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Crossbridge states in isometrically contracting fish muscle: evidence for swinging of myosin heads on actin.

We have previously shown that time-resolved X-ray diffraction studies of the 2-D pattern from isometrically contracting flatfish (turbot) fin muscle have considerable advantages over similar studies of other vertebrate muscles due to the simple lattice and the better long-range order in these muscles (5, 24). Here we show not only that two structurally different myosin head to actin attached states must exist in the crossbridge cycle but that we are also able to define the likely crossbridge configurations in these states. A non-force producing "weak-binding" state is evident from the lead of the (11) equatorial reflections (and actin mass) time-course relative to that of tension (and the (10) equatorial reflection decrease) by about 30 msec. The first myosin layer line at 429 A has a weakened but altered intensity distribution, with no change in axial spacing, in patterns from active muscle. We show this to be consistent with myosin heads binding in the non-specific manner envisaged for the "weak-binding" state. Evidence for the second force-producing attached state, or series of states, comes from the observation of only a small increase in the intensity of the 360 A actin layer line between resting and active muscle patterns. It might be thought that a substantial increase in this layer line would be expected if myosin heads were even transiently attached to the thin filaments in a force-producing state. However, this is not so because internal changes in the structure of the thin filaments in active muscle have the opposite effect of causing this layer line to decrease in intensity. Observation of a small net intensity increase is therefore evidence for myosin head attachment with the symmetry of the actin helix. From the equatorial diffraction pattern, Fourier synthesis maps were computed at 10 msec intervals throughout the isometric tetanus, enabling changes in the mass distribution to be visualised between the force- and non-force producing populations of crossbridges. This difference map shows that in the force-producing state myosin heads have their centres of mass on average at a smaller radius from the thin filament axis compared to the case for non-force producing myosin heads. Since there is good evidence that there is no substantial change in myosin head shape during contraction (30) these observations are consistent with myosin heads swinging on actin as fairly rigid structures.

Actins↗

Release of immunoreactive neuropeptide Y from brainstem sites in the cat during isometric contractions.

Fatiguing isometric contractions of the left hind-limb muscles in cats anesthetized with alpha-chloralose caused mean arterial pressure to increase by 82 +/- 18 mmHg above resting and post-contraction levels and heart rates to increase by 15 +/- 5 beats/min. Contractions were performed by stimulating the tibial nerve via a microprocessor-controlled stimulator. Glass microprobes, coated with antibody specific for neuropeptide Y (NPY) were inserted bilaterally into the periaqueductal grey (P 0.5-1.0, LR 2.0 mm) or into the right ventrolateral medulla (3.0 mm rostral to obex; LR 3.5 mm) prior to, during and following fatiguing contractions to determine whether immunoreactive NPY was released. No release of immunoreactive NPY was detected from the site in the ventrolateral medulla. Immunoreactive NPY was released from the contralateral but not the ipsilateral periaqueductal grey during the isometric contractions, suggesting that NPY-like substances maybe involved with the integration of muscle afferent input into this area of the brainstem.

Animals↗

Detection of immunoreactive substance P-like substances from cat brainstem sites during fatiguing isometric contractions.

Isometric contractions were generated on the left hindlimb muscles from adult cats (n = 11) anesthetized with alpha-chloralose (75 mg/kg) to determine whether immunoreactive substance P (irSP) was released from either the right periaqueductal grey (PAG) or ventrolateral medulla (VLM), sites shown to be involved with the integration of the muscle pressor response. The release of immunoreactive SP was measured using SP antibody-coated microelectrodes that were inserted into the PAG or the VLM during periods of rest, fatiguing isometric contractions and post-contraction. Mean arterial pressure increased by 78 +/- 11 mmHg during the contractions. There was a release of irSP from sites in the medulla during the contractions compared to the non-contraction periods but none was detected from the PAG in response to muscle stimulation. These results provide further evidence that SP-like substances may be involved with the central integration of the muscle pressor response.

