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Zhao K, Feng Y, Li L, Zhou Y, Zhang Z, Li J. Muscle synergies and muscle networks in multiple frequency components in post-stroke patients. Biomed Signal Process Control 2024; 95:106417. [DOI: 10.1016/j.bspc.2024.106417] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2025]
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2
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Bao S, Lei Y. Motor unit activity and synaptic inputs to motoneurons in the caudal part of the injured spinal cord. J Neurophysiol 2024; 131:187-197. [PMID: 38117916 DOI: 10.1152/jn.00178.2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 12/07/2023] [Accepted: 12/20/2023] [Indexed: 12/22/2023] Open
Abstract
Spinal cord injury (SCI) disrupts neuronal function below the lesion epicenter, causing disuse muscle atrophy. We investigated motor unit (MU) activity and synaptic inputs to motoneurons in the caudal region of the injured spinal cord. Participants with C4-C7 cervical injuries were studied. The extensor digitorum communis (EDC) muscle, which is mainly innervated by C8, was assessed for disuse muscle atrophy. Using advanced electromyography and signal-processing techniques, we examined the concurrent activation of a substantial population of MUs during force-tracking tasks. We found that in participants with SCI (n = 9), both MU discharge rates and the amplitudes of MU action potentials were significantly lower than in controls (n = 9). After SCI, MUs were recruited in a limited force range as the strength of muscle contractions increased, implying a disruption in the orderly MU recruitment pattern. Coherence analysis revealed reduced synaptic inputs to motoneurons in the delta band (0.5-5 Hz) for participants with SCI, suggesting diminished common synaptic inputs to the EDC muscle. In addition, participants with SCI exhibited greater muscle force variability. Using principal component analysis on low-frequency MU discharge rates, we found that the first common component (FCC) captured the most discharge variability in participants with SCI. The coefficients of variation (CV) of the FCC correlated with force signal CVs, suggesting force variability mainly results from common synaptic inputs to the EDC muscle after SCI. These results advance our understanding of the neurophysiology of disuse muscle atrophy in human SCI, paving the way for therapeutic interventions to restore muscle function.NEW & NOTEWORTHY This study analyzed motor unit (MU) function below the lesion epicenter in patients with spinal cord injury (SCI). We found reduced MU discharge rates and action potential amplitudes in participants with SCI compared with controls. The strength of common synaptic inputs to motoneurons was reduced in patients with SCI, with increased force variability primarily due to low-frequency oscillations of common inputs. This study enhances understanding of neurophysiological and behavioral changes in disuse muscle atrophy post-SCI.
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Affiliation(s)
- Shancheng Bao
- Department of Kinesiology & Sport Management, Texas A&M University, College Station, Texas, United States
| | - Yuming Lei
- Department of Kinesiology & Sport Management, Texas A&M University, College Station, Texas, United States
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3
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Ortega-Auriol P, Byblow WD, Besier T, McMorland AJC. Muscle synergies are associated with intermuscular coherence and cortico-synergy coherence in an isometric upper limb task. Exp Brain Res 2023; 241:2627-2643. [PMID: 37737925 PMCID: PMC10635925 DOI: 10.1007/s00221-023-06706-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Accepted: 09/10/2023] [Indexed: 09/23/2023]
Abstract
To elucidate the underlying physiological mechanisms of muscle synergies, we investigated long-range functional connectivity by cortico-muscular (CMC), intermuscular (IMC) and cortico-synergy (CSC) coherence. Fourteen healthy participants executed an isometric upper limb task in synergy-tuned directions. Cortical activity was recorded using 32-channel electroencephalography (EEG) and muscle activity using 16-channel electromyography (EMG). Using non-negative matrix factorisation (NMF), we calculated muscle synergies from two different tasks. A preliminary multidirectional task was used to identify synergy-preferred directions (PDs). A subsequent coherence task, consisting of generating forces isometrically in the synergy PDs, was used to assess the functional connectivity properties of synergies. Overall, we were able to identify four different synergies from the multidirectional task. A significant alpha band IMC was consistently present in all extracted synergies. Moreover, IMC alpha band was higher between muscles with higher weights within a synergy. Interestingly, CSC alpha band was also significantly higher across muscles with higher weights within a synergy. In contrast, no significant CMC was found between the motor cortex area and synergy muscles. The presence of a shared input onto synergistic muscles within a synergy supports the idea of neurally derived muscle synergies that build human movement. Our findings suggest cortical modulation of some of the synergies and the consequential existence of shared input between muscles within cortically modulated synergies.
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Affiliation(s)
- Pablo Ortega-Auriol
- Department of Exercise Sciences, University of Auckland, Auckland, New Zealand.
- Centre for Brain Research, University of Auckland, Auckland, New Zealand.
- Auckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand.
| | - Winston D Byblow
- Department of Exercise Sciences, University of Auckland, Auckland, New Zealand
- Centre for Brain Research, University of Auckland, Auckland, New Zealand
| | - Thor Besier
- Auckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand
| | - Angus J C McMorland
- Department of Exercise Sciences, University of Auckland, Auckland, New Zealand
- Centre for Brain Research, University of Auckland, Auckland, New Zealand
- Auckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand
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4
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Mancero Castillo CS, Atashzar SF, Vaidyanathan R. 3D muscle networks based on vibrational mechanomyography. J Neural Eng 2023; 20:066008. [PMID: 37812933 DOI: 10.1088/1741-2552/ad017c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 09/15/2023] [Indexed: 10/11/2023]
Abstract
Objective. Muscle network modeling maps synergistic control during complex motor tasks. Intermuscular coherence (IMC) is key to isolate synchronization underlying coupling in such neuromuscular control. Model inputs, however, rely on electromyography, which can limit the depth of muscle and spatial information acquisition across muscle fibers.Approach. We introduce three-dimensional (3D) muscle networks based on vibrational mechanomyography (vMMG) and IMC analysis to evaluate the functional co-modulation of muscles across frequency bands in concert with the longitudinal, lateral, and transverse directions of muscle fibers. vMMG is collected from twenty subjects using a bespoke armband of accelerometers while participants perform four hand gestures. IMC from four superficial muscles (flexor carpi radialis, brachioradialis, extensor digitorum communis, and flexor carpi ulnaris) is decomposed using matrix factorization into three frequency bands. We further evaluate the practical utility of the proposed technique by analyzing the network responses to various sensor-skin contact force levels, studying changes in quality, and discriminative power of vMMG.Main results. Results show distinct topological differences, with coherent coupling as high as 57% between specific muscle pairs, depending on the frequency band, gesture, and direction. No statistical decrease in signal strength was observed with higher contact force.Significance. Results support the usability vMMG as a tool for muscle connectivity analyses and demonstrate the use of IMC as a new feature space for hand gesture classification. Comparison of spectrotemporal and muscle network properties between levels of force support the robustness of vMMG-based network models to variations in tissue compression. We argue 3D models of vMMG-based muscle networks provide a new foundation for studying synergistic muscle activation, particularly in out-of-clinic scenarios where electrical recording is impractical.
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Affiliation(s)
| | - S Farokh Atashzar
- Department of Mechanical and Aerospace Engineering, Department of Electrical and Computer Engineering, New York University, New York, NY, United States of America
| | - Ravi Vaidyanathan
- Department of Mechanical Engineering, Imperial College London, London, United Kingdom
- UK Dementia Research Institute-CRT, Imperial College, London, United Kingdom
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5
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Delcamp C, Gasq D, Cormier C, Amarantini D. Corticomuscular and intermuscular coherence are correlated after stroke: a simplified motor control? Brain Commun 2023; 5:fcad187. [PMID: 37377979 PMCID: PMC10292907 DOI: 10.1093/braincomms/fcad187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 05/11/2023] [Accepted: 06/16/2023] [Indexed: 06/29/2023] Open
Abstract
During movement, corticomuscular coherence is a measure of central-peripheral communication, while intermuscular coherence is a measure of the amount of common central drive to the muscles. Although these two measures are modified in stroke subjects, no author has explored a correlation between them, neither in stroke subjects nor in healthy subjects. Twenty-four chronic stroke subjects and 22 healthy control subjects were included in this cohort study, and they performed 20 active elbow extension movements. The electroencephalographic and electromyographic activity of the elbow flexors and extensors were recorded. Corticomuscular and intermuscular coherence were calculated in the time-frequency domain for each limb of stroke and control subjects. Partial rank correlations were performed to study the link between these two variables. Our results showed a positive correlation between corticomuscular and intermuscular coherence only for stroke subjects, for their paretic and non-paretic limbs (P < 0.022; Rho > 0.50). These results suggest, beyond the cortical and spinal hypotheses to explain them, that stroke subjects present a form of simplification of motor control. When central-peripheral communication increases, it is less modulated and more common to the muscles involved in the active movement. This motor control simplification suggests a new way of understanding the plasticity of the neuromuscular system after stroke.
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Affiliation(s)
- Célia Delcamp
- ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, Université Paul Sabatier, 31062 Toulouse, France
| | - David Gasq
- ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, Université Paul Sabatier, 31062 Toulouse, France
- Department of Functional Physiological Explorations, University Hospital of Toulouse, Hôpital de Rangueil, 31400 Toulouse, France
| | - Camille Cormier
- ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, Université Paul Sabatier, 31062 Toulouse, France
- Department of Functional Physiological Explorations, University Hospital of Toulouse, Hôpital de Rangueil, 31400 Toulouse, France
| | - David Amarantini
- Correspondence to: David Amarantini Unité ToNIC, UMR 1214, CHU PURPAN – Pavillon BAUDOT Place du Dr Joseph Baylac, 31024 Toulouse Cedex 3, France E-mail:
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6
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Perrey S. Grand challenges in physical neuroergonomics. FRONTIERS IN NEUROERGONOMICS 2023; 4:1137854. [PMID: 38234495 PMCID: PMC10790944 DOI: 10.3389/fnrgo.2023.1137854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 01/30/2023] [Indexed: 01/19/2024]
Affiliation(s)
- Stéphane Perrey
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
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7
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Guo J, Liu T, Wang J. Effects of auditory feedback on fine motor output and corticomuscular coherence during a unilateral finger pinch task. Front Neurosci 2022; 16:896933. [DOI: 10.3389/fnins.2022.896933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 10/11/2022] [Indexed: 11/06/2022] Open
Abstract
Auditory feedback is important to reduce movement error and improve motor performance during a precise motor task. Accurate motion guided by auditory feedback may rely on the neural muscle transmission pathway between the sensorimotor area and the effective muscle. However, it remains unclear how neural activities and sensorimotor loops play a role in enhancing performance. The present study uses an auditory feedback system by simultaneously recording electroencephalogram (EEG), electromyography (EMG), and exert force information to measure corticomuscular coherence (CMC), neural activity, and motor performance during precise unilateral right-hand pinch by using the thumb and the index finger with and without auditory feedback. This study confirms three results. First, compared with no auditory feedback, auditory feedback decreases movement errors. Second, compared with no auditory feedback, auditory feedback decreased the power spectrum in the beta band in the bimanual sensorimotor cortex and the alpha band in the ipsilateral sensorimotor cortex. Finally, CMC was computed between effector muscle of right hand and contralateral sensorimotor cortex. Analyses reveals that the CMC of beta band significantly decreases in auditory feedback condition compared with no auditory feedback condition. The results indicate that auditory feedback decreases the power spectral in the alpha and beta bands and decreases corticospinal connection in the beta band during precise hand control. This study provides a new perspective on the effect of auditory feedback on behavior and brain activity and offers a new idea for designing more suitable and effective rehabilitation and training strategies to improve fine motor performance.
