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Fiber composition and fiber transformations in neck muscles of patients with dysfunction of the cervical spine.

Biopsies of ventral neck muscles (sternocleidomastoid, omohyoid, and longus colli) and dorsal neck muscles (rectus capitis posterior major, obliquus capitis inferior, splenius capitis, and trapezius) were taken from 64 patients who underwent spondylodesis for cervical dysfunction of different etiologies. The muscle fibers were classified histochemically as type I, IIA, IIB, or IIC (transitional or intermediate fibers) according to the pH lability of their myofibrillar ATPase. Signs of muscle fiber transformations were observed in all muscles investigated, as evidenced by an increased relative amount of type-IIC fibers. The transformations occurred independently of (a) the type of muscle (i.e., more "postural" or more "phasic"), (b) the sex and age of the patient, (c) the type of condition, and (d) the presence of additional neurological deficits. Thus, the same pattern of muscular reaction was found in patients with rheumatoid arthritis as in patients with soft-tissue injuries of the neck (e.g., "whiplash injury"). In the ventral muscles and the obliquus capitis inferior, the occurrence of transformations correlated strongly with the duration of symptoms; in the ventral muscles the vast majority of transformations were encountered in patients with a shorter history of symptoms, whereas in the obliquus capitis inferior the reverse occurred. In the other dorsal muscles, no correlation with the duration of symptoms was found. Muscles in which transformations had ceased displayed, on average, a significantly higher percentage of fast type-IIB fibers than were found in muscles with ongoing transformations. This strongly indicates that the transformations proceeded in the direction from "slow oxidative" to "fast glycolytic."

Adolescent↗

Anticipatory and reflexive neck muscle activities during voluntary rapid jaw opening and passive jaw depression in humans.

The characteristics of head movement during voluntary rapid jaw opening movement and passive jaw depression were investigated using accelerometers and electromyographs (EMG) on eight healthy examinees. Passive depressions were executed by means of load on the lower jaw, initiated either by examinees themselves or an experimenter. In the depression initiated by examinees, a head-extension movement that preceded the load to the lower jaw and anticipatory activities in the nuchal region of the trapezius muscle were observed. In the depression initiated by the experimenter, the anticipatory activities were not observed. In both of these cases, stretch reflexes were induced in the trapezius muscle. During voluntary rapid jaw opening, a head-extension movement nearly synchronized with the opening movement in the lower jaw acceleration, and dorsal-neck muscle activities accompanying the synchronized movement were observed. The peak timing of these neck-muscle activities preceded the latencies of the stretch-reflex activities observed in the jaw-depressed tasks, but no anticipatory activities were observed in the dorsal-neck muscles. We conclude that neither the anticipatory activities nor the reflex activities observed in the passive depressions have effects on the initial part of the dorsal-neck muscle activities, which are related to the head-extension synchronized with the voluntary lower-jaw opening movement.

Adult↗

Size and shape of the posterior neck muscles measured by ultrasound imaging: normal values in males and females of different ages.

Measurements of muscle strength or size are valuable indicators of muscle status in health and disease. When force cannot be measured directly, due to a particular muscle being one of a functional group or because of pain, size measurements may be the only option. For such data to be useful, normal values for age and gender are necessary. Procedures for scanning and measuring semispinalis capitis and the deep posterior neck muscles (semispinalis cervicis, multifidus and rotatores) using ultrasound imaging are described and normal data provided on size, shape and symmetry of these muscles from a sample of 99 healthy subjects (46 males aged 20-72 years and 53 females aged 18-70 years). Significant gender differences were found (P<0.001) but muscle size did not alter significantly with age. Between-side symmetry can be used to assess abnormality of the deep neck muscle group but not semispinalis capitis. A regression equation is provided for predicting the cross-sectional area (CSA) of the deep neck muscles from spinous process length in males. Clinically, linear measurements can be used to predict the neck muscle CSAs (r=0.66-0.84, P<0.001). The method described for assessing the neck muscles is a potentially valuable tool in clinical practice.

