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PubMed1998

Using evoked EMG as a synthetic force sensor of isometric electrically stimulated muscle.

A method for the estimation of the force generated by electrically stimulated muscle during isometric contraction is developed here. It is based upon measurements of the evoked electromyogram (EMG) [EEMG] signal. Muscle stimulation is provided to the quadriceps muscle of a paralyzed human subject using percutaneous intramuscular electrodes, and EEMG signals are collected using surface electrodes. Through the use of novel signal acquisition and processing techniques, as well as a mathematical model that reflects both the excitation and activation phenomena involved in isometric muscle force generation, accurate prediction of stimulated muscle forces is obtained for large time horizons. This approach yields synthetic muscle force estimates for both unfatigued and fatigued states of the stimulated muscle. In addition, a method is developed that accomplishes automatic recalibration of the model to account for day-to-day changes in pickup electrode mounting as well as other factors contributing to EEMG gain variations. It is demonstrated that the use of the measured EEMG as the input to a predictive model of muscle torque generation is superior to the use of the electrical stimulation signal as the model input. This is because the measured EEMG signal captures all of the neural excitation, whereas stimulation-to-torque models only reflect that portion of the neural excitation that results directly from stimulation. The time-varying properties of the excitation process cannot be captured by existing stimulation-to-torque models, but they are tracked by the EEMG-to-torque models that are developed here. This work represents a promising approach to the real-time estimation of stimulated muscle force in functional neuromuscular stimulation applications.

Artifacts↗

PubMed2005

A comparison of models of force production during stimulated isometric ankle dorsiflexion in humans.

In this paper, we compare seven models on their ability to fit isometric muscle force. We stimulated the ankle dorsiflexors of eight subjects at seven ankle angles (85 degrees-120 degrees). Three different stimulation patterns (twitch, triangular, and random) were applied at all ankle angles. Four additional patterns (doublets, steady rates, "catch property," and walking-like) were applied at 95 degrees. Parameter values were optimized for each model at each angle. Parameters for the general linear model were calculated using a novel least-squares algorithm. A linear, second-order critically damped model gave the poorest fits (average root mean square (rms) error: 15 N). The models of Ding et al. (2002) and Bobet and Stein (1998) gave the best fits (average rms errors: 9.2 and 9.4 N). The other models (general linear second-order model, Wiener model, Zhou et al. (1995) model, general linear model) gave intermediate results. Results were similar at all ankle angles. We conclude that the Ding and Bobet-Stein models are the best overall for isometric contractions, that no linear model of any kind will give an error less than 9% of maximum force, and that the models tested are consistent across lengths.

Ankle Joint↗

PubMed2006

Partition between volitional and induced forces in electrically augmented dynamic isometric muscle contractions.

Augmentation of force in partially deficient muscles can be achieved by combining electrical stimulation (ES) with their volitional activation (hybrid activation). However, while the overall torque results from the combination of the volitional and the electrically-induced torque components, the exact share between these components is not known. In a previous work, we described a method to resolve the share between the torque components under isometric static contractions. In this work, we extend our analysis to the case of isometric dynamic contractions. Five healthy subjects were instructed to contract their Tibialis Anterior (TA) muscles according to a typical gait-like dynamic torque pattern, that was visually displayed to them, while monitoring their actual ankle torque and TA electromyography (EMG). These experiments were done with and without augmented activation by means of ES. A computational algorithm was developed to dissociate the volitional from the overall torque, based on EMG signal processing and on precalibration of the dynamic system of the volitional torque versus EMG. The results indicated the quantitative relations between decrease in the volitional torque and the required increase in ES enhancement. The developed method also demonstrated what ES intensity profile is necessary to produce a desired overall torque output. This provides the means for designing an adaptive rehabilitation device for the hybrid activation of deficient muscles.

Adult↗

PubMed2005

Changes in masseter muscle blood flow during voluntary isometric contraction in humans.

