Effects of weak antagonist on fast elbow flexion movements in man

Summary By using a mathematical model and experiments involving electrical simulation of antagonistic muscles, we have formed the hypothesis (Wierzbicka et al. 1986) that in one-joint movements the antagonist muscle not only provides braking torque but also controls movement time. To get additional experimental support for this hypothesis, we studied elbow flexion movements performed by patients with spinal cord injury at the C 5–6 level who had relatively normal strength in their biceps muscle and little or no voluntary control of the triceps. Seven quadriplegic patients and six control subjects performed elbow flexion movements of 10°, 20°, and 30° as fast and accurately as possible. Despite the lack of antagonist, patients used the same pulse height strategy as control subjects to scale their responses with movement amplitude. However, patients' movement time was on average twice that of control subjects, and durations of both accelerative and decelerative phases of movement were increased. Movement speed and acceleration were reduced to 20–50% of the corresponding values of control subjects. Patients tended to overshoot the target to a larger extent than control subjects, particularly 10° targets, with nearly twice the error. We performed the same experiments using an external torque motor to assist the weak triceps. When a constant extensor torque of 2.5 or 5 Nm was provided by the motor, patients were able to move faster, and movement accuracy improved to within the normal range. These results provide direct evidence that the lack of an antagonist has an important effect on completion time and accuracy of fast goal-directed movements.     

The effect of muscle pain on elbow flexion and coactivation tasks

The effects of muscle pain on movement can easily be observed in daily life routines. However, the influence of muscle pain on motor control strategies has not been fully clarified. In this human experimental study it was hypothesized that muscle pain affects the motor control of elbow flexion movements, in different combinations of range of motion and target size, by decreased agonistic muscle activity and increased antagonistic muscle activity with consequent implications on kinematic parameters. The effects of experimentally induced muscle pain on movement strategy for: (1) small and large range of motion (ROM) elbow flexion movements towards a wide target, (2) large ROM flexion movements towards a narrow and wide target, and (3) subsequent coactivation of agonistic and antagonistic muscles to elbow flexion were assessed. Muscle pain induced by injections of hypertonic saline (1 ml, 5.8%) in either m. biceps brachii or m. triceps brachii caused similar effects on the movements. For low accurate movements the initial (100 ms) integrated electromyographic (EMG) activity of m. biceps brachii was decreased during muscle pain. In contrast, integrated EMG of the entire m. biceps brachii burst was decreased by muscle pain only for small ROM at a low accuracy, which also showed decreased EMG activity of m. triceps brachii and m. brachioradialis, together with increased activity of m. trapezius. Finally, high accurate movements and post-movement coactivation were generally not modulated by muscle pain. In summary, the present study shows that acute muscle pain can perturb the motor control strategy, which might be highly important in occupational settings where such a change may need compensatory actions from other muscles and thereby eventually contribute to the development of musculoskeletal pain problems.     

The complex-type oligosaccharide binding lectin Datura stramonium agglutinin detects type II A muscle fibres in the brachial biceps from man and cat

Complex-type oligosaccharides were detected in the sarcoplasm of muscle fibres from cat and human biceps using lectins and anticarbohydrate antibodies. The lectin Datura stramonium agglutinin strongly stained type II A fibres as identified by myosin ATPase activity after alkaline and acid preincubation. In contrast, all muscle fibres showed a moderate coarse granular staining after incubation with Tetracarpidum conophorum agglutinin and Telfairia occidentalis agglutinin which recognize tri-antennary complex glycans poorly bound by D. stramonium agglutinin. Strong sarcoplasmic staining in all muscle fibres was obtained after incubation with an antibody against branched N-acetyllactosamine structure while an antibody against binary 2←3 sialyllactosamine glycans failed to detect the muscle fibres. Treatment of the muscle sections with sialidase prior to incubation with D. stramonium agglutinin did not influence the lectin staining pattern. Staining of blots from electrophoretically separated muscle proteins obtained byhomogenization, solubilization and centrifugation of small muscle pieces showed D. stramonium agglutinin binding to a number of bands ranging from 200 kDa to 30 kDa. No D. stramonium agglutinin positive bands were observed in blots from separated mitochondrial proteins while blots from sarcoplasmic reticulum separated by electrophoresis stained many bands in the range from 200 kDa to 30 kDA. It may be concluded that all muscle fibres inhuman and cat biceps hold intracellular non-sialylated complex-type oligosaccharides and further, that a specific tri-antennary complex-type glycoform is strongly expressed in type II A fibres as recognized by D. stramonium agglutinin. These results indicate a differential glycosylation of certain myofibrillar-associated proteins in muscle fibre types This revised version was published online in July 2006 with corrections to the Cover Date.     

