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ISSN 03621197, Human Physiology, 2015, Vol. 41, No. 4, pp. 412–419. © Pleiades Publishing, Inc., 2015.

Original Russian Text © N.A. Fudin, S.Ya. Klassina, S.N. Pigareva, 2015, published in Fiziologiya Cheloveka, 2015, Vol. 41, No. 4, pp. 82–90.

Relationship between the Parameters of Muscular


and Cardiovascular Systems in Graded Exercise Testing
in Subjects Doing Regular Exercises and Sports
N. A. Fudin, S. Ya. Klassina, and S. N. Pigareva
Anokhin Research Institute of Normal Physiology, Moscow, 125315 Russia
email: klassina@mail.ru
Received September 8, 2014

Abstract—This paper studies the relationship between EMG and ECG parameters during intensified step
dosed physical exercises with the use of a bicycle ergometer in subjects doing regular exercises and sports. The
dynamics of changes in EMG and ECG parameters is observed in subjects during a stepdosed intensification
of exercises. Specifically, if physical activity is not intense, muscular effort is mainly due to an increase in the
heart rate; if it is highly intense, the electrophysiological processes of the whole myocardium are involved.
The interrelation of the parameters of the muscular and cardiovascular systems is shown to increase with the
intensity of physical activity.

Keywords: sports, physical activity, electromyogram, electrocardiogram, relationship between the parameters
of muscular and cardiovascular systems
DOI: 10.1134/S0362119715040088

During intense physical exercises, all functional uncertainty is not immanent to electrocardiogram
body systems start to support the high level of working parameters (ECG), whose changes are interpreted
capacity; moreover, some systems increase their activ unambiguously. We believe it necessary to analyze
ity, contributing to muscular work, and others, on the ECG waves and segments that reflect the processes of
contrary, decrease activity, releasing the body conduction of excitation in the myocardium along
resources to support the efficiency of a long work. In with HR in order to search for the interrelation of
this case, the cardiovascular system is given a particu muscle work and heart function. The interrelation
lar role, since it satisfies the oxygen demands of work between electrophysiological processes in the myocar
ing muscles and the total body. dium and electrophysiological parameters of muscles
makes it possible to reveal how these functions are
According to the theory of functional systems, any coordinated during physical exercises of different
living organism can be regarded as an integrated func intensity. In this connection, the goal of this study was
tional system, for which a constitutional adaptive to estimate the interrelation of the electromyogram
result is a systemforming factor. Moreover, the orga (EMG) and electrocardiogram (ECG) parameters
nization of functions must be such that all of them during intense physical activity in subjects doing regu
are mutually contributive to the achievement of a lar physical exercises and sports.
result [1].
There are a large number of studies that discuss the
problems of some physiological functions of the METHODS
human body during doing physical work to failure, but
there are almost no studies that permit one to judge on The examination involved 16 male volunteers aged
the degree of their interconsistency. For example, Pri 19–32 years, who do physical exercises and sports.
imakov [2] has ascertained that, when athletes do Each of them was suggested to make exercise testing
highpower physical exercises (300 W) to failure, the with a bicycle ergometer to failure. The exercise test
activity and interrelation of the muscular system and ing was a series of exercise steps with a power growing
heart rate grow [2]. However, by recording the heart from 60 to 180 W with a growth step of 20 W. The time
rate (HR) response to physical exercises as an inte of working at each exercise step was 2 min, and the
grated parameter, it is impossible to definitely assert completion of work at each step was followed by recov
whether it reflects the state of the executive organ (the ery for 6 min.
heart) or is due to the properties of the autonomic reg This alternation of exercises and rest is caused by
ulation of muscular activity [3]. In our opinion, this the need of recovery of a tested subject after each exer

