Using force or EMG envelope as feedback signal for motor control system.

PURPOSE: This work studied muscle neuro-mechanics during symmetrical up-going ramp (UGR) and down-going ramp (DGR). AIM: to evaluate during the modulation of muscular action the outcome of force feedback (FF) or neural feedback (NF) on the behavior of the trailing signals - i.e. the EMG envelope (eEMG) for FF or force signal for NF. METHOD: Subjects: 20. Investigated muscles: dorsal interosseous (FDI) and tibialis anterior (TA). Detected signals: force and EMG. Visual feedback: force (FF), eEMG (NF). Effort triangles: ramps duration 7.5 s, vertex at 50 and 100 % of the maximal voluntary action. Eventually, each subject performed FF50%, FF100%, NF50% and NF100% per each muscle. In each condition the areas beneath the force and eEMG signals were computed to calculate the ratios between the DGR and UGR values during the different tasks (force area DGR / force area UGR; eEMG area DGR / eEMG area UGR). Electro-mechanical coupling efficiency (EMCE) was estimated through the eEMG area / force area ratio for both UGR and DGR in each condition. RESULTS: a) FF. FDI: eEMG area ratio was 0.84 ± 0.15 and 0.73 ± 0.17 for FF50% and FF100%, respectively. TA: eEMG area ratio was 0.88 ± 0.11 and 0.91 ± 0.17 for FF50% and FF100%, respectively. b) NF: FDI: force area ratio was 1.18 ± 0.13 and 1.17 ± 0.13 for NF50% and NF100%, respectively. TA: force area ratio was 1.17 ± 0.21 and 1.07 ± 0.19 for NF50% and NF100%, respectively. c) DGR EMCE was greater than UGR EMCE in all four tasks. CONCLUSION: The influence of UGR on deployed EMCE in the following force decrement phase underpins the changes of trailing signals area during DGR. This underlines the necessity of a careful evaluation of the features of FF or NF for experimental studies or rehabilitation purposes involving the motor control system.

Influence of age on force and re-lengthening dynamics after tetanic stimulation withdrawal in the tibialis anterior muscle.

PURPOSE: During alternate movements across a joint, the changeover from one direction of rotation to the opposite may be influenced by the delay and rate of tension reduction and the compliance to re-lengthening of the previously active muscle group. Given the aging process may affect the above-mentioned factors, this work aimed to compare the dynamics of both the ankle torque decline and muscle re-lengthening, mirrored by mechanomyogram (MMG), in the tibialis anterior because of its important role in gait. METHODS: During the relaxation phase, after a supramaximal 35 Hz stimulation applied at the superficial motor point, in 20 young (Y) and 20 old (O) subjects, the torque (T) and MMG dynamics characteristics were measured. RESULTS: The T and MMG analysis provided: (I) the beginning of the decay after cessation of stimulation (T: 22.51 ± 5.92 ms [Y] and 51.35 ± 15.21 ms [O]; MMG: 27.38 ± 6.93 ms [Y] and 61.41 ± 18.42 ms [O]); (II) the maximum rate of reduction (T: - 110.4 ± 45.56 Nm/s [Y] and - 52.72 ± 32.12 Nm/s [O]; MMG: - 24.47 ± 10.95 mm/s [Y] and - 13.76 ± 6.54 mm/s [O]); (III) the muscle compliance, measuring the MMG reduction of every 10% reduction of torque (bin 20-10%: 15.69 ± 7.5[Y] and 10.8 ± 3.3 [O]; bin 10-0%: 22.12 ± 10.3 [Y] and 17.58 ± 5.6 [O]). CONCLUSION: Muscle relaxation results are different in Y and O and can be monitored by a non-invasive method measuring physiological variables of torque and re-lengthening dynamics at the end of the electromechanical coupling previously induced by the neuromuscular stimulation.

Normalized maximal rate of torque development during voluntary and stimulated static contraction in human tibialis anterior: Influence of age.

