Causal effect of intra-abdominal pressure on maximal voluntary isometric hip extension torque

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Abstract
Purpose Intra-abdominal pressure (IAP) has been recently shown to be associated specifically with maximal voluntary isometric contraction (MVC) torque of hip extension, although the causal relationship remains unclear. The present study aimed to elucidate whether IAP has a causal effect on hip extension MVC torque. Methods IAP during hip extension MVC was changed by controlling the lung volume (i.e., depth of inspiration). Twelve healthy males conducted MVCs of hip extension during breath-hold at full inspiration (inspiratory condition) or expiration (expiratory condition), or during normal breath-hold (normal condition). IAP during MVCs was measured a pressure transducer placed in the rectum. Results The IAP during hip extension MVC was significantly higher in inspiratory condition (132.0 ± 46.1 mmHg) than in the other two conditions and also higher in normal condition (104.6 ± 35.9 mmHg) than in expiratory condition (77.0 ± 39.1 mmHg). The hip extension MVC torque was significantly higher in inspiratory condition (297.7 ± 82.7 N m) than in expiratory condition (266.4 ± 84.5 N m). In each condition, the hip extension MVC torque correlated with IAP during the MVC task. Conclusion The current results suggest that IAP has a positive causal effect on hip extension MVC torque and that a sufficient increase in IAP directly leads to an enhancement of hip extension MVC torque.

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