412
RELATIONSHIP BETWEEN THE PARAMETERS OF MUSCULAR 413

cise step in order to restore his functional status to the For example, it was shown that a protocol with graded
initial level. The absence of recovery or incomplete stepdosed exercises where each step lasted for 2 min
recovery after exercises would have led to the func could be efficiently used to find the anaerobic thresh
tional cumulation of muscular and cardiovascular sys old in boatracers based on the method of surface elec
tem responses at a next exercise step, which would tromyography [8]. Note that our protocol assigns the
have ultimately distorted the results of correlation alternation of 2min exercise steps and 6min rest,
analysis between ECG and EMG parameters at each which makes an athlete’s body to “switch on” and
exercise step. “switch off” the mechanisms of the blood circulation
Recovery is known to be a process that takes place system many times. This working regime exerts a
in the body upon termination of physical exercises and training influence on the blood circulation system,
is a gradual transition of an athlete’s functional status and, according to the results of other researchers, con
to the initial level. It is evident that too short rest inter tributes to a decrease in the period of warming at sep
vals cannot ensure a complete recovery, and too long arate exercise steps. It was ascertained that not only
intervals may decrease the efficiency of the exercise did an athlete’s body pass to a new level of working
testing. In this connection, it is very important to capacity at the phase of warming, but the “coadjust
choose an optimal time of rest after exercises. ment” of different functions also took place in it [9,
When the optimal time of recovery during a cyclic 10]. This makes the phase of warming even more
work with the use of a bicycle ergometer was chosen, informatively valuable to study regulatory processes
we were guided by the experimental data obtained by than the phase of stable working capacity.
researchers earlier. An oxygen debt was shown to be Consequently, to study the interaction of the mus
removed after intense physical exercises for 5–8 min. cular system and heart function during physical exer
In a trained athlete, HR returns to the norm for 3 min, cises to failure, it was optimal to choose the protocol of
and in a practically healthy nonathlete, HR comes to graded testing as a series of exercise steps with a power
the initial state only within 5–10 min [4]. Thus, recov increasing from 60 to 180 W (a growth step is 20 W).
ery intervals with durations of 3–8 min are recom The time of physical work at each exercise step was
mended for cyclic sports [5]. That being said, we chosen to be the shortest possible (2 min). Our choos
believe that a 6min recovery interval after each exer ing such a short time of exercises was caused by the
cise step will be optimal. need to analyze the greatest possible steps in a subject’s
We chose an exercise testing protocol based on the work to failure and, consequently, to have the largest
goals and tasks of our study. Specifically, during many possible number of correlation pairs of ECG and
step exercise testing, physical work at each step can be EMG parameters. The fact that ECG and EMG were
divided into two phases: the phase of warming and recorded at each exercise step for the last 30 s enabled
phase of stable working capacity. Studying the heart us to study the interrelation between the regulatory
rate dynamics in athletes with a bicycle ergometer dur mechanisms of the muscular system and heart func
ing their doing work with a regularly increased power tion at the moment of transition to the stable state, i.e.,
and constant pedal rotation speed (60 rpm), Sutula et to assess the cooperation (“coadjustment”) of these
al. [6] showed that the phase of warming lasted about functions.
1.5–2 min in athletes [6]. According to Tarasova et al. While the exercise testing was made, the tested sub
[7], the dynamic characteristics of regulatory pro jects were in the following states:
cesses that are observed at the phase of warming in —The initial or background state (2.5 min), when
many cases reflect the work of regulatory systems even a tested subject was calmly sitting in the saddle of the
better than statistical characteristics at the phase of bicycle ergometer without rotating pedals;
stable working capacity; i.e., they are more informa
—The exercise testing to failure, where the pedal
tive [7]. These regulatory processes reflect adaptive
rotation speed was constant at each exercise step and
processes in the human body in the case of changed
was 60 rpm.
external conditions, such as transition from one step of
physical exercises to another in the process of exercise Before starting the testing, each subject was
testing. In other words, they reflect the transition of informed of the goal of the examination, acquainted
the human body as an integrated system to a new level with the examination protocol, being explained about
of functioning. This being the case, the dynamics of its final result. Physical work to failure was a final
regulatory processes depends both on the properties of result of the exercise testing, and physical work at each
exercise testing and on the functional status of an ath exercise step at a constant pedal rotation speed was a
lete’s body and the level of training. It is known that stage result. This purpose of achieving stage and final
most physiological functions are “switched on” in results contributed to the system organization of func
response to intensified activity rapidly enough, and, tions at each exercise testing stage, where correlation
consequently, “…the predominantly aerobic (‘linear’) was a quantitative estimate of this system organization.
range of metabolic support of muscular work can be The exercise testing was made using a Sports Art
detected in the test with graded stepdosed exercises 5005 bicycle ergometer, and the testing itself was car
with a duration of ‘steps’ from 2 to 3 min” [7, p. 72]. ried out under the control of ECG (a PolySpecter8

