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Toninelli N, Coratella G, Longo S, Romani GM, Doria C, Rampichini S, Limonta E, Esposito F, Cè E. Synergistic difference in the effect of stretching on electromechanical delay components. PLoS One 2024; 19:e0300112. [PMID: 38530855 DOI: 10.1371/journal.pone.0300112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 02/21/2024] [Indexed: 03/28/2024] Open
Abstract
This study investigated the synergistic difference in the effect of stretching on electromechanical delay (EMD) and its components, using a simultaneous recording of electromyographic, mechanomyographic, and force signals. Twenty-six healthy men underwent plantar flexors passive stretching. Before and after stretching, the electrochemical and mechanical components of the EMD and the relaxation EMD (R-EMD) were calculated in gastrocnemius medialis (GM), lateralis (GL) and soleus (SOL) during a supramaximal motor point stimulation. Additionally, joint passive stiffness was assessed. At baseline, the mechanical components of EMD and R-EMD were longer in GM and GL than SOL (Cohen's d from 1.78 to 3.67). Stretching decreased joint passive stiffness [-22(8)%, d = -1.96] while overall lengthened the electrochemical and mechanical EMD. The mechanical R-EMD components were affected more in GM [21(2)%] and GL [22(2)%] than SOL [12(1)%], with d ranging from 0.63 to 1.81. Negative correlations between joint passive stiffness with EMD and R-EMD mechanical components were found before and after stretching in all muscles (r from -0.477 to -0.926; P from 0.007 to <0.001). These results suggest that stretching plantar flexors affected GM and GL more than SOL. Future research should calculate EMD and R-EMD to further investigate the mechanical adaptations induced by passive stretching in synergistic muscles.
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Affiliation(s)
- Nicholas Toninelli
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Milan, Italy
| | - Giuseppe Coratella
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Milan, Italy
| | - Stefano Longo
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Milan, Italy
| | - Giulia M Romani
- Division of Exercise Physiology, School of Medicine, West Virginia University, Morgantown, West Virginia, United States of America
| | - Christian Doria
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Milan, Italy
| | - Susanna Rampichini
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Milan, Italy
| | - Eloisa Limonta
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Milan, Italy
- Division of Exercise Physiology, School of Medicine, West Virginia University, Morgantown, West Virginia, United States of America
- IRCSS Galeazzi Orthopedic Institute, Milan, Italy
| | - Emiliano Cè
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Milan, Italy
- Division of Exercise Physiology, School of Medicine, West Virginia University, Morgantown, West Virginia, United States of America
- IRCSS Galeazzi Orthopedic Institute, Milan, Italy
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Cogliati M, Cudicio A, Benedini M, Cabral HV, Negro F, Reggiani C, Orizio C. Influence of age on force and re-lengthening dynamics after tetanic stimulation withdrawal in the tibialis anterior muscle. Eur J Appl Physiol 2023; 123:1825-1836. [PMID: 37071199 PMCID: PMC10363076 DOI: 10.1007/s00421-023-05198-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 04/05/2023] [Indexed: 04/19/2023]
Abstract
PURPOSE During alternate movements across a joint, the changeover from one direction of rotation to the opposite may be influenced by the delay and rate of tension reduction and the compliance to re-lengthening of the previously active muscle group. Given the aging process may affect the above-mentioned factors, this work aimed to compare the dynamics of both the ankle torque decline and muscle re-lengthening, mirrored by mechanomyogram (MMG), in the tibialis anterior because of its important role in gait. METHODS During the relaxation phase, after a supramaximal 35 Hz stimulation applied at the superficial motor point, in 20 young (Y) and 20 old (O) subjects, the torque (T) and MMG dynamics characteristics were measured. RESULTS The T and MMG analysis provided: (I) the beginning of the decay after cessation of stimulation (T: 22.51 ± 5.92 ms [Y] and 51.35 ± 15.21 ms [O]; MMG: 27.38 ± 6.93 ms [Y] and 61.41 ± 18.42 ms [O]); (II) the maximum rate of reduction (T: - 110.4 ± 45.56 Nm/s [Y] and - 52.72 ± 32.12 Nm/s [O]; MMG: - 24.47 ± 10.95 mm/s [Y] and - 13.76 ± 6.54 mm/s [O]); (III) the muscle compliance, measuring the MMG reduction of every 10% reduction of torque (bin 20-10%: 15.69 ± 7.5[Y] and 10.8 ± 3.3 [O]; bin 10-0%: 22.12 ± 10.3 [Y] and 17.58 ± 5.6 [O]). CONCLUSION Muscle relaxation results are different in Y and O and can be monitored by a non-invasive method measuring physiological variables of torque and re-lengthening dynamics at the end of the electromechanical coupling previously induced by the neuromuscular stimulation.
