Motor Unit Recruitment Patterns Research Articles

One-week quercetin intervention modifies motor unit recruitment patterns before and during resistance exercise in older adults: A randomized controlled trial

We investigated the effects of one-week quercetin ingestion on motor unit (MU) behavior and muscle contractile properties before, during, and after a single session of resistance exercise in older adults. Twenty-four older adults were divided into two groups: those receiving quercetin glycosides (QUE) or placebo (PLA), and they performed a single session of resistance exercise. MU behavior before and during resistance exercise and electrically elicited contraction before and after resistance exercise were measured (Day 1), and the same measurements were conducted again after 7 days of placebo or quercetin glycoside ingestion (Day 8). The MU recruitment threshold (RT) was decreased (p < 0.001, 25.6 ± 10.1 to 23.6 ± 9.5 %MVC) and the exerted force normalized by the MU firing rate (FR) was increased (p = 0.003, 1.13 ± 0.24 to 1.18 ± 0.22 %MVC/pps) from Days 1 to 8, respectively, in QUE but not PLA (p = 0.263, 22.6 ± 11.9 to 21.9 ± 11.6 %MVC; p = 0.713, 1.09 ± 0.20 to 1.10 ± 0.19 %MVC/pps, respectively). On Day 1, a significant correlation between MURT and%change in MUFR from the first to last contractions during the resistance exercise was observed in both groups (QUE: p = 0.009, rs = 0.308; PLA: p < 0.001, rs = 0.403). On Day 8 %change in MUFR was negatively correlated with MURT in QUE (p = 0.044, rs = -0.251), but there was no significant correlation in PLA (p = 0.844). There was no difference in electrically elicited contraction before and after the resistance exercise between QUE and PLA (p < 0.05). These results suggest that one-week quercetin ingestion in older adults lowered MURT and led to greater fatigue in MU with higher RT than with lower RT during resistance training.

Analysis of the suprahyoid muscles during tongue elevation: High-density surface electromyography as a novel tool for swallowing-related muscle assessment.

High-density surface electromyography (HD-sEMG) has enabled non-invasive analysis of motor unit (MU) activity and recruitment, but its application to swallowing-related muscles is limited. We aimed to investigate the utility of HD-sEMG for quantitatively evaluating the MU recruitment characteristics of the suprahyoid muscles during tongue elevation. We measured the sEMG activity of the suprahyoid muscles of healthy participants during tongue elevation using HD-sEMG. Maximum voluntary contraction (MVC) was measured, followed by data collection during sustained and ramp-up tasks to capture suprahyoid muscle activity. Changes in the temporal/spatial MU recruitment patterns within individual suprahyoid muscles were analysed. This study enrolled 16 healthy young adults (mean age: 27.8 ± 5.3 years; eight males and eight females). Increasing muscle force corresponded to a decrease in modified entropy and correlation coefficient and an increase in the coefficient of variation. No significant differences were observed between male and female participants. The results of this study, consistent with those observed in other muscles, such as the vastus lateralis muscle, suggest that HD-sEMG is a valuable and reliable tool for quantitatively evaluating MU recruitment in the suprahyoid muscles. This measurement technique holds promise for novel assessments of swallowing function.

Motor unit activity and synaptic inputs to motoneurons in the caudal part of the injured spinal cord.

Spinal cord injury (SCI) disrupts neuronal function below the lesion epicenter, causing disuse muscle atrophy. We investigated motor unit (MU) activity and synaptic inputs to motoneurons in the caudal region of the injured spinal cord. Participants with C4-C7 cervical injuries were studied. The extensor digitorum communis (EDC) muscle, which is mainly innervated by C8, was assessed for disuse muscle atrophy. Using advanced electromyography and signal-processing techniques, we examined the concurrent activation of a substantial population of MUs during force-tracking tasks. We found that in participants with SCI (n = 9), both MU discharge rates and the amplitudes of MU action potentials were significantly lower than in controls (n = 9). After SCI, MUs were recruited in a limited force range as the strength of muscle contractions increased, implying a disruption in the orderly MU recruitment pattern. Coherence analysis revealed reduced synaptic inputs to motoneurons in the delta band (0.5-5 Hz) for participants with SCI, suggesting diminished common synaptic inputs to the EDC muscle. In addition, participants with SCI exhibited greater muscle force variability. Using principal component analysis on low-frequency MU discharge rates, we found that the first common component (FCC) captured the most discharge variability in participants with SCI. The coefficients of variation (CV) of the FCC correlated with force signal CVs, suggesting force variability mainly results from common synaptic inputs to the EDC muscle after SCI. These results advance our understanding of the neurophysiology of disuse muscle atrophy in human SCI, paving the way for therapeutic interventions to restore muscle function.NEW & NOTEWORTHY This study analyzed motor unit (MU) function below the lesion epicenter in patients with spinal cord injury (SCI). We found reduced MU discharge rates and action potential amplitudes in participants with SCI compared with controls. The strength of common synaptic inputs to motoneurons was reduced in patients with SCI, with increased force variability primarily due to low-frequency oscillations of common inputs. This study enhances understanding of neurophysiological and behavioral changes in disuse muscle atrophy post-SCI.