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8
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Higher visual gain contributions to bilateral motor synergies and force control. Sci Rep 2022; 12:18271. [PMID: 36316473 PMCID: PMC9622729 DOI: 10.1038/s41598-022-23274-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 10/27/2022] [Indexed: 11/05/2022] Open
Abstract
This study investigated the effects of altered visual gain levels on bilateral motor synergies determined by the uncontrolled manifold (UCM) hypothesis and force control. Twelve healthy participants performed bimanual index finger abduction force control tasks at 20% of their maximal voluntary contraction across four different visual gain conditions: 8, 80, 256, and 512 pixels/N. Quantifying force accuracy and variability within a trial provided a bimanual force control outcome. The UCM analysis measured bilateral motor synergies, a proportion of good variance to bad variance across multiple trials. Correlation analyses determined whether changes in the UCM variables were related to changes in force control variables from the lowest to highest visual gain conditions, respectively. Multiple analyses indicated that the three highest visual gain conditions in comparison to the lowest visual gain increased values of bilateral motor synergies and target force accuracy. The correlation findings showed that a reduction of bad variance from the lowest to three highest visual gain conditions was related to increased force accuracy. These findings reveal that visual gain greater than 8 pixels/N facilitates bimanual force control.
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Singh H, Shih HT, Kal E, Bennett T, Wulf G. A distal external focus of attention facilitates compensatory coordination of body parts. J Sports Sci 2022; 40:2282-2291. [PMID: 36418176 DOI: 10.1080/02640414.2022.2150419] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Many studies have shown that focusing on an intended movement effect that is farther away from the body (distal external focus) results in performance benefits relative to focusing on an effect that is closer to the body (proximal external focus) or focusing on the body itself (internal focus) (see, Chua, Jimenez-Diaz, Lewthwaite, Kim & Wulf, 2021). Furthermore, the advantages of a distal external focus seem to be particularly pronounced in skilled performers (Singh & Wulf, 2020). The present study examined whether such benefits of more distal attentional focus may be associated with enhanced functional variability. Volleyball players (n = 20) performed 60 overhand volleyball serves to a target. Using a within-participants design, the effects of a distal external focus (bullseye), proximal external focus (ball) and an internal focus (hand) were compared. The distal focus condition resulted in significantly higher accuracy scores than did the proximal and internal focus conditions. In addition, uncontrolled manifold analysis showed that functional variability (as measured by the index of synergy) was greatest in the distal focus condition. These findings suggest that a distal external focus on the task goal may enhance movement outcomes by optimising compensatory coordination of body parts.
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Affiliation(s)
- Harjiv Singh
- Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, NV, USA.,Orlando Magic Basketball Club, Orlando, FL, USA
| | - Hui-Ting Shih
- Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, NV, USA
| | - Elmar Kal
- Centre for Cognitive Neuroscience, Brunel University London, London, UK
| | - Tim Bennett
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
| | - Gabriele Wulf
- Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, NV, USA
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10
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Ye F, Ding J, Chen K, Xi X. Investigation of Corticomuscular Functional Coupling during Hand Movements Using Vine Copula. Brain Sci 2022; 12:754. [PMID: 35741639 PMCID: PMC9221488 DOI: 10.3390/brainsci12060754] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 05/30/2022] [Accepted: 06/06/2022] [Indexed: 02/05/2023] Open
Abstract
Corticomuscular functional coupling reflects the neuronal communication between cortical oscillations and muscle activity. Although the motor cortex is significantly involved in complex motor tasks, there is still no detailed understanding of the cortical contribution during such tasks. In this paper, we first propose a vine copula model to describe corticomuscular functional coupling and we construct the brain muscle function network. First, we recorded surface electromyography (sEMG) and electroencephalography (EEG) signals corresponding to the hand open, hand close, wrist flexion, and wrist extension motions of 12 participants during the initial experiments. The pre-processed signals were translated into the marginal density functions of different channels through the generalized autoregressive conditional heteroscedasticity model. Subsequently, we calculated the Kendall rank correlation coefficient, and used the R-vine model to decompose the multi-dimensional marginal density function into two-dimensional copula coefficient to determine the structure of the R-vine. Finally, we used the normalized adjacency matrix to structure the corticomuscular network for each hand motion considered. Based on the adjacency matrix, we found that the Kendall rank correlation coefficient between EEG and EMG was low. Moreover, a significant difference was observed in the correlation between the C3 and EMG signals for the different hand-motion activities. We also observed two core nodes in the networks corresponding to the four activities when the vine copula model was applied. Moreover, there was a large difference in the connections of the network models corresponding to the different hand-motion activities. Therefore, we believe that our approach is sufficiently accurate in identifying and classifying motor tasks.
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Affiliation(s)
- Fei Ye
- Department of Neurology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China;
| | - JinSuo Ding
- School of Automation, Hangzhou Dianzi University, Hangzhou 310018, China;
| | - Kai Chen
- Hangzhou Mingzhou Naokang Rehabilitation Hospital, Hangzhou 311215, China;
| | - Xugang Xi
- School of Automation, Hangzhou Dianzi University, Hangzhou 310018, China;
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11
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Visual feedback improves bimanual force control performances at planning and execution levels. Sci Rep 2021; 11:21149. [PMID: 34707163 PMCID: PMC8551182 DOI: 10.1038/s41598-021-00721-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 10/18/2021] [Indexed: 12/03/2022] Open
Abstract
The purpose of this study was to determine the effect of different visual conditions and targeted force levels on bilateral motor synergies and bimanual force control performances. Fourteen healthy young participants performed bimanual isometric force control tasks by extending their wrists and fingers under two visual feedback conditions (i.e., vision and no-vision) and three targeted force levels (i.e., 5%, 25%, and 50% of maximum voluntary contraction: MVC). To estimate bilateral motor synergies across multiple trials, we calculated the proportion of good variability relative to bad variability using an uncontrolled manifold analysis. To assess bimanual force control performances within a trial, we used the accuracy, variability, and regularity of total forces produced by two hands. Further, analysis included correlation coefficients between forces from the left and right hands. In addition, we examined the correlations between altered bilateral motor synergies and force control performances from no-vision to vision conditions for each targeted force level. Importantly, our findings revealed that the presence of visual feedback increased bilateral motor synergies across multiple trials significantly with a reduction of bad variability as well as improved bimanual force control performances within a trial based on higher force accuracy, lower force variability, less force regularity, and decreased correlation coefficients between hands. Further, we found two significant correlations in (a) increased bilateral motor synergy versus higher force accuracy at 5% of MVC and (b) increased bilateral motor synergy versus lower force variability at 50% of MVC. Together, these results suggested that visual feedback effectively improved both synergetic coordination behaviors across multiple trials and stability of task performance within a trial across various submaximal force levels.
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12
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A Systematic Review of Neurofeedback for the Management of Motor Symptoms in Parkinson's Disease. Brain Sci 2021; 11:brainsci11101292. [PMID: 34679358 PMCID: PMC8534214 DOI: 10.3390/brainsci11101292] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Accepted: 09/27/2021] [Indexed: 12/04/2022] Open
Abstract
Background: Neurofeedback has been proposed as a treatment for Parkinson’s disease (PD) motor symptoms by changing the neural network activity directly linked with movement. However, the effectiveness of neurofeedback as a treatment for PD motor symptoms is unclear. Aim: To systematically review the literature to identify the effects of neurofeedback in people with idiopathic PD; as defined by measurement of brain activity; motor function; and performance. Design: A systematic review. Included Sources and Articles: PubMed; MEDLINE; Cinhal; PsychoInfo; Prospero; Cochrane; ClinicalTrials.gov; EMBASE; Web of Science; PEDro; OpenGrey; Conference Paper Index; Google Scholar; and eThos; searched using the Population-Intervention-Comparison-Outcome (PICO) framework. Primary studies with the following designs were included: randomized controlled trials (RCTs), non-RCTs; quasi-experimental; pre/post studies; and case studies. Results: This review included 11 studies out of 6197 studies that were identified from the literature search. Neuroimaging methods used were fMRI; scalp EEG; surface brain EEG; and deep brain EEG; where 10–15 Hz and the supplementary motor area were the most commonly targeted signatures for EEG and fMRI, respectively. Success rates for changing one’s brain activity ranged from 47% to 100%; however, both sample sizes and success criteria differed considerably between studies. While six studies included a clinical outcome; a lack of consistent assessments prevented a reliable conclusion on neurofeedback’s effectiveness. Narratively, fMRI neurofeedback has the greatest potential to improve PD motor symptoms. Two main limitations were found in the studies that contributed to the lack of a confident conclusion: (1) insufficient clinical information and perspectives (e.g., no reporting of adverse events), and (2) limitations in numerical data reporting (e.g., lack of explicit statistics) that prevented a meta-analysis. Conclusions: While fMRI neurofeedback was narratively the most effective treatment; the omission of clinical outcome measures in studies using other neurofeedback approaches limits comparison. Therefore, no single neurofeedback type can currently be identified as an optimal treatment for PD motor symptoms. This systematic review highlights the need to improve the inclusion of clinical information and more robust reporting of numerical data in future work. Neurofeedback appears to hold great potential as a treatment for PD motor symptoms. However, this field is still in its infancy and needs high quality RCTs to establish its effectiveness. Review Registration: PROSPERO (ID: CRD42020191097)
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Jian C, Liu H, Deng L, Wang X, Yan T, Song R. Stroke-induced alteration in multi-layer information transmission of cortico-motor system during elbow isometric contraction modulated by myoelectric-controlled interfaces. J Neural Eng 2021; 18. [PMID: 34320485 DOI: 10.1088/1741-2552/ac18ae] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 07/28/2021] [Indexed: 11/12/2022]
Abstract
Objective. Human movement is a complex process requiring information transmission in inter-cortical, cortico-muscular and inter-muscular networks. Though motor deficits after stroke are associated with impaired networks in the cortico-motor system, the mechanisms underlying these networks are to date not fully understood. The purpose of this study is to investigate the changes in information transmission of the inter-cortical, cortico-muscular and inter-muscular networks after stroke and the effect of myoelectric-controlled interface (MCI) dimensionality on such information transmission in each network.Approach. Fifteen healthy control subjects and 11 post-stroke patients were recruited to perform elbow tracking tasks within different dimensional MCIs in this study. Their electromyography (EMG) and functional near-infrared spectroscopy (fNIRS) signals were recorded simultaneously. Transfer entropy was used to analyse the functional connection that represented the information transmission in each network based on the fNIRS and EMG signals.Main results.The results found that post-stroke patients showed the increased inter-cortical connection versus healthy control subjects, which might be attributed to cortical reorganisation to compensate for motor deficits. Compared to healthy control subjects, a lower strength cortico-muscular connection was found in post-stroke patients due to the reduction of information transmission following a stroke. Moreover, the increased MCI dimensionality strengthened inter-cortical, cortico-muscular and inter-muscular connections because of higher visual information processing demands.Significance. These findings not only provide a comprehensive overview to evaluate changes in the cortico-motor system due to stroke, but also suggest that increased MCI dimensionality may serve as a useful rehabilitation tool for boosting information transmission in the cortico-motor system of post-stroke patients.
