Corticospinal Excitability Is Lower During Eccentric Than Concentric Cycling in Men.

How corticospinal excitability changes during eccentric locomotor exercise is unknown. In the present study, 13 volunteers performed 30-min strenuous concentric and eccentric cycling bouts at the same power output (60% concentric peak power output). Transcranial magnetic and electrical femoral nerve stimulations were applied at exercise onset (3rd min) and end (25th min). Motor-evoked potentials (MEPs) amplitude was measured for the rectus femoris (RF) and vastus lateralis (VL) muscles with surface electromyography (EMG) and expressed as a percentage of maximal M-wave amplitude (MMAX). EMG amplitude 100 ms prior to MEPs and the silent period duration were calculated. There was no change in any neural parameter during the exercises (all P > 0.24). VL and RF MMAX were unaffected by exercise modality (all P > 0.38). VL MEP amplitude was greater (26 ± 11.4 vs. 15.2 ± 7.7% MMAX; P = 0.008) during concentric than eccentric cycling whereas RF MEP amplitude was not different (24.4 ± 10.8 vs. 17.2 ± 9.8% MMAX; P = 0.051). While VL EMG was higher during concentric than eccentric cycling (P = 0.03), RF EMG showed no significant difference (P = 0.07). Similar silent period durations were found (RF: 120 ± 30 ms; VL: 114 ± 27 ms; all P > 0.61), but the silent period/MEP ratio was higher during eccentric than concentric cycling for both muscles (all P < 0.02). In conclusion, corticospinal excitability to the knee extensors is lower and relative silent period longer during eccentric than concentric cycling, yet both remained unaltered with time.

Interhemispheric inhibition is dynamically regulated during action observation.

It is now well established that the motor system plays a pivotal role in action observation and that the neurophysiological processes underlying perception and action overlaps. However, while various experiments have shown a specific facilitation of the contralateral motor cortex during action observation, no information is available concerning the dynamics of interhemispheric interactions. The aim of the present study was, therefore, to assess interhemispheric inhibition during the observation of others' actions. We designed a transcranial magnetic stimulation (TMS) experiment in which we measured both corticospinal excitability and interhemispheric inhibition, this latter by means of the ipsilateral silent period (iSP), while participants observed two motor tasks (tapping or grasping). We show that the iSP is enhanced during movement observation and that this modulation is tuned to the kinematics of the observed movements. An additional experiment was performed in which the TMS intensity was adjusted to match corticospinal excitability between rest and action observation. This resulted in a relative decrease of iSP. Overall, our data strongly suggest that action observation, as action execution, involves interhemispheric inhibitory mechanisms between the two motor cortices, and that this neural activity appears to be firmly shaped by the ongoing observed movement and its intrinsic dynamics.

Voluntary Imitation in Alzheimer's Disease Patients.

Although Alzheimer's disease (AD) primarily manifests as cognitive deficits, the implicit sensorimotor processes that underlie social interactions, such as automatic imitation, seem to be preserved in mild and moderate stages of the disease, as is the ability to communicate with other persons. Nevertheless, when AD patients face more challenging tasks, which do not rely on automatic processes but on explicit voluntary mechanisms and require the patient to pay attention to external events, the cognitive deficits resulting from the disease might negatively affect patients' behavior. The aim of the present study was to investigate whether voluntary motor imitation, i.e., a volitional mechanism that involves observing another person's action and translating this perception into one's own action, was affected in patients with AD. Further, we tested whether this ability was modulated by the nature of the observed stimulus by comparing the ability to reproduce the kinematic features of a human demonstrator with that of a computerized-stimulus. AD patients showed an intact ability to reproduce the velocity of the observed movements, particularly when the stimulus was a human agent. This result suggests that high-level cognitive processes involved in voluntary imitation might be preserved in mild and moderate stages of AD and that voluntary imitation abilities might benefit from the implicit interpersonal communication established between the patient and the human demonstrator.

Functional Electrical Stimulation Alters the Postural Component of Locomotor Activity in Healthy Humans.

Knowledge of the effects of Functional Electrical Stimulation (FES) of different intensity on postural stability during walking in healthy subjects is necessary before these relationships in patients with postural disorders can be assessed and understood. We examined healthy subjects in Control group walking on a treadmill for 40 min and in FES group-provided with 30 min of stimulation, which intensity increased every 10 min. The main difference between Control and FES group was the progressive increase of trunk oscillations in sagittal, frontal, and horizontal planes and an increase of relative stance duration in parallel with FES intensity increase. Both Control and FES groups exhibited shank elevation angle increase as an after-effect. It is concluded, that high intensity FES significantly changes the postural component of locomotor activity, but the fatigue signs afterwards were not FES specific.

