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Neck muscle vibration and spatial orientation during stepping in place in humans.

Unilateral long-lasting vibration was applied to the sternomastoid muscle to assess the influence of asymmetric neck proprioceptive input on body orientation during stepping-in-place. Blindfolded subjects performed 3 sequences of 3 trials, each lasting 60 s: control, vibration applied during stepping (VDS), and vibration applied before stepping (VBS). VDS caused clear-cut whole body rotation toward the side opposite to vibration. The body rotated around a vertical axis placed at about arm's length from the body. The rotation did not begin immediately on switching on the vibrator. The delay varied from subject to subject from a few seconds to about 10 s. Once initiated, the angular velocity of rotation was remarkably constant (about 1 degrees /s). In VBS, at the beginning of stepping, subjects rotated for a while as if their neck were still vibrated. At a variable delay, the direction of rotation reversed, and the effects were opposite to those observed during VDS. Under no condition did head rotation, head roll, or lateral body tilt accompany rotation. The results confirm and extend the notion that the neck proprioceptive input plays a major role in body orientation during locomotion. The body rotation does not seem to depend on the same mechanisms that modify the erect posture; rather, the asymmetric neck input would seem to modify the egocentric body-centered coordinate system.

Adult↗

Head positioning and neck muscle activation during air combat.

INTRODUCTION: Specific mechanisms leading to acute neck injury in flight as a result of +Gz exposure remain unclear. In this study, head positions adopted by aircrew in air combat have been quantified, and the associated levels of cervical muscle activation have been determined. METHOD: Six fast jet aircrew subjects were instrumented with surface electromyography (EMG) electrodes, and activation potentials from neck erector spinae (ES) and sternocleidomastoid (SC) muscles were logged on a data recorder. EMG signal was normalized to preflight maximum voluntary contraction (MVC). All subjects flew a one-on-one air combat sortie in a Hawk T1 aircraft comprising at least four air combat engagements. In-cockpit video and +Gz acceleration were recorded. Time-synchronized analysis of video, EMG, and acceleration were conducted for head position and normalized muscle activation (%MVC). RESULTS: During air combat, the head was away from neutral for 68% of the time, predominantly in extension, or rotation plus extension. During neck extension under G, 40-80% MVC occurred in the ES: this was reduced by half when the canopy was used as a support. Similar activation occurred in the SC in neck extension plus rotation. The ES was activated at over 40% MVC for 25% of the engagement duration. Postsortie, 35% reduction in neck muscle strength occurred. CONCLUSIONS: Extreme neck extension +/- rotation is very common in air combat and is associated with high levels of muscle activation and fatigue. This information can be used to help devise targeted neck conditioning and positioning strategies in order to reduce injury risk.

Adult↗

Primary hydatid cyst of neck muscles.

Primary hydatid disease of muscle is very rare. This was encountered in the muscles of posterior triangle of the neck in a 12-year-old boy. Hydatid Cyst of neck was excised and was followed by albendazole for six weeks. Rarity of this disease in muscles warrants the need for this case report.

Child↗

Expansion of the dendritic tree of motoneurons innervating neck muscles of the adult cat after permanent axotomy.

The morphologic characteristics of neck motoneurons with intact axons were compared with those of neck motoneurons that had been permanently axotomized for 11 to 17 weeks. Motoneurons were identified antidromically, intracellularly stained with horseradish peroxidase (HRP) and examined after reconstructions of their entire dendritic tree. Axotomized motoneurons differed qualitatively and quantitatively from motoneurons with intact axons. The distal branches of axotomized motoneurons exhibited two novel features: some gave rise to tangled appendages that exhibited growth cone-like specializations resembling lamellipodia and filopodia; others followed a meandering path and had unusually large diameters. These branches showed a discontinuous pattern of staining that was similar to the appearance of myelinated axons stained intra-axonally with HRP. A quantitative analysis of the dendritic trees of 13 completely reconstructed dendritic trees (five axotomized motoneurons and eight motoneurons with intact axons) showed that total dendritic surface area, total dendritic length, and total number of branches increased 38, 34, and 215%, respectively, after axotomy. These measurements were confirmed by comparing the sizes of a larger number of motoneurons (16 axotomized and 21 intact), calculated on the basis of correlations between dendritic tree size and proximal dendritic diameter. We conclude, therefore, that neck motoneurons, in contrast to other types of motoneurons, expand their dendritic trees after axotomy. It is suggested that this expansion is a consequence of two mechanisms: one involves dendritic growth, possibly leading to new synaptic connections; the other causes a conversion of some dendrites into axons.

