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Cardiothoracic Surgery Research, Allegheny University of the Health Sciences, Department of Surgery, Allegheny University Hospitals, Allegheny General, Pittsburgh, Pennsylvania 15212
Skeletal
muscle is highly adaptable in that its metabolic and contractile
characteristics are largely regulated by its pattern of use. It is
known that muscle phenotype can be manipulated via chronic electrical
stimulation to enhance fatigue resistance at the expense of contractile
power. Type 2A fibers are fatigue resistant, powerful, and considered
most desirable for cardiac assist purposes. We have found that 12-wk of
intermittent-burst stimulation produces a high percentage of 2A fibers
and increases fatigue resistance and power in rabbit latissimus dorsi
muscle. Fixed-load endurance tests were used to quantify fatigue
resistance among normal and trained muscle groups. Control muscles were
found to fatigue completely within 10-20 min. Muscles stimulated
continuously for 6 wk retained 35% (71.5 ± 19.5 g · cm) of their initial stroke work at 40 min. Muscles stimulated 12 h/day for 12 wk had the highest initial stroke
work (449.7 ± 92.4 g · cm) and the highest
remaining stroke work (234.7 ± 50.1 g · cm) at 40 min. Results suggest that employing regular resting periods during
conditioning preserves strength in fatigue-resistant muscle.
skeletal muscle; burst stimulation; muscle power; rest periods; fiber transformation
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