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Affiliation(s)
- Chuyao Jian
- Key Laboratory of Sensing Technology and Biomedical Instrument of Guangdong Province, School of Biomedical Engineering, Sun Yat-sen University, Guangzhou 510275, People's Republic of China.,Shenzhen Research Institute of Sun Yat-sen University, Shenzhen 518057, People's Republic of China
| | - Huihua Liu
- Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, People's Republic of China
| | - Linchuan Deng
- Key Laboratory of Sensing Technology and Biomedical Instrument of Guangdong Province, School of Biomedical Engineering, Sun Yat-sen University, Guangzhou 510275, People's Republic of China.,Shenzhen Research Institute of Sun Yat-sen University, Shenzhen 518057, People's Republic of China
| | - Xiaoyun Wang
- Guangdong Work Injury Rehabilitation Center, Guangzhou 510440, People's Republic of China
| | - Tiebin Yan
- Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, People's Republic of China
| | - Rong Song
- Key Laboratory of Sensing Technology and Biomedical Instrument of Guangdong Province, School of Biomedical Engineering, Sun Yat-sen University, Guangzhou 510275, People's Republic of China.,Shenzhen Research Institute of Sun Yat-sen University, Shenzhen 518057, People's Republic of China
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14
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Laine CM, Cohn BA, Valero-Cuevas FJ. Temporal control of muscle synergies is linked with alpha-band neural drive. J Physiol 2021; 599:3385-3402. [PMID: 33963545 DOI: 10.1113/jp281232] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 04/21/2021] [Indexed: 12/19/2022] Open
Abstract
KEY POINTS It is theorized that the nervous system controls groups of muscles together as functional units, or 'synergies', resulting in correlated electromyographic (EMG) signals among muscles. However, such correlation does not necessarily imply group-level neural control. Oscillatory synchronization (coherence) among EMG signals implies neural coupling, but it is not clear how this relates to control of muscle synergies. EMG was recorded from seven arm muscles of 10 adult participants rotating an upper limb ergometer, and EMG-EMG coherence, EMG amplitude correlations and their relationship with each other were characterized. A novel method to derive multi-muscle synergies from EMG-EMG coherence is presented and these are compared with classically defined synergies. Coherent alpha-band (8-16 Hz) drive was strongest among muscles whose gross activity levels are well correlated within a given task. The cross-muscle distribution and temporal modulation of coherent alpha-band drive suggests a possible role in the neural coordination/monitoring of synergies. ABSTRACT During movement, groups of muscles may be controlled together by the nervous system as an adaptable functional entity, or 'synergy'. The rules governing when (or if) this occurs during voluntary behaviour in humans are not well understood, at least in part because synergies are usually defined by correlated patterns of muscle activity without regard for the underlying structure of their neural control. In this study, we investigated the extent to which comodulation of muscle output (i.e. correlation of electromyographic (EMG) amplitudes) implies that muscles share intermuscular neural input (assessed via EMG-EMG coherence analysis). We first examined this relationship among pairs of upper limb muscles engaged in an arm cycling task. We then applied a novel multidimensional EMG-EMG coherence analysis allowing synergies to be characterized on the basis of shared neural drive. We found that alpha-band coherence (8-16 Hz) is related to the degree to which overall muscle activity levels correlate over time. The extension of this coherence analysis to describe the cross-muscle distribution and temporal modulation of alpha-band drive revealed a close match to the temporal and structural features of traditionally defined muscle synergies. Interestingly, the coherence-derived neural drive was inversely associated with, and preceded, changes in EMG amplitudes by ∼200 ms. Our novel characterization of how alpha-band neural drive is dynamically distributed among muscles is a fundamental step forward in understanding the neural origins and correlates of muscle synergies.
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Affiliation(s)
- Christopher M Laine
- Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA
| | - Brian A Cohn
- Department of Computer Science, University of Southern California, Los Angeles, CA, USA
| | - Francisco J Valero-Cuevas
- Department of Computer Science, University of Southern California, Los Angeles, CA, USA.,Department of Biomedical Engineering, University of Southern California, Los Angeles, CA, USA.,Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA
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15
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Nijhuis P, Keller PE, Nozaradan S, Varlet M. Dynamic modulation of cortico-muscular coupling during real and imagined sensorimotor synchronisation. Neuroimage 2021; 238:118209. [PMID: 34051354 DOI: 10.1016/j.neuroimage.2021.118209] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Revised: 04/19/2021] [Accepted: 05/10/2021] [Indexed: 12/20/2022] Open
Abstract
People have a natural and intrinsic ability to coordinate body movements with rhythms surrounding them, known as sensorimotor synchronisation. This can be observed in daily environments, when dancing or singing along with music, or spontaneously walking, talking or applauding in synchrony with one another. However, the neurophysiological mechanisms underlying accurately synchronised movement with selected rhythms in the environment remain unclear. Here we studied real and imagined sensorimotor synchronisation with interleaved auditory and visual rhythms using cortico-muscular coherence (CMC) to better understand the processes underlying the preparation and execution of synchronised movement. Electroencephalography (EEG), electromyography (EMG) from the finger flexors, and continuous force signals were recorded in 20 participants during tapping and imagined tapping with discrete stimulus sequences consisting of alternating auditory beeps and visual flashes. The results show that the synchronisation between cortical and muscular activity in the beta (14-38 Hz) frequency band becomes time-locked to the taps executed in synchrony with the visual and auditory stimuli. Dynamic modulation in CMC also occurred when participants imagined tapping with the visual stimuli, but with lower amplitude and a different temporal profile compared to real tapping. These results suggest that CMC does not only reflect changes related to the production of the synchronised movement, but also to its preparation, which appears heightened under higher attentional demands imposed when synchronising with the visual stimuli. These findings highlight a critical role of beta band neural oscillations in the cortical-muscular coupling underlying sensorimotor synchronisation.
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Affiliation(s)
- Patti Nijhuis
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Sydney, Australia.
| | - Peter E Keller
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Sydney, Australia
| | - Sylvie Nozaradan
- Institute of Neuroscience (Ions), Université catholique de Louvain (UCL), Belgium
| | - Manuel Varlet
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Sydney, Australia; School of Psychology, Western Sydney University, Sydney, Australia
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16
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Changes in Intermuscular Coherence as a Function of Age and Phase of Speech Production During an Overt Reading Task. Motor Control 2021; 25:295-314. [PMID: 33690169 DOI: 10.1123/mc.2020-0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Revised: 12/22/2020] [Accepted: 12/22/2020] [Indexed: 11/18/2022]
Abstract
PURPOSE The authors evaluated changes in intermuscular coherence (IMC) of orofacial and speech breathing muscles across phase of speech production in healthy younger and older adults. METHOD Sixty adults (30 younger = M: 26.97 year; 30 older = M: 66.37 year) read aloud a list of 40 words. IMC was evaluated across phase: preparation (300 ms before speech onset), initiation (300 ms after onset), and total execution (entire word). RESULTS Orofacial IMC was lowest in the initiation, higher in preparation, and highest for the total execution phase. Chest wall IMC was lowest for the preparation and initiation and highest for the total execution phase. Despite age-related differences in accuracy, neuromuscular modulation for phase was similar between groups. CONCLUSION These results expand our knowledge of speech motor control by demonstrating that IMC is sensitive to phase of speech planning and production.
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Nagamori A, Laine CM, Loeb GE, Valero-Cuevas FJ. Force variability is mostly not motor noise: Theoretical implications for motor control. PLoS Comput Biol 2021; 17:e1008707. [PMID: 33684099 PMCID: PMC7971898 DOI: 10.1371/journal.pcbi.1008707] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 03/18/2021] [Accepted: 01/15/2021] [Indexed: 11/19/2022] Open
Abstract
Variability in muscle force is a hallmark of healthy and pathological human behavior. Predominant theories of sensorimotor control assume 'motor noise' leads to force variability and its 'signal dependence' (variability in muscle force whose amplitude increases with intensity of neural drive). Here, we demonstrate that the two proposed mechanisms for motor noise (i.e. the stochastic nature of motor unit discharge and unfused tetanic contraction) cannot account for the majority of force variability nor for its signal dependence. We do so by considering three previously underappreciated but physiologically important features of a population of motor units: 1) fusion of motor unit twitches, 2) coupling among motoneuron discharge rate, cross-bridge dynamics, and muscle mechanics, and 3) a series-elastic element to account for the aponeurosis and tendon. These results argue strongly against the idea that force variability and the resulting kinematic variability are generated primarily by 'motor noise.' Rather, they underscore the importance of variability arising from properties of control strategies embodied through distributed sensorimotor systems. As such, our study provides a critical path toward developing theories and models of sensorimotor control that provide a physiologically valid and clinically useful understanding of healthy and pathologic force variability.