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Affiliation(s)
- M. Cogliati
- Department of Clinical and Experimental Sciences, University of Brescia Viale Europa, 11, 25123 Brescia, Italy
| | - A. Cudicio
- Department of Clinical and Experimental Sciences, University of Brescia Viale Europa, 11, 25123 Brescia, Italy
| | - M. Benedini
- Department of Clinical and Experimental Sciences, University of Brescia Viale Europa, 11, 25123 Brescia, Italy
| | - H. V. Cabral
- Department of Clinical and Experimental Sciences, University of Brescia Viale Europa, 11, 25123 Brescia, Italy
| | - F. Negro
- Department of Clinical and Experimental Sciences, University of Brescia Viale Europa, 11, 25123 Brescia, Italy
- Centre of Research on the Neuromuscular Function and the Adapted Motor Activity, University of Brescia Viale Europa, 11, 25123 Brescia, Italy
| | - C. Reggiani
- Department of Biomedical Sciences, University of Padova, Padova, Italy
- Science and Research Center, ZRS, Koper, Slovenia
| | - C. Orizio
- Department of Clinical and Experimental Sciences, University of Brescia Viale Europa, 11, 25123 Brescia, Italy
- Centre of Research on the Neuromuscular Function and the Adapted Motor Activity, University of Brescia Viale Europa, 11, 25123 Brescia, Italy
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Lubel E, Grandi-Sgambato B, Barsakcioglu DY, Ibanez J, Tang MX, Farina D. Kinematics of individual muscle units in natural contractions measured in vivo using ultrafast ultrasound. J Neural Eng 2022; 19. [PMID: 36001952 DOI: 10.1088/1741-2552/ac8c6c] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 08/24/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVE The study of human neuromechanical control at the motor unit (MU) level has predominantly focussed on electrical activity and force generation, whilst the link between these, i.e., the muscle deformation, has not been widely studied. To address this gap, we analysed the kinematics of muscle units in natural contractions. APPROACH We combined high-density surface electromyography (HDsEMG) and ultrafast ultrasound (US) recordings, at 1000 frames per second, from the tibialis anterior muscle to measure the motion of the muscular tissue caused by individual MU contractions. The MU discharge times were identified online by decomposition of the HDsEMG and provided as biofeedback to 12 subjects who were instructed to keep the MU active at the minimum discharge rate (9.8 ± 4.7 pulses per second; force less than 10% of the maximum). The series of discharge times were used to identify the velocity maps associated with 51 single muscle unit movements with high spatio-temporal precision, by a novel processing method on the concurrently recorded US images. From the individual MU velocity maps, we estimated the region of movement, the duration of the motion, the contraction time, and the excitation-contraction (E-C) coupling delay. MAIN RESULTS Individual muscle unit motions could be reliably identified from the velocity maps in 10 out of 12 subjects. The duration of the motion, total contraction time, and E-C coupling were 17.9 ± 5.3 ms, 56.6 ± 8.4 ms, and 3.8 ± 3.0 ms (n = 390 across 10 participants). The experimental measures also provided the first evidence of muscle unit twisting during voluntary contractions and MU territories with distinct split regions. SIGNIFICANCE The proposed method allows for the study of kinematics of individual MU twitches during natural contractions. The described measurements and characterisations open new avenues for the study of neuromechanics in healthy and pathological conditions.
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Affiliation(s)
- Emma Lubel
- Department of Bioengineering, Imperial College London, Exhibition Road, London, SW7 2AZ, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
| | - Bruno Grandi-Sgambato
- Department of Bioengineering, Imperial College London, Exhibition road, London, SW7 2AZ, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
| | - Deren Y Barsakcioglu
- Department of Bioengineering, Imperial College London, Exhibition road, London, SW7 2AZ, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
| | - Jaime Ibanez
- Bioengineering Group, Imperial College London, Engineering, London, SW7 2AZ, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
| | - Meng-Xing Tang
- Department of Bioengineering, Imperial College London, Department of Bioeng, London, -- Select One --, SW7 2AZ, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
| | - Dario Farina
- Department of Bioengineering, Imperial College London, Exhibition road, London, SW7 2AZ, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
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Uwamahoro R, Sundaraj K, Subramaniam ID. Assessment of muscle activity using electrical stimulation and mechanomyography: a systematic review. Biomed Eng Online 2021; 20:1. [PMID: 33390158 PMCID: PMC7780389 DOI: 10.1186/s12938-020-00840-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 12/11/2020] [Indexed: 11/10/2022] Open
Abstract
This research has proved that mechanomyographic (MMG) signals can be used for evaluating muscle performance. Stimulation of the lost physiological functions of a muscle using an electrical signal has been determined crucial in clinical and experimental settings in which voluntary contraction fails in stimulating specific muscles. Previous studies have already indicated that characterizing contractile properties of muscles using MMG through neuromuscular electrical stimulation (NMES) showed excellent reliability. Thus, this review highlights the use of MMG signals on evaluating skeletal muscles under electrical stimulation. In total, 336 original articles were identified from the Scopus and SpringerLink electronic databases using search keywords for studies published between 2000 and 2020, and their eligibility for inclusion in this review has been screened using various inclusion criteria. After screening, 62 studies remained for analysis, with two additional articles from the bibliography, were categorized into the following: (1) fatigue, (2) torque, (3) force, (4) stiffness, (5) electrode development, (6) reliability of MMG and NMES approaches, and (7) validation of these techniques in clinical monitoring. This review has found that MMG through NMES provides feature factors for muscle activity assessment, highlighting standardized electromyostimulation and MMG parameters from different experimental protocols. Despite the evidence of mathematical computations in quantifying MMG along with NMES, the requirement of the processing speed, and fluctuation of MMG signals influence the technique to be prone to errors. Interestingly, although this review does not focus on machine learning, there are only few studies that have adopted it as an alternative to statistical analysis in the assessment of muscle fatigue, torque, and force. The results confirm the need for further investigation on the use of sophisticated computations of features of MMG signals from electrically stimulated muscles in muscle function assessment and assistive technology such as prosthetics control.
