Neuromuscular Control of the Human Leg Extensor Muscles in Jump Exercises Under Various Stretch-Load Conditions

1991 ◽  
Vol 12 (01) ◽  
pp. 34-40 ◽  
Author(s):  
A. Gollhofer ◽  
H. Kyröläinen
Keyword(s):  
Neuromuscular Control ◽  
Extensor Muscles ◽  
Stretch Load ◽  
Load Conditions

scholarly journals Understanding regional activation of thoraco-lumbar muscles in chronic low back pain and its relationship to clinically relevant domains

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Francesca Serafino ◽  
Marco Trucco ◽  
Adele Occhionero ◽  
Giacinto Luigi Cerone ◽  
Alessandro Chiarotto ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Pelvic Tilt ◽  
Pearson Correlation ◽  
Neuromuscular Control ◽  
Low Back ◽  
Emg Amplitude ◽  
Extensor Muscles ◽  
Anterior Pelvic Tilt

Abstract Background Altered regional activation of the lumbar extensors has been previously observed in individuals with low back pain (LBP) performing high-effort and fatiguing tasks. It is currently unknown whether similar alterations can be observed during low-effort functional tasks. Similarly, previous studies did not investigate whether side differences in regional activation are present in individuals with LBP. Finally, there is limited evidence of whether the extent of the alteration of regional activation is associated with clinical factors. Therefore, the aim of this study was to investigate whether individuals with LBP exhibit asymmetric regional activation of the thoraco-lumbar extensor muscles during functional tasks, and if the extent of neuromuscular control alteration is associated with clinical and psychosocial outcome domains. Methods 21 participants with and 21 without LBP performed five functional tasks (gait, sit-to-stand, forward trunk flexion, shoulder flexion and anterior pelvic tilt). The spatial distribution of activation of the thoraco-lumbar extensor muscles was assessed bilaterally using high-density electromyography. For each side, the distribution of electromyographic (EMG) amplitude was characterized in terms of intensity, location and size. Indices of asymmetry were calculated from these features and comparisons between groups and tasks were performed using ANOVA. The features that significantly differed between groups were correlated with self-reported measures of pain intensity and other outcome domains. Results Indices of asymmetry did not differ between participants with and without LBP (p > 0.11). The cranio-caudal location of the activation differed between tasks (p < 0.05), but not between groups (p = 0.64). Participants with LBP showed reduced EMG amplitude during anterior pelvic tilt and loading response phase during gait (both p < 0.05). Pearson correlation revealed that greater pain intensity was associated with lower EMG amplitude for both tasks (R<-0.5, p < 0.05). Conclusions Despite clear differences between tasks, individuals with and without LBP exhibited similar distributions of EMG amplitude during low-effort functional activities, both within and between sides. However, individuals with LBP demonstrated lower activation of the thoraco-lumbar muscles during gait and anterior pelvic tilt, especially those reporting higher pain intensity. These results have implications in the development or refinement of assessment and intervention strategies focusing on motor control in patients with chronic LBP.

Functional Anatomy Underlying Pharyngeal Swallowing Mechanics and Swallowing Performance Goals

2019 ◽  
Vol 4 (4) ◽  
pp. 648-655
Author(s):  
William G. Pearson ◽  
Jacline V. Griffeth ◽  
Alexis M. Ennis
Keyword(s):  
Functional Anatomy ◽  
Neuromuscular Control ◽  
Upper Esophageal Sphincter ◽  
Performance Goals ◽  
Laryngeal Elevation ◽  
Port Closure ◽  
Swallowing Dysfunction ◽  
Hyoid Movement ◽  
Pharyngeal Swallowing ◽  
Pharyngeal Constriction

Purpose Rehabilitation of pharyngeal swallowing dysfunction requires a thorough understanding of the functional anatomy underlying the performance goals of pharyngeal swallowing. These goals include the safe and efficient transfer of a bolus through the hypopharynx into the esophagus. Penetration or aspiration of a bolus threatens swallowing safety. Bolus residue indicates swallowing inefficiency. Several primary mechanics, or elements of the swallowing mechanism, underlie these performance goals, with some elements contributing to both goals. These primary mechanics include velopharyngeal port closure, hyoid movement, laryngeal elevation, pharyngeal shortening, tongue base retraction, and pharyngeal constriction. Each element of the swallowing mechanism is under neuromuscular control and is therefore, in principle, a potential target for rehabilitation. Secondary mechanics of pharyngeal swallowing, those movements dependent on primary mechanics, include opening the upper esophageal sphincter and epiglottic inversion. Conclusion Understanding the functional anatomy of pharyngeal swallowing underlying swallowing performance goals will facilitate anatomically informed critical thinking in the rehabilitation of pharyngeal swallowing dysfunction.

Treatment of vertebral fractures due to osteoporosis

2015 ◽  
Vol 24 (01) ◽  
pp. 7-10 ◽  
Author(s):  
M. Pfeifer ◽  
M. Sinaki
Keyword(s):  
Exercise Program ◽  
Therapeutic Exercise ◽  
Training Support ◽  
Axial Stability ◽  
Extensor Muscles ◽  
Therapeutic Exercises ◽  
Increase Risk ◽  
Risk Of Falls ◽  
Risk Of Fall

SummaryThe objective of exercise in the treatment of osteoporosis is to improve axial stability through strengthening of back extensor muscles. Therefore, a back extension exercise program specific to one’s musculoskeletal competence and pain can be performed in a sitting position and later advanced to the prone position. When fragility is resolved, back extension is performed against resistance applied to the upper back. A significant reduction in back pain, kyphosis, and risk of falls and an improvement in the level of physical activity have been achieved through the SPEED (Spinal Proprioceptive Extension Exercise Dynamic) program. In addition, the application of a “Posture Training Support” (PTS) using a backpack may decrease kyphosis and pain related not only to compression fractures but also reduce iliocostal friction. Therapeutic exercise should address osteo - porosis-related deformities of axial posture, which can increase risk of fall and fracture. Thus, the role of a therapeutic exercise program is to increase muscle strength safely, decrease immobility-related complications, and prevent fall and fracture. As with pharmacotherapy, therapeutic exercises are individualized.

