A rapid rotation to an inverted seated posture inhibits muscle force, activation, heart rate and blood pressure.

Although previous studies have demonstrated neuromuscular and cardiovascular changes with slow inversion rates, emergencies, such as overturned vehicles and helicopters can occur rapidly. The purpose of this study was to investigate changes in neuromuscular and cardiovascular responses with rapid (1 s) and slower (3 s) transitions from upright to inverted seated positions. Twenty-two subjects performed separate and concurrent unilateral elbow flexion and leg extension maximal voluntary contractions (MVCs) for 6 s in an upright seated position and when inverted with 1 and 3 s rotations. Elbow flexion and leg extension force; biceps, triceps, quadriceps and hamstrings electromyographic (EMG) activity, heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured. Whether the elbow flexion or leg extension contractions occurred concurrently or individually, significant (p < 0.05) decreases in MVC force and EMG activity were found when inverted within 1 and 3 s rotations as compared to upright. Triceps and hamstrings EMG activity (p < 0.05) decreased when inverted within 1 s rotation as compared to upright. Following rotation, the maintenance of the inverted position (3-6 s timepoint) resulted in a significant (p < 0.05) increase in leg extension MVC as compared to the initial second of rotation to inversion. HR, SBP and DBP demonstrated (p < 0.001) decreases when inverted within 1 and 3 s rotations as compared to upright. In conclusion, this is the first study to show that irrespective of rotation speed, inversion inhibited neuromuscular and cardiovascular responses, similar to the more deliberate, slower rotation of previous inversion studies.