The risk of falling in older adults has been related, among other factors, to the reduction of the rate of torque development (RTD) with age. It is well known that both structural/peripheral and neural factors can influence the RTD. The purpose of this study was to compare the normalized RTD in young and older participants obtained during a) rapid voluntary tension production and b) neuromuscular electrical stimulation. The tibialis anterior of 19 young subjects (10 males and 9 females; age 21-33 years old) and 19 older participants (10 males and 9 females; age 65-80 years old) was studied. The subjects performed a series of maximal isometric explosive dorsiflexions and underwent trains of supra-maximal electrical stimulations (35 Hz) on the tibialis anterior motor point. Muscle shortening was indirectly measured using a laser (surface mechanomyogram, MMG). Both torque and MMG were normalized to their maximum value. Using a 20 ms sliding window on the normalized torque signal, the normalized maximum RTD was calculated for both voluntary and stimulated contractions. Active stiffness of the muscle- tendon unit was calculated as the area of the normalized torque with respect to the normalized MMG. Normalized maximum RTD was found significantly lower in older adults during voluntary activity (young: 751.9 ± 216.3%/s and old: 513.9 ± 173.9%/s; P < .001), and higher during stimulated contractions (young: 753.1 ± 225.9%/s and old: 890.1 ± 221.3%/s; P = .009). Interestingly, active stiffness was also higher in older adults (young: 3524.6 ± 984.6‰ and old 4144.6 ± 816.6‰; P = .041) and significantly correlated to the normalized maximum RTD during stimulated contractions. This dichotomy suggests that modifications in the structural/peripheral muscle properties are not sufficient to counteract the age-related decrease in neural drive to the muscle during voluntary isometric contractions in aged participants.

Extra-torque of human tibialis anterior during electrical stimulation with linearly varying frequency and amplitude trains.

This work aimed to characterise the whole human muscle input/output law during electrical stimulation with triangular varying frequency and amplitude trains through combined analysis of torque, mechanomyogram (MMG) and electromyogram (EMG). The tibialis anterior (TA) of ten subjects (age 23-35 years) was investigated during static contraction obtained through neuromuscular electrical stimulation. After potentiation, TA underwent two 15s stimulation patterns: (a) frequency triangle (FT): 2 > 35 > 2 Hz at Vmax (amplitude providing full motor unit recruitment); (b) amplitude triangle (AT): Vmin > Vmax > Vmin (Vmin providing TA least mechanical response) at 35 Hz. 2 > 35 Hz or Vmin > Vmax as well as 35 > 2 Hz or Vmax > Vmin were defined as up-going ramp (UGR) and down-going ramp (DGR), respectively. TA torque, MMG and EMG were detected by a load cell, an optical laser distance sensor and a probe with two silver bar electrodes, respectively. For both FT and AT, only the two mechanical signals resulted always larger in DGR than in UGR, during AT extra-torque and extra-MMG were present even in the first 1/3 of the amplitude range where EMG data presented no significant differences between DGR and UGR. Our data suggest that extra-torque and extra-displacement are evident for both FT and AT, being mainly attributed to an intrinsic muscle property.

Energy metabolism during activity-promoting video games practice in subjects with spinal cord injury: evidences for health promotion.

BACKGROUND: Activity promoting video game (APVG) practice significantly affects energy metabolism through energy expenditure (EE) increase and has been recently included in strategies for health promotion. It is not known if the APVG practice provides similar outcomes in subjects with spinal cord injury (SCI). AIM: Aim of the study was to evaluate cardio-pulmonary and metabolic adaptations during APVG practice and to find whether EE increase above resting condition could suggest the inclusion of this exercise in a more general strategy for health promotion and body weight control in subjects with SCI. DESIGN: Repeated measures study. SETTING: Rehabilitation Institute. POPULATION: Ten male subjects with SCI (lesion levels from C7 to L1) age 26 to 55 years. METHODS: We recorded pulmonary ventilation (VE), oxygen consumption (VO2) for EE esteem and heart rate (HR) at rest and while playing virtual bowling, tennis and boxing games using a portable metabolimeter equipped with ECG electrodes. The standard metabolic equivalent of task (METs) was calculated offline. The metabolic and functional parameters were referred to the 10th minute of each activity. RESULTS: Metabolic and functional parameters increased significantly from rest to bowling, tennis and boxing. METs exceeded in average 3 during boxing. One hour of APVG can increase daily EE by about 6% (bowling), 10% (tennis) and 15% (boxing). CONCLUSION: These considerable results suggest that physical exertion during APVG practice in subjects with SCI could contribute to health promotion as well as caloric balance control, especially when boxing is considered. This can be safely achieved at home with regular activity. CLINICAL REHABILITATION IMPACT: These findings substantiate the potential for novel exercise modalities to counteract deconditioning due to inactivity in subjects with SCI by promoting physical activity through implementation of APVG exercise programs.

