Alterations in information transmission in ensembles of primary muscle spindle afferents after muscle fatigue in heteronymous muscle

Repeated maximal eccentric actions causes long-lasting disturbances in movement control

This study examined acute and long-lasting effects of fatigue and muscle damage on fast and accurate elbow flexion and extension target movements (TM) with eight male students. An isokinetic machine was used to perform 100 maximal eccentric and concentric elbow flexions at 4-week intervals. Movement range was 40-170 degrees in eccentric exercise (ECCE) and 170-40 degrees in concentric exercise (CONE), with an angular velocity of 2 rad s(-1). TM was performed in sitting position with the right forearm fixed to lever arm above protractor. Subjects performed TM in horizontal plane (amplitude 60 degrees ) by visual feedback of movement from a television monitor. Surface EMG was recorded from the biceps brachii and triceps brachii muscles. TM measurements and serum creatine kinase (CK) determinations were conducted before, after, 0.5 h, 2 days, and 7 days after both exercises. Blood lactate was taken before, after, and 0.5 h after the exercises. Both ECCE and CONE led to a large decline in maximal voluntary contractions, but the recovery was slower after ECCE when it remained incomplete even until day 7 post-exercise. Lactate increased (P < 0.001) similarly after both exercises. Delayed-onset muscle soreness peaked on day 2 and CK peaked on day 7 after ECCE. Exhaustive eccentric exercise of agonistic muscles impaired the flexion TM performance, and had a long-duration modulation effect on the triphasic EMG activity pattern of flexion and extension TM. In the acute phase, the observed changes in performance and in the EMG patterns are suggested to be related to metabolic changes via III and IV muscle afferents. The delayed recovery, on the other hand, may be related to problems in the proprioceptive feedback caused by muscle damage.

Neck muscle fatigue and spatial orientation during stepping in place in humans

Neck proprioceptive input, as elicited by muscle vibration, can produce destabilizing effects on stance and locomotion. Neck muscle fatigue produces destabilizing effects on stance, too. Our aim was to assess whether neck muscle fatigue can also perturb the orientation in space during a walking task. Direction and amplitude of the path covered during stepping in place were measured in 10 blindfolded subjects, who performed five 30-s stepping trials before and after a 5-min period of isometric dorsal neck muscle contraction against a load. Neck muscle electromyogram amplitude and median frequency during the head extensor effort were used to compute a fatigue index. Head and body kinematics were recorded by an optoelectronic system, and stepping cadence was measured by sensorized insoles. Before the contraction period, subjects normally stepped on the spot or drifted forward. After contraction, some subjects reproduced the same behavior, whereas others reduced their forward progression or even stepped backward. The former subjects showed minimal signs of fatigue and the latter ones marked signs of fatigue, as quantified by the dorsal neck electromyogram index. Head position and cadence were unaffected in either group of subjects. We argue that the abnormal fatigue-induced afferent input originating in the receptors transducing the neck muscle metabolic state can modulate the egocentric spatial reference frame. Notably, the effects of neck muscle fatigue on orientation are opposite to those produced by neck proprioception. The neck represents a complex source of inputs capable of modifying our orientation in space during a locomotor task.

Effects of postural disturbances with fatigued triceps surae muscles or with 20% additional body weight