An inverted seated posture decreases elbow flexion force and muscle activation

The purpose of this study was to determine if discrepancies exist between upright and inverted seated positions in isometric maximal voluntary contraction (MVC) elbow flexor force, MVC force produced in the first 100 ms (F100), MVC rate of force development, electromyographic (EMG) activity of the biceps and triceps as well as heart rate and blood pressure. The results showed significantly (p < 0.01) higher MVC force (543.6 ± 29.6 vs. 486.5 ± 23.0 N), F100 (328.3 ± 94.5 vs. 274.6 ± 101.8 N), rate of force development (p = 0.003) (1,851.9 ± 742.2 vs. 1,591.0 ± 719.6 N s⁻¹) and biceps brachii EMG activity (48%, p < 0.01) in the upright versus inverted condition. There were relatively greater co-contractions with the inverted position (p < 0.01) due to the lack of change in triceps’ EMG and the substantial decrease in biceps’ EMG. There were no significant changes in trunk EMG activity. With inversion, there were significant decreases in heart rate (16.8%), systolic (11.6%) and diastolic (12.1%) blood pressures (p < 0.0001). These results illustrate decrements in neuromuscular performance with an inverted seated posture which may be related to an altered sympathetic response.     

Antagonist muscle activation preceding rapid flexion movements of the elbow joint in human subjects

Our study was designed to look for interactions between fast movements and pre-existing voluntary tonic motor activity when both motor acts employ the same muscles. Five normal subjects performed a continuous sequence of two motor tasks about their right elbow joint: A tonic isometric extension (slowly increasing or decreasing) against a force transducer, followed immediately after a "go" tone by a fast isotonic flexion. The position of the lower arm was recorded using a search coil system. Signals (force, position, and surface EMGs of triceps and biceps brachii muscles) were A/D converted and sampled at 1 kHz. A premovement silence in the tonically active triceps muscle (extensor) usually preceded the fast flexion movement if the triceps' tonic force was either constant or decreased slowly. If the tonic triceps activity had been increasing before the fast flexion began, this classical picture disappeared, and the premovement silence was replaced by a phasic premovement excitation. Subjects were unaware of this transient EMG and force increase in the unintended direction. Our results demonstrate unconscious reciprocal interactions between commands governing evolving movements (and tuning the motor system accordingly) and those concerned with ongoing motor acts.     

Estimation of elbow flexion force during isometric muscle contraction from mechanomyography and electromyography

Mechanomyography (MMG) is the muscle surface oscillations that are generated by the dimensional change of the contracting muscle fibers. Because MMG reflects the number of recruited motor units and their firing rates, just as electromyography (EMG) is influenced by these two factors, it can be used to estimate the force exerted by skeletal muscles. The aim of this study was to demonstrate the feasibility of MMG for estimating the elbow flexion force at the wrist under an isometric contraction by using an artificial neural network in comparison with EMG. We performed experiments with five subjects, and the force at the wrist and the MMG from the contributing muscles were recorded. It was found that MMG could be utilized to accurately estimate the isometric elbow flexion force based on the values of the normalized root mean square error (NRMSE = 0.131 ± 0.018) and the cross-correlation coefficient (CORR = 0.892 ± 0.033). Although MMG can be influenced by the physical milieu/morphology of the muscle and EMG performed better than MMG, these experimental results suggest that MMG has the potential to estimate muscle forces. These experimental results also demonstrated that MMG in combination with EMG resulted in better performance estimation in comparison with EMG or MMG alone, indicating that a combination of MMG and EMG signals could be used to provide complimentary information on muscle contraction.     

