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An EMG fractal indicator having different sensitivities to changes in force and muscle fatigue during voluntary static muscle contractions.

During a sustained contraction, electromyographic signals (EMGs) undergo a spectral compression. This fatigue behaviour induces a shift of the mean and the median frequencies to lower frequencies. On the other hand, several studies conclude that the mean/median frequency can increase, decrease or remain constant with an increasing force level. Such inconsistency is embarrassing since the fatigue state may be influenced by the force level. In this paper, we propose a frequency indicator which is sensitive to the force level independently of the fatigue state evaluated at 70% of the maximal voluntary contraction. Ten healthy volunteers participated in the study and both surface EMGs (from the short head of the biceps brachii) and force signals were measured. This study compared force and fatigue effects on the EMGs during short (3-s) isometric contractions at different strength intensities and during a sustained isometric contraction until exhaustion. The EMGs partly show 1/falpha spectral behaviours since their power spectral densities may experimentally fit with two linear segments in a log-log representation. The measured "right" slope produces variations of force as 20 times the variations of fatigue. 1/falpha Behaviour may be related to stochastic fractals. This fractal indicator is a new frequency indicator that is thus complementary to other known classical frequency indicators when studying force during unknown fatigue states.

Adult↗

Inhomogeneities in muscle activation reveal motor unit recruitment.

This paper presents a novel method to quantify spatial changes in muscle activation pattern by multi-channel surface electromyography (MCSEMG) in order to investigate motor unit recruitment variation. The method is based on non-uniform distributions of motor units that cause spatial inhomogeneous muscle activation. To evaluate the method, 15 subjects performed three isometric elbow flexion contractions consisting of slow sinusoidal changes in force ranging from 0% to 80% of the maximal voluntary contraction. MCSEMG electrodes were placed in a 10 x 13 grid over the biceps brachii muscle. From all channels, root mean square (RMS) values of bipolar leadings were computed over 0.5 s epochs over the whole recording. Thereafter, correlation coefficients were calculated between the RMS values at one epoch, with the RMS values at another epoch. Results showed consistent spatial changes in the distribution of RMS at different contraction levels up to 80% of maximal voluntary contraction and when comparing increasing and decreasing contractions at the same force level. These findings are reproducible within and between subjects, and in agreement with physiological phenomena and therefore indicate that the spatial inhomogeneities of motor unit properties in the biceps brachii muscle can be used to study changes in motor unit recruitment.

Adult↗

The effect of postural correction on muscle activation amplitudes recorded from the cervicobrachial region.

In clinical practice, postural correction is a common treatment approach for individuals with neck and shoulder pain. As chronic static muscle use is thought to be associated with the onset of some neck and shoulder pain syndromes, it is important to understand the impact a postural correction program might have on muscle activation amplitudes in the neck and shoulder regions. Normalized surface electromyographic data were recorded from the levator scapulae, upper trapezius, supraspinatus, posterior deltoid, masseter, rhomboid major, cervical erector spinae, and sternocleidomastoid muscles of the dominant side of each of eighteen healthy subjects. Subjects performed five repetitions of each of four seated typing postures (habitual, corrected, head-forward and slouched) and four standing postures (habitual, corrected, and head-forward and slouched). Repeated-measures analysis of variance models (alpha=0.05) revealed that in sitting postural correction tended to decreased the level of muscle activation required in all muscles studied during seated computer work, however this finding was not statistically significant. Corrected posture in sitting did, however produce a statistically significant reduction in muscle activity compared to forward head posture. Corrected posture in standing required more muscle activity than habitual or forward head posture in the majority of cervicobrachial and jaw muscles, suggesting that a graduated approach to postural correction exercises might be required in order to train the muscles to appropriately withstand the requirements of the task. A surprising finding was that muscle activity levels and postural changes had the largest impact on the masseter muscle, which demonstrated activation levels in the order of 20% maximum voluntary electrical activation.