One of the main issues for balance control is the ability to generate enough forces to execute motions and uphold stability. This study aimed to investigate whether induced fatigue of the triceps surae muscles and decreased muscle force due to temporary additional body weight affected the ability to withstand balance perturbations. Another aim was to examine whether postural control adaptation over time was able to compensate for the changes induced by fatigue and additional body weight. Eleven normal subjects were exposed to vibratory proprioceptive stimulation during three test conditions; a baseline test during normal condition; when the body weight was increased by 20%, by adding additional weight load; and when the triceps surae muscles were fatigued. The tests were performed both with eyes open and closed. The body movements were evaluated by analyzing the anteroposterior and lateral torques induced towards the supporting surface measured with a force platform. Postural control was substantially affected both by the additional body weight, and by muscle fatigue in the triceps surae muscles. The anteroposterior and lateral body sway were larger both with added weight and fatigued muscles compared with the baseline test during quiet stance. However, the body sway induced by the vibratory stimulation was significantly larger with additional body weight compared with when the triceps surae muscles were fatigued. The differences between the test conditions were mostly pronounced during tests with eyes closed and in the high frequency body sway (>0.1 Hz). Postural control adaptation was able to reduce but not fully compensate for the changes induced by fatigue and additional body weight. Several hypotheses could account for these observations. (1) Fatigued muscles are less sensitive to muscle vibration, (2) muscle fatigue alters the muscle contractile efficiency and thus alters the ability to produce high-frequency, short-latency responses to balance perturbations.

Neck muscle fatigue affects postural control in man

We hypothesised that, since anomalous neck proprioceptive input can produce perturbing effects on posture, neck muscle fatigue could alter body balance control through a mechanism connected to fatigue-induced afferent inflow. Eighteen normal subjects underwent fatiguing contractions of head extensor muscles. Sway during quiet stance was recorded by a dynamometric platform, both prior to and after fatigue and recovery, with eyes open and eyes closed. After each trial, subjects were asked to rate their postural control. Fatigue was induced by having subjects stand upright and exert a force corresponding to about 35% of maximal voluntary effort against a device exerting a head-flexor torque. The first fatiguing period lasted 5 min (F1). After a 5-min recovery period (R1), a second period of fatiguing contraction (F2) and a second period of recovery (R2) followed. Surface EMG activity from dorsal neck muscles was recorded during the contractions and quiet stance trials. EMG median frequency progressively decreased and EMG amplitude progressively increased during fatiguing contractions, demonstrating that muscle fatigue occurred. After F1, subjects swayed to a larger extent compared with control conditions, recovering after R1. Similar findings were obtained after F2 and after R2. Although such behaviour was detectable under both visual conditions, the effects of fatigue reached significance only without vision. Subjective scores of postural control diminished when sway increased, but diminished more, for equal body sway, after fatigue and recovery. Contractions of the same duration, but not inducing EMG signs of fatigue, had much less influence on body sway or subjective scoring. We argue that neck muscle fatigue affects mechanisms of postural control by producing abnormal sensory input to the CNS and a lasting sense of instability. Vision is able to overcome the disturbing effects connected with neck muscle fatigue.

Effects of short-term cycling on knee joint proprioception in healthy young persons

BACKGROUND

Criteria are needed for measuring the effects of exercise and fatigue on proprioception.

PURPOSE

To measure knee joint proprioception in healthy subjects before and after exercise and to establish a reference for further comparisons of patients with knee injuries.

STUDY DESIGN

Controlled laboratory study.

METHODS

We tested proprioception in the knees of 24 healthy subjects with a mean age of 24 years and median Tegner score of 5. Subjects were tested to estimate their thresholds for detecting slow passive motion, from starting positions of 20 degrees and 40 degrees before and after cycling on an ergometer bicycle until the pulse rate reached a steady state level and they reached a score of 14 to 17 on Borg's Ratio of Perceived Exertion scale.

RESULTS

After cycling, significantly higher threshold values were found for perception of movement toward flexion from both 20 degrees and 40 degrees. No significant differences were seen in measurements of movement toward extension.

CONCLUSIONS

Knee joint proprioception seems to be impaired by exercise or training.

CLINICAL RELEVANCE

This impairment may lead to defective dynamic stabilization of the joint, leading to an increased risk of injuries.

Trunk muscle activation in low-back pain patients, an analysis of the literature

This paper provides an analysis of the literature on trunk muscle recruitment in low-back pain patients. Two models proposed in the literature, the pain-spasm-pain model and the pain adaptation model, yield conflicting predictions on how low- back pain would affect trunk muscle recruitment in various activities. The two models are outlined and evidence for the two from neurophsysiological studies is reviewed. Subsequently, specific predictions with respect to changes in activation of the lumbar extensor musculature are derived from both models. These predictions are compared to the results from 30 clinical studies and three induced pain studies retrieved in a comprehensive literature search. Neither of the two models is unequivocally supported by the literature. These data and further data on timing of muscle activity and load sharing between muscles suggest an alternative model to explain the alterations of trunk muscle recruitment due to low-back pain. It is proposed that motor control changes in patients are functional in that they enhance spinal stability.