Effects of 7-day quercetin intervention on motor unit activity and muscle contractile properties before and after resistance exercise in young adults randomized controlled trials.

We investigated whether the alteration of the motor unit recruitment threshold (MURT) caused by quercetin ingestion intervention for 7 days modifies motor unit activation patterns before and after a single session of resistance exercise. Twenty young male and female adults were divided into two groups: ingestion of placebo (PLA) or quercetin glycosides at 200mg/day (QUE). High-density surface electromyography during submaximal contractions was measured to assess the motor unit firing rate (MUFR) and MURT of the vastus lateralis muscle before (PRE) and after (POST) resistance exercise (DAY1). The same measurements were repeated after 7 days of placebo or quercetin glycoside ingestion (DAY8). In QUE, MURT decreased more from DAY1-PRE to DAY8-PRE (29.1±9.1 to 27.1±9.5% MVC, p<0.001) but not in PLA (29.8±10.4 to 28.9±9.7% MVC, p<0.167). For percentage change in MUFR following resistance exercise, there was a significant interaction (day × group, p<0.001). The degree of changes in MURT from DAY1-PRE to DAY8-PRE was significantly correlated with the percentage change of MUFR from DAY8-PRE to DAY8-POST in QUE (p=0.014, r = -0.363) but not in PLA (p=0.518). The study suggests that 7-day quercetin ingestion alters the motor unit recruitment pattern, and this may induce changes in motor unit firing patterns during a single session of resistance training (Trial registration: UMIN000052255, R000059650).

Sex-related differences in motor unit behavior are influenced by myosin heavy chain during high- but not moderate-intensity contractions.

Motor unit recruitment and firing rate patterns of the vastus lateralis (VL) have not been compared between sexes during moderate- and high-intensity contraction intensities. Additionally, the influence of fiber composition on potential sex-related differences remains unquantified. Eleven males and 11 females performed 40% and 70% maximal voluntary contractions (MVCs). Surface electromyographic (EMG) signals recorded from the VL were decomposed. Recruitment thresholds (RTs), MU action potential amplitudes (MUAPAMP ), initial firing rates (IFRs), mean firing rates (MFRs), and normalized EMG amplitude (N-EMGRMS ) at steady torque were analyzed. Y-intercepts and slopes were calculated for MUAPAMP , IFR, and MFR versus RT relationships. Type I myosin heavy chain isoform (MHC) was determined with muscle biopsies. There were no sex-related differences in MU characteristics at 40% MVC. At 70% MVC, males exhibited greater slopes (p = 0.002) for the MUAPAMP , whereas females displayed greater slopes (p = 0.001-0.007) for the IFR and MFR versus RT relationships. N-EMGRMS at 70% MVC was greater for females (p < 0.001). Type I %MHC was greater for females (p = 0.006), and was correlated (p = 0.018-0.031) with the slopes for the MUAPAMP , IFR, and MFR versus RT relationships at 70% MVC (r = -0.599-0.585). Both sexes exhibited an inverse relationship between MU firing rates and recruitment thresholds. However, the sex-related differences in MU recruitment and firing rate patterns and N-EMGRMS at 70% MVC were likely due to greater type I% MHC and smaller twitch forces of the higher threshold MUs for the females. Evidence is provided that muscle fiber composition may explain divergent MU behavior between sexes.

