Kinaesthetic movement after-effects in children with Down's syndrome.

In order to assess the liability of proprioceptive information, an experiment on kinaesthetic after-effects was carried out. Matched groups of severely subnormal and Down's syndrome subjects were compared with normal children of either the same chronological or the same mental age. No difference was found between the normal and the severely subnormal children, but the magnitude of the after-effect measures in Down's syndrome children suggests that asymmetrical pointing produced kinaesthetic after-effects which disrupted these subjects' total frame of spatial reference.     

Regulation of smooth muscle excitation and contraction

Abstract  Smooth muscle cells (SMC) make up the muscular portion of the gastrointestinal (GI) tract from the distal oesophagus to the internal anal sphincter. Coordinated contractions of these cells produce the motor patterns of GI motility. Considerable progress was made during the last 20 years to understand the basic mechanisms controlling excitation-contraction (E-C) coupling. The smooth muscle motor is now understood in great molecular detail, and much has been learned about the mechanisms that deliver and recover Ca²⁺ during contractions. The majority of Ca²⁺ that initiates contractions comes from the external solution and is supplied by voltage-dependent Ca²⁺ channels (VDCC). VDCC are regulated largely by the effects of K⁺ and non-selective cation conductances (NSCC) on cell membrane potential and excitability. Ca²⁺ entry is supplemented by release of Ca²⁺ from IP₃ receptor-operated stores and by mechanisms that alter the sensitivity of the contractile apparatus to changes in cytoplasmic Ca²⁺. Molecular studies of the regulation of smooth muscle have been complicated by the plasticity of SMC and difficulties in culturing these cells without dramatic phenotypic changes. Major questions remain to be resolved regarding the details of E-C coupling in human GI smooth muscles. New discoveries regarding molecular expression that give GI smooth muscle their unique properties, the phenotypic changes that occur in SMC in GI motor disorders, tissue engineering approaches to repair or replace defective muscular regions, and molecular manipulations of GI smooth muscles in animals models and in cell culture will be topics for exciting investigations in the future.     

Muscle spindle behavior during active muscle contraction in Amphibia.

The effects of different mechanical loads on discharge of frog and toad muscle spindles were studied during active contraction of twitch muscles. Intrafusal driving, which accompanies extrafusal contraction, was found to maintain spindle discharge to a degree dependent on the compliance of the load. Intrafusal contraction alone could not drive afferent discharge to maximum frequencies, which were reached only with muscle stretch following a period of tetanic stimulation. Maximal intrafusal driving effects were reached at low rates of stimulation (5 to $\text{10}\text{s}$). Even with a very compliant load, which caused silencing during a developed tetanic contraction, there was an initial burst of activity from the spindle afferents. There was also a prominent burst at the end of stimulation. The consequences of these properties of amphibian spindles are discussed and the potential existence of a positive feedback loop is indicated. The results provide some basis for understanding the significance of the separation of intrafusal and extrafusal motor pathways in mammals.     

Controlled trial of EMG feedback in muscle contraction headache.

Twenty-eight patients suffering from severe, longstanding muscle contraction headache were randomly assigned to two groups, one receiving electromyographic (EMG) feedback therapy and the other, "most suitable alternative therapy." Headache intensity and severity as well as drug intake were reduced in the feedback group (p less than or equal to 0.01) as opposed to no improvement in the control group. The positive treatment effect in the feedback group persisted through a three-month follow-up period. EMG feedback therapy is effective in the treatment of muscle contraction headache even in its chronic, severe form, which is resistant to traditional treatment methods.     

Ca-, Sr-tension relationships and contraction velocities of human muscle fibers.

Muscle fibers from the lateral gastrocnemius or intercostal muscles of 7 normal adult males were chemically skinned (sarcolemma disrupted) and isolated fibers were divided into two parts for histochemical determination of fiber type and physiologic studies. The Ca- and Sr-induced tension relationships and maximum contraction velocities were measured. Slow twitch fibers developed tension at lower concentrations of Ca or Sr than fast twitch fibers. The difference between fast and slow twitch fibers was greatest when Sr was the activating cation. Fast and slow twitch fibers was greatest when Sr was the activating cation. Fast and slow twitch fibers generated similar maximum tensions. The contraction velocities of fast twitch fibers were more than two-fold greater than slow twitch fibers. Fast-oxidative-glycolytic (FOG, type IIA) and fast-glycolytic (FG, type IIB) fibers had similar Ca- and Sr-tension relationships and contraction velocities.     

