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Motor unit spike counts before and after maximal voluntary contraction.

Motor unit spike counts in the biceps brachii muscle were evaluated using a monopolar needle electrode during maintenance of antigravity posture with the elbow flexed to 45 degrees before and after maximal voluntary contraction (MVC). After MVC, the number of motor unit spikes/second needed to maintain this posture was about 50% less than prior to MVC. Surface rectified integrated EMG activity declined in parallel to the decline in spike counts. To determine whether different muscles were compensating for the reduction in spike counts, synergistic muscles were examined simultaneously. Similar reductions were noted. In one deafferented subject, EMG activity increased rather than decreased after MVC . Fatigue decreases the contraction-relaxation rate of muscle fibers, which lowers fusion frequency. Thus, lower rates of motor unit activation can result in the maintenance of constant force. A feedback system from muscle to CNS likely senses this slowing and leads to the spike count reduction.

Elbow Joint↗

Muscle involvement during intermittent contraction patterns with different target force feedback modes.

OBJECTIVE: Assess the effect of different feedback modes during intermittent contractions on primary and assessory muscle activity. BACKGROUND: Intermittent contractions and physiological responses have been studied in laboratory settings. However, the feedback given to the subjects regarding timing and force level is generally not specified. DESIGN: Repeated measure design in which six subjects in randomized order performed two experimental conditions only differing in feedback mode. METHODS: Intermittent static elbow flexion was performed against either a fixed-force transducer (visual feedback) or a weight to be held in position (proprioceptive feedback) both corresponding to 30% maximal voluntary contraction. Contraction and relaxation timing of 6 and 4 s, respectively, was shown on a VDU screen as colour code identical in both conditions. RESULTS: Test contractions performed before and following 30 min of intermittent contractions showed larger fatigue development with proprioceptive feedback than visual feedback. Also rating of perceived exertion increased more during proprioceptive feedback than visual feedback. This may in part be explained by small differences in the mechanics during the two different feedback modes. In line with this, EMG recorded from four shoulder/arm muscles analyzed for amplitude and frequency showed similar activity initially; but later, during the 30 min contraction larger amplitudes were attained during proprioceptive feedback than visual feedback. CONCLUSIONS: Feedback mode significantly effects the muscle involvement and fatigue during intermittent contractions. RelevanceIntermittent contractions are common in many work places and various feedback modes are being given regarding work requirements. The choice of feedback may significantly affect the muscle load and consequently the development muscle fatigue and disorders.

Biomechanical Phenomena↗

Manipulation of peripheral neural feedback loops alters human corticomuscular coherence.

Sensorimotor EEG shows approximately 20 Hz coherence with contralateral EMG. This could involve efferent and/or afferent components of the sensorimotor loop. We investigated the pathways responsible for coherence genesis by manipulating nervous conduction delays using cooling. Coherence between left sensorimotor EEG and right EMG from three hand and two forearm muscles was assessed in healthy subjects during the hold phase of a precision grip task. The right arm was then cooled to 10 degrees C for approximately 90 min, increasing peripheral motor conduction time (PMCT) by approximately 35% (assessed by F-wave latency). EEG and EMG recordings were repeated, and coherence recalculated. Control recordings revealed a heterogeneous subject population. In 6/15 subjects (Group A), the corticomuscular coherence phase increased linearly with frequency, as expected if oscillations were propagated along efferent pathways from cortex to muscle. The mean corticomuscular conduction delay for intrinsic hand muscles calculated from the phase-frequency regression slope was 10.4 ms; this is smaller than the delay expected for conduction over fast corticospinal pathways. In 8/15 subjects (Group B), the phase showed no dependence with frequency. One subject showed both Group A and Group B patterns over different frequency ranges. Following cooling, averaged corticomuscular coherence was decreased in Group A subjects, but unchanged for Group B, even though both groups showed comparable slowing of nervous conduction. The delay calculated from the slope of the phase-frequency regression was increased following cooling. However, the size of this increase was around twice the rise in PMCT measured using the F-wave (regression slope 2.33, 95% confidence limits 1.30-3.36). Both afferent and efferent peripheral nerves will be slowed by similar amounts following cooling. The change in delay calculated from the coherence phase therefore better matches the rise in total sensorimotor feedback loop time caused by cooling, rather than just the change in the efferent limb. A model of corticomuscular coherence which assumes that only efferent pathways contribute cannot be reconciled to these results. The data rather suggest that afferent feedback pathways may also play a role in the genesis of corticomuscular coherence.

