Time to task failure in shoulder elevation is associated to increase in amplitude and to spatial heterogeneity of upper trapezius mechanomyographic signals

Mechanical Deviations in Stride Characteristics During Running in the Severe Intensity Domain Are Associated With a Decline in Muscle Oxygenation

We explored the impact of running in the severe intensity domain on running mechanics and muscle oxygenation in competitive runners by investigating the relationship between mechanical deviations from typical stride characteristics and muscle oxygen saturation (SmO2) in the quadriceps muscle. Sixteen youth competitive runners performed an 8-min exhaustive running test on an outdoor track. Running mechanics were continuously monitored using inertial measurement units. Rectus femoris SmO2 and total hemoglobin (a measure of blood volume) were continuously monitored by near-infrared spectroscopy. One-class support vector machine (OCSVM) modeling was employed for subject-specific analysis of the kinematic data. Statistical analysis included principal component analysis, ANOVA, and correlation analysis. Mechanical deviations from typical stride characteristics increased as the running test progressed. Specifically, the percentage of outliers in the OCSVM model rose gradually from 2.2 ± 0.8% at the start to 43.6 ± 28.2% at the end (p < 0.001, mean ± SD throughout). SmO2 dropped from 74.3 ± 8.4% at baseline to 10.1 ± 6.8% at the end (p < 0.001). A moderate negative correlation (r = -0.61, p = 0.013) was found between the average SmO2 and the percentage of outlier strides during the last 15% of the run. During high-intensity running, alterations in running biomechanics may occur, linked to decreased quadriceps muscle oxygenation. These parameters highlight the potential of using running kinematics and muscle oxygenation in training to optimize performance and reduce injury risks. Our research contributes to understanding biomechanical and physiological responses to endurance running and emphasizes the importance of individualized monitoring.

The use of non-linear tools to analyze the variability of force production as an index of fatigue: A systematic review

Background: Fatigue is a process that results in a decreased ability to produce force, and which could eventually affect performance and increase the risk of injury. Force variability analysis has been proposed to describe the level of fatigue with the purpose of detecting the development of fatigue. Variability is credited to play a functional and adaptive role through which the components of a system self-organize to solve a motor problem. Non-linear tools have been applied to analyze the variability of physiological signals, revealing that the structure of motor fluctuations provides relevant information about the functional role of variability. It has been suggested that the presence of lower complexity in the variability structure could reveal a less functional and adaptative state (e.g., ageing or illness). In the last years, an increased number of studies have applied these techniques to force variability analysis in relation to fatigue. Objective: To provide an overview of the current knowledge on the use of non-linear tools on force variability as a fatigue index. Methods: Following PRISMA guidelines, a systematic search of SPORTDiscus, Scopus, Web of Science and PubMed was carried out. Studies included were: a) original studies that analyzed the effect of fatigue on humans during an action focused on force production; b) published studies with their title and abstract in English; c) studies that applied non-linear tools on a signal directly related to force production. Results: Twenty-five studies were included in this review. The relationship between fatigue and the complexity of force variability, the type of action and relative intensity, the nature of the signal and the non-linear tools used, and the methods of data acquisition and processing were identified. Conclusion: The articles reviewed suggest that fatigue leads to a decrease in complexity mostly in isometric contractions, but this is not as clear in dynamic contractions. This fatigue-induced loss of complexity seems to be a result of changes in the nervous system at the central level, albeit triggered by peripheral mechanisms. It should be noted that non-linear tools are affected by the relative intensity of contraction, non-stationarity, and the acquisition and treatment of the signal.

Stiffness and thickness of the upper trapezius muscle increase after repeated climbing bouts in male climbers

Background

Indoor climbing involves overloading the shoulder girdle, including the rotator cuff and upper trapezius muscles. This on the field study aimed to investigate the effects of repeated climbing bouts on morphological and mechanical measures of the upper trapezius muscle.

Materials and Methods

Fifteen experienced male climbers participated in the study. Rate of perceived exertion (RPE), blood lactate concentration ([La^-]_b), and stiffness and thickness over four points of the upper trapezius were assessed before and after a repeated climbing exercise. The procedure for the climbing exercise consisted of five climbs for a total time of 5-minutes per climb, followed by a 5-minute rest.

