Visuomotor contribution to force variability in the plantarflexor and dorsiflexor muscles

The visual correction employed during isometric contractions of large proximal muscles contributes variability to the descending command and alters fluctuations in muscle force. This study explored the contribution of visuomotor correction to isometric force fluctuations for the more distal dorsiflexor (DF) and plantarflexor (PF) muscles of the ankle. Twenty-one healthy adults performed steady isometric contractions with the DF and PF muscles both with (VIS) and without (NOVIS) visual feedback of the force. The target forces exerted ranged from 2.5% to 80% MVC. The standard deviation (SD) and coefficient of variation (CV) of force was measured from the detrended (drift removed) VIS and NOVIS steadiness trials. Removal of VIS reduced the CV of force by 19% overall. The reduction in fluctuations without VIS was significant across a large range of target forces and was more consistent for the PF than the DF muscles. Thus, visuomotor correction contributes to the variability of force during isometric contractions of the ankle dorsiflexors and plantarflexors.     

Larger plantar flexion torque variability implies less stable balance in the young: An association affected by knee position

The present study examined the association between plantar flexion torque variability during isolated isometric contractions and during quiet bipedal standing. For plantar flexion torque measurements in quiet stance (QS), subjects stood still over a force plate. The mean plantar flexion torque level exerted by each subject in QS (divided by 2 to give the torque due to a single leg) served as the target torque level for right leg force-matching tasks in extended knee (KE) and flexed knee (KF) conditions. Muscle activation levels (EMG amplitudes) of the triceps surae and mean, standard deviation and coefficient of variation of plantar flexion torque were computed from signals acquired during periods with and without visual feedback. No significant correlations were found between EMG amplitudes and torque variability, regardless of the condition and muscle being analyzed. A significant correlation was found between torque variability in QS and KE, whereas no significant correlation was found between torque variability in QS and KF, regardless of vision availability. Therefore, torque variability measured in a controlled extended knee plantar flexion contraction is a predictor of torque variability in the anterior-posterior direction when the subjects are in quiet standing. In other words, larger plantar flexion torque variability in KE (but not in KF) implies less stable balance. The mechanisms underlying the findings above are probably associated with the similar proprioceptive feedback from the triceps surae in QS and KE and poorer proprioceptive feedback from the triceps surae in KF due to the slackening of the gastrocnemii. An additional putative mechanism includes the different torque contributions of each component of the triceps surae in the two knee angles. From a clinical and research standpoint, it would be advantageous to be able to estimate changes in balance ability by means of simple measurements of torque variability in a force matching task.     

Effects of electromyostimulation on knee extensors and flexors strength and steadiness in older adults

It is known that electromyostimulation (EMS) alone or superimposed over voluntary contraction (EV) can effectively improve muscle strength. However, the effect of this type of training on the ability to control force production at submaximal levels is unknown. The authors examined the effects of EV training on steadiness in force production of knee extensors and flexors in older adults. Forty participants, including 20 men and 20 women, 60-77 years of age, were randomly allocated into a control group (CG) and an electromyostimulation superimposed over voluntary contraction (EVG) group. The EVG performed 30 bilateral isometric knee extension and flexion contractions per session, 3 training sessions per week, for 6 weeks. The variations in force production, expressed in absolute (standard deviation [SD]) and relative (coefficient of variation [CV]) terms, were assessed in isometric contractions at 5%, 15% and 25% maximal voluntary contraction (MVC) levels. Results indicated that MVC increased in knee extension and flexion in EVG (p < .05) after the training; steadiness CV also improved at 15% MVC in knee flexion (p < .05) but no significant changes were found in knee extension and steadiness SD. The training-induced changes in MVC were not correlated to steadiness CV that might indicate different mechanisms underlying these adaptations.     

Effects of Electromyostimulation on Knee Extensors and Flexors Strength and Steadiness in Older Adults

It is known that electromyostimulation (EMS) alone or superimposed over voluntary contraction (EV) can effectively improve muscle strength. However, the effect of this type of training on the ability to control force production at submaximal levels is unknown. The authors examined the effects of EV training on steadiness in force production of knee extensors and flexors in older adults. Forty participants, including 20 men and 20 women, 60–77 years of age, were randomly allocated into a control group (CG) and an electromyostimulation superimposed over voluntary contraction (EVG) group. The EVG performed 30 bilateral isometric knee extension and flexion contractions per session, 3 training sessions per week, for 6 weeks. The variations in force production, expressed in absolute (standard deviation [SD]) and relative (coefficient of variation [CV]) terms, were assessed in isometric contractions at 5%, 15% and 25% maximal voluntary contraction (MVC) levels. Results indicated that MVC increased in knee extension and flexion in EVG (p < .05) after the training; steadiness CV also improved at 15% MVC in knee flexion (p < .05) but no significant changes were found in knee extension and steadiness SD. The training-induced changes in MVC were not correlated to steadiness CV that might indicate different mechanisms underlying these adaptations.     