Animals↗

Specificity of resistance training responses in neck muscle size and strength.

This study examined hypertrophy after head extension resistance training to assess which muscles of the complicated cervical neuromuscular system were used in this activity. We also determined if conventional resistance exercises, which are likely to evoke isometric action of the neck, induce generalized hypertrophy of the cervical muscle. Twenty-two active college students were studied. [mean (SE) age, weight and height: 21 (1) years, 71 (4) kg and 173 (3) cm, respectively]. Subjects were assigned to one of three groups: RESX (head extension exercise and other resistance exercises), RES (resistance exercises without specific neck exercise), or CON (no training). Groups RESX (n = 8) and RES (n = 6) trained 3 days/week for 12 weeks with large-muscle mass exercises (squat, deadlift, push press, bent row and mid-thigh pull). Group RESX also performed three sets of ten repetitions of a head extension exercise 3 days/week with a load equal to the 3 x 10 repetition maximum (RM). Group CON (n = 8) was a control group. The cross-sectional area (CSA) of nine individual muscles or muscle groups was determined by magnetic resonance imaging (MRI) of the cervical region. The CSA data were averaged over four contiguous transaxial slices in which all muscles of interest were visible. The 3 x 10 RM for the head extension exercise increased for RESX after training [from 17.9 (1.0) to 23.9 (1.4) kg, P < 0.05] but not for RES [from 17.6 (1.4) to 17.7 (1.9) kg] or CON [from 10.1 (2.2) to 10.3 (2.1) kg]. RESX showed an increase in total neck muscle CSA after training [from 19.5 (3.0) to 22.0 (3.6) cm2, P < 0.05], but RES and CON did not [from 19.6 (2.9) to 19.7 (2.9) cm2 and 17.0 (2.5) to 17.0 (2.4) cm2, respectively]. This hypertrophy for RESX was due mainly to increases in CSA of 23.9 (3.2), 24.0 (5.8), and 24.9 (5.3)% for the splenius capitis, and semispinalis capitis and cervicis muscles, respectively. The lack of generalized neck muscle hypertrophy in RES was not due to insufficient training. For example, the CSA of their quadriceps femoris muscle group, as assessed by MRI, increased by 7 (1)% after this short-term training (P < 0.05). The results suggest that: (1) the splenius capitis, and semispinalis capitis and cervicis muscles are mainly responsible for head extension; (2) short-term resistance training does not provide a sufficient stimulus to evoke neck muscle hypertrophy unless specific neck exercises are performed; and (3) the postural role of head extensors provides modest loading in bipeds.

Adult↗

Effects of resistance training in humans on neck muscle performance, and electromyogram power spectrum changes.

The purpose of this study was to quantify the neuromuscular cervical adaptations to an 8 week strength training programme. Seven healthy men, with no pathological conditions of the neck, performed a lateral flexion isometric resistance-training programme three times a week. The training sessions consisted of one set of ten contractions, each of 6 s duration, at 60% of the predetermined maximal voluntary isometric torque (MVTim) (warm-up) and two sets of eight contractions, each of 6 s duration, at 80% MVTim. The training effects were evaluated in three ways: muscle size, strength and fatigability. The cross-sectional areas (CSA) of the trapezius (TRP) and sternocleidomastoideus (SCM) muscles were determined using a computerised tomographic scanner. Results showed an increase in the CSA of TRP and SCM muscles after training, 8.8% at C5 level and 6.4% at C7 level for SCM muscle and 12.2% at C7 level for TRP muscle. Strength increased significantly under both isometric and isokinetic conditions (35% and 20%, respectively). Muscle fatigability in lateral flexion was quantified during a sustained isometric contraction at 50% of MVTim. The shift of the mean power frequency of the electromyogram power spectrum density function of SCM muscle toward lower frequencies was less after training (14.6% compared to 6.8%). These results indicate the beneficial effect of a strength-training programme which increases neck muscle size and strength during lateral flexion, and decreases the fatigability of the superficial muscles of the neck.