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Affiliation(s)
- Akira Nagamori
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California, United States of America
| | - Christopher M. Laine
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California, United States of America
- Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California, United States of America
| | - Gerald E. Loeb
- Department of Biomedical Engineering, University of Southern California, Los Angeles, California, United States of America
| | - Francisco J. Valero-Cuevas
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California, United States of America
- Department of Biomedical Engineering, University of Southern California, Los Angeles, California, United States of America
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18
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Force Steadiness during Submaximal Isometric Plantar and Dorsiflexion in Resistance Training: Experienced vs Non-experienced Individuals. CENTRAL EUROPEAN JOURNAL OF SPORT SCIENCES AND MEDICINE 2021. [DOI: 10.18276/cej.2021.2-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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19
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Assari S. Parental Education, Household Income, and Cortical Surface Area among 9-10 Years Old Children: Minorities' Diminished Returns. Brain Sci 2020; 10:E956. [PMID: 33317053 PMCID: PMC7763341 DOI: 10.3390/brainsci10120956] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 12/04/2020] [Accepted: 12/07/2020] [Indexed: 12/16/2022] Open
Abstract
Introduction: Although the effects of parental education and household income on children's brain development are well established, less is known about possible variation in these effects across diverse racial and ethnic groups. According to the Minorities' Diminished Returns (MDRs) phenomenon, due to structural racism, social stratification, and residential segregation, parental educational attainment and household income show weaker effects for non-White than White children. Purpose: Built on the MDRs framework and conceptualizing race as a social rather than a biological factor, this study explored racial and ethnic variation in the magnitude of the effects of parental education and household income on children's whole-brain cortical surface area. Methods: For this cross-sectional study, we used baseline socioeconomic and structural magnetic resonance imaging (sMRI) data of the Adolescent Brain Cognitive Development (ABCD) study. Our analytical sample was 10,262 American children between ages 9 and 10. The independent variables were parental education and household income. The primary outcome was the children's whole-brain cortical surface area. Age, sex, and family marital status were covariates. Race and ethnicity were the moderators. We used mixed-effects regression models for data analysis as participants were nested within families and study sites. Results: High parental education and household income were associated with larger children's whole-brain cortical surface area. The effects of high parental education and high household income on children's whole-brain cortical surface area were modified by race. Compared to White children, Black children showed a diminished return of high parental education on the whole-brain cortical surface area when compared to White children. Asian American children showed weaker effects of household income on the whole-brain cortical surface area when compared to White children. We could not find differential associations between parental education and household income with the whole-brain cortical surface area, when compared to White children, for non-Hispanic and Hispanic children. Conclusions: The effects of parental educational attainment and household income on children's whole-brain cortical surface area are weaker in non-White than White families. Although parental education and income contribute to children's brain development, these effects are unequal across racial groups.
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Affiliation(s)
- Shervin Assari
- Department of Urban Public Health, Charles R Drew University of Medicine and Science, Los Angeles, CA 92697, USA;
- Department of Family Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA 92697, USA
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20
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Narita N, Endo H, Ishii T, Kobayashi T, Uchida T, Kantake I, Shibutani K. Effects of denture wearing on coordinated features of jaw and neck muscle activities during chewing in partially edentulous elderly patients. J Prosthodont Res 2020; 65:235-242. [PMID: 33041278 DOI: 10.2186/jpr.jpr_d_20_00004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study was performed to examine how denture wearing improves jaw and neck muscle coordination during chewing in partially edentulous elderly patients. METHODS Sixteen patients classified as Eichner's index B2 or B3 and 16 young dentate subjects were enrolled. Jaw and neck muscle activities during chewing were recorded using electromyography with and without denture wearing, then analyzed using intermuscular Electromyography (EMG)-EMG transfer and EMG-EMG coherence function analyses to clarify quantitative, temporal, and functional coordination of jaw and neck muscle activities while chewing. Occlusal force and masticatory scores were also determined. RESULTS Denture wearing increased the power values for jaw closing muscle activities, and improved occlusal area and force, and masticatory score. Gain values for jaw closing and opening muscle activities were decreased in those wearing dentures compared to those not wearing dentures. Denture wearing resulted in equivalent gain values for jaw closing and opening muscle activities as compared to the young subjects. Coherence values for chewing and non-chewing side neck muscle activities were increased as compared to not denture wearing. CONCLUSIONS The suitability of denture wearing can be evaluated from the viewpoint of gain as a quantitative parameter showing coordination between jaw closing and opening muscle activities. Such evaluation can be performed from the viewpoint of coherence as a parameter of functional coordination between jaw and neck muscle activities during chewing in partially edentulous elderly patients. The gain parameter in regard to jaw muscle activities may be compensated to a state equivalent to that seen in young subjects by wearing an appropriate denture.
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Affiliation(s)
- Noriyuki Narita
- Research Institute of Oral Science, Nihon University School of Dentistry at Matsudo, Chiba
| | - Hiroshi Endo
- Physical Fitness Technology Research Group, Human Informatics Research Institute, National Institute of Advanced Industrial Science and Technology (AIST),Ibaraki
| | - Tomohiro Ishii
- Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Chiba
| | - Taira Kobayashi
- Department of Fixed Prosthodontics and Oral Implantology, Nihon University School of Dentistry at Matsudo, Chiba
| | | | - Ikuo Kantake
- Dental Support Co. Ltd, Chiba.,Department of Anesthesiology, Nihon University School of Dentistry at Matsudo, Chiba
| | - Koh Shibutani
- Department of Anesthesiology, Nihon University School of Dentistry at Matsudo, Chiba
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21
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Watanabe T, Nojima I, Mima T, Sugiura H, Kirimoto H. Magnification of visual feedback modulates corticomuscular and intermuscular coherences differently in young and elderly adults. Neuroimage 2020; 220:117089. [DOI: 10.1016/j.neuroimage.2020.117089] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Revised: 06/05/2020] [Accepted: 06/21/2020] [Indexed: 10/24/2022] Open
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22
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Kenville R, Maudrich T, Vidaurre C, Maudrich D, Villringer A, Ragert P, Nikulin VV. Intermuscular coherence between homologous muscles during dynamic and static movement periods of bipedal squatting. J Neurophysiol 2020; 124:1045-1055. [PMID: 32816612 PMCID: PMC7742219 DOI: 10.1152/jn.00231.2020] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Coordination of functionally coupled muscles is a key aspect of movement execution. Demands on coordinative control increase with the number of involved muscles and joints, as well as with differing movement periods within a given motor sequence. While previous research has provided evidence concerning inter- and intramuscular synchrony in isolated movements, compound movements remain largely unexplored. With this study, we aimed to uncover neural mechanisms of bilateral coordination through intermuscular coherence (IMC) analyses between principal homologous muscles during bipedal squatting (BpS) at multiple frequency bands (alpha, beta, and gamma). For this purpose, participants performed bipedal squats without additional load, which were divided into three distinct movement periods (eccentric, isometric, and concentric). Surface electromyography (EMG) was recorded from four homologous muscle pairs representing prime movers during bipedal squatting. We provide novel evidence that IMC magnitudes differ between movement periods in beta and gamma bands, as well as between homologous muscle pairs across all frequency bands. IMC was greater in the muscle pairs involved in postural and bipedal stability compared with those involved in muscular force during BpS. Furthermore, beta and gamma IMC magnitudes were highest during eccentric movement periods, whereas we did not find movement-related modulations for alpha IMC magnitudes. This finding thus indicates increased integration of afferent information during eccentric movement periods. Collectively, our results shed light on intermuscular synchronization during bipedal squatting, as we provide evidence that central nervous processing of bilateral intermuscular functioning is achieved through task-dependent modulations of common neural input to homologous muscles. NEW & NOTEWORTHY It is largely unexplored how the central nervous system achieves coordination of homologous muscles of the upper and lower body within a compound whole body movement, and to what extent this neural drive is modulated between different movement periods and muscles. Using intermuscular coherence analysis, we show that homologous muscle functions are mediated through common oscillatory input that extends over alpha, beta, and gamma frequencies with different synchronization patterns at different movement periods.
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Affiliation(s)
- Rouven Kenville
- Institute for General Kinesiology and Exercise Science, Faculty of Sports Science, University of Leipzig, Leipzig, Germany.,Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany
| | - Tom Maudrich
- Institute for General Kinesiology and Exercise Science, Faculty of Sports Science, University of Leipzig, Leipzig, Germany.,Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany
| | - Carmen Vidaurre
- Department of Statistics, Informatics and Mathematics, Public University of Navarre, Pamplona, Spain.,Machine Learning Group, Faculty of EE and Computer Science, TU Berlin, Berlin, Germany
| | - Dennis Maudrich
- Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany
| | - Arno Villringer
- Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany.,MindBrainBody Institute at Berlin School of Mind and Brain, Charité-Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Germany.,Clinic for Cognitive Neurology, University Hospital Leipzig, Leipzig, Germany
| | - Patrick Ragert
- Institute for General Kinesiology and Exercise Science, Faculty of Sports Science, University of Leipzig, Leipzig, Germany.,Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany
| | - Vadim V Nikulin
- Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany.,Centre for Cognition and Decision Making, Institute for Cognitive Neuroscience, National Research University Higher School of Economics, Moscow, Russian Federation.,Neurophysics Group, Department of Neurology, Charité-University Medicine Berlin, Campus Benjamin Franklin, Berlin, Germany
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23
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Kerkman JN, Bekius A, Boonstra TW, Daffertshofer A, Dominici N. Muscle Synergies and Coherence Networks Reflect Different Modes of Coordination During Walking. Front Physiol 2020; 11:751. [PMID: 32792967 PMCID: PMC7394052 DOI: 10.3389/fphys.2020.00751] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Accepted: 06/10/2020] [Indexed: 11/13/2022] Open
Abstract
When walking speed is increased, the frequency ratio between the arm and leg swing switches spontaneously from 2:1 to 1:1. We examined whether these switches are accompanied by changes in functional connectivity between multiple muscles. Subjects walked on a treadmill with their arms swinging along their body while kinematics and surface electromyography (EMG) of 26 bilateral muscles across the body were recorded. Walking speed was varied from very slow to normal. We decomposed EMG envelopes and intermuscular coherence spectra using non-negative matrix factorization (NMF), and the resulting modes were combined into multiplex networks and analyzed for their community structure. We found five relevant muscle synergies that significantly differed in activation patterns between 1:1 and 2:1 arm-leg coordination and the transition period between them. The corresponding multiplex network contained a single module indicating pronounced muscle co-activation patterns across the whole body during a gait cycle. NMF of the coherence spectra distinguished three EMG frequency bands: 4-8, 8-22, and 22-60 Hz. The community structure of the multiplex network revealed four modules, which clustered functional and anatomical linked muscles across modes of coordination. Intermuscular coherence at 4-22 Hz between upper and lower body and within the legs was particularly pronounced for 1:1 arm-leg coordination and was diminished when switching between modes of coordination. These findings suggest that the stability of arm-leg coordination is associated with modulations in long-distant neuromuscular connectivity.