Adult↗

Evidence that periodontal pressoreceptors provide positive feedback to jaw closing muscles during mastication.

1. Mastication was produced by stimulation of the right motor-sensory cortex of urethan-anesthetized rabbits with 15-s trains of shocks (1-ms duration) at 50 Hz. Movements of the lower jaw and jaw muscle electromyograms (EMGs) were recorded on magnetic tape for later computer analysis. 2. The stimulus site was chosen, and stimulus intensity adjusted, so that stereotyped movements were produced that included a wide swing of the mandible to the left side during jaw closure. 3. Control trials were alternated with trials in which a steel ball (2 mm diam) was thrust between the anterior molar teeth on the left side and left in place for several seconds. 4. When the obstruction was first introduced, a jaw opening reflex was sometimes evoked if the ball struck the buccal surface of the advancing mandibular molar teeth. Thereafter, when the ball was crushed between the occlusal surfaces of the teeth, no jaw opening reflex was seen. 5. Instead, the amplitude and duration of all the jaw closing EMGs increased, beginning at least 12 ms after contact with the ball. This caused a prolongation of the slow closing (SC) phase of the cycle that, coupled with a delay in the start of activity in the digastric muscle (jaw opener), prolonged the cycle by more than 60 ms. 6. During the SC phase of the obstructed trials, the medially directed grinding stroke was exaggerated because of an increase in the contraction of the contralateral zygomaticomandibular and anterior temporal muscles. 7. After collecting data, the sensory nerves to the maxillary and mandibular anterior molar teeth were cut to eliminate feedback from the periodontal pressoreceptors. Control and obstructed trials were repeated. 8. Following denervation, the obstructed cycles were of shorter duration. The mandible still moved to the right during SC in some animals, but the increase in closer muscle EMG activity was much reduced. 9. We conclude that periodontal receptors provide positive feedback to the jaw closing muscles during mastication. This is supplemented by input from other receptors, probably muscle spindles. In addition, an increase in periodontal feedback prolongs the SC phase and the early phases of the opening stroke.

Animals↗

Feedback of joint angle and EMG in gait of able-bodied subjects.

Recent developments in the ability to identify discrete disturbances in gait patterns have led to the development of a computer-assisted feedback system which can provide continuous visual and auditory feedback to a walking subject concerning some discrete aspect of his gait. The purpose of this study was to determine if able-bodied subjects could use this feedback to modify their gait according to externally imposed targets set for exaggerated joint motions or muscle activity, or for changes in the timing of these movements, or for both parameters together. Two groups of able-bodied older adults were presented with either knee and ankle joint angle feedback or quadriceps electromyographic feedback over four identical sessions. Records were kept of performance relative to the targets set for amplitude, timing, and for both parameters together. Results indicated that able-bodied subjects could modify the amplitude and timing of movements in the presence of feedback; they also suggested that the use of this approach in the reeducation of pathologic gait patients should be explored.

Aged↗

The importance of somatosensory information in triggering and scaling automatic postural responses in humans.

To clarify the role of somatosensory information from the lower limbs of humans in triggering and scaling the magnitude of automatic postural responses, patients with diabetic peripheral neuropathy and age-matched normal controls were exposed to posterior horizontal translations of their support surface. Translation velocity and amplitude were varied to test the patients' ability to scale their postural responses to the magnitude of the translation. Postural response timing was quantified by measuring the onset latencies of three shank, thigh, and trunk muscles and response magnitude was quantified by measuring torque at the support surface. Neuropathy patients showed the same distal-to-proximal muscle activation pattern as normal subjects, but the electromyogram (EMG) onsets in patients were delayed by 20-30 ms at all segments, suggesting an important role for somatosensory information from the lower limb in triggering centrally organized postural synergies. Patients showed an impaired ability to scale torque magnitude to both the velocity and amplitude of surface translations, suggesting that somatosensory information from the legs may be utilized for both direct sensory feedback and use of prior experience in scaling the magnitude of automatic postural responses.

Aged↗

Watching your foot move--an fMRI study of visuomotor interactions during foot movement.

The objective of this study was to investigate brain areas involved in distinguishing sensory events caused by self-generated movements from similar sensory events caused by externally generated movements using functional magnetic resonance imaging. Subjects performed 4 types of movements: 1) self-generated voluntary movement with visual feedback, 2) externally generated movement with visual feedback, 3) self-generated voluntary movement without visual feedback, and 4) externally generated movement without visual feedback, this design. This factorial design makes it possible to study which brain areas are activated during self-generated ankle movements guided by visual feedback as compared with externally generated movements under similar visual and proprioceptive conditions. We found a distinct network, comprising the posterior parietal cortex and lateral cerebellar hemispheres, which showed increased activation during visually guided self-generated ankle movements. Furthermore, we found differential activation in the cerebellum depending on the different main effects, that is, whether movements were self- or externally generated regardless of visual feedback, presence or absence of visual feedback, and activation related to proprioceptive input.