Quadriceps Torque,Peak Variability and Strength Endurance in Patients after Anterior Cruciate Ligament Reconstruction: Impact of Local Muscle Fatigue

Abstract

We tested if ACL-reconstructed participants show a decreased quadriceps torque, a lower muscle endurance capacity and a higher peak torque variability compared to unimpaired control participants prior to and following local muscle fatigue. Participants (n?=?19, 10 women; 25?±?5yrs.) with unilateral hamstrings autograft ACL-reconstruction and a matched unimpaired control group were recruited. Participants performed two maximal isometric voluntary force (MIVF) contractions of the knee extensors. In between, standardized local muscle fatigue was induced. ACL-reconstructed knees display a lower peak torque of the knee extensors in comparison to the contralateral limb (3.2?±?.3Nm/kg vs. 3.5?±?.3 Nm/kg). Peak torque variability and fatigue resistance were not affected by local muscle fatigue (p > .05). Participants with ACL-reconstructed knees show a persistent quadriceps muscle dysfunction. This dysfunction and lower limb side asymmetries might be risk factors for ACL re-ruptures.     

Gastrocnemius and soleus are selectively activated when adding knee extensor activity to plantar flexion

The gastrocnemius is a biarticular muscle that acts not only as a plantar flexor, but also as a knee flexor, meaning that it is an antagonist during knee extension. In contrast, the soleus is a monoarticular plantar flexor. Based on this anatomical difference, these muscles’ activities should be selectively activated during simultaneous plantar flexion and knee extension, which occur during many activities of daily living. This study examined the selective activation of gastrocnemius and soleus activities when voluntary isometric activation of knee extensors was added to voluntary isometric plantar flexion. Ten male volunteers performed isometric plantar flexion at 10%, 20%, and 30% of maximum effort. During each plantar flexion task, isometric knee extension was added at 0%, 50%, and 100% of maximum effort. When knee extension was added, the average rectified value of the electromyographic activity of the medial gastrocnemius was significantly depressed (P = .002), whereas that of the soleus was significantly increased (P < .001) regardless of the plantar flexion level. These results suggest that plantar flexion with concurrent knee extensor activity leads to selective activation of the soleus and depression of the synergistic activity of the gastrocnemius.     

The function of the popliteus muscle: An in vivo ultrasound shear wave elastography study

The function of the popliteus muscle [PM] is crucial to knee function. However, it remained unclear in vivo. Thus, this study aimed to explore the PM function in the non-weight-bearing and the weight-bearing conditions in vivo. Fourteen healthy subjects participated in this study. The muscle stiffness of the PM was measured using shear wave elastography as an index of muscle force. Muscle stiffness was measured at 30° knee flexion as a reference value. Muscle stiffness was also measured at passive 0°knee flexion and passive 20° external rotation and internal rotation at 30° knee flexion, and during isometric knee extension, flexion, external rotation, and internal rotation at 30° knee flexion. Moreover, muscle stiffness was measured during one-leg standing at 0° and 30° of knee flexion. Muscle stiffness was significantly greater at passive 0° knee flexion and 20° external rotation and during isometric knee flexion and internal rotation than the reference value. Two-way analysis of variance revealed significant main effects of weight bearing and knee angle: Muscle stiffness increased with weight bearing and knee extension. Moreover, muscle stiffness was significantly lower at 30° than at 0° knee flexion during one-leg standing. The PM function is knee flexion and internal rotation, and the PM force increases with weight bearing and decreases with knee flexion during one-leg standing.     