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Affiliation(s)
- Jennifer N. Kerkman
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences & Institute for Brain and Behavior Amsterdam, Vrije Universiteit, Amsterdam, Netherlands
| | - Annike Bekius
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences & Institute for Brain and Behavior Amsterdam, Vrije Universiteit, Amsterdam, Netherlands
| | - Tjeerd W. Boonstra
- Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands
- Neuroscience Research Australia, Randwick, NSW, Australia
| | - Andreas Daffertshofer
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences & Institute for Brain and Behavior Amsterdam, Vrije Universiteit, Amsterdam, Netherlands
| | - Nadia Dominici
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences & Institute for Brain and Behavior Amsterdam, Vrije Universiteit, Amsterdam, Netherlands
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24
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Laine CM, Valero-Cuevas FJ. Parkinson's Disease Exhibits Amplified Intermuscular Coherence During Dynamic Voluntary Action. Front Neurol 2020; 11:204. [PMID: 32308641 PMCID: PMC7145888 DOI: 10.3389/fneur.2020.00204] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 03/09/2020] [Indexed: 12/29/2022] Open
Abstract
Parkinson's disease (PD) is typically diagnosed and evaluated on the basis of overt motor dysfunction, however, subtle changes in the frequency spectrum of neural drive to muscles have been reported as well. During dynamic actions, coactive muscles of healthy adults often share a common source of 6-15 Hz (alpha-band) neural drive, creating synchronous alpha-band activity in their EMG signals. Individuals with PD commonly exhibit kinetic action tremor at similar frequencies, but the potential relationship between the intermuscular alpha-band neural drive seen in healthy adults and the action tremor associated with PD is not well-understood. A close relationship is most tenable during voluntary dynamic tasks where alpha-band neural drive is strongest in healthy adults, and where neural circuits affected by PD are most engaged. In this study, we characterized the frequency spectrum of EMG synchronization (intermuscular coherence) in 16 participants with PD and 15 age-matched controls during two dynamic motor tasks: (1) rotation of a dial between the thumb and index finger, and (2) dynamic scaling of isometric precision pinch force. These tasks produce different profiles of coherence between the first dorsal interosseous and abductor pollicis brevis muscles. We sought to determine if alpha-band intermuscular coherence would be amplified in participants with PD relative to controls, if such differences would be task-specific, and if they would correlate with symptom severity. We found that relative to controls, the PD group displayed amplified, but similarly task-dependent, coherence in the alpha-band. The magnitude of coherence during the rotation task correlated with overall symptom severity as per the UPDRS rating scale. Finally, we explored the potential for our coherence measures, with no additional information, to discriminate individuals with PD from controls. The area under the Receiver Operating Characteristic curve (AUC) indicated a clear separation between groups (AUC = 0.96), even though participants with PD were on their typical medication and displayed only mild-moderate symptoms. We conclude that a task-dependent, intermuscular neural drive within the alpha-band is amplified in PD. Its quantification via intermuscular coherence analysis may provide a useful tool for detecting the presence of PD, or assessing its progression.
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Affiliation(s)
- Christopher M Laine
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, United States
| | - Francisco J Valero-Cuevas
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, United States.,Department of Biomedical Engineering, University of Southern California, Los Angeles, CA, United States
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25
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Gamma frequency band shift of contralateral corticomuscular synchronous oscillations with force strength for hand movement tasks. Neuroreport 2020; 31:338-345. [PMID: 32058430 DOI: 10.1097/wnr.0000000000001409] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Bilateral voluntary contractions involve functional changes in both primary motor cortices. However how the unilateral voluntary contraction of hand muscles influences the contralateral corticomuscular synchronous oscillations mechanisms remains unclear. In the bimanual tasks, nine healthy subjects were instructed to generate force by abducting their left-hand index finger against a force sensor and simultaneously the right-hand precise pinch task with visual feedback. They were divided into four conditions according to the two contraction force levels of the left-hand muscles 5% and 50% maximal isometric voluntary contraction (MVC) and with/without visual feedback for the right hand. Corticomuscular synchronization of the right hand in the beta band was revealed when the subjects performed the bimanual exercise with 5% MVC of left-hand muscles, which is consistent with previous studies. As the contraction strength of the left-hand muscle increased to 50% MVC, the corticomuscular coherence (CMC) frequency of the right hand shifted to gamma band, and the CMC in beta band decreased significantly (P < 0.05) in the electroencephalography→electromyography direction. This phenomenon suggests that the corticomuscular synchronous oscillation will shift from beta band to higher frequencies (principally gamma) as the contraction force of the contralateral hand increases, which may be due to the changes in the subject's attention and more frequent synchronization of neuromuscular motor neurons oscillations. These findings will be helpful to explore the hand motion control and feedback mechanisms, and further provide a basis for the application of neuromuscular coupling in clinical rehabilitation evaluation.Video abstract: http://links.lww.com/WNR/A571.
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26
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Miller J. Breastfeeding Support Team: When to Add a Chiropractor. CLINICAL LACTATION 2020. [DOI: 10.1891/2158-0782.11.1.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ObjectiveChiropractors are primary care clinicians with a musculoskeletal focus. As community-based practitioners, they are educated and available to treat the common problems of infancy, including sub-optimal breastfeeding. The objective of this investigation was to highlight some of the key skills and techniques used by chiropractors to assist the breastfeeding dyad.MethodsThe method of this paper was a brief review of the evidence for chiropractic care to improve breastfeeding problems and to highlight the biological plausibility for that evidence. The primary evidence was evaluated by expert opinion.ResultsMechanical forces during intrauterine life and during birth may negatively affect the oral-motor function of the newborn. Although it is difficult to establish exact reasons for these problems, assisted births such as forceps, vacuum extraction and cesarean section have been implicated. It is the job of the chiropractor to examine the infant to detect and diagnose musculoskeletal problems that may impair the infant's feeding efficiency. After making a diagnosis, a treatment plan of precise, gentle manipulation can help maximize the functional effectiveness of the muscles and joints involved in breastfeeding and comfort for the child.ConclusionThe chiropractor is one of many professionals poised to support and assist effective breastfeeding. A collaborative team can be helpful to gain early establishment and continuation of breastfeeding.
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Boonstra TW, Faes L, Kerkman JN, Marinazzo D. Information decomposition of multichannel EMG to map functional interactions in the distributed motor system. Neuroimage 2019; 202:116093. [DOI: 10.1016/j.neuroimage.2019.116093] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 07/12/2019] [Accepted: 08/09/2019] [Indexed: 01/21/2023] Open
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Canonical maximization of coherence: A novel tool for investigation of neuronal interactions between two datasets. Neuroimage 2019; 201:116009. [PMID: 31302256 DOI: 10.1016/j.neuroimage.2019.116009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 05/24/2019] [Accepted: 07/10/2019] [Indexed: 11/23/2022] Open
Abstract
Synchronization between oscillatory signals is considered to be one of the main mechanisms through which neuronal populations interact with each other. It is conventionally studied with mass-bivariate measures utilizing either sensor-to-sensor or voxel-to-voxel signals. However, none of these approaches aims at maximizing synchronization, especially when two multichannel datasets are present. Examples include cortico-muscular coherence (CMC), cortico-subcortical interactions or hyperscanning (where electroencephalographic EEG/magnetoencephalographic MEG activity is recorded simultaneously from two or more subjects). For all of these cases, a method which could find two spatial projections maximizing the strength of synchronization would be desirable. Here we present such method for the maximization of coherence between two sets of EEG/MEG/EMG (electromyographic)/LFP (local field potential) recordings. We refer to it as canonical Coherence (caCOH). caCOH maximizes the absolute value of the coherence between the two multivariate spaces in the frequency domain. This allows very fast optimization for many frequency bins. Apart from presenting details of the caCOH algorithm, we test its efficacy with simulations using realistic head modelling and focus on the application of caCOH to the detection of cortico-muscular coherence. For this, we used diverse multichannel EEG and EMG recordings and demonstrate the ability of caCOH to extract complex patterns of CMC distributed across spatial and frequency domains. Finally, we indicate other scenarios where caCOH can be used for the extraction of neuronal interactions.
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29
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Martin V, Reimann H, Schöner G. A process account of the uncontrolled manifold structure of joint space variance in pointing movements. BIOLOGICAL CYBERNETICS 2019; 113:293-307. [PMID: 30771072 PMCID: PMC6510836 DOI: 10.1007/s00422-019-00794-w] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Accepted: 02/05/2019] [Indexed: 06/09/2023]
Abstract
In many situations, the human movement system has more degrees of freedom than needed to achieve a given movement task. Martin et al. (Neural Comput 21(5):1371-1414, 2009) accounted for signatures of such redundancy like self-motion and motor equivalence in a process model in which a neural oscillator generated timed end-effector virtual trajectories that a neural dynamics transformed into joint virtual trajectories while decoupling task-relevant and task-irrelevant combinations of joint angles. Neural control of muscle activation and the biomechanical dynamics of the arm were taken into account. The model did not address the main signature of redundancy, however, the UCM structure of variance: Many experimental studies have shown that across repetitions, variance of joint configuration trajectories is structured. Combinations of joint angles that affect task variables (lying in the uncontrolled manifold, UCM) are much more variable than combinations of joint angles that do not. This finding has been robust across movement systems, age, and tasks and is often preserved in clinical populations as well. Here, we provide an account for the UCM structure of variance by adding four types of noise sources to the model of Martin et al. (Neural Comput 21(5):1371-1414, 2009). Comparing the model to human pointing movements and systematically examining the role of each noise source and mechanism, we identify three causes of the UCM effect, all of which, we argue, contribute: (1) the decoupling of motor commands across the task-relevant and task-irrelevant subspaces together with "neural" noise at the level of these motor commands; (2) "muscle noise" combined with imperfect control of the limb; (3) back-coupling of sensed joint configurations into the motor commands which then yield to the sensed joint configuration within the UCM.