Adolescent↗

Respiratory response to passive limb movement is suppressed by a cognitive task.

Feedback from muscles stimulates ventilation at the onset of passive movement. We hypothesized that central neural activity via a cognitive task source would interact with afferent feedback, and we tested this hypothesis by examining the fast changes in ventilation at the transition from rest to passive leg movement, under two conditions: 1) no task and 2) solving a computer-based puzzle. Resting breathing was greater in condition 2 than in condition 1, evidenced by an increase in mean +/- SE breathing frequency (18.2 +/- 1.1 vs. 15.0 +/- 1.2 breaths/min, P = 0.004) and ventilation (10.93 +/- 1.16 vs. 9.11 +/- 1.17 l/min, P < 0.001). In condition 1, the onset of passive movement produced a fast increase in mean +/- SE breathing frequency (change of 2.9 +/- 0.4 breaths/min, P < 0.001), tidal volume (change of 233 +/- 95 ml, P < 0.001), and ventilation (change of 6.00 +/- 1.76 l/min, P < 0.001). However, in condition 2, the onset of passive movement only produced a fast increase in mean +/- SE breathing frequency (change of 1.3 +/- 0.4 breaths/min, P = 0.045), significantly smaller than in condition 1 (P = 0.007). These findings provide evidence for an interaction between central neural cognitive activity and the afferent feedback mechanism, and we conclude that the performance of a cognitive task suppresses the respiratory response to passive movement.

Adult↗

Feedback goniometers for hand rehabilitation.

Active range-of-motion exercises and related activities are an important means for applying progressive stress to induce remodeling of various tissues that restrict range of motion in the hand and wrist. Supplying joint angle feedback to patients as they exercise can help them more consistently to reach the flexion/extension goals set by the therapist. To accomplish this aim, feedback goniometers have been developed that are worn on the hand during exercise and therapeutic activities. These devices supply a threshold feedback signal when a predetermined joint angle is attained. Clinical trials indicate that many patients in a comprehensive hand rehabilitation program after injuries or corrective surgery will improve somewhat more in active range of motion if they use feedback goniometers while exercising. Plans are available for fabricating such devices from readily obtained tools and parts at a modest cost.

Electromyography↗

Cerebellar control of postural scaling and central set in stance.

1. The effects of cerebellar deficits in humans on scaling the magnitude of automatic postural responses based on sensory feedback and on predictive central set was investigated. Electromyographic (EMG) and surface reactive torques were compared in patients with anterior lobe cerebellar disorders and in normal healthy adults exposed to blocks of four velocities and five amplitudes of surface translations during stance. Correlations between the earliest postural responses (integrated EMG and initial rate of change of torque) and translation velocity provided a measure of postural magnitude scaling using sensory information from the current displacement. Correlations of responses with translation amplitude provided a measure of scaling dependent on predictive central set based on sequential experience with previous like displacements because the earliest postural responses occurred before completion of the displacements and because scaling to displacement amplitude disappeared when amplitudes were randomized in normal subjects. 2. Responses of cerebellar patients to forward body sway induced by backward surface displacements were hypermetric, that is, surface-reactive torque responses were two to three times larger than normal with longer muscle bursts resulting in overshooting of initial posture. Despite this postural hypermetria, the absolute and relative latencies of agonist muscle bursts at the ankle, knee, and hip were normal in cerebellar patients. 3. Although they were hypermetric, the earliest postural responses of cerebellar patients were scaled normally to platform displacement velocities using somatosensory feedback. Cerebellar patients, however, were unable to scale initial postural response magnitude to expected displacement amplitudes based on prior experience using central set. Randomization of displacement amplitudes eliminated the set effect of amplitude on initial responses in normal subjects, but responses to randomized and blocked trials were not different in cerebellar patients. 4. Cerebellar patients compensated for hypermetric responses and lack of anticipatory scaling of earliest gastrocnemius activity by scaling large, reciprocally activated tibialis and quadriceps antagonist activity with the displacement velocity and amplitude. Correlations between these antagonist EMG integrals and displacement amplitudes were preserved when amplitudes were randomized, suggesting that feedback-dependent and not set-dependent mechanisms were responsible for scaling of antagonists by cerebellar patients. Antagonist compensation for initial hypermetric responses also could be induced in normals when they overresponded to unexpectedly small amplitudes of surface displacements. 5. The major effects of anterior lobe cerebellar damage on human postural responses involves impairment of response magnitude based on predictive central set and not on use of velocity feedback or on the temporal synergic organization of multijoint postural coordination.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

Stuttering and sensory gating: a study of acoustic startle prepulse inhibition.

