The extraction of neural strategies from the surface EMG

A method for detecting the temporal sequence of muscle activation during cycling using MRI

Surface electromyography (EMG) can assess muscle recruitment patterns during cycling, but has limited applicability to studies of deep muscle recruitment and electrically stimulated contractions. We determined whether muscle recruitment timing could be inferred from MRI-measured transverse relaxation time constant (T(2)) changes and a cycle ergometer modified to vary power as a function of pedal angle. Six subjects performed 6 min of single-leg cycling under two conditions (E0°-230° and E90°-230°), which increased the power from 0°-230° and 90-230° of the pedal cycle, respectively. The difference condition produced a virtual power output from 0-180° (V0°-180°). Recruitment was assessed by integrating EMG over the pedal cycle (IEMG) and as the (post-pre) exercise T(2) change (ΔT(2)). For E0°-230°, the mean IEMG for vastus medialis and lateralis (VM/VL; 49.3 ± 3.9 mV·s; mean ± SE) was greater (P < 0.05) than that for E90°-230° (17.9 ± 1.9 mV·s); the corresponding ΔT(2) values were 8.7 ± 1.0 and 1.4 ± 0.5 ms (P < 0.05). For E0°-230° and E90°-230°, the IEMG values for biceps femoris/long head (BF(L)) were 37.7 ± 5.4 and 27.1 ± 5.6 mV·s (P > 0.05); the corresponding ΔT(2) values were 0.9 ± 0.9 and 1.5 ± 0.9 ms (P > 0.05). MRI data indicated activation of the semitendinosus and BF/short head for E0°-230° and E90°-230°. For V0°-180°, ΔT(2) was 7.2 ± 0.9 ms for VM/VL and -0.6 ± 0.6 ms for BF(L); IEMG was 31.5 ± 3.7 mV·s for VM/VL and 10.6 ± 7.0 mV·s for BF(L). MRI and EMG data indicate VM/VL activity from 0 to 180° and selected hamstring activity from 90 to 230°. Combining ΔT(2) measurements with variable loading allows the spatial and temporal patterns of recruitment during cycling to be inferred from MRI data.

Experimental and modelling investigation of surface EMG spike analysis

A pattern classification method based on five measures extracted from the surface electromyographic (sEMG) signal is used to provide a unique characterization of the interference pattern for different motor unit behaviours. This study investigated the sensitivity of the five sEMG measures during the force gradation process. Tissue and electrode filtering effects were further evaluated using a sEMG model. Subjects (N=8) performed isometric elbow flexion contractions from 0 to 100% MVC. The sEMG signals from the biceps brachii were recorded simultaneously with force. The basic building block of the sEMG model was the detection of single fibre action potentials (SFAPs) through a homogeneous, equivalent isotropic, infinite volume conduction medium. The SFAPs were summed to generate single motor unit action potentials. The physiologic properties from a well-known muscle model and motor unit recruitment and firing rate schemes were combined to generate synthetic sEMG signals. The following pattern classification measures were calculated: mean spike amplitude, mean spike frequency, mean spike slope, mean spike duration, and the mean number of peaks per spike. Root-mean-square amplitude and mean power frequency were also calculated. Taken together, the experimental data and modelling analysis showed that below 50% MVC, the pattern classification measures were more sensitive to changes in force than traditional time and frequency measures. However, there are additional limitations associated with electrode distance from the source that must be explored further. Future experimental work should ensure that the inter-electrode distance is no greater than 1cm to mitigate the effects of tissue filtering.

Bilateral deficit phenomenon and the role of antagonist muscle activity during maximal isometric knee extensions in young, athletic men

The bilateral limb deficit (BLD) phenomenon is the difference in maximal or near maximal force generating capacity of muscles when they are contracted alone or in combination with the contralateral muscles. A deficit occurs when the summed unilateral force is greater than the bilateral force. The BLD has been observed by a number of researchers in both upper and lower limbs, in isometric and in dynamic contractions. The underlying cause of the deficit remains unknown. One possible explanation is that the deficit occurs due to differences in antagonist muscle coactivation between unilateral and bilateral contractions. In order to examine this potential cause, this research examined torque and electromyography (EMG) during isometric bilateral and unilateral knee extension under three different joint angles (0°, 45°, and 90°) in a group of young, athletic males (n = 10, mean age of 24.5 ± 2.7 years, height = 180 ± 4.71 cm, and weight = 82.5 ± 17.8 kg). Torque and EMG data were collected from three superficial muscles of the quadriceps (vastus lateralis, vastus medialis, and rectus femoris) as well as two muscles of the antagonist hamstrings (biceps femoris and semitendinosus) during maximal isometric knee extensions. The BLD was only observed during the 45° contractions. Further examination of the data found that the antagonist muscle activity was similar during both bilateral and unilateral contractions suggesting that the deficit is not due to alterations in antagonist muscle patterns between unilateral and bilateral contractions.