Postural sway under muscle vibration and muscle fatigue in humans

Separate studies have demonstrated that vibration and fatigue of ankle muscles alter postural control. The purpose of the present experiment was to investigate the effect of ankle muscle vibration on the regulation of postural sway in bipedal stance following ankle muscle fatigue. Center of foot pressure displacements were recorded using a force platform. Results showed a similar increase in postural sway under muscle fatigue as well as under muscle vibration. Interestingly, under muscle fatigue muscle vibration did not induce a further increase in postural sway. Two hypotheses could, at least, account for this observation: (1). fatigued muscles are less sensitive to muscle vibration and (2). the central nervous system relies less upon proprioceptive information originating from fatigued muscles for regulating postural sway.

Spinal and supraspinal effects of activity in ligament afferents

In this paper available knowledge on effects from joint and ligament afferents on spinal neurones and pathways are briefly reviewed, and possible functional implications discussed. Ligament afferents may contribute to joint stability, muscle coordination and proprioception through direct polysynaptic reflex effects onto ascending pathways and skeletomotoneurones, and/or indirectly via reflex actions on the gamma-muscle spindle system. Theoretical and experimental evidence indicate that ligament afferents, together with afferents from other joint structures, muscles and the skin, provide the CNS with information on movements and posture through ensemble coding mechanisms, rather than via modality specific private pathways. The existence and functional relevance of ligamentomuscular protective reflexes, that are triggered when the ligament is threatened by potentially harmful loads, has been seriously questioned. It seems more likely that peripheral sensory inputs from ligament afferents participate in a continuous control of the muscle activity through feedforward, or preprogramming, mechanisms. In line with these ideas it has been suggested that ligament mechanoreceptors have an important role in muscle coordination and in the reflex regulation of the functional joint stability, by contributing to the preprogramming of the muscle stiffness through reflex modulation of the gamma-muscle spindle system.

Impaired lumbar movement perception in association with postural stability and motor- and somatosensory-evoked potentials in lumbar spinal stenosis

STUDY DESIGN

A descriptive study of the associations between different neurophysiologic findings in patients with lumbar spinal stenosis.

OBJECTIVES

To evaluate the ability to sense a change in lumbar position and the associations between lumbar movement perception, postural stability, and motor-evoked potentials and somatosensory-evoked potentials.

SUMMARY OF BACKGROUND DATA

Patients with low back pain have impaired postural control and impaired lumbar proprioception. Altered motor-evoked potentials and somatosensory-evoked potentials have been often observed in lumbar spinal stenosis.

METHODS

The study included 26 patients with clinically and radiologically diagnosed lumbar spinal stenosis. Their ability to sense lumbar rotation was assessed in a previously validated motorized trunk rotation unit in the seated position. The abilities to indicate the movement direction and the movement magnitude were used as indexes of the ability to sense the lumbar rotatory movement. The postural stability was measured with a vertical force platform. The motor-evoked potentials were elicited by transcranial and lumbar stimulation and recorded from anterior tibialis muscles. The somatosensory-evoked potentials were elicited by transcutaneous electrical stimulation of the tibial nerve at the ankle.

RESULTS

Twenty patients (76.9%; P = 0.006) reported the wrong movement direction. Furthermore, the patients consistently localized the movement sensation in their shoulders instead of the lumbar region. The altered motor-evoked potentials and somatosensory-evoked potentials were observed in 11 and 16 patients, respectively. Abnormal motor-evoked potentials had inconsistent associations with impaired movement perception and postural stability and abnormal somatosensory-evoked potentials had no associations with other findings.