Acute effects of neuromuscular electrical stimulation on contralateral plantar flexor neuromuscular function

Introduction&#x0D; Neuromuscular electrical stimulation (NMES) is used in athletes to enhance muscle strength (Filipovic et al., 2012) or in patients to restore muscle strength (Nussbaum et al., 2017). The increased maximal voluntary contraction (MVC) torque of one limb (e.g. right leg) while transcutaneous NMES is concomitantly applied to the contralateral limb (e.g. left leg) has been termed contralateral facilitation. This effect has previously been reported for the knee extensors (Cattagni et al., 2018; Minetto et al., 2018) but the underlying mechanisms remain to be investigated. It is also not known whether or not other muscle groups may show contralateral facilitation.&#x0D; The aim of this study was to compare plantar flexor contralateral facilitation between a submaximal voluntary contraction (~10% MVC torque) and two evoked contractions with presumably distinct motor unit recruitment patterns (conventional and wide-pulse high-frequency [WPHF] NMES; Bergquist et al., 2011) of the ipsilateral plantar flexors, with respect to a resting condition.&#x0D; Methods&#x0D; Twenty-two healthy volunteers (4 women: mean ± SD, 26 ±4 yrs, 162 ±7 cm, 65 ±9 kg and 18 men: 26 ±6 yrs, 180 ±5 cm, 76 ±6 kg) took part to the experiments. Contralateral MVC torque and maximal voluntary activation level were measured in 4 different conditions: while the ipsilateral plantar flexors were at rest, voluntarily contracted at 10% of MVC torque or stimulated with conventional (0.1 ms, 30 Hz) and wide-pulse high frequency (1 ms, 100 Hz) NMES for 15 s at a pre-determined intensity to evoke 10% of MVC torque. Additional neurophysiological parameters (soleus H-reflex and V-wave amplitude and tibialis anterior coactivation level) were quantified in a subgroup of 12 participants (4 women and 8 men).&#x0D; Results&#x0D; Conventional and WPHF NMES of the ipsilateral plantar flexors did not induce any contralateral facilitation of MVC torque with respect to the resting condition (respectively: mean ± SD, 133 ±44, 133 ±43 and 135 ±39 Nm) as well as maximal voluntary activation level, while an ipsilateral voluntary contraction of the same intensity resulted in lower contralateral strength than conventional NMES. Moreover, no alteration in the neurophysiological parameters was observed in the different conditions.&#x0D; Discussion/Conclusion&#x0D; The absence of contralateral facilitation contrasts with the results obtained on the knee extensors and can be attributed to the absence of neural changes observed on the contralateral side. These findings should be considered by clinicians/researchers in lower limb rehabilitation settings, as it seems easier to induce contralateral facilitation in proximal vs. distal lower limbs.&#x0D; References&#x0D; Bergquist, A. J., Clair, J. M., Lagerquist, O., Mang, C. S., Okuma, Y., &amp; Collins, D. F. (2011). Neuromuscular electrical stimulation: Implications of the electrically evoked sensory volley. European Journal of Applied Physiology, 111, 2409–2426. https://doi.org/10.1007/s00421-011-2087-9&#x0D; Cattagni, T., Lepers, R., &amp; Maffiuletti, N. A. (2018). Effects of neuromuscular electrical stimulation on contralateral quadriceps function. Journal of Electromyography and Kinesiology, 38, 111-118. https://doi.org/10.1016/j.jelekin.2017.11.013&#x0D; Filipovic, A., Kleinöder, H., Dörmann, U., &amp; Mester, J. (2012). Electromyostimulation: A systematic review of the effects of different electromyostimulation methods on selected strength parameters in trained and elite athletes. Journal of Strength and Conditioning Research, 26(9), 2600-2614. https://doi.org/10.1519/JSC.0b013e31823f2cd1&#x0D; Minetto, M., Botter, A., Gamerro, G., Varvello, I., Massazza, G., Bellomo, R., Maffiuletti, N., &amp; Saggini, R. (2018). Contralateral effect of short-duration unilateral neuromuscular electrical stimulation and focal vibration in healthy subjects. European Journal of Physical and Rehabilitation Medicine, 54(6), 911-920.&#x0D; Nussbaum, E., Houghton, P., Anthony, J., Rennie, S., Shay, B., &amp; Hoens, A. (2017). Neuromuscular electrical stimulation for treatment of muscle impairment: Critical review and recommendations for clinical practice. Physiotherapy Canada, 69(5), 1-76. https://doi.org/10.3138/ptc.2015-88

Differences in motor unit recruitment patterns and low frequency oscillation of discharge rates between unilateral and bilateral isometric muscle contractions.