Transcutaneous neuromuscular electrical stimulation: influence of electrode positioning and stimulus amplitude settings on muscle response.

The aim of the study was to investigate the influence of two different transcutaneous neuromuscular electrical stimulation procedures on evoked muscle torque and local tissue oxygenation. In the first one (MP mode), the cathode was facing the muscle main motor point and stimulus amplitude was set to the level eliciting the maximal myoelectrical activation according to the amplitude of the evoked electromyogram (EMG); in the second one (RC mode), the electrodes were positioned following common reference charts for electrode placement while stimulus amplitude was set according to subject tolerance. Tibialis Anterior (TA) and Vastus Lateralis (VL) muscles of 10 subjects (28.4 ± 8.2 years) were tested in specific dynamometers to measure the evoked isometric torque. The EMG and near-infrared spectroscopy probes were placed on muscle belly to detect the electrical activity and local metabolic modifications of the stimulated muscle, respectively. The stimulation protocol consisted of a gradually increasing frequency ramp from 2 to 50 Hz in 7.5 s. Compared to RC mode, in MP mode the contractile parameters (peak twitch, tetanic torque, area under the torque build-up) and the metabolic solicitation (oxygen consumption and hyperemia due to metabolites accumulation) resulted significantly higher for both TA and VL muscles. MP mode resulted also to be more comfortable for the subjects. Based on the assumption that proper mechanical and metabolic stimuli are necessary to induce muscle strengthening, our results witness the importance of an optimized, i.e., comfortable and effective, stimulation to promote the aforementioned muscle adaptive modifications.

[Pinch assessing in bio mechanical analysis: methodological and applicative aspects dealt by using the new P force Met portable instrument]. / Stima della presa in pinch: approfondimento degli aspetti metodologici ed applicativi mediante l'impiego di un nuovo apparato portatile, P force Met.

BACKGROUND AND OBJECTIVES: Definition and significance of term pinch and related force exerted are still open outside the ergonomic field of interest too. The lack of consent appears relevant in upper limb biomechanical risk assessment. Aim of this study is to focus methodological aspects and applications of pinch, analyzing four actions by a new portable instrument able to measure strain exertion during pinch action. METHODS: A portable apparatus named P-forceMet, produced by OT bioelettronics, Turin (Italy) had been used. It measures the force generated by voluntary muscle contraction both in maximal condition (MCV) and in specific working conditions (Spontaneous Force, SF). We examined four groups of 27 subjects exerting forces of different entity required in 4 technical actions: tightening bolts, writing with a pen, use a brush to spread sealer, wiring cables. The workers were asked to exert the MCV and value was registered to be compared with force simulated on the instruments taking into account the specific experienced action. Data from force analysis by Borg scale and data about upper limb disorders had also collected, as well as the results of risk assessment by checklist OCRA application. RESULTS: Comparing MCV and SF we demonstrated different levels of measured forces: from 2-3% when using the pen to write to 8-12% for cabling and brushing activities to 31% for manual tightening. These results were in good agreement with evaluations by Borg scale, while risk assessment by check list OCRA were discordant (sealing and cable wiring were sometimes at level of mild to medium risk mainly due to posture evaluation of pinch). Workers engaged in writing, sealing and cabling did not suggest disorders to wrist-hand. CONCLUSIONS: Actions with pinch are numerous in working activities and if defined "at risk" only because they require posture of opposition of the first two fingers, we could not classify correctly to the real bio mechanical overload. This study carried out using an instruments able to measure the force exerted during pinch operations demonstrates that the force (and then of possible strain) is diferent in the four activities. It confirms the importance of critical evaluation of different hazards and of their interaction in causing the functional or organic disorder. In our case a remarkable difference of force was demonstrated by instrument p-force in actions involving the same hazard related to posture. Further investigation appears to be necessary to eliminate the residual subjective component of this force measurement method due to the necessity of simulating the force requested by specific action.

Occurrence rates and predictors of lower urinary tract symptoms and incontinence in female athletes.

