Coefficient Of Variation Of Force Research Articles

Does pain influence control of muscle force? A systematic review and meta-analysis.

In the presence of pain, whether clinical or experimentally induced, individuals commonly show impairments in the control of muscle force (commonly known as force steadiness). In this systematic review and meta-analysis, we synthesized the available evidence on the influence of clinical and experimental pain on force steadiness. MEDLINE, EMBASE, PubMed, CINAHL Plus and Web of Science databases were searched from their inception to 19 December 2023, using MeSH terms and pre-selected keywords related to pain and force steadiness. Two independent reviewers screened studies for inclusion and assessed their methodological quality using a modified Newcastle-Ottawa risk of bias tool. In total, 32 studies (19 clinical pain and 13 experimental pain) were included. Meta-analyses revealed reduced force steadiness in the presence of clinical pain as measured by the coefficient of variation (CoV) and standard deviation (SD) of force (standardized mean difference; SMD = 0.80, 95% CI = 0.31-1.28 and SMD = 0.61, 95% CI = 0.11-1.11). These findings were supported by moderate and low strength of evidence respectively. In the presence of experimental pain, meta-analyses revealed reductions in force steadiness when measured by the CoV of force but not by the SD of force (SMD = 0.50, 95% CI = 0.01-0.99; and SMD = 0.44, 95% CI = -0.04 to 0.92), each supported by very low strength of evidence. This work demonstrates that pain, particularly clinical pain, impairs force steadiness. Such impairments likely have clinical relevance and could become targets for treatment when managing people experiencing musculoskeletal pain. This systematic review and meta-analyses enhances our understanding of motor impairments observed in people experiencing musculoskeletal pain. It underscores the significance of incorporating force steadiness assessment when managing individuals experiencing musculoskeletal pain. Additionally, it suggests that future research should explore the potential benefits of force steadiness training in alleviating patients' symptoms and enhancing their functional performance. This could potentially lead to the development of innovative therapeutic approaches for individuals suffering from musculoskeletal pain.

Control of motor output during steady submaximal contractions is modulated by contraction history.

The purpose of the study was to investigate the influence of contraction history on force steadiness and the associated EMG activity during submaximal isometric contractions performed with the dorsiflexor muscles. The key feature of the protocol was a triangular ramp contraction performed in the middle of a steady contraction at a lower target force. The target force during the ramp contraction was 20% MVC greater than that during the steady contraction. Thirty-seven healthy individuals (21 men and 16 women) performed the submaximal tasks with the ankle dorsiflexors. Electromyography (EMG) signals were recorded from tibialis anterior with a pair of surface electrodes. The coefficient of variation for force was significantly greater during the second steady contraction compared with the first one at each of the seven target forces (p<0.015; d=0.38-0.92). Although the average applied force during the steady contractions before and after the triangular contraction was the same (p=0.563), the mean EMG amplitude for the steady contractions performed after the triangular contraction was significantly greater at each of the seven target forces (p<0.0001; d=0.44-0.68). Also, there were significant differences in mean EMG frequency between the steady contractions performed before and after the triangular contraction (p<0.01; d=0.13-0.82), except at 10 and 20% MVC force. The greater force fluctuations during a steady submaximal contraction after an intervening triangular contraction indicate a change in the discharge characteristics of the involved motor units.

Relationship between disturbances of CO2 homeostasis and force output characteristics during isometric knee extension

To determine whether disturbances of CO2 homeostasis alter force output characteristics of lower limb muscles, participants performed four isometric knee extension trials (MVC30 %, 10 s each with 20-s rest intervals) in three CO2 conditions (normocapnia [NORM], hypercapnia [HYPER], and hypocapnia [HYPO]). Respiratory frequency and tidal volume were matched between CO2 conditions. In each MVC30 %, the participants exerted a constant force (30 % of maximum voluntary contraction [MVC]). The force coefficient of variation (Fcv) during each MVC30 % and MVC before and after the four MVC30 % trials were measured. For the means of the four trials, Fcv was significantly lower in HYPER than in HYPO. However, within HYPER, a significant positive correlation was found between the increase in end-tidal CO2 partial pressure and the increase in Fcv. MVCs in NORM and HYPO decreased significantly over the four trials, while no such reduction was observed in HYPER. These results suggest that perturbed CO2 homeostasis influences the force output characteristics independently of breathing pattern variables.