Is co-contraction responsible for the decline in maximal knee joint torque in older males?

While it is often reported that muscular coactivation increases with age, the mechanical impact of antagonist muscles, i.e., the antagonist torque, remains to be assessed. The aim of this study was to determine if the mechanical impact of the antagonist muscles may contribute to the age-related decline in the resultant torque during maximal voluntary contraction in knee flexion (KF) and knee extension (KE). Eight young (19-28 years old) and eight older (62-81 years old) healthy males participated in neuromuscular testing. Maximal resultant torque was simultaneously recorded with the electromyographic activity of quadriceps and hamstring muscles. The torque recorded in the antagonist muscles was estimated using a biofeedback technique. Resultant torques significantly decreased with age in both KF (-41 %, p < 0.005) and KE (-35 %, p < 0.01). Agonist and antagonist torques were significantly reduced in KF (-44 %, p < 0.05; -57 %, p < 0.05) and in KE (-37 %, p < 0.01; -50 %, p < 0.05). The torque elicited by double twitch stimulation (-37 %, p < 0.01) and the activation level (-12 %, p < 0.05) of quadriceps was significantly lower in older men compared to young men. This study showed that antagonist torques were not responsible for age-related declines in KF and KE resultant torques. Therefore, decreased resultant torques with age, in particular in KE, can primarily be explained by impairments of the peripheral factors (excitation-contraction coupling) as well as by decreased neural agonist activation.

Delayed postural control during self-generated perturbations in the frail older adults.

PURPOSE: The aim of this study was to investigate the coordination between posture and movement in pathological aging (frailty) in comparison with normal aging, with the hypothesis that in pathological aging, postural control evolves towards a more reactive mode for which the perturbation induced by the movement is not anticipated and leads to delayed and late postural adjustments. METHODS: Elderly subjects performed rapid focal arm-raising movements towards a target, from an upright standing position in two stimuli conditions: simple reaction time and choice reaction time (CRT). Hand and center of pressure (CoP) kinematics were compared between a control group and a frail group of the same age. RESULTS: In frail individuals, the entire movement was impaired and slowed down. In addition, postural adjustments that classically precede and accompany the focal arm movement were delayed and reduced, especially in the CRT condition in which the motor prediction is more limited. Finally, a correlation between the time to CoP maximal velocity and the timed up- and-go score was observed. CONCLUSION: In these patients, it was concluded that the control of the CoP displacement evolved from a proactive mode in which the perturbation associated with the arm movement is anticipated toward a more reactive mode in which the perturbation is compensated by late and delayed adjustments.

Practice-related improvements in postural control during rapid arm movement in older adults: a preliminary study.

BACKGROUND: Postural control associated with self-paced movement is critical for balance in older adults. The present study aimed to investigate the effects of a virtual reality-based program on the postural control associated with rapid arm movement in this population. METHODS: From an upright standing position, participants performed rapid arm-raising movements toward a target. Practice-related changes were assessed by pre- and posttest comparisons of hand kinematics and center of pressure displacement parameters measured in a training group (mean age: 71.50 ± 2.67 years, n = 8) and a control group (mean age: 72.87 ± 3.09 years, n = 8). Training group participants took part in six sessions (35-40 minutes per session, three sessions per week). During the two test sessions, arm raising was analyzed under two conditions of stimuli: choice reaction time and simple reaction time. RESULTS: We observed improvements in the arm movement after training under both conditions of stimuli. The initial phase of the center of pressure displacement, especially the anticipatory postural adjustments, was improved in the choice reaction time condition. CONCLUSIONS: Our short training program resulted in motor optimization of the postural control associated with rapid arm movements, and this implies central changes in motor programming.

Muscular synergies during motor corrections: investigation of the latencies of muscle activities.