Motor unit discharge rates of the anconeus muscle during high-velocity elbow extensions

Motor unit recruitment and motor unit discharge rate (MUDR) have been widely studied in isometric conditions but minimally during velocity-dependent contractions. For isometric contractions, surface electromyography (EMG) activity of the elbow extensors plateaus at near maximal torques (Le Bozec et al. 1980; Le Bozec and Maton 1982). One study (Maton and Bouisset 1975) recorded single motor unit (MU) activity at maximal velocities; however, only the rate of the first interspike interval (ISI) was reported and likely was not representative of the average MUDR of the MU train. The purpose was to calculate average MUDRs of the anconeus during loaded velocity-dependent contractions from zero velocity (isometric) up to maximal velocity (V(max25)) through a large range of motion. A Biodex dynamometer was used to record elbow extension torque, position, and velocity. Single MU potentials were collected from the anconeus with intramuscular EMG, and surface EMG was sampled from the lateral head of the triceps brachii during maximal voluntary isometric contractions (MVCs) and velocity-dependent contractions loaded at 25% MVC over 120° range of motion at five target velocities (0, 25, 50, 75, 100%V(max25)). Elbow extension velocities ranged from 93 to 494°/s and average MUDR ranged from 11.8 Hz at 25%MVC to 39.0 Hz at 100%V(max25.) Overall average MUDRs increased as a function of velocity, although the root mean square of triceps brachii surface EMG plateaued at 50%V(max25). Piecewise regression analysis revealed two distinct linear ranges each described by a unique equation, suggesting that MUDRs of the anconeus enter a secondary range of firing, characterized by a steeper slope as velocity approaches maximum.

Coherence between surface electromyograms is influenced by electrode placement in hand muscles

We used multi-channel surface electromyograms (EMGs) to examine if electrode location influences coherence measures derived from pairs of EMGs recorded from two hand muscles during a pinch task. A linear probe of 16 electrodes was used to estimate the location of the innervation zone in first dorsal interosseous (FDI) and abductor pollicis brevis (APB). Four electrodes were then placed on the skin overlying each muscle and three bipolar electrode configurations were constructed with their center points directly over the innervation zone, and 15mm distal and proximal to the innervation zone. Ten subjects performed two force-matching tasks for 120s at 2N and 3.5N by pressing a force sensor held between the thumb and index finger. Coherence spectra were calculated from pairs of EMGs recorded from the two muscles. Maximal coherence from 1 to 15Hz and 16 to 32Hz was calculated at both force levels from the EMGs with electrodes centered over the innervation zones of FDI and APB. These values were compared to the maximal coherence from all other EMG comparisons across muscles recorded with electrodes that avoided the innervation zones. ANOVA revealed significant main effects only for electrode location, with a 58.1% increase (p=0.001) in maximal coherence for EMGs detected from pairs of electrodes that avoided the innervation zone (from 0.11±0.02 to 0.18±0.03; mean±95% confidence interval). These results indicate that electrode location relative to the innervation zone influences EMG-EMG coherence and should be carefully considered when placing EMG electrodes on hand muscles.

The mechanical power output of the pectoralis muscle of cockatiel (Nymphicus hollandicus): the in vivo muscle length trajectory and activity patterns and their implications for power modulation

In order to meet the varying demands of flight, pectoralis muscle power output must be modulated. In birds with pectoralis muscles with a homogeneous fibre type composition, power output can be modulated at the level of the motor unit (via changes in muscle length trajectory and the pattern of activation), at the level of the muscle (via changes in the number of motor units recruited), and at the level of the whole animal (through the use of intermittent flight). Pectoralis muscle length trajectory and activity patterns were measured in vivo in the cockatiel (Nymphicus hollandicus) at a range of flight speeds (0-16 m s(-1)) using sonomicrometry and electromyography. The work loop technique was used to measure the mechanical power output of a bundle of fascicles isolated from the pectoralis muscle during simulated in vivo length change and activity patterns. The mechanical power-speed relationship was U-shaped, with a 2.97-fold variation in power output (40-120 W kg(-1)). In this species, modulation of neuromuscular activation is the primary strategy utilised to modulate pectoralis muscle power output. Maximum in vivo power output was 22% of the maximum isotonic power output (533 W kg(-1)) and was generated at a lower relative shortening velocity (0.28 V(max)) than the maximum power output during isotonic contractions (0.34 V(max)). It seems probable that the large pectoralis muscle strains result in a shift in the optimal relative shortening velocity in comparison with the optimum during isotonic contractions as a result of length-force effects.

Assessment of across-muscle coherence using multi-unit vs. single-unit recordings

Coherence between electromyographic (EMG) signals has been used to identify correlated neural inputs to motor units (MUs) innervating different muscles. Simulations using a motor-unit model (Fuglevand et al. 1992) were performed to determine the ability of coherence between two multi-unit EMGs (mEMG) to detect correlated MU activity and the range of correlation strengths in which mEMG coherence can be usefully employed. Coherence between motor-unit and mEMG activities in two muscles was determined as we varied the strength of a 30-Hz periodic common input, the number of correlated MU pairs and variability of MU discharge relative to the common input. Pooled and mEMG coherence amplitudes positively and negatively accelerated, respectively, toward the strongest and most widespread correlating inputs. Furthermore, the relation between pooled and mEMG coherence was also nonlinear and was essentially the same whether correlation strength varied by changing common input strength or its distribution. However, the most important finding is that while the mEMG coherence saturates at the strongest common input strengths, this occurs at common input strengths greater than found in most physiological studies. Thus, we conclude that mEMG coherence would be a useful measure in many experimental conditions and our simulation results suggest further guidelines for using and interpreting coherence between mEMG signals.