Distinct cortical activities contribute to unilateral and bilateral motor control. However, it remains largely unknown whether the behavior of motor neurons differs between unilateral and bilateral isometric force generation. Here, we first investigated motor units (MUs) recruitment patterns during unilateral and bilateral force generation. Considering that the force control is primarily regulated by low-frequency synaptic inputs to motor neurons, we also examined the relation between MU discharge rate and force output during unilateral and bilateral muscle contractions. Using advanced electromyography (EMG) sensor arrays and spike-triggered averaging techniques, we examined a large population of MUs in the right first dorsal interosseous (FDI) muscle during unilateral and bilateral force tracking tasks. Using the principal component analysis, we analyzed the first common component (FCC) of MU discharge rate to describe the force fluctuations during unilateral and bilateral contractions. We found that MU discharge rate decreased during bilateral compared with unilateral contractions. MU recruitment threshold increased, while the amplitude and duration of MU action potential (MUAP) remained unchanged during bilateral compared with unilateral contractions. We found that the coefficients of variation (CV) for the force and FCC signal increased during bilateral compared with unilateral contractions. Notably, the FCC signal captured a great amount of MU discharge variability, and its CV correlated with the CV of the force signal. Our findings suggest that MU recruitment patterns are altered during bilateral compared with unilateral isometric force generation, likely related to changes at the low-frequency portion of the synaptic drive.

Physiotherapeutic approach in seamstresses with neck pain: A single-blind, randomized clinical trial

PurposeTo investigate and compare the effects of therapeutic exercise, therapeutic ultrasound and photobiomodulation on pain, functionality and recruitment pattern of motor units, after a rehabilitation protocol for seamstresses with neck pain. Materials and methodsAll 36 female, randomly divided into three groups; i)exercise control group, ii)exercise and photobiomodulation group, iii)exercise and ultrasound group. The groups were composed of sewing machine operators with complaints neck pain. Clinical evaluations: Visual analog pain scale, questionnaires Nordic Musculoskeletal Questionnaire and the International Physical Activity Questionnaire, and electromyographic evaluations of the sternocleidomastoid and upper trapezius muscles. All variables were compared before and after the protocol. For statistical analysis, the values of mean, standard deviation and standard error of the mean were used. The values obtained were compared using the One-Way ANOVA with post-hoc Tukey, and Cohen's-d, with a significance coefficient of p < 0.05. ResultsIn the Ultrasound and laser groups there was a greater tendency to improve pain (p < 0.0001) and size of the effect on pain reduction (ultrasound = d:1.99; photobiomodulation = d:1.81). Between groups, there was a significant difference in post-treatment for the onset of right trapezius (p = 0.024) in the exercise and photobiomodulation groups (p = 0.0347). The photobiomodulation group showed pre and post-intervention differences in the left trapezius maximum onset (p = 0.010). ConclusionInterventions with photobiomodulation, ultrasound, and exercise assist to pain, function, and muscular activation in seamstresses with neck pain.

Optimizing nerve transfer surgery in tetraplegia: clinical decision making based on innervation patterns in spinal cord injury.

Nerve transfers are increasingly being utilized in the treatment of chronic tetraplegia, with increasing literature describing significant improvements in sensorimotor function up to years after injury. However, despite technical advances, clinical outcomes remain heterogenous. Preoperative electrodiagnostic testing is the most direct measure of nerve health and may provide prognostic information that can optimize preoperative patient selection. The objective of this study in patients with spinal cord injury (SCI) was to determine various zones of injury (ZOIs) via electrodiagnostic assessment (EDX) to predict motor outcomes after nerve transfers in tetraplegia. This retrospective review of prospectively collected data included all patients with tetraplegia from cervical SCI who underwent nerve transfer at the authors' institution between 2013 and 2020. Preoperative demographic data, results of EDX, operative details, and postoperative motor outcomes were extracted. EDX was standardized into grades that describe donor and recipient nerves. Five zones of SCI were defined. Motor outcomes were then compared based on various zones of innervation. Nineteen tetraplegic patients were identified who underwent 52 nerve transfers targeting hand function, and 75% of these nerve transfers were performed more than 1 year postinjury, with a median interval to surgery following SCI of 24 (range 8-142) months. Normal recipient compound muscle action potential and isolated upper motor neuron injury on electromyography (EMG) were associated with greater motor recovery. When nerve transfers were stratified based on donor EMG, greater motor gains were associated with normal than with abnormal donor EMG motor unit recruitment patterns. When nerve transfers were separated based on donor and recipient nerves, normal flexor donors were more crucial than normal extensor donors in powering their respective flexor recipients. This study elucidates the relationship of the preoperative innervation zones in SCI patients to final motor outcomes. EDX studies can be used to tailor surgical therapies for nerve transfers in patients with tetraplegia. The authors propose an algorithm for optimizing nerve transfer strategies in tetraplegia, whereby understanding the ZOI and grade of the donor/recipient nerve is critical to predicting motor outcomes.