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414 FUDIN et al.

electrocardiograph, Neurosoft, Russia) and EMG ing a significant increase in the ratio parameter (p <
(a Synapse electromyograph, the Neurotech, Tagan 0.05) (Fig. 1). The ratio significantly grows from
rog, Russia). The technical characteristics of the elec 2068 ± 111 to 2504 ± 120 1/mV (p < 0.05), reaching
tromyograph permit artifacts to be removed in the maximum at the 100W stage. According to a number
EMG registration process [11]. of authors, the growth in the number of turns (p <
The total surface EMG was recorded from the 0.05) and EMG phases (p < 0.05) in the range of 80–
muscle of the right hip. An analysis of EMG as a com 100 W may reflect the increased impulse rate of moto
plex periodic curve was carried out based on the fol neurons of already activated lowthreshold motor
lowing parameters: Aav (the average amplitude of total units [15]. That being said, we can conclude that,
EMG (mV); the number of phases (or the number of starting with the 100W step, the average EMG ampli
intersections of EMG with the isoline) and their tude grows faster than the impulse rate of the moto
amplitude (Aph) (the maximal range of neighboring neurons does.
phases, mV); the number of turns (or the number of At the 100W step, against the background of per
the fluctuations in the EMG potential with an ampli sistence in the maximal level of the ratio and at HR =
tude of more than 100 µV) and their current (At, mV) 130.7 ± 4.5 bpm, CO significantly grows (p < 0.05)
and average (Atav, mV) amplitudes. The fact that the (Fig. 2), which, in our opinion, permits one to assert
number of turns and average EMG amplitude (Aav) are the activation of tissue oxygen utilization, arguing for
determined by the value of muscular effort developed the growth in the physical capability of tested subjects
at active phases of motion [12] makes the turn/Aav [13]. Note that the trend towards growth in stroke vol
ratio an informative parameter for the EMG analysis. ume (SV) is marked in the 60–160 W exercise range,
ECG was recorded from standard lead 1 and lead meanwhile the change in the rate of growth in HR at
V5. Based on the ECG analysis prior to the clinical the 100W step, according to Seluyanov et al. [16],
study and during physical exercises, HR and values of suggest that the tested subjects overcame the aerobic
ECG waves (P, Q, R, S, T) and segments (PQ, QRS, threshold at this exercise step. According to the data of
ST) were estimated. Cardiac output was estimated by [17], an increase in SV must be accompanied by an
calculation (CO, L/min) [13]. increased blood lactate concentration. However, in
The ECG and EMG parameters were recorded at the opinion of Seluyanov et al. [18], change in stroke
each exercise step during the last 30 s of the exercise volume is due to change in the blood hydrogen ion
trusting. concentration rather than a lactate concentration.
The gas balance is disturbed under the effect of blood
In addition, the rotation speed of bicycle ergometer hydrogen ions, and an excessive carbon dioxide con
pedals was estimated (f, rpm) using a SIGMA bc509 centration is formed, which also leads to the activation
device (Germany), whose sensor was attached to a of the vitally important medullary centers (the respira
bicycle ergometer pedal, and blood pressure was mea tory and vasomotor centers) [18]. Consequently, at the
sured at the initial state and at each exercise step. 100W step, the tested subjects enter the zone of exer
Upon recovery, subjective complaints were recorded. cises with a medium aerobic intensity, where the func
The obtained data were statistically processed using tional potential of their blood circulation system
nonparametric statistical methods. The advantage of grows, and their physical capability rises. In this zone,
these methods is that they do not require the normal muscular work is ensured by aerobic mechanisms; i.e.,
(Gaussian) distribution of experimental data, have a energy is produced in body due to the oxidation
wider application field, are less sensitive to “littering” reduction reactions against the background of a suffi
of statistical data, can be used for small samples and cient oxygen inflow.
even for qualitative parameters that do not have quan It is necessary to emphasize that the activation of
titative nature, which is very important for studies in the cardiovascular system in the zone of aerobic loads
medicine and biology. The significance of the differ (up to 120 W) is directly proportional to the increase in
ence between the same parameters was estimated the intensity of exercises. Meanwhile, HR and CO
using the Wilcoxon test, and the interrelation of the grow, and the trends towards the depression of the ST
EMG and ECG parameters was assessed by Spear segment and deepening of the S wave are observed in
man’s rank correlation method [14]. the ECG, the trend towards decrease in the amplitude
of the R wave is marked, and the trend towards
RESULTS AND DISCUSSION growth in A av and number of EMG turns is
observed (Figs. 1, 2).
The analysis of the dynamics of the muscular and In the range of 140–160 W, the tested subjects
cardiovascular system parameters has revealed that changed their bioenergy characteristics. This is evi
they grow with the intensity of physical activity denced by the facts, such that a significant growth in
(Figs. 1, 2). HR (p < 0.05) is observed in the 140 W exercise step,
Specifically, at the 80W exercise stage, the average and there is a trend towards decrease in R wave and ST
EMG amplitude is not high, although the number of segment against the background of deep S wave
turns starts to significantly grow (p < 0.05), determin (Fig. 2). Since the value of R wave is positively corre