Adult↗

[Measurement of contraction force of pilot's neck muscles].

In order to discuss the function of contraction force of pilot's neck region. Contraction force of pilot's neck region was measured in 22 volunteers aged 18-35 years. The mean contraction force is 102-396 N, the mean contraction time is 28 s. Authors think that training for pilot's neck muscular power is essential.

Adolescent↗

Effects of stimulation of frontal cortex, superior colliculus, and neck muscle afferents on interstitiospinal neurons in the cat.

Interstitiospinal neurons were activated by antidromic stimulation of the spinal cord ventromedial funiculus at C1 and C4 in cerebellectomized cats under chloralose anesthesia. Neurons responding only to C1 were classified as N cells and those responding both to C1 and C4 were classified as D cells, as in previous experiments (Fukushima et al. 1980a). Vestibular branching interstitiospinal and reticulospinal neurons were also identified as in the previous experiments. Stimulation of the ipsilateral pericruciate cortex evoked firing in 31% of N cells, 41% of D cells and 35% of the vestibular branching neurons, while stimulation of the contralateral cortex excited 6% of N cells, 29% of D cells and 14% of vestibular branching neurons. Response latencies ranged from 2 to 15 ms after the effective pulse. By measuring the thresholds of activation of these neurons while changing the depth of the stimulating electrodes, and by mapping the cortical areas, it was shown that the lowest threshold areas were in the frontal eye fields and the anterior sigmoid gyrus near the presylvian sulcus (Area 6). Stimulation of the latter area often evoked neck or shoulder muscles contraction. Stimulation in the deep layers of the ipsilateral superior colliculus evoked firing in about 20% of interstitiospinal neurons and about 42% of vestibular branching neurons, with typical latencies 2-3 ms after the effective pulse, while stimulation of the contralateral superior colliculus was rarely effective. N cells and D cells responded similarly. Thresholds for activation were high in the intermediate tectal layers and declined as the electrodes entered the underlying tegmentum. This suggests that the superior colliculus is not the main source of synaptic inputs to these neurons. Low threshold points were found above the deep fiber layer when stimulating electrodes were inserted into the pretectum. Stimulation of the C2 biventer cervicis nerve excited about 8% of N cells, 18% of D cells, and 15% of vestibular branching neurons bilaterally with typical latencies around 10 ms. Similar results were obtained when C2 splenius nerves were stimulated. The fibers responsible for such excitation are probably group II, since stimuli stronger than 1.8 times threshold of the lowest threshold fibers were needed to evoke excitation. Response decrement was often observed when stimuli were repeated at 1/s, while no such decrement was observed at the rate of 1/3 s. When the convergence of cortical and labyrinthine excitatory inputs was studied, 36% of interstitiospinal neurons received single inputs either from the pericruciate cortex or from the labyrinth, 22% of neurons received convergent excitation from both and the remaining 42% did not respond to either stimulus. Although vestibular branching neurons rarely received labyrinthine inputs, they frequently showed convergence of excitation to stimulation of the frontal cortex, superior colliculus and vestibular nuclei.

Afferent Pathways↗

Strength and cross-sectional area of the dorsal neck muscles.

The maximum isometric strength of cervical extensors was measured in a group of sixteen young healthy subjects. The cross-sectional area was obtained by computerized tomography. A significant positive correlation was found between muscle strength and cross-sectional area. The ratio of strength to cross-sectional area is 10.17N/cm2. This value is similar to that estimated on the quadriceps using similar methods in other studies. Numerous factors are suggested to explain the individual variability of the results even within a homogeneous group; among them, neck morphology is important.

Adult↗

Input patterns and pathways from the six semicircular canals to motoneurons of neck muscles. I. The multifidus muscle group.