Kinaesthetic judgements and refinement of striking action

Little is known about the developmental course of striking action. This cross-sectional study explored the refinement of striking in 28 children aged between 4 and 12 years and investigated how well they could use kinaesthesis to gauge the length of an unseen bat. The kinematic data (including smoothness of movement) showed quantitative differences between the age groups. In contrast, no differences were found in the children's ability to judge the length of the unseen bat: within three strikes all of the children had made a clean hit, indicating that they had successfully judged bat length. The children then appeared to memorize the bat with which they had accurately hit the target and made: (1) minimal errors when using this bat in later trials and (2) predictable errors when using two other bats of different sizes. The results show that the striking action becomes optimized over childhood, with smoothness of movement providing an index of this refinement. The findings also suggest that young children have a higher level of kinaesthetic sensitivity than has been assumed previously on the basis of static limb positioning tasks. The results suggest that the striking task used in this study might be a useful tool for investigating the development of movement skills in children with developmental disorders.     

Isometric muscle contraction in endocrine myopathies

Isometric contraction of the adductor pollicis muscle of the thumb was evoked by stimulating the ulnar nerve in 20 normal adults and 58 patients with endocrine disorders. We evaluated mechanical latency, electromechanical latency, contraction time, half relaxation time, isometric twitch force, compound muscle action potential, nerve conduction velocity, and relative refractory period. Mechanical characteristics were altered in diseases of the pituitary, thyroid, and parathyroid glands. The close relationship between thyroid hormone and contractile properties discriminated between hypo- and hyperthyroidism.     

Electrocorticogram-electromyogram coherence during isometric contraction of hand muscle in human.

OBJECTIVE: To clarify how the primary sensorimotor and supplementary motor areas are involved in the generation of the rhythmicity of electromyogram (EMG) activity during continuous muscle contraction. METHOD: We analyzed the coherence between subdurally recorded cortical electroencephalograms (EEG) and EMGs of the contralateral wrist extensor muscle during continuous isometric contraction in 8 patients with medically intractable epilepsy. RESULTS: In all subjects, a significant coherence between the primary motor area (M1) and EMG was observed at the peak frequency of 15+/-3 Hz (means+/-SD). In the primary somatosensory area (S1) of 7 subjects and the supplementary motor area proper (SMA proper) of 4 subjects, significant coherence with EMG was observed at 12+/-5 and 15+/-4 Hz, respectively. The time lags revealed by cross-correlogram were 10+/-3, 7+/-1 and 22+/-8 ms in the M1, S1 and SMA proper, respectively, with the EMG lagging in all areas. CONCLUSION: These findings suggest that the rhythmic activity in the SMA proper, as well as in the S1 and M1, is related to the generation of the rhythmicity of EMG activity.     

Vibration and muscle contraction affect somatosensory evoked potentials

We recorded potentials evoked by specific somatosensory stimuli over peripheral nerve, spinal cord, and cerebral cortex. Vibration attenuated spinal and cerebral potentials evoked by mixed nerve and muscle spindle stimulation; in one subject that was tested, there was no effect on cutaneous input. Presynaptic inhibition of Ia input in the spinal cord and muscle spindle receptor occupancy are probably the responsible mechanisms. In contrast, muscle contraction attenuated cerebral potentials to both cutaneous and muscle spindle afferent volleys; central mechanisms modulating neurons in the dorsal columns nuclei, thalamus, or cerebral cortex are probably responsible.     

Effects of muscle contraction on somatosensory event-related EEG power and coherence changes.

Effects of isometric muscle contraction on amplitude and coherence changes of EEG rhythms during repetitive cutaneous electrical stimulation were analyzed in 10 right-handed subjects. Subjects received electrical stimuli at intensity above pain threshold to their right middle finger while either squeezing a rubber tube with the right index finger and thumb, or keeping their ipsilateral hand muscles relaxed. EEG was recorded using 111 closely spaced electrodes. Somatosensory stimuli were followed by reduction of the relative 8-12 and 16-24 Hz band power (at 0.2-0.4 s) in bilateral primary sensorimotor cortices (S1/M1) and medial frontal cortex, and by a subsequent increase in 16-24 Hz band power (at 0.9 s). Isometric muscle contraction strongly suppressed these band power changes. The 8-12 and 16-24 Hz mean coherence in a wide region surrounding the contralateral S1/M1 and in the medial frontal cortex showed an initial decrease, partially paralleling band power changes, and later an increase. Ipsilateral S1/M1 showed a decrease in 8-12 Hz coupling only with the central and frontal electrodes of the same hemisphere. Muscle contraction reduced all coherence changes, but enhanced the 8-12 Hz coherence between ipsilateral S1/M1 and posterior parietal cortex. Early post-stimulus decrease of oscillatory coupling between S1/M1 and premotor cortex and between S1/M1 and medial frontal cortex suggests that these cortical regions act rather independently during processing of somatosensory information, and synchronize only later when the band power in contralateral S1/M1 increases. Motor cortex activation associated with ipsilateral hand muscle contraction interferes with cortical processing of somatosensory stimuli in S1/M1 cortices.     

Co-activation of ipsi- and contralateral muscle groups during contraction of ankle dorsiflexors.