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Affiliation(s)
- Valère Martin
- Institute for Neural Computation, Ruhr-University, Bochum, Germany
- Present Address: Bern University of Applied Sciences, Länggasse 85, 3052 Zollikofen, Switzerland
| | - Hendrik Reimann
- Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE USA
| | - Gregor Schöner
- Institute for Neural Computation, Ruhr-University, Bochum, Germany
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30
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Zandvoort CS, van Dieën JH, Dominici N, Daffertshofer A. The human sensorimotor cortex fosters muscle synergies through cortico-synergy coherence. Neuroimage 2019; 199:30-37. [PMID: 31121297 DOI: 10.1016/j.neuroimage.2019.05.041] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 04/27/2019] [Accepted: 05/16/2019] [Indexed: 11/17/2022] Open
Abstract
In neuromotor control, the dimensionality of complex muscular activation patterns is effectively reduced through the emergence of muscle synergies. Muscle synergies are tailored to task-specific biomechanical needs. Traditionally, they are considered as low-dimensional neural output of the spinal cord and as such their coherent cortico-muscular pathways have remained underexplored in humans. We investigated whether muscle synergies have a higher-order origin, especially, whether they are manifest in the cortical motor network. We focused on cortical muscle synergy representations involved in balance control and examined changes in cortico-synergy coherence accompanying short-term balance training. We acquired electromyography and electro-encephalography and reconstructed cortical source activity using adaptive spatial filters. The latter were based on three muscle synergies decomposed from the activity of nine unilateral leg muscles using non-negative matrix factorization. The corresponding cortico-synergy coherence displayed phase-locked activity at the Piper rhythm, i.e., cortico-spinal synchronization around 40 Hz. Our study revealed the presence of muscle synergies in the motor cortex, in particular, in the paracentral lobule, known for the representation of lower extremities. We conclude that neural oscillations synchronize between the motor cortex and spinal motor neuron pools signifying muscle synergies. The corresponding cortico-synergy coherence around the Piper rhythm decreases with training-induced balance improvement.
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Affiliation(s)
- Coen S Zandvoort
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Institute for Brain and Behavior Amsterdam & Amsterdam Movement Sciences, the Netherlands
| | - Jaap H van Dieën
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Institute for Brain and Behavior Amsterdam & Amsterdam Movement Sciences, the Netherlands
| | - Nadia Dominici
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Institute for Brain and Behavior Amsterdam & Amsterdam Movement Sciences, the Netherlands
| | - Andreas Daffertshofer
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Institute for Brain and Behavior Amsterdam & Amsterdam Movement Sciences, the Netherlands.
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31
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Chen YT, Li S, Magat E, Zhou P, Li S. Motor Overflow and Spasticity in Chronic Stroke Share a Common Pathophysiological Process: Analysis of Within-Limb and Between-Limb EMG-EMG Coherence. Front Neurol 2018; 9:795. [PMID: 30356703 PMCID: PMC6189334 DOI: 10.3389/fneur.2018.00795] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 09/04/2018] [Indexed: 01/06/2023] Open
Abstract
The phenomenon of exaggerated motor overflow is well documented in stroke survivors with spasticity. However, the mechanism underlying the abnormal motor overflow remains unclear. In this study, we aimed to investigate the possible mechanisms behind abnormal motor overflow and its possible relations with post-stroke spasticity. 11 stroke patients (63.6 ± 6.4 yrs; 4 women) and 11 healthy subjects (31.18 ± 6.18 yrs; 2 women) were recruited. All of them were asked to perform unilateral isometric elbow flexion at submaximal levels (10, 30, and 60% of maximum voluntary contraction). Electromyogram (EMG) was measured from the contracting biceps (iBiceps) muscle and resting contralateral biceps (cBiceps), ipsilateral flexor digitorum superficialis (iFDS), and contralateral FDS (cFDS) muscles. Motor overflow was quantified as the normalized EMG of the resting muscles. The severity of motor impairment was quantified through reflex torque (spasticity) and weakness. EMG-EMG coherence was calculated between the contracting muscle and each of the resting muscles. During elbow flexion on the impaired side, stroke subjects exhibited significant higher motor overflow to the iFDS muscle compared with healthy subjects (ipsilateral or intralimb motor overflow). Stroke subjects exhibited significantly higher motor overflow to the contralateral spastic muscles (cBiceps and cFDS) during elbow flexion on the non-impaired side (contralateral or interlimb motor overflow), compared with healthy subjects. Moreover, there was significantly high EMG-EMG coherence in the alpha band (6–12 Hz) between the contracting muscle and all other resting muscles during elbow flexion on the non-impaired side. Our results of diffuse ipsilateral and contralateral motor overflow with EMG-EMG coherence in the alpha band suggest subcortical origins of motor overflow. Furthermore, correlation between contralateral motor overflow to contralateral spastic elbow and finger flexors and their spasticity was consistently at moderate to high levels. A high correlation suggests that diffuse motor overflow to the impaired side and spasticity likely share a common pathophysiological process. Possible mechanisms are discussed.
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Affiliation(s)
- Yen-Ting Chen
- Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center - Houston, Houston, TX, United States.,TIRR Research Center, TIRR Memorial Hermann Hospital, Houston, TX, United States
| | - Shengai Li
- Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center - Houston, Houston, TX, United States.,TIRR Research Center, TIRR Memorial Hermann Hospital, Houston, TX, United States
| | - Elaine Magat
- Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center - Houston, Houston, TX, United States.,TIRR Research Center, TIRR Memorial Hermann Hospital, Houston, TX, United States
| | - Ping Zhou
- Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center - Houston, Houston, TX, United States.,TIRR Research Center, TIRR Memorial Hermann Hospital, Houston, TX, United States
| | - Sheng Li
- Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center - Houston, Houston, TX, United States.,TIRR Research Center, TIRR Memorial Hermann Hospital, Houston, TX, United States
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32
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Hu G, Yang W, Chen X, Qi W, Li X, Du Y, Xie P. Estimation of Time-Varying Coherence Amongst Synergistic Muscles During Wrist Movements. Front Neurosci 2018; 12:537. [PMID: 30131672 PMCID: PMC6090894 DOI: 10.3389/fnins.2018.00537] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 07/17/2018] [Indexed: 12/11/2022] Open
Abstract
The central nervous system (CNS) controls the limb movement by modulating multiple skeletal muscles with synergistic modules and neural oscillations with different frequencies between the activated muscles. Several researchers have found intermuscular coherence existing within the synergistic muscle pairs, and pointed out that the intermuscular synchronization existed when functional forces were generated. However, few studies involved the time-varying characteristics of the intermuscular coherence in each synergy module though all activated muscles keep in a dynamic and varying process. Therefore, this study aims to explore the time-varying coherence amongst synergistic muscles during movements based on the combination of the non-negative matrix factorization (NMF) method and the time-frequency coherence (TFC) method. We applied these methods into the electromyogram (EMG) signals recorded from eight muscles involved in the sequence of the wrist movements [wrist flexion (WF), wrist flexion transmission to wrist extension (MC) and wrist extension (WE)] in 12 healthy people. The results showed three synergistic flexor pairs (FCR-PL, FCR-FDS, and PL-FDS) in the WF stage and three extensor pairs (ECU-ECR, ECU-B, and ECR-B) in both MC and WE stages. Further analysis showed intermuscular coherence between each pairwise synergistic muscles. The intermuscular coherence between the flexor muscle pairs was mainly observed in the beta band (15-35 Hz) during the WF stage, and that amongst the extensor muscle pairs was also observed in the beta band during the WE stage. However, the intermuscular coherence between the extensor muscle pairs mainly on gamma band during the MC stage. Additionally, compared to the flexor muscle pairs, the intermuscular coherence of the extensor muscle pairs were lower in the WF stage, and higher in both MC and WE stages. These results demonstrated the time-varying mechanisms of the synergistic modulation and synchronous oscillation in motor-control system. This study contributes to expanded researches for motor control.
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Affiliation(s)
- Guiting Hu
- Key Lab of Measurement Technology and Instrumentation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, China
| | - Wenjuan Yang
- Key Lab of Measurement Technology and Instrumentation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, China
| | - Xiaoling Chen
- Key Lab of Measurement Technology and Instrumentation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, China
| | - Wenjing Qi
- Key Lab of Measurement Technology and Instrumentation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, China
| | - Xinxin Li
- Key Lab of Measurement Technology and Instrumentation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, China
| | - Yihao Du
- Key Lab of Measurement Technology and Instrumentation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, China
| | - Ping Xie
- Key Lab of Measurement Technology and Instrumentation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, China
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33
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Kerkman JN, Daffertshofer A, Gollo LL, Breakspear M, Boonstra TW. Functional connectivity analysis of multiplex muscle network across frequencies. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2018; 2017:1567-1570. [PMID: 29060180 DOI: 10.1109/embc.2017.8037136] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Physiological networks reveal information about the interaction between subsystems of the human body. Here we investigated the interaction between the central nervous system and the musculoskeletal system by mapping functional muscle networks. Muscle networks were extracted using coherence analysis of muscle activity assessed using surface electromyography (EMG). Surface EMG was acquired from 36 muscles distributed throughout the body while participants were standing upright and performing a bimanual pointing task. Non-negative matrix factorization revealed functional connectivity in four frequency bands. The spatial arrangement differed considerably across frequencies supporting a multiplex network organisation. Graph-theory analysis of layer-specific network revealed a consistent fat-tail distribution of the edges weights, distinct efficiency values, and core-periphery properties. These frequency bands may be spectral fingerprints of different neural pathways that innervate the spinal motor neurons to control the musculoskeletal system.
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34
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Aguiar SA, Baker SN, Gant K, Bohorquez J, Thomas CK. Spasms after spinal cord injury show low-frequency intermuscular coherence. J Neurophysiol 2018; 120:1765-1771. [PMID: 30067124 PMCID: PMC6230810 DOI: 10.1152/jn.00112.2018] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Intermuscular coherence allows the investigation of common input to muscle groups. Although beta-band (15–30 Hz) intermuscular coherence is well understood as originating from the cortex, the source of intermuscular coherence at lower frequencies is still unclear. We used a wearable device that recorded electromyographic (EMG) signals during a 24-h period in four lower limb muscles of seven spinal cord injury patients (American Spinal Cord Injury Association impairment scale: A, 6 subjects; B, 1 subject) while they went about their normal daily life activities. We detected natural spasms occurring during these long-lasting recordings and calculated intermuscular coherence between all six possible combinations of muscle pairs. There was significant intermuscular coherence at low frequencies, between 2 and 13 Hz. The most likely source for this was the spinal cord and its peripheral feedback loops, because the spinal lesions in these patients had interrupted connections to supraspinal structures. This is the first report to demonstrate that the spinal cord is capable of producing low-frequency intermuscular coherence with severely reduced or abolished descending drive. NEW & NOTEWORTHY This is the first report to demonstrate that intermuscular coherence between lower limb muscles at low frequencies can be produced by the spinal cord with severely reduced or abolished descending drive.