INTRODUCTION AND HYPOTHESIS: To assess the prevalence of lower urinary tract symptoms (LUTS) and incontinence in female athletes and to determine the etiological factors. METHODS: An anonymous self-questionnaire was collected from 623 casual female athletes aged 18 to 56 years, who were involved in 12 different sports. The surveys were distributed by hand to the athletes, during their sports fitness tests, in a sports center. We investigated the relationship between urinary disorders and factors such as age, body mass index (BMI), parity, duration of physical exercise, and type of sport. RESULTS: The prevalence of LUTS was 54.7%, and 30% for urinary incontinence. Changes in urinary frequency were detected in 91 (14.6%) women. Prevalence of dysuria was 13.3%, urinary straining was present in 173 (27.8%) athletes, whereas urinary urgency had an estimated prevalence of 37.2% with 232 athletes suffering from this disorder. Urgency was very common in volleyball players, as was dysuria among hockey and basketball players, whereas straining mainly affected aerobic participants and cyclists. Long training hours and competitive practices were correlated with the onset of LUTS. High-impact sports were more frequently associated with incontinence, while low-impact sports with LUTS. The sport with the main number of incontinent people was football. Urge incontinence affected a lot of athletes, mainly cyclists and football players. Stress incontinence was more frequent in hockey and volleyball players. CONCLUSIONS: LUTS and incontinence are prevalent in female athletes. In many cases, the disorders were present only during sports activities. In this sample, the presence of urinary disorders did not seem to be a barrier during sports or exercise.

Electromyogram and force fluctuation during different linearly varying isometric motor tasks.

The purpose of this work was to verify if deviation from the mirror-like behaviour of the motor units activation strategy (MUAS) and de-activation strategy (MUDS) and the degree of the error of the motor control system, during consecutive linearly increasing-decreasing isometric tension tasks, depend on the maximum reached tension and/or on the rate of tension changes. In 12 male subjects the surface EMG and force produced by the first dorsal interosseus activity were recorded during two (a and b) trapezoid isometric contractions with different plateau (a: 50% maximal voluntary contraction (MVC) and b: 100% MVC) and rate of tension changes (a: 6.7% MVC/s and b: 13.3% MVC/s) during up-going (UGR) and down-going (DGR) ramps. Ten steps (ST) 6s long at 5, 10, 20, 30, 40, 50, 60, 70, 80 and 90% MVC were also recorded. The root mean square (RMS) and mean frequency (MF) from EMG and the relative error of actual force output with respect to the target (% ERR) were computed. The EMG-RMS/% MVC and EMG-MF/% MVC relationships were not overlapped when the ST and DGR as well as the UGR and DGR data were compared. The % ERR/% MVC relationships during a and b contractions differed from ST data only below 20% MVC. It can be concluded that MUAS and MUDS are not mirroring one each other because MU recruitment or de-recruitment threshold may be influenced by the maximum effort and by the % MVC/s of UGR and DGR. The role of MUs mechanical and/or central nervous system hysteresis on force decrement control is discussed.

Investigation of motor unit recruitment during stimulated contractions of tibialis anterior muscle.

This work investigated motor unit (MU) recruitment during transcutaneous electrical stimulation (TES) of the tibialis anterior (TA) muscle, using experimental and simulated data. Surface electromyogram (EMG) and torque were measured during electrically-elicited contractions at different current intensities, on eight healthy subjects. EMG detected during stimulation (M-wave) was simulated selecting the elicited MUs on the basis of: (a) the simulated current density distribution in the territory of each MU and (b) the excitation threshold characteristic of the MU. Exerted force was simulated by adding the contribution of each of the elicited MUs. The effects of different fat layer thickness (between 2 and 8mm), different distributions of excitation thresholds (random excitation threshold, higher threshold for larger MUs or smaller MUs), and different MU distributions within the muscle (random distribution, larger MU deeper in the muscle, smaller MU deeper) on EMG variables and torque were tested. Increase of the current intensity led to a first rapid increase of experimental M-wave amplitude, followed by a plateau. Further increases of the stimulation current determined an increase of the exerted force, without relevant changes of the M-wave. Similar results were obtained in simulations. Rate of change of conduction velocity (CV) and leading coefficient of the second order polynomial interpolating the force vs. stimulation level curve were estimated as a function of increasing current amplitudes. Experimental data showed an increase of estimated CV with increasing levels of the stimulation current (for all subjects) and a positive leading coefficient of force vs. stimulation current curve (for five of eight subjects). Simulations matched the experimental results only when larger MUs were preferably located deeper in the TA muscle (in line with a histochemical study). Marginal effect of MU excitation thresholds was observed, suggesting that MUs closer to the stimulation electrode are recruited first during TES regardless of their excitability.