To reduce the complexity of muscular control, a small number of muscular activations are combined to produce an infinity of movements. This concept of muscle synergies has been widely investigated, mainly by means of principal component analyses (PCA) in the case of unperturbed movements. However, reaching movements can be altered at any time if the target location is changed during their execution. In this case, PCA does not precisely measure the latencies of muscles activities. We develop here a simple method to investigate how a random target jump toward a single location induced motor corrections in the whole musculature by precisely determining the latencies of muscle activities during a complex pointing movement. Our main result demonstrated that both initiation times together as well as correction times together were strongly correlated for some pairs of muscles, independently of their occurrences during the motor sequence and independently of the location of the muscles at the anatomical level. This study thus provides a simple method to investigate the latencies of muscular activities and the way they are correlated between certain muscles to stress the muscular synergies involved in the movement. It also suggests that the CNS re-programs a new synergy after the target jumps in order to correct the on-going reaching movement. This latter corrective synergy involves the control of more muscles together compared to that used to initiate the movement. At the level of the Primary Motor Cortice (M1), muscles appear to be controlled as a coupled functional system, rather than individually and separately.

Improvement of motor performance by observational training in elderly people.

Action observation influences action execution; this strong coupling is underlined by an overlap of cortical areas activated during observation and execution of action, and is dependent of specific motor experience. The goal of the present study was to verify if action observation can be used for rehabilitation of elderly people. We tested this question with a protocol of observational practice of 2 frequently used movements: walking and sit-to-stand/back-to-sit. Both tasks were performed at normal and maximal speed before and after training, by 8 elderly subjects. Observational practice led to an increase in walking velocity via an increase in step frequency, but without modification of step length. In addition, we noted a reduction in BTS duration, but no modification of STS duration. These results highlight the fact that observational practice induces a reactivation in mental representation of action, and may lead to better movement control. Overall, observational practice offers interesting perspectives for rehabilitation of elderly people.

Mentally represented motor actions in normal aging: III. Electromyographic features of imagined arm movements.

Motor imagery is a cognitive process during which subjects mentally simulate movements without actually performing them. Here, we investigated the temporal and electromyographic (EMG) features of imagined arm movements in healthy elderly adults. Twelve young (mean age: 24.0+/-1.3 years) and 12 elderly (mean age: 67.0+/-4.5 years) participants executed and mentally simulated, with their right and left arms and as fast and as accurately as possible, arm pointing movements between three targets located in the frontal plane. We used the mental chronometry paradigm as an indicator of the accuracy of the motor imagery process (i.e. isochrony between executed and imagined movements) and the EMG activity of four arm muscles (anterior deltoid, posterior deltoid, biceps brachii, triceps brachii) during imagined actions as an indicator of the ability to generate purely mental actions. Our findings indicated that young and elderly participants mentally simulated arm movements without activating (i.e. above the baseline level) the muscles of the right or the left arm which are involved in the execution of the same movements. This finding suggests that young and, notably, elderly adults are able to generate covert actions without any overt component. However, we found that motor imagery accuracy (i.e. the temporal correspondence between executed and imagined movements) was significantly deteriorated in elderly adults. We suggest that elderly adults use efferent copies of motor commands to generate motor representations; however, this ability is progressively deteriorated in the aging brain. Therefore, we propose using motor imagery cautiously for motor rehabilitation in the elderly.

Mentally represented motor actions in normal aging II. The influence of the gravito-inertial context on the duration of overt and covert arm movements.

Here, we address the question of whether normal aging influences action representation by comparing the ability of 14 young (age: 23.6 +/- 2.1 years) and 14 older (age: 70.1 +/- 4.5 years) adults to mentally simulate arm movements under a varying dynamic context. We conducted two experiments in which we experimentally manipulated the gravity and inertial components of arm dynamics: (i) unloaded and loaded vertical arm movements, rotation around the shoulder joint, (ii) unloaded and loaded horizontal arm movements, rotations around the shoulder and elbow joints, in two directions (inertial anisotropy phenomenon). The main findings indicated that imagery ability was equivalent between the two groups of age for the unloaded arm movements, but better for the young than the older group, for the loaded arm movements. For the horizontal movements, we found better imagery ability for the young than the older adults for both movement directions and loads. Finally, young and old adults showed low (<8%)-temporal variability for both overt and covert arm movements in all conditions. Our findings showed a specific decline of action representation in the aging brain and suggest that internal models of action become imprecise with advance in age. This is not exact to say that there is a severe impairment of motor prediction in old adults as they can mentally represent their arm movements with high-temporal consistency. Finally, we propose that motor imagery could be used as a therapeutic tool for motor rehabilitation in aged adults.

Asymmetrical after-effects of prism adaptation during goal oriented locomotion.

