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At least 163 records · Page 9Linked to original sources

Adaptive control of functional neuromuscular stimulation-induced knee extension exercise.

An automated system for exercising the paralyzed quadriceps muscles of spinal cord injured patients using functional neuromuscular stimulation (FNS) has been developed. It induces smooth concentric and eccentric contractions in both limbs to enable bilateral 70 degree knee extensions in an asynchronous pattern. External load resistance is applied at the ankle level to "overload" the muscles and bring about training effects. The system uses adaptive control methods to adjust FNS current output (threshold level and the ramp slope) to the quadriceps muscles to maintain performance as the muscles fatigue. Feedback control signals for limb movement and knee extension angle are used to continuously adjust the FNS current parameters so that the external load is moved through the preset zero to 70 degree angle range. Typically, the threshold current level and the FNS current increase as the muscles fatigue to maintain performance with repetitive contractions. Fatigue is defined as the inability to extend the knee to 50 percent of the 70 degree target angle. When this occurs, FNS is automatically terminated for the fatigued leg, while the functioning leg continues to exercise. The automated nature of this system appears to be advantageous as compared to a manually operated system for subject safety, convenience, and uniformity of exercise bouts. Simulated safety problems, such as hyperextension of the knee joint, open circuitry, muscle spasms, and low battery power, were successfully detected by the logic circuitry, and the system followed appropriate safety procedures to minimize risk.

Electric Stimulation↗

Evidence of short-term adaptation to microgravity of neuromuscular synergy during a whole body movement.

Human, like any other animal systems, moves in the terrestrial gravity field and must learn gravity-related motor strategies during his ontogenetic development. Considering continuous gravity action upon body segments, movement involves particular muscle activation patterns depending on body orientation to gravity. Gravitational-altered environments provided by parabolic flight or orbital space mission offer a great opportunity to investigate how gravity is taken into account in posture and movement planning. Indeed, in a context where the mechanical constraints are modified, movement execution involves that new muscular activity have to be produced. Almost, only few studies in microgravity environment are included electromyographic analysis and this parameter is generally used only to confirm modification of the muscular activation patterns. This study is focused to analyse the adaptation capacity of the brain to a modified gravitational environment. In this aim, EMG activity have been recorded during a whole body movement execution in both normo- and microgravity environment during parabolic flight. This procedure allowed us to analyse the EMG patterns recorded during the very first moments of weightlessness. In this study are reported the results of this analyse.

Journal Article↗

Adaptation of cholinergic enteric neuromuscular transmission in diabetic rat small intestine.

Representative longitudinal muscle strips (6 x 10 mm) from distal small intestine were obtained from rats after 1, 2, and 3 mo of streptozocin-induced diabetes. The strips were stretched to their optimum lengths and subjected to electrical field stimulation (1-ms pulse duration, 30-270 mA, 10 Hz) in the presence of Krebs solution and Krebs solution plus 10(-6) M atropine. Field stimulation produced atropine-sensitive and atropine-resistant contractions in all strips. After 1 mo, significant differences in the amplitudes of the atropine-sensitive contractions were found between the diabetic rats and nondiabetic controls. Insulin-treated diabetic rats showed contraction responses that were intermediate in amplitude. After 2 mo, the difference between the control and diabetic groups was less evident but still significant. After 3 mo, the previously noted difference in the atropine-sensitive contractions between the diabetic and control groups had resolved. No significant differences among the three groups were noted in the amplitudes of the atropine-resistant contractions. Field stimulation delivered at pulse durations of 50 ms in the presence of neural blockade with tetrodotoxin (5 x 10(-6) M) produced similar contraction amplitudes among the three groups at any respective time phase of the study. Dose-response studies of intestinal muscle after 3 mo of untreated diabetes showed normal tension development to both bethanechol chloride and physostigmine. These results indicate that streptozocin-induced diabetes is acutely associated with defective cholinergic neuromuscular transmission in the myenteric plexus of the distal small intestine. The abnormality is less evident after 2 mo of untreated diabetes and resolves spontaneously after 3 mo. Insulin treatment appears to accelerate this resolution.

Animals↗

The neuromuscular junction. Muscle fibre type differences, plasticity and adaptability to increased and decreased activity.