Modulation of motor variability related to experimental muscle pain during elbow-flexion contractions

Experimental muscle pain typically reorganizes the motor control. The pain effects may decrease when the three-dimensional force components are voluntarily adjusted, but it is not known if this could have negative consequences on other structures of the motor system. The present study assessed the effects of acute pain on the force variability during sustained elbow flexion when controlling task-related (one-dimensional) and all (three-dimensional) contraction force components via visual feedback. Experimental muscle pain was induced by bolus injection of hypertonic saline into m. biceps brachii, and isotonic saline was used as control. Twelve subjects performed sustained elbow flexion at different levels of the maximal voluntary contraction (5–30% MVC) before, during, and after the injections. Three-dimensional force components were measured simultaneously with surface electromyography (EMG) from elbow flexors and auxiliary muscles. Results showed that force variability was increased during pain compared to baseline for contractions using one-dimensional feedback (P < .05), but no significant differences were found for three-dimensional feedback. During painful contractions (1) EMG activity from m. trapezius was increased during contractions using both one-dimensional and three-dimensional feedback (P < .05), and (2) the complexity of EMG from m. triceps brachii and m. deltoid was higher for the three-dimensional feedback (P < .05). In conclusion, the three-dimensional feedback reduced the pain-related functional distortion at the cost of a more complex control of synergistic muscles.     

Force Control Characteristics for Generation and Relaxation in the Lower Limb

We investigated the characteristics for force generation and relaxation using graded isometric contractions of the knee extensors. Participants performed the following tasks as quickly and accurately as possible. For the force generation task, force was increased from 0% to 20%, 40% and 60% of the maximal voluntary force (MVF). For the force relaxation task, force was decreased from 60% to 40%, 20% and 0%. The following parameters of the recorded force were calculated: error, time, and rate of force development. The error was consistently greater for force relaxation than generation. Reaction and adjustment times were independent of the tasks. The control strategy was markedly different for force relaxation and generation, this tendency was particularly evident for the lower limb compared to the upper limb.     

Force Control of Ankle Dorsiflexors in Young Adults: Effects of Bilateral Control and Leg Dominance

Abstract

We investigated whether bilateral lower-limb control and leg dominance affect force control ability in 15 healthy young adults (9 males and 6 females, age =26.8?±?4.1 years). Participants performed isometric ankle dorsiflexion force control tasks, matching a visual target (10% of maximal effort) as quickly and precisely as possible in ballistic and tonic tasks. Performance was evaluated using force error, force steadiness, amount of muscle activity of the tibialis anterior, and response time characteristics. Results showed no significant effects of leg dominance during both ballistic and tonic tasks, while bilateral condition resulted in significantly larger error, less force steadiness, compared to unilateral condition, and only during the tonic task. Consequently, bilateral control, specifically in tasks utilizing feedback control (i.e., tonic task) might affect force control ability, possibly because of the interhemispheric inhibition to meet bilateral task complexity and integrate afferent bilateral sensory information from both right and left legs.     

Muscle coordination and force variability during static and dynamic tracking tasks

This study examined muscular activity patterns of extensor and flexor muscles and variability of forces during static and dynamic tracking tasks using compensatory and pursuit display. Fourteen volunteers performed isometric actions in two conditions: (i) a static tracking task consisting of flexion/pronation, ulnar deviation, extension/supination and radial deviation of the wrist at 20% maximum voluntary contraction (MVC), and (ii) a dynamic tracking task aiming at following a moving target at 20% MVC in the four directions of contraction. Surface electromyography (SEMG) from extensor carpi ulnaris, extensor carpi radialis, flexor carpi ulnaris and flexor digitorum superficialis muscles and exerted forces in the transverse and sagittal plane were recorded. Normalized root mean square and mutual information (index of functional connectivity within muscles) of SEMGs and the standard deviation and sample entropy of force signals were extracted. Larger SEMG amplitudes were found for the dynamic task (p < .05), while normalized mutual information between muscle pairs was larger for the static task (p < .05). Larger size of variability (standard deviation of force) concomitant with smaller sample entropy was observed for the dynamic task compared with the static task (p < .01 for both). These findings underline a rescaling of the muscles’ respective contribution influencing force variability relying on feedback and feed-forward control strategies in relation to display modes during static and dynamic tracking tasks.     

Time but not force is transferred between ipsilateral upper and lower limbs

The authors compared the force and time endpoint accuracy of goal-directed ipsilateral upper and lower limb isometric contractions and determined the components of motor performance that can be transferred from 1 limb to the other after practice. Ten young adults (27.4 +/- 4.4 years) performed 100 trials that involved their matching peak force to a force-time target with ankle dorsiflexor and elbow flexor muscles. The peak force error and variability was greater for ankle dorsiflexor contractions than for elbow flexor contractions, whereas the timing error and variability did not significantly vary with limb. There was transfer of timing, but not force, of motor output between upper and lower limbs. The timing error of the elbow flexor contractions decreased by 23% when those contractions were preceded by ankle dorsiflexor contractions, and the timing error of the ankle dorsiflexors decreased by 24% when those contractions were preceded by elbow flexor contractions. These finding therefore suggest that timing of an aiming isometric contraction may be organized at a common part of the brain for the upper and lower limbs.     