Adaptation, Physiological↗

Input patterns and pathways from the six semicircular canals to motoneurons of neck muscles. II. The longissimus and semispinalis muscle groups.

To reveal patterns of input from the six semicircular canals to motoneurons of various neck muscles and their relationship to the mechanical actions of individual neck muscles, patterns of input to neck motoneurons of the longissimus and the semispinalis muscle groups were investigated in the upper cervical spinal cord of anesthetized cats. Intracellular potentials were recorded from motoneurons of the longissimus muscle group (obliquus capitis superior muscle, OCS; splenius muscle, SPL; longissimus muscle, LONG) and the semispinalis muscle group (biventer cervicis muscle, BIV; complexus muscle, COMP), and effects of separate electrical stimulation of the six ampullary nerves on them were analyzed in each preparation. Neck motoneurons usually received convergent inputs from all of the six ampullary nerves, and motoneurons that supplied a particular muscle had a homogeneous pattern of input from the six ampullary nerves. Two different patterns of input were identified for motoneurons of these two muscle groups; one pattern for motoneurons of the longissimus muscle group and the other pattern for motoneurons of the semispinalis muscle group. Motoneurons of the OCS, the SPL, and the LONG muscles received excitation from the three contralateral ampullary nerves and inhibition from the three ipsilateral ampullary nerves. BIV and COMP motoneurons received excitation from the bilateral anterior canal nerves (ACNs) and the contralateral canal nerve (LCN) and inhibition from the bilateral posterior canal nerves (PCNs) and the ipsilateral LCN. Latencies of postsynaptic potentials (PSPs) evoked by stimulation of each of the six ampullary nerves indicated that the earliest component of excitatory PSPs (EPSPs) and inhibitory PSPs (IPSPs) was disynaptic in these motoneurons. However, trisynaptic IPSPs were evoked by stimulation of the contralateral PCN in a considerable number of BIV and COMP motoneurons. In OCS, SPL, and LONG motoneurons, all of the excitation from the contralateral and all of the inhibition from the ipsilateral ampullary nerves were mediated through the ipsilateral medial longitudinal fascicle (MLF). In BIV and COMP motoneurons, disynaptic excitation from the contralateral ACN and LCN and disynaptic inhibition from the ipsilateral LCN and bilateral PCNs were mediated through the ipsilateral MLF, whereas disynaptic excitation from the ipsilateral ACN was mediated through the ipsilateral lateral vestibulospinal tract. The patterns of semicircular canal input to neck motoneurons of these two muscle groups are related closely to the mechanical actions of the individual neck muscles and the optimal stimulus to the semicircular canals such that the connections will tend to stabilize head positions in response to head perturbations.

Animals↗

Neck muscle vibration modifies the representation of visual motion and direction in man.

The retinal coordinates of an image are normally insufficient to define the direction of an object in body-centred visual space. Gaze direction, specified by information on the position of eye-in-head and on the position of head-on-torso, is also required. While the source of the eye-in-head signal is controversial, it is clear that proprioceptive signals from neck muscles are sufficient to provide head-on-torso information. Observations by Goodwin et al., beginning in 1972, that vibration of limb muscles modifies proprioception from them, and induces illusory motion and false perception of limb position, suggested this study of the effects of neck muscle vibration on the representation of visual space. Verbal reports, supported by objective measures, revealed that vibration of muscles on one side of the neck induces a visual illusion: contralateral displacement of a small visual target viewed in the dark. Pointing movements towards the target are similarly affected, confirming that the representation of directions in visual space is modified by neck muscle vibration. A second vibration-induced illusion was uncovered when apparent displacement ceased. This is an illusion of pure target motion in the same direction as the previously observed displacement. The magnitudes of both the displacement and pure motion illusions were dependent on vibration amplitude and were unrelated to real or apparent movements of eyes or head. Taken together these observations indicate that vibration of neck muscles can modify independently (1) the central representation of the instantaneous direction of gaze and (2) the signal of the velocity with which this direction is changing.

