength of the leg flexors and extensors, but does not alter the H:Q ratio.

Ergolytic/ergogenic effects of creatine on aerobic power.

This study evaluated the effects of creatine (Cr) loading and sex differences on aerobic running performance. 27 men (mean±SD; age: 22.2±3.1 years, ht: 179.5±8.7 cm, wt: 78.0±9.8 kg) and 28 women (age: 21.2±2.1 years, ht: 166.0±5.8 cm, wt: 63.4±8.9 kg) were randomly assigned to either creatine (Cr, di-creatine citrate; n=27) or a placebo (PL; n=28) group, ingesting 1 packet 4 times daily (total of 20 g/day) for 5 days. Aerobic power (maximal oxygen consumption: VO2max) was assessed before and after supplementation using open circuit spirometry (Parvo-Medics) during graded exercise tests on a treadmill. 4 high-speed runs to exhaustion were conducted at 110, 105, 100, and 90% of peak velocity to determine critical velocity (CV). Distances achieved were plotted over times-to-exhaustion and linear regression was used to determine the slopes (critical velocity, CV) assessing aerobic performance. The results indicated that Cr loading did not positively or negatively influence VO2max, CV, time to exhaustion or body mass (p>0.05). These results suggest Cr supplementation may be used in aerobic running activities without detriments to performance.

Acute effects of passive stretching and vibration on the electromechanical delay and musculotendinous stiffness of the plantar flexors.

The purpose of the present study was to examine the acute effects of passives stretching versus prolonged vibration on the active and passive properties of voluntary and evoked muscle actions of the plantar flexors. Eleven healthy men performed the isometric maximal voluntary contractions (MVCs) and passive range of motion (PROM) assessments before and after 20 min of passive stretching (PS), vibration (VIB), and control (CON) conditions. In addition, percent voluntary activation was calculated from superimposed and potentiated doublets during the MVCs. Voluntary peak torque (PT) decreased by 11% and 4%, while surface electromyographic (EMG) amplitude decreased by 8% and 16% for the PS and VIB, respectively, with no changes during the CON The electromechanical delay (EMD) decreased and PROM increased following the PS, but was unchanged during the VIB and CON conditions. Musculotendinous stiffness (MTS) decreased at all joint angles following the PS, but decreased only at the furthest joint angle following the VIB. There were no changes in peak twitch torque (PTT), M-wave amplitude, and EMG amplitude during the PROM assessments for all conditions. Both PS and VIB elicited similar decreases in muscle activation, which may be the same centrally-mediated mechanism (i.e., y loop impairment). Changes in the EMD were inversely proportional to the changes in MTS, which occurred only following PS. The present findings indicated that the stretching- and vibration-induced force deficits may have resulted in part from similar centrally-mediated neural deficits, while an elongation of the series elastic component may also have affected the stretching-induced force deficit.

Acute effects of passive stretching vs vibration on the neuromuscular function of the plantar flexors.

This study examined the acute effects of passive stretching (PS) vs prolonged vibration (VIB) on voluntary peak torque (PT), percent voluntary activation (%VA), peak twitch torque (PTT), passive range of motion (PROM), musculotendinous stiffness (MTS), and surface electromyographic (EMG) and mechanomyographic (MMG) amplitude of the medial gastrocnemius (MG) and soleus (SOL) muscles during isometric maximal voluntary contractions (MVCs) of the plantar flexors. Fifteen healthy men performed the isometric MVCs and PROM assessments before and after 20 min of PS, VIB, and a control (CON) conditions. There were 10% and 5% decreases in voluntary PT, non-significant 3% and 2% decreases in %VA, 9-23% decreases in EMG amplitude of the MG and SOL after the PS and VIB, respectively, with no changes after the CON. PROM increased by 19% and MTS decreased by 38% after the PS, but neither changed after the VIB or CON conditions. Both PS and VIB elicited similar neural deficits (i.e., gamma loop impairment) that may have been responsible for the strength losses. However, mechanical factors related to PROM and MTS cannot be ruled out as contributors to the stretching-induced force deficit.

Effects of static stretching on the hamstrings-to-quadriceps ratio and electromyographic amplitude in men.

