The change in spatial distribution of upper trapezius muscle activity is correlated to contraction duration

Spatial EMG potential distribution of biceps brachii muscle during resistance training and detraining

PURPOSE

We investigated the effect of resistance training and detraining on the spatial distribution pattern of surface electromyography (SEMG) of the biceps brachii.

METHODS

Ten male subjects completed 6 weeks of resistance training of one arm and 8 weeks of detraining. During training and detraining periods, spatial distribution patterns of SEMG were measured and quantified with 64 two-dimensional electrodes.

RESULTS

MVC, muscle thickness, and SEMG amplitude of the trained arm were significantly greater than those of the untrained arm after the 6 weeks of resistance training (p < 0.05), but these differences were no longer observed after 2 months of detraining. On the other hand, no significant differences in the spatial distribution pattern of SEMG were observed between the arms.

CONCLUSION

Spatial distribution pattern of SEMG was not changed during resistance training and detraining periods. This suggests that detectable adaptations in the motor unit recruitment pattern do not occur during regular resistance training.

Test-retest reliability of trunk motor variability measured by large-array surface electromyography

OBJECTIVE

The objective of this study was to evaluate the test-retest reliability of the trunk muscle activity distribution in asymptomatic participants during muscle fatigue using large-array surface electromyography (EMG).

METHODS

Trunk muscle activity distribution was evaluated twice, with 3 to 4 days between them, in 27 asymptomatic volunteers using large-array surface EMG. Motor variability, assessed with 2 different variables (the centroid coordinates of the root mean square map and the dispersion variable), was evaluated during a low back muscle fatigue task. Test-retest reliability of muscle activity distribution was obtained using Pearson correlation coefficients.

RESULTS

A shift in the distribution of EMG amplitude toward the lateral-caudal region of the lumbar erector spinae induced by muscle fatigue was observed. Moderate to very strong correlations were found between both sessions in the last 3 phases of the fatigue task for both motor variability variables, whereas weak to moderate correlations were found in the first phases of the fatigue task only for the dispersion variable.

CONCLUSION

These findings show that, in asymptomatic participants, patterns of EMG activity are less reliable in initial stages of muscle fatigue, whereas later stages are characterized by highly reliable patterns of EMG activity.

Non-uniform recruitment along human rectus femoris muscle during transcutaneous electrical nerve stimulation

PURPOSE

To test the hypothesis that motor units with different axonal excitability levels are localized in specific portions of the rectus femoris (RF) muscle using transcutaneous electrical nerve stimulation.

METHODS

M-waves were elicited by transcutaneous electrical nerve stimulation and detected from 24 sites along longitudinal line of the muscle. The stimulation was applied to the femoral nerve, and the current level was gradually increased.

RESULTS

The central locus activation, which is calculated from the spatial distribution of M-waves, appeared at the proximal regions at low stimulation level and then moved to the middle site of the muscle with an increase in the stimulation level. The results reveal that groups of motor units activated at different stimulation levels are located in different positions in the proximal-distal muscle direction.

CONCLUSION

Our results suggest that motor unit properties in proximal and other regions are not uniform within the RF muscle.

Task variation during simulated, repetitive, low-intensity work--influence on manifestation of shoulder muscle fatigue, perceived discomfort and upper-body postures

Work-related musculoskeletal disorders are increasing due to industrialisation of work processes. Task variation has been suggested as potential intervention. The objectives of this study were to investigate, first, the influence of task variation on electromyographic (EMG) manifestations of shoulder muscle fatigue and discomfort; second, noticeable postural shoulder changes over time; third, if the association between task variation and EMG might be biased by postural changes. Outcome parameters were recorded using multichannel EMG, Optotrak and the Borg scale. Fourteen participants performed a one-hour repetitive Pegboard task in one continuous and two interrupted conditions with rest and a pick-and-place task, respectively. Manifestations of shoulder muscle fatigue and discomfort feelings were observed throughout the conditions but these were not significantly influenced by task variation. After correction for joint angles, the relation between task variation and EMG was significantly biased but significant effects of task variation remained absent.

PRACTITIONER SUMMARY

Comparing a one-hour continuous, repetitive Pegboard task with two interrupted conditions revealed no significant influences of task variation. We did observe that the relation between task variation and EMG was biased by posture and therefore advise taking account for posture when investigating manifestations of muscle fatigue in assembly tasks.

Adaptations to isolated shoulder fatigue during simulated repetitive work. Part II: Recovery

The shoulder allows kinematic and muscular changes to facilitate continued task performance during prolonged repetitive work. The purpose of this work was to examine changes during simulated repetitive work in response to a fatigue protocol. Participants performed 20 one-minute work cycles comprised of 4 shoulder centric tasks, a fatigue protocol, followed by 60 additional cycles. The fatigue protocol targeted the anterior deltoid and cycled between static and dynamic actions. EMG was collected from 14 upper extremity and back muscles and three-dimensional motion was captured during each work cycle. Participants completed post-fatigue work despite EMG manifestations of muscle fatigue, reduced flexion strength (by 28%), and increased perceived exertion (∼3 times). Throughout the post-fatigue work cycles, participants maintained performance via kinematic and muscular adaptations, such as reduced glenohumeral flexion and scapular rotation which were task specific and varied throughout the hour of simulated work. By the end of 60 post-fatigue work cycles, signs of fatigue persisted in the anterior deltoid and developed in the middle deltoid, yet perceived exertion and strength returned to pre-fatigue levels. Recovery from fatigue elicits changes in muscle activity and movement patterns that may not be perceived by the worker which has important implications for injury risk.