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Affiliation(s)
- Raphael Uwamahoro
- Fakulti Kejuruteraan Elektronik & Kejuruteraan Komputer, Universiti Teknikal Malaysia Melaka, Tunggal, Malaysia
- Regional Centre of Excellence in Biomedical Engineering and E-Health, University of Rwanda, PO BOX 4285, Kigali, Rwanda
| | - Kenneth Sundaraj
- Fakulti Kejuruteraan Elektronik & Kejuruteraan Komputer, Universiti Teknikal Malaysia Melaka, Tunggal, Malaysia.
| | - Indra Devi Subramaniam
- Pusat Bahasa & Pembangunan Insan, Universiti Teknikal Malaysia Melaka, Tunggal, Malaysia
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Cè E, Longo S, Limonta E, Coratella G, Rampichini S, Esposito F. Peripheral fatigue: new mechanistic insights from recent technologies. Eur J Appl Physiol 2019; 120:17-39. [DOI: 10.1007/s00421-019-04264-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 11/12/2019] [Indexed: 12/12/2022]
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Rinaldin CDP, Cabral LPA, Krueger E, Nogueira-Neto GN, Nohama P, Scheeren EM. Fatigue in complete spinal cord injury and implications on total delay. Artif Organs 2019; 44:305-313. [PMID: 31553061 DOI: 10.1111/aor.13573] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Revised: 09/13/2019] [Accepted: 09/16/2019] [Indexed: 12/11/2022]
Abstract
The use of neuromuscular electrical stimulation (NMES) to artificially restore movement in people with complete spinal cord injury (SCI) induces an accelerated process of muscle fatigue. Fatigue increases the time between the beginning of NMES and the onset of muscle force (DelayTOT ). Understanding how much muscle fatigue affects the DelayTOT in people with SCI could help in the design of closed-loop neuroprostheses that compensate for this delay, thus making the control system more stable. The aim of this study was to evaluate the impact of the extent of fatigue on DelayTOT and peak force of the lower limbs in people with complete SCI. Fifteen men-young adults with complete SCI (paraplegia and tetraplegia) and stable health-participated in the experiment. DelayTOT was defined as the time interval between the beginning of NMES application until the onset of muscle force. The electrical intensity of NMES applied was adjusted individually and consisted of the amplitude required to obtain a full extension of the knee (0°), considering the maximum electrically stimulated extension (MESE). Subsequently, 70% of the MESE was applied during the fatigue induction protocol. Significant differences were identified between the moments before and after the fatigue protocol, both for peak force (P ≤ .026) and DelayTOT (P ≤ .001). The medians and interquartile range of the DelayTOT were higher in postfatigue (199.0 ms) when compared to the moment before fatigue (146.5 ms). The medians and interquartile range of the peak force were higher in unfatigued lower limbs (0.43 kgf) when compared to the moment postfatigue (0.27 kgf). The results support the hypothesis that muscle fatigue influences the increase in DelayTOT and decrease in force production in people with SCI. For future applications, the combined evaluation of the delay and force in SCI patients provides valuable feedback for NMES paradigms. The study will provide potentially critical muscle mechanical evidence for the investigation of the evolution of atrophy.
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Affiliation(s)
| | - Luciane Patrícia Adreani Cabral
- Human Motricity Laboratory/PPGTS, Pontifical Catholic University of Paraná (PUCPR), Curitiba, Brazil.,Regional University Hospital of Campos Gerais, Campus of Ponta Grossa State University, Ponta Grossa, Brazil
| | - Eddy Krueger
- Neural Engineering and Rehabilitation Laboratory, Master and Doctoral Program in Rehabilitation Sciences UEL-UNOPAR, Anatomy Department, State University of Londrina, Londrina, Brazil.,Rehabilitation Engineering Laboratory/CPGEI/PPGEB, Federal Technological University of Paraná (UTFPR), Curitiba, Brazil
| | - Guilherme N Nogueira-Neto
- Rehabilitation Engineering Laboratory/PPGTS, Pontifical Catholic University of Paraná (PUCPR), Curitiba, Brazil
| | - Percy Nohama
- Rehabilitation Engineering Laboratory/CPGEI/PPGEB, Federal Technological University of Paraná (UTFPR), Curitiba, Brazil.,Rehabilitation Engineering Laboratory/PPGTS, Pontifical Catholic University of Paraná (PUCPR), Curitiba, Brazil
| | - Eduardo M Scheeren
- Human Motricity Laboratory/PPGTS, Pontifical Catholic University of Paraná (PUCPR), Curitiba, Brazil
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Smith CM, Housh TJ, Hill EC, Keller JL, Anders JPV, Johnson GO, Schmidt RJ. Variable resistance training versus traditional weight training on the reflex pathway following four weeks of leg press training. Somatosens Mot Res 2019; 36:223-229. [PMID: 31474178 DOI: 10.1080/08990220.2019.1659238] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Purpose: The purpose of this study was to examine the changes in reflex-electromechanical delay (EMD) as a result of 2- and 4-wks of variable resistance training (VRT) or dynamic constant external resistance (DCER) leg press training. Material and Methods: Thirty-six men were randomised into either the Control, DCER, or VRT groups. The DCER and VRT groups performed 3 sets of 10 leg press repetitions 3-d·wk-1 for 4-wks. Reflex-EMD was measured at Baseline, Week-2, and Week-4. Results: The reflex-EMD durations decreased from Baseline at Week-2 and Week-4 for the VRT group, but not the DCER or Control groups. The reflex response < electrochemical process < mechanical process < total reflex-EMD for all groups. Conclusions: VRT elicited greater reflex adaptations compared to DCER training which indicated that VRT may be beneficial to incorporate into training or physical therapy programmes for pilots, soldiers, elderly, athletes, or professions that require quick reflexes and response times.
