Higher Levels Of Muscle Activity Research Articles

The effects of psychosocial factors on trapezius muscle activity levels during computer use

The goal of the present study, a part of the PROOF (Predicting Occupational biomechanics among OFfice workers) study, was to determine if there was a relationship between psychosocial stress, measured by reward and over-commitment, and trapezius muscle activity while workers performed their own computer work in the field. We observed that workers reporting higher levels of over-commitment and lower reward also experienced approximately 40% higher median trapeizus muscle activity levels than workers reporting lower levels of over-commitment and lower reward (change from 3.5% MVC to 6% MVC), with no difference in muscle activity for workers reporting high reward and either low or high over-commitment. Workers reporting higher levels of over-commitment experienced more variability in trapezius muscle activity. The results of this study may be used to inform interventions targeting reduction of musculoskeletal disorders among office workers.

A comparison of surgeon's postural muscle activity during robotic-assisted and laparoscopic rectal surgery.

This study compared the muscular activity in the surgeon's neck and upper limbs during robotic-assisted laparoscopic (R-Lap) surgery and conventional laparoscopic (C-Lap) surgery. Two surgeons performed the same procedure of R-Lap and C-Lap low anterior resection, and real-time surface electromyography was recorded in bilateral cervical erector spinae, upper trapezius (UT) and anterior deltoid muscles for over 60min in each procedure. In one surgeon, forearm muscle activities were also recorded during robotic surgery. Similar levels of cervical muscle activity were demonstrated in both types of surgery. One surgeon showed much higher activity in the left UT muscle during robotic surgery. In the second surgeon, C-Lap was associated with much higher levels of muscle activity in both UT muscles. This may be related to the bilateral abducted arm posture required in maneuvering the laparoscopic instruments. In the forearm region, the "ulnaris" muscles for wrist flexion and extension bilaterally showed high amplitudes during robotic-assisted surgery. Robotic-assisted surgery seemed to demand a higher level of muscle work in the forearm region while greater efforts of shoulder muscles were involved during laparoscopic surgery. There are also individual variations in postural habits and motor control that can affect the muscle activation patterns. This study demonstrated a method of objectively examining the surgeon's physical workload during real-time surgery in the operating theatre, and further research should explore the surgeon's workload in a larger group of surgeons performing different surgical procedures.

THE EFFECTS OF INTRA-ABDOMINAL PRESSURE ON THE STABILITY AND UNLOADING OF THE SPINE

In spite of earlier experimental and modeling studies, the relative role of the intra-abdominal pressure (IAP) in spine mechanics has remained controversial. This study employs simple analytical and finite element (FE) models of the spine and its surrounding structures to investigate the contribution of IAP to spinal loading and stability. The analytical model includes the abdominal cavity surrounded by muscles, lumbar spine, rib cage and pelvic ring. The intra-abdominal cavity and its surrounding muscles are represented by a thin deformable cylindrical membrane. Muscle activation levels are simulated by changing the Young's modulus of the membrane in the direction of muscle fibers, yielding IAP values recorded under the partial Valsalva maneuver. In the FE model, the abdominal cavity is cylindrical and filled with a nearly incompressible fluid. The surrounding muscles are modeled as membrane elements with transverse isotropic material properties simulating their fiber orientation. Results indicate a good qualitative agreement between the analytical and FE models. Larger external force and/or higher levels of muscle activation generate higher IAP thereby increasing spinal stiffness. These effects are more pronounced for activation of muscles with more horizontally directed fibers, e.g., transverse abdominis (TA). The capacity of the abdominal muscles to indirectly unload and stabilize the spine by generating IAP depends mostly on their fiber orientation, and secondarily on their cross-section area.