In healthy subjects, sensorimotor after-effects of prism adaptation are known to be symmetric (they appear after using leftward and rightward optical deviations), whereas cognitive after-effects are asymmetric (they appear after using a leftward optical deviation) and rightward oriented. Sensorimotor and cognitive after-effects have been classically studied using different specific tasks. The purpose of the current study was to investigate whether both after-effects may be involved in a same visuo-spatial task. Therefore we compared the amplitude of after-effects following adaptation to a rightward or leftward optical deviation. After-effects were assessed by manual pointing or goal oriented locomotor task. The main result showed a greater amplitude for rightward locomotor after-effects (after adaptation to a leftward deviation) than for leftward locomotor after-effects (after adaptation to a rightward deviation). This means that cognitive after-effects may add to sensorimotor after-effects following adaptation to a leftward optical deviation. This asymmetry challenges the classical distinction between sensorimotor and cognitive after-effects of prism adaptation. Implications for the functional mechanisms and the neuroanatomical substrate of prism adaptation are discussed.

Kinematic adaptation of locomotor pattern in rheumatoid arthritis patients with forefoot impairment.

Rheumatoid arthritis (RA) is a leading cause of disability, which affects primarily the forefoot. Moreover, the forefoot is the final ground body interface for transmitting forces produced by the plantar flexors in order to move the body forward. Therefore, a dysfunction in patients with arthritis might induce important changes in gait, such as modifications in the coordination between legs to correct a reduced range of motion (ROM) and to produce smooth stride motions. First, we wanted to investigate the modifications of gait parameters in order to get a deeper understanding of the locomotor adaptation after a distal joint impairment. Second, we wanted to extract the mechanisms used to compensate for these impairments. In order to carry out this study, RA patients with forefoot impairment and healthy subjects were asked to walk along a straight line at two different velocities and were recorded by a motion analysis system. Patients were able to produce an efficient pattern despite a reduction of the ROM of the forefoot. At normal speed, the substantial modification of the locomotor pattern was linked to the adaptation of the lower-limb segment coordination and to the loss of ROM. Compensative mechanisms are the results of an efficient adaptation that offset the effect of the lesions. In contrast, at high speed, all of the kinematic modifications observed at natural speed vanished. It seems that pain and its associated sensory signals help to update the motor command and compel patients to adjust the descending command to the altered representation of distal mobility. Finally, the mechanical consequences of these changes are of particular interest since different levels of force exerted at the hip, knee and ankle might result in a supplementary structural alteration of these joints.

Neuromuscular fatigue differs with biofeedback type when performing a submaximal contraction.

The aim of the study was to examine alterations in contractile and neural processes in response to an isometric fatiguing contraction performed with EMG feedback (constant-EMG task) when exerting 40% of maximal voluntary contraction (MVC) torque with the knee extensor muscles. A task with a torque feedback (constant-torque task) set at a similar intensity served as a reference task. Thirteen men (26+/-5 yr) attended two experimental sessions that were randomized across days. Endurance time was greater for the constant-EMG task compared with the constant-torque task (230+/-156 s vs. 101+/-32s, P<0.01). Average EMG activity for the knee extensor muscles increased from 33.5+/-4.5% to 54.7+/-21.7% MVC EMG during the constant-torque task (P<0.001), whereas the torque exerted during the constant-EMG task decreased from 42.8+/-3.0% to 17.9+/-5.6% MVC torque (P<0.001). Comparable reductions in knee extensors MVC (-15.7+/-8.7% for the constant-torque task vs. -17.5+/-9.8% for the constant-EMG task, P>0.05) and voluntary activation level were observed at exhaustion. In contrast, excitation-contraction coupling process, assessed with an electrically evoked twitch and doublet, was altered significantly more at the end of the constant-EMG task despite the absence of M-wave changes for both tasks. Present results suggest that prolonged contractions using EMG biofeedback should be used cautiously in rehabilitation programs.

Central and peripheral contributions to fatigue after electrostimulation training.

