Muscle architecture and torque production in stroke survivors: an observational study

Objective: Spasticity poststroke leads to muscle weakness and soft tissue contracture, however, it is not clear how muscle properties change due this motor neural disorder. The purpose was to compare medial gastrocnemius muscle architecture and mechanical properties of the plantarflexor muscles between stroke survivors with spasticity and healthy subjects.

Methods: The study included 15 stroke survivors with ankle spasticity and 15 healthy subjects. An isokinetic dynamometer was used for the evaluation of maximal isometric plantarflexor torque and images of the medial gastrocnemius muscle were obtained using ultrasonography. Images were collected at rest and during a maximum voluntary contraction.

Results: The affected limb showed reduced fascicle excursion (0.9 ± 0.7 cm), shorter fascicle length, and reduced muscle thickness (0.095 ± 0.010% of leg length and 1.18 ± 0.20 cm, at rest) compared to contralateral (1.6 ± 0.4 cm, 0.106 ± 0.015% of leg length and 1.29 ± 0.24 cm, respectively) and to healthy participants (1.8 ± 0.7 cm, 0.121 ± 0.019% of leg length and 1.43 ± 0.22 cm, respectively). The contralateral limb showed lower force (between 32 and 40%) and similar architecture parameters compared to healthy participants.

Conclusion: The affected limb had a different muscle architecture that appears to result in lower force production. The contralateral limb showed a decrease in force compared to healthy participants due to the other neural impairments than muscle morphology. Spasticity likely leds to adaptations of muscle architecture in the affected limb and in force reductions in both limbs of stroke survivors.     

Individual difference in β-band corticomuscular coherence and its relation to force steadiness during isometric voluntary ankle dorsiflexion in healthy humans

Objective

Magnitude of β-band coherent neural activities between the sensorimotor cortex and contracting muscle is known to vary across healthy individuals. To clarify how this variance affects actual motor function, this study examined associations between the corticomuscular coherence (CMC) and force steadiness.

A novel technique to measure active tendon forces: application to the subscapularis tendon

This paper describes the design and use of a novel system for quantification of active tendon forces. An arthroscopically implantable force probe (AIFP) was inserted arthroscopically into the subscapularis tendon of the shoulder in vivo. The output response of this device was calibrated in situ with known forces applied to the tendon using an arthroscopic technique. On recovery of motor control following interscalene regional anaesthesia, the force within the tendon during active muscle contraction was measured. The AIFP was then retrieved through an arthroscopic portal. The technique showed that the subscapularis may produce forces of 250 N during maximum internal rotation of the shoulder.     

Does the motor control system use multiple models and context switching to cope with a variable environment?

Studies of arm movements have shown that subjects learn to compensate predictable mechanical perturbations by developing a representation of the relation between the state of motion of the arm and the perturbing forces. Here, we tested the hypothesis that subjects construct internal representations of two different force fields and switch between them when presented with an alternating sequence of these fields. Our results do not support this hypothesis. Subjects performed reaching movements in four sessions over 4 days. On the 1st day the robotic manipulandum perturbed the movement by perpendicular force that alternated its direction after each movement. Subjects were unable to construct the two underlying models and switch between them. On the 2nd day only one field was applied and well learned. On the 3rd day only the other field was applied and well learned. Then the experiment of the 1st day was repeated on the 4th day. Even after this extensive training subjects showed no signs of improved performance with alternating fields. This result combined with previous studies suggests that the central nervous system has a strong tendency to employ a single internal model when dealing with a sequence of perturbations.     

Evaluation of the impression technique by measuring interstitial oedema in rat testis

The impression method for assessment of subcutaneous oedema was evaluated in a rat testis model where the testicular interstitial fluid volume was changed both artificially by infusion of rat plasma and pharmacologically by administration of human chorionic gonadotrophin. Both the integral value and the impression force value, as measured with the impression method, changed with infused volume, and changes as small as 16,μl (approximately 7% of the total interstitial fluid volume in a testis) could be detected. Rats were treated with a single injection of 100 i. u. human chorionic gonadotrophin in order to induce changes in the volume of interstitial fluid in the testis. Both the integral value and the impression force value seemed to reveal information on testicular interstitial fluid volume in rats treated with human chorionic gonadotrophin that was similar to data revealed by measuring the actual fluid content in the testis. Interstitial fluid volume measured morphometrically in the contralateral testis in human chorionic gonadotrophin-treated rats was significantly correlated to the impression force value (r= 0.75) and the integral value (r= 0.52). This rat testis model proved to be an interesting experimental set-up for evaluation of the impression technique.     