AIM: The purpose of this study was to examine the effects of posterior thigh and leg stretching on leg flexion peak torque (PT), leg extension PT, the hamstrings-to-quadriceps (H:Q) ratio, and electromyographic (EMG) amplitude of the hamstrings and quadriceps in recreationally-active men. METHODS: Fifteen men (mean age + or - SD = 22.0 + or - 4.4 years; body mass = 82.7 + or - 16.1 kg; height = 173.1 + or - 6.8 cm) performed three maximal voluntary concentric isokinetic leg extension and flexion muscle actions at three randomly ordered angular velocities (60, 180, and 300 degrees x s(-1)) before and after hamstring and calf static stretching. The stretching protocol consisted of 1 unassisted and 3 assisted static stretching exercises designed to stretch the posterior muscles of the thigh and leg. Four repetitions of each stretch were held for 30 s with 20-s rest between repetitions. RESULTS: These findings indicated no significant (P>0.05) stretching-induced changes in leg flexion PT, leg extension PT, or EMG amplitude at 60, 180, or 300 degrees .s-1. However, the non-significant (P>0.05) 2-4% increases in leg extension PT combined with the non-significant (P>0.05) 1-2% decreases in leg flexion PT resulted in the significant (P < or = 0.05) 2-9% decreases in the H:Q ratio from pre- to post-stretching for all three velocities. CONCLUSIONS: These findings suggested that static stretching of the hamstrings and calf muscles may decrease the H:Q ratio. These results may be useful for athletic trainers, physical therapists, and other allied health professionals who may use the H:Q ratio as a clinical assessment.

Inter-individual variability among the mechanomyographic and electromyographic amplitude and mean power frequency responses during isometric ramp muscle actions.

The purpose of this study was to examine the inter-individual variability in the patterns of responses for mechanomyographic (MMG) and electromyographic (EMG) amplitude and mean power frequency (MPF) of the vastus lateralis (VL) and rectusfemoris (RF) muscles during isometric ramp muscle actions of the leg extensors. Fifteen participants (mean +/- SD age = 24 +/- 4 years) performed two or three 6-s isometric ramp muscle actions with linear increases in torque from 15% to 90% of the highest maximal voluntary contraction (MVC) torque. Surface MMG and EMG signals were simultaneously recorded from the VL and RF muscles. The composite (averaged across subjects) and individual patterns of responses for the normalized MMG and EMG amplitude and MPF vs. isometric torque relationships were analyzed. The composite patterns for MMG amplitude for the VL and RF muscles were fit with cubic models, although, only 87% of the individual patterns (13 of 15 subjects) exhibited the same cubic pattern as the composite. For MMG MPF, the composite relationships were also cubic, but only 27% (4 subjects) and 40% (6 subjects) of the individuals exhibited the same patterns for the VL and RF respectively. 60% (8 subjects) of the individual EMG amplitude patterns of responses matched the same curvilinear composite patterns for the VL and RE, while only 7% (1 subject) and 27% (4 subjects) of the EMG MPF responses were similar to the composite models for the VL and RF muscles, respectively. Therefore, since the individual patterns did not always match the composite relationships (i.e., inter-individual variability), these findings suggested that the MMG and EMG amplitude and MPF vs. isometric torque relationships should be examined on a subject-by-subject and muscle-by-muscle basis during isometric ramp muscle actions.

Monoclonal antibody recognizing human melanoma-carcinoma cross-reacting oncofetal antigen epitopically associated with carcinoembryonic antigen.

By fusion of mouse NS1 myeloma cells with splenocytes from a BALB/c mouse immunized with human melanoma cells, an IgG1 monoclonal antibody, designated as 140.72, was produced. By the mixed hemadsorption antibody binding assay, 140.72 was shown to react with 17 of 20 melanoma cell lines and with 5 of 14 carcinoma cell lines. This antibody also reacted with 3 of 3 normal melanocyte cultures in much lower titers. It did not react with any of 35 other normal and malignant lines, including neuroblastoma, glioblastoma, sarcoma, teratoma, fibroblast, and lymphoid cell lines. Absorption with fresh melanoma and carcinoma homogenates confirmed the results of direct tests. Fetal reactivity of antibody 140.72 was determined by positive absorption with 10 of 11 tissue homogenates derived from different fetuses of 10-16 weeks' gestation. The reactivity of this antibody was completely removed by absorption with a highly purified preparation of carcinoembryonic antigen (CEA) derived from a colon carcinoma. The antigenic activity was detected in the culture medium of reactive cell lines. Immunoprecipitation analyses of melanoma and carcinoma cells indicated that the antigenic determinant recognized by antibody 140.72 is on a glycoprotein with an apparent molecular weight of 95,000-150,000 common to both serologically reactive cell types. Additionally, a 200,000-molecular-weight glycoprotein corresponding to the CEA molecule was detected only on the reactive carcinoma cells. These data confirmed previous findings obtained with polyclonal anti-CEA antisera for the existence of shared CEA-related antigenic determinants on human carcinomas and melanomas and provided additional molecular characterization of these glycoproteins. Further characterization of the molecules bearing the antigenic determinant recognized by antibody 140.72 should be performed with a view to exploring its potential in the immunodiagnosis and immunotherapy of patients with melanoma.