CONCLUSIONS

Many patients with lumbar spinal stenosis have difficulties in sensing the lumbar rotational movement, which may indicate impaired proprioceptive abilities. Abnormal motor-evoked potentials and somatosensory-evoked potentials are also frequent in lumbar spinal stenosis but do not necessarily occur in the same patients as the abnormal ability to sense trunk movement. These new findings add to our understanding of the pathophysiology of lumbar spinal stenosis.

Increased intra-articular concentration of bradykinin in the temporomandibular joint changes the sensitivity of muscle spindles in dorsal neck muscles in the cat

The aim of the present study was to investigate to what extent activation of bradykinin-sensitive nerve endings of the temporomandibular joint (TMJ) might induce changes in the muscle spindles output from neck muscles through reflex effects on cervical fusimotor neurones. To this end, 26 muscle spindle afferents (MSAs) emanating from the trapezius and splenius muscles of the anaesthetised cat (alpha-chloralose, initial dosage 60 mg/kg) were recorded during injection of Bradykinin (BK) (12.5-50 microg/ml) in the ipsilateral TMJ. Fifteen (58%) MSAs exhibited statistically significant fusimotor effects to injection of BK into the TMJ. Of the 15, ten MSAs showed a response related to activation of static fusimotor neurones, three MSAs showed a response related to an activation of both static and dynamic fusimotor neurones and two MSAs showed a inhibition of both static and dynamic fusimotor neurones. The control experiments suggests that the effects observed were due to activation of BK sensitive nerve endings in the TMJ. It seems possible that the reflex connections between TMJ nociceptors and the fusimotor-muscle spindle system of dorsal neck muscles might be involved in the pathophysiological mechanisms responsible for the sensory-motor disturbances in the neck region often found on patients with temporomandibular disorders.

Alteration of the position sense at the ankle induced by muscular fatigue in humans

PURPOSE

The purpose of this study was to investigate how an isometric exhaustion test affects the position sense at the ankle using an active matching task.

METHODS

Eight male subjects with a mean age 24.6 yr participated in the study. Subjects' ability to match the right ankle with the position of the left reference ankle position-determined using signed and absolute errors and variability-was investigated. This task was realized for four ankle angular values (in degrees), two in dorsiflexion (P(-20), P(-10)) and two in plantarflexion (P(20), P(10)) and for two experimental conditions: 1) normal and 2) fatigue. Muscular fatigue was induced in tibialis anterior (TA) of the right leg (ankle dorsiflexor) by using an isometric test. Subjects were instructed to maintain a workload of 70% of their maximal voluntary contraction in series of 40 s.

RESULTS

With fatigue, subjects produced ankle movements characterized by greater absolute errors for movements of large amplitude in dorsiflexion and for movements of small amplitude in plantarflexion. In addition, using a "worst-case scenario" analysis, results showed that errors were significantly greater than the normal functioning range for 20 degrees dorsiflexion and 10 degrees plantarflexion positioning.

CONCLUSIONS

The acuity of the position sense at the ankle is reduced subsequent to a fatigue protocol. The influence and the potential deleterious effects of muscular fatigue on position sense are discussed.

c-fos Expression and NADPH-d reactivity in spinal neurons after fatiguing stimulation of hindlimb muscles in the rat