The effect of jaw clenching on local blood flow in the masseter muscle was measured using the hydrogen clearance method in 13 healthy subjects. Sustained isometric masseter-muscle contraction levels of 25 and 50% of maximum voluntary contraction (MVC) were investigated. The blood flow at 25% MVC before contraction, during contraction and after contraction was 12.3 +/- 10.9, 19.2 +/- 12.1 and 78.8 +/- 63.9 mL min(-1) (100 g)(-1) (mean +/- s.d.), respectively. At 50% MVC, it was 14.2 +/- 12.9, 18.6 +/- 10.0 and 80.1 +/- 61.8, respectively. The volume of blood flow was significantly greater after contraction as compared with before contraction at both levels (P < 0.0001) and there was no significant difference between before and during contraction periods (P = 0.17: 25% MVC; P = 0.38: 50% MVC). At 50% MVC blood flow before contraction and the difference in blood flow before and during contraction showed significant negative correlation (r = -0.636, P < 0.02). When the volume of blood flow was low before contraction it tended to increase during contraction and decreased when it was high before contraction. These findings indicate that blood flow in the masseter muscle during sustained isometric contraction is affected by the condition of contraction and may be influenced by the muscle region. It was also indicated that the blood flow during high level contraction was influenced by the volume of blood flow before contraction. Clinically, our findings may help to understand pathological changes which may lead to chronic masticatory muscle pain.

Adult↗

PubMed1988

Evaluation of motor blockade by isometric force measurement and electromyographic recording during epidural anaesthesia--a methodological study.

Methods for assessing motor blockade by means of isometric force measurements and surface electromyographic (EMG) recordings in the lower extremities and abdominal wall were evaluated in 30 volunteers. The coefficients of variation were 10% for force measurements and 14% and 20% for average rectified EMG (RIEMG) recordings over the quadriceps muscle and abdominal muscles, respectively, and 8% overall for TURNS (the number of changes in the sign of the direction of the EMG signal). Seven of the 30 volunteers received epidural anaesthesia with 20 ml of mepivacaine 2% with adrenaline. The mean maximal cephalad analgesic level was T9. At that abdominal segment, RIEMG showed a reduction of 50% and TURNS of 20%. Isometric force and RIEMG recorded simultaneously in the quadriceps muscles during epidural anaesthesia displayed a linear relationship with a correlation coefficient of 0.91. TURNS was insensitive to force variations above 60% of maximum voluntary contraction. During the regression phase, 90% of both the initial force and RIEMG value was noted 180 min after the epidural injection. It is concluded that recording of RIEMG is a good method for quantitative assessment of motor blockade during epidural anaesthesia.

Abdominal Muscles↗

PubMedDate not supplied

Haemodynamic effects of isometric handgrip exercise in patients convalescent from myocardial infarction.

1. Cardiac performance in response to 30% maximal isometric handgrip exercise was studied in fourteen patients convalescing uneventfully from a first myocardial infarction. In each patient, heart rate, mean arterial blood pressure and cardiac index were measured, and total peripheral resistance was calculated. The covariance of changes in the mean arterial blood pressure and cardiac index in these patients was matched against tolerance limits calculated from published data for normal subjects. 2. All patients had normal haemodynamic values at rest, and showed the usual rise of heart rate and mean arterial pressure during handgrip exercise. However, in six patients (group 1) the rise in mean arterial pressure was, as in normal subjects, accounted for mainly by a rise in cardiac index, with no consistent change in peripheral resistance. In eight patients (group 2), the mean arterial pressure rose to the same level as in group 1, but with a consistent increase in peripheral resistance and a smaller rise in the cardiac index. 3. It is suggested that in a substantial proportion of patients who are making a seemingly uncomplicated recovery from myocardial infarction, it may be possible to unmask an impairment of left ventricular function by means of isometric handgrip exercise.

Adult↗

PubMed1989

Isometric contractile properties and caffeine sensitivity of the diaphragm, EDL and soleus in the mouse.

1. Isometric contractile responses and caffeine sensitivity were studied in isolated mouse hemidiaphragm (HD), extensor digitorum longus (EDL) and soleus muscles. 2. The maximum twitch and tetanic tensions developed by the EDL showed a greater temperature dependence than the soleus. The rates of force development and relaxation were more temperature sensitive in the soleus. 3. For the HD, Q10 values for all contractile parameters were intermediate between those of the EDL and the soleus but closer to those of the EDL. 4. The soleus was significantly more sensitive to caffeine than the EDL while the HD showed a response closer to that of the EDL than the soleus. 5. Costal segments of the HD developed force more rapidly but were less caffeine sensitive than the vertebral or sternal segments. 6. The results indicate that the mouse HD exhibits isometric contractile characteristics and caffeine sensitivity more closely resembling the EDL than the soleus but there is a variation in these properties between the different parts of the HD.