Preparatory activity links the frontal eye field response with small amplitude motor unit recruitment of neck muscles during gaze planning.

A hallmark of intelligent behavior is that we can separate intention from action. To understand the mechanism that gates the flow of information between motor planning and execution, we compared the activity of frontal eye field neurons with motor unit activity from neck muscles in the presence of an intervening delay period in which spatial information regarding the target was available to plan a response. Although spatially specific delay period activity was present in the activity of frontal eye field neurons, it was absent in motor unit activity. Nonetheless, motor unit activity was correlated with the time it took to initiate saccades. Interestingly, we observed a heterogeneity of responses among motor units, such that only units with smaller amplitudes showed a clear modulation during the delay period. These small amplitude motor units also had higher spontaneous activity compared with the units which showed modulation only during the movement epoch. Taken together, our results suggest the activity of smaller motor units convey temporal information and explains how the delay period primes muscle activity leading to faster reaction times.NEW & NOTEWORTHY This study shows that the temporal aspects of a motor plan in the oculomotor circuitry can be accessed by peripheral neck muscles hundreds of milliseconds before the instruction to initiate a saccadic eye movement. The coupling between central and peripheral processes during the delay time is mediated by the recruitment pattern of motor units with smaller amplitude. These findings suggest that information processed in cortical areas could be read from periphery before execution.

A randomized double blinded placebo controlled study to evaluate motor unit abnormalities after experimentally induced sensitization using capsaicin

Central sensitization is a condition that represents a cascade of neurological adaptations, resulting in an amplification of nociceptive responses from noxious and non-noxious stimuli. However, whether this abnormality translates into motor output and more specifically, ventral horn abnormalities, needs to be further explored. Twenty healthy participants aged 20–70 were randomly allocated to topical capsaicin or a placebo topical cream which was applied onto their left upper back to induce a transient state of sensitization. Visual analogue scale (VAS) ratings of pain intensity and brush allodynia score (BAS) were used to determine the presence of pain and secondary allodynia. Surface electromyography (sEMG) and intramuscular electromyography (iEMG) were used to record motor unit activity from the upper trapezius and infraspinatus muscles before and twenty minutes after application of capsaicin/placebo. Motor unit recruitment and variability were analyzed in the sEMG and iEMG, respectively. An independent t-test and Kruskal–Wallis H test were performed on the data. The sEMG results demonstrated a shift in the motor unit recruitment pattern in the upper trapezius muscle, while the iEMG showed a change in motor unit variability after application of capsaicin. These results suggest that capsaicin-induced central sensitization may cause changes in ventral horn excitability outside of the targeted spinal cord segment, affecting efferent pathway outputs. This preclinical evidence may provide some explanation for the influence of central sensitization on changes in movement patterns that occur in patients who have pain encouraging of further clinical investigation.Clinical Trials registration number: NCT04361149; date of registration: 24-Apr-2020.

Quantitative T2 -mapping magnetic resonance imaging for assessment of muscle motor unit recruitment patterns.

In this study, we aimed to determine whether muscle transverse relaxation time (T2 ) magnetic resonance (MR) mapping results correlate with motor unit loss, as defined by motor unit recruitment patterns on electromyography (EMG). EMG and 3-Tesla MRI exams were acquired no more than 31 days apart in subjects referred for peripheral nerve MRI. Two musculoskeletal radiologists qualitatively graded T2 -weighted, fat-suppressed sequences for severity of muscle edema-like patterns and manually placed regions of interest within muscles to obtain T2 values from T2 -mapping sequences. Concordance was calculated between qualitative and quantitative MR grades and EMG recruitment categories (none, discrete, decreased) as well as interobserver agreement for both MR grades. Thirty-four muscles (21 abnormal, 13 control) were assessed in 13 subjects (5 females and 8 males; mean age, 46 years) with 14 EMG-MRI pairs. T2 -relaxation times were significantly (P < .001) increased in all EMG recruitment categories compared with control muscles. T2 differences were not significant between EMG grades of motor unit recruitment (P = .151-.702). T2 and EMG score concordance was acceptable (Harrell's concordance index [c index]: rater A, 0.71; 95% confidence interval [CI], 0.51-0.87; rater B, 0.77; 95% CI, 0.57-0.91). Qualitative MRI and EMG score concordance was poor to acceptable (c index: rater A, 0.60; 95% CI, 0.50-0.79; rater B, 0.72; 95% CI, 0.55-0.89). T2 values had moderate-to-substantial ability to distinguish between absent vs incomplete (ie, decreased or discrete) motor unit recruitment (c index: rater A, 0.78; 95% CI, 0.50-1.00; rater B, 0.86; 95% CI, 0.57-1.00). Quantitative T2 MR muscle mapping is a promising tool for noninvasive evaluation of the degree of motor unit recruitment loss.