Visuomotor and audiomotor processing in continuous force production of oral and manual effectors

The authors examined force control in oral and manual effectors as a function of sensory feedback (i.e., visual and auditory). Participants produced constant isometric force via index finger flexion and lower lip elevation to 2 force levels (10% and 20% maximal voluntary contraction) and received either online visual or online auditory feedback. Mean, standard deviation, and coefficient of variation of force output were used to quantify the magnitude of force variability. Power spectral measures and approximate entropy of force output were calculated to quantify the structure of force variability. Overall, it was found that the oral effector conditions were more variable (e.g., coefficient of variation) than the manual effector conditions regardless of sensory feedback. No effector differences were found for the structure of force variability with visual or auditory feedback. Oral and manual force control appears to involve different control mechanisms regulating continuous force production in the presence of visual or auditory feedback.     

Age differences in noise and variability of isometric force production.

This study examined whether age-related improvements observed in the motor performance of children result from a reduction of noise in the output of the sensori-motor system. Children ages 6, 8, and 10 years and young adults (N = 48, 12 per group) performed continuous, constant isometric force contractions with the index finger at four different force levels with and without visual feedback. The results revealed that: (a) performance improved with increases in age, (b) the force output signal exhibited increased irregularity and a more broadband frequency profile with increases in age under conditions with feedback, and (c) there were no age differences in the irregularity of the force signal and smaller age differences in the frequency profiles under conditions without feedback. It is proposed that the age-related enhancements in performance throughout childhood are primarily due to a more appropriate mapping of the organization of the sensori-motor system to the task constraints rather than to reduction of system noise.     

Muscular Activation Pattern of Bilateral Extensors Response to Asymmetric Hand Lifting During Trunk Flexion–extension Performance

The authors' purpose was to test the effect of asymmetric hand lifting on muscular activation patterns of 3 bilateral extensors. Eighteen male university students without back pain were volunteered. Each performed flexion–extension randomly with conditions of right lifting, left lifting, and nonlifting. Surface electromyography from bilateral thoracic, lumbar erector spinae, and hamstring was recorded. The cross-correlation and relative intensity in paired muscles of bilateral extensors was calculated in flexion as well as extension period. The results showed that the cross-correlation coefficient was decreased and the phase lag as well as the relative intensity of bilateral extensors was increased significantly in thoracic level. The phase lag as well as the relative intensity of bilateral extensors was increased significantly in lumbar level. It was concluded that asymmetric lifting has a significant effect on muscular activation of bilateral extensors in thorax level, which causes the ipsilateral extensor to activate larger and longer. Asymmetric lifting also has some effect on muscular activation of bilateral extensors in lumbar level but with less extent than in thorax level, which causes contralateral extensor to activate larger and longer. Asymmetric lifting seems to have no significant effect on muscular activation of bilateral hamstring.     

The Effect of Knee Joint Angle on Torque Control

The purpose of the author's investigation was to examine the effect of knee joint angle on torque control of the quadriceps muscle group. In all, 12 healthy adults produced maximal voluntary contractions and submaximal torque (15, 30, and 45% MVC [maximal voluntary contraction]) at leg flexion angles of 15°, 30°, 60°, and 90° below the horizontal plane. As expected, MVC values changed with respect to joint angle with maximum torque output being greatest at 60° and least at 15°. During the submaximal tasks, participants appropriately scaled their torque output to the required targets. Absolute variability (i.e., standard deviation) of torque output was greatest at 60° and 90° knee flexion. However, relative variability as indexed by coefficient of variation (CV) decreased as joint angle increased, with the greatest CV occurring at 15°. These results are congruent with the hypothesis that joint angle influences the control of torque.     

Compensatory properties of visual information in the control of isometric force

This experiment investigated the effects of spatial (gain) and temporal (frequency) properties of visual feedback on the control of isometric force output. Participants performed an index finger isometric force production task with five different levels of visual gain and four feedback frequencies. There was a significant effect of gain on mean and standard deviation (SD) of the force output, whereas feedback frequency significantly affected the force SD and root-mean square error. Significant effects of gain and frequency and a gain X frequency interaction on the approximate entropy (ApEn) of the force revealed the effect of visual feedback uncertainty on the force fluctuation dynamics. The combined effects of the spatial and temporal properties of visual feedback on ApEn were approximated by a sum of quadratic functions, indicating their compensatory effect on the informational content of the dynamics of isometric force.     