Three-dimensional drawings in isometric conditions: planar segmentation of force trajectory

Summary Normal human subjects grasped an isometric handle with an unrestrained, pronated hand. They were asked to exert forces continuously to draw lemniscates (figure eights) in specified or self-chosen planes and in the presence or absence of a three-dimensional visual feedback cursor and a visual template. In every condition, the mean plane orientation in the force space differed appreciably between the two loops of the figure, as described previously by Soechting and Terzuolo (1987a) for free drawing arm movements. These findings suggest that the planar segmentation of the motor trajectory is not a consequence of joint motion but arises from central constraints related to the production of motor trajectory in space.     

In-situ forces in the human posterior cruciate ligament in response to posterior tibial loading

Although some investigators have referred to the human posterior cruciate ligament (PCL) as the center of the knee, it has received less attention than the more frequently injured anterior cruciate ligament (ACL) and medial collateral ligament (MCL). Therefore, our understanding of the function of the PCL is limited. Our laboratory has developed a method of measuring thein-situ forces in a ligament without contacting that ligament by using a universal force-moment sensor (UFS). In this study, we attached a USF to the tibia and measuredin-situ forces of the human PCL as a function of knee flexion in response to tibial loading. At a 50-N posterior tibial load, the force in the PCL increased from 25±11 N (mean±SD) at 30° of knee flexion to 48±12 N at 90° of knee flexion. At 100 N, the corresponding increases were to 50±17 N and 95±17 N, respectively. Of note, at 30° knee flexion, approximately 45% of the resistance to posterior tibial loading was caused by contact between the tibia and the femoral condyles, whereas, at 90° of knee flexion, no resistance was caused by such contact. For direction of thein-situ force, the elevation angle from the tibial plateau was greater at 30° of knee flexion than at 90° of knee flexion. The data gathered on the magnitude and direction of thein-situ force of the PCL should help in our understanding of the dependence of knee flexion angle of the forces within the PCL.     

Adaptation to a novel multi-force environment

Humans display accurate limb behavior when they move in familiar environments composed of many simultaneously-acting forces. Little is known about how multi-force environments are represented and whether this process partitions between the underlying force components, reflects the net forces present, or is cued to the force-context. We tested between these three main alternatives by examining how reaching movements adapt to a novel multi-force field composed of a velocity-dependent force and a constant force. These hypotheses were dissociated first by making the constant force larger and oppositely-oriented to the velocity-dependent force; thereby, the net force was always opposite the velocity-dependent component. Second, we tested adaptation with all novel forces removed to eliminate any potential cues for the force-context. In two experiments that used forces perpendicular or parallel to the forward movement direction, we found adaptation aftereffects consistent with a mechanism that partitioned the velocity-dependent component from the net force field. Specifically, we found aftereffects opposite the rightward or resistive velocity-dependent component of the multi-force field, even though the net force imposed was leftward or assistive, respectively. An additional experiment suggested that the velocity-dependent component is partitioned relative to the background load in a limb-based coordinate frame.     

Age-related changes in grasping force modulation

The aim of this study was to determine the effect of age on the modulation of forces produced by the digits and to determine the effects of practice on the control of these forces in young and older adults. Young (n = 14, 19-28 years) and old (n = 12, 67-75 years) adults used a precision grip to perform a variable force-tracking task (sine wave, 5-25% of maximum voluntary force) with their dominant hand. Participants performed 100 practice trials over 2 consecutive days. Results indicated that both groups improved accuracy of force tracking as a result of practice. Younger adults performed the task at a higher level in pre- and post-test conditions compared with older adults. Younger adults showed improvements in force control in force generation and release phases. Older adults reached performance levels comparable with younger adults' pre-test performance, but only after extended practice. In contrast to young adults, older adults' performance during the force release phases remained quite variable. These data suggest that older adults are impaired in the accurate release of grip force. Varied force release patterns that disrupt the precision of force modulation may contribute to older adults' diminished dexterous abilities.