The neuromuscular junction (NMJ) of adult mammalian muscle is the site of the transduction of electrical stimuli, generated by the nervous system, to the underlying muscle fibres, resulting in muscle action. It has been demonstrated that, in some ways, the morphology of the NMJ is specific to muscle fibre type. It is also known that while the structure of the NMJ generally remains stable in young, healthy adults, a subtle form of remodelling continuously occurs at this synapse. The morphology and physiology of the NMJ have been shown to adapt to both increased, and decreased use. Indeed, morphological changes of the NMJ are associated with functional alterations in neuromuscular transmission. Increased activity of the myoneural synapse results in adaptations that enhance neuromuscular transmission and, thus, muscle performance. Similarly to increased usage, decreased neuromuscular activity results in structural alterations of the NMJ. However, unlike those responses observed with enhanced activity, decreased recruitment of the myoneural synapse can impair neuromuscular transmission and muscle performance. Thus, the NMJ demonstrates both anatomical and physiological adaptations following substantial changes in its pattern of activity. These NMJ adaptations can affect the functional capacity of skeletal muscle in vivo.

Adaptation, Physiological↗

Age-related remodeling of neuromuscular junctions on type-identified diaphragm fibers.

Previous studies have reported fiber-type differences in the morphological adaptations of neuromuscular junctions (NMJs) to aging by comparing limb muscles consisting of predominantly type I or II fibers. A confounding factor in these studies is age-related change in activity, which may differ between muscles. In the present study, we assessed age-related changes of the NMJ in type-identified fibers of the rat diaphragm muscle, which maintains consistent inspiratory-related activation throughout life. In 6- and 24-month-old rats, a fluorescent triple-labeling technique was used to visualize phrenic axons, presynaptic nerve terminals, and postsynaptic acetylcholine receptors (end-plates) on type-identified fibers. The NMJs were then imaged using three-dimensional (3D) confocal microscopy. On type IIx and IIb fibers, nerve terminal and end-plate 2D planar and 3D surface areas expanded, and the number of nerve terminal and end-plate branches increased, indicating fragmentation of the NMJ with aging. On the other hand, NMJs on type I and IIa fibers displayed little adaptation. These morphological adaptations may be geared toward maintaining the efficacy of inspiratory-related activity of the diaphragm muscle, but may affect the functional reserve of the aging diaphragm.

Aging↗

Sensitivity and versatility of an adaptive system for controlling cyclic movements using functional neuromuscular stimulation.

This study evaluated an adaptive control system (the PG/PS control system [2]) that had been designed for generating cyclic movements using functional neuromuscular stimulation (FNS). Extensive simulations using computer-based models indicated that a broad range of control system parameter values performed well across a diverse population of model systems. The fact that manual tuning is not required for each individual makes this control system particularly attractive for implementation in FNS systems outside of research laboratories.

Algorithms↗

Organized variability in the neuromuscular system: a survey of task-related adaptations.

This survey concerns the physiology of the neuromuscular system, as studied at the level of the single mammalian limb muscle and its motoneurones (MNs). Particular attention is devoted to the ways in which the properties and the organization of spinal MNs are adapted for the control of muscle (unit) force. These questions are discussed in relation to: a) The general and basic task of the system: providing a smooth and finely gradeable force by the mechanisms of rate- and recruitment-modulation of MN activity. b) Gradation problems in relation to specific peripheral requirements in connection with: (i) tasks of different duty-time (i.e. problems related to fatigue and endurance); (ii) tasks of different speed; (iii) task using different muscle lengths; (iv) tasks requiring different adjustment-gains. c) The adaptational properties of the neuromuscular system as it is subjected to long-term changes in its motor tasks. These matters are largely discussed in relation to experiments for studying the responses of the neuromuscular system to different patterns of chronic electrical stimulation. d) The manner in which the neuromuscular system, at the level of a single unidirectional muscle, is used for different motor programs. Evidence is summarized which shows the presence of task-related variations in MN recruitment patterns, and it is pointed out that such variations may be related to the intraspinal topography of the respective MNs. It is suggested that these task-related variations in MN recruitment behaviour might largely reflect topographic (and other) differences in the organization of spinal interneuronal systems responsible for the execution of different motor programs.

Adaptation, Physiological↗

IGF-I system responses during 12 weeks of resistance training in end-stage renal disease patients.