Evaluation of central and peripheral fatigue in the quadriceps using fractal dimension and conduction velocity in young females

PURPOSE

Over the past decade, linear and non-linear surface electromyography descriptors for central and peripheral components of fatigue have been developed. In the current study, we tested fractal dimension (FD) and conduction velocity (CV) as myoelectric descriptors of central and peripheral fatigue, respectively. To this aim, we analyzed FD and CV slopes during sustained fatiguing contractions of the quadriceps femoris in healthy humans.

METHODS

A total of 29 recreationally active women (mean age±standard deviation: 24±4 years) and two female elite athletes (one power athlete, age 24 and one endurance athlete, age 30 years) performed two knee extensions: (1) at 20% maximal voluntary contraction (MVC) for 30 s, and (2) at 60% MVC held until exhaustion. Surface EMG signals were detected from the vastus lateralis and vastus medialis using bidimensional arrays.

RESULTS

Central and peripheral fatigue were described as decreases in FD and CV, respectively. A positive correlation between FD and CV (R=0.51, p<0.01) was found during the sustained 60% MVC, probably as a result of simultaneous motor unit synchronization and a decrease in muscle fiber CV during the fatiguing task.

CONCLUSIONS

Central and peripheral fatigue can be described as changes in FD and CV, at least in young, healthy women. The significant correlation between FD and CV observed at 60% MVC suggests that a mutual interaction between central and peripheral fatigue can arise during submaximal isometric contractions.

Shoulder kinematics and spatial pattern of trapezius electromyographic activity in real and virtual environments

The design of an industrial workstation tends to include ergonomic assessment steps based on a digital mock-up and a virtual reality setup. Lack of interaction and system fidelity is often reported as a main issue in such virtual reality applications. This limitation is a crucial issue as thorough ergonomic analysis is required for an investigation of the biomechanics. In the current study, we investigated the biomechanical responses of the shoulder joint in a simulated assembly task for comparison with the biomechanical responses in virtual environments. Sixteen male healthy novice subjects performed the task on three different platforms: real (RE), virtual (VE), and virtual environment with force feedback (VEF) with low and high precision demands. The subjects repeated the task 12 times (i.e., 12 cycles). High density electromyography from the upper trapezius and rotation angles of the shoulder joint were recorded and split into the cycles. The angular trajectories and velocity profiles of the shoulder joint angles over a cycle were computed in 3D. The inter-subject similarity in terms of normalized mutual information on kinematics and electromyography was investigated. Compared with RE the task in VE and VEF was characterized by lower kinematic maxima. The inter-subject similarity in RE compared with intra-subject similarity across the platforms was lower in terms of movement trajectories and greater in terms of trapezius muscle activation. The precision demand resulted in lower inter- and intra-subject similarity across platforms. The proposed approach identifies biomechanical differences in the shoulder joint in both VE and VEF compared with the RE platform, but these differences are less marked in VE mostly due to technical limitations of co-localizing the force feedback system in the VEF platform.

[18F]-FDG positron emission tomography--an established clinical tool opening a new window into exercise physiology

Positron emission tomography (PET) with [(18)F]-fluorodeoxyglucose (FDG) is an established clinical tool primarily used to diagnose and evaluate disease status in patients with cancer. PET imaging using FDG can be a highly valuable tool to investigate normal human physiology by providing a noninvasive, quantitative measure of glucose uptake into various cell types. Over the past years it has also been increasingly used in exercise physiology studies to identify changes in glucose uptake, metabolism, and muscle activity during different exercise modalities. Metabolically active cells transport FDG, an (18)fluorine-labeled glucose analog tracer, from the blood into the cells where it is then phosphorylated but not further metabolized. This metabolic trapping process forms the basis of this method's use during exercise. The tracer is given to a participant during an exercise task, and the actual PET imaging is performed immediately after the exercise. Provided the uptake period is of sufficient duration, and the imaging is performed shortly after the exercise; the captured image strongly reflects the metabolic activity of the cells used during the task. When combined with repeated blood sampling to determine tracer blood concentration over time, also known as the input function, glucose uptake rate of the tissues can be quantitatively calculated. This synthesis provides an accounting of studies using FDG-PET to measure acute exercise-induced skeletal muscle activity, describes the advantages and limitations of this imaging technique, and discusses its applications to the field of exercise physiology.

The influence of active seating on car passengers' perceived comfort and activity levels

New technologies have led to an increasingly sedentary lifestyle. Sedentary behaviour is characterised by physical inactivity and is associated with several health risks. This excessive sitting does not only take place in the office or at home, but also during daily commute. Therefore, BMW AG developed an active seating system for the back seat of a car, consisting of sensors in the back rest that register upper body movements of the passenger, with which the passenger controls a game. This study evaluated three different aspects of active seating compared to other tasks (reading, working on laptop, and gaming on tablet). First, discomfort and comfort perception were measured in a 30-minute driving test. Discomfort was very low for all activities and participants felt significantly more challenged, more fit and more refreshed during active seating. Second, heart rate was measured, indicating a light intensity, but nevertheless non-sedentary, activity. Third, average and variability in activity of six postural muscles was measured by electromyography (EMG), showing a higher muscle activity and higher muscle variability for active seating compared to other activities. Active seating might stimulate movements, thereby increasing comfort and well-being.