Adult↗

Influence of head position on dorsal neck muscle efficiency.

The aim of this study was to assess the influence of head position on dorsal neck muscle efficiency in the sagittal plane. Fifteen subjects participated. The EMG versus isometric extension moment of dorsal neck muscles was studied in neutral (with subject gazing on a horizontal plane), cervical flexed, and cervical extended positions. A vectorial construction was created by means of photographs to calculate the extension moment which balances measured pulling force and gravitational force in isometric conditions. The maximum extension was highest in neutral position. The EMG/moment relationship was non-linear. The ratio between the EMG and the generated moment differed significantly in the three positions (p < 0.01) and was lower in neutral position. These results demonstrate the influence of head position on dorsal neck muscle efficiency; muscles appeared most efficient in neutral position. Muscle length, depending on head position, is probably the main influencing factor.

Adult↗

Neck muscle length modulates nociceptive reflex evoked by noxious irritant application to rat neck tissues.

The application of mustard oil (MO), a small-fibre excitant and inflammatory irritant, into neck paraspinal muscles of the rat has been shown to produce a significant reflexive increase in electromyographic (EMG) activity in both neck and jaw muscles. It is possible that this nociceptive reflex activity is influenced by muscle length since recent evidence indicates that abnormal neck posture may be associated with cervical musculoskeletal disorders and pain. Therefore, the aim of this study was to test if muscle length modulates this nociceptive reflex response. Three different experimental procedures were employed in rats under halothane anesthesia: (1) MO injected into the left deep neck muscles with the rat placed in a straight body position (Straight group, n = 7); (2) MO injected into lengthened left deep neck muscles with the rat's neck rotated 45 degrees to the right with respect to the head (Stretched group, n = 11); and (3) MO injected into the right deep neck muscles with the rat's neck rotated 45 degrees to the right (Relaxed group, n = 9). The EMG activity of the deep neck, trapezius, and digastric muscles was bilaterally recorded, rectified and integrated into area under the curve (AUC). Control injections of the vehicle, mineral oil, did not evoke any muscle activity but MO evoked EMG activity in the ipsilateral deep neck and trapezius muscles of the Stretched group that was significantly greater than that evoked in the same muscles in the Straight and Relaxed groups. Also, the MO-evoked EMG activity in the contralateral deep neck muscles of the Stretched and Relaxed groups was greater than that of the corresponding muscles in the Straight group. The MO-evoked activity in the digastric, a jaw muscle whose length was not changed, did not show any significant difference between the three groups. These findings indicate that MO application to the rat deep neck muscles results in a larger nociceptive reflex in deep neck and trapezius muscles when they are stretched. This enhanced muscle activity could be associated with changes in the susceptibility of the neck muscles to pain or damage.

Anesthesia↗

Short-term changes in neck muscle and eye movement responses following unilateral vestibular neurectomy in the cat.

