We hypothesized that the amount of sarcolemmal injury is directly related t
o the total tension time (TTtot), calculated as mean tension x total stimul
ation time. Diaphragm strips from Sprague-Dawley rats were superfused at op
timal muscle length with Krebs containing procion orange to identify sarcol
emmal injury. TTtot was induced by stimulation with 100 Hz for 3 min at dut
y cycles of 0.02, 0.15, 0.3, and 0.6, or with continuous contractions at 0.
2, 0.4, 0.6, and 1.0 of maximal tension. A significant positive correlation
between TTtot and the percentage of fibers with injured sarcolemma (r(2) =
0.63, P < 0.05) is seen. Stimulation (at 100 Hz, duty cycle 1) resulted in
fast fatigue with low injury, likely caused by altered membrane conductivi
ty. Stimulations inducing the largest injury are those showing progressive
force loss and high TTtot, where injury may be due to activation of membran
e degradative enzymes. The maximal tension measured at 20 min poststimulati
on was inversely related to the number of fibers injured, suggesting loss o
f force is caused by cellular injury.