Adult↗

Analyzing gastrocnemius EMG-activity and sway data from quiet and perturbed standing.

In an experiment, we combined force plate measurements and surface EMG in studying quiet and perturbed standing, involving MS (Multiple sclerosis) and controls. The aim of this paper is to report the results thus obtained on the relation between filtered gastrocnemius (GA) EMG and the anterior-posterior center-of-pressure (A/P COP) coordinate. The main finding is the good correspondence between A/P COP and the filtered GA EMG in the low frequency range. The EMG envelope was calculated using a zero-lag filter. Combining this with time shifts around 250-350 ms produced a high correlation (85.5+/-8.4%) between the GA-EMG envelope and the A/P COP. This EMG-COP relation was closest when using a low cut-off frequency value around 1 Hz in calculating the EMG envelope. Based on this filtering procedure we estimated the average EMG-COP time shift to be 283+/-43 ms between the GA-EMG envelope and A/P COP (which "lags" behind EMG envelope). This shift is consistent with the 1 Hz cut-off and phase shift produced by a corresponding critically damped second-order filter, and is about twice the corresponding twitch time. These results suggest that GA is to a large extent responsible for the phasic control of the anterior-posterior balance during quiet standing. A small difference (p<0.03) was found between mean time shift thus obtained for controls (n=4) and MS (n=6) while sway area showed a major difference (p<0.01). The paper also compares three alternative filters for numerical calculation of the EMG-envelope.

Adult↗

A longitudinal electromyographic study of the postnatal maturation of mastication in the rabbit.

At 2 weeks of age, infant rabbits show chewing movements that resemble those of the adult animal. Previous studies have shown that, at that stage, the accompanying masticatory motor pattern is clearly similar to the suckling motor pattern. As early as 4 weeks, chewing muscle activity is indistinguishable from the adult chewing motor pattern. These reports suggest that the adult chewing motor pattern is developed from the suckling motor pattern. In this study, the chewing motor pattern in the intermediate period (between 2 and 4 weeks of age) was investigated by means of fine-wire electromyography and jaw tracking. Maturation of masticatory movements was found to have two phases. Maximum gape increased in the first few days and was followed by strong development of transverse jaw excursions after the age of 17 days. The increase in jaw excursions was brought about by changes in motor behaviour and facilitated by the development of smooth occlusal surfaces. The changes in motor behaviour were: (1) the level of activity of the balancing-side muscles became more equal to that of the working side; (2) the timing of digastric muscle activity became asymmetrical at the age of 17 days; (3) the peak activity of masseter, temporalis, medial pterygoid and lateral pterygoid muscle portions was gradually shifted or prolonged into the power-stroke phase. It can be concluded that the masticatory contraction pattern shifts from one derived from the suckling contraction pattern at the age of 14 days to one almost similar to the adult chewing pattern at the age of 23 days.

Animals↗

The influence of attentional factors on short- and long-latency jaw reflexes in man.

Reflexes evoked by applying non-painful taps to an incisor tooth were recorded bilaterally from the jaw-closing masseter and temporal muscles of 21 humans. A series of inhibitory, excitatory, inhibitory and excitatory waves (the Q, R, S and T waves) appeared in full-wave rectified and averaged post-stimulus electromyograms. These reflex responses were affected by the participants' levels of attention. When they undertook mental exercises in the form of arithmetic calculations, increases in electro-myographic activity were found around the transitions between the Q and R and the S and T waves. These increases involved principally a shortening of the inhibitory Q and S waves. There was no significant difference between the occurrence of these effects in the QR and ST segments. However, the effects were seen more commonly when the reflexes were evoked by hard (7.4 mN.s) as opposed to soft (3.4 mN.s) taps. It is concluded that, in man, attentional factors can modulate both short- and long-latency jaw reflexes, particularly when these are evoked by higher-threshold afferent nerves.