The purpose of this study was to investigate changes in neck muscle and eye movement responses during the early stages of vestibular compensation (first 3 weeks after unilateral vestibular neurectomy, UVN). Electromyographic (EMG) activity from antagonist neck extensor (splenius capitis) and flexor (longus capitis) muscles and eye movements were recorded during sinusoidal visual and/or otolith vertical linear stimulations in the 0.05-1 Hz frequency range (corresponding acceleration range 0.003-1.16 g) in the head-fixed alert cat. Preoperative EMG activity from the splenius and longus capitis muscles showed a pattern of alternate activation of the antagonist neck muscles in all the cats. After UVN, two motor strategies were observed. For three of the seven cats, the temporal activation of the individual neck muscles was the same as that recorded before UVN. For the other four cats, UVN resulted in a pattern of coactivation of the flexor and extensor neck muscles because of a phase change of the splenius capitis. In both subgroups, the response patterns of the antagonist neck muscles were consistent for each cat independently of the experimental conditions, throughout the 3 weeks of testing. Cats displaying alternate activation of antagonist neck muscles showed an enhanced gain of the visually induced neck responses, particularly in the high range of stimulus frequency, and a gain decrease in the otolith-induced neck responses at the lowest frequency (0.25 Hz) only. By contrast, for cats with neck muscle coactivation, the gain of the visually induced neck responses was basically unaffected relative to preoperative values, whereas otolith-induced neck responses were considerably decreased in the whole range of stimulation. As concerns oculomotor responses, results in the two subgroups of cats were similar. The optokinetic responses were not affected by the vestibular lesion. On the contrary, otolith-induced eye responses showed a gain reduction and a phase lead. Deficits and short-term changes after UVN of otolith- and semicircular canal-evoked collic and ocular responses are compared.

Animals↗

Neck muscle vibration disrupts steering of locomotion.

Neck muscle vibration was applied to human subjects to assess the influences of neck abnormal proprioceptive input on the organization and execution of gait. Subjects walked blindfolded to a previously seen target, located straight ahead at ~4 m. Vibration was applied on the right side of the neck, both during and before walking. The variables measured were length, duration, and velocity of trajectory; relative and absolute frontal errors at target; and width of walking support base. Vibration applied during locomotion produced an undershoot of target and deviation of gait trajectory toward the side opposite to vibration. Vibration applied before locomotion produced no effect on length of trajectory but slowing of velocity and nonsystematic deviation. When vibration frequency was increased, the amplitude of the nonsystematic deviation increased. Vibration applied during or before stance trials had minor effects on body sway. Vibration before stance had no effect on the position of mean center of foot pressure, whereas vibration during stance displaced it to the side opposite to the vibrated muscle. We suggest that vibration during locomotion reduces length and velocity of trajectory because of a direct action on the locomotor centers and produces trajectory deviation related to its effect on stance. Vibration before locomotion causes a major, nonsystematic deviation from the planned trajectory, possibly connected to a disorientation of the internal references.

Adult↗

Neck muscle activity in eye--head coordinated movements.

The electromyographic (EMG) activity of different neck muscles in relation to gaze orientation has been studied in alert trained cats. When the head is kept fixed, the activity of these muscles is proportional to eye eccentricity in the horizontal as well as in the vertical planes. On basis of this tonic activity, a preferential orientation can be attributed to each muscle: upward and lateral for biventer, rectus and complexus, and downward and lateral for longissimus, splenius and obliquus capitis cranialis. Fluctuations in this modulation of the EMG activity by eye position can be observed. When the head is free to move, the muscles show phasic discharges having similar preferential orientations. For a given muscle, this orientation covers a quite large angle: many muscles contribute to a given movement. The timing of the discharge of the different muscles as a function of the direction of the head movement was examined. It was found that the latency, i.e. the delay between the discharge and movement onset, progressively increases as the movement direction diverges from the preferential orientation of the muscle. It has been noted that the muscles having an upward preferential orientation may show, in relation to downward movements, inhibition occurring prior to the onset of the head movement. The same muscles may also increase their activity around the midcourse of downward movements. Thus, the head motor system controls the direction and amplitude parameters not only by selectively activating the appropriate muscles but also by sequencing their activity in a subtle way to start, control the trajectory and stop the movement, reminiscent of what has been described for limb movements.

Action Potentials↗

Motor and sensory fibres of neck muscle nerves in the cat.

