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.     

Effects of voluntary activation on neuromuscular endurance analyzed by surface electromyography

The purpose was to examine the relation between voluntary muscle activation and neuromuscular endurance of individual subjects based on the pattern of surface electromyography (EMG). The voluntary muscle activation was estimated from the relation between voluntary force and tetanic force superimposed on the voluntary force (twitch interpolation technique). 14 male subjects (10 regular exercisers and 4 sedentary; 21-29 years old) were divided into a High Voluntary Activation group and a Low Voluntary Activation group. A significant positive correlation of .72 (p<.01) was found between maximum voluntary torque and voluntary activation. A fatigue test was conducted during isometric contractions of 60% and 20% maximum voluntary torque. The endurance time was significantly longer for the Low Voluntary Activation group than the High Voluntary Activation group. The mean power frequency of voluntary EMG obtained from the vastus lateralis muscle decreased consistently whereas the average rectified value increased. The final change of mean power frequency relative to the initial value was significantly greater in the 60% Fatigue task than in the 20% Fatigue task. For the 60% Fatigue task, the final change of mean power frequency and average rectified value relative to the initial value was significantly greater in the Low Voluntary Activation group than in the High Voluntary Activation group. These results suggest that the individual differences in voluntary activation determine the neuromuscular performance usually evaluated as maximum voluntary torque and endurance time and that the voluntary activation may depend on the daily exercise.     

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.     

History dependence of skeletal muscle force production: implications for movement control

In this study, we review existing evidence on the history dependence of skeletal muscle force production. Specifically, we investigate the steady-state forces following shortening or stretching of an activated skeletal muscle preparation and compare these forces to the corresponding steady-state forces obtained for purely isometric contractions at identical lengths. Force depression following shortening and force enhancement following stretch can reach values of almost 50% of the corresponding isometric reference force, and thus might affect movement control. We also show novel results on history-dependent effects for voluntary contractions in human skeletal muscles, thereby emphasizing that voluntary force production is affected by the contractile history of the target muscles. These results lead to the conclusion that history-dependent force production should be considered in models of movement control and voluntary force production.     

Influence of Motor Cortex Stimulation During Motor Training on Neuroplasticity as a Potential Therapeutic Intervention

Rehabilitation options to promote neuroplasticity may be enhanced when patients are engaged in motor practice during repetitive transcranial magnetic stimulation (rTMS). Twelve participants completed 3 separate sessions: motor practice, motor practice with rTMS, and rTMS only: motor practice consisted of 30 isometric contractions and subthreshold rTMS was 30, 3-s trains at 10 Hz. Assessments included the Box and Block Test (BBT), force steadiness (10% of the maximum voluntary contraction), and TMS (cortical excitability, intracortical inhibition, and intracortical facilitation). Participants significantly increased BBT scores following the combined condition. Force steadiness improved after all 3 conditions (p < .05). TMS outcomes depended on intervention condition with significant increases in facilitation following the motor practice plus rTMS condition. All interventions influenced motor control, yet are likely modulated differently when combining motor practice plus rTMS. These results help guide the clinical utility of rTMS as an intervention to influence motor control.     

Accelerated muscle contractility and decreased muscle steadiness following sauna recovery do not induce greater neuromuscular fatigability during sustained submaximal contractions