Amino Acid Sequence↗

Relationship between force and electromyographic activity during rapid isometric contraction in power grip.

Force response and surface electromyographic (EMG) activity of extrinsic extensors and flexors of the hand were measured under 6 target force conditions during rapid pulse isometric contractions (power grip) targeted using an oscilloscope display of exerted and target forces. For target forces ranging from 16.7% to 50% of maximum voluntary contraction (MVC), the rate of force rise increased with the peak force, while the time to peak force remained almost constant. However, at target forces between 66.7% and 100.0% MVC, the rate of force rise leveled off and the time to peak force was prolonged. In association with these changes in force trajectories, modulation of the EMG activity of the flexor digitorum superficialis muscle was observed. At the lowest target force (16.7 MVC), the EMG of this muscle showed a single initial activity; the activity increased linearly up to the 50% MVC target force, while the duration was relatively constant. However, at target forces above 50% MVC, no further increase of the initial activity was observed, while the amplitude and duration of an additional activity progressively increased. These results indicate that the neural control of rapid isometric contraction at target forces at and below 50% MVC differs from that operating at larger target force levels.

Adolescent↗

Gravitational effects on human cardiovascular responses to isometric muscle contractions.

Isometric exercise induces profound cardiovascular adaptations increasing mean arterial pressure and heart rate. We investigated effects of simulated +Gz and -Gz respectively on the central and peripheral cardiovascular system. Sustained handgrip exercise was performed at 40% of maximum for 2 minutes in five subjects. This maneuver increased mean arterial pressure by 40-45 mm Hg both during head out water immersion which simulates weightlessness, as well as bedrest during -25, 0, and +25 degrees tilt from the horizontal. Lower body negative pressure (-60 mm Hg for 10 min) attenuated the response to handgrip exercise to 30 mm Hg. It also increased the heart rate minimally by about 20 beats per minute while the water immersion, as well as head up, head down and horizontal bedrest showed increments of about 50 beats per min. It was concluded that the response to isometric contraction is mediated through the high pressure baroreceptors, because similar responses were seen during stresses producing a wide variation in central venous pressure. During lower body negative pressure the increased sympathetic nervous activity itself increased resting heart rate and mean arterial pressure. The responses to static exercise were, therefore, weaker.

Adaptation, Physiological↗

The effects of orthodontic treatment on isometric bite forces and mandibular motion in patients before orthognathic surgery.

PURPOSE: Little is known about the effects of orthodontic treatment on oral motor function. The objective of this report is to evaluate changes in mandibular motion and maximum bite force that occur between the initiation of presurgical orthodontics and its completion before surgery. PATIENTS AND METHODS: Fifteen patients (9 women, 6 men) with a variety of dentofacial deformities were examined before and after presurgical orthodontics. Mechanical advantage of the muscles and bite points, mandibular range of motion, maximum isometric bite force, and levels of electromyographic (EMG) activity in the anterior and posterior temporalis and masseter muscles during isometric bites were recorded on all subjects over time. Data obtained before and after completion of presurgical orthodontics were statistically compared. RESULTS: Presurgical orthodontics reduced mandibular mobility somewhat, but the amount was not significant. Statistically significant reductions in bite force were noted after orthodontics for incisor, canine, premolar, and molar bite positions. No significant difference in the EMG/bite force slopes was obtained, nor was there any difference in the moment arms of the bite points or the muscles of mastication from orthodontics. CONCLUSIONS: This study showed significant changes in measures of oral motor function resulting from orthodontic treatment. A larger study is needed to confirm that these results will be similar in all orthodontic patients. There is no indication that these changes are the result of physiologic alterations of the muscles of mastication. The best current explanation is that these changes result from the pain and discomfort of the orthodontic appliances and the induced malocclusion.

Adolescent↗

Residual control of isometric finger forces in hemiparetic patients. Evidence for dissociation of performance deficits.