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Affiliation(s)
- Cory M Smith
- Department of Kinesiology, Human and Environmental Physiology Laboratory, University of Texas at El Paso, College of Health Sciences , El Paso , TX , USA
| | - Terry J Housh
- Department of Nutrition and Health Sciences, Human Performance Laboratory, University of Nebraska-Lincoln, College of Education and Human Sciences , Lincoln , NE , USA
| | - Ethan C Hill
- School of Kinesiology and Physical Therapy, Division of Kinesiology, University of Central Florida , Orlando , FL , USA
| | - Joshua L Keller
- Department of Nutrition and Health Sciences, Human Performance Laboratory, University of Nebraska-Lincoln, College of Education and Human Sciences , Lincoln , NE , USA
| | - John Paul V Anders
- Department of Nutrition and Health Sciences, Human Performance Laboratory, University of Nebraska-Lincoln, College of Education and Human Sciences , Lincoln , NE , USA
| | - Glen O Johnson
- Department of Nutrition and Health Sciences, Human Performance Laboratory, University of Nebraska-Lincoln, College of Education and Human Sciences , Lincoln , NE , USA
| | - Richard J Schmidt
- Department of Nutrition and Health Sciences, Human Performance Laboratory, University of Nebraska-Lincoln, College of Education and Human Sciences , Lincoln , NE , USA
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Yang S, Chu S, Gao Y, Ai Q, Liu Y, Li X, Chen N. A Narrative Review of Cancer-Related Fatigue (CRF) and Its Possible Pathogenesis. Cells 2019; 8:cells8070738. [PMID: 31323874 PMCID: PMC6679212 DOI: 10.3390/cells8070738] [Citation(s) in RCA: 115] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 07/10/2019] [Accepted: 07/17/2019] [Indexed: 12/16/2022] Open
Abstract
Many cancer patients suffer from severe fatigue when treated with chemotherapy or radiotherapy; however, the etiology and pathogenesis of this kind of fatigue remains unknown. Fatigue is associated with cancer itself, as well as adjuvant therapies and can persist for a long time. Cancer patients present a high degree of fatigue, which dramatically affects the quality of their everyday life. There are various clinical research studies and reviews that aimed to explore the mechanisms of cancer-related fatigue (CRF). However, there are certain limitations in these studies: For example, some studies have only blood biochemical texts without histopathological examination, and there has been insufficient systemic evaluation of the dynamic changes in relevant indexes. Thus, we present this narrative review to summarize previous studies on CRF and explore promising research directions. Plenty of evidence suggests a possible association between CRF and physiological dysfunction, including skeletal muscular and mitochondrial dysfunction, peripheral immune activation and inflammation dysfunction, as well as central nervous system (CNS) disorder. Mitochondrial DNA (mtDNA), mitochondrial structure, oxidative pressure, and some active factors such as ATP play significant roles that lead to the induction of CRF. Meanwhile, several pro-inflammatory and anti-inflammatory cytokines in the peripheral system, even in the CNS, significantly contribute to the occurrence of CRF. Moreover, CNS function disorders, such as neuropeptide, neurotransmitter, and hypothalamic-pituitary-adrenal (HPA) axis dysfunction, tend to amplify the sense of fatigue in cancer patients through various signaling pathways. There have been few accurate animal models established to further explore the molecular mechanisms of CRF due to different types of cancer, adjuvant therapy schedules, living environments, and physical status. It is imperative to develop appropriate animal models that can mimic human CRF and to explore additional mechanisms using histopathological and biochemical methods. Therefore, the main purpose of this review is to analyze the possible pathogenesis of CRF and recommend future research that will clarify CRF pathogenesis and facilitate the formulation of new treatment options.
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Affiliation(s)
- Songwei Yang
- College of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, Hunan, China
- Hunan Engineering Technology Center of Standardization and Function of Chinese Herbal Decoction Pieces, Changsha 410208, Hunan, China
- State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medical, Neuroscience Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China
| | - Shifeng Chu
- College of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, Hunan, China
- Hunan Engineering Technology Center of Standardization and Function of Chinese Herbal Decoction Pieces, Changsha 410208, Hunan, China
- State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medical, Neuroscience Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China
| | - Yan Gao
- State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medical, Neuroscience Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China
| | - Qidi Ai
- College of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, Hunan, China
- Hunan Engineering Technology Center of Standardization and Function of Chinese Herbal Decoction Pieces, Changsha 410208, Hunan, China
- State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medical, Neuroscience Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China
| | - Yingjiao Liu
- College of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, Hunan, China
- Hunan Engineering Technology Center of Standardization and Function of Chinese Herbal Decoction Pieces, Changsha 410208, Hunan, China
- State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medical, Neuroscience Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China
| | - Xun Li
- College of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, Hunan, China
- Hunan Engineering Technology Center of Standardization and Function of Chinese Herbal Decoction Pieces, Changsha 410208, Hunan, China
- State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medical, Neuroscience Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China
| | - Naihong Chen
- College of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, Hunan, China.