PURPOSE: We examined the effect of 4 (WK4) and 8 wk (WK8) of neuromuscular electrical stimulation (NMES) training on both endurance time and mechanisms contributing to task failure. METHODS: Ten males performed a fatiguing isometric contraction with the knee extensor muscles at 20% of maximal voluntary contraction (MVC) until exhaustion before (B), at WK4, and at WK8 of NMES training. The electromyographic (EMG) activity and muscle activation obtained under MVC were recorded before and after the fatiguing task to assess central fatigue. Torque and EMG responses obtained under electrically evoked contractions were examined before and after the fatiguing task to analyze peripheral fatigue. RESULTS: Knee extensor MVC torque increased significantly between B and WK4 (+16%), between WK4 and WK8 (+10%), and between B and WK8 (+26%), which meant that the average target torque sustained during the fatiguing contraction increased between the testing sessions. Endurance time decreased significantly over the three sessions (493+/-101 s at B, 408+/-159 s at WK4, and 338+/-126 s at WK8) despite a similar reduction in knee extensor MVC (approximately 25%). Negative correlations were found between endurance time absolute changes and target torque absolute gains. Average EMG activity of the knee extensor muscles was lower after training, but the mean rate of increase was similar over the three sessions. Single-twitch contractile properties were not affected by the task. CONCLUSION: We conclude that the endurance time was shorter after 4 and 8 wk of NMES training, and this was associated with higher absolute contraction intensity. Despite endurance time reduction, NMES training did not affect the amount of fatigue at exhaustion nor the central and peripheral contributions to fatigue.

Neural and muscular changes to detraining after electrostimulation training.

We investigated the effects of 4 weeks of detraining subsequent to an 8-week electrostimulation (ES) training program on changes in muscle strength, neural and muscular properties of the knee extensor muscles. Nine male subjects followed the training program consisting of 32 sessions of isometric ES training over an 8-week period. All subjects were tested before and after 8 weeks of ES training, and were then retested after 4 weeks of detraining. Quadriceps muscle anatomical cross-sectional area (ACSA) was assessed by ultrasonography imaging. The electromyographic (EMG) activity and muscle activation (i.e., by means of the twitch interpolation technique) obtained during maximal voluntary contractions (MVC) were used to examine neural adaptations. After training, the knee extensor voluntary torque increased significantly by 26%. Torque gains were accompanied by an increase in vastii EMG activity normalized to respective M-wave (+43%), muscle activation (+6%) and quadriceps ACSA (+6%). After detraining, knee extensor MVC, vastii EMG activity, muscle activation and quadriceps ACSA decreased significantly by 9%, 20%, 5% and 3%, respectively. Also, the knee extensor MVC values remained significantly elevated (14%) above baseline levels at the end of the detraining period and this was associated with a larger quadriceps ACSA (+3%) but not with a higher neural activation. We concluded that the voluntary torque losses observed after detraining could be attributed to both neural and muscular alterations. Muscle size preservation could explain the higher knee extensor MVC values observed after the cessation of training compared to those obtained before training, therefore indicating that muscle size changes are slower than neural drive reduction.

Electromyostimulation training effects on neural drive and muscle architecture.

PURPOSE: The purpose of the study was to investigate the effect of 4 and 8 wk of electromyostimulation (EMS) training on both muscular and neural adaptations of the knee extensor muscles. METHODS: Twenty males were divided into the electrostimulated group (EG, N = 12) and the control group (CG, N = 8). The training program consisted of 32 sessions of isometric EMS over an 8-wk period. All subjects were tested at baseline (B) and retested after 4 (WK4) and 8 (WK8) wk of EMS training. The EMG activity and muscle activation obtained under maximal voluntary contractions (MVC) was used to assess neural adaptations. Torque and EMG responses obtained under electrically evoked contractions, muscle anatomical cross-sectional area (ACSA), and vastus lateralis (VL) pennation angle, both measured by ultrasonography imaging, were examined to analyze muscular changes. RESULTS: At WK8, knee extensor MVC significantly increased by 27% (P < 0.001) and was accompanied by an increase in muscle activation (+6%, P < 0.01), quadriceps muscle ACSA (+6%, P < 0.001), and VL pennation angle (+14%, P < 0.001). A significant increase in normalized EMG activity of both VL and vastus medialis (VM) muscles (+69 and +39%, respectively, P < 0.001) but not of rectus femoris (RF) muscle was also found at WK8. The ACSA of the VL, VM, and vastus intermedius muscles significantly increased at WK8 (5-8%, P < 0.001) but not at WK4, whereas no changes occurred in the RF muscle. CONCLUSION: We concluded that the voluntary torque gains obtained after EMS training could be attributed to both muscular and neural adaptations. Both changes selectively involved the monoarticular vastii muscles.

Twitch potentiation is greater after a fatiguing submaximal isometric contraction performed at short vs. long quadriceps muscle length.