Gravitational force modulates muscle activity during mechanical oscillation of the tibia in humans

Mechanical oscillation (vibration) is an osteogenic stimulus for bone in animal models and may hold promise as an anti-osteoporosis measure in humans with spinal cord injury (SCI). However, the level of reflex induced muscle contractions associated with various loads ( g force) during limb segment oscillation is uncertain. The purpose of this study was to determine whether certain gravitational loads ( g forces) at a fixed oscillation frequency (30 Hz) increases muscle reflex activity in individuals with and without SCI. Nine healthy subjects and two individuals with SCI sat with their hip and knee joints at 90° and the foot secured on an oscillation platform. Vertical mechanical oscillations were introduced at 0.3, 0.6, 1.2, 3 and 5 g force for 20 s at 30 Hz. Non-SCI subjects received the oscillation with and without a 5% MVC background contraction. Peak soleus and tibialis anterior (TA) EMG were normalized to M-max. Soleus and TA EMG were <2.5% of M-max in both SCI and non-SCI subjects. The greatest EMG occurred at the highest acceleration (5 g). Low magnitude mechanical oscillation, shown to enhance bone anabolism in animal models, did not elicit high levels of reflex muscle activity in individuals with and without SCI. These findings support the g force modulated background muscle activity during fixed frequency vibration. The magnitude of muscle activity was low and likely does not influence the load during fixed frequency oscillation of the tibia.

MUSCLE STRENGTH IN UNSTABLE CONDITIONS

The use of various exercises in unstable conditions aiming to improve balance and coordination has attracted much attention in the recent years. However, the impact of such exercises on strength has been poorly studied, partly because of the problematic reliability of the current methods of muscle strength assessment during such movements, limiting thus their practical use. Movement production in unstable conditions results in the reduction of maximum muscle strength since the total muscle force is diminished, co-contractions are increased, and muscle coordination is altered. The use of unstable platforms in resistance training should result in the development of higher levels of muscle activation via increased reliance on their stabilizing functions. Since this higher level of muscle activation is achieved with less resistance, such trainings could have a positive impact on muscle and joint rehabilitation after injuries, as well as in sport-specific trainings. However, the researches performed in the field of rehabilitation cannot be directly translated into the field od sports training due to different demands for muscle strength exercise in everyday activity (low loads, slow movements) and in sports activities (large loads, highly dynamic movements). Acta Medica Medianae 2011;50(2):53-56.

Knee and hip joint forces – sensitivity to the degrees of freedom classification at the knee

Previous research has demonstrated that the number of degrees of freedom (DOF) modelled at a given joint affects the antagonistic muscle activity predicted by inverse dynamics optimization techniques. This higher level of muscle activity in turn results in greater joint contact forces. For instance, modelling the knee as a 3 DOF joint has been shown to result in higher hip and knee joint forces commensurate with a higher level of muscular activity than when the knee is modelled with 1 DOF. In this study, a previously described musculoskeletal model of the lower limb was used to evaluate the sensitivity of the knee and hip joint contact forces to the DOF at the knee during vertical jumping in both a 1 and a 3 DOF knee model. The 3 DOF knee was found to predict higher tibiofemoral and hip joint contact forces and lower patellofemoral joint contact forces. The magnitude of the difference in hip contact force was at least as significant as that found in previous research exploring the effect of subject-specific hip geometry on hip contact force. This study therefore demonstrates a key sensitivity of knee and hip joint contact force calculations to the DOF at the knee. Finally, it is argued that the results of this study highlight an important physiological question with practical implications for the loading of the structures of the knee; that is, the relative interaction of muscular, ligamentous, and articular structures in creating moment equilibrium at the knee.

An Electromyographical Comparison of Trunk Muscle Activity During Isometric Trunk and Dynamic Strengthening Exercises

The purpose of this study was to compare rectus abdominis and erector spinae muscle activity during isometric (prone bridge [PB] and superman [SM]) and dynamic strengthening exercises (back squat, front squat [FS], and military press). Participants (n = 10, age 21.8 ± 2.6 years; body mass 82.65 ± 10.80 kg, 174.5± 7.2 cm), performed each exercise in a randomized order, using a repeated-measures design. Electromyographical (EMG) activity (sampling at 2,000 Hz) of the rectus abdominis (RA) and the erector spinae (ES) muscles was recorded throughout the duration of the exercises. Intraclass correlations demonstrated the highest levels of reliability for muscle activity during the isometric exercises; however, all exercises demonstrated high level of reliability (r = 0.764-0.998, p ≤ 0.01). The PB demonstrated significantly greater (p < 0.01) RA activity compared to all other exercises. The ES activity was significantly (p < 0.01) greater during the FS (1.010 ± 0.308 root mean square value [RMS (V)]) and SM (0.951 ± 0.217 RMS[V]) and compared to all other exercises, although there was no significant difference (p > 0.05) between the FS and the SM exercise. The PB may be the most suitable exercise for strengthening the RA, compared to dynamic exercises at a low to moderate load, because of a higher level of muscle activity. The FS may be a useful alternative to isometric exercises when strengthening the ES, because it results in slightly higher muscle activity levels when using only a light to moderate load. Because of the dynamic nature of the FS, this may also be more beneficial in transferring to activities of daily living and sporting environments.