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RELATIONSHIP BETWEEN THE PARAMETERS OF MUSCULAR 415

Aav, mV
2.0 Phases Aph, mV
1800 9
1.8 *
1600 * 8
1.6
1400 * 7
1.4 * 1200
* * 6
1.2 1000
* 5
800 *
1.0 4
600
0.8 * 3
400
0.6 200 2
60 80 100 120 140 160 180 60 80 100 120 140 160 180
N, W N, W
Phases Аph
Turns Аtav, mV
Ratio = turns (the number)/Aav (mV) 3500 1.3
2800 * 1.2
2600 3000 1.1
*
1.0
2400 2500 * 0.9
2200 * * 0.8
2000
2000 0.7
* * 0.6
1500
1800
0.5
1600 1000 0.4
60 80 100 120 140 160 180 60 80 100 120 140 160 180
N, W N, W
Turns Аtav

Fig. 1. Dynamics of the average electrocardiogram amplitude (Aav), number of phases (phases) and their amplitudes (Aph), the
number of turns (turns) and their average amplitudes (Atav), and ratio in proportion to the increase in power of exercises (N, W).
* p < 0.05 compared to the previous exercise step.

lated with the volume of the left ventricle [19], the during intense physical activity by the volume of the
trend towards the decrease in R wave during intensify left ventricular leads to SV significantly decreasing
ing an exercise power that we have discovered, also during highintensity physical activity against the
makes one to think about a decrease in SV. The deep background of growth in HR, which aspires to its max
ening of S wave together with the depression of ST seg imal value. This is due to the fact that heart diastole
ment may speak for the origin of hypoxia in the tested abruptly shortens at the high HR level, and the left
subjects [19]. The EMG is observed to have a well ventricular does not have time to be completely filled
marked growth in the number of turns (p < 0.05) and [20]. In this connection, the tested subjects com
the average EMG amplitude (Aav) (p < 0.05) (Fig. 1). plained of short breath; they were observed to have
At the 160 W exercise step, the ratio significantly pronounced sweating. We believe that at the 140–
fell against the background of the significant growth in 160 W step the aerobic energy supply mechanisms are
CO (p < 0.05). Having had a trend towards growth ear connected with the anaerobic mechanisms, when
lier, stroke volume reaches its maximum at the 160 W energy is produced during the decomposition of
step (SV = 77.1 ± 3.3 mL) and does not grow any more energy substances in oxygen shortage [10]. We believe
during the subsequent increase in HR. Moreover, at that at the exercise range of 140–160 W, the tested
the 180 W step, the trend towards its decrease arises in subjects surpassed the anaerobic electromyographic
the SV dynamics (SV = 75.2 ± 4.9 mL), and, conse threshold (EMGT). According to literature data, the
quently, further growth of CO is due only to the EMGT is associated with the involvement of low
increased HR. The fact that stroke volume is limited threshold muscular fibers in the work and the begin

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416 FUDIN et al.

HR, bpm R, mV
190 1.9
*
* 1.8
170
* 1.7
150 1.6
* 1.5
130 *
* 1.4
110 1.3
1.2
90
1.1
70 1.0
Baseline 60 80 100 120 140 160 180 Baseline 60 80 100 120 140 160 180
N, W N, W