Results

The analysis showed an increase from baseline to after the 3rd climb (p ≤ 0.01) for RPE and after the 5th climb for [La^-]_b (p ≤ 0.001). Muscle stiffness and thickness increased at all points (1-2-3-4) after the 5th climb (p ≤ 0.01). We found spatial heterogeneity in muscle stiffness and thickness; muscle stiffness was the highest at Point 4 (p ≤ 0.01), while muscle thickness reached the highest values at points 1-2 (both p ≤ 0.01). Moreover, the analysis between the dominant and non-dominant shoulder showed greater stiffness after the 1^st climb at Point 1 (p = 0.004) and after the 5^th climb at Point 4 (p ≤ 0.001).

Conclusions

For muscle thickness, the analysis showed significant changes in time and location between the dominant and the non-dominant shoulder. Bilateral increases in upper trapezius muscle stiffness and thickness, with simultaneous increases in RPE and blood lactate in response to consecutive climbs eliciting fatigue.

Cervical spine and muscle adaptation after spaceflight and relationship to herniation risk: protocol from 'Cervical in Space' trial

Background

Astronauts have a higher risk of cervical intervertebral disc herniation. Several mechanisms have been attributed as causative factors for this increased risk. However, most of the previous studies have examined potential causal factors for lumbar intervertebral disc herniation only. Hence, we aim to conduct a study to identify the various changes in the cervical spine that lead to an increased risk of cervical disc herniation after spaceflight.

Methods

A cohort study with astronauts will be conducted. The data collection will involve four main components: a) Magnetic resonance imaging (MRI); b) cervical 3D kinematics; c) an Integrated Protocol consisting of maximal and submaximal voluntary contractions of the neck muscles, endurance testing of the neck muscles, neck muscle fatigue testing and questionnaires; and d) dual energy X-ray absorptiometry (DXA) examination. Measurements will be conducted at several time points before and after astronauts visit the International Space Station. The main outcomes of interest are adaptations in the cervical discs, muscles and bones.

Discussion

Astronauts are at higher risk of cervical disc herniation, but contributing factors remain unclear. The results of this study will inform future preventive measures for astronauts and will also contribute to the understanding of intervertebral disc herniation risk in the cervical spine for people on Earth. In addition, we anticipate deeper insight into the aetiology of neck pain with this research project.

Trial registration

German Clinical Trials Register, DRKS00026777. Registered on 08 October 2021.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12891-022-05684-0.

Do age and work pace affect variability when performing a repetitive light assembly task?

This study examined whether a repetitive light assembly task could be performed according to different movement sequences identified as ways of doing (WoD), and whether the age of the participants or the work pace affected the number of WoDs selected by each participant, or the kinematic parameters for each WoDs. For two work paces, 62 right-handed men in 3 age-groups were asked to fix a handle on a base with 2 nuts without discontinuity for a period of 20 min; no assembly procedure was demonstrated. The WoDs were characterized by a cross tabulation video coding method, and by measuring vertical force applied and the parameters of upper limb kinematics, as well as these measures' approximate entropy (ApEN). Five main different WoDs were used. Although most participants varied their WoD, neither participant age nor work pace affected the number of WoD they used. However, the WoDs differed from each other by the sequence of movements and by the level of ApEn of their kinematic variables without interfering with the production rate. Allowing operators to vary their WoDs when performing repetitive tasks could reduce strain on the locomotor system.

Spinal postural variability relates to biopsychosocial variables in patients with cervicogenic headache

Patients with cervicogenic headache (CeH) showed lower spinal postural variability (SPV). In a next step, the complex character of such SPV needs to be analysed. Therefore, variables influencing SPV need to be explored. A non-randomized repeated-measure design was applied to analyse relations between biopsychosocial variables and SPV within a CeH-group (n = 18), 29–51 years, and matched control-group (n = 18), 26–52 years. Spinal postural variability, expressed by standard deviations, was deducted from 3D-Vicon motion analysis of habitual spinal postures (degrees). Interactions between SPV and pain processing, lifestyle, psychosocial characteristics were analysed. Pain processing characteristics included symptoms of central sensitization (Central Sensitization Inventory), (extra)-cephalic pressure pain thresholds (kPa/cm²/s). Lifestyle characteristics included sleep quality (Pittsburgh Sleep Quality Index), physical activity, screen-time, sedentary-time (hours a week), position (cm) and inclination (degrees) of the laptop (= desk-setup). Psychosocial characteristics included degree of depression, anxiety and stress (Depression Anxiety Stress Scale-21), impact of headache on quality of life (Headache Impact Test-6). Spinal postural variability related significantly to intrinsic (stress, anxiety, extra-cephalic pressure pain thresholds, sleep-duration) and extrinsic (desk-setup, screen-time) variables in the CeH-group. In the control-group, SPV related significantly to extra-cephalic pressure pain thresholds. Spinal postural variability related to diverse variables in the CeH-group compared to the control-group. More research is needed into a possible causal relationship and its clinical implication.