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Affiliation(s)
- Stefane A Aguiar
- Institute of Neuroscience, Newcastle University , Newcastle Upon Tyne , United Kingdom
| | - Stuart N Baker
- Institute of Neuroscience, Newcastle University , Newcastle Upon Tyne , United Kingdom
| | - Katie Gant
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine , Miami, Florida
| | - Jorge Bohorquez
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine , Miami, Florida.,Department of Biomedical Engineering, University of Miami Miller School of Medicine , Miami, Florida
| | - Christine K Thomas
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine , Miami, Florida.,Department of Neurological Surgery, University of Miami Miller School of Medicine , Miami, Florida.,Department of Physiology and Biophysics, University of Miami Miller School of Medicine , Miami, Florida
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35
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Watanabe T, Saito K, Ishida K, Tanabe S, Nojima I. Age-Related Declines in the Ability to Modulate Common Input to Bilateral and Unilateral Plantar Flexors During Forward Postural Lean. Front Hum Neurosci 2018; 12:254. [PMID: 29988551 PMCID: PMC6026674 DOI: 10.3389/fnhum.2018.00254] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Accepted: 06/04/2018] [Indexed: 11/13/2022] Open
Abstract
Aging can impair an ability to lean the body forward to the edge of the base of support. Here, we investigated, using a coherence analysis, common inputs to bilateral and unilateral plantar flexor muscles to test a hypothesis that the age-related impairment would be related to strong synchronous bilateral activation and reduced cortical control of these muscles. Healthy young (n = 14) and elderly adults (n = 19), who were all right-foot dominant, performed quiet standing task and tasks that required the subjects to lean their body forward to 35 and 75% of the maximum lean distance. The electromyogram was recorded from the bilateral medial gastrocnemius (MG) and soleus (SL) muscles. We analyzed delta-band coherence, that reflects comodulation of muscle activity, between the bilateral homologous muscles (MG-MG and SL-SL pairs). The origin of this bilateral comodulation is suggested to be the subcortical system. Also, we examined beta-band coherence, that is related to the corticospinal drive, between the unilateral muscles (MG-SL pair) in the right leg. Results indicated that the bilateral delta-band coherence for the MG-MG pair was significantly smaller in the 75% forward lean than quiet standing and 35% forward lean tasks for the young adults (quiet: p = 0.036; 35%: p = 0.0011). The bilateral delta-band coherence for the SL-SL pair was significantly smaller in the 75% forward lean than 35% forward lean task for the young adults (p = 0.027). Furthermore, the unilateral beta-band coherence was larger in the forward lean than quiet standing task for the young adults (35%: p < 0.001; 75%: p = 0.029). Contrarily, the elderly adults did not demonstrate such changes. These findings suggest the importance of decreasing the synchronous bilateral activation and increasing the unilateral cortical control of the plantar flexor muscles for the successful forward postural lean performance, and that aging impairs this modulatory ability.
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Affiliation(s)
- Tatsunori Watanabe
- Department of Physical Therapy, Graduate School of Medicine, Nagoya University, Nagoya, Japan.,Japan Society for the Promotion of Science, Tokyo, Japan
| | - Kotaro Saito
- Department of Physical Therapy, Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Kazuto Ishida
- Department of Physical Therapy, Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Shigeo Tanabe
- Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan
| | - Ippei Nojima
- Department of Physical Therapy, Graduate School of Medicine, Nagoya University, Nagoya, Japan
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36
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Kerkman JN, Daffertshofer A, Gollo LL, Breakspear M, Boonstra TW. Network structure of the human musculoskeletal system shapes neural interactions on multiple time scales. SCIENCE ADVANCES 2018; 4:eaat0497. [PMID: 29963631 PMCID: PMC6021138 DOI: 10.1126/sciadv.aat0497] [Citation(s) in RCA: 84] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Accepted: 05/22/2018] [Indexed: 06/02/2023]
Abstract
Human motor control requires the coordination of muscle activity under the anatomical constraints imposed by the musculoskeletal system. Interactions within the central nervous system are fundamental to motor coordination, but the principles governing functional integration remain poorly understood. We used network analysis to investigate the relationship between anatomical and functional connectivity among 36 muscles. Anatomical networks were defined by the physical connections between muscles, and functional networks were based on intermuscular coherence assessed during postural tasks. We found a modular structure of functional networks that was strongly shaped by the anatomical constraints of the musculoskeletal system. Changes in postural tasks were associated with a frequency-dependent reconfiguration of the coupling between functional modules. These findings reveal distinct patterns of functional interactions between muscles involved in flexibly organizing muscle activity during postural control. Our network approach to the motor system offers a unique window into the neural circuitry driving the musculoskeletal system.
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Affiliation(s)
- Jennifer N. Kerkman
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences and Institute for Brain and Behavior, Amsterdam, Netherlands
| | - Andreas Daffertshofer
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences and Institute for Brain and Behavior, Amsterdam, Netherlands
| | - Leonardo L. Gollo
- QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia
- The University of Queensland, St. Lucia, Queensland 4072, Australia
- Queensland University of Technology, 2 George Street, Brisbane, Queensland 4000, Australia
- National Institute for Dementia Research, QIMR Berghofer Medical Research Institute, 300 Herston Road, Brisbane, Queensland 4006, Australia
| | - Michael Breakspear
- QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia
- Metro North Mental Health Service, Brisbane, Queensland, Australia
| | - Tjeerd W. Boonstra
- QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia
- Black Dog Institute, University of New South Wales, Sydney, New South Wales, Australia
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37
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Kantak S, Jax S, Wittenberg G. Bimanual coordination: A missing piece of arm rehabilitation after stroke. Restor Neurol Neurosci 2018; 35:347-364. [PMID: 28697575 DOI: 10.3233/rnn-170737] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Inability to use the arm in daily actions significantly lowers quality of life after stroke. Most contemporary post-stroke arm rehabilitation strategies that aspire to re-engage the weaker arm in functional activities have been greatly limited in their effectiveness. Most actions of daily life engage the two arms in a highly coordinated manner. In contrast, most rehabilitation approaches predominantly focus on restitution of the impairments and unilateral practice of the weaker hand alone. We present a perspective that this misalignment between real world requirements and intervention strategies may limit the transfer of unimanual capability to spontaneous arm use and functional recovery. We propose that if improving spontaneous engagement and use of the weaker arm in real life is the goal, arm rehabilitation research and treatment need to address the coordinated interaction between arms in targeted theory-guided interventions. Current narrow focus on unimanual deficits alone, difficulty in quantifying bimanual coordination in real-world actions and limited theory-guided focus on control and remediation of different coordination modes are some of the biggest obstacles to successful implementation of effective interventions to improve bimanual coordination in the real world. We present a theory-guided taxonomy of bimanual actions that will facilitate quantification of coordination for different real-world tasks and provide treatment targets for addressing coordination deficits. We then present evidence in the literature that points to bimanual coordination deficits in stroke survivors and demonstrate how current rehabilitation approaches are limited in their impact on bimanual coordination. Importantly, we suggest theory-based areas of future investigation that may assist quantification, identification of neural mechanisms and scientifically-based training/remediation approaches for bimanual coordination deficits post-stroke. Advancing the science and practice of arm rehabilitation to incorporate bimanual coordination will lead to a more complete functional recovery of the weaker arm, thus improving the effectiveness of rehabilitation interventions and augmenting quality of life after stroke.
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Affiliation(s)
- Shailesh Kantak
- Moss Rehabilitation Research Institute, Elkins Park, PA, USA.,Department of Physical Therapy, Arcadia University, Elkins Park, PA, USA
| | - Steven Jax
- Moss Rehabilitation Research Institute, Elkins Park, PA, USA
| | - George Wittenberg
- Department of Neurology, Baltimore VAMC, University of Maryland, Glenside, PA, USA
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38
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Kang N, Cauraugh JH. Coherence and interlimb force control: Effects of visual gain. Neurosci Lett 2018; 668:86-91. [PMID: 29337009 DOI: 10.1016/j.neulet.2018.01.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Revised: 01/10/2018] [Accepted: 01/10/2018] [Indexed: 11/28/2022]
Abstract
Neural coupling across hemispheres and homologous muscles often appears during bimanual motor control. Force coupling in a specific frequency domain may indicate specific bimanual force coordination patterns. This study investigated coherence on pairs of bimanual isometric index finger force while manipulating visual gain and task asymmetry conditions. We used two visual gain conditions (low and high gain = 8 and 512 pixels/N), and created task asymmetry by manipulating coefficient ratios imposed on the left and right index finger forces (0.4:1.6; 1:1; 1.6:0.4, respectively). Unequal coefficient ratios required different contributions from each hand to the bimanual force task resulting in force asymmetry. Fourteen healthy young adults performed bimanual isometric force control at 20% of their maximal level of the summed force of both fingers. We quantified peak coherence and relative phase angle between hands at 0-4, 4-8, and 8-12 Hz, and estimated a signal-to-noise ratio of bimanual forces. The findings revealed higher peak coherence and relative phase angle at 0-4 Hz than at 4-8 and 8-12 Hz for both visual gain conditions. Further, peak coherence and relative phase angle values at 0-4 Hz were larger at the high gain than at the low gain. At the high gain, higher peak coherence at 0-4 Hz collapsed across task asymmetry conditions significantly predicted greater signal-to-noise ratio. These findings indicate that a greater level of visual information facilitates bimanual force coupling at a specific frequency range related to sensorimotor processing.
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Affiliation(s)
- Nyeonju Kang
- Division of Sport Science, Incheon, South Korea; Sport Science Institute, Incheon National University, Incheon, South Korea
| | - James H Cauraugh
- Motor Behavior Laboratory, University of Florida, Gainesville, FL, USA.
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39
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Abstract
Using electroencephalography and electromyography recordings from healthy participants during a visual-depended bimanual coordination task, de Vries and colleagues showed that functional synchronization is important in motor coordination. The authors reported that higher coordination correlated positively with intermuscular synchrony, but correlated negatively with corticomuscular synchrony. They proposed that these two diverse motor systems operate differently depending on task demands. Similar experimental paradigms could identify motor mechanisms in patients with neurological disorders to design novel rehabilitation strategies.