The numbers and sizes of nerve fibres to the dorsal neck muscles, splenius, complexus and biventer cervicis have been examined in the cat. The total number of fibres is unusually high as is the content of sensory fibres (estimated as the loss of fibres after ganglionectomy). The fibre spectra of these sensory nerves has an unusually large number of fibres in the group II and III range (3-7 mum) and differs markedly in this way from other muscle nerves. The motor fibres contain a high proportion (64-99%) in the gamma fibre size range. Large motor fibres are absent in the nerves to biventer cervicis (a slow muscle). The ratio of unmyelinated to myelinated fibres in neck muscle nerves is similar to that in hind legs at about 2.5:1.

Animals↗

Four convergent patterns of input from the six semicircular canals to motoneurons of different neck muscles in the upper cervical cord.

This study was performed to investigate the pattern of input and the pathways from the six semicircular canals to motoneurons of various neck muscles in anesthetized cats. Intracellular postsynaptic potentials from neck motoneurons were recorded in response to electrical stimulation of the six ampullary nerves. The results showed that motoneurons of a particular neck muscle have a homogeneous convergent pattern of input from the six semicircular canals; there are four patterns of input from the six semicircular canals to motoneurons of various neck muscles; and the trisynaptic connection between the semicircular canal nerves and neck motoneurons was identified in addition to the disynaptic connection.

Action Potentials↗

[Voluntary activity of the neck muscles in patients with spastic torticollis].

The authors investigated the characteristics of motor disorders in patients with spastic torticollis. The study involved registration of volitional tensions of the neck muscles in isometric conditions, i.e., when the patient's head was rigidly fixed with regard to the body. Using a tensometric dynamometer the following three moments of force were measured: one responsible for bending the head forward or backward; the second, for bending the head to the right or left shoulder; and the third, for turning the head round the longitudinal axis. The electrical activity of the neck muscles was recorded with the help of surface electrodes. It has been established that the development of volitional efforts by the neck muscles under isometric conditions is difficult or impossible if directed to the side where the patient's forcible turn of the head is directed.

Chronic Disease↗

A comparative study of neck muscle motor neurons in a cricket and a locust.

The gross morphology of the neck muscles of a cricket (Gryllus campestris) and their innervation are described and compared with a locust (Schistocerca gregaria). The motor neurons innervating the neck muscles were stained in crickets and locusts with cobalt chloride introduced via the nerve endings in the muscle. The two species show overall similarities, not only in position of the neck motor neurons in suboesophageal, prothoracic, and mesothoracic ganglia but also in motor neuron morphology. However, muscle 60 in the cricket is innervated by a unique motor neuron with its axon in prothoracic nerve 3, instead of sharing motor neurons in suboesophageal nerve 8 and mesothoracic nerve 1 with muscle 59, as in locust. Muscle 62 has the same attachments and innervation with similar motor neurons in cricket and locust but a different mechanical function in the two species. The findings are discussed with respect to possible segmental homologies and to the origins of the muscles as either dorso-ventral or longitudinal. As several muscles share the same motor neurons, we suggest that neck muscle function be described in terms of "behavioural units of action."

Animals↗

Location of short neck muscle motoneurons in the cat as revealed by horseradish peroxidase.

The locations of short neck muscle motoneurons have been determined by means of the horseradish peroxidase technique. Although rectus capitis dorsalis major, rectus capitis dorsalis minor and obliquus capitis caudalis muscles have different functions implicated in head movements, their motoneurons are located in a common area of the ventromedial nucleus of the spinal cord, with no noticeable somatotopic organization. The three motoneuronal populations showed similar morphometric parameters with respect to soma size and shape. Some functional implications of the findings are discussed.

Animals↗

Neck muscles in the rhesus monkey. II. Electromyographic patterns of activation underlying postures and movements.