Exhausting repetitive piano tasks lead to local forearm manifestation of muscle fatigue and negatively affect musical parameters

Muscle fatigue is considered as a risk factor for developing playing-related muscular disorders among professional pianists and could affect musical performance. This study investigated in 50 pianists the effect of fatiguing repetitive piano sequences on the development of forearm muscle fatigue and on piano performance parameters. Results showed signs of myoelectric manifestation of fatigue in the 42-electromyographic bipolar electrodes positioned on the forearm to record finger and wrist flexor and extensor muscles, through a significant non-constant decrease of instantaneous median frequency during two repetitive Digital (right-hand 16-tones sequence) and Chord (right-hand chords sequence) excerpts, with extensor muscles showing greater signs of fatigue than flexor muscles. In addition, muscle fatigue negatively affected key velocity, a central feature of piano sound intensity, in both Digital and Chord excerpts, and note-events, a fundamental aspect of musicians' performance parameter, in the Chord excerpt only. This result highlights that muscle fatigue may alter differently pianists' musical performance according to the characteristics of the piece played.

Electromyographic Evaluation of the Shoulder Muscle after a Fatiguing Isokinetic Protocol in Recreational Overhead Athletes

The goal of our study was to examine the muscle activity of the shoulder girdle after isokinetic fatigue, which may simulate muscle activities commonly occurring during specific sport-related activities in recreational overhead asymptomatic athletes. We hypothesized that exercise-induced fatigue, reported after isokinetic protocols, may cause a decrease in the median frequency (MF) of the upper trapezius (UT), infraspinatus (IS), and deltoid muscles. Twenty-four male overhead volleyball (n = 8), handball (n = 8), and tennis (n = 8) athletes participated in this study. All subjects were without shoulder injury history. The surface electromyography (SEMG) was collected on the right (dominant) side of the shoulder girdle muscles in the following order: UT, IS and anterior (DA), and posterior deltoideus (DP). The fatigue protocol consisted of three sets of 32 maximum isokinetic concentric contractions while performing shoulder internal and external rotation at an isokinetic speed of 120 o/s. The resultant difference in median frequency (ΔMF) values consistently dropped after the fatiguing tasks across all recorded muscles, in terms of the initial MF (MFINI = 65.1 ± 1.1 Hz) and final MF (MFFIN = 57.9 ± 0.9 Hz), and the main effect of time was significant (F(1,22) = 43.15, p < 0.001). MF values decreased mostly for IS (ΔMFIS = -9.9 ± 1.6 Hz) and DP (ΔMFPD = -9.5 ± 1.9 Hz) muscles, while DA and UT showed smaller changes (ΔMFDA = -6.9 ± 1.5 Hz) and (ΔMFUT = -3.2 ± 1.3 Hz). The results of our study show a meaningful contribution in determining increased fatigue of the shoulder girdle muscles during repeated isokinetic internal-external rotation protocols. We have also demonstrated a significant decrease in MF in all examined muscles, especially IS and DA.

Assessment of neuromuscular activity during maximal isometric contraction in supine vs standing body positions

BACKGROUND

When comparing neuromuscular activity between different individuals or different conditions by use of surface electromyography (sEMG) it is necessary to apply standardized assessment protocol. Most frequently used method is the maximum voluntary isometric contraction (MVIC). However, the influence of body posture on sEMG activity during MVIC testing remains largely unknown.

AIM

To evaluate the MVIC method for sEMG normalization in supine versus standing positions for selected muscles of the lower extremity and trunk.

METHODS

Twelve healthy individuals participated; five females and seven males (age 22-51 yrs). sEMG signals were recorded bilaterally from mm tibialis anterior, gluteus medius, adductor longus, rectus abdominus, external oblique and internal oblique/transversus abdominus according to standardized test protocol. Two different body positions were used: supine and standing position.