Adult↗

The H-reflex in the passive human soleus muscle is modulated faster than predicted from post-activation depression.

The purpose of the present study was to investigate the influence of afferent activity (mainly homonymous Ia-afferent activity) on the modulation (post-activation depression) of the soleus H-reflex during isolated and passive sinusoidal ankle joint rotations at a speed and amplitude comparable to slow walking. The H-reflex modulation was measured in the relaxed soleus muscle on human subjects during different imposed patterns of 20 degrees haversine ankle joint rotations (0.5-0.6 Hz) while they were sitting comfortably in a chair. Eighteen healthy males and four male patients with clinically complete spinal cord lesion above the soleus motoneuron pool participated in the study. During a single dorsi-plantar flexion rotation the H-reflex was depressed to 27+/-7% (mean+/-S.E.M.) of the initial level within 600 ms. The course of this depression was reversed when the dorsi-flexion velocity started to decrease. At the end of the dorsi-flexion movement the depression was already relieved to a level of 73+/-6% of the initial level. The H-reflex returned more slowly to the initial level within 2 s after the end of the movement cycle. During two consecutive ankle joint rotations and continuous ankle joint rotations both at 0.5 Hz the H-reflex was modulated but also generally depressed while the movement was imposed. The reflex only returned to the reference level after the movements were stopped. These observations indicate the action of a fast and a slow mechanism in the post-activation depression of the soleus H-reflex. The H-reflex modulations observed in the spinal cord injured patients were comparable to the reflex modulations observed in the healthy subjects, except the depressions were smaller. This suggests that a major part of the amplitude of the H-reflex modulation observed in healthy subjects was caused by peripheral and spinal influences. The fast 500 ms recovery of the H-reflex had a time course comparable to presynaptic inhibition. The slow 2 s recovery after the end of a given imposed movement may be explained by a change in the probability of transmitter release from the homonymous soleus Ia-afferent synaptic terminals after repeated activations.

Adult↗

Reflex muscle contractions can be elicited by valgus positional perturbations of the human knee.

Experimental evidence on the reflex responses of thigh muscles to valgus mechanical perturbations at the human knee are presented. Random step positional deflections, ranging from 5 degrees to 12 degrees at 60 degrees /s, were applied to the fully extended knees of seven healthy subjects. Subjects were instructed to maintain a constant background co-activation ( approximately 2-11% MVC) of the quadriceps and hamstring muscles prior to and during the mechanical stimulus. We found that the reflex response to sustained valgus joint deflection in the vasti muscles had longer onset latencies (range: 83-92ms) than did the stretch reflex in the same muscles (latencies: 29-31ms). This reflex EMG response consisted typically of a peak followed by sustained muscle activity throughout the step perturbation. The sustained EMG activity was dependent on the amplitude of the perturbing stimulus, but in a nonlinear manner. The long latency of the valgus response suggests that the reflex originates in nonmuscular sensory pathways, potentially from mechanoreceptors lying in periarticular tissues such as joint ligaments and capsule. Analysis of the spatial distribution of reflex responses showed an asymmetrical pattern with preferential activation of medial vs. lateral muscles of the knee. We assess whether these asymmetric reflex contractions could promote joint stability, either by inducing generalized joint stiffening, or by preferential activation of those muscles that are best suited to resist induced ligament strain.

Adult↗

Rapid neck muscle adaptation alters the head kinematics of aware and unaware subjects undergoing multiple whiplash-like perturbations.