Fatigue induced changes in phasic muscle activation patterns for fast elbow flexion movements

The present study investigated how muscle fatigue influences single degree-of-freedom elbow flexion movements and their associated patterns of phasic muscle activation. Maximal unfatigued voluntary isometric elbow flexor and extensor joint torque was measured at the beginning of the experiment. Subjects then performed elbow flexion movements over two distances as fast as possible, and movements over the longer distance at an intentionally slower speed. The slower speed was close to what would become the maximal speed in the fatigued state. Subjects then performed a fatiguing protocol of 20 sustained isometric flexion contractions of 25 s duration with 5 s rest at 50% maximal unfatigued voluntary force. After a recovery period they repeated the movements. The fatigue protocol was successful in inducing muscle fatigue, the evidence being decreased isometric maximal joint torque of over 20%. Fatigued movements had lower peak muscle torque and speed. Our principal finding was of changes in the timing of the phasic patterns of fatigued muscle activation. There was an increase in the duration of the agonist burst and a delay in the timing of the antagonist muscle as measured by the centroid of the EMG signals. We conclude that these changes serve as partial but incomplete, centrally driven compensation for fatigue induced changes in muscle function. An additional, unexpected finding was how small an effect fatigue had on movement performance when using a recovery time of 10 min that is long enough to allow muscle membrane conduction velocity to return to normal. This raises questions concerning the behavioral significance of classical laboratory studies of human fatigue mechanisms.     

Frequency-response characteristics of the tonic stretch reflexes of biceps brachii muscle in intact man

Transmission characteristics of tonic stretch reflex pathways in intact man have been measured by applying disturbance torques about the elbow and recording the integrated electromyogram (i.e.m.g.) responses of biceps brachii. Crosscorrelation analysis enabled extraction from the total e.m.g. activity of i.e.m.g. fluctuations which were correlated with elbow-angle changes. The i.e.m.g. reflex responses were free of harmonic distortion and so were linearly related to the small-signal sinusoidal stretching movements. Transfer characteristics were found to be more complex than those described for anaesthetised or decerebrate cats. The frequency-response curves contained a number of peaks of resonance, and phase lead advanced from 100° to 180° as the frequency of sinusoidal stretching increased towards 5 Hz.     

The origin of activity in the biceps brachii muscle during voluntary contractions of the contralateral elbow flexor muscles

During strong voluntary contractions, activity is not restricted to the target muscles. Other muscles, including contralateral muscles, often contract. We used transcranial magnetic stimulation (TMS) to analyse the origin of these unintended contralateral contractions (termed “associated” contractions). Subjects (n = 9) performed maximal voluntary contractions (MVCs) with their right elbow-flexor muscles followed by submaximal contractions with their left elbow flexors. Electromyographic activity (EMG) during the submaximal contractions was matched to the associated EMG in the left biceps brachii during the right MVC. During contractions, TMS was delivered to the motor cortex of the right or left hemisphere and excitatory motor evoked potentials (MEPs) and inhibitory (silent period) responses recorded from left biceps. Changes at a spinal level were investigated using cervicomedullary stimulation to activate corticospinal paths (n = 5). Stimulation of the right hemisphere produced silent periods of comparable duration in associated and voluntary contractions (218 vs 217 ms, respectively), whereas left hemisphere stimulation caused a depression of EMG but no EMG silence in either contraction. Despite matched EMG, MEPs elicited by right hemisphere stimulation were ∼1.5–2.5 times larger during associated compared to voluntary contractions (P < 0.005). Similar inhibition of the associated and matched voluntary activity during the silent period suggests that associated activity comes from the contralateral hemisphere and that motor areas in this (right) hemisphere are activated concomitantly with the motor areas in the left hemisphere. Comparison of the MEPs and subcortically evoked potentials implies that cortical excitability was greater in associated contractions than in the matched voluntary efforts.     

