Twitch potentiation induced by stimulated and voluntary isometric contractions at various torque levels in human knee extensor muscles

The purpose of this study was to compare the extent of twitch potentiation (TP) after stimulated or voluntary contractions at identical intensities for the human knee extensor muscles. Isometric knee extensions of 10 s were performed at 20%, 40%, and 60% of maximal voluntary contraction (MVC) torque level, through percutaneous electrical stimulation of the quadriceps at 80 Hz or voluntary contraction. Twitch responses were evoked by stimulating the femoral nerve percutaneously with supramaximal intensity. The extent of TP after the stimulated contraction was greater than that after the voluntary contraction at the 20% MVC torque level, whereas a stimulated contraction induced a smaller extent of TP than did a voluntary contraction at contraction intensities higher than 40% MVC. We suggest that this contraction intensity dependence of differences in TP after stimulated and voluntary isometric conditioning contractions is responsible for differences in the recruitment pattern of motor units during the conditioning contractions.     

Effect of maximal voluntary contraction on the amplitude of the compound muscle action potential: Implications for the interpolated twitch technique

The compound muscle action potential (M_MAX) during a maximal voluntary contraction (MVC) may be measured to determine if the motor nerve has been supramaximally stimulated during the interpolated twitch technique (ITT). Ten males performed isometric knee extension MVCs. M_MAX for the vastus medialis was recorded during MVC and rest. To examine the effect of stimulating electrode movement, the M_MAX of the thenar group and antidromic sensory nerve action potentials (SNAPs) to the third digit were recorded in a separate experiment. M_MAX during MVC was reduced by 18% (P < 0.0001) and 43% (p < 0.0001) for the quadriceps and thenar group, respectively. The SNAP amplitude was not different between rest and MVC (P = 0.18). Reduction of M_MAX during MVC suggests that some motor axons are refractory and unable to respond to a superimposed maximal stimulus. These results have implications for the sensitivity of the interpolated twitch technique. Muscle Nerve, 2010     

Predictability of maximum voluntary isometric knee extension force from submaximal contractions in older adults

The purposes of this study were to develop and test a model describing the relationship between the central activation ratio (CAR; a measure of voluntary muscle activation) and percent maximum voluntary contraction (%MVC) force for old adults and to provide a method for more accurate determination of voluntary muscle activation failure. Twenty-one adults (ages 64-81) performed isometric testing of the quadriceps at 25%, 50%, 75%, and 100% MVC. During each contraction, a 100-HZ, 120-ms train of electrical pulses was delivered to the quadriceps muscle to quantify voluntary muscle activation. Similar to a young, healthy population (ages 20-35), a curvilinear relationship existed between the CAR and %MVC force for older adults. Predictions of subjects' MVCs using the linear model of CAR-%MVC force relationship generally demonstrated poor agreement with actual MVCs. Predictions of MVC from submaximal contractions (25%, 50%, and 75%) using a previously identified curvilinear young adult CAR-%MVC relationship were good [ICC (2,1): 0.81, 0.96, and 0.82, respectively]. Similar agreement was obtained from the curvilinear older adult CAR-%MVC relationship. These data suggest that the CAR-%MVC relationship is similar in young and older adult subjects and that curvilinear models of this relationship can predict MVC forces in older adults more accurately. Reexamination of the relationship between the CAR and %MVC force may allow a more accurate determination of how failure of voluntary muscle activation contributes to weakness in old adults.     

Effect of age on muscle activation and twitch properties during static and dynamic actions

In this investigation we examined age‐associated changes in peak torque, voluntary activation levels, and potentiated twitch properties of the knee extensors during isometric (ISO), shortening (SHO), and lengthening (LEN) actions in 18 young subjects (19–27 years) and 12 elderly subjects (64–77 years). Peak torque was lower for the elderly subjects under the ISO (?31%) and SHO (?28%) conditions (P < 0.05); however, the loss in LEN peak torque in the elderly was less marked (?17%) (P > 0.05). Voluntary activation levels within and between groups were not significantly different and ranged between 96.8% and 98.9% (P > 0.05). Peak twitch torque and some temporal twitch characteristics were altered with age (P < 0.05), but such changes were similar across all muscle actions (P > 0.05). These data suggest that the attenuated reduction in LEN muscle strength associated with age is probably not related to contraction‐specific changes in voluntary activation levels or potentiated twitch properties. Muscle Nerve, 2009     