Force dynamic response of tibialis anterior-ankle joint unit in humans.

UNLABELLED: The aim of this study was to estimate the dynamic response of a human muscle joint unit by means of the analysis of the torque signal recorded during electrical stimulation of the tibialis anterior (TA). Ten subjects (age: 23-50 years, 7 males, 3 females) volunteered for the study. The leg was fixed in an ergometer designed for isometric contraction of the ankle dorsiflexors and the detection of the generated torque. The amplitude of a 30 Hz stimulation train administered at the TA motor point was varied sinusoidally, thus changing the number of the recruited motor units, and hence the tension at the tendon, in the same fashion. A sequence of 14 frequencies (0.4, 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8, 2.0, 2.5, 3.0, 4.0, 5.0, and 6.0 Hz) was administered. RESULTS: (a) at the 14 frequencies the sinusoidal responses presented distortions always below 2%; (b) from the Bode plots reporting the average gain attenuation and phase shift at each of the 14 input frequencies, it was possible to model the force dynamic response as the one of a critically damped II order system with two real coincident poles (at 2.04 Hz) and a pure time delay (15.6 ms). The possibility to obtain, by means of the system input-output transfer function, data regarding the in vivo mechanics of the muscle-joint unit may represent a novel tool to investigate the functional features of different muscle groups. It may be useful for designing functional electrical stimulation programs as well as training and rehabilitation procedures.

Surface mechanomyogram amplitude is not attenuated by intramuscular pressure.

The electromyogram (EMG) and intramuscular pressure (IMP) increase linearly with force during voluntary static contractions, while the surface mechanomyogram (MMG) increases linearly only up to approximately 70% of the maximal voluntary contraction (MVC) and then levels off. The aim of this study was to investigate the possible influence of IMP on the non-linear MMG increase with force and hence on the signal generation process. Seven subjects performed static contractions of the elbow flexors during: (1) ramp contractions from 0 to 60% of the MVC, and (2) steps at 10, 20 and 40% of the MVC. An external pressure of 0 and 50 mmHg for the ramps or 0, 20, 40, 60, 80 and 100 mmHg for the steps was applied by means of a sphygmomanometer cuff in separate trials. The EMG and the MMG were detected in the biceps brachii by means of a pair of surface electrodes and an accelerometer. The IMP was measured using a Millar tipped pressure transducer, and the data was presented as the mean and standard deviation in each case. The IMP was strongly and linearly related to the external pressure and contraction force both during ramps and steps. The EMG(rms) and MMG(rms) were never reduced as a consequence of the IMP increments. In contrast, a steeper MMG(rms) versus %MVC relationship during ramps at 50 mmHg cuff pressure, and an influence of the cuff pressure at 40% of MVC on MMG(rms) were evident. We conclude that IMP per se does not attenuate the MMG generation process during voluntary contraction, suggesting that the previously described MMG(rms) decrease at near maximal static efforts must be attributed to other determinants, such as a fusion-like situation due to the high motor unit firing rate.

Non-invasive assessment of single motor unit mechanomyographic response and twitch force by spike-triggered averaging.

A method for non-invasive assessment of single motor unit (MU) properties from electromyographic (EMG), mechanomyographic (MMG) and force signals is proposed. The method is based on the detection and classification of single MU action potentials from interference multichannel surface EMG signals and on the spike-triggered average of the MMG (detected by an accelerometer) and force signals. The first dorsal interosseous (FDI) and abductor digiti minimi (ADM) muscles were investigated at contraction levels of 2% and 5% of the maximum voluntary contraction (MVC) force. A third contraction was performed by selective activation of a single MU with surface MU action potential visual feedback provided to the subject. At 5% MVC, the mean (+/-standard error) single MU MMG peak-to-peak value was 11.0+/-1.8 mm s(-2) (N= 17) and 32.3+/-6.5 mm s(-2) (N=20) for the FDI and ADM muscles, respectively. The peak of the twitch force was, at the same contraction level, 7.41+/-1.34 mN and 14.42+/-2.92 mN, for the FDI and ADM muscles, respectively. The peak-to-peak value of the MMG was significantly different for the same MU at different contraction levels, indicating a non-linear summation of the single MU contributions. For the FDI muscle, the MMG peak-to-peak value of individual MUs was 21.5+/-7.8 mm s(-2), when such MUs were activated with visual feedback provided to the subject, whereas, for the same MUs, it was 11.8+/-3.8 mm s(-2), when the subject maintained a constant force level of 2% MVC. The method proposed allows the non-invasive assessment of single MU membrane and contractile properties during voluntary contractions.