RESULTS

MVIC peak sEMG signal amplitudes did not differ systematically between supine and standing test positions. Pronounced inter-subject variability in MVIC reference sEMG activity were observed between participants, during both supine and standing test positions.

CONCLUSION

Present data demonstrate that MVIC EMG normalization is a biomechanically stable procedure that can be performed in a reproducible manner for the major leg and trunk muscles when comparing supine vs. standing test positions.

An oculometrics-based biofeedback system to impede fatigue development during computer work: A proof-of-concept study

A biofeedback system may objectively identify fatigue and provide an individualized timing plan for micro-breaks. We developed and implemented a biofeedback system based on oculometrics using continuous recordings of eye movements and pupil dilations to moderate fatigue development in its early stages. Twenty healthy young participants (10 males and 10 females) performed a cyclic computer task for 31–35 min over two sessions: 1) self-triggered micro-breaks (manual sessions), and 2) biofeedback-triggered micro-breaks (automatic sessions). The sessions were held with one-week inter-session interval and in a counterbalanced order across participants. Each session involved 180 cycles of the computer task and after each 20 cycles (a segment), the task paused for 5-s to acquire perceived fatigue using Karolinska Sleepiness Scale (KSS). Following the pause, a 25-s micro-break involving seated exercises was carried out whether it was triggered by the biofeedback system following the detection of fatigue (KSS≥5) in the automatic sessions or by the participants in the manual sessions. National Aeronautics and Space Administration Task Load Index (NASA-TLX) was administered after sessions. The functioning core of the biofeedback system was based on a Decision Tree Ensemble model for fatigue classification, which was developed using an oculometrics dataset previously collected during the same computer task. The biofeedback system identified fatigue with a mean accuracy of approx. 70%. Perceived workload obtained from NASA-TLX was significantly lower in the automatic sessions compared with the manual sessions, p = 0.01 Cohen’s d_z = 0.89. The results give support to the effectiveness of integrating oculometrics-based biofeedback in timing plan of micro-breaks to impede fatigue development during computer work.

Muscular and Vascular Issues Induced by Prolonged Standing With Different Work-Rest Cycles With Active or Passive Breaks

OBJECTIVE

The aim of this study was to evaluate the long-lasting motor, behavioral, physiological, and perceptual effects of prolonged standing work in three work-rest cycle conditions including passive or active rest breaks.

BACKGROUND

Muscle fatigue has been evidenced after prolonged standing work through physiological and neuromotor measures. It has been postulated that muscle fatigue induced by prolonged work could be attenuated by appropriate scheduling of work and rest periods. However, investigations in this domain remain limited.

METHOD

Thirty participants simulated standing work for 5 hr with work-rest cycles of short, medium, or long standing periods including passive or active breaks. Lower-leg muscle twitch force (MTF), muscle oxygenation, lower-leg volume, postural stability, force control, and discomfort perception were quantified on 2 days.

RESULTS

Prolonged standing induced significant changes in all measures immediately after 5 hr of work, indicating a detrimental effect in long-lasting muscle fatigue, performance, discomfort, and vascular aspects. Differences in the measures were not significant between work cycles and/or break type.

CONCLUSION

Similar physiological and motor alterations were induced by prolonged standing. The absence of difference in the effects induced by the tested work-rest cycles suggests that simply altering the work-rest cycle may not be sufficient to counteract the effects of mainly static standing work. Finally, standing for 3 hr or more shows clear detrimental effects.

APPLICATION

Prolonged standing is likely to contribute to musculoskeletal and vascular symptoms. A limitation to less than 3 hr of mostly static standing in occupational activities could avoid alterations leading to these symptoms.