Association between force fluctuation during isometric ankle abduction and variability of neural drive in peroneus muscles

Analyzing motor unit (MU) activities of peroneus muscles may reveal the causes of force control deficits of ankle eversion. This study aimed to examine peroneus muscles' MU discharge characteristics and associations between force fluctuation and variability of the neural drive in healthy participants. Thirty-one healthy males participated in this study. MU activities were identified from high-density surface electromyography of peroneus muscles during ankle eversion at 15 and 30% of maximal voluntary contraction (MVC). Participants increased the contraction level until reaching the target and held it for 15s. The central 10s of the hold phase were used for analysis. A cumulative spike train (CST) was calculated using MU firings. Variabilities of the force and CST are represented by the coefficient of variation (CoV). Spearman's rank correlation coefficient was used to assess the association between CoV of force and CoV of CST. For 15 and 30 % MVC trials, CoV of force was 1.86±1.59 and 1.57±1.26%, and CoV of CST was 5.01±3.24 and 4.51±2.78%, respectively. The correlation was significant at 15% (rho=0.27, p<0.001) and 30% (rho=0.32, p<0.001) MVC. Our findings suggest that in peroneus muscles, force fluctuation weakly to moderately correlates with neural drive variability.

Alternating or Bilateral Exercise Training does not Influence Force Control during Single-Leg Submaximal Contractions with the Dorsiflexors.

The aim of the study was to assess the influence of habitual training history on force steadiness and the discharge characteristics of motor units in tibialis anterior during submaximal isometric contractions. Fifteen athletes whose training emphasized alternating actions (11 runners and 4 cyclists) and fifteen athletes who relied on bilateral actions with leg muscles (7 volleyball players, 8 weight-lifters) performed 2 maximal voluntary contractions (MVC) with the dorsiflexors, and 3 steady contractions at 8 target forces (2.5%, 5%, 10%, 20%, 30%, 40%, 50% and 60% MVC). The discharge characteristics of motor units in tibialis anterior were recorded using high-density electromyography grids. The MVC force and the absolute (standard deviation) and normalized (coefficient of variation) amplitudes of the force fluctuations at all target forces were similar between groups. The coefficient of variation for force decreased progressively from 2.5% to 20% MVC force, then it plateaued until 60% MVC force. Mean discharge rate of the motor units in tibialis anterior was similar at all target forces between groups. The variability in discharge times (coefficient of variation for interspike interval) and the variability in neural drive (coefficient of variation of filtered cumulative spike train) was also similar for the two groups. These results indicate that athletes who have trained with either alternating or bilateral actions with leg muscles has similar effects on maximal force, force control, and variability in the independent and common synaptic input during a single-limb isometric task with the dorsiflexors.

Training-induced improvements in knee extensor force accuracy are associated with reduced vastus lateralis motor unit firing variability.

New Findings What is the central question of this study? Can bilateral knee extensor force accuracy be improved following 4 weeks of unilateral force accuracy training and are there any subsequent alterations to central and/or peripheral motor unit features? What is the main finding and its importance? In the trained limb only, knee extensor force tracking accuracy improved with reduced motor unit firing rate variability in the vastus lateralis, and there was no change to neuromuscular junction transmission instability. Interventional strategies to improve force accuracy may be directed to older/clinical populations where such improvements may aid performance of daily living activities. Muscle force output during sustained submaximal isometric contractions fluctuates around an average value and is partly influenced by variation in motor unit (MU) firing rates. MU firing rate (FR) variability seemingly reduces following exercise training interventions; however, much less is known with respect to peripheral MU properties. We therefore investigated whether targeted force accuracy training could lead to improved muscle functional capacity and control, in addition to determining any alterations of individual MU features. Ten healthy participants (seven females, three males, 27 ± 6 years, 170 ± 8 cm, 69 ± 16 kg) underwent a 4‐week supervised, unilateral knee extensor force accuracy training intervention. The coefficient of variation for force (FORCECoV) and sinusoidal wave force tracking accuracy (FORCESinu) were determined at 25% maximal voluntary contraction (MVC) pre‐ and post‐training. Intramuscular electromyography was utilised to record individual MU potentials from the vastus lateralis (VL) muscles at 25% MVC during sustained contractions, pre‐ and post‐training. Knee extensor muscle strength remained unchanged following training, with no improvements in unilateral leg‐balance. FORCECoV and FORCESinu significantly improved in only the trained knee extensors by ∼13% (P = 0.01) and ∼30% (P < 0.0001), respectively. MU FR variability significantly reduced in the trained VL by ∼16% (n = 8; P = 0.001), with no further alterations to MU FR or neuromuscular junction transmission instability. Our results suggest muscle force control and tracking accuracy is a trainable characteristic in the knee extensors, which is likely explained by the reduction in MU FR variability which was apparent in the trained limb only.