Effect of accelerometer location on mechanomyogram variables during voluntary, constant-force contractions in three human muscles.

To understand better the features of the mechanomyogram (MMG) with different force levels and muscle architectures, the MMG signals detected at many points along three muscles were analysed by the application of a linear array of MMG sensors (up to eight) over the skin. MMG signals were recorded from the biceps brachii, tibialis anterior and upper trapezius muscles of the dominant side of ten healthy male subjects. The accelerometers were aligned along the direction of the muscle fibres. One accelerometer was located over the distal muscle innervation zone, and the other six or seven accelerometers were placed over the muscle, forming an array of sensors with fixed distances between them. The array covered almost the entire muscle length in all cases. MMG signals detected from adjacent accelerometers had similar shapes, with correlation coefficients ranging from about 0.5 to about 0.9. MMG amplitude and characteristic spectral frequencies significantly depended on accelerometer location. The MMG amplitude was maximum at the muscle belly for the biceps brachii and the tibialis anterior. Higher MMG characteristic spectral frequencies were associated with higher amplitudes in the case of the biceps brachii, whereas the opposite was observed for the tibialis anterior muscle. In the upper trapezius, the relationship between characteristic spectral frequencies, MMG amplitude and contraction force depended on the accelerometer location. This suggested that MMG spectral features do not only reflect the mechanical properties of the recruited muscle fibres but depend on muscle architecture and motor unit territorial distribution. It was concluded that the location of the accelerometer can have an influence on both amplitude and spectral MMG features, and this dependence should be considered when MMG signals are used for muscle assessment.

Force and surface mechanomyogram frequency responses in cat gastrocnemius.

Muscle surface displacement is a mechanical event taking place simultaneously with the tension generation at the tendon. The two phenomena can be studied by the surface mechanomyogram signal (MMG) (produced by a laser distance sensor) and the force signal (from a load cell). The aim of this paper was to provide data on the reliability of the laser detected MMG in muscle mechanics research. To this purpose it was verified if the laser detected MMG was suitable to estimate a frequency response in the cat medial gastrocnemius and its frequency response was compared with the one retrieved by the force signal at the tendon level. The force and MMG from the exposed medial gastrocnemius of four cats were analysed. The frequency response was investigated by sinusoidally changing the number of orderly recruited motor units, in different trials, in the 0.4-6 Hz range. It resulted that it was possible to model the force and MMG frequency response by a critically damped second-order system with two real double poles and a pure time delay. On the average, the poles were at 1.83 Hz (with 22.6 ms delay) and at 2.75 Hz (with 38 ms delay) for force and MMG, respectively. It can be concluded that MMG appears to be a reliable tool to investigate the muscle frequency response during stimulated isometric contraction. Even though not statistically significant. the differences in the second-order system parameters suggest that different components of the muscle mechanical model may specifically affect the force or MMG.

Surface mechanomyogram reflects the changes in the mechanical properties of muscle at fatigue.

The contractile properties of muscle are usually investigated by analysing the force signal recorded during electrically elicited contractions. The electrically stimulated muscle shows surface oscillations that can be detected by an accelerometer; the acceleration signal is termed the surface mechanomyogram (MMG). In the study described here we compared, in the human tibialis anterior muscle, changes in the MMG and force signal characteristics before, and immediately after fatigue, as well as during 6 min of recovery, when changes in the contractile properties of muscle occur. Fatigue was induced by sustained electrical stimulation. The final aim was to evaluate the reliability of the MMG as a tool to follow the changes in the mechanical properties of muscle caused by fatigue. Because of fatigue, the parameters of the force peak, the peak rate of force production and the peak of the acceleration of force production (d2F/dt2) decreased, while the contraction time and the half-relaxation time (1/2-RT) increased. The MMG peak-to-peak (p-p) also decreased. The attenuation rate of the force oscillation amplitude and MMG p-p at increasing stimulation frequency was greater after fatigue. With the exception of 1/2-RT, all of the force and MMG parameters were restored within 2 min of recovery. A high correlation was found between MMG and d2F/dt2 in un-fatigued muscle and during recovery. In conclusion, the MMG reflects specific aspects of muscle mechanics and can be used to follow the changes in the contractile properties of muscle caused by localised muscle fatigue.