Ischemic conditioning increases strength and volitional activation of paretic muscle in chronic stroke: a pilot study

Ischemic conditioning (IC) on the arm or leg has emerged as an intervention to improve strength and performance in healthy populations, but the effects on neurological populations are unknown. The purpose of this study was to quantify the effects of a single session of IC on knee extensor strength and muscle activation in chronic stroke survivors. Maximal knee extensor torque measurements and surface EMG were quantified in 10 chronic stroke survivors (>1 yr poststroke) with hemiparesis before and after a single session of IC or sham on the paretic leg. IC consisted of 5 min of compression with a proximal thigh cuff (inflation pressure = 225 mmHg for IC or 25 mmHg for sham) followed by 5 min of rest. This was repeated five times. Maximal knee extensor strength, EMG magnitude, and motor unit firing behavior were measured before and immediately after IC or sham. IC increased paretic leg strength by 10.6 ± 8.5 Nm, whereas no difference was observed in the sham group (change in sham = 1.3 ± 2.9 Nm, P = 0.001 IC vs. sham). IC-induced increases in strength were accompanied by a 31 ± 15% increase in the magnitude of muscle EMG during maximal contractions and a 5% decrease in motor unit recruitment thresholds during submaximal contractions. Individuals who had the most asymmetry in strength between their paretic and nonparetic legs had the largest increases in strength ( r² = 0.54). This study provides evidence that a single session of IC can increase strength through improved muscle activation in chronic stroke survivors. NEW & NOTEWORTHY Present rehabilitation strategies for chronic stroke survivors do not optimally activate paretic muscle, and this limits potential strength gains. Ischemic conditioning of a limb has emerged as an effective strategy to improve muscle performance in healthy individuals but has never been tested in neurological populations. In this study, we show that ischemic conditioning on the paretic leg of chronic stroke survivors can increase leg strength and muscle activation while reducing motor unit recruitment thresholds.

Muscle-specific endurance of the trapezius muscles using electrical twitch mechanomyography

BACKGROUND

Symptoms of fatigue and pain are often reported for the trapezius muscle in the shoulder. The present study evaluated endurance in the trapezius muscles of healthy participants using electric twitch mechanomyography (ETM).

METHODS

Surface electrodes and a tri-axial accelerometer were placed over the left trapezius muscle. Muscles were stimulated for 3 min each at 2 Hz, 4 Hz and 6 Hz. Maintenance of acceleration during muscle twitches was used to calculate an endurance index (EI). Subjects (n = 9) were tested on two separate days to assess reproducibility of the trapezius EI measurements. The endurance measurements were made on the wrist flexor and vastus lateralis muscles for comparison. Near infrared spectroscopy was used to measure muscle oxygenation (HbO₂) during the stimulation protocol (n = 8).

RESULTS

Mean (SD) EI was 84.9% (8.7%), 63.3% (19.1%) and 41.7% (20.0%) for 2 Hz, 4 Hz and 6 Hz, respectively. The coefficients of variation were 7.4%, 11.3% and 24.0% for 2 Hz, 4 Hz and 6 Hz, respectively. EI values were significantly lower in the trapezius compared to arm and leg muscles (p < 0.05). HbO₂ values were unchanged from resting values with electrical stimulation.

CONCLUSIONS

The EI as measured by ETM may provide a reproducible method of evaluating function in trapezius muscles that is not influenced by oxygen saturation.

Eccentric exercise induces spatial changes in the mechanomyographic activity of the upper trapezius muscle

In this study, we hypothesized that the recordings of multichannel mechanomyography (MMG) of the upper trapezius muscle would reveal spatially dependent manifestations in the presence of delayed onset muscle soreness occurring 24 hours after eccentric exercise (ECC). Sixteen participants performed high-intensity eccentric exercises (5 sets of 10 eccentric contractions at 100% of max elevation force) targeting the upper trapezius on their dominant side. Twelve accelerometers were attached to record MMG activity during submaximal exercise consisting of static and dynamic arm flexion and abduction. Measurements were taken before and 24 hours after ECC. Average rectified value (ARV), percentage of determinism (% DET), and recurrence (% REC) of the MMG signals were computed to estimate the level of muscular activity and the magnitude of regularity of the MMG. The ARV, % REC, and % DET maps revealed heterogeneous MMG activity of the upper trapezius 24 hours after ECC when compared with before. Increased ARV, % REC, and % DET were found 24 hours after ECC when compared with before. The study provides new key information on how a single muscle responds to ECC. Our findings suggest that multichannel MMG and nonlinear analyses may detect muscular and musculo-tendinous alterations due to ECC.