Acute whole-body hyperthermia (WBH) increases blood markers concentration of stress, impairs motor drive to exercising muscles, and decreases resistance to neuromuscular fatigability. The functional natural residual consequences of WBH on neuromuscular functions remain unclear. We aimed to investigate the effects of residual WBH on voluntary and electrically induced ankle plantar flexor contractility properties, motor drive transmission (reflexes), muscle torque steadiness, resistance to neuromuscular fatigability, and markers of stress as the body temperature recovers naturally to normothermia. WBH was induced by Finnish sauna bathing in 16 apparently healthy young (24 ± 4 years) adult men. Motor performance was monitored before and 2 h after the sauna, and immediately after submaximal exercise (120 s at 50% of maximal voluntary contraction). Markers of stress were monitored before and 2 h after the sauna. Finnish sauna exposure induced moderate to severe WBH (rectal temperature, 38.5–39.6 °C). At 2 h after the sauna, rectal temperature had recovered to the preheating level (preheating 37.11 ± 0.33 °C versus postheating 37.00 ± 0.29 °C, p > .05). Post-sauna recovery was accompanied by slowed salivary free cortisol diurnal kinetics, whereas noradrenaline, dopamine, and serotonin did not persist into the 2 h recovery after the sauna. Although recovery to normothermia after a sauna led to a greater acceleration of muscle contractility properties and decreased muscle steadiness, sustained isometric submaximal contraction did not provoke greater neuromuscular fatigability.     

Development of muscle fatigue assessed by using superposition of evoked and volitional myoelectric potentials.

We studied muscle fatigue development using evoked myoelectrical potentials superimposed on volitional ones. The instantaneous frequency of superim posed M-waves and mean power frequencies of volitional electromyography (EMG) declined during sustained contraction, indicating that fatigue progressed. We divided fatigue into 3 phases, with 20 frames in each fatigue phase, corresponding to one-third of the total sample. The instantaneous frequency of superimposed M-waves and mean power frequencies of volitional EMG were correlated during early intensive isometric voluntary contractions and became increasingly uncorrelated as contraction proceeded. The coefficient between the mean power frequency and instantaneous frequency correlation was also greater at the first peak than at the second peak of the superimposed M-wave, indicating that the motor unit action potential was distorted. Distortion in the motor unit action potential shape depends on elongation of the depolarization zone of muscle fiber, because the superimposed M-wave is a peripheral indicator elicited by electrical stimulation. These results suggest that muscle fatigue develops based on the reduction of the conduction velocity of muscle fiber and on the elongation of the depolarization zone of muscle fiber.     

Muscle force compensation among synergistic muscles after fatigue of a single muscle

PurposeThe aim of this study was to examine control strategies among synergistic muscles after fatigue of a single muscle. It was hypothesized that the compensating mechanism is specific for each fatigued muscle.MethodsThe soleus (SOL), gastrocnemius lateralis (GL) and medialis (GM) were fatigued in separate sessions on different days. In each experiment, subjects (n = 11) performed maximal voluntary contractions prior to and after fatiguing a single muscle (SOL, GL or GM) while the voluntary muscle activity and torque were measured. Additionally, the maximal single twitch torque of the plantarflexors and the maximal spinal reflex activity (H-reflex) of the SOL, GL and GM were determined. Fatigue was evoked using neuromuscular stimulation.ResultsFollowing fatigue the single twitch torque decreased by −20.1%, −19.5%, and −23.0% when the SOL, GL, or GM, have been fatigued. The maximal voluntary torque did not decrease in any session but the synergistic voluntary muscle activity increased significantly. Moreover, we found no alterations in spinal reflex activity.ConclusionsIt is concluded that synergistic muscles compensate each other. Furthermore, it seems that self-compensating mechanism of the fatigued muscles occurred additionally. The force compensation does not depend on the function of the fatigued muscle.     

Knowledge and imagery of contractile mechanisms do not improve muscle strength

Improving performance in strength tasks requires modifications charateristic of motor skill learning, such as more efficacious motor-unit firing behavior. Because domain-specific knowledge is integral to learning and performing motor kills, the present purpose was to examine selected factors of strength-specific knowledge and effects they might have on acquiring strength. Following baseline testing for maximal strength on a knee-extension task, participants were matched by sex and strength and placed into control (n=8) and treatment (n=8) groups. Quadriceps muscle electromyographic data were also collected. The treatment group underwent two educational sessions detailing muscle physiology, neural control of muscle force, and imagery training using this knowledge. The control group underwent two educational sessions about health and fitness. Following the educational sessions the participants were retested for strength. Analysis indicated that the education and imagery treatment had no effect on strength, nor did electromyographic measures indicate that the treatment group benefitted from intervention. It was concluded that the knowledge was simply not relevant to knee extension-force production or that use of the knowledge involved a disadvantageous internal focus of attention away from relevant task demands.     