Animals↗

PubMed1998

Energy metabolism of the gastrocnemius and soleus muscles during isometric voluntary and electrically induced contractions in man.

1. Phosphocreatine (PCr) and intracellular pH detected by 31P NMR in the gastrocnemius and soleus muscles were evaluated in order to compare the anaerobic ATP costs of voluntary and electrically induced exercise. Continuous isometric contraction at 40% of maximum force and repeated isometric contractions at approximately 75% of maximum force (contraction plus relaxation period of 0.5 s plus 2 s) were studied. 2. Anaerobic ATP turnover in soleus and gastrocnemius muscles was slower during continuous voluntary contraction than during continuous electrically induced contraction (0.36 +/- 0.04 versus 0.63 +/- 0.05 mmol (kg wet wt)-1 s-1, P < 0.05, in soleus; 0.19 +/- 0.03 versus 1.04 +/- 0.04 mmol (kg wet wt)-1 s-1, P < 0.001, in gastrocnemius). 3. There was no significant difference in anaerobic ATP turnover between voluntary and electrically induced exercise when repeated brief contractions were performed (0.22 +/- 0.05 and 0.30 +/- 0.04 mmol (kg wet wt)-1 s-1, respectively, for the soleus muscle and 0.57 +/- 0.03 and 0.66 +/- 0.07 mmol (kg wet wt)-1 s-1, respectively, for the gastrocnemius muscle). 4. During continuous voluntary contraction, in contrast to continuous stimulated contraction, anaerobic ATP turnover was slower (P < 0.05) in the gastrocnemius than in the soleus muscle, which also showed a higher electromyogram amplitude (41.1 +/- 1.1% of maximum) than the medial gastrocnemius muscle (21.4 +/- 3.6% of maximum, P < 0.001). 5. Anaerobic ATP turnover was faster (P < 0.05) in the gastrocnemius than in the soleus muscle during brief voluntary and brief electrically induced contractions. 6. The results show that the anaerobic ATP costs were higher for electrically induced exercise than for voluntary exercise when continuous submaximal contraction was performed but not when brief high-intensity contractions were performed. The gastrocnemius muscle contributes to total force production relatively less than the soleus muscle during continuous voluntary plantar flexion at 40% of the maximum voluntary contraction.

Adenosine Triphosphate↗

PubMed1999

Modulation by substrate concentration of maximal shortening velocity and isometric force in single myofibrils from frog and rabbit fast skeletal muscle.

1. The effects of magnesium adenosine triphosphate (MgATP; also referred to as 'substrate') concentration on maximal force and shortening velocity have been studied at 5 C in single and thin bundles of striated muscle myofibrils. The minute diameters of the preparations promote rapid diffusional equilibrium between the bathing medium and lattice space so that during contraction fine control of substrate and product concentrations is achieved. 2. Myofibrils from frog tibialis anterior and rabbit psoas fast skeletal muscles were activated maximally by rapidly (10 ms) exchanging a continuous flux of pCa 8.0 for one at pCa 4.75 at a range of substrate concentrations from 10 microM to 5 mM. At high substrate concentrations maximal isometric tension and shortening velocity of both frog and rabbit myofibrils were very close to those determined in whole fibre preparations from the same muscle types. 3. As in frog and rabbit skinned whole fibres, the maximal isometric force of the myofibril preparations decreases as MgATP concentration is increased. The maximal velocity of unloaded shortening (V0) depends hyperbolically on substrate concentration. V0 extrapolated to infinite MgATP (3.6 +/- 0.2 and 0.8 +/- 0.03 l0 s-1 in frog and rabbit myofibrils, respectively) is very close to that determined directly at high substrate concentration. The Km is 210 +/- 20 microM for frog tibialis anterior and 120 +/- 10 microM for rabbit psoas myofibrils, values about half those found in larger whole fibre preparations of the same muscle types. This implies that measurements in whole skinned fibres are perturbed by diffusional delays, even in the presence of MgATP regenerating systems. 4. In both frog and rabbit myofibrils, the Km for V0 is about one order of magnitude higher than the Km for myofibrillar MgATPase determined biochemically in the same experimental conditions. This confirms that the difference between the Km values for MgATPase and shortening velocity is a basic feature of the mechanism of chemomechanical transduction in muscle contraction.