L-Glutaric acidemia: investigation of a patient and his family.

A 5-month-old infant had an unusual combination of clinical signs and symptoms. These consisted of irritability, dystonia, lack of head control, grimacing, opisthotonos, choreoathetoid movements, delayed development, and severe metabolic acidosis. Metabolic investigation by gas-liquid chromatography/mass spectrometry detected urinary organic acids. This confirmed the diagnosis of L-glutaric aciduria. The concentration of L-glutaric acid in the patient's plasma was 2.5 mg/dl (normal range, 0 to 0.1 mg/dl), and in the patient's urine was 4.6 mg/mg of creatinine (normal range, 0 to 0.05 mg/mg of creatinine), but the concentration was not elevated in the plasma and urine of the infant's parents nor of two other family members. No glutaryl-CoA dehydrogenase activity was found in leukocytes taken from the patient. Three of the four family members, including the parents, demonstrated 38%, 42%, and 42% activity, respectively, compared with the activity of normal controls. These findings are consistent with an autosomal recessive disorder involving the metabolism of glutaryl-CoA to crotonyl-Co-a. Dietary restriction was instituted on two separate occasions. First, a low protein diet of 1.6 gm/kg of body weight per day was given, then a low lysine intake of 50 mg/kg/day. These dietary manipulations caused a decrease in the plasma and urine concentrations of L-glutaric acid and beta-hydroxyglutaric acid. However, no effect on the clinical manifestations of the disease was noted.

The standardization of estrogen receptors.

Tumour estrogen receptor (ER) status may determine the medical treatment of a patient with breast cancer; yet inter-laboratory results can vary markedly, particularly when absolute cut-offs in fmol/mg cytosol protein are used. The use of standardized log units is proposed to permit greater inter-laboratory comparability. We have assessed the biochemical ER values using the dextran-coated charcoal method with three data sets, two quality control (QC) sets for Ontario laboratories and a data set with values for 184 primary breast cancer patients seen at Women's College Hospital (WCH) between 1985 and 1986. The distributions for all the raw data were skewed toward the lower end of the range; a log transformation improved the symmetry of the distributions. There was marked inter-laboratory variation in the QC data, and standardized log units greatly reduced this variability. The WCH data had similar differentiation by tumour size and nodal status with both the raw data and standardized log units. However, standardized log units provided more consistent evidence of an association between ER and immunohistochemical ERICA. The standardized log units provide quantitative receptor values suitable for multi-centre research, for future work with clinical outcomes, and for the daily management of patients.

Estrogen and progesterone binding sites in renal cell carcinoma.

Twenty-five renal cell carcinomas were assayed for estrogen and progesterone receptor levels. Estrogen specific binding was present in only 4 patients (16%) and progesterone specific binding in 7 patients (28%). In all cases these receptors were present in very low titers, less than 10 fm/mg. We believe that earlier reports citing significant estrogen and progesterone binding activity may reflect high levels of nonspecific protein binding.

Serum 5'-nucleotidase: automation of a manual assay and brief observations on values in patients with breast cancer.

We have modified a manual assay method for the determination of serum 5'-nucleotidase so that the reaction product, phosphate, is assayed colorimetrically using a continuous flow system. The contribution of non-specific phosphatase enzymes is assessed in the presence of nickel ions which specifically inhibit 5'-nucleotidase. The detergent sodium lauryl sulfate is used to eliminate the need for deproteinization in the phosphate assay. We have measured 5'-nucleotidase activity in the sera of 123 breast cancer patients and correlated our data with the patients' clinical status. Receiver operating characteristic curve analysis showed the most advantageous cut-off point for indication of secondary spread to be 10 U/L. Using this cut-off point, 14% of patients who were clinically free of disease and 35% of patients with disease clinically present had elevated 5'-nucleotidase activity.