Changes in ulnar nerve conduction velocity across the elbow in different angles of elbow flexion

OBJECTIVES: The goal of this study is to determine the changes in motor and sensory nerve conduction velocity (NCV) of ulnar nerve at elbow area in different angles of elbow flexion and also to define the optimum angle at which there is an ideal correlation between the across elbow and below elbow NCVs of ulnar nerve. METHODS: Motor and sensory NCVs of ulnar nerve were studied in 50 able-bodied subjects (100 limbs) for the below elbow and across elbow segments to evaluate the effect of 5 different angles of elbow (0 degrees, 45 degrees, 90 degrees, 110 degrees 135 degrees of elbow flexion) on NCV changes of ulnar nerve. At each angle the across elbow NCVs were measured and compared with below elbow segments. RESULTS: At 0 degrees of elbow flexion the across elbow NCVs were found to be slower than below elbow segments and at 45 degrees there was no statistical difference between below elbow and across elbow NCV. At each subsequent angles of elbow flexion there was an increment in motor and sensory NCVs for the across elbow compared to below elbow segment (P < 0.05). This increment progressed as the degree of flexion increased, so the most erroneous increment was found at 135 degrees of elbow flexion. CONCLUSIONS: Since the 45 degrees of elbow flexion was found to be the position of least variation in motor and sensory NCVs between the across elbow and below elbow segments, this position of elbow flexion seems to be the ideal angle during nerve conduction study of ulnar nerve at elbow area. In this position the upper limit of normal difference between across elbow and below elbow motor NCVs (mean + 2SD) was calculated 8 m/sec.     

Erratum to: Estimation of elbow flexion force during isometric muscle contraction from mechanomyography and electromyography

Mechanomyography (MMG) is the muscle surface oscillations that are generated by the dimensional change of the contracting muscle fibers. Because MMG reflects the number of recruited motor units and their firing rates, just as electromyography (EMG) is influenced by these two factors, it can be used to estimate the force exerted by skeletal muscles. The aim of this study was to demonstrate the feasibility of MMG for estimating the elbow flexion force at the wrist under an isometric contraction by using an artificial neural network in comparison with EMG. We performed experiments with five subjects, and the force at the wrist and the MMG from the contributing muscles were recorded. It was found that MMG could be utilized to accurately estimate the isometric elbow flexion force based on the values of the normalized root mean square error (NRMSE = 0.131 ± 0.018) and the cross-correlation coefficient (CORR = 0.892 ± 0.033). Although MMG can be influenced by the physical milieu/morphology of the muscle and EMG performed better than MMG, these experimental results suggest that MMG has the potential to estimate muscle forces. These experimental results also demonstrated that MMG in combination with EMG resulted in better performance estimation in comparison with EMG or MMG alone, indicating that a combination of MMG and EMG signals could be used to provide complimentary information on muscle contraction.     

The relationship between main elbow flexion skin crease and osseous anatomy of the elbow joint

Background  Studies that investigate the relationships between the main elbow flexion crease and the underlying osseous anatomy are lacking. Methods  The relationship between the flexion skin crease and osseous anatomy of the elbow joint was studied. Markers were placed along the main flexion skin crease of both elbows in 50 healthy volunteers. Measurements were expressed in millimeters of perpendicular distance from each skin crease to the osseous structures of the elbow joint including medial and lateral epicondyles, tip of the olecranon, and radial head. Results  The mean perpendicular distances between the elbow crease from osseous structures were found to be as follows: from medial epicondyle, 6.93 mm; from lateral epicondyle, −0.25 mm; from olecranon, 9.97 mm; and from radial head, −21.97 mm. There was no statistical significant difference between the dominant versus non-dominant hand. Conclusions  The association between the main flexion elbow crease and the bony structures observed in this study seems to support that the elbow crease can be a useful surface anatomy landmark and expected to aid in the placement of surgical incisions.     