Excessive skeletal muscle recruitment during strenuous exercise in McArdle patients

We compared the cardiorespiratory response and muscle recruitment [as determined by electromyography (EMG)] of 37 McArdle patients [19 males, 37.4±2.8years, body mass index (BMI): 25.1±4.7kgm(-2)] and 33 healthy controls (18 males, 36.4±10.0 years, BMI: 25.7±3.8kgm(-2)) during cycle-ergometer exercise (an incremental test to exhaustion and a 12-min submaximal constant workload test). We obtained cardiorespiratory [oxygen uptake and heart rate (HR)] and EMG data (rectus femoris and vastus lateralis muscles). During the incremental test, the patients exhibited the expected hyperkinetic cardiovascular response shown by a marked increase in the slope of the HR:Power relationship (p<0.001). Throughout the incremental test and at the point of fatigue, the patients produced significantly less power than the controls (peak power output: 67±21 vs. 214±56 watts respectively, p<0.001), yet they demonstrated significantly higher levels of muscle activity for a given absolute power. During the constant workload test, patients displayed higher levels of EMG activity than the controls during the second half of the test, despite a lower power production (34±13 vs. 94±29 watts respectively, p<0.001). In conclusion, since the McArdle patients required more motor unit recruitment for a given power output, our data suggest that the state of contractility of their muscles is reduced compared with healthy people. Excessive muscle recruitment for a given load could be one of the mechanisms explaining the exercise intolerance of these patients.

Muscle Activity during Functional Coordination Training: Implications for Strength Gain and Rehabilitation

The purpose of this study was to evaluate if different types, body positions, and levels of progression of functional coordination exercises can provide sufficiently high levels of muscle activity to improve strength of the neck, shoulder, and trunk muscles. Nine untrained women were familiarized with 7 functional coordination exercises 12 times during 4 weeks before testing. Surface electromyographic (EMG) activity was obtained from rectus abdominus, erector spinae, obliquus externus, and trapezius during the exercises with 2-4 levels of progression. Electromyography was normalized to the maximal EMG activity during maximal voluntary contractions, and a p value < 0.05 was considered significant. All recorded muscles reached sufficiently high levels of activity during the coordination exercises for strength gain (>60% of maximal EMG activity). Type of exercise played a significant role for the attained muscle activity. Body position during the exercises was important for the activity of the erector spinae, and level of progression was important for the activity of the trapezius. The findings indicate that depending on type, body position, and level of progression, functional coordination training can be performed with a muscle activity sufficient for strength gain. Functional coordination training may therefore be a good choice for prevention or rehabilitation of musculoskeletal pain or injury in the neck, shoulder, or trunk muscles.

Muscle Activation and Perceived Loading During Rehabilitation Exercises: Comparison of Dumbbells and Elastic Resistance

