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Biomedical subjects

A E Patla

Publications and source records attributed to A E Patla.

At least 55 records · Page 3Linked to original sources

Detection of motor unit action potentials with surface electrodes: influence of electrode size and spacing.

A model of the motor unit action potential was developed to investigate the amplitude and frequency spectrum contributions of motor units, located at various depths within muscle, to the surface detected electromyographic (EMG) signal. A dipole representation of the transmembrane current in a three-dimensional muscle volume was used to estimate detected individual muscle fiber action potentials. The effects of anisotropic muscle conductance, innervation zone location, propagation velocity, fiber length, electrode area, and electrode configuration were included in the fiber action potential model. A motor unit action potential was assumed to be the sum of the individual muscle fiber action potentials. A computational procedure, based on the notion of isopotential layers, was developed which substantially reduced the calculation time required to estimate motor unit action potentials. The simulations indicated that: 1) only those motor units with muscle fibers located within 10-12 mm of the electrodes would contribute significant signal energy to the surface EMG, 2) variation in surface area of electrodes has little effect on the detection depth of motor unit action potentials, 3) increased interelectrode spacing moderately increases detection depth, and 4) the frequency content of action potentials decreases steeply with increased electrode-motor unit territory distance.

Action Potentials↗

Maximal aerobic power: neuromuscular and metabolic considerations.

Differences in maximal aerobic power (VO2max) between individuals have most often been attributed to central processes or processes involved in the uptake and transport of oxygen to the working muscle. This review examines the peripheral or muscular processes that may act as determinants of VO2max. Using progressive cycling exercise and electromyographic techniques, the muscular recruitment and rate coding strategies necessary to realize a VO2max are described. An analysis is also provided of the challenge imposed on the various excitation and contraction processes that occur in the individual muscle cells during progressive exercise. Finally, the review concludes by examining energy metabolic processes and whether it is the availability of oxygen that is limiting to the mitochondria or an inability of the mitochondria to use the available oxygen.

Electromyography↗

Visual control of locomotion: strategies for changing direction and for going over obstacles.

Dynamics of gait adjustments required to go over obstacles and to alter direction of locomotion when cued visually were assessed through the measurement of ground reaction forces, muscle activity, and kinematics. The time of appearance of obstacles of varying heights, their position within the step cycle, and cue lights for direction change were varied. Direction change must be planned in the previous step to reduce the acceleration of the body center of mass toward the landing foot to 0. The inability of steering within the step cycle is due to the incapacity of muscles to rotate the body and translate it along the mediolateral axes. For obstacle avoidance, Ss systematically manipulated the gait patterns as a function of obstacle height and position and the time available within the ongoing step. Greater supraspinal involvement in control of locomotion is found.

Adult↗

Time domain analysis of oxygen uptake during pseudorandom binary sequence exercise tests.

Pseudorandom binary sequence (PRBS) exercise tests involve repeated switching between two work rates (WR) according to a computer-generated pattern. This paper presents an approach to analysis of O2 uptake (VO2) in the time domain. First, the autocorrelation function (ACF) of the input WR was recognized to be a triangular-shaped pulse that can be taken to be equivalent to a ramp increase followed by a ramp decrease in WR. Then the cross-correlation function of the input (WR) and the output (VO2) was treated as if it were the response to a triangular-shaped pulse. The cross-correlation function was analyzed by fitting a linear summation of the ramp form of a two-component exponential function to this triangular pulse. VO2 responses of eight subjects were obtained from two different PRBS tests, as well as step changes in WR. The first PRBS test consisted of 15 units, each 30 s in duration. Its ACF had a base width of 60 s. The ramp increase-ramp decrease model fit the data throughout the range of response. The second PRBS test had 63 units, each 5 s in duration; thus its ACF base width was 10 s. Again, the ramp model fit adequately. The data from the second PRBS test could be fit by the impulse form of the two-component exponential equation, although the fit in the first 30 s tended to be poorer. The time constants of VO2 dynamics estimated from step and PRBS tests were not significantly different. PRBS tests can be analyzed in the time domain, and the indicators of system dynamics reflect physiological properties similar to those investigated during step changes in WR.

Adult↗

Biomechanical walking pattern changes in the fit and healthy elderly.