Functional compartmentalization of the human superficial masseter muscle

Some muscles have demonstrated a differential recruitment of their motor units in relation to their location and the nature of the motor task performed; this involves functional compartmentalization. There is little evidence that demonstrates the presence of a compartmentalization of the superficial masseter muscle during biting. The aim of this study was to describe the topographic distribution of the activity of the superficial masseter (SM) muscle's motor units using high-density surface electromyography (EMGs) at different bite force levels. Twenty healthy natural dentate participants (men: 4; women: 16; age 20±2 years; mass: 60±12 kg, height: 163±7 cm) were selected from 316 volunteers and included in this study. Using a gnathodynamometer, bites from 20 to 100% maximum voluntary bite force (MVBF) were randomly requested. Using a two-dimensional grid (four columns, six electrodes) located on the dominant SM, EMGs in the anterior, middle-anterior, middle-posterior and posterior portions were simultaneously recorded. In bite ranges from 20 to 60% MVBF, the EMG activity was higher in the anterior than in the posterior portion (p-value = 0.001).The center of mass of the EMG activity was displaced towards the posterior part when bite force increased (p-value = 0.001). The topographic distribution of EMGs was more homogeneous at high levels of MVBF (p-value = 0.001). The results of this study show that the superficial masseter is organized into three functional compartments: an anterior, a middle and a posterior compartment. However, this compartmentalization is only seen at low levels of bite force (20-60% MVBF).

Functional connectivity between core and shoulder muscles increases during isometric endurance contractions in judo competitors

PURPOSE

The aim of this study was to assess the surface electromyogram (SEMG) changes within and between muscles of the torso and shoulder region during static endurance contraction in elite judokas. We hypothesized an increased functional connectivity of muscles from the shoulder and torso regions during sustained isometric contraction.

METHODS

Twelve healthy, right-handed judo competitors participated in the study. The SEMG signals from the dominant trapezius (upper, middle and lower part), deltoideus anterior, serratus anterior, and pectoralis major muscles were recorded during isometric endurance contraction consisting of bilateral arm abduction at 90°. The normalized mutual information (NMI) was computed between muscle pairs as an index indicating functional connectivity.

RESULTS

The NMIs increased significantly during endurance test for 10 of the 15 muscle pairs (P < 0.001).

CONCLUSION

We concluded that the increases in NMIs highlighted functional changes in the interplay between core and shoulder muscles during an endurance contraction in elite judokas.

Effect of Selective Muscle Training Using Visual EMG Biofeedback on Infraspinatus and Posterior Deltoid

We investigated the effects of visual electromyography (EMG) biofeedback during side-lying shoulder external rotation exercise on the EMG amplitude for the posterior deltoid, infraspinatus, and infraspinatus/posterior deltoid EMG activity ratio. Thirty-one asymptomatic subjects were included. Subjects performed side-lying shoulder external rotation exercise with and without visual EMG biofeedback. Surface EMG was used to collect data from the posterior deltoid and infraspinatus muscles. The visual EMG biofeedback applied the pre-established threshold to prevent excessive posterior deltoid muscle contraction. A paired t-test was used to determine the significance of the measurements between without vs. with visual EMG biofeedback. Posterior deltoid activity significantly decreased while infraspinatus activity and the infraspinatus/posterior activity ratio significantly increased during side-lying shoulder external rotation exercise with visual EMG biofeedback. This suggests that using visual EMG biofeedback during shoulder external rotation exercise is a clinically effective training method for reducing posterior deltoid activity and increasing infraspinatus activity.

The extraction of neural strategies from the surface EMG: an update

A surface EMG signal represents the linear transformation of motor neuron discharge times by the compound action potentials of the innervated muscle fibers and is often used as a source of information about neural activation of muscle. However, retrieving the embedded neural code from a surface EMG signal is extremely challenging. Most studies use indirect approaches in which selected features of the signal are interpreted as indicating certain characteristics of the neural code. These indirect associations are constrained by limitations that have been detailed previously (Farina D, Merletti R, Enoka RM. J Appl Physiol 96: 1486-1495, 2004) and are generally difficult to overcome. In an update on these issues, the current review extends the discussion to EMG-based coherence methods for assessing neural connectivity. We focus first on EMG amplitude cancellation, which intrinsically limits the association between EMG amplitude and the intensity of the neural activation and then discuss the limitations of coherence methods (EEG-EMG, EMG-EMG) as a way to assess the strength of the transmission of synaptic inputs into trains of motor unit action potentials. The debated influence of rectification on EMG spectral analysis and coherence measures is also discussed. Alternatively, there have been a number of attempts to identify the neural information directly by decomposing surface EMG signals into the discharge times of motor unit action potentials. The application of this approach is extremely powerful, but validation remains a central issue.