High-intensity resistance training plays an essential role in the prevention and rehabilitation of musculoskeletal injuries and disorders. Although resistance exercises with heavy weights yield high levels of muscle activation, the efficacy of more user-friendly forms of exercise needs to be examined. The aim of this study was to investigate muscle activation and perceived loading during upper-extremity resistance exercises with dumbbells compared with elastic tubing. A single-group, repeated-measures study design was used. Exercise evaluation was conducted in a laboratory setting. Sixteen female workers (aged 26-55 years) without serious musculoskeletal diseases and with a mean neck and shoulder pain intensity of 7.8 on a 100-mm visual analog scale participated in the study. Electromyographic (EMG) activity was measured in 5 selected muscles during the exercises of lateral raise, wrist extension, and shoulder external rotation during graded loadings with dumbbells (2-7.5 kg) and elastic tubing (Thera-Band, red to silver resistance). The order of exercises and loadings was randomized for each individual. Electromyographic amplitude was normalized to the absolute maximum EMG amplitude obtained during maximal voluntary isometric contraction and exercise testing. Immediately after each set of exercise, the Borg CR10 scale was used to rate perceived loading during the exercise. Resistance exercise with dumbbells as well as elastic tubing showed increasing EMG amplitude and perceived loading with increasing resistance. At the individually maximal level of resistance for each exercise-defined as the 3 repetitions maximum-normalized EMG activity of the prime muscles was not significantly different between dumbbells (59%-87%) and elastic tubing (64%-86%). Perceived loading was moderately to very strongly related to normalized EMG activity (r=.59-.92). Limitations The results of this study apply only for exercises performed in a controlled manner (ie, without sudden jerks or high acceleration). Comparably high levels of muscle activation were obtained during resistance exercises with dumbbells and elastic tubing, indicating that therapists can choose either type in clinical practice. The Borg CR10 can be a useful aid in estimating intensity of individual rehabilitation protocols.

Acute Effects of Blood Flow Restriction on Muscle Activity and Endurance During Fatiguing Dynamic Knee Extensions at Low Load

The purpose of this study was to investigate muscle activity and endurance during fatiguing low-intensity dynamic knee extension exercise with and without blood flow restriction. Eleven healthy subjects with strength training experience performed 3 sets of unilateral knee extensions with no relaxation between repetitions to concentric torque failure at 30% of the 1 repetition maximum. One leg was randomized to exercise with cuff occlusion and the other leg to exercise without occlusion. The muscle activity in the quadriceps was recorded with electromyography (EMG). Ratings of perceived exertion (RPE) and acute pain were collected immediately, and delayed onset muscle soreness (DOMS) was rated before and at 24, 48, and 72 hours after exercise. The results demonstrated high EMG levels in both experimental conditions, but there were no significant differences regarding maximal muscle activity, except for a higher EMG in the eccentric phase in set 3 for the nonoccluded condition (p = 0.005). Significantly more repetitions were performed with the nonoccluded leg in every set (p < 0.05). The RPE and acute pain ratings were similar, but DOMS was higher in the nonoccluded leg (p < 0.05). We conclude that blood flow restriction during low-intensity dynamic knee extension decreases the endurance but does not increase the maximum muscle activity compared with training without restriction when both regimes are performed to failure. The high levels of muscle activity suggest that performing low-load dynamic knee extensions in a no-relaxation manner may be a useful method in knee rehabilitation settings when large forces are contraindicated. However, similarly to fatiguing blood flow restricted exercise, this method is associated with ischemic muscle pain, and thus its applications may be limited to highly motivated individuals.

Approach run increases preactivation and eccentric phases muscle activity during drop jumps from different drop heights

The purpose of this study was to investigate the effects of a horizontal approach run and drop height on the activation of lower extremity muscles during drop jumps. Ten participants performed drop jumps from drop heights of 15, 30, 45 and 60 cm with zero (standing), one, two, and three approach run steps. The EMG activities of the Gluteus Maximus (GM), Rectus Femoris (RF), Biceps Femoris (BF), Vastus Lateralis (VL), Tibialis Anterior (TA), Gastrocnemius (GA) and Soleus (SO) were recorded, full-wave rectified, and averaged (aEMG) during the preactivation (50 ms before touchdown), downward, and push-off phases. Increasing drop height did not enhance the muscle activation level of any examined muscles except GA. During the preactivation phase, the aEMG of all muscles except TA increased with the number of approach run steps. The aEMG of RF, BF, VL, and SO also increased with the number of approach run steps during the downward phase, while no aEMG changes were observed during the push-off phase. These results suggest that a horizontal approach run preceding the drop jump is an effective strategy for increasing the muscle preactivation level, which contributes to a higher level of muscle activity during the eccentric contraction phase and could potentially contribute to the reported higher power output during the concentric contraction phase.

