epeated contractions of skeletal muscle, as in exercise, have been shown to increase local blood flow. [1][2][3][4][5][6][7][8] This increase in blood flow is proportional to the metabolic demands of the muscle tissue being exercised. 9 Metabolic demand changes depending on the type of exercise performed. Eccentric contractions produce more force with less metabolic demand than concentric or isometric contractions. 10 It is unclear, however, whether this difference in metabolic demand alters circulatory responses in muscle as seen with concentric-eccentric and isometric contractions. During eccentric contractions, the breakdown of adenosine triphosphate is slowed, resulting in lower requirements for energy 11,12 and oxygen consumption to rarely elevate from rest. 13,14 Several studies have examined the effect of isometric or concentriceccentric contractions on blood flow. 2-8 However, eccentric-only Noelle M. Selkow, PhD, ATC, Daniel C. Herman, MD, PhD, Zhenqi Liu, MD, Jay Hertel, PhD, ATC, Joseph M. Hart, PhD, ATC, Susan A. Saliba, PhD, MPT, ATC Received July 13, 2012,
ORIGINAL RESEARCHObjectives-The purpose of this study was to assess microvascular perfusion immediately after eccentric exercise using contrast-enhanced sonography.Methods-An intravenous catheter was placed in the antecubital vein of the arm contralateral to the leg being tested for the delivery of microbubbles to 18 healthy volunteers (mean age ± SD, 22.2 ± 2.2 years; height, 166.0 ± 11.9 cm; weight, 69.4 ± 25.0 kg). Eccentric exercises were performed unilaterally in a randomized leg. Calf-lowering repetitions off a raised step were performed to the beat of a metronome over 3 seconds in the sequence of 50 repetitions, 5 minutes of rest, and 50 repetitions. Microvascular perfusion (blood volume, blood flow, and blood flow velocity) was measured before and immediately after exercise using replenishment kinetics.Results-Blood volume and flow both significantly increased after exercise (P < .001). Baseline measurements were 5.88 ± 1.33 dB and 2.34 ± 0.41 dB/s and increased to 12.20 ± 3.31 dB and 4.52 ± 1.05 dB/s, respectively. There was a significant decrease in blood flow velocity (P = .035) after exercise (0.38 ± 0.03 s -1 ) from baseline (0.41 ± 0.06 s -1 ).Conclusions-Circulatory responses were altered after eccentric exercise, which may be due to the metabolic demand placed on the body. On the basis of this finding, eccentric exercise may be used as a model to assess the effect modalities have on the circulatory system after an elevated state of microvascular perfusion is reached.