Anodal and cathodal transcranial direct current stimulation can decrease force output of knee extensors during an intermittent MVC fatiguing task in young healthy male participants

Transcranial direct current stimulation (tDCS) has the capacity to enhance force output during a short‐lasting maximal voluntary contraction (MVC) as well as during a long‐lasting submaximal voluntary contraction until task failure. However, its effect on an intermittent maximal effort is not known. We hypothesized that anodal tDCS applied during or before a maximal fatigue task increases the amplitude of maximal voluntary contraction (aMVC) and voluntary activation (VA) in young healthy male participants. We measured VA, potentiated twitch at rest (Ptw), root mean square electromyogram (EMG), and aMVC during a fatiguing task that consisted of 35 × 5 s MVC of knee extensors and was performed during tDCS or 10 min after the end of tDCS (sham, anodal, or cathodal treatments). No effect of tDCS was detected on the first MVC but, when compared to sham tDCS, both anodal tDCS and cathodal tDCS reduced aMVC when tDCS was applied during the task (p < .001) and only anodal tDCS reduced aMVC when applied 10 min before the task (p = .03). The reductions in aMVC were accompanied by reductions in EMG of M. vastus lateralis for both tDCS treatments as well as in Ptw only during anodal tDCS and in VA only during cathodal tDCS. Both cathodal tDCS and anodal tDCS impaired force production during an intermittent fatiguing MVC task. The detrimental effects were stronger when tDCS was applied during the task. Here, cathodal and anodal tDCS specifically affected Ptw and VA indicating different underlying mechanisms.     

Influence of stimulus cross talk on results of the twitch-interpolation technique at the biceps brachii muscle

Biceps brachii muscles of five healthy volunteers were tested with a high-resolution twitch-interpolation technique. Parameters of the electrical surface stimulation were varied. It was found that a supramaximal stimulus strength activates both biceps and triceps brachii motor units simultaneously severely affecting twitch-interpolation results. Crosstalk contamination of twitches, however, can be avoided, if submaximal stimuli are used yielding twitch-interpolation results for the biceps-brachii that are similar to those of the quadriceps muscle. © 1997 John Wiley & Sons, Inc. Muscle Nerve 20:1187–1190, 1997     

Muscle Weakness, Paralysis, and Atrophy after Human Cervical Spinal Cord Injury

Muscle weakness and failure of central motor drive were assessed in triceps brachii muscles of individuals with chronic cervical spinal cord injury (SCI) and able-bodied controls. Electrical stimuli were applied to the radial nerve during rest and during triceps submaximal and maximal voluntary contractions (MVCs). The mean forces and integrated EMGs generated by SCI subjects during MVCs were significantly less than those produced by controls (P < 0.01), with 74 and 71% of muscles generating <10% control force and EMG, respectively. There was an inverse linear relationship between the evoked and voluntary forces (n = 32 muscles of SCI subjects) which, when extrapolated to zero evoked force, also showed significant whole muscle weakness for SCI compared to control subjects (P < 0.01). Severe muscle atrophy was revealed which might reflect disuse and/or muscle denervation subsequent to motoneuron loss. Many triceps muscles of SCI subjects showed no force occlusion (n = 41) or were impossible to stimulate selectively (n = 61). Force was always evoked when the radial nerve was stimulated during MVCs of SCI subjects. The force elicited by single magnetic shocks applied to the motor cortex at Cz′ during voluntary contractions of SCI subjects was also inversely related to the voluntary triceps force exerted (n = 18), but usually no force could be elicited during MVCs. Thus central motor drive was probably maximal to these muscles, and the force evoked during MVCs by below-lesion stimulation must come from activation of paralyzed muscle. SCI subjects also had significantly longer mean central nervous system (CNS) conduction times to triceps (P < 0.01) suggesting that the measured deficits reflect CNS rather than peripheral nervous system factors. Thus, the weak voluntary strength of these partially paralyzed muscles is not due to submaximal excitation of higher CNS centers, but results mainly from reduction of this input to triceps motoneurons.     

