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Spino-spinal mechanisms in the chloralose anaesthetized cat.

1. In chloralose anaesthetized cats the events in the lumbosacral cord that follow stimulation of a forepaw or neck nerve have been examined.2. Four events take place in the lumbosacral cord after forepaw or neck muscle nerve stimulation. These are: (1) a brief period of generalized enhanced motoneurone excitability, (2) a prolonged and as yet unexplained enhancement of monosynaptic reflexes, (3) a period of presynaptic inhibition in muscle and skin afferent fibres, and (4) a prolonged inhibition of spino-bulbo-spinal reflexes.3. A variable and sometimes selective reduction of one or another descending effects follows the placing of small lesions in the anterior portion of the suprasylvian gyrus.

Action Potentials↗

Postural stability, neck proprioception and tension neck.

We examined whether tension neck (TN) may due to inadequate proprioceptive and vestibular activation of the cervico-collic reflex (CCR). CCR and vestibulospinal responses (VSRs) were recorded from 106 forest workers by stimulating the neck, lumbar or calf proprioceptors by vibration. The VSRs were recorded with posturography. TN occurred in 27 out of 106 subjects. The subjects with TN (48.5 years) were older than those without TN (43.1). The mean body sway during quiet stance was the same in both groups during the neck stimulation. In subjects with tension neck stimulation of neck or lumbar proprioceptors caused excessive, unpredictable body excursion in the lateral and anteroposterior direction that continued after stimulation. Results from stimulation of lower limb proprioceptors did not significantly differ between the 2 groups. In logistic regression analysis a model to predict TN consisting of perstimulatory postural stability (odds ratio 1.4) and poststimulatory postural stability (odds ratio 1.8) turned out to be statistically significant. The anatomical findings of CCR in the medulla oblongata suggest that neck muscle afferents control the posture and muscle activity of the neck. The erroneus facilitation of proprioception in TN subjects indicate that TN may be raised by inadequate facilitation of CCR.

Adult↗

Maximal isometric muscle strength of the cervical spine in healthy volunteers.

OBJECTIVE: To describe the maximal isometric neck muscle strength in healthy Chinese volunteers, in six different directions, as measured by a Multi Cervical Rehabilitation Unit. DESIGN: A standardized cross-sectional observational study. SETTING: A university rehabilitation unit. SUBJECTS: Ninety-one healthy volunteers aged 20-84. METHODS: During the measurement the subject was instructed to do three consecutive steady contractions as hard as possible, with a 10-second rest in between each contraction and a 2-minute rest between different directions. The peak isometric strength for each of the six directions (flexion, extension, lateral flexions, protraction and retraction) was calculated. RESULTS: No significant difference was found in muscle strength between different age groups. Isometric muscle strength in the direction of right lateral flexion was significantly greater than that to the left in men (p = 0.030), but no difference was found in women (p = 0.297). Isometric strength in all directions in men was 1.2-1.7 times that in women (all p < 0.028). Correlations between physical measurements (height and weight) and strength values were all insignificant in both genders. CONCLUSION: Men have approximately 20-70% greater isometric neck muscle strength than women. Both men and women can maintain high levels of cervical muscle strength in six different directions up to their seventh decade. There is no significant correlation between physical measurements and isometric neck muscle strength.

Adult↗

Effect of vibration-induced postural illusion on anticipatory postural adjustment of voluntary arm movement in standing humans.

We investigated the contribution of sensory signals arising from muscle proprioceptive receptors to anticipatory postural adjustments (APAs). During vibration applied to ankle (tibialis anterior; TA, soleus; Sol) or neck muscles, subjects generally describe having illusory sensations of whole-body movement, namely, whole-body movement in a backward and forward direction induced by vibration of the Sol or TA, respectively, and the front or back surface of the neck muscles, respectively. Preceding electromyographic (EMG) activity of the ipsilateral biceps femoris (BFi) muscle induced by rapid voluntary arm movement and the typical phenomenon of APA were changed dependent on these illusory whole-body movements, with preceding EMG activities of BFi appearing earlier in vibration applied to TA and later in vibration applied to Sol muscle. In vibration applied to the back surface of neck muscle, preceding EMG activities of BFi appeared earlier, as with vibration applied to TA. On the contrary, in vibration applied to the front surface of neck muscles, preceding EMG activities of BFi appeared later, as with vibration applied to Sol. Based on these results, we discuss changes in the central processing of proprioceptive signals used for coding of the spatial orientation of the body and its contribution to postural stabilization.