A descriptive study of the biomechanical variables of the walking patterns of the fit and healthy elderly compared with those of young adults revealed several significant differences. The walking patterns of 15 elderly subjects, selected for their active life style and screened for any gait- or balance-related pathological conditions, were analyzed. Kinematic and kinetic data for a minimum of 10 repeat walking trials were collected using a video digitizing system and a force platform. Basic kinematic analyses and an inverse dynamics model yielded data based on the following variables: temporal and cadence measures, heal and toe trajectories, joint kinematics, joint moments of force, and joint mechanical power generation and absorption. Significant differences between these elderly subjects and a database of young adults revealed the following: the same cadence but a shorter step length, an increased double-support stance period, decreased push-off power, a more flat-footed landing, and a reduction in their "index of dynamic balance." All of these differences, except reduction in index of dynamic balance, indicate adaptation by the elderly toward a safer, more stable gait pattern. The reduction in index of dynamic balance suggests deterioration in the efficiency of the balance control system during gait. Because of these significant differences attributable to age alone, it is apparent that a separate gait database is needed in order to pinpoint falling disorders of the elderly.

Adult↗

Investigation of VO2 kinetics in humans with pseudorandom binary sequence work rate change.

The dynamic response of oxygen uptake (VO2) was investigated with two different cycle ergometer tests in which the work rate changed as a pseudorandom binary sequence (PRBS). One sequence had 15 units, each of 30-s duration for a total of 450 s (PRBS1). The second had 63 units, each of 5-s duration for a total of 315 s (PRBS2). The useful range of frequencies available for investigation of the dynamic characteristics of the VO2 response as described by their bandwidth were 0.002-0.013 Hz for PRBS1 and 0.003-0.089 Hz for PRBS2. Eight subjects each completed both PRBS tests. Data from four or five consecutive sequences were ensemble averaged to reduce the biological noise. A Fourier analysis was then conducted, with the range of frequencies investigated spanning those of the bandwidth for PRBS2. This was up to the 28th harmonic. For PRBS1, the VO2 response could be adequately reconstructed by including Fourier coefficients only up to the 5th harmonic. In contrast, for PRBS2, there was still a clear pattern in the residuals at the 5th harmonic. The data were not adequately reconstructed until higher-frequency components up to the 28th harmonic were included. Evidence for this came from analysis of the mean square error. The mean square error at the 28th harmonic was reduced to 83 +/- 8% of the mean square error at the 5th harmonic for PRBS1 and to 31 +/- 3% for PRBS2 (P less than 0.0001). These data obtained by Fourier analysis and reconstructed for comparison with the original VO2 response indicate the presence of a high-frequency component that was not apparent when a test with a smaller bandwidth was used as the work rate forcing.

Exercise↗

Assessment of balance control in humans.

Balance and posture of the body is essential to most human locomotion. Because humans are bipeds with about 2/3 of their mass located 2/3 of body height from the ground the control system is critical. In the elderly balance control degenerates. Falls represent a major health problem and the fear of falls is the major deterrent to daily mobility. Many measures have evolved to assess balance, varying from crude balance tasks to sophisticated perturbations. This paper summarizes the balance control task as it relates to standing and walking and details current assessment techniques and equipment. Additional information is provided by the authors to demonstrate from an electromyographical and biomechanical perspective the mechanisms and characteristics of the postural control system in both standing and walking.

Biomechanical Phenomena↗

Human tibialis anterior contractile responses following fatiguing exercise with and without beta-adrenoceptor blockade.

The effects of oral propranolol (2 x 80 mg/day) on the contractile responses to twitch and tetanic electrical stimulation were examined in the tibialis anterior (TA) muscle of seven healthy young males. The TA muscle was fatigued by four forms of repeated isometric contractions: (1) maximal voluntary contractions (MVC), (2) MVC with circulation occluded, (3) electrically evoked contractions with 20 Hz supramaximal voltage stimulation and (4) electrically evoked contractions with circulation occluded. Each contraction was sustained for 10 s with 5 s recovery. Duration of exercise was 10 min for intact circulation and 4 min for circulatory occlusion. Pre-exercise, both the twitch contraction time and the 1/2 relaxation time were significantly (P less than 0.05) longer with beta-blockade than placebo. beta-blockade did not affect torque output during tetanic stimulation or MVC. Immediately post-exercise, the peak twitch torque was reduced in all beta-blocked and placebo conditions except electrically induced exercise with intact circulation. The 1/2 relaxation time was significantly lengthened by repeated MVC with circulation intact; beta-blockade caused a greater lengthening than placebo (P less than 0.05). The tetanic torque was reduced immediately post-exercise at each of 10, 20, 50 and 100 Hz for both beta-blockade and placebo for each form of exercise. There were no significant beta-blockade effects. Torque output at 10 Hz was still reduced up to 10 min post-exercise. In contrast, 100 Hz torque output recovered by 5 min post-exercise. The changes in tetanic responses were qualitatively similar with intact circulation and with circulatory occlusion. In the tibialis anterior muscle, the effects of fatiguing exercise are not accentuated by beta-blockade. These data in the TA are notably different from those in the triceps surae, where greater fatigue has been shown with beta-blockade.