Endurance time of a submaximal sustained contraction is longer when the muscle is fatigued in a shortened position. The aim of the present study was to compare central and peripheral mechanisms of fatigue after an isometric contraction of the knee extensor muscles performed at 20% maximal voluntary contraction (MVC) at two knee angles (35 degrees , short length vs. 75 degrees , long length; 0 degrees = full extension) until exhaustion. Eleven men (24 +/- 4 yr) attended two experimental randomized sessions. Endurance time was greater at 35 degrees compared with 75 degrees (974 +/- 457 vs. 398 +/- 144 s; P < 0.001) despite a similar reduction in knee extensor MVC (-28.4 +/- 16.0%, P < 0.001 vs. -27.6 +/- 18.8%, P < 0.001, respectively). Voluntary activation level was similarly depressed after the fatiguing contraction performed at the two muscle lengths (-19 +/- 16.7% at 35 degrees , P < 0.01 vs. -13.7 +/- 14.5% at 75 degrees , P < 0.01). After the fatiguing contraction, peak twitch potentiation was observed only at the short length (+31.8 +/- 17.6% at 35 degrees , P < 0.01 vs. +6.4 +/- 21.3% at 75 degrees , P > 0.05), whereas M-wave properties were similarly altered for the two angles. These results suggest that 1) central fatigue at task failure for a sustained isometric contraction was not dependent on the muscle length, and 2) the longer endurance time of a sustained isometric contraction performed at a shortened length is related to potentiation. It is suggested that the greater endurance time of a sustained isometric contraction observed at 35 degrees is related to the occurrence of potentiation at this short length, because central fatigue is similar at task failure for both tasks.

Inertial properties of the arm are accurately predicted during motor imagery.

In the present study, using the mental chronometry paradigm, we examined the hypothesis that during motor imagery the brain uses a forward internal model of arm inertial properties to predict the motion of the arm in different dynamic states. Seven subjects performed overt and covert arm movements with one (motion around the shoulder joint) and two (motion around both the shoulder and elbow joints) degrees of freedom in the horizontal plane. Arm movements were executed under two loading conditions: without and with an added mass (4kg) attached to the subject's right wrist. Additionally, movements were performed in two different directions, condition which implies changes in the arm inertia due to the inertial anisotropy of the arm. Our analysis was focused on the timing features of overt and covert movements measured by means of an electronic stopwatch. Durations of right-direction arm movements (low inertial resistance) were smaller compared to durations of left-direction arm movements (high inertial resistance). Additionally, loading the arm with an added mass of 4kg significantly changed the dynamics of motion: movements were indeed more prolonged under loaded conditions. In both cases, the duration of simulated movements mirrored that of overtly executed movements. Therefore, neither the inertial anisotropy of the arm nor the addition of an external mass affected the timing correspondence between overt and covert movement execution. These findings suggest that the brain internally represents the inertial properties of the arm and makes use of it both for sensorimotor control and for the generation of motor images.

Effect of electromyostimulation training on soleus and gastrocnemii H- and T-reflex properties.

When muscle is artificially activated, as with electromyostimulation (EMS), action potentials are evoked in both intramuscular nerve branches and cutaneous receptors, therefore activating spinal motoneurons reflexively. Maximal soleus and gastrocnemii H- and T-reflex and the respective mechanical output were thus quantified to examine possible neural adaptations induced at the spinal level by EMS resistance training. Eight subjects completed 16 sessions of isometric EMS (75 Hz) over a 4-week period. Maximal soleus and gastrocnemii M wave (M(max)), H reflex (H(max)) and T reflex (T(max)) were compared between before and after training, together with the corresponding plantar flexor peak twitch torque. No significant changes were observed for electromechanical properties of H(max) reflex following EMS. On the other hand, peak twitch torque produced by T(max), but not by equal-amplitude H reflex, significantly increased as a result of training (+21%, P<0.05). These changes were associated with a trend towards a significant increase for normalized gastrocnemii (+21%, P=0.07) but not soleus T(max) reflex. It is concluded that, contrary to results previously obtained after voluntary physical training, EMS training of the plantar flexor muscles did not affect alpha motoneuron excitability and/or presynaptic inhibition, as indicated by H-reflex results. On the other hand, in the absence of change in a control group, T(max) electromechanical findings indicated that: (1). equal-amplitude H- and T-reflex adapted differently to EMS resistance training; and (2). EMS had an effect on gastrocnemii but not on soleus muscle, perhaps because of the differences in respective motor unit characteristics (e.g., axon diameter).