Dissociation of performance in the control of isometric finger forces was observed in 6 patients with left-sided unilateral lesions involving sensorimotor areas. In a precision task subjects had to maintain, under visual feedback, a low constant force (2.5 N) while holding a force transducer between thumb and index finger. Performance was compared with that in a speed task, where changes had to be produced, as rapidly as possible, between two prescribed forces (6.25 and 18.75 N). While there were severe deficits in fast force changes corresponding to the functional impairment of the right hand in all patients, right hand maintenance of low isometric force remained intact in the same patients.

Cerebral Cortex↗

Relation between electromyogram and torque of isometric reflex contractions in man.

Human subjects maintained isometric plantar or dorsal flexions of the ankle in a matching task. H-reflexes of different sizes were superimposed on the steady activity. The peak-to-peak amplitude of the reflexes was measured on the electromyogram (EMG) of the soleus muscle. The size of the corresponding muscle contractions was determined on the isometric torque signal in relation to the maintained flexion force. The EMG-torque relation which was defined as the reflex muscle contraction as a function of the EMG reflex signal approximated a square root function for a given steady contraction level. It was not modulated by steady dorsal flexions, but it decreased continuously with stronger plantar steady torques. This dependence was caused by the silent period following the reflex discharge. Since the reflex discharge and the silent period were near in time to the duration of the contraction, the silent period had a direct effect on the reflex contraction amplitude.

Electromyography↗

Pulse control during rapid isometric contractions of the elbow joint.

Normal subjects exerted isometric torque at a rapid rate of contraction with different amplitude targets, and at different rates with a constant target. In the fastest contractions, the agonist triceps and antagonist biceps muscles showed an electromyographic volley characterized by a slow wave with an initial negative and subsequent positive phases. The duration of each phase was relatively constant for different target amplitudes. In the agonist, the area comprised by the negative or positive waveform increased with increasing target amplitude and correlated with the peak of the first time derivative of torque. The relationship of the antagonist volley to the target amplitude varied among subjects both in the area and the interval of the agonist-antagonist volley. With a decreasing contraction rate, the agonist volley decreased in the area in correlation with the peak of the torque derivative, retaining a constant duration, while the antagonist volley disappeared. These results suggest that rapid isometric contractions are controlled by an amplitude-modulated pulse of agonist activation, which is associated with a pulse of antagonist activation, while the pulse of the antagonist activation is variably utilized among subjects.

Adolescent↗

The effect of hypothermia on changes in isometric contractile function in skeletal muscle after tourniquet ischemia.

The effect of hypothermia on changes in contractile function of skeletal muscle observed after an episode of tourniquet ischemia has been investigated. Male Wistar rats were subjected to 2 hours of unilateral hypothermic (n = 33) or normothermic (n = 39) pneumatic tourniquet ischemia of a hind limb. Isometric contractile function was measured bilaterally from the gastrocnemius muscles after 1, 7, 14, 28, or 42 days of recovery. Compared to muscle subjected to normothermic ischemia, muscle that underwent hypothermic ischemia demonstrated more twitch tension at 1 day postischemia, higher maximum tetanic tension at all time periods, including 6 weeks after ischemia, and greater muscle weight at 6 weeks. Rat gastrocnemius muscle function is much better 1 day to 6 weeks after 2 hours of hypothermic ischemia than after 2 hours of normothermic ischemia. The results thus document the benefit of hypothermia during tourniquet ischemia in preventing or minimizing the changes in isometric contractile function observed after normothermic ischemia.

Animals↗

Intratester and intertester reliability of neck isometric dynamometry.

