Lack of On-Going Adaptations in the Soleus Muscle Activity During Walking in Patients Affected by Large-Fiber Neuropathy

2005 ◽  
Vol 93 (6) ◽  
pp. 3075-3085 ◽  
Author(s):  
Nazarena Mazzaro ◽  
Michael J. Grey ◽  
Thomas Sinkjær ◽  
Jacob Buus Andersen ◽  
Davide Pareyson ◽  
...  
Keyword(s):  
Soleus Muscle ◽  
Muscle Activity ◽  
Healthy Subjects ◽  
Stance Phase ◽  
Large Diameter ◽  
Ankle Dorsiflexion ◽  
Reflex Response ◽  
Human Walking ◽  
Slow Velocity ◽  
Sensory Fibers

The aim of this study was to investigate the contribution of feedback from large-diameter sensory fibers to the adaptation of soleus muscle activity after small ankle trajectory modifications during human walking. Small-amplitude and slow-velocity ankle dorsiflexion enhancements and reductions were applied during the stance phase of the gait cycle to mimic the normal variability of the ankle trajectory during walking. Patients with demyelination of large sensory fibers (Charcot-Marie-Tooth type 1A and antibodies to myelin-associated glycoprotein neuropathy) and age-matched controls participated in this study. The patients had absent light-touch sense in the toes and feet and absent quadriceps and Achilles tendon reflexes, indicating functional loss of large sensory fibers. Moreover, their soleus stretch reflex response consisted of a single electromyographic (EMG) burst with delayed onset and longer duration ( P < 0.01) than the short- and medium-latency reflex responses observed in healthy subjects. In healthy subjects, the soleus EMG gradually increased or decreased when the ankle dorsiflexion was, respectively, enhanced or reduced. In the patients, the soleus EMG increased during the dorsiflexion enhancements; however, the velocity sensitivity of this response was decreased compared with the healthy volunteers. When the dorsiflexion was reduced, the soleus EMG was unchanged. These results indicate that the enhancement of the soleus EMG is mainly sensitive to feedback from primary and secondary muscle spindle afferents and that the reduction may be mediated by feedback from the group Ib pathways. This study provides evidence for the role of sensory feedback in the continuous adaptation of the soleus activity during the stance phase of human walking.

Afferent-mediated modulation of the soleus muscle activity during the stance phase of human walking

2006 ◽  
Vol 173 (4) ◽  
pp. 713-723 ◽  
Author(s):  
Nazarena Mazzaro ◽  
Michael J. Grey ◽  
Omar Feix do Nascimento ◽  
Thomas Sinkjær
Keyword(s):  
Soleus Muscle ◽  
Muscle Activity ◽  
Stance Phase ◽  
Human Walking

Contribution of Afferent Feedback to the Soleus Muscle Activity During Human Locomotion

2005 ◽  
Vol 93 (1) ◽  
pp. 167-177 ◽  
Author(s):  
Nazarena Mazzaro ◽  
Michael J. Grey ◽  
Thomas Sinkjær
Keyword(s):  
Soleus Muscle ◽  
High Frequency ◽  
Stretch Reflex ◽  
Stance Phase ◽  
Human Locomotion ◽  
Ankle Dorsiflexion ◽  
Afferent Feedback ◽  
Tendon Vibration ◽  
Step Cycle ◽  
Peripheral Ischemia

During the stance phase of the human step cycle, the ankle undergoes a natural dorsiflexion that stretches the soleus muscle. The afferent feedback resulting from this stretch enhances the locomotor drive. In this study a robotic actuator was used to slightly enhance or reduce the natural ankle dorsiflexion, in essence, mimicking the small variations in the ankle dorsiflexion movement that take place during the stance phase of the step cycle. The soleus (SOL) and tibialis anterior EMG were analyzed in response to the ankle trajectory modifications. The dorsiflexion enhancements and reductions generated gradual increments and decrements, respectively, in the ongoing SOL EMG. We exercised care to ensure that the imposed ankle movements were too slow to elicit distinct burst-like stretch reflex responses that have been investigated previously. The increased SOL EMG after the dorsiflexion enhancements was reduced when the group Ia afferents were blocked with peripheral ischemia at the thigh, and during high-frequency Achilles tendon vibration. However, neither ischemia nor tendon vibration affected the decrements in the SOL EMG during the dorsiflexion reductions. These findings give evidence of the contribution of afferent feedback to the SOL activity in an ongoing basis during the stance phase. The results suggest that mainly feedback from the group Ia pathways is responsible for the increments in the SOL EMG during the dorsiflexion enhancements. However, the decrements in the SOL activity might be mediated by different afferent mechanisms.