Adenosine Triphosphate↗

PubMed1998

Practice of a precision isometric grip-force task by children with spastic cerebral palsy.

The ability to produce and sustain a criterion level of precision isometric grip force was studied in a group of 7- to 12-year-old children with cerebral palsy (CP) and in a control group. On-line visual feedback of the forces produced relative to a stationary target was provided for each 5-second trial. Subjects practised 48 trials on each of 3 consecutive days. Measures of accuracy and variability revealed significantly reduced accuracy and increased variability in isometric force production for the group with CP. Both groups demonstrated improvement with practice, with the significantly greater change in the control subjects. There was substantial variability in performance among subjects with CP. Gains associated with practice were sustained over a 5-day retention interval for both groups. The requirement to control proximal segments of the upper extremity was not associated with increased error in grip-force production of the group with CP.

Cerebral Palsy↗

PubMed1985

Sympatho-adrenal and cardiovascular reactivity in pregnancy-induced hypertension. I. Responses to isometric exercise and a cold pressor test.

Sympatho-adrenal and cardiovascular reactivity was studied in patients with pregnancy-induced hypertension (PIH) and healthy pregnant controls subjected to an isometric handgrip test and a cold pressor test both during and after the pregnancy. At rest, heart rate was higher in the PIH group than in the control group both during and after pregnancy. Forearm vascular resistance was not affected by PIH or by pregnancy per se. During pregnancy arterial plasma adrenaline levels were suppressed in the control group both when compared with the PIH group and postpartum values. Arterial noradrenaline levels were similar and normal in the two groups at both examinations. The isometric exercise increased systolic and diastolic blood pressures, heart rate and noradrenaline and reduced vascular resistance similarly in the PIH and control groups on both occasions. Vasoconstrictor responses to the cold pressor test were reduced during pregnancy but there were no differences between the groups on either occasion. Noradrenaline responses to the cold pressor test were not influenced by PIH or by pregnancy per se. During pregnancy adrenaline responses to the two tests tended to be reduced in the controls but not in PIH. Our results indicate enhanced adrenomedullary activity in PIH when compared with the suppressed activity in normal pregnancy. Cardiovascular reactivity to the tests was similar in the PIH and control groups. The normal arterial noradrenaline levels at rest and during provocation do not support the contention of a generalized increase in sympathetic nerve activity in PIH.

Adult↗

PubMed1989

Influence of vibration on endurance of maximal isometric contraction.

In order to investigate how vibration affects endurance during muscular contraction, knee-joint extension efforts were performed with and without superimposed vibrations. Fourteen healthy non-smoking 20-year-old males performed maximal isometric and sustained knee-joint extension efforts (angle 90 degrees) in sitting posture three times with each leg, with or without vibration. The tests were done once with each leg in a randomly chosen order. The frequency of the vibration was 20 Hz and the acceleration 20 m/s2 RMS, applied in a horizontal sagittal direction to the ankle. The endurance was defined as the time in seconds that it took for the exerted force to decrease by 10% of the initial value. The endurance time averages 22.5 s without vibration and 15.8 s with vibration. The vibratory stress reduced endurance by 6.7 +/- 1.84 s (mean +/- SEM) (P less than 0.005). The difference in maximal force recorded initially was 34 +/- 1.9 N (P less than 0.1). Our conclusion is that vibration may decrease the endurance of maximal och sustained isometric muscular contraction.

Adult↗

PubMed1986

The effect of forskolin on the isometric contraction of the isolated hemidiaphragm of the rat.