Adult↗

Twitch potentiation after fatiguing exercise in man.

Twitch potentiation was studied in the human triceps surae complex before and after intermittent maximal voluntary contractions or electrical stimulation at 20 Hz. Both forms of exercise were conducted with intact circulation for a maximum of 10 min or with circulatory occlusion until force output declined 50%. The relative potentiation was determined when a control twitch was compared to a twitch obtained after 5 s of maximal voluntary plantar flexion. The unpotentiated twitch torque (PT) and potentiated twitch torque (PT*) were reduced most severely after voluntary ischemic exercise (63.2% and 52.5% respectively, (P less than 0.001)). However, the relative potentiation (PT*/PT) immediately after voluntary ischemic exercise increased to 1.65 +/- 0.18 from 1.22 +/- 0.13 at rest. Both PT and PT* recovered quickly after exercise. At rest, twitch contraction time (CT) and one-half relaxation time (1/2 RT) in the unpotentiated twitch were longer than that of contraction (CT*) and one-half relaxation time (1/2 RT*) in the potentiated twitch. Following non-occluded exercise, CT, CT*, 1/2 RT and 1/2 RT* were shortened relative to rest. After ischemic exercise CT and CT* were shortened although 1/2 RT and 1/2 RT* increased relative to rest. Both CT* and 1/2 RT* quickly recovered to pre-exercise values by 5 min post-exercise. Ratios of potentiated/control twitch parameters were not altered after nonoccluded exercise, but were increased after ischemic exercise. These results suggest that the mechanisms of fatigue which depress voluntary torque and twitch and potentiated twitch torques, do not interfere with the extent of potentiation after fatiguing exercise.

Adult↗

Myoelectric changes in the triceps surae muscles under sustained contractions. Evidence for synergism.

Synergistic behaviour of triceps surae muscles (medial gastrocnemius-MG, lateral gastrocnemius-LG, soleus-SOL) during sustained submaximal plantarflexions was investigated in this study. Six male subjects were asked to sustain an isometric plantar flexor effort to exhaustion at two different knee angles. Exhaustion was defined as the point when they could no longer maintain the required tension. The loads sustained at 0 and 120 degrees of knee flexion represented 50% and 36% of their maximum voluntary contraction (MVC) respectively. MVC was measured at 0 degree knee flexion. During the contractions, electromyograms (EMG) from the surface of the triceps surae muscles were recorded. Changes in the synergistic behaviour of the triceps surae were assessed via partial correlations of the average EMG (AEMG) between three muscle combinations; MG/LG, MG/SOL, LG/SOL, and correlation between SOL/MG + LG and MG/SOL + LG. The latter combinations were based on either common fibre type or innervation properties. Two types of synergisms were identified: trade-off and coactivation. Trade-off and coactivation synergies were defined by significant (p less than 0.05) positive and negative correlations respectively. Coactivation synergism was found to occur predominantly under conditions of high load or reduced length of the triceps surae, and increased with the duration of the contraction. Trade-off synergism was evident when the muscles were at their optimum length and the loads sustained were submaximum.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Phase-dependent compensatory responses to perturbation applied during walking in humans.

The interaction between the peripheral and the central regulation of locomotion was studied by examining the dependency of the response to unexpected perturbation on the phase of the step cycle. The changes in the latency and magnitude of various muscle responses to electrical stimulation of the toe and applied unexpectedly at different phases of the locomotor cycle in humans are described. The results show that response to perturbation is gated and modulated in both ipsi- and contralateral limb muscles. These muscle responses, when present, were always excitatory in nature. They were not correlated with the normal locomotor activity, thus suggesting a more complex organization of the response. Except for one muscle in the contralateral limb, the latency of the other muscle responses did not vary across the step cycle. in response to the perturbation, the appropriate phase of the step cycle was shortened. The results from this study suggest that the perturbation applied elicits a phase-independent, normal ipsilateral flexor response in the tibialis anterior muscle, while the gating and modulation of other ipsi- and contralateral muscles provide appropriate phase-dependent adaptive response to maintain postural stability and continue with the ongoing task of locomotion.