Electromyographic (EMG) activity was recorded in < or = 12 neck muscles in four alert monkeys whose heads were unrestrained to describe the spatial and temporal patterns of neck muscle activation accompanying a large range of head postures and movements. Some head postures and movements were elicited by training animals to generate gaze shifts to visual targets. Other spontaneous head movements were made during orienting, tracking, feeding, expressive, and head-shaking behaviors. These latter movements exhibited a wider range of kinematic patterns. Stable postures and small head movements of only a few degrees were associated with activation of a small number of muscles in a reproducible synergy. Additional muscles were recruited for more eccentric postures and larger movements. For head movements during trained gaze shifts, movement amplitude, velocity, and acceleration were correlated linearly and agonist muscles were recruited without antagonist muscles. Complex sequences of reciprocal bursts in agonist and antagonist muscles were observed during very brisk movements. Turning movements of similar amplitudes that began from different initial head positions were associated with systematic variations in the activities of different muscles and in the relative timings of these activities. Unique recruitment synergies were observed during feeding and head-shaking behaviors. Our results emphasize that the recruitment of a given muscle was generally ordered and consistent but that strategies for coordination among various neck muscles were often complex and appeared to depend on the specifics of musculoskeletal architecture, posture, and movement kinematics that differ substantially among species.

Animals↗

Associations between pain and neuromuscular activity in the human jaw and neck muscles.

The aim of this study was to test the effects of glutamate-evoked jaw or neck muscle pain on electromyographic (EMG) activity of jaw and neck muscles in humans. EMG recordings were made from left (MAL) and right (MAR) masseter muscles, and right sternocleidomastoid (SCM) and splenius (SP) muscles in three different head positions (head rest, head back, head right) or during maximal jaw clenching in 19 men. Glutamate (1 M) or isotonic saline was injected into MAR or SP, and induced pain was recorded on visual analogue scales. EMG activity in MAL and MAR was increased in the head back position compared to head rest and head right positions, whereas EMG activity in SCM and SP was progressively increased as the head was moved from rest position to head back to head right positions. Glutamate-evoked MAR pain was associated with increases in EMG activity in MAR, SCM and SP at rest but not in the head back or head right positions. Glutamate-evoked SP pain was associated with an increase in SP EMG activity at rest and a decrease in SCM EMG activity in the head right position. Decreases in jaw clench-related EMG activity were observed in MAL, MAR and SCM muscles only during glutamate-evoked MAR pain. Isotonic saline injections induced no pain or EMG changes. In conclusion, experimental neck pain is not associated with tonic increases in jaw EMG activity although jaw muscle pain can be linked to increases in neck EMG activity with the head and jaw at rest.

Adult↗

Patterns of neck muscle activation in cats during reflex and voluntary head movements.

When the head rotates, vestibulocollic reflexes counteract the rotation by causing contraction of the neck muscles that pull against the imposed motion. With voluntary head rotations, these same muscles contract and assist the movement of the head. The purpose of this study was to determine if an infinite variety of muscle activation patterns are available to generate a particular head movement, of if the CNS selects a consistent and unique muscle pattern for the same head movement whether performed in a voluntary or reflex mode. The relationship of neck muscle activity to reflex and voluntary head movements was examined by recording intramuscular EMG activity from six neck muscles in three alert cats during sinusoidal head rotations about 24 vertical and horizontal axes. The cats were trained to voluntarily follow a water spout with their heads. Vestibulocollic reflex (VCR) responses were recorded in the same cats by rotating them in an equivalent set of planes with the head stabilized to the trunk so that only the vestibular labyrinths were stimulated. Gain and phase of the EMG responses were calculated, and data analyzed to determine the directions of rotation for which specific muscles produced their greatest EMG output. Each muscle exhibited preferential activation for a unique direction of rotation, and weak responses during rotations orthogonal to that preferred direction. The direction of maximal activation could differ for reflex and voluntary responses. Also, the best excitation of the muscle was not always in the direction that would produce a maximum mechanical advantage for the muscle based on its line of pull. The results of this study suggest that a unique pattern of activity is selected for VCR and tracking responses in any one animal. Patterns for the two behaviors differ, indicating that the CNS can generate movements in the same direction using different muscle patterns.

Animals↗