The Effects of Spinal Manipulation on Motor Unit Behavior.

Over recent years, a growing body of research has highlighted the neural plastic effects of spinal manipulation on the central nervous system. Recently, it has been shown that spinal manipulation improved outcomes, such as maximum voluntary force and limb joint position sense, reflecting improved sensorimotor integration and processing. This study aimed to further evaluate how spinal manipulation can alter neuromuscular activity. High density electromyography (HD sEMG) signals from the tibialis anterior were recorded and decomposed in order to study motor unit changes in 14 subjects following spinal manipulation or a passive movement control session in a crossover study design. Participants were asked to produce ankle dorsiflexion at two force levels, 5% and 10% of maximum voluntary contraction (MVC), following two different patterns of force production (“ramp” and “ramp and maintain”). A significant decrease in the conduction velocity (p = 0.01) was observed during the “ramp and maintain” condition at 5% MVC after spinal manipulation. A decrease in conduction velocity suggests that spinal manipulation alters motor unit recruitment patterns with an increased recruitment of lower threshold, lower twitch torque motor units.

The effects of local forearm heating and cooling on motor unit properties during submaximal contractions.

What is the central question of this study? How do temperature manipulations affect motor unit (MU) properties during submaximal contractions to the same relative percentage of maximal force? What is the main finding and its importance? MU recruitment patterns are affected by temperature manipulations at the forearm. However, the relationship between MU potential amplitude and recruitment threshold indicates no change to the order or recruitment. Additionally, the MU potential amplitude and firing rate relationship was affected by temperature, suggesting that smaller MUs are more affected by temperature changes than larger MUs. Temperature impacts muscle contractile properties, such that experiments with workloads based on thermoneutral values will produce different relative intensities if maximal force changes due to muscle temperature. We investigated how temperature affected motor unit (MU) properties with contractions performed at the same normalized percentage of maximal force. Twenty participants (10 females) completed evoked, maximal, and trapezoidal voluntary contractions during thermoneutral-, hot-, and cold-temperature conditions. Forearm temperature was established using 25min of neutral (∼32°C), hot (∼44°C) or cold (∼13°C) water circulated through a tube-lined sleeve. Flexor carpi radialis MU properties were assessed with contractions at 30% and 60% MVC relative to each temperature using surface electromyography decomposition. Changes to contractile properties and electromechanical delay from the evoked twitch suggest that muscle contractility was changed from the thermal manipulations (effect size (d)≥0.42, P<0.05). Maximal force was not different between neutral and hot conditions (d=0.16, P>0.05) but decreased in the cold (d≥0.34, P<0.05). For both contraction intensities, MU potential (MUP) amplitude was larger and duration was longer in the cold compared to neutral and hot conditions (d≥1.24, P<0.05). Cumulative probability density for the number of MUs recruited revealed differences in MU recruitment patterns among temperature conditions. The relationship between MU recruitment threshold and firing rate or MUP amplitude was not different among temperature conditions (P>0.05); however, the relationship between MUP amplitude and firing rate was (P<0.05). Local temperature manipulations appear to affect MU recruitment patterns, which may act as compensatory mechanisms to the changes in muscle viscosity and contractile properties due to local temperature changes.

Evaluation of motor response in normal healthy individuals with different levels of physical activity using motor unit recruitment pattern

Evaluation of motor response in normal healthy individuals with different levels of physical activity using motor unit recruitment pattern

Time Course Adaptations in Oxygen Uptake Kinetics During Heavy‐Intensity Exercise Initiated from an Elevated Baseline Subsequent to a 12 Week High‐Intensity Interval or Moderate‐Intensity Continuous Training in Type 2 Diabetes