The effects of forskolin on the parameters of the isometric contraction alone and in combination with aminophylline and isoprenaline were studied on the isolated hemidiaphragm of the rat during direct electrical stimulation. Forskolin (2.6 - 18.2 mumol l-1) produced a concentration-dependent increase in tension developed (Td) and, to a lesser extent, in the maximum rate of rise in tension (dT/dt max). The dose-response curve for the action of forskolin (2.6 - 18.2 mumol l-1) on Td was shifted to the left in the presence of a standard concentration of aminophylline (0.32 mmol l-1). Forskolin (5.2 mumol l-1) produced a further and significant increase in both Td and dT/dt max in the presence of isoprenaline (0.24 mumol l-1) in the bath. In a calcium-free medium, the effects of forskolin (7.80 and 18.2 mumol l-1) on Td and dT/dt max were significantly weaker than in a medium containing calcium. These data indicate that forskolin increases the isometric contraction of the isolated hemidiaphragm probably by activating the adenosine 3':5'-cyclic monophosphate (cyclic AMP) generating system. These effects are possible only in the presence of calcium.

Aminophylline↗

PubMed1995

Effects of muscle length, frequency of stimulation, and fatigue on the isometric tension in canine latissimus dorsi.

An experimental protocol was designed to study the mechanical response of the canine latissimus dorsi muscle stimulated to contract isometrically. Active and passive tensions were measured with the muscle's initial length varying within 10% of its physiologic length in situ. The force-frequency relationship was obtained at frequencies of stimulation of 1, 10, 15, 30, and 60 Hz. Muscle fatigability was assessed during 3 min of successive contractions. Tests were performed in pedicled muscles of anesthetized mongrel dogs (n = 10). Force-length characteristics were found to affect evoked tension markedly. Maximal active tension was generated near the muscle length in situ. Specific isometric tension measured with unit pulse stimulation was 2 +/- 0.4 N/cm2, and the time to peak twitch was 92.8 +/- 2.67 ms. With 60 Hz of stimulation frequency, the tension was 9.31 +/- 0.32 N/cm2, and the time to peak tension was 216.05 +/- 16.28 ms. After the fatigue test, the tension generated decreased to 62.5% of its initial value, and this decline was paralleled by the rate of tension development and tension relaxation.

Animals↗

PubMed1997

Physical activity and the changes in maximal isometric strength in men and women from the age of 75 to 80 years.

OBJECTIVE: To research the natural changes in maximal isometric strength, over a period of 5 years, in men and women aged 75 at baseline, and to study the effect of everyday physical activity on strength alterations. DESIGN: A 5-year longitudinal study. SETTING: Exercise laboratory. PARTICIPANTS: The target group in 1989 was the total 75-year-old population of Jyväskylä. One hundred one men (81%) and 186 women (75%) participated in baseline strength tests, and after 5 years, 55 men and 111 women (70% and 72% of the survivors) took part in the follow-up measurements. METHODS: Maximal isometric hand grip, arm flexion, knee extension, trunk flexion, and trunk extension forces were measured using dynamometers. Self-rated physical activity was recorded using a scale by Grimby (1986). Strength changes were compared between groups based on the amount of everyday physical activity: (1) remained active (AA, 24 men, 24 women); (2) remained sedentary (SS, 11 men, 43 women); (3) decreased activity (AS, 11 women); and (4) increased activity (SA, 32 women). AS and SA could be formed for women only because of the small number of men. All analyses were stratified by gender. MAIN RESULTS: The average percentage change in strength over 5 years among survivors varied from a 4% increase in knee extension strength observed in men and women to a 16% decrease in grip strength in women. The grip strength decrease was greater in women than men. The AA men maintained their trunk extension strength at a higher level than the SS men. Time by group interactions in men were not significant. In women, the rate of decline in AS was 32% in grip and 27% in elbow flexion strength, which was greater than in the other activity groups. The AA women retained their knee extension strength at a higher level than the other groups. Those who died before follow-up tests exhibited poorer strength test results at baseline. Physical activity decreased over follow-up. CONCLUSIONS: Strength alterations with age differed between muscle groups. Undertaking everyday physical activities such as household work, walking, and gardening, which are also the most common physically demanding activities of older people, may play an important role in maintaining strength at an adequate level for independent living.