It was hypothesized that stuttering may be related to impaired sensory gating, leading to overflow of superfluous disturbing auditory feedback and breakdown of the speech sequence. This hypothesis was tested using the acoustic startle prepulse inhibition (PPI) paradigm. A group of 22 adults with developmental stuttering were compared with controls regarding the degree of PPI. No significant differences were found between the stuttering adults and the control group; the groups showed similar means and distribution. Likewise, no relation between the degree of PPI and the effect of altered auditory feedback on stuttering was found. In summary, the results of the study indicate that there is no relation between stuttering and PPI.

Adult↗

Kinematic and EMG characteristics of simple shoulder movements with proprioception and visual feedback.

The objective of this study was to determine if simple, shoulder movements use the dual control hypothesis strategy, previously demonstrated with elbow movements, and to see if this strategy also applies in the absence of visual feedback. Twenty subjects were seated with their right arm abducted to 90 degrees and externally rotated in the scapular plane. Subjects internally rotated to a target position using a custom shoulder wheel at three different speeds with and without visual feedback. Kinematics were collected with a motion analysis system and electromyographic (EMG) recordings of the pectoralis major (PECT), infraspinatus (INFRA), anterior and posterior (ADELT, PDELT) deltoid muscles were used to evaluate muscle activity patterns during movements. Kinematics changed as movement speed increased with less accuracy (p<0.01). Greater EMG activity was observed in the PECT, PDELT, and INFRA with shorter durations for the ADELT, PDELT and INFRA. Movements with only kinesthetic feedback were less accurate (p<0.01) and performed faster (p<0.01) than movements with visual feedback. EMG activity suggests no major difference in CNS control strategies in movements with and without visual feedback. Greater resolution with visual feedback enables the implementation of a dual control strategy, allowing greater movement velocity while maintaining accuracy.

Adult↗

Mechanics of slope walking in the cat: quantification of muscle load, length change, and ankle extensor EMG patterns.

Unexpected changes in flexor-extensor muscle activation synergies during slope walking in the cat have been explained previously by 1) a reorganization of circuitry in the central pattern generator or 2) altered muscle and cutaneous afferent inputs to motoneurons that modulate their activity. The aim of this study was to quantify muscle length changes, muscle loads, and ground reaction forces during downslope, level, and upslope walking in the cat. These mechanical variables are related to feedback from muscle length and force, and paw pad cutaneous afferents, and differences in these variables between the slope walking conditions could provide additional insight into possible mechanisms of the muscle control. Kinematics, ground reaction forces, and EMG were recorded while cats walked on a walkway in three conditions: downslope (-26.6 deg), level (0 deg), and upslope (26.6 deg). The resultant joint moments were calculated using inverse dynamics analysis; length and velocity of major hindlimb muscle-tendon units (MTUs) were calculated using a geometric model and calculated joint angles. It was found that during stance in downslope walking, the MTU stretch of ankle and knee extensors and MTU peak stretch velocities of ankle extensors were significantly greater than those in level or upslope conditions, whereas forces applied to the paw pad and peaks of ankle and hip extensor moments were significantly smaller. The opposite was true for upslope walking. It was suggested that these differences between upslope and downslope walking might affect motion-dependent feedback, resulting in muscle activity changes recorded here or reported in the literature.

Animals↗

Contribution of sensory feedback to the generation of extensor activity during walking in the decerebrate Cat.