scholarly journals Small amounts of involuntary muscle activity reduce passive joint range of motion

2019 ◽  
Vol 127 (1) ◽  
pp. 229-234 ◽  
Author(s):  
Joanna Diong ◽  
Simon C. Gandevia ◽  
David Nguyen ◽  
Yanni Foo ◽  
Cecilia Kastre ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Soleus Muscle ◽  
Muscle Activity ◽  
Random Order ◽  
Passive Movement ◽  
Ankle Dorsiflexion ◽  
Passive Joint ◽  
Joint Range Of Motion ◽  
Involuntary Muscle ◽  
Joint Range

When assessing passive joint range of motion in neurological conditions, concomitant involuntary muscle activity is generally regarded small enough to ignore. This assumption is untested. If false, many clinical and laboratory studies that rely on these assessments may be in error. We determined to what extent small amounts of involuntary muscle activity limit passive range of motion in 30 able-bodied adults. Subjects were seated with the knee flexed 90° and the ankle in neutral, and predicted maximal plantarflexion torque was determined using twitch interpolation. Next, with the knee flexed 90° or fully extended, the soleus muscle was continuously electrically stimulated to generate 1, 2.5, 5, 7.5, and 10% of predicted maximal torque, in random order, while the ankle was passively dorsiflexed to a torque of 9 N·m by a blinded investigator. A trial without stimulation was also performed. Ankle dorsiflexion torque-angle curves were obtained at each percent of predicted maximal torque. On average (mean, 95% confidence interval), each 1% increase in plantarflexion torque decreases ankle range of motion by 2.4° (2.0 to 2.7°; knee flexed 90°) and 2.3° (2.0 to 2.5°; knee fully extended). Thus 5% of involuntary plantarflexion torque, the amount usually considered small enough to ignore, decreases dorsiflexion range of motion by ~12°. Our results indicate that even small amounts of involuntary muscle activity will bias measures of passive range and hinder the differential diagnosis and treatment of neural and nonneural mechanisms of contracture. NEW & NOTEWORTHY The soleus muscle in able-bodied adults was tetanically stimulated while the ankle was passively dorsiflexed. Each 1% increase in involuntary plantarflexion torque at the ankle decreases the range of passive movement into dorsiflexion by >2°. Thus the range of ankle dorsiflexion decreases by ~12° when involuntary plantarflexion torque is 5% of maximum, a torque that is usually ignored. Thus very small amounts of involuntary muscle activity substantially limit passive joint range of motion.

scholarly journals Afferent Contribution to Locomotor Muscle Activity During Unconstrained Overground Human Walking: An Analysis of Triceps Surae Muscle Fascicles

2010 ◽  
Vol 103 (3) ◽  
pp. 1262-1274 ◽  
Author(s):  
R. af Klint ◽  
N. J. Cronin ◽  
M. Ishikawa ◽  
T. Sinkjaer ◽  
M. J. Grey
Keyword(s):  
Soleus Muscle ◽  
Muscle Activity ◽  
Force Feedback ◽  
Triceps Surae ◽  
Human Walking ◽  
Plantar Flexor ◽  
Triceps Surae Muscle ◽  
Muscle Fascicle ◽  
Flexor Muscles ◽  
Plantar Flexor Muscles