OBJECTIVE: To examine the hypothesis that 12 weeks of resistance training would alter circulating concentrations of IGF-I system components in end-stage renal disease (ESRD) patients. DESIGN: Ten ESRD patients underwent 12 weeks of resistance training after a 6 week control period and had morning fasted blood drawn on four occasions (weeks - 6, 0, 6, 12). Immunoassays were performed for serum total and free IGF-I, IGF binding proteins (IGFBPs) 2 and 3, and the acid labile subunit (ALS). Immunoaffinity depletion of ALS-based complexes allowed measurement of non-ternary (i.e., binary) IGF-I and IGFBP-3. RESULTS: Significant improvements in strength and functional performance were observed. All IGF-I measures were stable during the control period and no changes were observed for the first 6 weeks of resistance training. At week 12, total IGF-I (-15.4+/-28.9%), ternary IGF-I (-16.4+/-36.7%), and the IGF-I/IGFBP-3 ratio had significantly (p < or = 0.05) declined from week 0 values. No changes were observed for free IGF-I, IGFBPs 2 and 3, or the acid labile subunit. The proportion of IGF-I in ternary ( approximately 76.3+/-6.8%), non-ternary ( approximately 22.5+/-6.6%), and free ( approximately 1.2+/-0.5%) forms remained constant throughout the training. CONCLUSIONS: 12 weeks of resistance training in ESRD patients induced a decline in total IGF-I, but did not alter the proportion of IGF-I circulating in free, ternary or non-ternary molecular complexes. The decline in IGF-I occurs in the presence of positive training adaptations on physical performance and we conclude that this response pattern appears to be reflective of favorable neuromuscular anabolic adaptations.

Adult↗

Neuromuscular and hormonal responses in elite athletes to two successive strength training sessions in one day.

Acute neuromuscular and endocrine adaptations to weight-lifting were investigated during two successive high intensity training sessions in the same day. Both the morning (I) (from 9.00 to 11.00 hours) and the afternoon (II) (from 15.00 hours to 17.00 hours) training sessions resulted in decreases in maximal isometric strength (p less than 0.01 and less than 0.05), shifts (worsening) in the force-time curve in the absolute scale (p less than 0.05 and ns.) and in decreases in the maximal integrated EMG (p less than 0.01 and less than 0.05) of the selected leg extensor muscles. Increases in serum total (p less than 0.05) and free testosterone (p less than 0.01) and in cortisol (p less than 0.01) concentrations were found during training session II. These were followed by decreases (p less than 0.001 and p less than 0.01 and ns.) in the levels of these hormones one hour after the termination of the session. The responses during the morning training session were different with regard to the decreases in serum total testosterone (p less than 0.05), free testosterone (ns.) and cortisol (p less than 0.05). Only slight changes were observed in the levels of luteinizing hormone and sex hormone-binding globulin during the training sessions. Increases (p less than 0.01) took place in somatotropin during both training sessions. The present findings suggest that high intensity strengthening exercises may result in acute adaptive responses in both the neuromuscular and endocrine systems. The diurnal variations may, however, partly mask the exercise-induced acute endocrinological adaptations in the morning.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Neuromuscular activation patterns during treadmill walking after space flight.

Astronauts adopt a variety of neuromuscular control strategies during space flight that are appropriate for locomoting in that unique environment, but are less than optimal upon return to Earth. We report here the first systematic investigation of potential adaptations in neuromuscular activity patterns associated with postflight locomotion. Astronaut-subjects were tasked with walking on a treadmill at 6.4 km/h while fixating a visual target 30 cm away from their eyes after space flights of 8-15 days. Surface electromyography was collected from selected lower limb muscles and normalized with regard to mean amplitude and temporal relation to heel strike. In general, high correlations (more than 0.80) were found between preflight and postflight activation waveforms for each muscle and each subject: however relative activation amplitude around heel strike and toe off was changed as a result of flight. The level of muscle cocontraction and activation variability, and the relationship between the phasic characteristics of the ankle musculature in preparation for toe off also were altered by space flight. Subjects also reported oscillopsia during treadmill walking after flight. These findings indicate that, after space flight, the sensory-motor system can generate neuromuscular-activation strategies that permit treadmill walking, but subtle changes in lower-limb neuromuscular activation are present that may contribute to increased lower limb kinematic variability and oscillopsia also present during postflight walking.

Adaptation, Physiological↗

[Analysis of the neurologic demand of immigrant population in a outpatient neurological consultation].