Mechanomyographic responses for the biceps brachii are associated with failure times during isometric force tasks

In order to characterize the physiological adjustments within the neuromuscular system that contribute to task failure, this study examined the surface mechanomyographic (MMG) response during maximal and submaximal isometric force tasks of the elbow flexors sustained to failure. The time and frequency components of the MMG signal have shown to be influenced by motor unit activation patterns as well as tetanus. Therefore, it was hypothesized that the rate of change for the MMG response would associate with failure times and would be reduced to a similar degree between the two tasks. The isometric force tasks were performed by the dominant elbow flexors of twenty healthy males (age: 25 ± 4 years) and MMG was collected from the biceps brachii. Regression analyses were used to model the relationships between the rates of change for MMG versus failure times. There were high levels of interindividual variability in the response patterns, yet the models demonstrated significant negative associations between the rate of change for the MMG responses and failure times during both tasks (R2  = 0.41-0.72, P < 0.05). Similarly, the mean MMG amplitude and frequency values were reduced to comparable levels at the failure point of the two tasks. The results of this study demonstrated that force failure is associated with the rate of diminution in the properties of the muscle force twitch.

Reliability of mechanomyographic amplitude measurements for trunk muscles during maximal voluntary isometric contraction

BACKGROUND

Mechanomyography (MMG) has been used to investigate mechanical characteristics of muscle contraction in clinical and experimental settings.

OBJECTIVE

The aim of this study was to determine the test-retest reliability of mechanomyographic amplitude (MMGRMS) measurements as a tool for measuring the maximal voluntary isometric contractions (MVICs) of trunk muscles in healthy participants.

METHODS

There were ten young adults participating in this study. Accelerometers were used to detect surface MMG signals from three trials of 5-s MVICs of the rectus abdominis, external obliques, erector spinae, and multifidus in the vertical, transverse, and longitudinal directions. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimum detectable change were calculated.

RESULTS

Good to excellent test-retest reliability of mechanomyographic amplitude (MMGRMS) measurements was achieved for all MVICs of trunk muscles in healthy participants, as indicated by ICCs ranging from 0.99 to 0.64 for MMGRMS of the trunk muscles during MVIC.

CONCLUSIONS

This study demonstrates that MMG is a reliable measurement to detect the activation amplitudes of trunk muscles during MVIC.

Integration of active pauses and pattern of muscular activity during computer work

Submaximal isometric muscle contractions have been reported to increase variability of muscle activation during computer work; however, other types of active contractions may be more beneficial. Our objective was to determine which type of active pause vs. rest is more efficient in changing muscle activity pattern during a computer task. Asymptomatic regular computer users performed a standardised 20-min computer task four times, integrating a different type of pause: sub-maximal isometric contraction, dynamic contraction, postural exercise and rest. Surface electromyographic (SEMG) activity was recorded bilaterally from five neck/shoulder muscles. Root-mean-square decreased with isometric pauses in the cervical paraspinals, upper trapezius and middle trapezius, whereas it increased with rest. Variability in the pattern of muscular activity was not affected by any type of pause. Overall, no detrimental effects on the level of SEMG during active pauses were found suggesting that they could be implemented without a cost on activation level or variability. Practitioner Summary: We aimed to determine which type of active pause vs. rest is best in changing muscle activity pattern during a computer task. Asymptomatic computer users performed a standardised computer task integrating different types of pauses. Muscle activation decreased with isometric pauses in neck/shoulder muscles, suggesting their implementation during computer work.

Job rotation: Effects on muscular activity variability

Job rotation strategies have been used for years as an administrative intervention to reduce the risk of musculoskeletal disorders. The benefits of job rotation have been hypothesized to occur via changes in muscular activity variability (MAV). However, the effect of job rotation on MAV has not been fully analyzed in a literature review. A wide search was conducted to identify studies testing the effect of different job rotation strategies on MAV. Twenty-six studies of acceptable quality were included. Several studies on different types of tasks supported the view that job rotation can increase muscular activity variability, particularly with strategies such as alternating tasks and pace changes. However, it remains uncertain whether such variability changes immediately translate into benefits for the worker because little evidence was found that showed simultaneous changes in different muscular groups. Additionally, variability was occasionally achieved at the expense of average activity in the assessed muscles.

Intrinsic movement variability at work. How long is the path from motor control to design engineering?