Motor unit behavior during submaximal contractions following six weeks of either endurance or strength training

The study investigated changes in motor output and motor unit behavior following 6 wk of either strength or endurance training programs commonly used in conditioning and rehabilitation. Twenty-seven sedentary healthy men (age, 26.1 ± 3.9 yr; mean ± SD) were randomly assigned to strength training (ST; n = 9), endurance training (ET; n = 10), or a control group (CT; n = 8). Maximum voluntary contraction (MVC), time to task failure (isometric contraction at 30% MVC), and rate of force development (RFD) of the quadriceps were measured before ( week 0), during ( week 3), and after a training program of 6 wk. In each experimental session, surface and intramuscular EMG signals were recorded from the vastus medialis obliquus and vastus lateralis muscles during isometric knee extension at 10 and 30% MVC. After 6 wk of training, MVC and RFD increased in the ST group (17.5 ± 7.5 and 33.3 ± 15.9%, respectively; P < 0.05), whereas time to task failure was prolonged in the ET group (29.7 ± 13.4%; P < 0.05). The surface EMG amplitude at 30% MVC force increased with training in both groups, but the training-induced changes in motor unit discharge rates differed between groups. After endurance training, the motor unit discharge rate at 30% MVC decreased from 11.3 ± 1.3 to 10.1 ± 1.1 pulses per second (pps; P < 0.05) in the vasti muscles, whereas after strength training it increased from 11.4 ± 1.2 to 12.7 ± 1.3 pps ( P < 0.05). Finally, motor unit conduction velocity during the contractions at 30% MVC increased for both the ST and ET groups, but only after 6 wk of training ( P < 0.05). In conclusion, these strength and endurance training programs elicit opposite adjustments in motor unit discharge rates but similar changes in muscle fiber conduction velocity.

Novel methods for quantifying neurophysiologic properties of the human lumbar paraspinal muscles

Our understanding the neurophysiologic characteristics of the human paraspinal muscles has historically been hindered by the lack of experimental techniques to examine these muscles function in vivo. In this article we describe a paired-pulse transcranial magnetic stimulation (TMS) protocol to quantify intracortical facilitation (ICF) and short-interval intracortical inhibition (SICI) of the lumbar paraspinal muscles, and an electromechanical tapping protocol to measure the amplitude of the short-latency stretch reflex. Test-retest reliability of these protocols was examined across two sessions separated by 30-min in healthy adults. We assessed relative reliability by calculating the intraclass correlation coefficient (ICC), and absolute reliability was assessed via coefficient of variation (CV). ICF and SICI in the lumbar paraspinal muscles exhibited the classical facilitatory and inhibitory responses observed in appendicular skeletal muscles (∼30% facilitation and inhibition, respectively). The motor evoked potential amplitude (MEP), ICF, SICI, and stretch reflex amplitude measurements did not significantly differ between the two testing sessions (p>0.05). The MEP amplitude, ICF and stretch reflex amplitude exhibited the highest relative and absolute reliability (ICC=0.89-0.91, CV=10.6-11.1%); whereas the SICI measure exhibited somewhat lower reliability (ICC=0.75, CV=20.1%). The stretch reflex protocol performed in the first testing session did not influence the TMS outcome measures in the second testing session (p>0.05). These innovative methods may be useful in studying basic physiology, the pathology of low back pain, as well as the mechanisms of action of treatment interventions.

Muscle use during double poling evaluated by positron emission tomography

Due to the complexity of movement in cross-country skiing (XCS), the muscle activation patterns are not well elucidated. Previous studies have applied surface electromyography (SEMG); however, recent gains in three-dimensional (3D) imaging techniques such as positron emission tomography (PET) have rendered an alternative approach to investigate muscle activation. The purpose of the present study was to examine muscle use during double poling (DP) at two work intensities by use of PET. Eight male subjects performed two 20-min DP bouts on separate days. Work intensity was ∼ 53 and 74% of peak oxygen uptake (Vo(2peak)), respectively. During exercise 188 ± 8 MBq of [(18)F]fluorodeoxyglucose ([(18)F]FDG) was injected, and subsequent to exercise a full-body PET scan was conducted. Regions of interest (ROI) were defined within 15 relevant muscles, and a glucose uptake index (GUI) was determined for all ROIs. The muscles that span the shoulder and elbow joints, the abdominal muscles, and hip flexors displayed the greatest GUI during DP. Glucose uptake did not increase significantly from low to high intensity in most upper body muscles; however, an increased GUI (P < 0.05) was seen for the knee flexor (27%) and extensor muscles (16%), and for abdominal muscles (21%). The present data confirm previous findings that muscles of the upper limb are the primary working muscles in DP. The present data further suggest that when exercise intensity increases, the muscles that span the lumbar spine, hip, and knee joints contribute increasingly. Finally, PET provides a promising alternative or supplement to existing methods to assess muscle activation in complex human movements.

The alpha-motoneuron pool as transmitter of rhythmicities in cortical motor drive

OBJECTIVE

Investigate the effectiveness and frequency dependence of central drive transmission via the alpha-motoneuron pool to the muscle.