INTRODUCTION: We analyse the demand for neurologic care reasons for consultation and diagnoses of the immigrant population in two extrahospitalary neurological outpatient clinics. PATIENTS AND METHODS: A prospective one-year study of first visits of adult immigrant patients sent to the neurological outpatient clinic. RESULTS: A total of 342 patients were included in the study. They represented 9.4% of total patients in one clinic and 4.1% in another. The average age was 32.9 years old. There was a predominance of women (62.2%). The average stay in our country was two years. Latin America (especially from Ecuador and Colombia), Morocco and East Europe were mainly the origin of the patients. The cause of consultation was headache in a half of the cases and neuromuscular pathology, epilepsy and psychiatric disorders were the next most frequent diagnoses in descending order. The most frequent diagnoses was tension-type headache, and in descending order of frequency: migraine and transformed migraine, epilepsy, carpal tunnel syndrome, idiopathic facial palsy, low back pain and sciatica and syncope. Tension-type headache and transformed migraine were in relation to their situation of immigrants (family, working, adaptive problems). CONCLUSIONS: The neurologic care demands in immigrant population is the same as in spanish one. These are a young people that fundamentally consults by headache (in relation to adaptive problems), neuromuscular disorders, epilepsy and psychiatric disorders. The public health service have to take into account this population to health resources planning.

Adult↗

Craniofacial adaptations after total maxillary osteotomy in Macaca irus: a cephalometric and histologic study.

Five Macaca irus monkeys were used in this study to determine cephalometric and histologic changes after total maxillary impactions. In the three experimental animals, the maxilla was impacted 5 to 7 mm. and lateral cephalograms were taken over a 150-day period. By superimposing on craniofacial implants, osseous and dental changes were measured. Excellent skeletal stability was demonstrated during the postoperative period. Histologically, there was normal osseous healing of the osteotomized maxillas. Accompanying the counterclockwise rotation (overclosure) of the mandible, there was extensive change in the temporomandibular joint. In the experimental monkeys, the fibrous articular covering of the temporal fossa was thin and irregular. The condylar cartilage appeared atrophic and showed considerable aging; also, the articular disc was much thicker in the experimental animals. The study showed the superiorly repositioned total maxillary osteotomy to be a stable procedure after 150 days of postoperative observation. However, further studies are needed to investigate the neuromuscular and adaptive response of temporomandibular articulation and mandibular rest position after maxillary surgical procedures.

Animals↗

On the voluntary movement of compliant (inertial-viscoelastic) loads by parcellated control mechanisms.

1. Experiments were performed to characterize the trajectories, net muscle torques, and electromyogram (EMG) patterns when subjects performed voluntary elbow flexions against different compliant loads. Subjects made movements in a single-joint manipulandum with different loads generated by a torque motor. Some series of movements were performed under entirely known and predictable load conditions. Other series were performed with the same known loads, interspersed, just before movement onset with occasional, unpredictable changes in the magnitude of the load. 2. To move a larger load, subjects increase the impulse (torque-time integral) by prolonging the duration of the accelerating torque while keeping its rate of rise constant. Subjects modulate torque most for inertial loads, less for viscous loads, and least for elastic loads, and modulation is greater under predictable than unpredictable load conditions. 3. Even when the loads are predictable, subjects move large inertial and viscous, but not elastic, loads more slowly than small. Unpredictable changes in load have a larger effect on movement kinematics than do known changes of the same magnitude. 4. Subjects prolong the duration and increase the area of the agonist EMG burst but do not change its rate of rise to move larger, predictable loads. Subjects change the area of the antagonist burst according to the torque requirements of the load, increasing it only for increases in inertial loads. These effects are usually greater for predictable than unpredictable loads but in either case, are highly variable across subjects. 5. Predictable loads that slow the movements delay the onset of the antagonist burst. When changes in load are unpredictable, only inertial changes affect antagonist latency. 6. The initial change in muscle force when there is an unexpected change in the external load is due to the viscous properties of muscle tissue. Electromyographic evidence of reflex changes in muscle activation follow this intrinsic mechanical response by 50-70 ms. Elastic neuromuscular properties may also be important but only late in the movement as the final position is approached. 7. We propose that the central command for a voluntary movement should be described by three elements. The first element (alpha) specifies the muscle activation pattern expected to generate dynamic forces adequate and appropriate to produce a satisfactory trajectory. This feed-forward control program uses simple rules, based on an internal model of task dynamics constructed from prior experience. The second element (lambda) is a kinematic plan or reference trajectory utilizing the negative feedback of reflex action to partially compensate for errors in alpha or for unexpected perturbations during the movement. It defines the locus of a moving, instantaneous equilibrium position of the limb, a "template" for the intended trajectory. As movements become slower and require smaller dynamic (velocity and acceleration dependent) forces, lambda will become the dominant control signal. It is also used for correction and updating of the internal model used to generate alpha. The third element (gamma) modulates volitional set, the degree and manner in which multiple reflex mechanisms can contribute to the muscle activation patterns if the actual trajectory deviates from the planned one. Reflex mechanisms work in parallel with intrinsic muscle compliance to provide partial adaptation of neuromuscular system dynamics to external load dynamics. These controlled compliant mechanisms maintain the stability of the motor system, without which both posture and movement would not be possible.