Adult↗

Modulation by horizontal eye position of the vestibulo-collic reflex induced by tilting in the frontal plane in the alert cat.

In alert cats, during sinusoidal rotations of head and trunk en bloc around a longitudinal axis, in darkness or in light, the vestibulo-collic reflex induces neck muscle contractions. The phase and gain diagrams are consistent, in the frequency range 0.2 to 1.2 Hz, with previous results from anesthetized or decerebrate cats. In addition, neck muscle contractions are modulated by horizontal eye position, as is the case for rotations in the horizontal plane, around the vertical (Z) axis. Neck muscle contraction is consequently under control of both eye position and head tilt angle. This synergy of eye and head could suppress the effects of vestibulo-collic reflex during orienting reactions.

Animals↗

Visual and vestibular contributions to pitch sway stabilization in the ankle muscles of normals and patients with bilateral peripheral vestibular deficits.

Vestibular, visual, and proprioceptive influences on muscle activity correcting for backwards body tilt were investigated in normals and patients with bilateral peripheral vestibular deficits. Body tilt was induced by a dorsi-flexion rotation of the feet about the ankle joints while the subject stood on a force measuring platform. Ankle muscle activity and torque were monitored as upright stance was reestablished, and correlated with head angular accelerations and neck muscle activity. In normals with eyes closed, soleus stretch reflex activity at 50-80 ms was followed by two bursts of tibialis anterior (TA) EMG activity at ca 80 and 125 ms from the onset of 36 deg/s, 3 deg amplitude platform rotations. Neck muscle activity rotated the head backwards at the same time as TA activity rotated the body forwards about the ankle joints. Under the influence of vision, i.e. eyes open, slight increases in the second burst of TA activity, and ankle torque were observed. When the subjects sat, and were instructed to activate TA rapidly on onset of the platform movement, TA EMG activity increased gradually at ca. 150 ms and not as a burst. In patients with long-lasting bilateral vestibular deficits, both bursts of TA activity were significantly less than normal with eyes closed. Consequently sway correcting torques were abnormally low and all but one of the patients fell over backwards. With eyes open, TA activity was slightly less than, and ankle torques were approximately equal to normal values. In contrast to normals, TA responses obtained in standing and sitting positions were not significantly different. Neck EMG activity varied from normal, consisting of a long burst 100 ms in duration. The present data indicate that a coordinated pattern of ankle, and neck muscle activity occurs during the first 150 ms following induced backward tilt. Ankle muscle activity corrects for the body sway, and neck muscle activity attempts to stabilise the head with respect to earth fixed coordinates. It is proposed that the vestibulo-spinal reflex system predominantly underlies the genesis and coordination of this muscle activity.

Adult↗

White-matter dendrites in the upper cervical spinal cord of the adult cat: a light and electron microscopic study.