1. The pattern of connections between the six semicircular canals and neck motoneurons of the multifidus muscle group was investigated by recording intracellular potentials from motoneurons in the upper cervical cord of anesthetized cats. 2. Synaptic potentials were recorded in motoneurons of the rectus capitis posterior (RCP) muscle at C1, the obliquus capitis inferior (OCI) muscle at C1 and C2, and the cervical multifidus muscle (Multi) at C4 in response to electrical stimulation of individual ampullary nerves of the six semicircular canals. Excitatory or inhibitory postsynaptic potentials (EPSPs or IPSPs, respectively) were evoked by separate stimulation of individual ampullary nerves in all of the neck motoneurons. Virtually all of the neck motoneurons received convergent inputs from the six ampullary nerves. 3. Motoneurons that supplied a single muscle had a homogeneous pattern of input from the six semicircular canals. There were two patterns of input from the six semicircular canals to motoneurons of the multifidus muscle group. RCP and Multi motoneurons were excited by stimulation of the bilateral anterior canal nerves (ACNs) and the contralateral lateral canal nerve (LCN) and inhibited by stimulation of the bilateral posterior canal nerves (PCNs) and the ipsilateral LCN. This input pattern is similar to that previously observed in other dorsal extensor muscles, whereas the other input pattern observed in OCI motoneurons is entirely new. OCI motoneurons at C1 and C2 were excited by stimulation of the ipsilateral ACN, PCN, and the contralateral LCN and inhibited by stimulation of the contralateral ACN, PCN, and the ipsilateral LCN. 4. Most postsynaptic potentials (PSPs) were disynaptic, but there were trisynaptic inhibitory connections between the contralateral ACN and PCN and OCI motoneurons, and between the contralateral PCN and RCP motoneurons. 5. The pathways for mediating these inputs from different semicircular canals to neck motoneurons were determined by making lesions in the lower medulla. Transection of the ipsilateral medial longitudinal fascicle (MLF) abolished the following potentials: all disynaptic PSPs in RCP motoneurons except the disynaptic EPSPs from the ipsilateral ACN, and in OCI motoneurons, disynaptic PSPs from the bilateral LCNs, and disynaptic IPSPs from the contralateral PCN. Complete bilateral section of the MLF did not affect the disynaptic EPSPs from the ipsilateral ACN in RCP motoneurons, the disynaptic EPSPs from the ipsilateral ACN and PCN in OCI motoneurons, nor the trisynaptic IPSPs from the contralateral ACN and PCN in COI motoneurons and from the contralateral PCN in RCP motoneurons.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Use of surface electromyography to estimate neck muscle activity.

This paper reviews the literature concerning the use of surface electromyography (sEMG) for the study of the neck musculature in response to work and workplace design during light work and semi-static tasks. The paper also draws upon basic research and biomechanical modeling in order to provide methodological recommendations for the use of surface electromyography in this region of the body and to identify areas which require further investigation. The paper includes review and discussion of electrode site location, methods of normalization, data reliability, and factors that can affect sEMG signals from this region, including noise, physiologic artifact, stress, visual deficiencies, and pain. General guidance for maximum exertions with the neck musculature, for sEMG normalization or other purposes, is also included.

Biomechanical Phenomena↗

Dynamic modeling of the neck muscles during horizontal head movement. Part II: Model construction in Pro/Engineer.

This paper describes the next phase of research on a parametric model of the head-neck system for dynamic simulation of horizontal head rotation. A skull has been imported into Pro/Engineer software and has been assigned mass properties such as density, surface area and moments of inertia. The origin of a universal coordinate system has been located at the center of gravity of the T1 vertebrae. Identification of this origin allows insertion and attachment points of the sternocleidomastoid (SCOM) and splenius capitis to be located. An assembly has been created, marking the location of both muscle sets. This paper will also explore the obstacles encountered when working with an imported feature in Pro/E and attempts to resolve some of these issues. The goal of this work involves the creation of a 3D homeomorphic saccadic eye and head movement system.

Computer Simulation↗