METHODS

We describe a model for the simulation of alpha-motoneuron firing and the EMG signal as response to central drive input. The transfer in the frequency domain is investigated. Coherence between stochastical central input and EMG is also evaluated.

RESULTS

The transmission of central rhythmicities to the EMG signal relates to the spectral content of the latter. Coherence between central input to the alpha-motoneuron pool and the EMG signal is significant whereby the coupling strength hardly depends on the frequency in a range from 1 to 100 Hz. Common central input to pairs of alpha-motoneurons strongly increases the coherence levels. The often-used rectification of the EMG signal introduces a clear frequency dependence.

CONCLUSIONS

Oscillatory phenomena are strongly transmitted via the alpha-motoneuron pool. The motoneuron firing frequencies do play a role in the transmission gain, but do not influence the coherence levels. Rectification of the EMG signal enhances the transmission gain, but lowers coherence and introduces a strong frequency dependency. We think that it should be avoided.

SIGNIFICANCE

Our findings show that rhythmicities are translated into alpha-motoneuron activity without strong non-linearities.

Cast immobilization increases long-interval intracortical inhibition

Immobilization reduces muscle performance, and despite these performance losses being associated with neural impairments little is known regarding adaptations in cortical properties. We utilized transcranial magnetic stimulation to assess changes in flexor carpi radialis (FCR) intracortical facilitation (ICF), and short- and long-interval intracortical inhibition (SICI and LICI) in healthy humans undergoing 3 weeks of immobilization. Measurements were obtained at rest and during contraction (15% intensity). Central activation and the Hoffman reflex (H-reflex) were also assessed. Strength decreased 43.2% +/- 6.1% following immobilization, and central activation also decreased (97.5% +/- 2.4% to 73.2% +/- 8.3%). No changes in ICF, SICI, or LICI were observed at rest; however, LICI was increased during contraction (67.5% +/- 6.9% to 53.1% +/- 6.7% of unconditioned response). The increase in LICI correlated with the loss of strength (r = -0.63). The H-reflex increased following immobilization. These findings suggest that immobilization increases intracortical inhibition during contraction, and this increase is primarily mediated by GABA(B) receptors.

Increased voluntary drive is associated with changes in common oscillations from 13 to 60 Hz of interference but not rectified electromyography

The purpose of this study was to compare the capability of interference and rectified electromyography (EMG) to detect changes in the beta (13-30-HZ) and Piper (30-60-HZ) bands when voluntary force is increased. Twenty adults exerted a constant force abduction of the index finger at 15% and 50% of maximum. The common oscillations at various frequency bands (0-500 HZ) were estimated from the first dorsal interosseous muscle using cross wavelets of interference and rectified EMG. For the interference EMG signals, normalized power significantly (P < 0.01) increased with force in the beta (9.0 +/- 0.9 vs. 15.5 +/- 2.1%) and Piper (13.6 +/- 0.9 vs. 21 +/- 1.7%) bands. For rectified EMG signals, however, the beta and Piper bands remained unchanged (P > 0.4). Although rectified EMG is used in many clinical studies to identify changes in the oscillatory drive to the muscle, our findings suggest that only interference EMG can accurately capture the increase in oscillatory drive from 13 to 60 HZ with voluntary force.

Muscle performance and physical function are associated with voluntary rate of neuromuscular activation in older adults

BACKGROUND

Muscle power is related to mobility function in older adults, and effective power production requires rapid neuromuscular activation. Accordingly, this study examines the association of neuromuscular activation rate with muscle performance in persons of different age and mobility function.

METHODS

Participants were recruited to three experimental groups: middle-aged healthy adults (MH), older healthy adults (OH), and older adults with mobility limitations (OML). OH and OML were primarily differentiated by performance on the Short Physical Performance Battery (SPPB). Muscle performance (acceleration and power) and electromyography (EMG) were recorded during a maximal-effort leg press task at an absolute resistance (260 N) and at a relative resistance (70% of the one-repetition maximum [1 RM]). Neuromuscular activation rate was quantified as pre-movement time (duration between EMG onset and movement onset) and the rate of EMG rise.

RESULTS

Pre-movement time, rate of EMG rise, leg press acceleration, and leg press power were lower in OML relative to MH and OH but did not differ between OH and MH, with the exception of power at 70% 1RM. Across all older participants, rate of EMG rise was positively associated with acceleration, power, and the SPPB score.

CONCLUSIONS

Slowing of neuromuscular activation rate is associated with compromised dynamic muscle performance, which may contribute to mobility limitations in some older adults. Future research should identify the precise neurophysiological impairments that contribute to declines in neuromuscular activation rate and mobility function with aging.