The organization and structure of dendrites penetrating into the white matter of upper cervical spinal segments have been examined by means of Golgi staining techniques, intracellular horseradish peroxidase (HRP) injections, and ultrastructural studies. The Golgi studies established that several groups of neurons located in intermediate and ventral laminae of the upper cervical spinal cord have a substantial part of their dendritic tree extending into adjacent ventral and lateral funiculi. Most dendrites in white matter showed irregular varicosities along their length. They were devoid of spines and followed relatively direct paths. In contrast, grey matter dendrites were occasionally observed with spines and complex appendages frequently followed tortuous paths. The size and location of some Golgi stained neurons suggested that white matter dendrites might originate from neck muscle motoneurons. This possibility was confirmed using intracellular HRP injections. These studies also showed that the distribution of white matter dendrites of neck muscle motoneurons depended on the location of the motoneuron soma. White matter dendrites of neck muscle motoneurons located deep in the ventral horn projected into all regions of white matter surrounding the ventral horn. Other neck muscle motoneurons, located in the spinal accessory nucleus, had white matter dendrites largely confined to the lateral funiculus. White matter dendrites of motoneurons in the commissural nucleus were found to project across the ventral commissure into the contralateral spinal cord. Light microscopic studies of semi-thin sections stained with toluidine blue and electron microscopic studies of thin sections revealed that white matter dendrites were confined to special regions of the white matter. These regions resembled the grey matter neuropil and contained dendrites and unmyelinated and small diameter myelinated axons. Axon terminals were also found in white matter. These terminals contained either flattened or spherical vesicles and formed synaptic contacts on white matter dendrites. White matter dendrites, by virtue of their frequency of occurrence, distribution, and type of synaptic contacts may represent a means by which descending or ascending spinal systems can influence spinal neurons without recourse to axon collaterals which terminate in grey matter.

Animals↗

Influence of thiopentone on upper airway muscles.

Surface electromyograms of tongue and neck muscles were measured in 14 patients before surgery under general anaesthesia to assess their relative importance in the maintenance of airway patency during sedation with i.v. thiopentone. During the i.v. administration of successive 50-mg doses of thiopentone, the mean activity of the genioglossus, sternothyroid and sternohyoid (strap muscles), and scalene muscles decreased. There was a wide variation in response, with frequent activation of the scalene and strap muscles after small doses of thiopentone. The activity of the strap and scalene muscles changed from a tonic pattern to activity in phase with inspiration. Airway obstruction was frequent and accompanied by significant increases in phasic muscle action which did not overcome the obstruction. The pattern of changes observed suggests that loss of tonic activity in the sternothyroid and sternohyoid muscles is associated with airway obstruction.

Action Potentials↗

[Musculi longus capitis et splenius of the rat and innervating motoneurons (author's transl)].

The nuclei for the nerves of a dorsal (m. splenius) and a ventral (m. longus capitis) neck muscle of the rat were retrogradely labeled by applying horseradish peroxidase (HRP) to the respective cut muscle nerves. Motoneurons of both muscles were analyzed for their localization, diameter of perikarya, and area of dendritic arborization. The nucleus of m. longus capitis is situated dorsomedially, the nucleus of m. splenius ventromedially within the ventral horn. Thus, the relative positions of the two nuclei are inverse to those of their muscles, with the more ventral nucleus innervating the more dorsal muscle. In both nuclei the areas of dendritic arborization are very large, extending into the nuclei of other neck muscles, and also into the ipsilateral anterior funiculus. In addition, m. longus capitis motoneurons were found to send dendrites into the contralateral ventral horn, reaching the nucleus of the contralateral muscle. The size distribution of perikarya is bimodal for m. longus capitis motoneurons, but only unimodal in the case of m. splenius.

Animals↗

Startle responses elicited by whiplash perturbations.

The human startle response produces muscle contractions throughout the body but the most brisk and synchronized contractions appear in the neck muscles. This response, which is greatest with the first exposure to a startling stimulus, could produce excessive and inappropriately directed muscle contractions that could explain the higher incidence of whiplash injuries in people who are unprepared for the collision. This study seeks neurophysiological evidence of startle responses in the neck muscles of 120 healthy subjects exposed to between 1 and 16 rear-end impacts or forward perturbations of different speeds. Startle responses were quantified by the synchronous electromyographic (EMG) activity between 10 and 20 Hz in bilaterally homologous sternocleidomastoid, scalene and cervical paraspinal neck muscles. Coherence analyses of EMGs from the left and right muscles were used to estimate synchrony for: (i) the first unexpected trial, (ii) subsequent habituated trials, and (iii) the superposition of habituated trials and a loud acoustic stimulus (40 ms, 124 dB sound). The peak in coherent EMG activity between contralateral muscle pairs in the 10-20 Hz bandwidth was related to startle. Synchrony in this bandwidth was observed between the left and right muscles during the first impact or whiplash-like perturbation. This synchrony decreased significantly in the habituated trials, but reappeared when the loud acoustic stimulus was introduced. Its presence in the first trial indicates that startle is part of the neuromuscular response to an unexpected rear-end impact. This startle component of the neuromuscular response could play a role in the aetiology of whiplash injuries.