Elbow↗

Immobilization-induced changes in motor unit force and fatigability in the cat.

The purpose of this study was to examine the effects of 3 weeks of immobilization on the mechanical properties of motor units in a cat hindlimb muscle. The muscle, tibialis posterior, was immobilized in a shortened position. Motor units were classified as type FF, F(int), FR, or S. Force, axonal conduction velocity, fatigability, and proportions of motor unit types were compared in control and immobilized muscles. All properties exhibited some change after immobilization, including slower axonal conduction velocities, greater twitch forces, slower twitch contraction times, and greater tetanic forces. In addition, most motor units were less fatigable after immobilization. The number of motor units that could not be included in one of the four classification categories increased significantly after immobilization; these units exhibited normal axon conductivity but failed to produce measurable force or associated EMG. Short-term immobilization induced a variety of physiological adaptations in neuromuscular processes that varied with motor unit type.

Action Potentials↗

A kinematic theory of rapid human movements. Part II. Movement time and control.

This paper describes how a synergy made up of a pair of agonist and antagonist systems involved in the production of a rapid movement can control movement time. A quadratic law is derived to predict the movement time as a function of the various parameters describing the neuromuscular synergy. Conditions for a simplified description of the process, using a power law, are also presented. It is predicted that movement time can be controlled at the input level by the ratio of the agonist to antagonist commands or at the system level by modifying the total log-time delay or the log-response time of the agonist or antagonist neuromuscular networks. Adapting this approach to the specific case of movements executed under different spatial accuracy demands, it is found that movement time is linked to the inverse of the relative spatial error by similar laws. The whole approach is used to explain within a single framework all the observations that have been reported concerning speed/accuracy trade-offs. Strategies for controlling movement amplitude and duration are analyzed, and other predictions dealing with EMG, acceleration patterns, load effects and changes in the asymmetry of the velocity profile are also discussed.

Algorithms↗

Effects of resistance training in humans on neck muscle performance, and electromyogram power spectrum changes.

The purpose of this study was to quantify the neuromuscular cervical adaptations to an 8 week strength training programme. Seven healthy men, with no pathological conditions of the neck, performed a lateral flexion isometric resistance-training programme three times a week. The training sessions consisted of one set of ten contractions, each of 6 s duration, at 60% of the predetermined maximal voluntary isometric torque (MVTim) (warm-up) and two sets of eight contractions, each of 6 s duration, at 80% MVTim. The training effects were evaluated in three ways: muscle size, strength and fatigability. The cross-sectional areas (CSA) of the trapezius (TRP) and sternocleidomastoideus (SCM) muscles were determined using a computerised tomographic scanner. Results showed an increase in the CSA of TRP and SCM muscles after training, 8.8% at C5 level and 6.4% at C7 level for SCM muscle and 12.2% at C7 level for TRP muscle. Strength increased significantly under both isometric and isokinetic conditions (35% and 20%, respectively). Muscle fatigability in lateral flexion was quantified during a sustained isometric contraction at 50% of MVTim. The shift of the mean power frequency of the electromyogram power spectrum density function of SCM muscle toward lower frequencies was less after training (14.6% compared to 6.8%). These results indicate the beneficial effect of a strength-training programme which increases neck muscle size and strength during lateral flexion, and decreases the fatigability of the superficial muscles of the neck.

Adult↗

Endurance training increases acetylcholine receptor quantity at neuromuscular junctions of adult rat skeletal muscle.

The aim of the study was to test the hypothesis that a 16 week endurance training program would alter the abundance of endplate-associated nicotinic acetylcholine receptors (nAChR) in various rat skeletal muscles. We found a 20% increase in endplate-specific [125I]alpha-bungarotoxin binding in several muscles of trained rats, accompanied by equal susceptibility of toxin binding to the inhibitory effect of D-tubocurarine in sedentary and trained muscles. We conclude that the neuromuscular junction adaptations that occur with increased chronic activation include an increase in nAChR number. Results of experiments designed to determine nAChR turnover also suggest that this effect is mediated by an alteration in the receptor's metabolic state. The potential implications and mechanisms of this adaptation are discussed.

Adaptation, Physiological↗