“…It is now established that, at the onset of lower-limb dynamic exercise (i.e., first ~10 min), the brachial artery is exposed to a marked increase in retrograde and oscillatory shear (63, 64, 66, 181, 194) likely as a result of the increase in downstream resistance (181). As exercise continues, blood flow to the forearm is increased and primarily directed to the skin to serve thermoregulatory needs (97, 152) (see Cutaneous Circulation ). Cutaneous vasodilation (and the subsequent decrease in forearm vascular resistance) observed during prolonged exercise results in a significant augmentation of shear stress in the upstream conduit arteries (i.e., brachial and radial) (153, 181, 188, 196) and the partial removal of the initial increase in retrograde and oscillatory shear (181) (FIGURE 1).…”