Seventeen adult, healthy subjects, age 38.4 +/- 0.24 years (mean +/- SEM) 7 of which were females, were studied. Each subject was seated on a specially designed chair with trunk and legs fixed and the foot strapped to a rigid plate that was attached to a load cell. The position of the strap was adjusted so as to lie across the foot at the level of the metatarsal bones. The knee and ankle joints were adjusted to 90 degrees. To record EMG activity, pairs of surface electrodes were placed over the belly of both the right and left tibialis anterior, quadriceps, hamstring and contralateral triceps surae muscles. Two experimental paradigms were used, A and B. In A the subject was asked to sustain maximum voluntary contraction (MVC) of the ankle dorsiflexors until the force decreased to 50% of the initial value; in B the subject was asked to carry out contractions of the ankle dorsiflexors for 6 seconds followed by 4 sec relaxation periods. The initial contraction was 20% of MVC followed by 40, 60, 80 and 100% of MVC which represented one cycle. The subject was asked to repeat this cycle 10 times. Voluntary contraction of ankle dorsiflexors was regularly accompanied by activation of other muscles, usually first in the same leg, later in the contralateral leg during MVC of ankle dorsiflexors. When intermittent contractions with step wise increments of force developed by the ankle dorsiflexors were carried out, co-activation of ipsilateral and contralateral muscle groups occurred before the force of the contracting muscles decreased.(ABSTRACT TRUNCATED AT 250 WORDS)     

Experimental muscle pain changes the spatial distribution of upper trapezius muscle activity during sustained contraction.

OBJECTIVE: To investigate the effect of local excitation of nociceptive muscle afferents on the spatial distribution of muscle activity. METHODS: Surface electromyographic (EMG) signals were recorded from the upper trapezius muscle of 10 healthy volunteers with a 5 x 13 electrode grid during 90-s isometric contractions before, during, 15 and 30 min after intramuscular injection of hypertonic (painful) or isotonic (non-painful) saline. From the multi-channel EMG recordings, two-dimensional maps of root mean square and mean power frequency were obtained. The centre of gravity of the root mean square map was used to quantify global changes in the spatial distribution of muscle activity. RESULTS: During sustained contractions, average root mean square increased, average mean frequency decreased and the centre of gravity moved cranially. During experimental muscle pain, compared to before injection, the average root mean square decreased and there was a caudal shift of the centre of gravity. Fifteen minutes after the painful injection the centre of gravity returned to its original position. CONCLUSIONS: Short-term dynamic reorganization of the spatial distribution of muscle activity occurred in response to nociceptive afferent input. SIGNIFICANCE: The study furnishes an extension of the pain adaptation model indicating heterogeneous inhibition of muscle activity.     

Measurement of muscle contraction with ultrasound imaging

To investigate the ability of ultrasonography to estimate muscle activity, we measured architectural parameters (pennation angles, fascicle lengths, and muscle thickness) of several human muscles (tibialis anterior, biceps brachii, brachialis, transversus abdominis, obliquus internus abdominis, and obliquus externus abdominis) during isometric contractions of from 0 to 100% maximal voluntary contraction (MVC). Concurrently, electromyographic (EMG) activity was measured with surface (tibialis anterior only) or fine-wire electrodes. Most architectural parameters changed markedly with contractions up to 30% MVC but changed little at higher levels of contraction. Thus, ultrasound imaging can be used to detect low levels of muscle activity but cannot discriminate between moderate and strong contractions. Ultrasound measures could reliably detect changes in EMG of as little as 4% MVC (biceps muscle thickness), 5% MVC (brachialis muscle thickness), or 9% MVC (tibialis anterior pennation angle). They were generally less sensitive to changes in abdominal muscle activity, but it was possible to reliably detect contractions of 12% MVC in transversus abdominis (muscle length) and 22% MVC in obliquus internus (muscle thickness). Obliquus externus abdominis thickness did not change consistently with muscle contraction, so ultrasound measures of thickness cannot be used to detect activity of this muscle. Ultrasound imaging can thus provide a noninvasive method of detecting isometric muscle contractions of certain individual muscles.     

Regulation of isometric contraction in skeletal muscle

The purpose of this study was to determine whether differences in isometric twitch contraction times of skeletal muscles are related more closely to myosin adenosine triphosphatase (ATPase) activity or to the ability of the sarcotubules to accumulate Ca²⁺. The isometric contraction time was observed to be shorter in the crureus muscle than in the soleus muscle of the rabbit. These muscles were found to have similar myosin ATPase activities, but sarcotubules isolated from crureus had a faster rate of Ca²⁺ uptake than soleus sarcotubules. Furthermore, the yield of sarcotubules was 41% higher from crureus. Likewise, the isometric contraction time of rat soleus decreased during the first 3 weeks of life, but no change was observed in myosin ATPase activity. However, sarcotubular uptake of Ca²⁺ increased as did the yield of sarcotubules (44% higher). It is suggested that the differences in isometric contraction time between skeletal muscles are related more closely to the sarcotubular Ca²⁺ uptake than to the activity of myosin ATPase.