CARDIORESPIRATORY RESPONSE AT THE ONSET OF PASSIVE LEG MOVEMENTS DURING SLEEP IN HUMANS

To examine the ventilatory response at the onset of passive leg movements during sleep in man and the concomitant changes in cardiac output (Q(c)), five healthy male subjects had their knee joints extended and flexed alternately at a frequency of about 60 . min-1 for about 8 s. Minute ventilation (V(I)), respiratory frequency, tidal volume, end-tidal partial pressure of carbon dioxide and of oxygen, stroke volume (SV), heart rate (f(c)), and Q(c) were measured before, during and after passive leg movement during sleep stage III or IV (SLEEP). These values were compared with those of the awake condition (AWAKE). The V(I) increased significantly (P<0.05) compared with the mean of five breaths preceding the movement (pre-movement) within one or two breaths at the onset of passive leg movements in both conditions. The difference between the mean of the first and second breaths after the onset of leg movement and pre-movement was 5.2 (SEM 1.9) l . min-1 for SLEEP and 2.7 (SEM 1.1) l . min-1 for AWAKE, respectively. Four of the five subjects showed a larger increase in ventilation during SLEEP compared with AWAKE. The f(c) increased significantly (P < 0.05) at the beginning of the passive movement in all cases, while SV showed an increase or a decrease so that Q(c) showed no significant change in either condition. These results would suggest that afferent drive from moving limbs could produce an increase in ventilation without any change in Q(c).