Acceleration↗

Surface electromyographic activity in total laryngectomy patients following laryngeal nerve transfer to neck strap muscles.

Hands-free triggering and pitch control would improve electrolarynx devices, which are inconvenient to use and sound unnatural. The present study tested the strategy of salvaging voice-related neural signals for hands-free electrolarynx control either by transferring cut recurrent laryngeal nerves (RLNs) to denervated neck strap muscles or by preserving strap muscles with their normal innervation. An RLN nerve transfer was performed at the time of total laryngectomy in 8 individuals, and in 5 of these subjects, strap muscles with intact ansa cervicalis innervation were also preserved for comparison. Neck surface electromyography performed over the strap muscles was used periodically for more than 1 year on phonatory and nonphonatory tasks. Signals were eventually obtained in all subjects from both RLN-innervated and ansa-innervated strap muscles that correlated with speech production. After 1 year, RLN-driven signals were larger than ansa-driven signals in magnitude, and their timing appeared better correlated with intended phonation. The results show that neck surface electromyography is an effective control source for hands-free electrolarynx activation, and that RLN transfer may provide the best approach for obtaining phonation-related activity.

Electromyography↗

Coordination between head and hindlimb motions during the cat scratch response.

Coordination between motions of the head and the hindlimb paw ipsilateral to the stimulated pinna were assessed during the scratch cycle in freely moving cats. Motor patterns were determined by electromyographic (EMG) recordings made from epimysial-patch electrodes surgically implanted on the biventer cervicis (BC), complexus (CM), obliquus capitis inferior (OC), and splenius (SP) muscles and by fine-wire EMG electrodes implanted in two ankle muscles, medial gastrocnemius (MG), and tibialis anterior (TA). To assess head motions during the three phases of the scratch cycle (precontact, contact, postcontact), several responses were filmed, and in some cats an in vivo force transducer was implanted on an ankle extensor muscle (MG or plantaris, PL) to determine the tension profile during the scratch cycle. During the scratch cycle, the head's trajectory was usually characterized by a small oscillation in which the head was pushed away during paw contact (as hindlimb joints extended) and then repositioned during the noncontact phases (as hindlimb joints flexed). Neck muscle activity did not occur during all responses or during all cycles of a single multicycle scratch response, and when it occurred, neck muscle EMG was characterized as phasic (a single burst during the cycle) or tonic (low-level activity during the entire cycle). Neck muscles ipsilateral (i) to the scratching limb exhibited phasic bursts more than contralateral (c) muscles, and phasic activity was most frequently observed in the iBC, iSP, iOC, and cOC muscles. The cOC was reciprocally active with the ipsilateral muscles, and its burst coincided with the postcontact phase and the ankle flexor (TA) burst. The ipsilateral muscles (iOC, iSP, iBC) were active during paw contact, and the termination of all three bursts occurred synchronously just after peak tension of the ankle extensor was reached. The iBC was active before the onset of paw contact and may have been responsible for repositioning the head, along with the cOC, during the precontact phase. The iOC became active after the onset of paw contact (22 ms) and was recruited more often when the peak extensor tendon force was high (10-16 N). The iSP, in contrast, was active during the contact phase of most scratch cycles examined and its recruitment appeared to be unrelated to tendon forces. Our data suggest that phasic neck muscle activity is not obligatory during the cat scratch response, but is related to certain conditions such as a higher than average tendon force of an ankle extensor during contact and the need to reposition the head during the noncontact phases of the cycle.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

The strength-endurance relationship in skeletal muscle: its application to helmet design.