The dynamic response of pulmonary oxygen uptake (VO2) at the onset of heavy‐ intensity exercise initiated from an elevated baseline (work‐to‐work) is constrained in middle‐aged individuals with uncomplicated type 2 diabetes (T2D). Both low‐volume, high‐intensity interval training (LVHIIT) and moderate‐intensity continuous training (MICT) have been shown to be effective at accelerating V̇O2 kinetics during stepwise transitions from rest to moderate‐, and heavy‐intensity exercise in middle‐aged individuals with T2D.PurposeTo assess the rates of adjustment of V̇O2 and muscle deoxygenation (i.e., deoxygenated haemoglobin and myoglobin, [HHb+Mb]) during the on‐transition to heavy‐intensity work‐to‐work cycling before training and at weeks 3, 6, 9 and 12 of MICT and LVHIITMethodsTwenty eight middle‐aged individuals with T2D (17 men, 11 women; mean ± SD; age: 53 ± 10 yr, body mass index: 29.8 ± 4.4 kg.m−2) were randomly assigned to MICT (n=11, 50 min of moderate‐intensity cycling), LVHIIT (n=8, 10 × 1 min cycling at ~90% maximal heart rate interspersed by 1 min of ‘unloaded’ cycling) or to a non‐exercising control group (n=9). Exercising groups trained 3 times/week with intensity adjusted every 3 weeks. V̇O2 kinetics was calculated from continuously measured breath‐by‐breath V̇O2 data, and the rate of muscle deoxygenation continuously measured by near‐infrared spectroscopy at the vastus lateralis muscle. Time point analysis of V̇O2 and [HHb+Mb] responses were performed using a two‐way ANOVA with repeated‐measures, and Tukey post‐hoc tests performed when significant differences presented.ResultsThe time constant of the V̇O2 primary phase (τV̇O2P), the amplitude of the V̇O2 slow component (V̇O2sc A) and V̇O2 mean response time (MRT), decreased (P&lt;0.05) by a similar magnitude at week 3 of training in both the MICT (48±10 to 30±8 s; 0.18±0.08 to 0.10±0.05 L.min−1 and 80±19 to 61±13 s, respectively) and LVHIIT (43±13 to 27±6 s; 0.20±0.07 to 0.14±0.06 L.min−1 and 73±17 to 60±13 s, respectively) groups with no further changes thereafter. No changes were reported in the control group. The parameter estimates of Δ[HHb+Mb] remained unchanged throughout the interventions.ConclusionV̇O2 kinetics during work‐to‐work transitions were greatly improved as a consequence of a time efficient LVHIIT in T2D within a short period of time. Whilst the underlying mechanisms appear less clear, likely attributions include training‐induced changes in skeletal muscle properties, motor unit recruitment patterns and improvements in O2 delivery relative to utilization during exercise. Importantly, faster V̇O2 kinetics are related to improvements in exercise tolerance that may increase the willingness to participate in exercise and thus result in an increased quality of life in this clinical population.Support or Funding InformationThis research was suppoerted by the Health Research Board of Ireland (Grant no HRA_POR/2073/274)This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Motor unit action potential amplitudes and firing rates during repetitive muscle actions of the first dorsal interosseous in children and adults

Previous research has indicated greater muscle activation is needed for children (CH) to match relative intensity submaximal contractions in comparison with adults (AD). However, no study has compared motor unit (MU) firing and recruitment patterns between children and adults. Therefore, MU action potential amplitudes (MUAPAMP) and firing rates were examined during two repetitive submaximal contractions of the first dorsal interosseous in children and adults. Twenty-two children (age 9.0 ± 0.8years) and 13 adults (age 22.9 ± 4.8years) completed three maximum voluntary contractions (MVC) and two repetitive isometric contractions at 30% MVC for 40s. Surface electromyography (EMG) was recorded and decomposed into action potential trains. MUAPAMPS, recruitment thresholds (RTs), and mean firing rates (MFRs) were calculated, and EMG amplitude was normalized (N-EMG) to MVC. For each subject and repetition, linear MFR vs. RT and exponential MUAPAMP vs. RT and MFR vs. MUAPAMP relationships were calculated. N-EMG (P = 0.001, CH = 56.5 ± 31.7%, AD = 30.3 ± 9.1%), MFRs regardless of RT, according to greater y-intercepts of the MFR vs. RT relationships [P = 0.013, CH = 31.1 ± 5.1pulses per second (pps), AD = 25.9 ± 4.3pps] and MFRs of MUs with smaller action potential amplitudes (P = 0.017, CH = 29.4 ± 6.8pps, AD = 23.5 ± 3.5pps), were greater for children. MUAPAMPS in relation with RT were similar between groups except the highest threshold MUs (RT = 28% MVC) were greater for the adults (1.02 ± 0.43mV) than children (0.67 ± 0.24mV) (P = 0.010). Muscle activation and MU firing rates were greater for children, which likely indicated a greater operating point of MU control in comparison with adults during an isometric contraction performed at a relative submaximal intensity.