OBJECTIVE: To evaluate the reproducibility of measurement for maximum voluntary isometric contractions of the cervical musculature in different movements. DESIGN: Repeated test-retest measurements. SETTING: A department of physiotherapy. PARTICIPANTS: Thirty-three healthy subjects (17 men, 16 women; age range, 19-63 y) for the intraexaminer study and 10 healthy subjects (4 men, 6 women; age range, 20-37 y) for the interexaminer study. INTERVENTIONS: Maximum isometric strength in sitting and standing for flexion, extension, lateral flexion, and rotation using a custom isomyometer device. Three tests, performed 5 to 8 days apart, to assess intraexaminer reliability. Two examiners, each performing 1 trial, measuring on the same day to assess interexaminer reliability. MAIN OUTCOME MEASURES: Intraexaminer and interexaminer reliability of neck muscle strength. RESULTS: The standing position showed better reproducibility than the sitting position. The intraclass correlation coefficient (ICC1,3) was above .84 for all tests in any movement and position and above .93 when the first test was excluded. The standard error (SE) of measurement (<16.5 N; <.13 N-m for rotation) and smallest detectable difference (SDD) (<20.1%) were also small. For interexaminer reliability, the ICC(2,1) ranged from.88 to.94 and the SE from 10.7 to 20.8 N (<1.15 N-m for rotation); the SDD was less than 29.8% (except right rotation, which was 38.8%). CONCLUSIONS: A reliable protocol for measuring neck strength has been developed. Standing position and a full practice session produces more reliable measurements.

Adult↗

Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements.

OBJECTIVES: To evaluate neck flexion, extension, and, especially, rotation strength in women with chronic neck pain compared with healthy controls and to evaluate the repeatability of peak isometric neck strength measurements in patients with neck pain. DESIGN: Cross-sectional. SETTINGS: Rehabilitation center and physical and rehabilitation medicine department at a Finnish hospital. PARTICIPANTS: Twenty-one women with chronic neck pain and healthy controls matched for sex, age, anthropometric measures, and occupation. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak isometric strength of the cervical muscles was tested in rotation, flexion, and extension. RESULTS: Significantly lower flexion (29%), extension (29%), and rotation forces (23%) were produced by the chronic neck pain group compared with controls. When the repeated test results were compared pairwise against their mean, considerable variation was observed in the measures on the individual level. Intratester repeatability of the neck muscle strength measurements was good in all the 4 directions tested in the chronic neck pain group (intraclass correlation coefficient range,.74-.94). The coefficient of repeatability was 15N, both in flexion and extension, and 1.8 Nm in rotation. On the group level, improvement up to 10% due to repeated testing was observed. CONCLUSIONS: The group with neck pain had lower neck muscle strength in all the directions tested than the control group. This factor should be considered when planning rehabilitation programs. Strength tests may be useful in monitoring training progress in clinical settings, but training programs should be planned so that the improvement in results is well above biologic variation, measurement error, and learning effect because of repeated testing.

Adult↗

Quantification of isometric cervical strength at different ranges of flexion and extension.

BACKGROUND: Studies have demonstrated that cervical strength is affected by injury to the neck. Cervical strength measurements are influenced by the protocol used for the measurements. Previous studies have determined the isometric cervical strength only at a few degrees of range of neck motion. The present study was aimed at quantifying cervical strength at neutral, 25%, 50% and 75% of flexion and extension. METHODS: Using a correlation study design, 39 volunteers in the age range of 18-30 years were recruited in two sessions, one for flexion and the other extension. Their sequence was randomized. The cervical strength was measured using a force measuring device. The device was firmly bolted in the floor. A rotating metal tube was pivoted, adjustably counterweighted and attached to the device at one end and an immovable object with a load cell in its path at the other. The neck was positioned in the desired posture and isometric efforts were exerted on the horizontal resistance arm. FINDINGS: Cervical strength was found to be highest in the neutral posture for both flexion (19.8 N females and 31.4 N males) and extension (39.5 females and 45.1 males) and significantly decreased with an increasing angular deviation of the neck (P<0.01). Males exerted significantly higher forces than females. The overall flexion-extension ratio was 1:1.7 (P<0.01). INTERPRETATION: The maximum force was exerted in the neutral posture of the neck and it was directionally dependent being less in flexion than extension (P<0.01). Males were stronger than females. The findings may assist in targeting rehabilitation goals.