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.     

Age-related EMG variables during maximum voluntary contraction

We studied the neuromuscular adaptation that occurs with aging by comparing changes in surface electromyography (EMG) variables from the tibialis anterior muscle in 12 young (21.4 +/- 1.7 yr. old) and 13 older subjects (70.8 +/- 3.1 yr. old). EMG variables such as the muscle fiber conduction velocity, median frequency, and averaged rectified value were calculated during maximum voluntary contraction for 5-sec. isometric contractions. The dorsiflexion force, muscle fiber conduction velocity, median frequency, and average rectified value during maximum voluntary contraction were significantly smaller in the older than in the younger group (p < .05). These results suggested that the neuromuscular system in older subjects is affected by the selective atrophy of fast twitch fibers and differences in motor unit firing statistics. Our results suggest the utility of applying the EMG observed during maximum voluntary contraction to the noninvasive evaluation of neuromuscular function in elderly persons.     

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.     

Higher order balance control: Distinct effects between cognitive task and manual steadiness constraint on automatic postural responses

In the present experiment, we aimed to evaluate the interactive effect of performing a cognitive task simultaneously with a manual task requiring either high or low steadiness on APRs. Young volunteers performed the task of recovering upright balance following a mechanical perturbation provoked by unanticipatedly releasing a load pulling the participant’s body backwards. The postural task was performed while holding a cylinder steadily on a tray. One group performed that task under high (cylinder’ round side down) and another one under low (cylinder’ flat side down) manual steadiness constraint. Those tasks were evaluated in the conditions of performing concurrently a cognitive numeric subtraction task and under no cognitive task. Analysis showed that performance of the cognitive task led to increased body and tray displacement, associated with higher displacement at the hip and upper trunk, and lower magnitude of activation of the GM muscle in response to the perturbation. Conversely, high manual steadiness constraint led to reduced tray velocity in association with lower values of trunk displacement, and decreased rotation amplitude at the ankle and hip joints. We found no interactions between the effects of the cognitive and manual tasks on APRs, suggesting that they were processed in parallel in the generation of responses for balance recovery. Modulation of postural responses from the manual and cognitive tasks indicates participation of higher order neural structures in the generation of APRs, with postural responses being affected by multiple mental processes occurring in parallel.     

Discordance in Recovery Between Altered Locomotion and Muscle Atrophy Induced by Simulated Microgravity in Rats

Exposure to a microgravity environment leads to adverse effects in motion and musculoskeletal properties. However, few studies have investigated the recovery of altered locomotion and muscle atrophy simultaneously. The authors investigated altered locomotion in rats submitted to simulated microgravity by hindlimb unloading for 2 weeks. Motion deficits were characterized by hyperextension of the knees and ankle joints and forward-shifted limb motion. Furthermore, these locomotor deficits did not revert to their original form after a 2-week recovery period, although muscle atrophy in the hindlimbs had recovered, implying discordance in recovery between altered locomotion and muscle atrophy, and that other factors such as neural drives might control behavioral adaptations to microgravity.     

Muscle Strength Training Alters Muscle Activation of the Lower Extremity during Side-Step Cutting in Females