Hand Use and Grasp Sensor System in Monitoring Infant Fine Motor Development

ObjectiveTo assess the feasibility of a hand use and grasp sensor system in collecting and quantifying fine motor development longitudinally in an infant's home environment. DesignCohort study. Researchers made home visits monthly to participating families to collect grasp data from infants using a hand use and grasp sensor. SettingData collection were conducted in each participant's home. ParticipantsA convenience sample of 14 typical developmental infants were enrolled from 3 months to 9 months of age. Two infants dropped out. A total of 62 testing sessions involving 12 infants were available for analysis (N=12). InterventionsAt each session, the infant was seated in a standardized infant seat. Each instrumented toy was hung on the hand use and grasp sensor structure, presented for 6 minutes in 3 feedback modes: visual, auditory, and vibratory. Main Outcome MeasuresInfant grasp frequency and duration, peak grasping force, average grasping force, force coefficient of variation, and proportion of bimanual grasps. ResultsA total of 2832 recorded grasp events from 12 infants were analyzed. In linear mixed-effects model analysis, when interacting with each toy, infants’ peak grasp force, average grasp force, and accumulated grasp time all increased significantly with age (all P<.001). Bimanual grasps also occupied an increasingly greater percentage of infants’ total grasps as they grew older (bar toy P<.001, candy toy P=.021). ConclusionsWe observed significant changes in hand use and grasp sensor outcome measures with age that are consistent with maturation of grasp skills. We envision the evolution of hand use and grasp sensor technology into an inexpensive and convenient tool to track infant grasp development for early detection of possible developmental delay and/or cerebral palsy as a supplement to clinical evaluations.

Ankle Angle but Not Knee Angle Influences Force Fluctuations During Plantar Flexion.

The purpose of the study was to evaluate the influence of changes in ankle- and knee-joint angles on force steadiness and the discharge characteristics of motor units (MU) in soleus when the plantar flexors performed steady isometric contractions. Submaximal contractions (5, 10, 20, and 40% of maximum) were performed at two ankle angles (75° and 105°) and two knee angles (120° and 180°) by 14 young adults. The coefficient of variation of force decreased as the target force increased from 5 to 20% of maximal force, then remained unaltered at 40%. Independently of knee angle, the coefficient of variation for force at the ankle angle of 75° (long length) was always less (p<0.05) than that at 105° (shorter length). Mean discharge rate, discharge variability, and variability in neural activation of soleus motor units were less (p<0.05) at the 75° angle than at 105°. It was not possible to record MUs from medial gastrocnemius at the knee angle of 120° due to its minimal activation. The changes in knee-joint angle did not influence any of the outcome measures. The findings underscore the dominant role of the soleus muscle in the control of submaximal forces produced by the plantar flexor muscles.

The length of tibialis anterior does not influence force steadiness during submaximal isometric contractions with the dorsiflexors

ABSTRACT The purpose of the study was to assess the influence of short, intermediate, and long muscle lengths on dorsiflexor force steadiness and the discharge characteristics of motor units in tibialis anterior during submaximal isometric contractions. Steady contractions were performed at 5 target forces (5, 10, 20, 40, and 60% maximal voluntary contraction, MVC) for 3 ankle angles (75°, 90°, and 105°). MVC force was less (p = 0.043) at the smallest joint angle compared with the other two angles. The absolute (standard deviation) and normalised amplitudes (coefficient of variation) of the force fluctuations were similar for all 3 ankle angles at each target force. The coefficient of variation for force decreased progressively from 5% to 20% MVC force and then it plateaued at 40% and 60% MVC force. At all target forces, the mean discharge rate (MDR) of the motor units at 75° was greater than at 90° (p = 0.006) and 105° (p = 0.034). Moreover, the MDR was similar for 5% and 10% MVC forces and then increased gradually until 60% MVC force (p < 0.005). The variability in discharge times (coefficient of variation for interspike interval) and variability in neural drive (coefficient of variation of filtered cumulative spike train) were similar at all ankle angles. Variability in neural drive had a greater influence on force steadiness than did the variability in discharge times. Changes in ankle-joint angle did not influence either the normalised amplitude force fluctuations during steady submaximal contractions or the underlying modulation of the discharge characteristics of motor units in tibialis anterior.