In this investigation we have estimated the afferent contribution to the generation of activity in the knee and ankle extensor muscles during walking in decerebrate cats by loading and unloading extensor muscles, and by unilateral deafferentation of a hind leg. The total contribution of afferent feedback to extensor burst generation was estimated by allowing one hind leg to step into a hole in the treadmill belt on which the animal was walking. In the absence of ground support the level of activity in knee and ankle extensor muscles was reduced to approximately 70% of normal. Activity in the ankle extensors could be restored during the "foot-in-hole" trials by selectively resisting extension at the ankle. Thus feedback from proprioceptors in the ankle extensor muscles probably makes a large contribution to burst generation in these muscles during weight-bearing steps. Similarly, feedback from proprioceptors in knee extensor appears to contribute substantially to the activation of knee extensor muscles because unloading and loading these muscles, by lifting and dropping the hindquarters, strongly reduced and increased, respectively, the level of activity in the knee extensors. This conclusion was supported by the finding that partial deafferentation of one hind leg by transection of the L4-L6 dorsal roots reduced the level of activity in the knee extensors by approximately 50%, but did not noticeably influence the activity in ankle extensor muscles. However, extending the deafferentation to include the L7-S2 dorsal roots decreased the ankle extensor activity. We conclude that afferent feedback contributes to more than one-half of the input to knee and ankle extensor motoneurons during the stance phase of walking in decerebrate cats. The continuous contribution of afferent feedback to the generation of extensor activity could function to automatically adjust the intensity of activity to meet external demands.

Afferent Pathways↗

Effects of lidocaine into knee on QF strength and EMG in patients with ACL lesion.

PURPOSE: In our previous study, we found that injection of lidocaine into intact knees reduced the maximal voluntary contraction (MVC) and integrated electromyogram (I-EMG) of the quadriceps femoris (QF). This study was designed to investigate changes in the MVC and I-EMG of the QF in response to lidocaine, in patients with anterior cruciate ligament (ACL) lesion, to evaluate alpha-motoneuron activity innervating the QF. METHODS: The MVC of knee extension and I-EMG of the vastus medialis (VM), vastus lateralis (VL), and rectus femoris (RF) muscles were measured in eight patients with ruptured ACL, before and after lidocaine injection into the knee. RESULTS: There were no significant differences between preinjection and postinjection values of MVC (preinjection: 167 +/- 49 N.m; postinjection: 164 +/- 55 N.m) and I-EMG (preinjection: VL: 0.11 +/- 0.06, VM: 0.13 +/- 0.10, RF: 0.09 +/- 0.04) (postinjection: VL: 0.12 +/- 0.07, VM: 0.13 +/- 0.10, RF: 0.09 +/- 0.05). CONCLUSION: Our results indicated that hindrance of afferent feedback from the knee in patients with ACL rupture did not significantly change alpha-motoneuron activity. Lidocaine injection into the knee joint of the subjects in this study only attenuated afferent feedback from mechanoreceptors in the knee joint cavity, but not in the ACL, as afferent feedback from ACL was already lost due to ACL rupture. This indicated that attenuation of afferent feedback from mechanoreceptors in the knee joint cavity other than the ACL did not significantly decrease the activity of alpha-motoneurons innervating the QF during MVC exertion. Therefore, our findings provide evidence that afferent feedback from the ACL has a major influence on the MVC exertion of the QF.

Adolescent↗

Comparison between red nucleus and precentral neurons during learned movements in the monkey.

Monkeys were trained to depress a hold key for a period of 2 sec. After this hold period, either a red or a green cue lamp appeared in random sequence. The red lamp required the monkey to move his hand from the hold key to a target button within 1 sec of the cue presentation. The green lamp required continued depression of the hold key for 1 sec following presentation of the cue. Correct performance was reinforced with fruit juice. In comparing poststimulus and peri-response latencies of 48 red nucleus (RN) and 46 percentral gyrus (PG) units related to the arm movement triggered by the red lamp, the onset of activity in most RN units occurred after the onset of activity in most PG neurons. For 48 RN neurons, the peak of the distribution of onset times was shifted 120 msec later than for 46 neurons. This delay between PG and RN is even greater than the delay between PG and postcentral gyrus. It is known that RN receives powerful inputs both from the sensorimotor cortex and from cerebellum--and it seems possible that the activity in RN was dependent on the combined action of these two inputs, with sensory feedback from movement (relayed via postcentral gyrus and/or cerebellum) being one input, and a central program from cerebellum and/or precentral gyrus being the other input.

Action Potentials↗

Observations in the time and frequency domains of surface electromyograms of experimental brief teeth clenching in man.

Maximum voluntary teeth clenching was performed for about 1 s to study the interactions between subjective sensory-motor events and changes in the time and frequency domains of surface electromyograms of the masseter and anterior temporalis muscle. Isometric jaw muscle contractions were examined for their speeds of contraction, the total energy content and median frequency of their power density spectra, and for the specific rate of change and the efficiency of their voluntary and involuntary activation efforts. The observations suggested that, in general, brief maximum isometric contractions were not preprogrammed, but rather were regulated by a subconscious proprioceptive feedback mechanism; the mechanism, possibly a transcortical loop, appeared to have a low gain and to be based on recruitment/decruitment of motor units.

Bite Force↗