- Hunan Engineering Technology Center of Standardization and Function of Chinese Herbal Decoction Pieces, Changsha 410208, Hunan, China.
- State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medical, Neuroscience Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China.
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Differences in electromechanical delay components induced by sex, age and physical activity level: new insights from a combined electromyographic, mechanomyographic and force approach. SPORT SCIENCES FOR HEALTH 2019. [DOI: 10.1007/s11332-019-00563-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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10
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Smith CM, Housh TJ, Hill EC, Keller JL, Johnson GO, Schmidt RJ. Effects of fatigue and recovery on electromechanical delay during isokinetic muscle actions. Physiol Meas 2017; 38:1837-1847. [PMID: 28857748 DOI: 10.1088/1361-6579/aa8983] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Cè E, Longo S, McCoy E, Bisconti AV, Tironi D, Limonta E, Rampichini S, Rabuffetti M, Esposito F. Acute effects of direct inhibitory pressure over the biceps brachii myotendinous junction on skeletal muscle activation and force output. J Electromyogr Kinesiol 2017; 37:25-34. [PMID: 28866370 DOI: 10.1016/j.jelekin.2017.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Revised: 07/27/2017] [Accepted: 08/08/2017] [Indexed: 01/21/2023] Open
Abstract
Force (F) reduction is reported with myotendinous junction (MTJ) manipulation. Autogenic inhibition reflex (AIR) activation is supposed to be the main mechanism. Still, its role remains unclear. The study aimed at assessing the effects of MTJ direct inhibitory pressure (DIP) on neuromuscular activation and F in the elbow flexor (agonist) and extensor (antagonist) muscles. After maximum voluntary contraction (MVC) assessment, thirty-five participants randomly performed submaximal contractions at 20, 40, 60, and 80% MVC. Electromyographic (EMG), mechanomyographic (MMG), and F signals were recorded. Protocol was repeated under (i) DIP (10-s pressure on the biceps brachii MTJ) with the elbow at 120° (DIP120), (ii) DIP with the elbow at 180° (DIP180), and (iii) without DIP (Ctrl). Electromechanical delay (EMD) components, EMG and MMG root mean square (RMS), and rate of force development (RFD) were calculated. Independently from the angle, DIP induced decrements in MVC, RFD, and RMS of EMG and MMG signals and lengthened the EMD components in agonist muscles (P<0.05). The DIP-induced decrease in F output of the agonist muscles seems to be possibly due to a concomitant impairment of the neuromuscular activation and a transient decrease in stiffness. After DIP, the antagonist muscle displayed no changes; therefore, the intervention of AIR remains questionable.
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Affiliation(s)
- Emiliano Cè
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy
| | - Stefano Longo
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy.
| | - Emily McCoy
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy; Division of Exercise Physiology, School of Medicine, West Virginia University, Morgantown, United States
| | - Angela Valentina Bisconti
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy
| | - Davide Tironi
- IRCCS Don Gnocchi Foundation, Via Capecelatro 66, 20148 Milan, Italy
| | - Eloisa Limonta
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy
| | - Susanna Rampichini
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy
| | - Marco Rabuffetti
- IRCCS Don Gnocchi Foundation, Via Capecelatro 66, 20148 Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy; IRCCS Don Gnocchi Foundation, Via Capecelatro 66, 20148 Milan, Italy
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12
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Esposito F, Cè E, Rampichini S, Monti E, Limonta E, Fossati B, Meola G. Electromechanical delays during a fatiguing exercise and recovery in patients with myotonic dystrophy type 1. Eur J Appl Physiol 2017; 117:551-566. [PMID: 28194519 DOI: 10.1007/s00421-017-3558-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Accepted: 01/24/2017] [Indexed: 01/08/2023]
Abstract
PURPOSE The partitioning of the electromechanical delay by an electromyographic (EMG), mechanomyographic (MMG) and force combined approach can provide further insight into the electrochemical and mechanical processes involved with skeletal muscle contraction and relaxation. The aim of the study was to monitor by this combined approach the changes in delays' electrochemical and mechanical components throughout a fatiguing task and during recovery in patients with myotonic dystrophy type 1 (DM1), who present at the skeletal muscle level fibres rearrangement, muscle weakness and myotonia, especially in the distal muscles. METHODS After assessing maximum voluntary contraction (MVC), 14 male patients with DM1 and 14 healthy controls (HC) performed a fatiguing exercise at 50% MVC until exhaustion. EMG, MMG, and force signals were recorded from tibialis anterior and vastus lateralis muscles. The electromechanical delay during contraction (DelayTOT) and relaxation (R-DelayTOT) components, EMG and MMG root mean square (RMS) and mean frequency (MF) were calculated off-line. RESULTS The fatiguing exercise duration was similar in both groups. In patients with DM1, delays components were significantly longer compared to HC, especially in the distal muscle during relaxation. Delays components recovered quickly from the fatiguing exercise in HC than in patients with DM1 in both muscles. CONCLUSIONS The alterations in delays observed in DM1 during the fatiguing exercise may indicate that also the lengthening of the electrochemical and mechanical processes during contraction and relaxation could play a role in explaining exercise intolerance in this pathology.