Adolescent↗

Discrete bandwidth visual feedback increases structure of output as compared to continuous visual feedback in isometric force control tasks.

BACKGROUND: Performance variability measures provide a partial picture of force control ability. Nonlinear analyses can reveal important information related to the randomness and complexity of the data, providing a more complete picture of the physiological process. METHODS: We investigated the effects of visual feedback on the structure and performance of the force output from isometric force control tasks. Twelve young volunteers completed isometric force control tasks using two types of visual feedback: discrete bandwidth (+/-4% maximal voluntary contraction) and continuous line matching. We determined force signal variability (standard deviation), self-similarity (fractal dimension), and complexity (approximate entropy). Analyses of variance (feedback x muscle group x force level) were conducted and P values less than 0.05 were considered significant. FINDINGS: The force signal in discrete bandwidth feedback, compared to continuous line matching, had significantly a higher standard deviation (P=.000): 2.18 Nm (SD 1.98) vs. 0.99 Nm (SD 0.91); lower fractal dimension (P=.000): 1.07 (SD 0.04) vs. 1.16 (SD 0.04); and lower approximate entropy (P=.000): 0.12 (SD 0.07) vs. 0.26 (SD 0.09). INTERPRETATION: The greater self-similarity (lower fractal dimension) and greater regularity (lower approximate entropy) of the discrete bandwidth, compared to the continuous line matching, may indicate a process that required more kinesthetic (intrinsic) feedback to modulate force. Clinicians may choose to employ visual feedback paradigms that target the use of intrinsic feedback during rehabilitation. Discrete bandwidth feedback may be useful for delineating impairments in motor skill and measuring outcomes of intervention programs.

Adult↗

Experimental muscle pain increases trapezius muscle activity during sustained isometric contractions of arm muscles.

OBJECTIVE: In the present study, the influence of experimental muscle pain on muscle co-ordination and fatigue development during sustained isometric elbow flexion was investigated. METHODS: Conventional surface electromyography (EMG) was recorded from the biceps brachii, brachioradialis, deltoideus and trapezius muscle during isometric elbow flexion at 40% maximum force. Single motor unit (MU) conduction velocity in the biceps brachii was assessed using a high spatial resolution surface EMG technique. Measurements were performed on 15 healthy subjects before, during and after (1) injection of hypertonic (pain condition) and (2) isotonic saline (control) into the biceps brachii. The pain intensity was assessed on a 10 cm visual analogue scale. RESULTS: The experimental results showed in both experimental sessions a fatigue-related increase of the root mean square value of EMG (222+/-164% of the baseline), and a decrease of the median frequency (118+/-16% of the baseline) in all investigated muscles. A maximum pain level of in average 3.2 cm on the visual analogue scale was reached after injection of hypertonic saline during contraction. Differences between painful and control condition were seen in an increased trapezius activity (230+/-141%) during pain. The global EMG activity of the brachioradialis and biceps brachii was unaffected by experimental muscle pain in line with unaffected single MU conduction velocity in the biceps brachii. Differences in endurance time (mean 89.3 and 102.3 s, pain and control, respectively) were not significant. CONCLUSIONS/SIGNIFICANCE: The findings suggest that upper extremity pain could be a possible source for overloading the trapezius muscle and as such is an important factor in occupational settings.

Adult↗

Efficacy and feasibility of isometric arm counter-pressure manoeuvres to abort impending vasovagal syncope during real life.