Muscle activation assessment: effects of method, stimulus number, and joint angle

Activation capacity has traditionally been assessed using the interpolated twitch technique (ITT) and central activation ratio (CAR). However, the quantitative agreement of the two methods and the physiological mechanisms underpinning any possible differences have not been fully elucidated. The aim of this study was to compare and assess the sensitivity of the ITT and CAR to potential errors introduced by (1) evoking inadequate force, by manipulating the number of stimuli, and (2) neglecting differences in series elasticity between conditions, by manipulating joint angle. Ten subjects performed knee extension contractions at 30 degrees and 90 degrees knee-joint angles during which the ITT and CAR methods were applied using 1, 2, 4, and 8 electrical stimuli. Joint angle influenced the ITT outcome with higher values taken at 90 degrees (P < 0.05), while the number of stimuli influenced the CAR outcome with a higher number of stimuli yielding lower values (P < 0.05). For any given joint angle and stimulus number, the CAR method produced higher activation values than the ITT method by 8%-16%. Therefore, in the quantification of voluntary drive with the ITT and CAR methods consideration should be given not only to the number of stimuli applied but also to the effect of series elasticity due to joint-angle differences, since these factors may differently affect the outcome of the calculation, depending on the approach followed.     

Augmentation of the contraction force of human thenar muscles by and during brief discharge trains

We investigated the influence of the history of activity on the contractile properties of abductor pollicis brevis (APB) to define how the forces produced by individual stimuli change within a stimulus train, with a view to clarifying the optimal discharge frequency for force production in brief trains. Supramaximal electrical stimuli were delivered to the median nerve at the wrist singly or in trains of 2-5 at various interstimulus intervals (ISIs). The force and electromyographic (EMG) responses to trains of n stimuli were defined by online subtraction of the responses to n - 1 stimuli. The force attributable to the nth stimulus was normalized to that produced by a single stimulus. The contraction force produced by 2 stimuli exceeded the force expected with linear summation of 2 single twitches by 30-40% at ISIs of 2-100 ms. Increasing the number of stimuli resulted in less augmentation of the force produced by the last stimulus in the train for ISIs up to 20 ms, but greater augmentation for ISIs of 50-100 ms. At ISIs of less than 10 ms, the time to peak force produced by the last stimulus in a 5-pulse train was delayed by approximately 100 ms, the peak force produced by that stimulus was less than that produced by a single stimulus, and it occurred on the falling phase of the overall contraction. These properties are best explained by the catchlike property of muscle. This implies that the augmentation of contraction force due to this property can increase throughout a stimulus train, and is not restricted to the doublet discharges that have conventionally been studied. We conclude that, with brief discharge trains, maximal forces occur at ISIs of 56-75 ms, intervals that are longer than those conventionally associated with the catchlike property. Discharge rates of 15-20 HZ appear to be optimal for force generation by APB during steady contractions.     

Oscillatory interaction between the hand area of human primary motor cortex and finger muscles during steady-state isometric contraction

Objective

To compare the magnitudes of β-band coherence between the primary motor cortex (M1) and electromyogram (EMG) for finger muscles, and to determine whether M1–EMG coherence is related to the stability of muscle contraction.

Methods

Cortical signals and EMG during steady-state isometric contraction of right thumb muscle (flexor pollicis brevis (FPB)) or right little finger muscle (flexor digiti minimi brevis (FDMB)) were recorded simultaneously with magnetoencephalography system from 13 right-handed healthy subjects.

Results

The magnitudes of β-band M1–EMG coherence and spectral power in the M1 for the FPB muscle were greater than that for the FDMB muscle (P < 0.001 and P < 0.005, respectively). The stability of EMG for the FPB was higher than that for FDMB (P < 0.001). Greater levels of β-band M1–EMG coherence were associated with higher levels of EMG stability (P < 0.05). The mean dipole sources of the FPB muscle were located more laterally, inferiorly and anteriorly than that of FDMB in the M1 hand area (P < 0.005).

Conclusions

The strength of β-band M1–EMG coherence would play an important role in the stability level of finger-muscle contraction.

Significance

The β-band M1–EMG coherence may reflect effective oscillatory interaction between the M1 and finger muscle during steady-state motor output.