Alternative methods of normalising EMG during cycling

We evaluated possible methods of normalisation for EMG measured during cycling. The MVC method, Sprint method and 70% Peak Power Output Method were investigated and their repeatability, reliability and sensitivity to change in workload were compared. Thirteen cyclists performed the same experimental protocol on three separate occasions. Each day, subjects firstly performed MVCs, followed by a 10s maximal sprint on a cycle ergometer. Subjects then performed a Peak Power Output (PPO) test until exhaustion. After which they cycled at 70% of PPO for 5 min at 90 rpm. Results indicated that normalising EMG data to 70% PPO is more repeatable, the intra-class correlation (ICC) of 70% PPO (0.87) was significantly higher than for MVC (0.66) (p=0.03) and 10s sprint (0.65) (p=0.04). The 70% PPO method also demonstrated the least intra-subject variability for five out of the six muscles. The Sprint and 70% PPO method highlighted greater sensitivity to changes in muscle activity than the MVC method. The MVC method showed the highest intra-subject variability for most muscles except VM. The data suggests that normalising EMG to dynamic methods is the most appropriate for examining muscle activity during cycling over different days and for once-off measurements.

Excessive skeletal muscle recruitment during strenuous exercise in McArdle patients

We compared the cardiorespiratory response and muscle recruitment [as determined by electromyography (EMG)] of 37 McArdle patients [19 males, 37.4 ± 2.8 years, body mass index (BMI): 25.1 ± 4.7 kg m(-2)] and 33 healthy controls (18 males, 36.4 ± 10.0 years, BMI: 25.7 ± 3.8 kg m(-2)) during cycle-ergometer exercise (an incremental test to exhaustion and a 12-min submaximal constant workload test). We obtained cardiorespiratory [oxygen uptake and heart rate (HR)] and EMG data (rectus femoris and vastus lateralis muscles). During the incremental test, the patients exhibited the expected hyperkinetic cardiovascular response shown by a marked increase in the slope of the HR:Power relationship (p < 0.001). Throughout the incremental test and at the point of fatigue, the patients produced significantly less power than the controls (peak power output: 67 ± 21 vs. 214 ± 56 watts respectively, p < 0.001), yet they demonstrated significantly higher levels of muscle activity for a given absolute power. During the constant workload test, patients displayed higher levels of EMG activity than the controls during the second half of the test, despite a lower power production (34 ± 13 vs. 94 ± 29 watts respectively, p < 0.001). In conclusion, since the McArdle patients required more motor unit recruitment for a given power output, our data suggest that the state of contractility of their muscles is reduced compared with healthy people. Excessive muscle recruitment for a given load could be one of the mechanisms explaining the exercise intolerance of these patients.

Group III and IV muscle afferents contribute to ventilatory and cardiovascular response to rhythmic exercise in humans

We investigated the role of somatosensory feedback on cardioventilatory responses to rhythmic exercise in five men. In a double-blind, placebo-controlled design, subjects performed the same leg cycling exercise (50/100/150/325 ± 19 W, 3 min each) under placebo conditions (interspinous saline, L(3)-L(4)) and with lumbar intrathecal fentanyl impairing central projection of spinal opioid receptor-sensitive muscle afferents. Quadriceps strength was similar before and after fentanyl administration. To evaluate whether a cephalad migration of fentanyl affected cardioventilatory control centers in the brain stem, we compared resting ventilatory responses to hypercapnia (HCVR) and cardioventilatory responses to arm vs. leg cycling exercise after each injection. Similar HCVR and minor effects of fentanyl on cardioventilatory responses to arm exercise excluded direct medullary effects of fentanyl. Central command during leg exercise was estimated via quadriceps electromyogram. No differences between conditions were found in resting heart rate (HR), ventilation [minute ventilation (VE)], or mean arterial pressure (MAP). Quadriceps electromyogram, O(2) consumption (VO(2)), and plasma lactate were similar in both conditions at the four steady-state workloads. Compared with placebo, a substantial hypoventilation during fentanyl exercise was indicated by the 8-17% reduction in VE/CO(2) production (VCO(2)) secondary to a reduced breathing frequency, leading to average increases of 4-7 Torr in end-tidal PCO(2) (P < 0.001) and a reduced hemoglobin saturation (-3 ± 1%; P < 0.05) at the heaviest workload (∼90% maximal VO(2)) with fentanyl. HR was reduced 2-8%, MAP 8-13%, and ratings of perceived exertion by 13% during fentanyl vs. placebo exercise (P < 0.05). These findings demonstrate the essential contribution of muscle afferent feedback to the ventilatory, cardiovascular, and perceptual responses to rhythmic exercise in humans, even in the presence of unaltered contributions from other major inputs to cardioventilatory control.

Improvements in dynamic plantar flexor strength after resistance training are associated with increased voluntary activation and V-to-M ratio