ST, mV, S, mV –0.2 mV < ST < 0.2 mV CO, L/min
0.6 13
0.4 12
11 *
0.2
10
0
9
–0.2 8 *
–0.4 7
–0.6 6
–0.8 5
–1.0 4
Baseline 60 80 100 120 140 160 180 Baseline 60 80 100 120 140 160 180
N, W N, W
S, mV ST, mV

Fig. 2. Dynamics of heart rate (HR), cardiac output (CO), amplitude of R ECG wave, amplitude of S ECG wave and ST ECG
segment in proportion to the increase in power of exercises (N, W). * p < 0.05 compared to the previous exercise step.

ning of the aerobicanaerobic energy supply transi and CO also rise; moreover, the latter parameter
tion [21]. reflects the level of tissue oxygen utilization [13].
It is necessary to emphasize that the aerobic meta All these findings permit us to judge on the dynam
bolic processes are the main source of muscle energy ics of changes in the parameters of the muscular and
supply during a moderateintensity physical activity cardiovascular systems in proportion to the intensifi
[22], and muscular fibers of the first type are involved cation of activity. However, a natural question arises as
in the muscle contraction process (they are rich with to how the character of interrelation between the mus
mitochondria and active oxidative enzymes). As the cular and cardiovascular systems changes at each
intensity of activity grows, muscular fibers of the sec power step of physical activity. To answer this ques
ond type (they contain few mitochondria, are charac tion, we have made the correlation analysis of the
terized by a lower activity of oxidative enzymes and ECG and EMG parameters using Spearman’s method
high activity of glucolytic enzymes), which are the so of rank correlation at each exercise step (table). The
called threshold motor units, are involved additionally table shows that the significance levels (p levels) of cor
[23]. As a result, a moderate activity leads to the related parameter pairs are all lower than 0.05. This
exhaustion of glycogen in muscular fibers of the first means that the correlation of the presented ECG and
type, and an activity intensified to submaximal values EMG parameters is statistically significant, and the
leads to its exhaustion in both types of fibers [7]. degree of this correlation is reflected in the value of
Resynthesis of ATP takes place in the highthreshold rank correlation coefficients.
fibers mainly due to the glycolysis reactions with the
formation of lactate and hydrogen ions [24]. Accord At low powers of physical activity, the degree of cor
ing to the data of [25], the concentration of these relation between the ECG and EMG parameters in
products grows in both muscles and blood. At the same the tested subjects was either low (the 60W exercise
time, hydrogen ions, getting into blood, irritate the step) or did not exist at all (the 80W exercise step).
receptors of the medullary respiratory center and, At the 100 W exercise step, the sympatic effect on
consequently, increase pulmonary ventilation [25]. the heart significantly grew in the examined subjects,
Along with the growth in pulmonary ventilation, HR which was reflected in a significant growth in the HR