Difficult memory task during postural tasks of various difficulties in young and older people: A pilot study

Objective This study examined the effects of a difficult and individually tailored additional cognitive task on postural stability and electromyographic (EMG) activities of the ankle dorsi- and plantar-flexors, in young and older individuals performing postural tasks of varying difficulties. Methods Eight young (mean age = 24 years) and eight older (74 years) men took part in the investigation. Centre of pressure velocity and surface EMG of ankle joint muscles were both examined during various postural conditions. Results The main findings suggested that high levels of muscle activity were a characteristic of age-related declines in postural stability. Moreover, during the complex posture, the postural instability, as well as the EMG activity of the ankle joint muscles, was decreased in older adults when the difficult memory task was added. Regarding young participants, the performance in the cognitive task was significantly improved during the complex posture compared to the easy one. Conclusions These findings showed that the execution of a second task would make it possible to improve the performance in the original task. Significance This pilot study seemed to show that, depending on age, the task of highest priority would be the cognitive one for young adults and the postural one for older people.

Changes in Shoulder and Elbow Passive Range of Motion after Pitching in Professional Baseball Players

Background The overhead throwing athlete has unique range of motion characteristics of the shoulder and elbow. Numerous theories exist to explain these characteristics; however, the precise cause is not known. Although it is accepted that range of Motion is altered, the acute effect of baseball pitching on shoulder and elbow range of motion has not been established. Hypothesis There will be a reduction in passive range of motion immediately after baseball pitching. Study Design Controlled laboratory study. Methods Sixty-seven asymptomatic male professional baseball pitchers participated in the study. Passive range of motion Measurements were recorded using a customized bubble goniometer for shoulder external rotation, shoulder internal rotation, total shoulder rotational motion, elbow flexion, and elbow extension on the dominant and nondominant arms. Testing was performed on the first day of spring training. Measurements were taken before, immediately after, and 24 hours after pitching. Results A significant decrease in shoulder internal rotation (−9.5°), total motion (−10.7°), and elbow extension (−3.2°) occurred immediately after baseball pitching in the dominant shoulder (P < .001). These changes continued to exist 24 hours after pitching. No differences were noted on the nondominant side. Conclusion Passive range of motion is significantly decreased immediately after baseball pitching. This decrease in range of motion continues to be present 24 hours after throwing. High levels of eccentric muscle activity have previously been observed in the shoulder external rotators and elbow flexors during pitching. These eccentric muscle contractions may contribute to acute musculotendinous adaptations and altered range of motion. The results of this study may suggest a newly defined mechanism to range of motion adaptations in the overhead throwing athlete resulting from acute musculoskeletal adaptations, in addition to Potential osseous and capsular adaptations.

Comparison of upper and lower lip muscle activity between stutterers and fluent speakers

There is a widespread clinical view that stuttering is associated with high levels of muscles activity. The proposal of this research was to compare stutterers and fluent speakers with respect to the electromyographic activity of the upper and lower lip muscles. Ten individuals who stutter and 10 fluent speakers (control group) paired by gender and age were studied (mean age: 13.4 years). Groups were defined by the speech sample analysis of the ABFW-Language Test. A K6-I EMG (Myo-tronics Co., Seattle, WA, USA) with double disposable silver electrodes (Duotrodes, Myo-tronics Co., Seattle, WA) being used in order to analyze lip muscle activity. The clinical conditions investigated were movements during speech, orofacial non-speech tasks, and rest. Electromyographic data were normalized by lip pursing activity. The non-parametric Mann-Whitney test was used for the comparison of speech fluency profile, and the Student t-test for independent samples for group comparison regarding electromyographic data. There was a statistically significant difference between groups regarding speech fluency profile and upper lip activity in the following conditions: lip lateralization to the right and to the left and rest before exercises (P<0.05). There was no significant difference between groups regarding lower lip activity (P>0.05). The EMG activity of the upper lip muscle in the group with stuttering was significantly lower than in the control group in some of the clinical conditions analyzed. There was no significant difference between groups regarding the lower lip muscle. The subjects who stutter did not present higher levels of muscle activity in lip muscles than fluent speakers.