Assessment of force control improvement induced by sinusoidal vibrotactile stimulation in dominant and non-dominant hands

Vibrotactile stimulation has been shown to improve sensorimotor integration in the central nervous system, thereby enhancing motor performance in several conditions. Here we aim to address two questions: (1) Would lateral asymmetries yielding handedness influence the force control improvement induced by sinusoidal vibrotactile stimulation? (2) Does the force control improvement depend on finding an optimum stimulus intensity? Eleven participants performed a visually guided force-matching task, while different intensities of sinusoidal vibrations were applied to the index finger skin. Tasks consisted of abductions of the index fingers of dominant and non-dominant hands at 5% of their maximal voluntary contractions. The force coefficient of variation (CoV) in the condition without vibration was used as the reference (control) for later comparison with five vibration intensities. Also, force CoV in the control condition was compared with those obtained from the optimal vibration selected either from both hands or from a single hand (the one that started the experiment). Despite the known sensory asymmetries in cortical and spinal circuits, handedness did not significantly influence the improvement of force control induced by sinusoidal vibrotactile stimulation during low-intensity contractions. Moreover, there was a significant reduction in force variability irrespective of the criteria used to select the vibration intensity. These findings add to the current knowledge on the effects of sinusoidal vibrotactile stimulation on force control and have potential implications for the development of wearable motor enhancer devices.

Sinusoidal vibrotactile stimulation differentially improves force steadiness depending on contraction intensity

Studies have reported the benefits of sensory noise in motor performance, but it is not clear if this phenomenon is influenced by muscle contraction intensity. Additionally, most of the studies investigated the role of a stochastic noise on the improvement of motor control and there is no evidence that a sinusoidal vibrotactile stimulation could also enhance motor performance. Eleven participants performed a sensorimotor task while sinusoidal vibrations were applied to the finger skin. The effects of an optimal vibration (OV) on force steadiness were evaluated in different contraction intensities. We assessed the standard deviation (SD) and coefficient of variation (CoV) of force signals. OV significantly decreased force SD irrespective of contraction intensity, but the decrease in force CoV was significantly higher for low-intensity contraction. To the best of our knowledge, our findings are the first evidence that sinusoidal vibrotactile stimulation can enhance force steadiness in a motor task. Also, the significant improvement caused by OV during low-intensity contractions is probably due to the higher sensitivity of the motor system to the synaptic noise. These results add to the current knowledge on the effects of vibrotactile stimulation in motor control and have potential implications for the development of wearable haptic devices. Graphical abstract In this work the effects of a sinusoidal vibrotactile stimulation on force steadiness was investigated. Index finger sensorimotor tasks were performed in three levels of isometric contraction of the FDI muscle: 5, 10 and 15%MVC. An optimal level of vibration significantly improved force steadiness, but the decrease in force CoV caused by vibration was more pronounced in contractions at 5%MVC.

Force steadiness as a predictor of time to complete a pegboard test of dexterity in young men and women.

The purpose of the study was to evaluate the capacity of an expanded set of force steadiness tasks to explain the variance in the time it takes young men and women to complete the grooved pegboard test. In a single experimental session, 30 participants (mean ± SD) (24.2 ± 4.0 yr; 15 women) performed the grooved pegboard test, two tests of hand speed, measurements of muscle strength, and a set of submaximal, steady contractions. The steadiness tasks involved single and double actions requiring isometric contractions in the directions of wrist extension, a pinch between the index finger and thumb, and index finger abduction. Time to complete the grooved pegboard test ranged from 41.5 to 67.5 s. The pegboard times (53.9 ± 6.2 s) were not correlated with any of the strength measurements or the reaction time test of hand speed. A stepwise, multiple-regression analysis indicated that much of the variance (R(2) = 0.70) in pegboard times could be explained by a model that comprised two predictor variables derived from the steadiness tasks: time to match the target during a rapid force-matching task and force steadiness (coefficient of variation for force) during a single-action task. Moreover, the pegboard times were significantly faster for women (51.7 ± 6.8 s) than men (56.1 ± 4.9 s). Participants with slower pegboard times seemed to place a greater emphasis on accuracy than speed as they had longer times to match the target during the rapid force-matching task and exhibited superior force steadiness during the single-action task.