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RELATIONSHIP BETWEEN THE PARAMETERS OF MUSCULAR 417

Correlations of the electromyogram and electrocardiogram parameters in tested subjects depending on a power of physical
exercises (W) with the use of a bicycle ergometer (the significance level is p < 0.05)

Exercise Spearman's rank correlation


Correlated parameters t(N – 2) plevel
power, W coefficient, r

60 Aav ↔ HR 0.503 2.179 0.046

80 – – – –

Aav ↔ HR 0.726 3.950 0.001

100 Aph ↔ HR 0.650 3.204 0.006

At ↔ HR 0.647 3.179 0.006

Aav ↔ QRS –0.505 –2.190 0.045

120 At ↔ QRS –0.524 –2.306 0.036

Atav ↔ QRS –0.584 –2.695 0.017

Phases ↔ P 0.677 2.911 0.015

140 Turns ↔ P 0.761 3.720 0.003

Turns ↔ ST –0.601 –2.380 0.038

At ↔ S –0.644 –2.382 0.044


160
Aph ↔ S –0.656 –2.461 0.039

Aph ↔ P 0.778 2.771 0.039


180
At ↔ P 0.778 2.771 0.039

(p < 0.05) and CO (p < 0.05) parameters. It is at this At the 140W exercise step, a positive correlation of
exercise step when motor units were activity involved the number of turns and the number of phases with the
in muscle contraction, which increased muscular amplitude of P ECG wave and a negative correlation
effort. At the same time, correlation between the ECG with ST segment were observed. It is probable that at
and EMG parameters grew, which was expressed in a this step of physical activity the impulse rate of moto
significant correlation between HR and average EMG neurons is directly correlated with the impulse rate of
amplitude (Aav) (r = 0.726; p < 0.05), phase amplitude the sinus node, i.e., with HR. The negative correlation
(Aph) (r = 0.650; p < 0.05), and turn amplitude (At) of the number of turns with ST segment indicates
(r = 0.647; p < 0.05). All this indicates that HR is cor depression of ST in the ECG, which is usually
related with the value of muscular effort during physi observed in the case of myocardial circulatory insuffi
ciency.
cal activity.
At the 160 W exercise step, a deep S wave arises in
The 120W exercise step demands of a tested subject
the ECG. The amplitude of the S wave is negatively
a large muscular effort and more evident changes in correlated with the At and Aph parameters. It is proba
the cardiovascular system. The correlation analysis of ble that this exercise step proved to be excessive in
the ECG and EMG parameters revealed a significant power for our tested subjects, and the demand to sup
negative correlation between the EMG parameters port a constant rotation speed (60 rpm) complicated
and duration of the ventricular ECG complex. It fol this task even more, which ultimately resulted in the
lows from here that the duration of QRS complex pronounced growth in HR and origin of deep breath,
shortened against the background of growth in the which was due to increased pulmonary ventilation. It
EMG amplitudes (Aav, Aph, and At) (Fig. 1), which is obvious that the diaphragm goes down during deep
could be explained as the acceleration of the intraven breath, and the heart follows it, changing its position
tricular passage in the myocardium. in the chest. At the same time, the trend towards the

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418 FUDIN et al.

deepening of S wave and decrease of R wave in lead V5 grounded organization of a largescale and highly
is observed in the ECG (Fig. 2), which is probably due intense training process in cyclic sports.
to the change in the electric cardiac axis. This conclu
sion is argued for by the results obtained by Kovalenko
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