Journal Article↗

Task-dependent compensatory responses to perturbations applied during rhythmic movements in humans.

Modulation of the responses to perturbation applied during different phases of three rhythmic movements in humans-running, cycling, and hopping-was studied. The perturbation was an electrical stimulus. The results showed gating and modulation of the responses in both ipsi- and contralateral limb muscles. The responses during running and cycling were only excitatory in nature, while during hopping an inhibitory response was observed. These responses were not correlated with the normal activity during the movement. The latency of the response in general was not altered for different stimulation phases. The alterations in the step cycle demonstrated overt behavioral changes due to the responses. There were differences between the responses observed during these movements and walking. In running, the major adaptation to perturbations appears to be in the contralateral side as seen in the changes in the step cycle. During cycling (except for one phase) and hopping, the same set of muscles was activated in response to perturbation. This represents a simplifying strategy in response organization. The dependency of the response on the task characteristics, postural stability requirement, and external constraints imposed on the subject is discussed. These studies provide insights into task-dependent strategies adopted by the nervous system to meet unexpected perturbation during rhythmic movements in humans.

Journal Article↗

The effects of beta-blockade on electrically stimulated contraction in fatigued human triceps surae muscle.

The contractile characteristics of the triceps surae muscle group were examined before and after repeated isometric contractions in two groups of eight healthy young males. Single twitches and trains of stimuli at 10, 20, 50 and 100 Hz were delivered to the muscle using supramaximal voltages. Subjects were treated with beta-blockade (2 X 80 mg oral propranolol, beta-b) or matched placebo in a double-blind crossover design. Four different exercise conditions were studied: (I) maximal voluntary contraction (MVC); (II) MVC during circulatory occlusion; (III) electrical stimulation at 20 Hz using 50% of voltage required for maximal torque production; and (IV) electrical stimulation with occlusion. Each contraction was for 5 s with 5 s recovery. Total duration of exercise was 10 min for non-occluded contractions and to a 50% decline in torque output with occlusion. At rest prior to exercise, maximal voluntary contraction was significantly reduced (5.7%) by beta-b during 40 observations in 16 subjects. Following exercise without occlusion (I and III), the reduction in torque output of the muscle at 10 and 20 Hz stimulation was generally greater during beta-b than placebo. This low frequency fatigue was longer-lasting with beta-b. The shorter lasting reduction in torque at 50 and 100 Hz was generally not different between beta-b placebo. After exercise with occlusion (II and IV), the torque output at all stimulation frequencies was reduced to a similar extent in both placebo and beta-b at most comparison points. Twitch responses after exercise with occlusion showed decreases in peak tension and time to peak tension and a lengthening of one-half relaxation time in both placebo and beta-b. It was concluded that the greater reduction in torque output of the triceps surae muscle group at low frequencies during beta-b was probably a consequence of a reduction in blood flow relative to the placebo treatment. This relative low frequency fatigue could be responsible for the increased perception of effort in patients exercising during beta-blocker therapy.

Adult↗

Contractile properties of the human triceps surae following prolonged exercise and beta-blockade.

Sixteen healthy males volunteered to perform both an incremental maximal and prolonged submaximal treadmill test with beta-blockade (2 X 80 mg oral propranolol per day) or matched placebo in a blind crossover design. Prior to and following the prolonged exercise, electrical stimulation of the triceps surae was performed to examine contractile properties. During the maximal test, the heart rate (HR) was reduced at all times by beta-blockade. The time to exhaustion in this test was significantly reduced by beta-blockade (P less than 0.03), while the maximal oxygen uptake (VO2 max) was not significantly lower (P = 0.06). In response to prolonged treadmill walking at 60% of VO2 max, the HR was reduced but VO2, respiratory quotient and ventilation were not affected by beta-blockade relative to placebo. Plasma concentrations of free fatty acids increased during exercise in the placebo but not beta-blocked treatment (P less than 0.0001). Plasma noradrenalin and adrenalin increased with exercise; the increase in adrenalin with beta-blockade was greater than that with placebo (P less than 0.0001). The RPE obtained at intervals during the prolonged exercise were greater for beta-blockades than placebo. Eight of 16 subjects were unable to complete full 90 min with beta-blockade; but all 16 completed the test with placebo. The electrically evoked twitches in the triceps surae muscle group after exercise did not differ in peak torque or one-half relaxation time compared to pre-exercise. The time to peak twitch torque was significantly shorter after exercise. No differences in twitch were observed due to beta-blockade. The tetanic responses at 10, 20, 50 and 100 Hz were not affected by either exercise or the beta-blockade. In conclusion, an increased subjective estimate of fatigue (RPE) was observed during prolonged exercise with beta-blockade. This subjective fatigue did not relate to altered peripheral muscle force production during electrical stimulation. The results suggest either a central rather than peripheral origin of fatigue, or fatigue in a muscle group not examined by stimulation of the triceps surae.