The aim of this study was to investigate if, and via what mechanisms, resistance training of the plantar flexor muscles affects voluntary activation during maximal voluntary eccentric and concentric muscle actions. Twenty healthy subjects were randomized into a resistance training group ( n = 9) or a passive control group ( n = 11). Training consisted of 15 sessions of unilateral mainly eccentric plantar flexor exercise over a 5-wk period. During pre- and posttraining testing, dynamic plantar flexor strength was measured and voluntary activation was calculated using the twitch interpolation technique. The soleus Hoffman reflex (H-reflex) was used to assess motoneurone excitability and presynaptic inhibition of Ia afferents, whereas the soleus V-wave was used to test for changes in both presynaptic inhibition of Ia afferents and supraspinal inputs to the motoneurone pool. H-reflexes, V-waves, supramaximal M-waves, and twitches were evoked as the foot was moved at 5°/s through an angle of 90° during passive ankle rotations (passive H-relexes and M-waves) and during maximal voluntary concentric and eccentric plantar flexions [maximal voluntary contraction (MVC) H-reflexes, M-waves, and V-waves]. Training induced significant improvements in plantar flexor strength and voluntary activation during both concentric and eccentric maximal voluntary actions. Soleus passive and MVC H-to-M ratios remained unchanged after training, whereas the soleus V-to-M ratio was increased during both concentric and eccentric contractions after training. No changes were found in the control group for any of the parameters. The enhanced voluntary strength could be attributed partly to an increase in voluntary activation induced by eccentric training. Since the passive and MVC H-to-M ratios remained unchanged, the increase in activation is probably not due to decreased presynaptic inhibition. The increased V-to-M ratio for both action types indicates that increased voluntary drive from supraspinal centers and/or modulation in afferents other than Ia afferents may have contributed to such an increase in voluntary activation.

A muscle architecture model offering control over motor unit fiber density distributions

The aim of this study was to develop a muscle architecture model able to account for the observed distributions of innervation ratios and fiber densities of different types of motor units in a muscle. A model algorithm is proposed and mathematically analyzed in order to obtain an inverse procedure that allows, by modification of input parameters, control over the output distributions of motor unit fiber densities. The model's performance was tested with independent data from a glycogen depletion study of the medial gastrocnemius of the rat. Results show that the model accurately reproduces the observed physiological distributions of innervation ratios and fiber densities and their relationships. The reliability and accuracy of the new muscle architecture model developed here can provide more accurate models for the simulation of different electromyographic signals.

Evidence of gender-specific motor templates to resist valgus loading at the knee

Gender differences in neuromuscular control of the lower extremity may contribute to increased injury risk in females, but the neurophysiological mechanisms underlying these differences remain unclear. In this study, we sought to explore the effect of gender on volitional and reflex neuromuscular responses to a rapid valgus perturbation at the knee applied under "intervene" and "do not intervene" conditions. Multiple 7 degrees ramp-and-hold valgus perturbations were applied at the neutrally extended knee of 12 male and 12 female healthy subjects, while surface electromyography over the quadriceps and hamstrings recorded the neuromuscular response. Volitional responses did not vary between groups, perhaps reflecting the relative novelty of the loading direction. However, reflex responses observed under the "do not intervene" paradigm did vary by gender. Males demonstrated much more frequent and consistent reflex muscle activation than females. Moreover, muscle activation patterns were gender-specific. Diminished responses in female subjects may indicate that the position-based valgus perturbation did not produce the necessary mechanical stimulus to elicit reflexes. These gender differences in reflex control of the knee provide new insight into the control of frontal-plane knee joint movement and loading and may elucidate the neuromechanical underpinnings associated with neuromuscular control.

Trunk and hip muscle activity in early walkers with and without cerebral palsy--a frequency analysis

Poor control of postural muscles is a primary impairment in cerebral palsy (CP), yet core trunk and hip muscle activity has not been thoroughly investigated. Frequency analysis of electromyographic (EMG) signals provides insight about the intensity and pattern of muscle activation, correlates with functional measures in CP, and is sensitive to change after intervention. The objective of this study was to investigate differences in trunk and hip muscle activation frequency in children with CP compared to children with similar amounts of walking experience and typical development (TD). EMG data from 31 children (15 with CP, 16 with TD) were recorded from 16 trunk and hip muscles bilaterally. A time-frequency pattern was generated using the continuous wavelet transform and instantaneous mean frequency (IMNF) was calculated at each interval of the gait cycle. Functional principal component analysis (PCA) revealed that IMNF was significantly higher in the CP group throughout the gait cycle for all muscles. Additionally, stride-to-stride variability was higher in the CP group. This evidence demonstrated altered patterns of trunk and hip muscle activation in CP, including increased rates of motor unit firing, increased number of recruited motor units, and/or decreased synchrony of motor units. These altered muscle activation patterns likely contribute to muscle fatigue and decreased biomechanical efficiency in children with CP.

Task failure during standing heel raises is associated with increased power from 13 to 50 Hz in the activation of triceps surae

The goal of this paper was to investigate the amplitude and sub-100 Hz frequency content of surface electromyography (EMG) signals obtained from agonist, antagonist and synergist muscles during a heel-raise task sustained to failure. Twenty-two healthy adults, 14 men and 8 women participated in the study. Surface EMG data from the raising and lowering phases of the movement were studied in the time (EMG amplitude) and frequency (wavelet transform) domains. For the raising phase, we found a significant increase in the EMG amplitude of all muscles studied throughout the task (P < 0.02); however, for the lowering phase, we found a decrease in overall muscle activation for the medial gastrocnemius and tibialis anterior. Additionally, we found higher 13-30 and 30-50 Hz normalized power during the raising phase for the triceps surae prior to task failure and at task failure compared with the beginning and midway of the task (P < 0.05); during the lowering phase, however, we found higher normalized power from 30 to 50 Hz for the triceps surae (P < 0.01) and higher 13-30 Hz normalized power for the tibialis anterior (P < 0.01) at task failure compared with the beginning and midway of the task. Finally, we showed that a dynamic task performed until failure can induce different activation strategies for agonist, antagonist and synergist muscles, and that the frequency content below 100 Hz contains useful information about the neural activation of these muscles in relation to task failure that is not evident from the EMG amplitude.