The distribution of Fos-immunoreactive (Fos-ir) and nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d)-reactive neurons in the rat lumbar spinal cord was examined following muscle fatigue caused by intermittent high-rate (100 s(-1)) electrical stimulation of the triceps surae muscle or the ventral root L5 (VRL5) for 30 min. Following both types of stimulation, the fatigue-related c-fos gene expression was more extensive in the L2-L5 segments on the stimulated side, and the majority of Fos-ir neurons were concentrated in the dorsal horn. After direct muscle stimulation, the highest number of Fos-ir neurons were detected in two regions: layer 5, and superficial layers (1 and 2(o)), although many labeled cells were also found in layers 3, 4, 6, and 7. In response to VRL5 stimulation, the maximal density of Fos-ir neurons was detected in the middle and lateral parts of layers 1 and 2(o), the zone of termination of high-threshold muscle afferents(.) Statistically significant prevalence of Fos-ir cell number was also found in layers 5 and 7 on the stimulated side. A few Fos-ir neurons were detected in the ventral horn (layer 8 and area 10) on both sides. The lamellar distribution of NADPH-d-reactive neurons was similar over all experimental groups of animals. In the L3-L6 segments, such reactive cells were arranged in two distinct regions: dorsal horn (layers 2(i), 3, and 5) and area 10; in the L1 and L2 segments, an additional cluster of NADPH-d positive cells was found in the intermediolateral cell column (IML). Double-labeled cells were not detected. We suggest that c-fos expression in response to muscle fatigue reveals activity of functionally different types of spinal neurons which could operate together with NOS-containing cells in pre-motoneuronal networks to modulate the motoneuron output.

Increase in the discharge of muscle spindles during diaphragm fatigue

The discharge of 18 single unit spindles located in the right crural diaphragm was recorded during rhythmic diaphragmatic contractions before the onset of and during fatigue. Spindle discharge was significantly greater (P<0.05) during rhythmic exercise when the diaphragm was fatigued than spindle discharge during rhythmic exercise when the diaphragm was not fatigued. The increase in spindle discharge during diaphragmatic fatigue is inconsistent with the notion that spindles comprise the afferent arm of a fatigue-induced inhibitory reflex originating in the diaphragm.

Spinal and supraspinal factors in human muscle fatigue

Muscle fatigue is an exercise-induced reduction in maximal voluntary muscle force. It may arise not only because of peripheral changes at the level of the muscle, but also because the central nervous system fails to drive the motoneurons adequately. Evidence for "central" fatigue and the neural mechanisms underlying it are reviewed, together with its terminology and the methods used to reveal it. Much data suggest that voluntary activation of human motoneurons and muscle fibers is suboptimal and thus maximal voluntary force is commonly less than true maximal force. Hence, maximal voluntary strength can often be below true maximal muscle force. The technique of twitch interpolation has helped to reveal the changes in drive to motoneurons during fatigue. Voluntary activation usually diminishes during maximal voluntary isometric tasks, that is central fatigue develops, and motor unit firing rates decline. Transcranial magnetic stimulation over the motor cortex during fatiguing exercise has revealed focal changes in cortical excitability and inhibitability based on electromyographic (EMG) recordings, and a decline in supraspinal "drive" based on force recordings. Some of the changes in motor cortical behavior can be dissociated from the development of this "supraspinal" fatigue. Central changes also occur at a spinal level due to the altered input from muscle spindle, tendon organ, and group III and IV muscle afferents innervating the fatiguing muscle. Some intrinsic adaptive properties of the motoneurons help to minimize fatigue. A number of other central changes occur during fatigue and affect, for example, proprioception, tremor, and postural control. Human muscle fatigue does not simply reside in the muscle.

Effect of fatigue on knee proprioception: implications for dynamic stabilization

The high incidence of injuries that occur later during a session of sports or recreational activities suggests that fatigue may contribute to altered neuromuscular control of the lower limb and an individual's subsequent altered ability to dynamically stabilize the knee joint. One possible mechanism is a fatigue-mediated alteration in proprioception. This paper reviews experimental evidence of fatigue-induced changes in knee joint position sense and movement sense, or kinesthesia. We will discuss the possible physiological mechanisms behind these changes, including the role of joint and muscle receptors in proprioception and neuromuscular control of the knee, and the role of fatigue in changes in afferent output from muscle and joint receptors. We will then explore the implications that alteration in proprioception may have for dynamic stabilization of the knee joint.