Aged↗

PubMed2005

Color M-mode flow propagation velocity and conventional doppler indices in the assessment of diastolic left ventricular function during isometric exercise.

BACKGROUND AND OBJECTIVE: Color M-mode flow propagation velocity (Vp) was shown to be a preload-independent measure of diastolic function. To study the effects of an increase in afterload induced by isometric handgrip exercise on diastolic function assessment in patients with cardiomyopathy, we measured Vp and conventional Doppler indices at baseline and at 30% of predetermined maximum handgrip strength. METHODS: Twenty-four patients with systolic dysfunction were divided into two groups: Group I comprising 12 patients with E/A < 1 (early filling velocity/atrial contraction velocity) and Group II comprising 12 patients with E/A > 1. All the patients underwent measurement of Vp, E velocity, its deceleration time (DT), A velocity, isovolumic relaxation time (IVRT), and pulmonary atrial flow reversal velocity (PFR) at baseline and at 30% of predetermined maximum handgrip strength. Twelve healthy controls underwent these same measurements. RESULTS: When comparing baseline to peak echocardiographic data, no significant changes were noted in Vp in any of the groups while a shift of pulsed Doppler indices of Group I toward a pattern closer to that of Group II was noted and a decrease in E velocity and E/A ratio with an increase in IVRT occurred in healthy controls. CONCLUSIONS: Color M-mode flow propagation velocity seems to be an afterload-independent measure of diastolic function in patients with moderate to severe cardiomyopathy while pulsed Doppler indices are more sensitive to loading conditions induced by isometric exercise.

Blood Flow Velocity↗

PubMed1981

Effects of fatigue on isometric force- and relaxation-time characteristics in human muscle.

Effects of intermittent one leg isometric fatigue on maximal isometric force, force production, relaxation and blood lactate were studied using 29 male students as subjects. The relative changes of variables during fatigue and recovery were intercorrelated together with muscle structure variables, which were determined using needle biopsy technique. Maximal force decreased, force production and relaxation became slower and muscle lactate increased during fatigue. Change of maximal force, force production and lactate during fatigue as well as recovery of maximal force and lactate after fatigue were correlated significantly to muscle fiber distribution. Fatiguability of the force-time characteristics was therefore influenced by the differences in the metabolic profiles of the individual muscle fibers. However, ability to relax the muscle quickly was not observed to be dependent on muscle structure. This suggest that different fatigue mechanisms might be present in relaxation than in force production.

Adult↗

PubMed1993

Regulation of glycogen synthase in human muscle during isometric contraction and recovery.

Six subjects performed isometric contraction (66% maximal force) to fatigue with the knee extensor muscles. Biopsies were taken from the quadriceps femoris muscle at rest, at fatigue and 1 min after termination of contraction. In three of the subjects recovery from contraction occurred in the presence of an intact circulation (non-occluded, NON) to the thigh, whereas in the other three the circulation during recovery was occluded (OCC). Glycogen synthase fractional activity (GSF) decreased in all subjects from (mean +/- SE) 0.53 +/- 0.06 at rest to 0.37 +/- 0.04 at fatigue (P < 0.001). In the OCC group GSF returned to the pre-exercise value within 1 min after termination of contraction (0.59 +/- 0.07 at rest vs. 0.57 +/- 0.04 at 1 min post-exercise), whereas in the NON group GSF increased to a higher extent (0.48 +/- 0.09 at rest vs. 0.70 +/- 0.06 at 1 min post-exercise). The increase in GSF during the 1-min recovery was almost three-fold higher in the NON group (0.15 +/- 0.02 vs. 0.38 +/- 0.03). Cyclic AMP-dependent protein kinase (cAMP-PK) (assayed at 0/100 microM and 0.2/100 microM cAMP) did not change at fatigue or during recovery in either group. Glycogen synthase phosphatase (GSP) increased at fatigue by approximately 30% (P < 0.05 vs. rest). It is concluded that isometric contraction mediated inactivation of GS (i.e. phosphorylation of GS) is due to activation of a protein kinase(s) but not cAMP-PK. The rapid activation of GS in the NON group demonstrates that a humoral factor(s), possibly insulin and/or oxygen, is responsible for this phenomenon.

Adolescent↗