Neuromuscular function after arthroscopic partial meniscectomy

BACKGROUND

Quadriceps muscle strength, which is essential for the function and stability of the knee, has been found to be impaired even years after arthroscopic partial meniscectomy. However, the neuromuscular alterations that could account for such muscle weakness remain unclear.

QUESTIONS/PURPOSES

We investigated (1) the side-to-side asymmetries in quadriceps muscle strength 6 months after arthroscopic partial meniscectomy, (2) the physiologic mechanisms (neural versus muscular) underlying muscle weakness, and (3) the impact of quadriceps weakness on muscle control at submaximal force levels.

PATIENTS AND METHODS

We tested 14 volunteers (10 men, four women) with an average age of 44 +/- 9 years (range, 24-59 years) at 6 +/- 1 months after unilateral medial arthroscopic partial meniscectomy. We measured maximal voluntary strength and muscle activation during isometric, concentric, and eccentric contractions using isokinetic dynamometry and surface EMG, respectively. We assessed vastus lateralis muscle size and architecture using ultrasonography. We measured muscle control at submaximal force levels with a repositioning test (knee proprioception) and a low-force target-tracking task (steadiness, accuracy).

RESULTS

Isometric and concentric quadriceps strength and vastus lateralis EMG activity were lower on the involved than on the uninvolved side. Muscle architecture and muscle control did not differ between the involved and uninvolved sides.

CONCLUSIONS

Our results showed quadriceps weakness exists 6 months after arthroscopic partial meniscectomy. As suggested by the EMG results, this is likely attributable to neural impairments (activation failure) that affect muscle control at maximal but not submaximal force outputs.

LEVEL OF EVIDENCE

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Older adults exhibit more intracortical inhibition and less intracortical facilitation than young adults

BACKGROUND

Aging results in decreased neuromuscular function, which is likely associated with neurologic alterations. At present little is known regarding age-related changes in intracortical properties.

METHODS

In this study we used transcranial magnetic stimulation (TMS) to measure intracortical facilitation (ICF), short- and long-interval intracortical inhibition (SICI and LICI), motor evoked potential amplitude, and silent period duration in young and older adults (21.4+/-0.8years and 70.9+/-1.8years). These variables were assessed from the flexor carpi radialis muscle of the non-dominant arm under resting conditions, and during a submaximal contraction (intensity 15% maximum strength).

RESULTS

Older adults exhibited increased SICI and LICI in comparison to young adults (SICI: 29.0+/-9.2% vs. 46.2+/-4.8% of unconditioned pulse; LICI: 6.5+/-1.7% vs. 15.8+/-3.3% of unconditioned pulse; P=0.04), and less ICF under resting conditions (74.6+/-8.7% vs. 104.9+/-6.9% of unconditioned pulse; P=0.02). These age-related differences disappeared during contraction, although the older adults did exhibit a longer silent period during contraction (112.5+/-6.5 vs. 84.0+/-3.9ms; P<0.01).

CONCLUSIONS

Collectively, these findings suggest increased GABA mediated intracortical inhibition with age.

Extraction of individual muscle mechanical action from endpoint force

Most motor tasks require the simultaneous coordination of multiple muscles. That coordination is poorly understood in part because there is no noninvasive means of isolating a single muscle's contribution to the resultant endpoint force. The contribution of a single motor unit to isometric tasks can, however, be characterized using the spike-triggered averaging (STA) technique, applied to a single motor unit's spike train. We propose that a technique analogous to STA, which we call electromyogram (EMG)-weighted averaging (EWA), can be applied to surface EMGs to extract muscle mechanical action from the natural endpoint force fluctuations generated during steady isometric contraction. We demonstrate this technique on simultaneous recordings of fingertip force and surface EMG from the first dorsal interosseous (FDI) and extensor indicis (EI) of humans. The EWA direction was approximately the same across a wide range of fingertip force directions, and the average EWA direction was consistent with mechanical action direction of these muscles estimated from cadaveric and imaging data: the EWA directions were 193 +/- 2 degrees for the FDI and 71 +/- 5 degrees for the EI (95% confidence). EWA transient behavior also appears to capture temporal characteristics of muscle force fluctuations with peak force time and general waveform shape similar to that of the associated spike-triggered averages from single motor units. The EWA may provide a means of empirically characterizing the complex transformation between muscle force and endpoint force without the need for invasive electrode recordings or complex anatomical measurements of musculoskeletal geometry.

Testing of motor unit synchronization model for localized muscle fatigue

Spectral compression of surface electromyogram (sEMG) is associated with onset of localized muscle fatigue. The spectral compression has been explained based on motor unit synchronization theory. According to this theory, motor units are pseudo randomly excited during muscle contraction, and with the onset of muscle fatigue the recruitment pattern changes such that motor unit firings become more synchronized. While this is widely accepted, there is little experimental proof of this phenomenon. This paper has used source dependence measures developed in research related to independent component analysis (ICA) to test this theory.