To examine whether habituation confounds the study of whiplash injury using human subjects, we quantified changes in the magnitude and temporal development of the neck muscle electromyogram and peak linear and angular head/torso kinematics of subjects exposed to sequential whiplash-like perturbations. Forty-four seated subjects (23F, 21M) underwent 11 consecutive forward horizontal perturbations (peak sled acceleration=1.5 g). Electromyographic (EMG) activity was recorded over the sternocleidomastoid (SCM) and cervical paraspinal (PARA) muscles with surface electrodes, and head and torso kinematics were measured using linear and angular accelerometers and a 3D motion analysis system. EMG onset occurred at reflex latencies (67-75 ms in SCM) and did not vary with repeated perturbations. EMG amplitude was significantly attenuated by the second perturbation in PARA muscles and by the third perturbation in SCM muscles. The mean decrement in EMG amplitude between the first trial and the mean of the last five trials was between 41% and 64%. Related kinematic changes ranged from a 21% increase in head extension angle to a 29% decrease in forward acceleration at the forehead, and were also significantly different by the second exposure in some variables. Although a wider range of perturbation intensities and inter-perturbation intervals need to be studied, the significant changes observed in both muscle and kinematic variables by the second perturbation indicated that habituation was a potential confounder of whiplash injury studies using repeated perturbations of human subjects.

Acceleration↗

Influence of occlusal force and mandibular position on tooth contacts in lateral excursive movements.

The diagnosis and treatment of occlusal disharmonies requires an understanding of the variables that affect occluding tooth contacts. Quantitative recordings of tooth contacts and near tooth contacts are necessary for detailed analysis of occlusion. In this study, different thicknesses of registration strips were used to assess the influence of occlusal force and mandibular position on tooth contacts and clearance. This assessment was made for nonworking side molars and working side premolars. There was a significant decrease in clearance with increased occlusal force on both the nonworking and the working sides. A significant increase of clearance was noted as the mandible moved to the most lateral position on the nonworking side. These results indicate that the variables of occlusal force and mandibular position represent potential sources of disparity in the recording of tooth contacts. These variables should be considered when occlusal examination procedures are conducted.

Adult↗

Electromyographic activity of the lip muscle as a measure of puffing on a cigarette.

The electromyographic activity (EMG) of the upper lip muscle (m. orbicularis oris) during sucking on a cigarette was examined as a potential new measure of smoking behaviour. This parameter was examined under conditions of actual smoking, sham smoking and sucking on a straw. We applied psychophysical procedures (methods of magnitude production), normal and paced smoking, two conventional means to confirm puffing (video recording and changes in air pressure in a cigarette holder) on different groups of smokers (heavy and light). The data revealed that lip-EMG is a valid and reliable means to quantify sucking on a cigarette in a variety of situations common to the study of smoking. It was concluded that lip-EMG may be a sensitive and selective measure of motor activity associated with smoking. The lip-EMG may also be applied together with hand activity and breathing to identify individual puffing, particularly in heavy smokers and during actual smoking. Discussed were several applications of this method to the study of smoking and other motivated behaviour such as consumption of water and palatable fluids.

Adult↗

Contribution of the extrinsic and intrinsic hand muscles to the moments in finger joints.

OBJECTIVE: The purpose of this current work is to develop a method of estimating force produced by the extrinsic and intrinsic hand muscles, and to estimate the contribution of these muscles to the finger joint moments. DESIGN: Experimental methods and a biomechanical model were developed for the estimation of (a) moments produced at finger joints, and (b) contribution of the intrinsic and extrinsic muscles to the moments, (c) forces of the extrinsic and intrinsic muscles within individual fingers. BACKGROUND: Because of the differential insertions of the extrinsic flexors, it is possible to isolate their mechanical effect at finger joints. METHODS: During the experiment, the location of force application was varied in parallel along individual fingers. The points of force application were on the distal phalanx, at the distal interphalangeal joint, or at the proximal interphalangeal joint. RESULTS: When the point of force application was varied in the proximal direction from the distal phalanx to the proximal interphalangeal joint the moment at a given joint decreased. The intrinsic and extrinsic muscle forces were dependent on the experimental conditions. The extrinsic muscles were the major contributors in counterbalancing finger joint moments when the point of force application was distal beyond the proximal interphalangeal joint. CONCLUSION: This current work provides both an experimental protocol and a biomechanical model that allows estimation of the contribution of the intrinsic and extrinsic muscles to finger joint moments. RELEVANCE: This study suggests ways of identifying the source of functional deficiency in the hand.