Adult↗

Adaptation of postural response to voluntary arm raises during locomotion in humans.

Adaptation of the response to voluntary rapid arm flexion during 3 phases of the step cycle in humans are examined. The onset of arm movement was similar to the standing condition and was unaffected by the phase of the step cycle. The locomotor cycle in contrast was altered. These changes improved the stability of the subjects by shortening the appropriate stance or swing phase of the step cycle. Only the onset of the ipsilateral biceps femoris response which represents the postural adaptation was dependent on the phase of the step cycle. When the subjects were asked to flex their arm in early swing, the biceps femoris was enhanced after the onset of the arm movement. This suggests that the postural responses during locomotion may not necessarily be anticipatory in nature, but more functional.

Adaptation, Physiological↗

Locomotor estimation of distance after visual scanning by children and adults.

Subjects (120 young adults and 120 children) were tested for their abilities to estimate visually the distance to a target 5 m away, then walk unaided by vision to that target as accurately as possible. Experimental groups were determined by visual scanning time (1, 5, or 10 s), delay between the end of visual scanning and the start of locomotion (0, 1, 3, or 5 s), and by age (9 year old children or young adult). Adults performed locomotor distance estimations based on visual scanning more accurately than children under all conditions. Increased scanning time resulted in more accurate performances by children but not by adults, and increased delays between the end of scanning and the start of locomotion caused decreases in accuracy for children only. These decrements were partially ameliorated by increased scanning time. The total time spent without vision after scanning the target (delay time plus walking time) was an important factor, with sharp increases in error for all delay conditions for children. The results are discussed in terms of trace decay effects and developmental aspects of visual guidance of locomotion.

Adult↗

Speed-accuracy characteristics of saccadic eye movements.

Speed-accuracy trade-off characteristic of horizontal saccadic eye movements were examined in this study. Unlike limb movements, saccadic eye movements are preprogrammed, unidimensional, and do not involve target impact. Hence, they provide an optimal test of the impulse variability account of the speed-accuracy trade-off in rapid movements. Subjects were required to alternately look at two target lights as fast and as accurately as possible for a period of 10 s. Target lights subtended angles of 5, 10, 15, and 20 degrees. By restricting target distances to less than 20 degrees of arc, the speed-accuracy relation was examined for single horizontal saccadic movements of the eye. movement of the dominant eye was tracked with an infra-red eye monitoring device. Fifty saccadic movements of the eye were recorded for each target distance and used to compute the average amplitude, duration, and velocity of eye movements, as well as, movement endpoint variability. An increase in both average velocity and movement endpoint variability with increasing movement amplitude was found. This, together with the unique features of the eye movement system, support the impulse variability account of the speed-accuracy trade-off in rapid movements.

Journal Article↗

Some characteristics of EMG patterns during locomotion: implications for the locomotor control process.

Myoelectric signals from several muscles of the lower limb were studied under various speed and stride length conditions. The main purpose was to determine invariant and variant features among these myoelectric patterns. A pattern recognition algorithm was used to analyze these activity patterns. Within-condition analysis revealed some common features among the EMG patterns. This suggests that the nervous system does not have to generate all the muscle activity patterns, only the common features that can, in appropriate combination, produce the necessary activity patterns. From the across condition analysis, the following rules emerged. First, both phasic component and magnitude (d.c. level) of the muscle activity patterns have to be modulated to meet the demands imposed by the various conditions. Second, the variability in the proximal muscle activity patterns across conditions are higher than the distal muscle activity patterns. Within each group, the extensor muscles and double-jointed muscles show greater variability than the flexor muscles and single-jointed muscles. And finally, the changes in the average value (d.c. level) of the muscle activity patterns across conditions are not uniform but show muscle and task specificity. For example, within the speed condition, the increase in d.c. level of the extensors with speed of locomotion show a proximal to distal trend. Based on these results, a conceptual model for the human locomotor control process is proposed.

Journal Article↗