Plantar flexor series elasticity can be used to dissociate muscle–fascicle and muscle–tendon behavior and thus afferent feedback during human walking. We used electromyography (EMG) and high-speed ultrasonography concomitantly to monitor muscle activity and muscle fascicle behavior in 19 healthy volunteers as they walked across a platform. On random trials, the platform was dropped (8 cm, 0.9 g acceleration) or held at a small inclination (up to ±3° in the parasagittal plane) with respect to level ground. Dropping the platform in the mid and late phases of stance produced a depression in the soleus muscle activity with an onset latency of about 50 ms. The reduction in ground reaction force also unloaded the plantar flexor muscles. The soleus muscle fascicles shortened with a minimum delay of 14 ms. Small variations in platform inclination produced significant changes in triceps surae muscle activity; EMG increased when stepping on an inclined surface and decreased when stepping on a declined surface. This sensory modulation of the locomotor output was concomitant with changes in triceps surae muscle fascicle and gastrocnemius tendon length. Assuming that afferent activity correlates to these mechanical changes, our results indicate that within-step sensory feedback from the plantar flexor muscles automatically adjusts muscle activity to compensate for small ground irregularities. The delayed onset of muscle fascicle movement after dropping the platform indicates that at least the initial part of the soleus depression is more likely mediated by a decrease in force feedback than length-sensitive feedback, indicating that force feedback contributes to the locomotor activity in human walking.

scholarly journals Ankle Muscle Activations during Different Foot-Strike Patterns in Running

Sensors ◽  
2021 ◽  
Vol 21 (10) ◽  
pp. 3422
Author(s):  
Jian-Zhi Lin ◽  
Wen-Yu Chiu ◽  
Wei-Hsun Tai ◽  
Yu-Xiang Hong ◽  
Chung-Yu Chen
Keyword(s):  
Muscle Activity ◽  
Muscle Activation ◽  
Stance Phase ◽  
Inertial Sensors ◽  
Plantar Flexion ◽  
Intraclass Correlation ◽  
Biceps Femoris ◽  
Ankle Muscle ◽  
Foot Strike ◽  
Muscle Activations

This study analysed the landing performance and muscle activity of athletes in forefoot strike (FFS) and rearfoot strike (RFS) patterns. Ten male college participants were asked to perform two foot strikes patterns, each at a running speed of 6 km/h. Three inertial sensors and five EMG sensors as well as one 24 G accelerometer were synchronised to acquire joint kinematics parameters as well as muscle activation, respectively. In both the FFS and RFS patterns, according to the intraclass correlation coefficient, excellent reliability was found for landing performance and muscle activation. Paired t tests indicated significantly higher ankle plantar flexion in the FFS pattern. Moreover, biceps femoris (BF) and gastrocnemius medialis (GM) activation increased in the pre-stance phase of the FFS compared with that of RFS. The FFS pattern had significantly decreased tibialis anterior (TA) muscle activity compared with the RFS pattern during the pre-stance phase. The results demonstrated that the ankle strategy focused on controlling the foot strike pattern. The influence of the FFS pattern on muscle activity likely indicates that an athlete can increase both BF and GM muscles activity. Altered landing strategy in cases of FFS pattern may contribute both to the running efficiency and muscle activation of the lower extremity. Therefore, neuromuscular training and education are required to enable activation in dynamic running tasks.

scholarly journals Biomechanical analysis of an unpowered hip flexion orthosis on individuals with and without multiple sclerosis

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Ross M. Neuman ◽  
Staci M. Shearin ◽  
Karen J. McCain ◽  
Nicholas P. Fey
Keyword(s):  
Multiple Sclerosis ◽  
Muscle Activity ◽  
Healthy Subjects ◽  
Muscle Activation ◽  
Assistive Technologies ◽  
Lower Limbs ◽  
Biomechanical Analysis ◽  
Foot Drop ◽  
Plantar Flexors ◽  
Hip Flexion

Abstract Background Gait impairment is a common complication of multiple sclerosis (MS). Gait limitations such as limited hip flexion, foot drop, and knee hyperextension often require external devices like crutches, canes, and orthoses. The effects of mobility-assistive technologies (MATs) prescribed to people with MS are not well understood, and current devices do not cater to the specific needs of these individuals. To address this, a passive unilateral hip flexion-assisting orthosis (HFO) was developed that uses resistance bands spanning the hip joint to redirect energy in the gait cycle. The purpose of this study was to investigate the short-term effects of the HFO on gait mechanics and muscle activation for people with and without MS. We hypothesized that (1) hip flexion would increase in the limb wearing the device, and (2) that muscle activity would increase in hip extensors, and decrease in hip flexors and plantar flexors. Methods Five healthy subjects and five subjects with MS walked for minute-long sessions with the device using three different levels of band stiffness. We analyzed peak hip flexion and extension angles, lower limb joint work, and muscle activity in eight muscles on the lower limbs and trunk. Single-subjects analysis was used due to inter-subject variability. Results For subjects with MS, the HFO caused an increase in peak hip flexion angle and a decrease in peak hip extension angle, confirming our first hypothesis. Healthy subjects showed less pronounced kinematic changes when using the device. Power generated at the hip was increased in most subjects while using the HFO. The second hypothesis was not confirmed, as muscle activity showed inconsistent results, however several subjects demonstrated increased hip extensor and trunk muscle activity with the HFO. Conclusions This exploratory study showed that the HFO was well-tolerated by healthy subjects and subjects with MS, and that it promoted more normative kinematics at the hip for those with MS. Future studies with longer exposure to the HFO and personalized assistance parameters are needed to understand the efficacy of the HFO for mobility assistance and rehabilitation for people with MS.