Abstract

The objective of this study was to examine the effects of muscle strength training on knee kinematics/kinetics and muscle activation patterns during anticipated side-step cutting. Three-dimensional knee kinematics/kinetics data and muscle activation of selected lower extremity muscles were measured while performing cutting before and after completing 10-week circuit strength training mixed typical resistance training and power training (intervention) or no training (control) from 25 female subjects. The muscle strength of quadriceps and hamstrings were measured before and after training using isokinetic dynamometer. No statistically significant differences were observed in quadriceps and hamstrings muscle strength, all kinematic/kinetic variables, and muscle activation for the control group. Both quadriceps (p?=?0.005) and hamstrings (p?=?0.030) muscle strength were increased after training. An increased biceps femoris (p?=?0.003) and H:Q ratio of activation (p?=?0.016), as well as decreased gastrocnemius muscle activation (p?=?0.012) during pre-activation phase in intervention group were found. No significant differences were found in knee kinematics and kinetics both at the time frame of the initial contact and the peak tibial anterior shear force after training. In conclusion, muscle strength training altered some muscle activations of lower extremity muscles, which might affect the risk of ACL injury, but it did not change the kinematic/kinetic parameters.     

Some features of the after-contraction phenomenon

The well-known unintentional muscular contraction following a voluntary contraction was found to be inhibited by instructions favouring relaxation, to be increased by a difficult concurrent task and to be superimposed on small voluntary contractions of the same muscles. It was not superimposed (in either sense) on antagonist contractions. An explanation is suggested, based on the interaction of sensory adaptation and some other process known to occur and apparently related to fatigue.     

Practice effects on decreasing and increasing force-control during periodic isometric movements of the index finger

The present study examined whether improvement in control while decreasing force to achieve a lower force target would be facilitated by comparison of performance while increasing force to achieve a higher force target. Participants practiced control of isometric force and timing during a unimanual force production task cycling between 5 and 10% of maximum voluntary contraction with a target interval of 500 msec. Although errors and variability of both peak and valley forces and interval decreased during early practice, the valley force was still more inaccurate and variable than the peak force in the final practice. Variabilities of both forces did not decrease when the valley force was synchronized with an audible metronome pulse but did decrease when the peak force was synchronized with it.     

Reduced cortical voluntary activation during bilateral knee extension

IntroductionReduced neural drive is mainly thought to explain the bilateral deficit phenomenon, i.e. the difference in maximal isometric voluntary contraction (MVC) between unilateral and bilateral contractions. The aim of the present study was to further document if bilateral knee extension is associated with changes in voluntary activation level assessed by both peripheral nerve electrical stimulation and transcranial magnetic stimulation.MethodsFourteen subjects performed unilateral and bilateral knee extensions with both superimposed femoral electrical nerve stimulation and transcranial magnetic stimulation in order to assess voluntary activation (VA_FNES) and cortical voluntary activation (VA_TMS), respectively.ResultsThere was no difference in MVC force of the tested leg when involved in unilateral and bilateral knee extensions (p = 0.87). However, a significantly reduced VA_FNES (−2.1 ± 2.4%; p = 0.01) and VA_TMS (−1.6 ± 2.7%; p = 0.04) have been evidenced during bilateral knee extension.DiscussionIt is hypothesized that counterbalances could have masked the decrease of voluntary activation during bilateral contraction.     

Thinking about muscles: the neuromuscular effects of attentional focus on accuracy and fatigue

Although the effects of attention on movement execution are well documented behaviorally, much less research has been done on the neurophysiological changes that underlie attentional focus effects. This study presents two experiments exploring effects of attention during an isometric plantar-flexion task using surface electromyography (sEMG). Participants' attention was directed either externally (towards the force plate they were pushing against) or internally (towards their own leg, specifically the agonist muscle). Experiment 1 tested the effects of attention on accuracy and efficiency of force produced at three target forces (30, 60, and 100% of the maximum voluntary contraction; MVC). An internal focus of attention reduced the accuracy of force being produced and increased cocontraction of the antagonist muscle. Error on a given trial was positively correlated with the magnitude of cocontraction on that trial. Experiment 2 tested the effects of attention on muscular fatigue at 30, 60 and 100%MVC. An internal focus of attention led to less efficient intermuscular coordination, especially early in the contraction. These results suggest that an internal focus of attention disrupts efficient motor control in force production resulting in increased cocontraction, which potentially explains other neuromechanical findings (e.g. reduced functional variability with an internal focus).