The size and structure of arm movement variability decreased with work pace in a standardised repetitive precision task

Increased movement variability has been suggested to reduce the risk of developing musculoskeletal disorders caused by repetitive work. This study investigated the effects of work pace on arm movement variability in a standardised repetitive pipetting task performed by 35 healthy women. During pipetting at slow and fast paces differing by 15%, movements of arm, hand and pipette were tracked in 3D, and used to derive shoulder and elbow joint angles. The size of cycle-to-cycle motor variability was quantified using standard deviations of several kinematics properties, while the structure of variability was quantified using indices of sample entropy and recurrence quantification analysis. When pace increased, both the size and structure of motor variability in the shoulder and elbow decreased. These results suggest that motor variability drops when repetitive movements are performed at increased paces, which may in the long run lead to undesirable outcomes such as muscle fatigue or overuse.

Cycle to cycle variability in a repetitive upper extremity task

The purpose of this study was to examine the variability in muscle activity at rest and work during a repetitive task. A total of 20 participants performed a bimanual push task using three frequencies (4, 8, 16 pushes/min), three loads (1 kg, 2 kg, 4 kg) and two grip conditions (no grip, 30% maximum). The coefficient of variation (CoV) of muscle activity was determined for the anterior deltoid, biceps brachii, extensor digitorum and flexor digitorum superficialis. Faster push frequencies and heavier loads had lower work-rest ratio CoV and higher mean muscle activity (p < 0.01). Sixteen pushes per minute produced the lowest CoV for the anterior deltoid (p < 0.01), while the 1- kg load produced the lowest CoV for the extensor digitorum and flexor digitorum superficialis (p < 0.01). Changes were driven by the rest phase rather than by the work phase, except for grip decreasing forearm muscle CoV. These findings underscore the importance of variability at rest and indicate that low variability of muscle activity is associated with ergonomic risk factors.

PRACTITIONER SUMMARY

Decreased motor variability has been associated with pain and injury. A cyclical push task, evaluated in terms of work and rest phases, found that greater workloads increased variability primarily due to changes in the rest phase. Muscle variability, especially for the rest phase, may provide insight into injury risk.

Greater glucose uptake heterogeneity in knee muscles of old compared to young men during isometric contractions detected by [(18)F]-FDG PET/CT

We used positron emission tomography/computed tomography (PET/CT) and [¹⁸F]-FDG to test the hypothesis that glucose uptake (GU) heterogeneity in skeletal muscles as a measure of heterogeneity in muscle activity is greater in old than young men when they perform isometric contractions. Six young (26 ± 6 years) and six old (77 ± 6 years) men performed two types of submaximal isometric contractions that required either force or position control. [¹⁸F]-FDG was injected during the task and PET/CT scans were performed immediately after the task. Within-muscle heterogeneity of knee muscles was determined by calculating the coefficient of variation (CV) of GU in PET image voxels within the muscles of interest. The average GU heterogeneity (mean ± SD) for knee extensors and flexors was greater for the old (35.3 ± 3.3%) than the young (28.6 ± 2.4%) (P = 0.006). Muscle volume of the knee extensors were greater for the young compared to the old men (1016 ± 163 vs. 598 ± 70 cm³, P = 0.004). In a multiple regression model, knee extensor muscle volume was a predictor (partial r = −0.87; P = 0.001) of GU heterogeneity for old men (R² = 0.78; P < 0.001), and MVC force predicted GU heterogeneity for young men (partial r = −0.95, P < 0.001). The findings demonstrate that GU is more spatially variable for old than young men and especially so for old men who exhibit greater muscle atrophy.

Physical workload, trapezius muscle activity, and neck pain in nurses' night and day shifts: a physiological evaluation

The purpose of this study was to compare physical workload, electromyography (EMG) of the trapezius muscle, neck pain and mental well-being at work between night and day shifts in twenty Swiss nurses. Work pulse (average increase of heart rate over resting heart rate) was lower during night (27 bpm) compared to day shifts (34 bpm; p < 0.01). Relative arm acceleration also indicated less physical activity during night (82% of average) compared to day shifts (110%; p < 0.01). Rest periods were significantly longer during night shifts. Trapezius muscle rest time was longer during night (13% of shift duration) than day shifts (7%; p < 0.01) and the 50th percentile of EMG activity was smaller (p = 0.02), indicating more opportunities for muscle relaxation during night shifts. Neck pain and mental well-being at work were similar between shifts. Subjective perception of burden was similar between shifts despite less physical burden at night, suggesting there are other contributing factors.

Effect of vastus lateralis fatigue on load sharing between quadriceps femoris muscles during isometric knee extensions

The present study aimed to investigate the effects of selective fatigue (i.e., one muscle of the quadriceps) on load sharing strategies during submaximal knee extensions. Shear wave elastography was used to measure muscle shear elastic modulus, as this is considered to be an index of individual muscle force. Sixteen participants attended two experimental sessions that each involved six 10-s knee extensions at 20% of maximal voluntary contraction (MVC) followed by a sustained submaximal isometric knee extension at 20% of MVC, until task failure (Tlim). Between the 10-s contractions and Tlim, participants were required to rest (5 min) for the control session or underwent 5 min of electromyostimulation (EMS) on vastus lateralis (EMS session). Compared with the control session, vastus lateralis shear elastic modulus values were significantly lower after EMS considering both the start of Tlim (54.6 ± 11.8 vs. 68.4 ± 19.2 kPa; P = 0.011) and the entire Tlim contraction (59.0 ± 14.0 vs. 74.4 ± 20.3 kPa; P = 0.019). However, no significant differences were observed for the other recorded muscles (vastus medialis and rectus femoris; both P = 1), i.e., different patterns of changes were found between participants. In conclusion, this study demonstrates that prefatiguing a single agonist muscle does not lead to a consistent redistribution of load sharing among the quadriceps muscles between individuals. These results suggest that the central nervous system does not use a common principle among individuals to control load sharing when neuromuscular fatigue occurs.