AIMS: Isometric arm exercises are able to increase blood pressure during the phase of impending vasovagal syncope. We evaluated their efficacy and feasibility during daily life in a group of 29 consecutive patients affected by vasovagal syncopes. METHODS: The patients were trained to use arm tensing and/or handgrip in case of occurrence of symptoms of impending syncope. RESULTS: During 14+/-6 months of follow-up, 260 episodes of impending syncope were reported by 19 patients; the manoeuvres were self-administered by these patients in 98% of cases and were able to abort syncope in 99.6% of cases. Overall, 5 episodes of syncope occurred in 5 patients (17%), in 4 cases without and in 1 with activation of the manoeuvres. Syncope recurred in 4 (40%) of 10 patients aged >65 years versus only 1 (5%) of 19 patients aged < or =65 years, p=0.03. The non-responders had more episodes of impending syncope than responders (37+/-32 vs 3+/-4, p=0.001). Among 19 clinical variables, age in years was the only significant predictor of syncopal recurrence. No patients had injury or other adverse morbidity related to the relapses. CONCLUSIONS: Isometric arm counter-pressure manoeuvres are able to abort impending vasovagal syncope in most patients aged < or =65 years. Arm counter-pressure manoeuvres are feasible, safe and well accepted by the patients in the daily life.

Adult↗

Development of unimanual versus bimanual task performance in an isometric task.

Sixty-three children between 5 and 12 years of age and 15 adults performed a unimanual and a bimanual isometric force task. The performance of the preferred hand in the unimanual task was compared to the performance of the preferred hand in the bimanual task. It was hypothesized that in the bimanual task the absolute error will be higher, there will be more irregularity and the participants will need more time due to the additional effort from the central nervous system, especially with respect to the communication between the hemispheres. Furthermore, in younger children bimanual force variability was expected to be higher due to developmental aspects concerning callosal maturation and attention. It was found that with respect to force generation the preferred hand was not affected by bilateral isometric force generation, but with respect to force regulation it was. The coefficient of variation (CV) of the force was 34% larger in the bimanual task as compared to the unimanual task. For the time to target force, the increase was 28%. With repetition of the trials the CV decreased in the bimanual task, but only in the youngest age group. During development there was no change in absolute error, yet there was a major reduction in force variability in the bimanual task. It is suggested that improvement in interhemispheric communication and in the ability to focus attention plays a role in the decrease in variability with age.

Adult↗

Model and in vivo studies on human trunk load partitioning and stability in isometric forward flexions.

To resolve the trunk redundancy to determine muscle forces, spinal loads, and stability margin in isometric forward flexion tasks, combined in vivo-numerical model studies was undertaken. It was hypothesized that the passive resistance of both the ligamentous spine and the trunk musculature plays a crucial role in equilibrium and stability of the system. Fifteen healthy males performed free isometric trunk flexions of approximately 40 degrees and approximately 65 degrees +/- loads in hands while kinematics by skin markers and EMG activity of trunk muscles by surface electrodes were measured. A novel kinematics-based approach along with a nonlinear finite element model were iteratively used to calculate muscle forces and internal loads under prescribed measured postures and loads considered in vivo. Stability margin was investigated using nonlinear, linear buckling, and perturbation analyses under various postures, loads and alterations in ligamentous stiffness. Flexion postures significantly increased activity in extensor muscles when compared with standing postures while no significant change was detected in between flexed postures. Compression at the L5-S1 substantially increased from 570 and 771 N in upright posture, respectively, for +/-180 N, to 1912 and 3308 N at approximately 40 degrees flexion, and furthermore to 2332 and 3850 N at approximately 65 degrees flexion. Passive ligamentous/muscle components resisted up to 77% of the net moment. In flexion postures, the spinal stability substantially improved due both to greater passive stiffness and extensor muscle activities so that, under 180 N, no muscle stiffness was required to maintain stability. The co-activity of abdominal muscles and the muscle stiffness were of lesser concern to maintain stability in forward flexion tasks as compared with upright tasks. An injury to the passive system, on one hand, required a substantial compensatory increase in active muscle forces which further increased passive loads and, hence, the risk of injury and fatigue. On the other hand, it deteriorated the system stability which in turn could require greater additional muscle activation. This chain of events would place the entire trunk active-passive system at higher risks of injury, fatigue and instability.

Abdomen↗