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40
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Nojima I, Watanabe T, Saito K, Tanabe S, Kanazawa H. Modulation of EMG-EMG Coherence in a Choice Stepping Task. Front Hum Neurosci 2018; 12:50. [PMID: 29487515 PMCID: PMC5816746 DOI: 10.3389/fnhum.2018.00050] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Accepted: 01/30/2018] [Indexed: 12/11/2022] Open
Abstract
The voluntary step execution task is a popular measure for identifying fall risks among elderly individuals in the community setting because most falls have been reported to occur during movement. However, the neurophysiological functions during this movement are not entirely understood. Here, we used electromyography (EMG) to explore the relationship between EMG-EMG coherence, which reflects common oscillatory drive to motoneurons, and motor performance associated with stepping tasks: simple reaction time (SRT) and choice reaction time (CRT) tasks. Ten healthy elderly adults participated in the study. Participants took a single step forward in response to a visual imperative stimulus. EMG-EMG coherence was analyzed for 1000 ms before the presentation of the stimulus (stationary standing position) from proximal and distal tibialis anterior (TA) and soleus (SOL) muscles. The main result showed that all paired EMG-EMG coherences in the alpha and beta frequency bands were greater in the SRT than the CRT task. This finding suggests that the common oscillatory drive to the motoneurons during the SRT task occurred prior to taking a step, whereas the lower value of corticospinal activity during the CRT task prior to taking a step may indicate an involvement of inhibitory activity, which is consistent with observations from our previous study (Watanabe et al., 2016). Furthermore, the beta band coherence in intramuscular TA tended to positively correlate with the number of performance errors that are associated with fall risks in the CRT task, suggesting that a reduction in the inhibitory activity may result in a decrease of stepping performance. These findings could advance the understanding of the neurophysiological features of postural adjustments in elderly individuals.
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Affiliation(s)
- Ippei Nojima
- Department of Physical Therapy, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Tatsunori Watanabe
- Department of Physical Therapy, Nagoya University Graduate School of Medicine, Nagoya, Japan.,Japan Society for the Promotion of Science, Tokyo, Japan
| | - Kotaro Saito
- Department of Physical Therapy, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Shigeo Tanabe
- Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan
| | - Hoshinori Kanazawa
- Japan Society for the Promotion of Science, Tokyo, Japan.,Graduate School of Information Science and Technology, The University of Tokyo, Tokyo, Japan
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41
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Valero-Cuevas FJ, Santello M. On neuromechanical approaches for the study of biological and robotic grasp and manipulation. J Neuroeng Rehabil 2017; 14:101. [PMID: 29017508 PMCID: PMC5635506 DOI: 10.1186/s12984-017-0305-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2017] [Accepted: 09/04/2017] [Indexed: 12/31/2022] Open
Abstract
Biological and robotic grasp and manipulation are undeniably similar at the level of mechanical task performance. However, their underlying fundamental biological vs. engineering mechanisms are, by definition, dramatically different and can even be antithetical. Even our approach to each is diametrically opposite: inductive science for the study of biological systems vs. engineering synthesis for the design and construction of robotic systems. The past 20 years have seen several conceptual advances in both fields and the quest to unify them. Chief among them is the reluctant recognition that their underlying fundamental mechanisms may actually share limited common ground, while exhibiting many fundamental differences. This recognition is particularly liberating because it allows us to resolve and move beyond multiple paradoxes and contradictions that arose from the initial reasonable assumption of a large common ground. Here, we begin by introducing the perspective of neuromechanics, which emphasizes that real-world behavior emerges from the intimate interactions among the physical structure of the system, the mechanical requirements of a task, the feasible neural control actions to produce it, and the ability of the neuromuscular system to adapt through interactions with the environment. This allows us to articulate a succinct overview of a few salient conceptual paradoxes and contradictions regarding under-determined vs. over-determined mechanics, under- vs. over-actuated control, prescribed vs. emergent function, learning vs. implementation vs. adaptation, prescriptive vs. descriptive synergies, and optimal vs. habitual performance. We conclude by presenting open questions and suggesting directions for future research. We hope this frank and open-minded assessment of the state-of-the-art will encourage and guide these communities to continue to interact and make progress in these important areas at the interface of neuromechanics, neuroscience, rehabilitation and robotics.
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Affiliation(s)
- Francisco J Valero-Cuevas
- Biomedical Engineering Department, University of Southern California, Los Angeles, CA, USA.
- Division of Biokinesiology & Physical Therapy, University of Southern California, Los Angeles, CA, USA.
| | - Marco Santello
- School of Biological and Health Systems Engineering Arizona State University, Tempe, AZ, USA
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42
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Laine CM, Valero-Cuevas FJ. Intermuscular coherence reflects functional coordination. J Neurophysiol 2017; 118:1775-1783. [PMID: 28659460 DOI: 10.1152/jn.00204.2017] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2017] [Revised: 06/26/2017] [Accepted: 06/27/2017] [Indexed: 12/11/2022] Open
Abstract
Coherence analysis has the ability to identify the presence of common descending drive shared by motor unit pools and reveals its spectral properties. However, the link between spectral properties of shared neural drive and functional interactions among muscles remains unclear. We assessed shared neural drive between muscles of the thumb and index finger while participants executed two mechanically distinct precision pinch tasks, each requiring distinct functional coordination among muscles. We found that shared neural drive was systematically reduced or enhanced at specific frequencies of interest (~10 and ~40 Hz). While amplitude correlations between surface EMG signals also exhibited changes across tasks, only their coherence has strong physiological underpinnings indicative of neural binding. Our results support the use of intermuscular coherence as a tool to detect when coactivated muscles are members of a functional group or synergy of neural origin. Furthermore, our results demonstrate the advantages of considering neural binding at 10, ~20, and >30 Hz, as indicators of task-dependent neural coordination strategies.NEW & NOTEWORTHY It is often unclear whether correlated activity among muscles reflects their neural binding or simply reflects the constraints defining the task. Using the fact that high-frequency coherence between EMG signals (>6 Hz) is thought to reflect shared neural drive, we demonstrate that coherence analysis can reveal the neural origin of distinct muscle coordination patterns required by different tasks.
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Affiliation(s)
- Christopher M Laine
- Brain-Body Dynamics Laboratory, Department of Biomedical Engineering, Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California
| | - Francisco J Valero-Cuevas
- Brain-Body Dynamics Laboratory, Department of Biomedical Engineering, Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California
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Reyes A, Laine CM, Kutch JJ, Valero-Cuevas FJ. Beta Band Corticomuscular Drive Reflects Muscle Coordination Strategies. Front Comput Neurosci 2017; 11:17. [PMID: 28420975 PMCID: PMC5378725 DOI: 10.3389/fncom.2017.00017] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2016] [Accepted: 03/10/2017] [Indexed: 12/11/2022] Open
Abstract
During force production, hand muscle activity is known to be coherent with activity in primary motor cortex, specifically in the beta-band (15–30 Hz) frequency range. It is not clear, however, if this coherence reflects the control strategy selected by the nervous system for a given task, or if it instead reflects an intrinsic property of cortico-spinal communication. Here, we measured corticomuscular and intermuscular coherence between muscles of index finger and thumb while a two-finger pinch grip of identical net force was applied to objects which were either stable (allowing synergistic activation of finger muscles) or unstable (requiring individuated finger control). We found that beta-band corticomuscular coherence with the first dorsal interosseous (FDI) and abductor pollicis brevis (APB) muscles, as well as their beta-band coherence with each other, was significantly reduced when individuated control of the thumb and index finger was required. We interpret these findings to show that beta-band coherence is reflective of a synergistic control strategy in which the cortex binds task-related motor neurons into functional units.
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Affiliation(s)
- Alexander Reyes
- Brain-Body Dynamics Lab, Department of Biomedical Engineering, University of Southern CaliforniaLos Angeles, CA, USA
| | - Christopher M Laine
- Brain-Body Dynamics Lab, Department of Biomedical Engineering, University of Southern CaliforniaLos Angeles, CA, USA
| | - Jason J Kutch
- Applied Mathematical Physiology Lab, Division of Biokinesiology and Physical Therapy, University of Southern CaliforniaLos Angeles, CA, USA
| | - Francisco J Valero-Cuevas
- Brain-Body Dynamics Lab, Department of Biomedical Engineering, University of Southern CaliforniaLos Angeles, CA, USA
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Pizzamiglio S, De Lillo M, Naeem U, Abdalla H, Turner DL. High-Frequency Intermuscular Coherence between Arm Muscles during Robot-Mediated Motor Adaptation. Front Physiol 2017; 7:668. [PMID: 28119620 PMCID: PMC5220015 DOI: 10.3389/fphys.2016.00668] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2016] [Accepted: 12/19/2016] [Indexed: 12/11/2022] Open
Abstract
Adaptation of arm reaching in a novel force field involves co-contraction of upper limb muscles, but it is not known how the co-ordination of multiple muscle activation is orchestrated. We have used intermuscular coherence (IMC) to test whether a coherent intermuscular coupling between muscle pairs is responsible for novel patterns of activation during adaptation of reaching in a force field. Subjects (N = 16) performed reaching trials during a null force field, then during a velocity-dependent force field and then again during a null force field. Reaching trajectory error increased during early adaptation to the force-field and subsequently decreased during later adaptation. Co-contraction in the majority of all possible muscle pairs also increased during early adaptation and decreased during later adaptation. In contrast, IMC increased during later adaptation and only in a subset of muscle pairs. IMC consistently occurred in frequencies between ~40–100 Hz and during the period of arm movement, suggesting that a coherent intermuscular coupling between those muscles contributing to adaptation enable a reduction in wasteful co-contraction and energetic cost during reaching.
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Affiliation(s)
- Sara Pizzamiglio
- Neuroplasticity and Neurorehabilitation Doctoral Training Programme, Neurorehabilitation Unit, School of Health, Sport and Bioscience, University of East LondonLondon, UK; Department of Computer Science, School of Architecture, Computing and Engineering, University of East LondonLondon, UK
| | - Martina De Lillo
- Neuroplasticity and Neurorehabilitation Doctoral Training Programme, Neurorehabilitation Unit, School of Health, Sport and Bioscience, University of East London London, UK
| | - Usman Naeem
- Department of Computer Science, School of Architecture, Computing and Engineering, University of East London London, UK
| | - Hassan Abdalla
- Department of Computer Science, School of Architecture, Computing and Engineering, University of East London London, UK
| | - Duncan L Turner
- Neuroplasticity and Neurorehabilitation Doctoral Training Programme, Neurorehabilitation Unit, School of Health, Sport and Bioscience, University of East LondonLondon, UK; University College London Partners Centre for NeurorehabilitationLondon, UK
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