Increase in heterogeneity of biceps brachii activation during isometric submaximal fatiguing contractions: a multichannel surface EMG study

The effects of fatigue emerge from the beginning of sustained submaximal contractions, as shown by an increase in the amplitude of the surface electromyogram (EMG). The increase in EMG amplitude is attributed to an augmentation of the excitatory drive to the motor neuron pool that, more importantly than increasing discharge rates, recruits additional motor units for the contraction. The aim of this study was to determine whether the spatiotemporal distribution of biceps brachii (BB) activity becomes more or less heterogeneous during a fatiguing isometric contraction sustained at a submaximal target force. Multiple electrodes were attached over the entire BB muscle, and principal component analysis (PCA) was used to extract the representative information from multiple monopolar EMG channels. The development of heterogeneity during the fatiguing contraction was quantified by applying a cluster algorithm on the PCA-processed EMG amplitudes. As shown previously, the overall EMG amplitude increased during the sustained contraction, whereas there was no change in coactivation of triceps brachii. However, EMG amplitude did not increase in all channels and even decreased in some. The change in spatial distribution of muscle activity varied across subjects. As found in other studies, the spatial distribution of EMG activity changed during the sustained contraction, but the grouping and size of the clusters did not change. This study showed for the first time that muscle activation became more heterogeneous during a sustained contraction, presumably due to a decrease in the strength of common inputs with the recruitment of additional motor units.

Spatial reorganisation of muscle activity correlates with change in tangential force variability during isometric contractions

The aim of this study was to quantify the effects of spatial reorganisation of muscle activity on task-related and tangential components of force variability during sustained contractions. Three-dimensional forces were measured from isometric elbow flexion during submaximal contractions (50s, 5-50% of maximal voluntary contraction (MVC)) and total excursion of the centre of pressure was extracted. Spatial electromyographic (EMG) activity was recorded from the biceps brachii muscle. The centroids of the root mean square (RMS) EMG and normalised mutual information (NMI) maps were computed to assess spatial muscle activity and spatial relationship between EMG and task-related force variability, respectively. Result showed that difference between the position of the centroids at the beginning and at the end of the contraction of the RMS EMG and the NMI maps were different in the medial-lateral direction (P<0.05), reflecting that muscle regions modulate their activity without necessarily modulating the contribution to the task-related force variability over time. Moreover, this difference between shifts of the centroids was positively correlated with the total excursion of the centre of pressure at the higher levels of contractions (>30% MVC, R(2)>0.30, P<0.05), suggesting that changes in spatial muscle activity could impact on the modulation of tangential forces. Therefore, within-muscle adaptations do not necessarily increase force variability, and this interaction can be quantified by analysing the RMS EMG and the NMI map centroids.

Spatial distribution of surface action potentials generated by individual motor units in the human biceps brachii muscle

This study analyses the spatial distribution of individual motor unit potentials (MUPs) over the skin surface and the influence of motor unit depth and recording configuration on this distribution. Multichannel surface (13×5 electrode grid) and intramuscular (wire electrodes inserted with needles of lengths 15 and 25mm) electromyographic (EMG) signals were concurrently recorded with monopolar derivations from the biceps brachii muscle of 10 healthy subjects during 60-s isometric contractions at 20% of the maximum torque. Multichannel monopolar MUPs of the target motor unit were obtained by spike-triggered averaging of the surface EMG. Amplitude and frequency characteristics of monopolar and bipolar MUPs were calculated for locations along the fibers' direction (longitudinal), and along the direction perpendicular (transverse) to the fibers. In the longitudinal direction, monopolar and bipolar MUPs exhibited marked amplitude changes that extended for 16-32mm and 16-24mm over the innervation and tendon zones, respectively. The variation of monopolar and bipolar MUP characteristics was not symmetrical about the innervation zone. Motor unit depth had a considerable influence on the relative longitudinal variation of amplitude for monopolar MUPs, but not for bipolar MUPs. The transverse extension of bipolar MUPs ranged between 24 and 32mm, whereas that of monopolar MUPs ranged between 72 and 96mm. The mean power spectral frequency of surface MUPs was highly dependent on the transverse electrode location but not on depth. This study provides a basis for the interpretation of the contribution of individual motor units to the interference surface EMG signal.

Motor variability in occupational health and performance

Several recent reviews have reported that 'repetitive movements' constitute a risk factor for occupational musculoskeletal disorders in the neck, shoulder and arm regions. More variation in biomechanical exposure is often suggested as an effective intervention in such settings. Since increasing variation using extrinsic methods like job rotation may not always be possible in an industrial context, the intrinsic variability of the motor system may offer an alternative opportunity to increase variation. Motor variability refers to the natural variation in postures, movements and muscle activity observed to different extents in all tasks. The current review discusses research appearing in motor control, sports sciences and occupational biomechanics literature to answer whether motor variability is important to consider in an occupational context, and if yes, whether it can be manipulated by training the worker or changing the working conditions so as to increase biomechanical variation without jeopardizing production. The review concludes that motor variability is, indeed, a relevant issue in occupational health and performance and suggests a number of key issues for further research.