Adult↗

Does postural instability affect the initiation of human gait?

During gait initiation (GI), decoupling of the center of mass and center of pressure allows the center of mass to fall forwards. Subjects initiated gait rapidly before and after tibial nerve block of the tibial nerve. Static single limb stability, stance limb ground reaction forces, electromyogram and temporal data were measured. It was hypothesized that postural stability would decrease post-block and that this would affect the kinetic and temporal properties of GI. Subjects had significantly decreased postural stability post-block and changes in normal gait kinetics, however, no changes were noted in ground reaction forces or relative temporal data of the GI task. The finding that GI was unaffected by diminished single leg postural instability suggests that GI is a pre-programmed task.

Adaptation, Physiological↗

Variability of some SEMG parameter estimates with electrode location.

Muscular action potential conduction velocity (CV) and mean power frequency (MPF) are commonly used parameters to describe the surface electromyographic signal (SEMG). The discrepancies concerning the behavior and interpretation of these main parameters in the literature have motivated this work. Our objective was to evaluate within- and between-individual reproducibility, sensitivity and variation of CV and MPF depending on the electrode location with respect to various contraction modalities. The results present evidence for significant influence of electrode location on CV and MPF, not only in their initial values but also in their changes during fatiguing efforts. This influence appears to be subject-dependent. This variability seems to be essentially due to the relative displacements of myotendinous and neuromuscular junctions with respect to the electrode set. Moreover, this study shows that MPF can be seen as force-dependent under certain conditions and that the CV-MPF relationship is strongly influenced by methodological factors. In conclusion, it seems irrelevant to derive reliable SEMG parameter estimates without considering electrode location. There is a strong need for proper standardization based on anatomical and methological aspects before attempting any individual characterization. Finally, we suggest a procedure for assessment of measurement quality.

Action Potentials↗

Effects of attention and precision of exerted force on beta range EEG-EMG synchronization during a maintained motor contraction task.

OBJECTIVE: The present study was aimed at investigating the effect of attention and precision level of exerted force on beta range EEG-EMG synchronization. METHODS: We simultaneously recorded cortical electrical activity (EEG) in a bipolar manner from the contralateral sensorimotor areas and surface electromyographic (EMG) activity from the flexor digitorum superficialis muscle in 10 healthy subjects during a maintained motor contraction task at 8% of the maximal voluntary contraction (MVC) force level. The coherence between oscillatory processes in the EEG and EMG was calculated. Three different conditions were investigated: (i) performing the task with high precision (HP); (ii) performing the task with high precision and simultaneously performing a mental arithmetic task (HPAT), i.e. attention was divided between the motor task and the mental arithmetic task; and (iii) performing the task with low precision (LP). RESULTS: We have found that the amount of beta range EEG-EMG synchronization decreases below the 95% confidence level when attention is divided between the motor task and the mental arithmetic task. The results also show that the frequency of beta range synchronization is higher with a higher level of precision but still lies within the beta frequency range (15-30 Hz). CONCLUSIONS: The data indicate that beta range synchronization represents a state of the cortico-muscular network when attention is directed towards the motor task. The frequency of synchronization of this network is associated with, and possibly encodes, precision in force production.

Adult↗

Effects of TMJ anesthesia and jaw gape on jaw-stretch reflexes in humans.