Chapter 18 - Normal and abnormal voluntary activity

An important component of needle EMG entails recording and interpreting the electrical signals generated from motor units during voluntary contraction. The recorded motor unit potentials (MUPs) reflect the number of motor units within a muscle and the distribution and density of muscle fibers within a motor unit within a portion of a muscle. Various MUP parameters are assessed to determine the integrity of the motor units, including recruitment, stability, phases and turns, duration, and amplitude. Each of these parameters is altered in a different way in various neuromuscular diseases. In neurogenic disorders, the earliest changes occur in the recruitment pattern of motor units followed by MUP morphologic changes (increased MUP phases and duration) as reinnervation occurs. MUP instability, indicating impaired neuromuscular transmission, also occurs in reinnervating neurogenic disorders as well as in neuromuscular junction disorders. In myopathies, a reduction in the size of the motor unit is manifested by MUPs of low amplitude and short duration. Interpreting the voluntary MUP changes along with spontaneous activity helps to determine the type, severity, and temporal course of neuromuscular diseases.

Effect of reflexive activation of motor units on torque development during electrically-evoked contractions of the triceps surae muscle.

The aim of the study was to identify stimulation conditions permitting the occurrence of extra torque (ET) and to examine their impact on spinal and corticospinal excitabilities. Twelve subjects received stimulation trains over the tibial nerve (20 s duration, 1 ms pulse duration) that were delivered at 3 stimulation frequencies (20, 50, and 100 Hz) and at 5 intensities (110%, 120%, 130%, 140%, and 150% of the motor threshold). Torque-time integral (TTI) of each stimulation train was calculated. Spinal [maximum H-reflex (Hmax)/maximal M-wave (Mmax)] and corticospinal [maximal motor evoked potential amplitude (MEPmax)/Mmax] excitabilities were assessed at rest before and after each stimulation train by tibial nerve stimulation and by transcranial magnetic stimulation, respectively. Moreover, a twitch at each stimulation intensity was delivered before and after each stimulation train. The EMG activity associated with this twitch was analyzed to identify the initial motor unit (MU) recruitment pathway before each stimulation train and discriminate trials to H-trials (indirect recruitment) and M-trials (direct recruitment). TTI was higher for H-trials compared with M-trials for all tested frequencies. There was a decrease in Hmax/Mmax for the 20 Hz-H trials and an increase for the 100 Hz-H trials, whereas MEPmax/Mmax remained unchanged at post measurements. Present results demonstrate that the initial MU recruitment pattern plays a main role in the ET occurrence, with the indirect recruitment via the afferent volley being substantial for its development. The modulations of Hmax/Mmax without changes in MEPmax/Mmax suggest that the ET development affects spinal excitability and that these changes are frequency dependent. NEW & NOTEWORTHY This study brings new insights into the stimulation conditions permitting the development of extra torque. An initial indirect recruitment of motor units, inducing reflex activation of spinal neurons through Ia afferent solicitation, appears a prerequisite for extra torque development. Under these conditions, spinal excitability modulations were frequency dependent.

Challenging the Cinderella Hypothesis: A New Model for the Role of the Motor Unit Recruitment Pattern in the Pathogenesis of Myofascial Pain Syndrome in Postural Muscles.

BackgroundThe energy crisis hypothesis, which is a widely accepted model for the pathogenesis of myofascial pain, has been corroborated by experimental observations. However, the nature of the insult leading to the energy crisis remains elusive. A commonly cited model for this insult is the Cinderella hypothesis, suggesting that hierarchical recruitment of motor units leads to a disproportional load on small units, thus driving them towards an energy crisis. New findings cast doubt on this model, showing that in postural muscles motor units are recruited in rotation, rather than in a hierarchical order, precluding the formation of the so-called Cinderella units.ObjectiveTo explore the influence of common myofascial predisposing factors such as muscle load and muscle strength on the relaxation time of postural muscle motor units, assuming they are recruited in rotation.MethodsA stochastic model of a postural skeletal muscle was developed which integrates the energy crisis model and motor unit rotation patterns observed in postural muscles. Postulating that adequate relaxation time is essential for the energetic replenishment of motor units, we explored the influence of different parameters on the relaxation time of individual motor units under varying conditions of muscle loads and muscle strengths.ResultsThe motor unit relaxation/contraction time ratio decreases with elevated muscle loads and with decreased total muscle strength.ConclusionsIn a model of a postural muscle, in which motor units are recruited in rotation, common predisposing factors of myofascial pain, such as increased muscle load and decreased muscle force, lead to shortened motor unit relaxation periods.