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Affiliation(s)
- Fabio Esposito
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy. .,IRCCS Fondazione don Gnocchi, Centro di Medicina dello Sport, via Capecelatro 66, 20148, Milan, Italy.
| | - Emiliano Cè
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
| | - Susanna Rampichini
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
| | - Elena Monti
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
| | - Eloisa Limonta
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
| | - Barbara Fossati
- IRCCS Policlinico San Donato, Piazza Malan 2, 20097, San Donato Milanese (MI), Italy
| | - Giovanni Meola
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy.,IRCCS Policlinico San Donato, Piazza Malan 2, 20097, San Donato Milanese (MI), Italy
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13
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Correlation between stiffness and electromechanical delay components during muscle contraction and relaxation before and after static stretching. J Electromyogr Kinesiol 2017; 33:83-93. [PMID: 28232285 DOI: 10.1016/j.jelekin.2017.02.001] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2016] [Revised: 12/23/2016] [Accepted: 02/06/2017] [Indexed: 12/22/2022] Open
Abstract
The study was aimed at assessing possible correlations of the electromechanical delay components during muscle contraction (DelayTOT) and relaxation (R-DelayTOT), with muscle-tendon unit (MTU), muscle, and tendon stiffness before and after static stretching (SS). Plantarflexor muscles' maximum voluntary torque (Tmax) was measured in 18 male participants (age 24±3yrs; body mass 76.4±8.9kg; stature 1.78±0.09m; mean±SD). During Tmax, surface electromyogram (EMG), mechanomyogram, and force signals were detected. DelayTOT and R-DelayTOT with their electrochemical and mechanical components were calculated. Passive torque and myotendinous junction displacement were assessed at 0°, 10° and 20° of dorsiflexion to determine MTU, muscle and tendon stiffness. The same protocol was repeated after SS. DelayTOT, R-DelayTOT and their mainly mechanical components correlated with MTU, muscle and tendon stiffness, both before (R2 from 0.562 to 0.894; p<0.001) and after SS (R2 from 0.726 to 0.955; p<0.001). SS decreased Tmax (-14%; p<0.001) and lengthened almost all the DelayTOT and R-DelayTOT components (from +5.9% to +30.5%; p<0.05). Correlations were found only between stiffness and the mechanical components of DelayTOT and R-DelayTOT. Correlations persisted after SS but delays increased to a higher extent than stiffness, indicating a complexity of the relationship between stiffness and delays that will be discussed in the manuscript.
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Cè E, Rampichini S, Monti E, Venturelli M, Limonta E, Esposito F. Changes in the electromechanical delay components during a fatiguing stimulation in human skeletal muscle: an EMG, MMG and force combined approach. Eur J Appl Physiol 2016; 117:95-107. [PMID: 27858153 DOI: 10.1007/s00421-016-3502-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Accepted: 11/09/2016] [Indexed: 11/29/2022]
Abstract
PURPOSE Peripheral fatigue involves electrochemical and mechanical mechanisms. An electromyographic, mechanomyographic and force combined approach may permit a kinetic evaluation of the changes at the synaptic, skeletal muscle fiber, and muscle-tendon unit level during a fatiguing stimulation. METHODS Surface electromyogram, mechanomyogram, force and stimulation current were detected from the gastrocnemius medialis muscle in twenty male participants during a fatiguing stimulation (twelve blocks of 35 Hz stimulations, duty cycle 9 s on/1 s off, duration 120 s). The total electromechanical delay and its three components (between stimulation current and electromyogram, synaptic component; between electromyogram and mechanomyogram signal onset, muscle fiber electrochemical component, and between mechanomyogram and force signal onset, mechanical component) were calculated. Interday reliability and sensitivity were determined. RESULTS After fatigue, peak force decreased by 48% (P < 0.05) and the total electromechanical delay and its synaptic, electrochemical and mechanical components lengthened from 25.8 ± 0.9, 1.47 ± 0.04, 11.2 ± 0.6, and 13.1 ± 1.3 ms to 29.0 ± 1.6, 1.56 ± 0.05, 12.4 ± 0.9, and 17.2 ± 0.6 ms, respectively (P < 0.05). During fatigue, the total electromechanical delay and the mechanical component increased significantly after the 40th second, and then remained stable. The synaptic and electrochemical components lengthened significantly after the 20th and 30th second, respectively. Interday reliability was high to very high, with an adequate level of sensitivity. CONCLUSIONS The kinetic evaluation of the delays during the fatiguing stimulation highlighted different onsets and kinetics, with the events at synaptic level being the first to reveal a significant elongation, followed by those at the intra-fiber level. The mechanical events, which were the most affected by fatigue, were the last to lengthen.