The isometric strength and endurance of the neck muscles in man was measured in four male subjects during dorsal, ventral, and lateral flexion of the head in a helmet dynamometer. The purpose of these experiments was to quantify the maximum strength of the neck muscles in these directions and to examine the relationship between isometric strength and endurance for various submaximal isometric tensions. Isometric contractions were sustained to fatigue by these subjects at tensions of 25, 40, 55, 70, and 90% of the maximum isometric strength in each of the directions of movement. Generally, the endurance of the muscles involved in ventral flexion was less than that found in dorsal and lateral flexion of the head. However, the strength of the muscles involved was progressively greater for lateral, dorsal, and ventral flexion, respectively. The implication of these findings in helmet design and helmet loading are discussed.

Adult↗

Trigeminocervical reflexes elicited by stimulation of the infraorbital nerve: head retraction reflex.

In the current study, the effects of stimulation of the infraorbital nerve (ION) on the trigeminocervical reflexes (TCRs), recorded from the posterior neck muscles, was investigated and the results were compared with the results recorded by stimulation of the supraorbital nerve (SON). TCRs obtained by stimulation of the ION was evaluated as the electrophysiologic counterpart of the head retraction reflex. Twenty normal control subjects, 10 men and 10 women, were enrolled in the study. The SON and the ION were stimulated by using a bipolar surface electrode. Results were recorded by using either concentric needle electrodes inserted into the semispinalis capitis muscle at the level of the third or fourth cervical vertebra or by surface electrodes placed at the C3 and C7 vertebrae on the midline. It was found that stimulation of the supraorbital and infraorbital branches of the trigeminal nerve had different reflexive effects on the posterior neck muscles. A stable positive (or negative-positive) wave, with a very early latency and high amplitude was always recorded after maximal stimulation of the ION, which could never be detected by stimulation of the SON. The C3 response of the TCR, evoked by SON stimulation was always evoked, by stimulation of the ION, at a low threshold. These findings suggest that the head retraction reflex is composed of two phases: inhibitory and excitatory. The early, fixed positive wave represents the general inhibition of the cranial and neck muscles, just before withdrawal of the face and head, from unexpected stimuli, which precedes the dense C3 response, demonstrating activation of the posterior neck muscles.

Adult↗

Reflex and mechanical contributions to head stabilization in alert cats.

Five alert cats were tested for their responses to rotation in a device that allowed rotation of the head on the trunk about a vertical axis passing through the C1-C2 vertebral joint. Electrodes were implanted to record the horizontal and vertical electrooculogram and electromyographic (EMG) activity of the dorsal neck muscles splenius, biventer cervicus, and complexus. Head rotation and torque acting on the head were recorded in the horizontal plane during rotations in the 0.05-5.0 Hz frequency range. Responses were interpreted with reference to a closed-loop dynamic model of the head-neck system. Whole-body rotation (WBR) with no neck movement elicited a vestibulocollic reflex (VCR). Neck muscle EMG lagged the sinusoidal platform rotation by approximately 120 degrees at low frequencies, which represents a 60 degrees lead relative to a perfectly compensatory 180 degrees lag. This phase lead was related to the cumulative eye position of the accompanying horizontal vestibular nystagmus as reported by Vidal et al. Horizontal head torque exhibited a similar low-frequency behavior. At high frequencies, EMG exhibited a progressively increasing phase lead and gain increase typical of a second-order lead system as described in decerebrate cats. Torque, however, showed much less lead and gain increase, presumably because of the low-pass filter properties of the process coupling muscle excitation to torque. Head torque did exhibit a steep increase in gain with frequency and a phase approaching that of platform acceleration at high frequencies when weights were attached to the head to increase its moment of inertia. The same +40 dB/decade gain slope and phase approaching 0 degree was observed during WBR rotation of the anesthetized cat in which head inertia is the only factor contributing to the torque. This dynamic behavior was predicted by the inertial component of the model. In the alert unweighted cat, the inertial torque was smaller than VCR-generated torque at frequencies below 4 Hz. Rotation of the neck with the head held fixed in space (HFS rotation) elicited a cervicocollic reflex (CCR). Neck EMG response was very similar to that observed during WBR, both in dynamic behavior and overall gain. Torque, however, was consistently greater than that generated by WBR and showed a steady increase of 8 dB/decade as frequency rose. The added torque can be attributed to the viscoelastic properties of neck muscles. Driven rotation of the head on the fixed body elicited torques that could be closely approximated by a vector sum of torques observed during WBR and HFS rotations.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Spontaneously changing muscular activation pattern in patients with cervical dystonia.