Strength training, but not endurance training, reduces motor unit discharge rate variability

This study evaluates and compares the effects of strength and endurance training on motor unit discharge rate variability and force steadiness of knee extensor muscles. Thirty sedentary healthy men (age, 26.0±3.8yrs) were randomly assigned to strength training, endurance training or a control group. Conventional endurance and strength training was performed 3days per week, over a period of 6weeks. Maximum voluntary contraction (MVC), time to task failure (at 30% MVC), coefficient of variation (CoV) of force and of the discharges rates of motor units from the vastus medialis obliquus and vastus lateralis were determined as subjects performed 20% and 30% MVC knee extension contractions before and after training. CoV of motor unit discharges rates was significantly reduced for both muscles following strength training (P<0.001), but did not change in the endurance (P=0.875) or control group (P=0.995). CoV of force was reduced after the strength training intervention only (P<0.01). Strength training, but not endurance training, reduces motor unit discharge rate variability and enhances force steadiness of the knee extensors. These results provide new insights into the neuromuscular adaptations that occur with different training methods.

The effects of mouth guard usage on neuromuscular activation and muscle performance

To assess the effects of a commercially‐available mouth guard (Brux Ltd.) on neuromuscular activation and muscle performance, 8 participants completed a balanced and randomized study with (S‐MG) and without (Con) a sport mouth guard. Each participant performed two tests with both elbow flexors and knee extensors muscles: a 1‐min contraction at 100% of maximum voluntary contraction (MVC) and an 80% MVC until exhaustion. During 100% MVC, force decay (ΔF%) and root mean square (RMS) of electromyogram (EMG) were calculated. During 80% MVC, the time into force target (t‐target) and force coefficient of variation (CV) were determined. MVC was significantly higher in S‐MG than in Con in both muscle groups (P&lt;0.05). ΔF% was significantly lower in S‐MG than in Con in the knee‐extensors (61.1±1.7% and 68.9±1.3% in S‐MG and Con, respectively; P&lt;0.05) but not in the elbow flexors. At 80% MVC, higher t‐target values were observed in S‐MG compared to Con for the knee‐extensors (18.1±2.5 s and 12.9±2.7 s in S‐MG and Con, respectively; P&lt;0.05), but not for the elbow flexors. CV was significantly lower in S‐MG compared to Con in both muscle groups. These findings indicate that despite neuromuscular activation was not altered, the mouth guard usage increased maximum force production, endurance time and force stability, especially in the lower limb muscles.The study was partially funded by a grant of the University of Milan.

The Force Synergy of Human Digits in Static and Dynamic Cylindrical Grasps

This study explores the force synergy of human digits in both static and dynamic cylindrical grasping conditions. The patterns of digit force distribution, error compensation, and the relationships among digit forces are examined to quantify the synergetic patterns and coordination of multi-finger movements. This study recruited 24 healthy participants to perform cylindrical grasps using a glass simulator under normal grasping and one-finger restricted conditions. Parameters such as the grasping force, patterns of digit force distribution, and the force coefficient of variation are determined. Correlation coefficients and principal component analysis (PCA) are used to estimate the synergy strength under the dynamic grasping condition. Specific distribution patterns of digit forces are identified for various conditions. The compensation of adjacent fingers for the force in the normal direction of an absent finger agrees with the principle of error compensation. For digit forces in anti-gravity directions, the distribution patterns vary significantly by participant. The forces exerted by the thumb are closely related to those exerted by other fingers under all conditions. The index-middle and middle-ring finger pairs demonstrate a significant relationship. The PCA results show that the normal forces of digits are highly coordinated. This study reveals that normal force synergy exists under both static and dynamic cylindrical grasping conditions.