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Affiliation(s)
- Emiliano Cè
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy.
| | - Susanna Rampichini
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
| | - Elena Monti
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
| | - Massimo Venturelli
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
| | - Eloisa Limonta
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Via G. Colombo 71, 20133, Milan, Italy
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15
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Downey RJ, Merad M, Gonzalez EJ, Dixon WE. The Time-Varying Nature of Electromechanical Delay and Muscle Control Effectiveness in Response to Stimulation-Induced Fatigue. IEEE Trans Neural Syst Rehabil Eng 2016; 25:1397-1408. [PMID: 27845664 DOI: 10.1109/tnsre.2016.2626471] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Neuromuscular electrical stimulation (NMES) and Functional Electrical Stimulation (FES) are commonly prescribed rehabilitative therapies. Closed-loop NMES holds the promise to yield more accurate limb control, which could enable new rehabilitative procedures. However, NMES/FES can rapidly fatigue muscle, which limits potential treatments and presents several control challenges. Specifically, the stimulation intensity-force relation changes as the muscle fatigues. Additionally, the delayed response between the application of stimulation and muscle force production, termed electromechanical delay (EMD), may increase with fatigue. This paper quantifies these effects. Specifically, open-loop fatiguing protocols were applied to the quadriceps femoris muscle group of able-bodied individuals under isometric conditions, and the resulting torque was recorded. Short pulse trains were used to measure EMD with a thresholding method while long duration pulse trains were used to induce fatigue, measure EMD with a cross-correlation method, and construct recruitment curves. EMD was found to increase significantly with fatigue, and the control effectiveness (i.e., the linear slope of the recruitment curve) decreased with fatigue. Outcomes of these experiments indicate an opportunity for improved closed-loop NMES/FES control development by considering EMD to be time-varying and by considering the muscle recruitment curve to be a nonlinear, time-varying function of the stimulation input.
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16
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Longo S, Devoto M, Monti E, Venturelli M, Limonta E, Rampichini S, Bisconti AV, Esposito F, Cè E. Acute effects of static stretching on skeletal muscle relaxation at different ankle joint angles. SPORT SCIENCES FOR HEALTH 2016. [DOI: 10.1007/s11332-016-0309-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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17
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Editors T. Muscle Decline in Aging and Neuromuscular Disorders - Mechanisms and Countermeasures: Terme Euganee, Padova (Italy), April 13-16, 2016. Eur J Transl Myol 2016; 26:5904. [PMID: 27054021 PMCID: PMC4821223 DOI: 10.4081/ejtm.2016.5904] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Not available.
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18
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Electromechanical delay components during skeletal muscle contraction and relaxation in patients with myotonic dystrophy type 1. Neuromuscul Disord 2016; 26:60-72. [DOI: 10.1016/j.nmd.2015.09.013] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Revised: 09/15/2015] [Accepted: 09/19/2015] [Indexed: 12/20/2022]
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19
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Cè E, Rampichini S, Venturelli M, Limonta E, Veicsteinas A, Esposito F. Electromechanical delay components during relaxation after voluntary contraction: reliability and effects of fatigue. Muscle Nerve 2015; 51:907-15. [PMID: 25256098 DOI: 10.1002/mus.24466] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/22/2014] [Indexed: 11/10/2022]
Abstract
INTRODUCTION Fatigue effects on total relaxation delay (R-DelayTOT ) components and measurement reliability were investigated. METHODS Electromyogram (EMG), force (F), and mechanomyogram (MMG) were recorded during maximum voluntary contraction from the biceps brachii muscle before and after fatigue. The delays between EMG cessation and onset of F decay (R-EMD), between F decay and onset of MMG largest displacement (MMG p-p) (R-Δt F-MMG), from the beginning to the end of MMG p-p (R-Δt MMGp-p ), and from the end of MMG p-p to F cessation (R-Δt MMG-Fend ) were calculated. RESULTS R-DelayTOT lasted 366 ± 10 ms. R-EMD, R-Δt F-MMG, R-Δt MMGp-p , and R-Δt MMG-Fend accounted for 6%, 8%, 59%, and 27% of R-DelayTOT , respectively. After fatigue, R-DelayTOT , R-EMD, R-Δt F-MMG, and R-Δt MMGp-p increased by 38%, 22%, 40%, 40%, and 38%, respectively (P<0.05). Reliability was very high (0.853-0.960). CONCLUSIONS R-Δt MMGp-p was the main contributor to R-DelayTOT . Fatigue affected all R-DelayTOT contributors, with a smaller effect on R-EMD.
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Affiliation(s)
- Emiliano Cè
- Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133, Milan, Italy
| | - Susanna Rampichini
- Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133, Milan, Italy
| | - Massimo Venturelli
- Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133, Milan, Italy
| | - Eloisa Limonta
- Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133, Milan, Italy
| | - Arsenio Veicsteinas
- Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133, Milan, Italy.,Center of Sport Medicine, Don Gnocchi Foundation, Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health, University of Milan, Via G. Colombo 71, 20133, Milan, Italy
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20
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Novel insights into skeletal muscle function by mechanomyography: from the laboratory to the field. SPORT SCIENCES FOR HEALTH 2015. [DOI: 10.1007/s11332-015-0219-z] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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21
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Lacourpaille L, Hug F, Guével A, Péréon Y, Magot A, Hogrel JY, Nordez A. New insights on contraction efficiency in patients with Duchenne muscular dystrophy. J Appl Physiol (1985) 2014; 117:658-62. [PMID: 25103971 DOI: 10.1152/japplphysiol.00544.2014] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The decrease in muscle strength in patients with Duchenne muscular dystrophy (DMD) is mainly explained by a decrease in the number of active contractile elements. Nevertheless, it is possible that other electrochemical and force transmission processes may contribute. The present study aimed to quantify the effect of DMD on the relative contribution of electrochemical and force transmission components of the electromechanical delay (i.e., time lag between the onset of muscle activation and force production) in humans using very high frame rate ultrasound. Fourteen patients with DMD and thirteen control subjects underwent two electrically evoked contractions of the biceps brachii with the ultrasound probe over the muscle belly. The electromechanical delay was significantly longer in DMD patients compared with controls (18.5 ± 3.9 vs. 12.5 ± 1.4 ms, P < 0.0001). More precisely, DMD patients exhibited a longer delay between the onset of muscle fascicles motion and force production (13.6 ± 3.1 vs. 7.9 ± 2.0 ms, P < 0.0001). This delay was correlated to the chronological age of the DMD patients (r = 0.66; P = 0.01), but not of the controls (r = -0.45; P = 0.10). No significant difference was found for the delay between the onset of muscle stimulation and the onset of muscle fascicle motion. These results highlight the role of the alteration of muscle force transmission (delay between the onset of fascicle motion and force production) in the impairments of the contraction efficiency in patients with DMD.