Maximum isokinetic familiarization of the knee: Implication on bilateral assessment

PurposeFamiliarization is necessary for an accurate strength assessment as it reduces confounding factors such as learning and training effects. However, the number of contractions required for familiarization and whether cross-limb transfer during familiarization could affect bilateral assessment are unknown. This study aimed at identifying the number of maximum contractions required for isokinetic knee extension and flexion familiarization in both dominant (D) and non-dominant limb (ND).MethodsTwenty-eight right-limb dominant males (age: 22.64 ± 2.60 years, BMI: 23.82 ± 2.85 kg/m²) performed a total of 6 sets (each consisted of 5 continuous maximum contractions) at 60^o/s for each limb.ResultsThe number of sets required for familiarization is determined when the average peak torque achieved stabilization from the series of contractions of each limb. For knee extension, 3 sets (15 contractions) were required for familiarization, whereas 2 sets (10 contractions) for knee flexion in both limbs. Interestingly, for knee extension in ND, the number of sets required for familiarization was reduced to 2 following contralateral contractions in D, however, for knee extension in D, there was no difference in the number of sets required for familiarization following contralateral contractions in ND. While for knee flexion, no cross-limb transfer was observed. These observations suggest the presence of cross-limb transfer from D to ND during familiarization which implies the involvement of the central nervous system.ConclusionsPractically, familiarization for bilateral isokinetic strength assessment for knee extension and flexion at 60^o/s should begin with the dominant limb for 3 sets to obtain accurate and reliable measurements.     

The interaction of respiration and visual feedback on the control of force and neural activation of the agonist muscle

The purpose of this study was to compare force variability and the neural activation of the agonist muscle during constant isometric contractions at different force levels when the amplitude of respiration and visual feedback were varied. Twenty young adults (20–32 years, 10 men and 10 women) were instructed to accurately match a target force at 15% and 50% of their maximal voluntary contraction (MVC) with abduction of the index finger while controlling their respiration at different amplitudes (85%, 100% and 125% normal) in the presence and absence of visual feedback. Each trial lasted 22 s and visual feedback was removed from 8–12 and 16–20 s. Each subject performed three trials with each respiratory condition at each force level. Force variability was quantified as the standard deviation of the detrended force data. The neural activation of the first dorsal interosseus (FDI) was measured with bipolar surface electrodes placed distal to the innervation zone. Relative to normal respiration, force variability increased significantly only during high-amplitude respiration (∼63%). The increase in force variability from normal- to high-amplitude respiration was strongly associated with amplified force oscillations from 0 to 3 Hz (R² ranged from .68 to .84, p < .001). Furthermore, the increase in force variability was exacerbated in the presence of visual feedback at 50% MVC (vision vs. no-vision: .97 vs. .87 N) and was strongly associated with amplified force oscillations from 0 to 1 Hz (R² = .82) and weakly associated with greater power from 12 to 30 Hz (R² = .24) in the EMG of the agonist muscle. Our findings demonstrate that high-amplitude respiration and visual feedback of force interact and amplify force variability in young adults during moderate levels of effort.     

Effects of dynamic and isometric motor practice on position control,force control and corticomuscular coherence in preadolescent children

In this study, we investigated the effects of motor practice with an emphasis on either position or force control on motor performance, motor accuracy and variability in preadolescent children. Furthermore, we investigated corticomuscular coherence and potential changes following motor practice.We designed a setup allowing discrete wrist flexions of the non-dominant hand and tested motor accuracy and variability when the task was to generate specific movement endpoints (15–75 deg) or force levels (5–25% MVC). All participants were tested in both tasks at baseline and post motor practice without augmented feedback on performance. Following baseline assessment, participants (44 children aged 9–11 years) were randomly assigned to either position (PC) or force control (FC) motor practice or a resting control group (CON). The PC and FC groups performed four blocks of 40 trials motor practice with augmented feedback on performance.Following practice, improvements in movement accuracy were significantly greater in the PC group compared to the FC and CON groups (p < 0.001). None of the groups displayed changes in force task performance indicating no benefits of force control motor practice and low transfer between tasks (p-values:0.08–0.45). Corticomuscular coherence (C4-FCR) was demonstrated during the hold phase in both tasks with no difference between tasks. Corticomuscular coherence did not change from baseline to post practice in any group. Our findings demonstrate that preadolescent children improve position control following dynamic accuracy motor practice. Contrary to previous findings in adults, preadolescent children displayed smaller or no improvements in force control following isometric motor practice, low transfer between tasks and no changes in corticomuscular coherence.