Safety And Preliminary Efficacy of Magnetic Stimulation of Pelvic Floor with Hifem Technology in Urinary Incontinence

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Magnetic Stimulation ◽  
Muscle Tone ◽  
Pelvic Floor Muscle ◽  
Neuromuscular Control ◽  
Ultrasound Elastography ◽  
Functional Evaluation ◽  
Muscle Injuries ◽  
Stimulation Of

Introduction: BTL EMSELLA™ utilizes High-Intensity Focused Electromagnetic technology (HIFEM) to cause deep pelvic floor muscles stimulation and restoration of the neuromuscular control. Key effectiveness is based on focused electromagnetic energy, in-depth penetration and stimulation of the entire pelvic floor area. A single BTL EMSELLA™ session brings thousands of supramaximal pelvic floor muscle contractions, which are extremely important in muscle reeducation of incontinent patients. Objective: Prospective study to evaluate the safety and preliminary effectiveness of the use of BTL EMSELLA magnetic stimulation in urinary incontinence. Method: Thirty-two patients with light and moderate urinary incontinence were recruited to perform 6 sessions of BTL EMSELLA during three weeks of initial treatment. Follow-up after three months. The patients received sessions lasting 28 minutes, completing the different treatment protocols. Initially the patients underwent a quality of life test before and after treatment, evaluation with advanced ultrasound using elastography to measure the initial tissue's elasticity and be able to compare after treatment, clinical functional evaluation and urodynamic test. Results: No adverse reactions were observed. All the patients finished the treatment sessions. Two patients reported increased pain after treatment in the first session corresponding to a VAS scale greater than 5 with duration greater than three hours. The treatment was highly satisfactory in 84,4% of the patients. After the first three months the improvement was maintained in 77% of the patients. No muscle injuries were observed. Elastographic changes and improvement of muscle tone were detected by advanced ultrasound (elastography) in 100% of patients. Conclusions: BTL EMSELLA is safe, well tolerated and effective for the treatment of mild and moderate urinary incontinence. The observed elastographic changes demonstrate the improvement of pelvic floor muscle tone after treatment. A reduction in the symptoms of urinary incontinence was demonstrated. Recommendations: Continue increasing the number of cases for research and increase the variables that we have decided to incorporate in the next research section such as MRI and pressure calculation.

Toxicity of Sulfite and Cadmium to Anaerobic Granular Sludge

1994 ◽  
Vol 29 (4) ◽  
pp. 581-598
Author(s):  
C.F. Shew ◽  
N. Kosaric
Keyword(s):  
Granular Sludge ◽  
Upflow Anaerobic Sludge Blanket ◽  
Shock Load ◽  
Anaerobic Sludge ◽  
Anaerobic Granular Sludge ◽  
Scanning Electron Micrographs ◽  
Bacterial Growth Rate ◽  
Digestion Rate ◽  
Sulfate Reducing ◽  
Load Conditions

Abstract Toxicity of sulfite (Na2SO3) and cadmium (CdCl2) ions to anaerobic granular sludge was investigated in 1.2 litre bench-scale upflow anaerobic sludge blanket (UASB) reactors during process acclimation and shock load conditions. Minimal sulfite toxicity was observed under gradual and shock load conditions at sulfite concentrations of up to 1000 mg S/L if proper acclimation was allowed to occur. No long-term toxic effects were observed although the COD digestion rate was temporarily inhibited by shock load of sulfite. Scanning electron micrographs indicated that more sulfate-reducing bacteria were present in the granules developed in the reactors with sulfite supplement although rod-shaped Methanosaeta-like bacteria were still dominant. High bacterial growth rate was observed in the reactors which were supplied with the feed containing sulfite. The COD digestion rate was inhibited at a cadmium loading rate of 2.4 g Cd per day under both acclimation and shock load conditions. Acclimation did not seem to improve the bacteria to tolerate the toxicity of cadmium. The concentration of free cadmium was very low in the reactors under normal conditions, but increased rapidly when the COD digestion in the reactors ceased. The bacteria could not be reactivated after inhibited by cadmium. When reactors were operated at low specific COD loading rates, more inorganic precipitates were formed inside the granules which consequently settled faster.

Neuromuscular Control of Movement

2018 ◽  
Keyword(s):  
Nervous System ◽  
Sensory Information ◽  
Neuromuscular Control ◽  
Complex Environments ◽  
Locomotor Rhythm ◽  
Motor Responses ◽  
Reflex Pathways ◽  
Local Reflex ◽  
Local Circuits ◽  
And Control

The control of movement is essential for animals traversing complex environments and operating across a range of speeds and gaits. We consider how animals process sensory information and initiate motor responses, primarily focusing on simple motor responses that involve local reflex pathways of feedback and control, rather than the more complex, longer-term responses that require the broader integration of higher centers within the nervous system. We explore how local circuits facilitate decentralized coordination of locomotor rhythm and examine the fundamentals of sensory receptors located in the muscles, tendons, joints, and at the animal’s body surface. These sensors monitor the animal’s physical environment and the action of its muscles. The sensory information is then carried back to the animal’s nervous system by afferent neurons, providing feedback that is integrated at the level of the spinal cord of vertebrates and sensory-motor ganglia of invertebrates.

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