The influence of age and dental status on elevator and depressor muscle activity

The objective of this study was to determine whether the muscle activity at various mandibular positions is affected by age and dental status. Thirty edentulous subjects (E), 20 young dentate individuals (G1) and 20 older dentate individuals (G2) participated in this study. Surface electromyographic (EMG) recordings were obtained from the anterior temporal (T), masseter (M) and depressor muscles (D). Muscle activity was recorded during maximal voluntary contraction (MVC), maximal opening (O(max)) and in six different mandibular positions. One way anova and the Bonferroni tests were used to determine the differences between groups. Significant differences between the three tested groups were found at MVC and O(max) for all examined muscles (P < 0.001). The differences in muscle activity in dentate subjects of different age were found in protrusion for depressor muscles (P < 0.05) and in lateral excursive positions for the working side temporal (P < 0.05) and non-working side masseter and depressor muscle (P < 0.05). There was a significant effect regarding the presence of natural teeth or complete dentures in protrusion and maximal protrusion for all muscles (P < 0.05) and in lateral excursive positions for non-working side temporal (P < 0.05) and working side masseter muscle (P < 0.05). Muscle activity at various mandibular positions depends greatly on the presence of the prosthetic appliance, as edentulous subjects had to use higher muscle activity levels (percentages of maximal EMG value) than age matched dentate subjects in order to perform same mandibular movement. Different elevator muscles were preferentially activated in the edentulous subjects when compared with dentate group in lateral excursive positions of the mandible. The pattern of relative muscle activity was not changed because of ageing.

Muscle force–stiffness characteristics influence joint stability: A spine example

The muscle force-stiffness relationship has often been modeled as linear, while in situ muscle research has clearly demonstrated non-linearity. Estimation of rotational joint stability relies on both a muscle's instantaneous pre-perturbation force and stiffness. Under conditions of static equilibrium, a muscle's stiffness will function in a stabilizing manner, while its force can function in either a stabilizing or destabilizing manner depending on the muscle's orientation about the joint. A single muscle (rectus abdominis) was modeled and its individual direct stabilizing potential about the L4-L5 spine joint was analyzed. Three force-stiffness relationships were examined: (1) linear; (2) non-linear with moderate stiffness magnitudes; (3) non-linear with higher stiffness magnitudes. With a linear force-stiffness relationship, stability increased proportional to muscle force; with a non-linear relationship, stability peaked and subsequently decreased at submaximal muscle forces. When considering the lower, as opposed to the higher non-linear stiffness magnitudes, the stabilizing potential of the muscle peaked at a lower muscle force level and actually became negative (destabilizing) at a critical stiffness magnitude. It was concluded that a non-linear muscle force-stiffness relationship greatly alters the individual stabilizing potential of the muscle throughout its progression of force development. A muscle's stabilizing contribution may actually peak at and subsequently decrease above a critical submaximal force level. Incorporating this knowledge into stability models may assist in recognizing unstable events that lead to injury at higher levels of muscle activation.

Variation of magnitude and timing of wrist flexor stretch reflex across the full range of voluntary activation.