OBJECTIVE: To study the roles of afferent sensory inputs in the temporomandibular joint (TMJ) and of muscle length in the modulation of the jaw-stretch reflex in humans. METHODS: Reflexes were evoked in both the masseter and temporalis muscles under standardized conditions in 11 young women. The study was performed in two sessions; experimental conditions were jaw gape and injection of local anesthetics. For jaw gape, 4, 14, and 24 mm were used in random order. One milliliter TMJ injections (carbocaine, 10 mg/ml, versus isotonic saline, 0.9%) were given in a randomized, double blind manner. When a participant received carbocaine during the first session, isotonic saline was injected during the second one. A total of 480 reflexes were evoked in every participant. RESULTS: No significant differences were found between carbocaine and isotonic saline. ANOVA and post hoc paired t tests did show, however, a significant effect of jaw gape for the left masseter and anterior temporalis muscles, with the 14 mm gape having the highest amplitude. CONCLUSIONS: Blocking the afferent sensory input (including the mechanoreceptors) from the TMJ seems to have no influence on the sensitivity of the human jaw-stretch reflex. Instead, muscle spindles are the most likely receptors to be responsible for the reflex modulation that was observed in the present study.

Adult↗

Modification of motor output to compensate for unanticipated load conditions during rapid voluntary movements.

Mechanisms responsible for load compensation during fast voluntary movements were investigated in 20 normal subjects trained to carry out rapid wrist flexions against a standard load. When an unanticipated increase in load occurred, there was a compensatory increase in agonist EMG and decrease in antagonist EMG. Unanticipated decreases in load produced reciprocal changes with a decrease in agonist EMG and an increase in antagonist EMG. The latency of these EMG changes was quite short and compatible with a spinal reflex mechanism rather than a long loop response. The results suggest that mechanisms exist at the spinal level to allow rapid modification of motor programs when unanticipated load conditions are encountered on initiation of movement.

Adult↗

Hierarchical rule-based monitoring and fuzzy logic control for neuromuscular block.

OBJECTIVE: The important task for anaesthetists is to provide an adequate degree of neuromuscular block during surgical operations, so that it should not be difficult to antagonize at the end of surgery. Therefore, this study examined the application of a simple technique (i.e., fuzzy logic) to an almost ideal muscle relaxant (i.e., rocuronium) at general anaesthesia in order to control the system more easily, efficiently, intelligently and safely during an operation. METHODS: The characteristics of neuromuscular blockade induced by rocuronium were studied in 10 ASA I or II adult patients anaesthetized with inhalational (i.e., isoflurane) anaesthesia. A Datex Relaxograph was used to monitor neuromuscular block. And, ulnar nerve was stimulated supramaximally with repeated train-of-four via surface electrodes at the wrist. Initially a notebook personal computer was linked to a Datex Relaxograph to monitor electromyogram (EMG) signals which had been pruned by a three-level hierarchical structure of filters in order to design a controller for administering muscle relaxants. Furthermore, a four-level hierarchical fuzzy logic controller using the fuzzy logic and rule of thumb concept has been incorporated into the system. The Student's test was used to compare the variance between the groups. p < 0.05 was considered significant. RESULTS: The system achieved stable control of muscle relaxation with a mean T1% error of -0.19 (SD 0.66) % accommodating a range in mean infusion rate (MIR) of 0.21-0.49 mg x kg(-1) x h(-1). When these results were compared with our previous ones using the same hierarchical structure applied to mivacurium, less variation in the T1% error (p < 0.05) but the same variation in infusion rate were observed. The controller activity of these two drugs showed no significant difference (p > 0.5). However, the consistent medium coefficient variance (CV) of the MIR of both rocuronium (i.e., 36.13 (SD 9.35) %) and mivacurium (i.e., 34.03 (SD 10.76) %) indicated a good controller activity. CONCLUSIONS: The results showed that a hierarchical rule-based monitoring and fuzzy logic control architecture can provide stable control of neuromuscular block despite the considerable individual variation in neuromuscular block required among patients. Also, there was less variation in T1% error compared with that of previous study on mivacurium. Meanwhile, the consistent medium CV of the MIR of both rocuronium and mivacurium indicated a good controller activity which is able to withstand noise, diathermy effect, artifacts and surgical disturbances.

Adolescent↗