Prediction of externally applied forces to human hands using frequency content of surface EMG signals

In this work, a new signal processing method was proposed in order to predict externally applied forces to human hands by deriving a relationship between the surface electromyographic (SEMG) signals and experimentally known forces. This relationship was investigated by analyzing the spectral features of the SEMG signals. SEMG signals were recorded from three subjects during isometric contraction and from another three subjects during anisometric contraction. In order to determine force-SEMG signal relationship, higher order frequency moments (HOFMs) of the signals were calculated and used as characterizing features of SEMG signals. Subsequently, artificial neural networks (ANN) with backpropagation algorithm were trained by using the HOFMs. Root mean square difference (RMSD) between the actual and predicted forces was calculated to evaluate force prediction performance of the ANN. In addition to RMSD, cross-correlation coefficients between actual and predicted force time histories were also calculated for anisometric experiment results. The RMSD values ranged from 0.34 and 0.02 in the isometric contraction experiments. In the anisometric contraction tests, RMSD results were between 0.23 and 0.09 and cross-correlation coefficients ranged from 0.91 to 0.98. In order to compare the performance of the HOFMs with a widely used EMG signal processing technique, root-mean-squared (RMS) values of the EMG signals were also calculated and used to train the ANN as another characterizing feature of the signal. Predicted forces using HOFMs technique were in general closer to the actual forces than those of obtained by using RMS values. The results indicated that the proposed signal processing method showed an encouraging performance for predicting the forces applied to the human hands, and the spectral features of the EMG signal might be used as input parameter for the myoelectric controlled prostheses.

A combined muscle model and wavelet approach to interpreting the surface EMG signals from maximal dynamic knee extensions

This study aimed to identify areas of reduced surface EMG amplitude and changed frequency across the phase space of a maximal dynamic knee extension task. The hypotheses were that (1) amplitude would be lower for eccentric contractions compared with concentric contractions and unaffected by fiber length and (2) mean frequency would also be lower for eccentric contractions and unaffected by fiber length. Joint torque and EMG signals from the vasti and rectus femoris were recorded for eight athletic subjects performing maximum knee extensions at 13 preset crank velocities spanning +/-300 degrees x s(-1). The instantaneous amplitude and mean frequency were calculated using the continuous wavelet transform time-frequency method, and the fiber dynamics were determined using a muscle model of the knee extensions. The results indicated that (1) only for the rectus femoris were amplitudes significantly lower for eccentric contractions (p= .019) and, for the vasti, amplitudes during eccentric contractions were less than maximal but this was also the case for concentric contractions due to a significant reduction in amplitude toward knee extension (p= .023), and (2) mean frequency increased significantly with decreasing fiber length for all knee extensors and contraction velocities (p= .029). Using time-frequency processing of the EMG signals and a muscle model allowed the simultaneous assessment of fiber length, velocity, and EMG.

Variability in lateral positioning of surface EMG electrodes

The positions of EMG electrodes over the knee extensor muscles were examined in 19 healthy men using MR images; electrodes were placed according to the SENIAM (surface electromyography for non-invasive assessment of muscles) guidelines. From axial images, the medial and lateral borders of the muscles were identified, and the are length of the muscle surface was measured. The electrode location was expressed as a percentage value from the muscle's medial border. EMGs were recorded during isometric maximal contraction, squat jumps, and countermovement jumps and analyzed for cross-correlation. The results showed that variations in lateral positioning were greatest in vastus medialis (47% SD 11) and rectus femoris (68% SD 15). In vastus lateralis, the electrode was usually placed close to the rectus femoris (19% SD 6). The peak cross-correlation coefficient varied between 0.15 and 0.68, but was not associated with electrode location. It is recommended that careful consideration is given to the medial-lateral positioning of the vastus lateralis electrodes especially, so that the electrodes are positioned over the mid-muscle rather than in close proximity to rectus femoris.

A noninvasive, log-transform method for fiber type discrimination using mechanomyography

This study examined the log-transformed mechanomyographic (MMG(RMS)) and electromyographic (EMG(RMS)) amplitude vs. force relationships for aerobically-trained (AT), resistance-trained (RT), and sedentary (SED) individuals. Subjects performed isometric ramp contractions from 5% to 90% maximal voluntary contraction. Muscle biopsies were collected and thigh skinfolds, MMG and EMG were recorded from the vastus lateralis muscle. Linear regression models were fit to the log-transformed EMG(RMS) and MMG(RMS) vs. force relationships. The slope (b coefficient) and the antilog of the y-intercept (a coefficient) were calculated. The AT group had the highest percentage of type I fiber area, the RT group had the highest percentage of type IIa fiber area, and the SED group had the highest percentage of type IIx fiber area. The a coefficients were higher for the AT group than the RT and SED groups in both the MMG(RMS) and EMG(RMS) vs. force relationships, whereas the b coefficients were lower for the AT group than the RT and SED groups only in the MMG(RMS) vs. force relationship. The group differences among the a coefficients may have reflected subcutaneous fat acting as a filter thereby reducing EMG(RMS) and MMG(RMS). The lower b coefficients for the AT group in the MMG(RMS) patterns may have reflected fiber area-related differences in motor unit activation strategies.