Inter-laboratory quality control of estrogen and progesterone receptor assays in breast cancer tissue using lyophilised cytosols.

In 1981 a quality control (QC) program for estrogen and progesterone receptor assays was organized among six laboratories in Ontario, Canada. Twenty-three vials of lyophilised cytosol prepared from human breast tumor tissues were analysed by each laboratory over a two-year period. Samples of each batch of QC material were analysed at least twice: either in the same batch or on separate occasions. The present study demonstrates the stability of the QC material, defines the relative accuracy of the receptor assays, and provides estimates of within-batch and between-batch precision of the receptor assays.

The relationship between passive stiffness and evoked twitch properties: the influence of muscle CSA normalization.

Passive stiffness measurements are often used as a clinical tool to examine a muscle's passive lengthening characteristics. The purpose of this study was to examine the relationship between passive stiffness and evoked twitch properties prior to and following normalization of passive stiffness to muscle cross-sectional area (CSA). Ten healthy volunteers (mean ± SD age = 23 ± 3 year) performed passive range of motion, evoked twitch, and muscle CSA assessments of the plantar flexor muscles. Passive stiffness was determined from the slope of the final 5° of the angle-torque curve. Peak twitch torque (PTT) and rate of torque development (RTD) were determined via transcutaneous electrical stimulation, and muscle CSA was assessed using a peripheral quantitative computed tomography scanner. Pearson product moment correlation coefficients (r) were used to assess the relationships between passive stiffness and PTT and RTD and normalized passive stiffness (passive stiffness ⋅ muscle CSA(-1)) and PTT and RTD. Significant positive relationships were observed between passive stiffness and PTT (P = 0.003, r = 0.828) and RTD (P = 0.003, r = 0.825). There were no significant relationships between normalized passive stiffness and PTT (P = 0.290, r = 0.372) or RTD (P = 0.353, r = 0.329) demonstrating that stiffness did not account for a significant portion of the variance in twitch properties. Passive stiffness was largely influenced by the amount of muscle tissue in this study. Future studies that examine muscle stiffness and its relationship with performance measures, among different populations, and following various interventions may consider normalizing stiffness measurements to muscle CSA.

Short-lived carriage of foot-and-mouth disease virus in human nasal cavities after exposure to infected animals.

A quarantine period for potentially contaminated personnel can be used to reduce the risk of transfer of foot-and-mouth disease virus (FMDV) from infected to susceptible premises. This is set at 72 hours in the UK, on the basis of results from laboratory studies and field observations. Previous analysis of FMDV carriage within human nasal cavities has relied upon virus isolation by culture in susceptible cells. This study, involving 51 people, evaluated a PCR method, which detected viral genomic material within 35 nasal swabs taken from personnel after up to eight hours exposure to infected animals. Only one of 23 people who was PCR-positive immediately after exposure to FMDV-infected animals remained positive the following day, indicating a low risk of prolonged carriage of virus in the nasal cavities.

Effects of stretching on peak torque and the H:Q ratio.

The purpose of the present study was to examine the acute effects of hamstring and calf stretching on leg extension and flexion peak torque (PT) and the hamstrings-to-quadriceps (H : Q) ratio during maximal, concentric isokinetic muscle actions at 60, 180, and 300 degrees . s (-1) in women. Thirteen women (mean age +/- SD = 20.8 +/- 1.8 yrs; height = 163.0 +/- 5.7 cm; mass = 64.0 +/- 8.3 kg) performed 3 maximal concentric isokinetic leg extension and flexion muscle actions at 3 randomly ordered angular velocities (60, 180, and 300 degrees . s (-1)) before and after a bout of static stretching. The stretching protocol consisted of 1 unassisted and 3 assisted static stretching exercises designed to stretch the posterior muscles of the thigh and leg. Four repetitions of each stretch were held for 30 s with 20 s rest between repetitions. The results indicated that leg flexion PT decreased from pre- to post-stretching (34.9 +/- 3.5 and 32.4 +/- 3.2 Nm, respectively) collapsed across velocity. However, no other changes were observed from pre- to post-stretching for leg extension PT (78.5 +/- 5.9 and 77.8 +/- 5.5 Nm, respectively) and the H : Q ratio (0.47 +/- 0.04 and 0.44 +/- 0.03, respectively). Our findings suggested that despite the stretching-induced decreases in leg flexion PT, leg extension PT and the H : Q ratios were unaltered by the stretching.