No abstract

These results confirm that elite divers present a potentiation of the well-known apnoea response in both SA and DA conditions. This response is associated with higher brain perfusion which may partly explain the high levels of world apnoea records.

The trigeminocardiac reflex (TCR) has previously been described in the literature as a reflexive response of bradycardia, hypotension, and gastric hypermotility seen upon mechanical stimulation in the distribution of the trigeminal nerve. The diving reflex (DR) in humans is characterized by breath-holding, slowing of the heart rate, reduction of limb blood flow and a gradual rise in the mean arterial blood pressure. Although the two reflexes share many similarities, their relationship and especially their functional purpose in humans have yet to be fully elucidated. In the present review, we have tried to integrate and elaborate these two phenomena into a unified physiological concept. Assuming that the TCR and the DR are closely linked functionally and phylogenetically, we have also highlighted the significance of these reflexes in humans.

This study analyzed the relationship between breathing pattern and arm coordination symmetry in 11 expert male swimmers who performed the front crawl at their 100-m race pace using seven randomized breathing patterns. Two indexes of coordination (IdCP and IdCNP) and a symmetry index (SI) based on the difference of IdCP - IdCNP were calculated. IdCP calculated the lag time between the beginning of arm propulsion on the nonpreferential breathing side and the end of arm propulsion on the preferential breathing side; IdCNP did the converse. The IdCP and IdCNP comparisons and the SI showed coordination asymmetries among the seven breathing patterns. Specifically, breathing to the preferential side led to an asymmetry, in contrast to the other breathing patterns, and the asymmetry was even greater when the swimmer breathed to his nonpreferential side. These findings highlight the effect of breathing laterality in that coordination was symmetric in patterns with breathing that was bilateral, axed (as in breathing with a frontal snorkel), or removed (as in apnea). One practical application is that arm coordination asymmetry can be prevented or reduced by using breathing patterns that balance the coordination.

Although it has been generally assumed that the risk of decompression sickness is virtually zero during a single breath-hold dive in humans, repeated dives may result in a cumulative increase in the tissue and blood nitrogen tension. Many species of marine mammals perform extensive foraging bouts with deep and long dives interspersed by a short surface interval, and some human divers regularly perform repeated dives to 30-40 m or a single dive to more than 200 m, all of which may result in nitrogen concentrations that elicit symptoms of decompression sickness. Neurological problems have been reported in humans after single or repeated dives and recent necropsy reports in stranded marine mammals were suggestive of decompression sickness-like symptoms. Modelling attempts have suggested that marine mammals may live permanently with elevated nitrogen concentrations and may be at risk when altering their dive behaviour. In humans, non-pathogenic bubbles have been recorded and symptoms of decompression sickness have been reported after repeated dives to modest depths. The mechanisms implicated in these accidents indicate that repeated breath-hold dives with short surface intervals are factors that predispose to decompression sickness. During deep diving, the effect of pulmonary shunts and/or lung collapse may play a major role in reducing the incidence of decompression sickness in humans and marine mammals.

The trigemino-cardiac reflex (TCR) represents the most powerful of the autonomous reflexes and is a subphenomenon in the group of the so-called “oxygen-conserving reflexes”. Within seconds after the initiation of such a reflex, there is a powerful and differentiated activation of the sympathetic system with subsequent elevation in regional cerebral blood flow (CBF), with no changes in the cerebral metabolic rate of oxygen (CMRO2) or in the cerebral metabolic rate of glucose (CMRglc). Such an increase in regional CBF without a change of CMRO2 or CMRglc provides the brain with oxygen rapidly and efficiently. Features of the reflex have been discovered during skull base surgery, mediating reflex protection projects via currently undefined pathways from the rostral ventrolateral medulla oblongata to the upper brainstem and/or thalamus, which finally engage a small population of neurons in the cortex. This cortical center appears to be dedicated to transduce a neuronal signal reflexively into cerebral vasodilatation and synchronization of electrocortical activity; a fact that seems to be unique among autonomous reflexes. Sympathetic excitation is mediated by cortical-spinal projection to spinal preganglionic sympathetic neurons, whereas bradycardia is mediated via projections to cardiovagal motor medullary neurons. The integrated reflex response serves to redistribute blood from viscera to the brain in response to a challenge to cerebral metabolism, but seems also to initiate a preconditioning mechanism. Previous studies showed a great variability in the human TCR response, in special to external stimuli and individual factors. The TCR gives, therefore, not only new insights into novel therapeutic options for a range of disorders characterized by neuronal death, but also into the cortical and molecular organization of the brain.

Seifert, L, Vantorre, J, Lemaitre, F, Chollet, D, Toussaint, HM, and Vilas-Boas, JP. Different profiles of the aerial start phase in front crawl. J Strength Cond Res 24(2): 507-516, 2010-This study analyzed the kinematics and kinetics (jumping ability) of the aerial start phase in 11 elite front crawl sprinters. The aim was to determine whether a particular start technique leads to a short 15 m start time or whether several start profiles contribute equally well. All swimmers performed 3 starts using their preferential style, which was the grab start for all, followed by a 25-m swim at maximal velocity. Countermovement jump enabled to determine vertical jumping ability. Using a video device, phase durations, angles at takeoff and entry, and hip velocity were assessed. Correlation between all variables and the 15 m start time established the common features of an effective start but also revealed great intersubject variability. Cluster analysis enabled to distinguish 4 start profiles (flat, pike, flight, and Volkov), indicating that several individual profiles lead to short 15 m start times. It could be advised to consider the intersubject variability in relation to start time before favoring unique strategy.

The methods of Wasserman et al. and Gläser et al. are valid to predict [Formula: see text]peak in obese women and men with MetS, respectively. However, the accuracy of the predictions was low for both methods. Consequently, a new prediction equation including age and height was developed for obese women with MetS. However, new prediction equation remains to develop in obese men with MetS.