The effects of gender, level of co-contraction, and initial angle on elbow extensor muscle stiffness and damping under a step increase in elbow flexion moment

Flexion buckling of an arm under the large ground reaction loads associated with arresting a fall to the ground increases the risk for head and thorax injuries. Yet, the factors that determine the arm buckling load remain poorly understood. We tested the hypothesis in 18 healthy young adults that neither gender, triceps co-contraction level (i.e., 25, 50, or 75% MVC) nor elbow angle would affect the rotational stiffness and damping resistance to step changes in elbow flexion loading. Data on the step response were gathered using optoelectronic markers (150 Hz) and myoelectric activity measurements (2 kHz), and an inverse dynamics analysis was used to estimate elbow extensor stiffness and damping coefficients. A repeated-measures analysis of variance showed that gender (p = 0.032), elbow flexion angle and co-contraction level (both p < 0.001) affected stiffness, but only the latter affected the damping coefficient (p = 0.035). At 25° of initial elbow flexion angle and maximum co-contraction, female stiffness and damping coefficients were 18 and 30% less, respectively, than male values after normalization by body height and weight. We conclude that the maximum extensor rotational stiffness and damping at the elbow is lower in women than in men of the same body size, and varies with triceps co-contraction level and initial elbow angle.     

Kinematic and electromyographic analysis of elbow flexion during inertial exercise

Inertial exercise protocols are currently used clinically to improve and restore normal muscle function even though research to substantiate their effectiveness cannot be cited in the literature. The purpose of this study was to compare simultaneous kinematic and electromyographic (EMG) data obtained from 12 subjects during elbow flexion on the Impulse Inertial Exercise System. Testing sessions consisted of inertial exercise performed using phasic and tonic techniques with loads of: a) 0 kg, b) 2.27 kg, c) 4.54 kg, d) 6.80 kg, e) 9.07 kg. Greater peak angular velocities, peak platform accelerations (change in velocity of platform during elbow flexion), mean and peak triceps brachii muscle EMG activity, and less range of motion were observed during phasic exercise. There was also a general trend for peak angular velocities and peak platform acceleration to increase as the load decreased. No significant difference in mean or peak EMG activity of the biceps brachii muscle was seen between techniques. Clinicians and athletic trainers using inertial exercise should consider both the exercise technique and load characteristics when designing protocols to meet the specific needs of patients.     

Anomalies of the biceps muscle of the arm

The author studied the biceps brachii muscle with respect to the incidence of accessory heads (Caput accessorium) and compared the data obtained with those in different human races. Dissection of 552 human arms in Teheran and Mainz, revealed the presence of 2 biceps brachii muscles with accessory heads one of a right arm with one accessory head, the other on a left arm with two accessory heads. From data in the literature it is concluded that in the white race the incidence of accessory heads of the biceps brachii m. is relatively rare, high in the yellow race and intermediate in negroes.     

Kinematic models and human elbow flexion movements: Quantitative analysis

Summary The smoothness with which movements are customarily performed has led Hogan (1984) to formulate a model for trajectory planning by the central nervous system in which the goal is to maximize smoothness, one measure of which is the integrated mean squared magnitude of jerk (jerk cost). We tested the applicability of this minimum-jerk model to one-joint goal directed movements performed by human subjects at different speeds and amplitudes, by comparing kinematic parameters and the jerk cost predicted by the mathematical model with values calculated from experimental data. We also tested a higher order, minimum-snap kinematic model. Normal subjects performed elbow flexions of 5 to 50 degrees as rapidly and accurately as possible and also at slower speeds. The boundary conditions of both models were adjusted to account for the failure of subjects to produce movements which reached equilibrium precisely at the target (so that acceleration and velocity reached zero together). Typically, fast movements (< 300 ms duration) were fairly symmetric in that the durations and amplitudes of acceleration and deceleration were approximately equal; slower movements (> 300ms) were asymmetric with strong, brief acceleration peaks and broad, slow deceleration peaks. In fast movements, the calculated jerk cost was consistently higher than predicted by the minimum-jerk model; a good fit to all kinematic parameters was provided by the minimum-snap model (a seventh-order polynomial). Neither model consistently predicted the trajectories of slower movements. We conclude that muscle/limb dynamics can account for the success of the minimum-snap model with fast movements, and that there is no evidence of planning for maximal smoothness in slower movements.