Uneven spatial distribution of surface EMG: what does it mean?

The aim of this work is to show how changes in surface electromyographic activity (sEMG) during a repetitive, non-constant force contraction can be detected and interpreted on the basis of the amplitude distribution provided by high-density sEMG techniques. Twelve healthy male subjects performed isometric shoulder elevations, repeating five times a force ramp profile up to 25 % of the maximal voluntary contraction (MVC). A 64-electrode matrix was used to detect sEMG from the trapezius muscle. The sEMG amplitude distribution was obtained for the force levels in the range 5-25 % MVC with steps of 5 % MVC. The effect of force level, subject, electrode position and ramp repetition on the sEMG amplitude distribution was tested. The sEMG amplitude was significantly smaller in the columns of the electrode grid over the tendons (repeated measures ANOVA, p < 0.01). The barycentre of the distribution of sEMG amplitude was subject-specific (Kruskal-Wallis test, p < 0.01), and shifted caudally with the increase of force levels and cranially with the repetition of the motor task (both p < 0.01, repeated measures ANOVA). The results are discussed in terms of motor unit recruitment in different muscle sub-portions. It is concluded that the sEMG amplitude distribution obtained by multichannel techniques provides useful information in the study of muscle activity, and that changes in the spatial distribution of the recruited motor units during a force varying isometric contraction might partially explain the variability observed in the activation pattern of the upper trapezius muscle.

Type 2 diabetes mellitus patients manifest characteristic spatial EMG potential distribution pattern during sustained isometric contraction

AIM

The purpose of the present study is to investigate spatial surface electromyography (SEMG) potential distribution pattern in type 2 diabetes mellitus (T2DM) patients.

METHODS

Nine T2DM patients and nine age-matched healthy men (CON) performed a sustained isometric knee extension at 10% of maximal voluntary contraction for 120s. Multi-channel SEMG was recorded from the vastus lateralis muscle by means of 64 electrodes. To characterize spatial SEMG potential distribution pattern, modified entropy and correlation coefficients between same electrode locations were calculated at 15, 60 and 120s for the root mean square values.

RESULTS

At 60 and 120s, modified entropy in T2DM was significantly lower than those in CON (p<0.05). Correlation coefficients for T2DM were significantly higher than those for CON at 60 and 120s (p<0.05).

CONCLUSION

From these results, we suggested that T2DM patients continue to recruit limited and same motor units during the sustained contraction at low force level.

Identification of isometric contractions based on High Density EMG maps

Identification of motion intention and muscle activation strategy is necessary to control human-machine interfaces like prostheses or orthoses, as well as other rehabilitation devices, games and computer-based training programs. Pattern recognition from sEMG signals has been extensively investigated in the last decades, however, most of the studies did not take into account different strengths and EMG distributions associated to the intended task. The identification of such quantities could be beneficial for the training of the subject or the control of assistive devices. Recent studies have shown the need to improve pattern-recognition classification by reducing sensitivity to changes in the exerted strength, muscle-electrode shifts and bad contacts. Surface High Density EMG (HD-EMG) obtained from 2-dimensional arrays can provide much more information than electrode pairs for inferring not only motion intention but also the strategy adopted to distribute the load between muscles as well as changes in the spatial distribution of motor unit action potentials within a single muscle because of it. The objectives of this study were: (a) the automatic identification of four isometric motor tasks associated with the degrees of freedom of the forearm: flexion-extension and supination-pronation and (b) the differentiation among levels of voluntary contraction at low-medium efforts. For this purpose, monopolar HD-EMG maps were obtained from five muscles of the upper-limb in healthy subjects. An original classifier is proposed, based on: (1) Two steps linear discriminant analysis of the EMG information for each type of contraction, and (2) features extracted from HD-EMG maps and related to its intensity and distribution in the 2D space. The classifier was trained and tested with different effort levels. Spatial distribution-based features by themselves are not sufficient to classify the type of task or the effort level with an acceptable accuracy; however, when calculated with the "isolated masses" method proposed in this study and combined with intensity-base features, the performance of the classifier is improved. The classifier is capable of identifying the tasks even at 10% of Maximum Voluntary Contraction, in the range of effort level developed by patients with neuromuscular disorders, showing that intention end effort of motion can be estimated from HD-EMG maps and applied in rehabilitation.

Latent myofascial trigger points

A latent myofascial trigger point (MTP) is defined as a focus of hyperirritability in a muscle taut band that is clinically associated with local twitch response and tenderness and/or referred pain upon manual examination. Current evidence suggests that the temporal profile of the spontaneous electrical activity at an MTP is similar to focal muscle fiber contraction and/or muscle cramp potentials, which contribute significantly to the induction of local tenderness and pain and motor dysfunctions. This review highlights the potential mechanisms underlying the sensory-motor dysfunctions associated with latent MTPs and discusses the contribution of central sensitization associated with latent MTPs and the MTP network to the spatial propagation of pain and motor dysfunctions. Treating latent MTPs in patients with musculoskeletal pain may not only decrease pain sensitivity and improve motor functions, but also prevent latent MTPs from transforming into active MTPs, and hence, prevent the development of myofascial pain syndrome.