This paper reports an investigation of the magnitude and timing of the stretch reflex over the full range of activation of flexor carpi radialis. While it is well established that the magnitude of the reflex increases with the level of muscle activation, there have been few studies of reflex magnitude above 50% of maximum voluntary contraction (MVC) and virtually no study of the timing of the response in relation to activation level. Continuous small amplitude (approximately 2 degrees) perturbations were applied to the wrist of 12 normal subjects while they maintained contraction levels between 2.5-95% MVC, monitored via surface electromyography (EMG). Both narrow band (4-5 Hz) and broad band (0-10 Hz) stretch perturbations were employed. The gain (EMG output/stretch input) and phase advance of the reflex varied with the level of muscle activation in a similar manner for both types of stretch, but there were significant differences in the patterns of change due to stretch bandwidth. Consistent with previous studies, the group average reflex gain initially increased with muscle activation level and then saturated. Inspection of individual data, however, revealed that the gain reached a peak at about 60% MVC and then decreased at higher contraction levels, the pattern across the full range of activation being well described by quadratic functions (mean r2=0.82). This quadratic pattern has not been reported previously for the neural reflex response in any muscle but is consistent with the pattern that has been reliably observed in studies of the mechanical reflex response in lower limb muscles. In contrast to the pattern for reflex gain, the phase advance of the reflex (at a stretch frequency of 4.5 Hz) decreased linearly from approximately 130 degrees at the lowest contraction levels to approximately 50 degrees as maximum voluntary contraction was reached (mean r2=0.69). This decrease corresponds to a delay of 49 ms introduced centrally in reflex pathways. All subjects showed clearly defined quadratic functions relating reflex gain and linear functions relating reflex phase to activation level, but there were considerable individual differences in the slopes of these functions which point to systematic differences in synaptic behaviour of the motoneuron pool. Thus, there was wide inter-subject variation in both the contraction level at which the reflex gain reached a peak (31-69% MVC) and the highest target contraction level that could be sustained during reflex measurement (47-95% MVC). A high correlation between these variables (r2=0.78) suggests a linear relation between afferent support of contraction and muscle fatigability. The decline in reflex gain at high levels of muscle activation signals a failure of muscle afferent input and subjects in whom the gain reached a peak and declined early were unable to sustain higher target contraction levels. The results of the study show that both the timing and magnitude of the stretch reflex vary markedly over the full range of voluntary muscle activation. The pattern of variation may account for why the stretch reflex contributes most effectively to muscle mechanics over the lower half of the range of activation, while progressive reductions in both gain and phase advance at higher levels render the reflex mechanically less effective and make tremor more likely.

Motor coordination can be fully understood only by studying complex movements

In this chapter, we use the sit-up to illustrate the complexity of coordination in movements that involve many muscles, joints, degrees of freedom, and high levels of muscle activity. Complex movements often involve the body axis. In addition to the intentional, focal part of any voluntary movement, complex movements also include "associated movements" that are not consciously controlled, but are necessary for the movement to succeed. Some associated movements serve a purpose, and others may not. During sitting up, the leg-lift is a purposive associated movement, whereas three-joint flexion is a non-purposive associated movement. The control of complex movements is also likely to be complex and, we argue, is hierarchically controlled. Associated movements may, themselves, be hierarchically organized and triggered by lower brain structures, local changes in neuronal excitability, and sensory feedback. Complex movements typically involve a high level of mobility. Because this mobility can lead to instability, anticipatory postural adjustments, a type of purposive associated movement, are commonly used to regulate posture. Thus, a number of important aspects of motor coordination can only be revealed by the study of complex movements.

Oxygen delivery to skeletal muscle fibers: effects of microvascular unit structure and control mechanisms.

The number of perfused capillaries in skeletal muscle varies with muscle activation. With increasing activation, muscle fibers are recruited as motor units consisting of widely dispersed fibers, whereas capillaries are recruited as groups called microvascular units (MVUs) that supply several adjacent fibers. In this study, a theoretical model was used to examine the consequences of this spatial mismatch between the functional units of muscle activation and capillary perfusion. Diffusive oxygen transport was simulated in cross sections of skeletal muscle, including several MVUs and fibers from several motor units. Four alternative hypothetical mechanisms controlling capillary perfusion were considered. First, all capillaries adjacent to active fibers are perfused. Second, all MVUs containing capillaries adjacent to active fibers are perfused. Third, each MVU is perfused whenever oxygen levels at its feed arteriole fall below a threshold value. Fourth, each MVU is perfused whenever the average oxygen level at its capillaries falls below a threshold value. For each mechanism, the dependence of the fraction of perfused capillaries on the level of muscle activation was predicted. Comparison of the results led to the following conclusions. Control of perfusion by MVUs increases the fraction of perfused capillaries relative to control by individual capillaries. Control by arteriolar oxygen sensing leads to poor control of tissue oxygenation at high levels of muscle activation. Control of MVU perfusion by capillary oxygen sensing permits adequate tissue oxygenation over the full range of activation without resulting in perfusion of all MVUs containing capillaries adjacent to active fibers.