For several years, increasing numbers of studies have highlighted the existence of movement variability. Before that, it was neglected in movement analysis and it is still almost completely ignored in workstation design. This article reviews motor control theories and factors influencing movement execution, and indicates how intrinsic movement variability is part of task completion. These background clarifications should help ergonomists and workstation designers to gain a better understanding of these concepts, which can then be used to improve design tools. We also question which techniques--kinematics, kinetics or muscular activity--and descriptors are most appropriate for describing intrinsic movement variability and for integration into design tools. By this way, simulations generated by designers for workstation design should be closer to the real movements performed by workers. This review emphasises the complexity of identifying, describing and processing intrinsic movement variability in occupational activities.

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.

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.

Effects of local and widespread muscle fatigue on movement timing

Repetitive movements can cause muscle fatigue, leading to motor reorganization, performance deficits, and/or possible injury. The effects of fatigue may depend on the type of fatigue task employed, however. The purpose of this study was to determine how local fatigue of a specific muscle group versus widespread fatigue of various muscle groups affected the control of movement timing. Twenty healthy subjects performed an upper extremity low-load work task similar to sawing for 5 continuous minutes both before and after completing a protocol that either fatigued all the muscles used in the task (widespread fatigue) or a protocol that selectively fatigued the primary muscles used to execute the pushing stroke of the sawing task (localized fatigue). Subjects were instructed to time their movements with a metronome. Timing error, movement distance, and speed were calculated for each movement. Data were then analyzed using a goal-equivalent manifold approach to quantify changes in goal-relevant and non-goal-relevant variability. We applied detrended fluctuation analysis to each time series to quantify changes in fluctuation dynamics that reflected changes in the control strategies used. After localized fatigue, subjects made shorter, slower movements and exerted greater control over non-goal-relevant variability. After widespread fatigue, subjects exerted less control over non-goal-relevant variability and did not change movement patterns. Thus, localized and widespread muscle fatigue affected movement differently. Local fatigue may reduce the available motor solutions and therefore cause greater movement reorganization than widespread muscle fatigue. Subjects altered their control strategies but continued to achieve the timing goal after both fatigue tasks.

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.

Following ergonomics guidelines decreases physical and cardiovascular workload during cleaning tasks

The aim was to investigate the effect of ergonomics guidelines on muscular activity, postural and cardiovascular load during cleaning. Eighteen cleaners performed 10 min of cleaning tasks in two locations; three min in a laboratory and seven min in a lecture room. All participants performed the task with or without focusing on ergonomics guidelines (ergonomics/non-ergonomics session). Bipolar surface electromyography was recorded bilaterally from upper trapezius and erector spinae muscles. A tri-axial accelerometer package was mounted on the low back (L5-S1) to measure postural changes, and the cardiovascular load was estimated by electrocardiogram. Ergonomics sessions resulted in lower muscular load, a more complex pattern of muscular activity, lower range of motion and angular velocity of the trunk as well as lower cardiovascular load compared with non-ergonomics sessions (p < 0.05). The study highlighted the multiple musculoskeletal and cardiovascular benefits of following ergonomics guidelines during cleaning tasks.

PRACTITIONER SUMMARY

This study investigated the effects of following instructive ergonomics guidelines during cleaning tasks (daily curriculum of cleaning including mopping, sweeping, changing trash bins and cleaning of desks and blackboards). Following the ergonomics guidelines reduces the general workload and induces a more complex pattern of muscular activity. The study contributes with novel knowledge concerning ergonomics guidelines and work techniques.

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.

Fatigue and motor redundancy: adaptive increase in finger force variance in multi-finger tasks

We studied the effects of fatigue of the index finger on indices of force variability in discrete and rhythmic accurate force production tasks performed by the index finger and by all four fingers pressing in parallel. An increase in the variance of the force produced by the fatigued index finger was expected. We hypothesized that the other fingers would also show increased variance of their forces, which would be accompanied by co-variation among the finger forces resulting in relatively preserved accuracy of performance. The subjects performed isometric tasks including maximal voluntary contraction (MVC) and accurate force production before and after a 1-min MVC fatiguing exercise by the index finger. During fatigue, there was a significant increase in the root mean square index of force variability during accurate force production by the index finger. In the four-finger tasks, the variance of the individual finger force increased for all four fingers, while the total force variance showed only a modest change. We quantified two components of variance in the space of hypothetical commands to fingers, finger modes. There was a large increase in the variance component that did not affect total force and a much smaller increase in the component that did. The results suggest an adaptive increase in force variance by nonfatigued elements as a strategy to attenuate effects of fatigue on accuracy of multi-element performance. These effects were unlikely to originate at the level of synchronization of motor units across muscle compartments but rather involved higher control levels.