Temporal strategy and performance during a fatiguing short-cycle repetitive task

This study investigated temporal changes in movement strategy and performance during fatiguing short-cycle work. Eighteen participants performed six 7-min work blocks with repetitive reaching movements at 0.5 Hz, each followed by a 5.5-min rest break for a total duration of 1 h. Electromyography (EMG) was collected continuously from the upper trapezius muscle, the temporal movement strategy and timing errors were obtained on a cycle-to-cycle basis, and perceived fatigue was rated before and after each work block. Clear signs of fatigue according to subjective ratings and EMG manifestations developed within each work block, as well as during the entire hour. For most participants, timing errors gradually increased, as did the waiting time at the near target. Changes in temporal movement strategy were negatively correlated with changes in the level and variability of EMG, suggesting that an adaptive temporal strategy offset the development of unstable motor solutions in this fatiguing, short-cycle work.

PRACTITIONER SUMMARY

Sustained performance of operators is essential to maintain competitiveness. In this study of repetitive work, participants gradually changed their temporal movement strategy, for possibly alleviating the effects of fatigue. This suggests that in order to effectively counteract fatigue and sustain performance, industrial production should allow extensive spatial and temporal flexibility.

Spatial EMG potential distribution pattern of vastus lateralis muscle during isometric knee extension in young and elderly men

The aim of the present study was to compare spatial electromyographic (EMG) potential distribution during force production between elderly and young individuals using multi-channel surface EMG (SEMG). Thirteen elderly (72-79years) and 13 young (21-27years) healthy male volunteers performed ramp submaximal contraction during isometric knee extension from 0% to 65% of maximal voluntary contraction. During contraction, multi-channel EMG was recorded from the vastus lateralis muscle. To evaluate alteration in heterogeneity and pattern in spatial EMG potential distribution, coefficient of variation (CoV), modified entropy and correlation coefficients with initial torque level were calculated from multi-channel SEMG at 5% force increment. Increase in CoV and decrease in modified entropy of RMS with increase of exerted torque were significantly smaller in elderly group (p<0.05) and correlation coefficients with initial torque level were significantly higher in elderly group than in young group at moderate torque levels (p<0.05). These data suggest that the increase of heterogeneity and the change in the activation pattern are smaller in elderly individuals than in young individuals. We speculated that multi-channel SEMG pattern in elderly individual reflects neuromuscular activation strategy regulated predominantly by clustering of similar type of muscle fibers in aged muscle.

Are the myoelectric manifestations of fatigue distributed regionally in the human medial gastrocnemius muscle?

Myoelectric fatigue typically manifests as variations in the amplitude and spectrum of surface electromyograms (EMGs). Interestingly, these variations seem to be represented locally in different muscles. In this study, we ask whether such a regional distribution of myoelectric fatigue extends to the medial gastrocnemius (MG) muscle. If the MG muscle is activated locally during fatiguing contractions, or if the most fatigable MG fibers are located at distinct muscle regions, then, the myoelectric manifestations of MG fatigue are expected to appear locally in a grid of surface electrodes. With a matrix of surface electrodes (7×15 single-differential EMGs) we show that myoelectric fatigue, indeed, manifests regionally in the MG muscle of 12 subjects, who exerted intermittent, fatiguing plantar flections at 50% of their maximal effort. Contrary to the root mean square amplitude, the median frequency of surface EMGs varied consistently across subjects throughout the plantar flections (P=0.002). On average, changes in EMG spectrum were represented at 78-93 (interquartile interval) out of the 105 channels in the matrix, though with different degrees across channels. For all participants, about 29% of the channels detected significantly greater reductions in median frequency when compared to all channels in the matrix (P<0.003). Strikingly, these channels were not sparsely distributed; they rather occupied localized skin regions across subjects. Physiologically, our results suggest that, during sub-maximal fatiguing tasks, myoelectric manifestations of MG fatigue are represented in spatially localized muscle regions. Technically, the possibility of studying myoelectric fatigue in the MG muscle appears to depend on the electrode location.

Changes in the spatio-temporal organization of the trapezius muscle activity in response to eccentric contractions

We hypothesized changes in the spatial organization of the trapezius muscle electromyographic (EMG) activity after a shoulder eccentric exercise. The rate of perceived exertion (RPE), the size of the soreness area, maximum force and, EMG from the upper, middle and lower trapezius were recorded. Root mean square (RMS), mean frequency (MNF) and normalized mutual information (a measure of functional connectivity between muscle sub-divisions) were computed during submaximal dynamic and static contractions performed before, immediately after and 24 h after exercise. Immediately after exercise, RPE, soreness area, RMS from the upper and middle trapezius and normalized mutual information among upper-middle sub-divisions increased while MNF decreased for the middle trapezius (P<0.05). After 24 h, the maximum force decreased. RMS from the upper trapezius and normalized mutual information among upper-middle trapezius sub-divisions were higher than before exercise. MNF values increased from immediately after to 24 h after for the upper and lower trapezius (P<0.05). The current results underlined changes in the spatio-temporal organization of the trapezius in response to shoulder eccentric exercise. The observed changes in EMG temporal and spectral contents and the enhanced sub-division coupling underlined the functional role of spatial variations of the EMG activity during muscle fatigue and in the presence of delayed-onset muscle soreness.