The objective of this study was to determine stability of the neck muscle activation pattern in a given dystonic head position in patients with cervical dystonia (CD). We assessed 26 patients with CD and botulinum toxin (BT) treatment failure before surgical denervation. None of them had received BT injections for at least 4 months. To relate dystonic head position to underlying neck muscle activity, we used synchronised video and poly-electromyographic (EMG) recording over a period of 10 minutes. The muscle activation pattern during constant ("stable") maximal dystonic excursions was analysed. EMG data of nine patients was excluded from the analysis, as these patients had a constantly changing head position or marked head tremor. In the remaining 17 patients, who had a fairly stable dystonic position, muscular activation patterns during the recording spontaneously changed in nine (Group A) while in eight it remained stable (Group B). There was no significant difference in demographic variables between the two groups other than a male predominance in Group A. However, the retrospectively determined initial response to BT treatment (before BT treatment failure had occurred) was significantly worse in Group A as compared with Group B. Neck muscle activation patterns can spontaneously change in CD patients despite constant dystonic head position, implying an inherent variability of the underlying central motor program in some patients. This should be considered when BT treatment response is unsatisfactory, and should also be taken into account when interpreting results of EMG recordings of neck muscles in these patients.

Adult↗

Referred pain in headache.

A technique consisting of the application of digital pressure to posterior neck muscles was applied at the time of headache to 82 neuropsychiatric patients observed at a Veterans Administration Mental Hygiene Clinic. Results indicated correlation between sustained muscular contraction of neck muscles and pain in the head. Certain commonalities among the Minnesota Multiphasic Personality Inventory profiles of the patients were noted and a new scale of items was developed which may prove useful in identifying headache-prone persons and their psychological characteristics. Repression was not found to be higher than the populational mean.

Adult↗

Motor control of the appetitive phase of feeding behavior in Aplysia.

The appetitive phase of feeding behavior, in the gastropod, Aplysia, consists of head lifting, head waving, orientation of the head to food, and locomotion. We have initiated studies of the neural control of head waving using three methods: (i) anatomical description of the nerves innervating muscles that are involved in head movement, (ii) electrical stimulation of nerves in a semi-intact preparation, and (iii) recording from nerves in free-moving animals. The muscles controlling head movements, located in the dorsal and lateral neck region, are innervated primarily by pleural nerve 1 and pedal nerves 2, 3, and 5. Electrical stimulation of these nerves caused both longitudinal and lateral contractions of the neck muscles, the largest contractions being in the area where the nerve first enters the muscle. Extracellular recordings from pleural nerve 1 and pedal nerves, in free-moving animals, showed an increase in extracellular activity during head lifting, at the onset of appetitive feeding behavior. Directionally specific inhibition and excitation in neural activity occurred in pleural nerve 1 and pedal nerve 5 during leftward and rightward movements of the head (head waving). Cobalt and nickel backfills of pleural nerve 1 and pedal nerve 5 revealed cell bodies in the cerebral, pedal, and pleural ganglia. The neurons are therefore putative motor neurons for the neck muscles involved in appetitive behavior. This evidence suggests that appetitive control of feeding may involve the coordinated activity of several different ganglia.

Animals↗