Enhancement of Tibialis Anterior Recovery by Intermittent Sequential Pneumatic Compression of the Legs2018-05-13T16:29:28+00:00

Enhancement of Tibialis Anterior Recovery by Intermittent Sequential Pneumatic Compression of the Legs

Avi Wiener, Joseph Mizrahi, and Oleg Verbitsky


In this study we examined the effect of Intermittent Sequential Pneumatic Compression (ISPC) of the legs on the recovery of fatigued Tibialis Anterior (TA) muscles. Eight subjects performed 10 min fast walking on a treadmill, followed by 2 min sustained effort of the TA (load A). Immediately afterwards they took 3 min of resting time, during which one leg was treated by ISPC (active recovery) and the opposite one served as a control (passive recovery). A second sustained effort (load B), similar to load A in intensity and duration, followed the recovery period. Surface EMG of the TA was used to monitor muscle fatigue. The results indicate that the mean power frequency (MPF) of the actively recovering TA was significantly higher than that of the passively recovering TA, irrespective of the side on which ISPC was applied. An additional interesting result was the higher MPF in the beginning of load B compared to that of the end of load A. However, this difference was significant in the actively recovering leg, but not so in the passively recovering leg.

It was concluded that ISPC treatment of fatigued muscle after a sustained effort improves its contractile capacity in comparison to passive recovery.


Avi Wiener, Joseph Mizrahi, and Oleg Verbitsky

Department of Occupational Medicine, Rambam Medical Center, and Department of Biomedical Engineering, Technion, Israel Institute of Technology, Haifa, Israel


[1] Belcastro AN, Bonen A: Lactate elimination from blood during active recovery. J Appl Physiol 1975; 39: 932-936.

[2] Boileau RA, Misner JE, Dykstra GL: Blood lactic acid removal during treadmill and bicycle exercise at various intensities. J Sport Med 1983; 23: 159-167.

[3] Edwards RHT: Human muscle function and fatigue. Human muscle fatigue: physiological mechanisms. Pitman Medical, London (Ciba Foundation symposium 82) 1981, pp 1-18.

[4] Flam E, Berry S, Coyle A: Blood-flow augmentation of intermittent pneumatic compression systems used for the prevention of deep vein thrombosis prior surgery. Am J Surg 1996; 171: 312-315.

[5] Hreljac A: Determinants of the gait transition speed during human locomotion: kinematic factors. J Biomechanics 1995; 28: 669-677.

[6] Hultman, E., Spriet, LL, Soderlund K: Biochemistry of muscle fatigue. Biomed Biochim Acta 1986; 45: S97-S106.

[7] Ingram Jr RH, Braunwald E: Alternations in circulatory and respiratory functions, in Anthony S, Fauci, et al (eds): Harrison’s principles of internal medicine. McGraw-Hill, 14th ed, 1998, pp 190-194.

[8] Killewich LA, Sandager GP, Nguyen AH: Venous hemodynamics during impulse foot pumping. J Vasc Surg 1995; 22: 598-605.

[9] Levy M, Kushnir T, Mizrahi J, Itzchak Y: In Vivo P- 31 NMR studies of paraplegic’s muscles activated by functional electrical stimulation. Magnetic Resonance in Medicine 1993; 29: 53-58.

[10] Mainwood GH, Renaud JM: The effect of acid-base balance on fatigue of skeletal muscle. Am J Physiol Pharmacol 1985; 63: 403-416.

[11] Rodgers MM: Dynamic foot biomechanics. JOSPT 1995; 21: 306-316.

[12] Moritani T, Nagata A, Muro M: Electromyographic manifestations of muscular fatigue. Med Sci Sports Exerc 1982; 14: 198-202.

[13] Verbitsky O, Mizrahi J, Levin M, Isakov E: Effect of ingested sodium bicarbonate on muscle force, fatigue and recovery. J Appl Physiol 1997; 83: 333-337.

[14] Vollestad NK, Sejersted OM: Biomechanical correlates of fatigue. Eur J Appl Pysiol 1988; 57: 336-47.

[15] Zelikovski A, Kaye CL, Pink G, Spitzer SA, Shapiro Y: The effects of the modified intermittent sequential pneumatic device (MISPD) on exercise performance following an exhaustive exercise bout. BR J Sports Med 1993; 27: 255-259

Source: http://www.bio.unipd.it/bam/PDF/11-2/01459Wiener.pdf