The effects of accelerometer placement on mechanomyographic amplitude and mean power frequency during cycle ergometry

The purposes of this study were threefold: (1) to compare the power output related patterns of absolute and normalized MMG amplitude and MPF responses for proximal and distal accelerometer placements on the vastus lateralis (VL) muscle during incremental cycle ergometry; (2) to examine the influence of accelerometer placements on mean absolute MMG amplitude and MPF values; and (3) to determine the effects of normalization on mean MMG amplitude and MPF values from proximal and distal accelerometer placements. Fifteen adults (10 men and 5 women; mean+/-SD age=23.9+/-3.1 years) performed incremental cycle ergometry tests to exhaustion. Two accelerometers were placed proximal and distal on the VL muscle. Paired t-tests indicated that absolute MMG amplitude values for the proximal accelerometer were greater (p<0.05) than the distal accelerometer at all power outputs. The normalized MMG amplitude also had greater values for the proximal accelerometer at all power outputs, except 50W. There were no differences, however, between proximal and distal accelerometers for absolute MMG MPF, except at 75W, and normalization eliminated this difference. Twenty-seven percent of the subjects exhibited different power output related patterns of responses between accelerometer placements for MMG amplitude and 47% exhibited different patterns for MPF. These findings indicated that normalization did not eliminate the influence of accelerometer placement on MMG amplitude and highlighted the importance of standardizing accelerometer placements to compare MMG values during cycle ergometry.

Endurance time is joint-specific: a modelling and meta-analysis investigation

Static task intensity-endurance time (ET) relationships (e.g. Rohmert's curve) were first reported decades ago. However, a comprehensive meta-analysis to compare experimentally-observed ETs across bodily regions has not been reported. We performed a systematic literature review of ETs for static contractions, developed joint-specific power and exponential models of the intensity-ET relationships, and compared these models between each joint (ankle, trunk, hand/grip, elbow, knee, and shoulder) and the pooled data (generalised curve). 194 publications were found, representing a total of 369 data points. The power model provided the best fit to the experimental data. Significant intensity-dependent ET differences were predicted between each pair of joints. Overall, the ankle was most fatigue-resistant, followed by the trunk, hand/grip, elbow, knee and finally the shoulder was most fatigable. We conclude ET varies systematically between joints, in some cases with large effect sizes. Thus, a single generalised ET model does not adequately represent fatigue across joints. STATEMENT OF RELEVANCE: Rohmert curves have been used in ergonomic analyses of fatigue, as there are limited tools available to accurately predict force decrements. This study provides updated endurance time-intensity curves using a large meta-analysis of fatigue data. Specific models derived for five distinct joint regions should further increase prediction accuracy.

Changes in the degree of motor variability associated with experimental and chronic neck-shoulder pain during a standardised repetitive arm movement

The aim of the present study was to investigate the effect of experimental and chronic neck-shoulder pain on the magnitude of cycle-to-cycle variability of task timing, kinematics and muscle activation during repetitive arm movement performed for 3 or 5 min. In an experimental part, acute muscle pain was induced in healthy subjects by intramuscular injection of hypertonic saline in trapezius (n = 10) and infraspinatus (n = 10) muscles. In a clinical part, workers with (n = 12) and without (n = 6) chronic neck-shoulder pain were compared. Cycle-to-cycle standard deviations of task duration, arm and trunk movement in 3D and surface electromyographic (EMG) root mean square activity were computed to assess the degree of variability. The variability in task timing increased in presence of both experimental and chronic pain (P < 0.05) compared with non-painful conditions. Experimental pain increased the variability of the starting position of the arm (P < 0.05), the arm range of motion (P < 0.01), the arm and trunk movement area (P < 0.01) and the acceleration of the arm (P < 0.01). In the chronic pain condition, the variability of arm and trunk acceleration (P < 0.01) and EMG activity (P < 0.05) was decreased compared with healthy controls. These results indicate that pain alters the magnitude of motor variability, and that the transition from acute to chronic pain is accompanied by changes in motor patterns. Experimental pain likely resulted in a quest for a motor solution reducing nociceptive influx, while chronic pain was characterised by a diminished motor flexibility.