Modulation of jaw muscle spindle afferent activity following intramuscular injections with hypertonic saline

Transient noxious chemical stimulation of small diameter muscle afferents modulates jaw movement-related responses of caudal brainstem neurons. While it is likely that the effect is mediated from the spindle afferents in the mesencephalic nucleus (Vmes) via the caudally projecting Probst's tract, the mechanisms of pain induced modulations of jaw muscle spindle afferents is not known. In the present study, we tested the hypothesis that jaw muscle nociceptors gain access to muscle spindle afferents in the same muscle via central mechanisms and alter their sensitivity. Thirty-five neurons recorded from the Vmes were characterized as muscle spindle afferents based on their responses to passive jaw movements, muscle palpation, and electrical stimulation of the masseter nerve. Each cell was tested by injecting a small volume (250 microl) of either 5% hypertonic and/or isotonic saline into the receptor-bearing muscle. Twenty-nine units were tested with 5% hypertonic saline, of which 79% (23/29) showed significant modulation of mean firing rates (MFRs) during one or more phases of ramp-and-hold movements. Among the muscle spindle primary-like units (n = 12), MFRs of 4 units were facilitated, five reduced, two showed mixed responses and one unchanged. In secondary-like units (n = 17), MFRs of 9 were facilitated, three reduced and five unchanged. Thirteen units were tested with isotonic saline, of which 77% showed no significant changes of MFRs. Further analysis revealed that the hypertonic saline not only affected the overall output of muscle spindle afferents, but also increased the variability of firing and altered the relationship between afferent signal and muscle length. These results demonstrated that activation of muscle nociceptors significantly affects proprioceptive properties of jaw muscle spindles via central neural mechanisms. The changes can have deleterious effects on oral motor function as well as kinesthetic sensibility.

The role of the gamma-motor system in increasing muscle tone and muscle pain syndromes: a review of the Johansson/Sojka hypothesis

OBJECTIVES

To review literature that pertained to the Johansson/Sojka hypothesis that positive feedback loops in the gamma-motor system are responsible for chronic muscle pain and increases in muscle tone.

DATA SOURCES

Articles were selected from MEDLINE searches and from manual library searches.

RESULTS

Normal, static, and ischemic muscle contractions and/or chemical mediators of inflammation excite intramuscular groups III and IV chemonociceptors. In groups III and IV, afferent firing stimulates gamma-motorneurons, which causes the firing of Ia and II muscle spindle afferents and increased extrafusal resistance to stretch (muscle tone). Some criticism of the involvement of the gamma-motor system in muscle tone was found to be dated or based on data from noncomparable research. Most of these studies (pro and con) were performed on prepared test animals, and the results may or may not translate to human subjects.

CONCLUSIONS

There exists a sizable body of research that establishes a link between the activation of intramuscular chemonociceptors, increased gamma-motor activity, and increased Ia and II spindle output, as proposed by the hypothesis of Johansson and Sojka. However, because of the lack of sufficient data on human subjects, their hypothesis should not be considered proved. Further research into the effects of metabolites of muscle contraction and their effects on muscle tone is recommended. Research into subluxation/joint dysfunction in light of the Johansson/Sojka hypothesis is recommended.

Experimental muscle pain produces central modulation of proprioceptive signals arising from jaw muscle spindles

The aim of the present study was to investigate the effects of intramuscular injection with hypertonic saline, a well-established experimental model for muscle pain, on central processing of proprioceptive input from jaw muscle spindle afferents. Fifty-seven cells were recorded from the medial edge of the subnucleus interpolaris (Vi) and the adjacent parvicellular reticular formation from 11 adult cats. These cells were characterized as central units receiving jaw muscle spindle input based on their responses to electrical stimulation of the masseter nerve, muscle palpation and jaw stretch. Forty-five cells, which were successfully tested with 5% hypertonic saline, were categorized as either dynamic-static (DS) (n=25) or static (S) (n=20) neurons based on their responses to different speeds and amplitudes of jaw movement. Seventy-six percent of the cells tested with an ipsilateral injection of hypertonic saline showed a significant modulation of mean firing rates (MFRs) during opening and/or holding phases. The most remarkable saline-induced change was a significant reduction of MFR during the hold phase in S units (100%, 18/18 modulated). Sixty-nine percent of the DS units (11/16 modulated) also showed significant changes in MFRs limited to the hold phase. However, in the DS neurons, the MFRs increased in seven units and decreased in four units. Finally, five DS neurons showed significant changes of MFRs during both opening and holding phases. Injections of isotonic saline into the ipsilateral masseter muscle had little effect, but hypertonic saline injections made into the contralateral masseter muscle produced similar results to ipsilateral injections with hypertonic saline. These results unequivocally demonstrate that intramuscular injection with an algesic substance, sufficient to produce muscle pain, produces significant changes in the proprioceptive properties of the jaw movement-related neurons. Potential mechanisms involved in saline-induced changes in the proprioceptive signals and functional implications of the changes are discussed.