A Simulation Study to Examine the Effect of Common Motoneuron Inputs on Correlated Patterns of Motor Unit Discharge

The influence of common oscillatory inputs to the motoneuron pool on correlated patterns of motor unit discharge was examined using model simulations. Motor unit synchronization, in-phase fluctuations in mean firing rates known as 'common drive', and the coefficient of variation of the muscle force were examined as the frequency and amplitude of common oscillatory inputs to the motoneuron pool were varied. The amount of synchronization, the peak correlation between mean firing rates and the coefficient of variation of the force varied with both the frequency and amplitude of the common input signal. Values for 'common drive' and the force coefficient of variation were highest for oscillatory inputs at frequencies less than 5 Hz, while synchronization reached a maximum when the frequency of the common input was close to the average motor unit firing rate. The frequency of the common input signal for which the highest levels of synchronization were observed increased as motoneuron firing rates increased in response to higher target force levels. The simulation results suggest that common low-frequency oscillations in motor unit firing rates and short-term synchronization result from oscillatory activity in different bands of the frequency spectrum of shared motoneuron inputs. The results also indicate that the amount of synchronization between motor unit discharges depends not only on the amplitude of the shared input signal, but also on its frequency in relation to the present firing rates of the individual motor units.

Fluctuations in motor output during steady contractions are weakly related across contraction types and between hands

The presence of differences in motor unit activity across contraction types and between hands suggests that the magnitude of fluctuations in motor output is only weakly related when these conditions are compared. Twenty right-handed young (24.1 +/- 5.3 years) and old (72.5 +/- 4.9 years) adults performed three levels (</=40% of maximal force) of isometric and anisometric contractions with the first dorsal interosseous muscle of each hand. The fluctuations in motor output were quantified by the coefficient of variation for force during isometric contractions, and as the standard deviations of acceleration and position during anisometric contractions. There was no effect of age on fluctuations in motor output. The magnitude of the fluctuations in motor output was weakly related across contraction types (r(2) < 0.325) and between hands (r(2) < 0.262). Furthermore, the standard deviations of acceleration and position during shortening and lengthening contractions were largely unrelated to one another. Because the activity in a motor unit population differed across contraction types and hands during steady contractions, the central nervous system likely employed distinct strategies to accomplish these different tasks.

Isotonic Force Steadiness of the Leg Extensors is Dependent on Intensity and Contraction Type in Pre-Clinically Disabled Older Adults

0835 Various studies have indicated that apparently healthy older adults have reduced steadiness during eccentric contractions and at low intensities in the finger and elbow flexor muscles, with no difference in the knee extensors. Because of their difficulty performing tasks of everyday living, pre-clinically disabled older adults may show altered steadiness patterns compared to previous research in older adults. Purpose: The purpose of this study was to determine the effect of contraction type and intensity on isotonic and isometric steadiness in pre-clinically disabled older adults. Methods: Thirty older subjects (aged 74.7 ± 7.64 years) with difficulty performing either a chair rise or stair ascent/descent tasks were enrolled into the study. Following assessment of maximal voluntary contraction (MVC), subjects performed two concentric, eccentric and isometric contractions at three different intensities. During isotonic tasks subjects lifted and lowered a load at 0.23 rad/sec with 5%, 30% and 65% of MVC. During isometric tasks, subjects were asked to hold 10, 25 & 30% of MVC. Fluctuations around the average force level during isotonic tasks and coefficient of variation for force during isometric tasks were used for statistical analysis. Data was analyzed using a two-way (Factors: contraction type*intensity for isotonic contractions) and one-way (Factor: intensity for isometric contractions) repeated measures analysis of variance. Results: For isotonic contractions, there was no intensity*contraction type interaction (p = 0.88). However, subjects were significantly less steady during high intensity compared to low intensity contractions (5% = 0.08 ± 0.04, 30% = 0.15 ± 0.09, 65% = 0.22 ± 0.14; p 0.00). Additionally, the main effect for intensity showed that older adults were less steady during concentric (0.17 ± 0.12) compared to eccentric (0.13 ± 0.10) contractions. Subjects showed similar force fluctuations between each intensity during isometric contractions (10% = 1.5 ± 1.3, 25% = 1.3 ± 1.1, 50% = 1.2 ± 0.58; p = 0.23). Conclusion: These results suggest that pre-clinically disabled older adults show reduced steadiness at higher intensities and during concentric contractions.