The effect of work pace on workload, motor variability and fatigue during simulated light assembly work

This study investigated the effect of work pace on workload, motor variability and fatigue during light assembly work. Upper extremity kinematics and electromyography (EMG) were obtained on a cycle-to-cycle basis for eight participants during two conditions, corresponding to "normal" and "high" work pace according to a predetermined time system for engineering. Indicators of fatigue, pain sensitivity and performance were recorded before, during and after the task. The level and variability of muscle activity did not differ according to work pace, and manifestations of muscle fatigue or changed pain sensitivity were not observed. In the high work pace, however, participants moved more efficiently, they showed more variability in wrist speed and acceleration, but they also made more errors. These results suggest that an increased work pace, within the range addressed here, will not have any substantial adverse effects on acute motor performance and fatigue in light, cyclic assembly work. STATEMENT OF RELEVANCE: In the manufacturing industry, work pace is a key issue in production system design and hence of interest to ergonomists as well as engineers. In this laboratory study, increasing the work pace did not show adverse effects in terms of biomechanical exposures and muscle fatigue, but it did lead to more errors. For the industrial engineer, this observation suggests that an increase in work pace might diminish production quality, even without any noticeable fatigue being experienced by the operators.

Differences in posture-movement changes induced by repetitive arm motion in healthy and shoulder-injured individuals

BACKGROUND

Neck/Shoulder pain is linked to movement repetition, awkward postures, prolonged maintenance of static postures, and muscular fatigue. Studies have examined the influence of pain and fatigue on movement characteristics, but few reported multi-dimensional adaptations to movement repetition. We compared the adaptations measured in three-dimensions during a repetitive reaching task in persons with chronic neck/shoulder pain and healthy subjects.

METHODS

A shoulder-injured group (intensity >3/10, duration >3 consecutive months) and an age-sex-matched control group (n=16 in each) performed a repetitive reaching task to voluntary termination. Kinematics, kinetics, heart rate and muscle activity were recorded throughout. Power output on a 10-s pushing/pulling task was assessed pre- and post-reaching. Group comparisons were made in absolute time and at task end.

FINDINGS

Control subjects performed the task 55% longer than the pain group; yet, both groups demonstrated task-related increased heart rate (6 beats per minute) and decreased power output (6 W). Throughout the task, the pain group demonstrated: higher supraspinatus activity, and less elbow flexion and endpoint movement. The control group increased movement amplitude of the endpoint, elbow, and shoulder, while the pain group moved the shoulder less and increased center of mass excursion to maintain the task.

INTERPRETATION

Both groups adapted to the task in unique ways. The control group continually increased elbow and endpoint range of motion, bringing the arm closer to the targets, possibly to prolong task performance. The pain group used a fixed, en block arm strategy, likely to reduce the load on the injured structures; however, this may place other structures at risk for pain and injury.

Update on the relation between pain and movement: consequences for clinical practice

It is generally thought that exercise is beneficial to alleviate pain. However, prolonged movement may lead to the development of painful injuries, because of the overload of low-threshold motor units. Especially in individuals with a pain condition, exercise prescription and the impact of fatigue is less clear. This may be because of the dual effects, aggravation and relief, which fatigue has on pain. The purpose of this review is to ascertain the relation between pain and the motor system, both in the development and management of pain. Recent studies show that fatigue alters pain-induced increases in corticomotor excitability and leads to within and between-muscle adaptations. Studies of acute pain have shown complex adaptations such as increased movement variability, which may be because of a search for motor solutions to prolong overall task performance. In contrast, chronic pain seems to limit movement duration, speed, and variability which could be protective in the short term but also counterproductive over time. Owing to these adaptations in movement strategies, pain chronicity may help to dictate exercise prescription. For example, the correct dosage of multimuscle, dynamic exercises would act to promote movement variability. Thus, it seems that exercise involving the use of different movement strategies could be effective in helping people to obtain exercise-induced benefits while avoiding injury and pain reaggravation.

Changes in spatial distribution of flexor digitorum superficialis muscle activity is correlated to finger's action

Multitendoned extrinsic muscles of the human hand can be divided into several neuromuscular compartments (NMCs), each of which contributes to the ability of human finger to produce independent finger movements or force. The aim of this study was to investigate the changes in the spatial activation of flexor digitorum superficialis (FDS) during the fingertip force production with non-invasive multichannel surface electromyography (sEMG) technique. 7 healthy Subjects were instructed to match the target force level for 5s using individual index finger (I), individual middle finger (M) and the combination of the index and middle finger (IM) respectively. Simultaneously, a 2 × 6 electrode array was employed to record multichannel sEMG from FDS as finger force was produced. The entropy and center of gravity of the sEMG root mean square (RMS) map were computed to assess the spatial inhomogeneity in muscle activation and the change in spatial distribution of EMG amplitude related to the force generation of specific task finger. The results showed that the area and intensity of high amplitude region increased with force production, and the entropy increased with force level under the same task finger. The findings indicate that the change of spatial distribution of multitendoned extrinsic hand muscle activation is correlated to specific biomechanical functions.