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Affiliation(s)
- Lilian Lacourpaille
- Laboratory Motricité, Interactions, Performance (EA 4334), Unite de Formation et de Recherche Sciences et Techniques des Activités Physiques et Sportives, University of Nantes, Nantes, France
| | - François Hug
- Laboratory Motricité, Interactions, Performance (EA 4334), Unite de Formation et de Recherche Sciences et Techniques des Activités Physiques et Sportives, University of Nantes, Nantes, France; National Health and Medical Research Council, Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia;
| | - Arnaud Guével
- Laboratory Motricité, Interactions, Performance (EA 4334), Unite de Formation et de Recherche Sciences et Techniques des Activités Physiques et Sportives, University of Nantes, Nantes, France
| | - Yann Péréon
- Centre de Référence Maladies Neuromusculaires Nantes-Angers, University of Nantes, Centre Hospitalier Universitaire, Nantes, France; Atlantic Gene Therapies, Nantes, France; and
| | - Armelle Magot
- Centre de Référence Maladies Neuromusculaires Nantes-Angers, University of Nantes, Centre Hospitalier Universitaire, Nantes, France; Atlantic Gene Therapies, Nantes, France; and
| | | | - Antoine Nordez
- Laboratory Motricité, Interactions, Performance (EA 4334), Unite de Formation et de Recherche Sciences et Techniques des Activités Physiques et Sportives, University of Nantes, Nantes, France
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22
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Ibitoye MO, Hamzaid NA, Zuniga JM, Abdul Wahab AK. Mechanomyography and muscle function assessment: a review of current state and prospects. Clin Biomech (Bristol, Avon) 2014; 29:691-704. [PMID: 24856875 DOI: 10.1016/j.clinbiomech.2014.04.003] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2013] [Revised: 04/08/2014] [Accepted: 04/08/2014] [Indexed: 02/07/2023]
Abstract
Previous studies have explored to saturation the efficacy of the conventional signal (such as electromyogram) for muscle function assessment and found its clinical impact limited. Increasing demand for reliable muscle function assessment modalities continues to prompt further investigation into other complementary alternatives. Application of mechanomyographic signal to quantify muscle performance has been proposed due to its inherent mechanical nature and ability to assess muscle function non-invasively while preserving muscular neurophysiologic information. Mechanomyogram is gaining accelerated applications in evaluating the properties of muscle under voluntary and evoked muscle contraction with prospects in clinical practices. As a complementary modality and the mechanical counterpart to electromyogram; mechanomyogram has gained significant acceptance in analysis of isometric and dynamic muscle actions. Substantial studies have also documented the effectiveness of mechanomyographic signal to assess muscle performance but none involved comprehensive appraisal of the state of the art applications with highlights on the future prospect and potential integration into the clinical practices. Motivated by the dearth of such critical review, we assessed the literature to investigate its principle of acquisition, current applications, challenges and future directions. Based on our findings, the importance of rigorous scientific and clinical validation of the signal is highlighted. It is also evident that as a robust complement to electromyogram, mechanomyographic signal may possess unprecedented potentials and further investigation will be enlightening.
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Affiliation(s)
- Morufu Olusola Ibitoye
- Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, 50603 Kuala Lumpur, Malaysia; Department of Biomedical Engineering, Faculty of Engineering and Technology, University of Ilorin, P. M. B. 1515 Ilorin, Nigeria.
| | - Nur Azah Hamzaid
- Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, 50603 Kuala Lumpur, Malaysia.
| | - Jorge M Zuniga
- Department of Exercise Science, Creighton University, 2500 California Plaza, Kiewit Fitness center 228, Omaha, NE 68178, United States.
| | - Ahmad Khairi Abdul Wahab
- Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, 50603 Kuala Lumpur, Malaysia.
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Stehle R, Papadopoulos S, Pfitzer G. Muscle sound during macroscale skeletal muscle relaxation: is it linked to processes on the microscale sarcomere level? Acta Physiol (Oxf) 2014; 211:8-10. [PMID: 24641764 DOI: 10.1111/apha.12279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- R. Stehle
- Institute of Vegetative Physiology; University of Cologne; Köln Germany
| | - S. Papadopoulos
- Institute of Vegetative Physiology; University of Cologne; Köln Germany
| | - G. Pfitzer
- Institute of Vegetative Physiology; University of Cologne; Köln Germany
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