Reflex Responses Induced by Tooth Unloading

2000 ◽  
Vol 84 (2) ◽  
pp. 1088-1092 ◽  
Author(s):  
Kemal S. Türker ◽  
Melissa Jenkins
Keyword(s):  
Local Anesthetic ◽  
Muscle Activity ◽  
Masseter Muscle ◽  
Horizontal Direction ◽  
Reflex Response ◽  
Maxillary Incisor ◽  
Static Force ◽  
Incisor Tooth ◽  
Long Latency ◽  
Unloading Reflex

The reflex response of the masseter muscle to the rapid unloading of a single maxillary incisor tooth was studied. Unloading of a static force of 2 N in the horizontal direction resulted in a short-latency excitation, inhibition, and long-latency excitation of masseter muscle activity occurring at latencies of approximately 13, 20, and 40 ms, respectively, with a corresponding change in bite force occurring slightly later in each case. Following the blocking of periodontal input by the injection of local anesthetic around the stimulated tooth, inhibitory responses were abolished. Therefore, it is concluded that the observed masseteric inhibition was caused by the unloading of periodontal mechanoreceptors and thus that these receptors may contribute to the jaw unloading reflex.

Effects of expiratory loading on respiration in humans

1980 ◽  
Vol 49 (4) ◽  
pp. 601-608 ◽  
Author(s):  
B. Gothe ◽  
N. S. Cherniack
Keyword(s):  
Muscle Activity ◽  
Healthy Subjects ◽  
Respiratory Muscle ◽  
Resistive Load ◽  
Similar Magnitude ◽  
Occlusion Pressure ◽  
Ventilatory Responses ◽  
Residual Capacity ◽  
Resistive Loads ◽  
The Difference

We examined the effects of expiratory resistive loads of 10 and 18 cmH2O.l-1.s in healthy subjects on ventilation and occlusion pressure responses to CO2, respiratory muscle electromyogram, pattern of breathing, and thoracoabdominal movements. In addition, we compared ventilation and occlusion pressure responses to CO2 breathing elicited by breathing through an inspiratory resistive load of 10 cmH2O.l-1.s to those produced by an expiratory load of similar magnitude. Both inspiratory and expiratory loads decreased ventilatory responses to CO2 and increased the tidal volume achieved at any given level of ventilation. Depression of ventilatory responses to Co2 was greater with the larger than with the smaller expiratory load, but the decrease was in proportion to the difference in the severity of the loads. Occlusion pressure responses were increased significantly by the inspiratory resistive load but not by the smaller expiratory load. However, occlusion pressure responses to CO2 were significantly larger with the greater expiratory load than control. Increase in occlusion pressure observed could not be explained by changes in functional residual capacity or chemical drive. The larger expiratory load also produced significant increases in electrical activity measured during both inspiration and expiration. These results suggest that sufficiently severe impediments to breathing, even when they are exclusively expiratory, can enhance inspiratory muscle activity in conscious humans.

Distal muscle activity alterations during the stance phase of gait in restless leg syndrome (RLS) patients

2018 ◽  
Vol 45 ◽  
pp. 89-93
Author(s):  
Chloe Dafkin ◽  
Andrew Green ◽  
Benita Olivier ◽  
Warrick McKinon ◽  
Samantha Kerr
Keyword(s):  
Muscle Activity ◽  
Stance Phase ◽  
Restless Leg Syndrome ◽  
Distal Muscle
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