The effect of lumbar fatigue on the ability to sense a change in lumbar position. A controlled study

STUDY DESIGN

A cross-sectional study in patients with recurrent/chronic low back trouble and healthy control subjects.

OBJECTIVE

To evaluate the effect of paraspinal muscle fatigue on the ability to sense a change in lumbar position.

SUMMARY OF BACKGROUND DATA

Protection against spinal injury requires proper anticipation of events, appropriate sensation of body position, and reasonable muscular responses. Lumbar fatigue is known to delay lumbar muscle responses to sudden loads. It is not known whether the delay is because of failure in the sensation of position, output of the response, or both.

METHODS

Altogether, 106 subjects (57 patients with low back trouble [27 men and 30 women] and 49 healthy control subjects [28 men and 21 women]) participated in the study. Their ability to sense a change in lumbar position while seated on a special trunk rotation unit was assessed. A motor rotated the seat with an angular velocity of 1 degree per second. The task in the test involved reacting to the perception of lumbar movement (rotation) by releasing a button with a finger movement. The test was performed twice, before and immediately after a fatiguing procedure. During the endurance task, the participants performed upper trunk repetitive extensions against a resistance, with a movement amplitude adjusted between 25 degrees flexion and 5 degrees extension, until exhaustion.

RESULTS

Patients with chronic low back trouble had significantly poorer ability than control subjects on the average to sense a change in lumbar position (P = 0.007), which was noticed before and after the fatiguing procedure. Lumbar fatigue induced significant impairment in the sensation of position change (P < 0.000001).

CONCLUSIONS

Lumbar fatigue impairs the ability to sense a change in lumbar position. This feature was found in patients and control subjects, but patients with low back trouble had poorer ability to sense a change in lumbar position than control subjects even when they were not fatigued. There seems to be a period after a fatiguing task during which the available information on lumbar position and its changes is inaccurate.

The information transmitted by ensembles of primary spindle afferents is diminished when ketamine is used as a pre-anaesthetic

The effect of pre-anaesthetic ketamine on ensemble coding of different stimuli consisting of muscle stretches of various amplitudes was studied for ensembles of simultaneously recorded primary muscle spindle afferents (MSAs). The experiments were conducted on 8 alpha-chloralose anaesthetised cats. Three of the cats received a pre-anaesthetic dose of ketamine (25 mg/kg) injected subcutaneously (ketamine group), while the remaining five animals did not (non-ketamine group). Data for ensemble coding were collected both before and after cutting the ventral root. A method based on principal component analysis and algorithms was used to quantify stimulus discrimination and an ANOVA tested differences between groups as well as differences due to ventral root cutting. When the fusimotor supply was intact, a general trend of an increase in the ability to discriminate stimuli with increasing ensemble size was observed for both groups, however, this trend was significantly greater for the non-ketamine group as compared to the ketamine group. When the ventral root was cut, the discrimination pattern for the non-ketamine group decreased significantly (as compared to before ventral root cutting), however, no change occurred for the ketamine group. Consequently, no difference in discrimination pattern was detected between groups after ventral root cutting. The reduction in information transmitted by ensembles of primary MSAs when ketamine is used as a pre-anaesthetic may suggest that ketamine elicits an adverse affect on the fusimotor system.