Muscle metaboreflex Stimulation of the metaboreceptors situated in the interstitial space of muscle elicits increases in MSNA and arterial pressure [11]. The metaboreflex (as well as mechanoreflex and central command) is activated during static handgrip due to buildup of metabolites from mechanical occlusion of blood vessels by the contracting muscle; however, the reflex can be isolated during post-exercise circulatory arrest when mechanical stimulation and central command influences are absent. Since the neural and hemodynamic responses during muscle occlusion were similar following all four interventions, caloric modulation of the metaboreflex is unlikely to contribute to the reduced exercise responses.