Force and surface mechanomyogram relationship in cat gastrocnemius.

The aim of this study was to compare the force (F) and the muscle transverse diameter changes during electrical stimulation of the motor nerve. In four cats the exposed motor nerves of the medial gastrocnemius were stimulated as follows: (a) eight separate trials at fixed firing rates (FR) from 5 to 50 Hz (9 s duration, supramaximal amplitude); (b) 5 to 50 Hz linear sweep in 2.5, 5, 7.5 and 10 s (supramaximal amplitude, separate trials); (c) four separate trials at 40 Hz, the motor units (MUs) being orderly recruited in 2.5, 5, 7.5 and 10 s. The muscle surface displacement was detected by a laser distance sensor pointed at the muscle surface. The resulting electrical signal was termed surface mechanomyogram (MMG). In stimulation patterns (a) and (b) the average F and MMG increased with FR. With respect to their values at 50 Hz the amplitude of the unfused signal oscillations at 5 Hz was much larger in MMG than in force. The signal rising phase was always earlier in MMG than in F. In (c) trials, F increased less in the first than in the second half of the recruiting time. MMG had an opposite behaviour. The results indicate that the force and the lateral displacement are not linearly related. The different behaviour of F and MMG, from low to high level of the MUs' pool activation, suggests that the force generation and the muscle dimensional change processes are influenced by different components of the muscle mechanical model.

Electromyogram and mechanomyogram changes in fresh and fatigued muscle during sustained contraction in men.

In surface electromyogram (EMG) and mechanomyogram (MMG) the electrical and mechanical activities of recruited motor units (MU) are summated. Muscle fatigue influences the electrical and mechanical properties of the active MU. The aim of this study was to evaluate fatigue-induced changes in the electrical and mechanical properties of MU after a short recovery period, using an analysis of force, surface EMG and MMG. In seven subjects the EMG and MMG were recorded from the biceps brachii muscle during sustained isometric effort at 80% of the maximal voluntary contraction (MVC), before (test 1) and 10 min after (test 2) a fatiguing exercise. From the time and frequency domain analysis of the signals, the root mean square (rms) and the mean frequency (f) of the power spectrum were calculated. The results were that the mean MVC was 412 (SEM 90) N and 304 (SEM 85) N in fresh and fatigued muscle, respectively; during tests 1 and 2 the mean EMG rms increased from 0.403 (SEM 0.07) mV to 0.566 (SEM 0.09) mV and from 0.476 (SEM 0.07) mV to 0.63 (SEM 0.09) mV, respectively; during test 1 the mean MMG rms decreased from 9.4 (SEM 0.8) mV to 5.7 (SEM 0.9) mV; in contrast, during test 2 constantly lower values were observed throughout contraction; during tests 1 and 2 the EMG f declined from 122 (SEM 7) Hz to 74 (SEM 7) Hz and from 106 (SEM 8) Hz to 60 (SEM 7) Hz, respectively; during test 1 the MMG f increased in the first 6 s from 19.3 (SEM 1.4) Hz to 23.9 (SEM 2.9) Hz, falling to 13.9 (SEM 1.3) Hz at the end of contraction; in contrast, during test 2 the MMG f declined continuously from 18.7 (SEM 1) Hz to 12.4 (SEM 0.8) Hz. The lower MVC after the fatiguing exercise and the changes in the EMG parameters confirmed that 10 min after the fatiguing exercise, the mechanical and electrical activities of MU were altered. In addition, the MMG results suggested that after a 10-min recovery, some highly fatigable MU might not be recruitable.

Electrically-elicited surface mechanomyogram in myotonic dystrophy.

The surface oscillation of the muscle during electrical stimulation is detectable by an accelerometer as a surface mechanomyogram (MMG). The aim of this study was to evaluate whether MMG properties reflect the mechanical muscle changes induced by myotonic dystrophy (MyD). To this end, the tibialis anterior of seven MyD patients and seven age- and sex-matched controls (C) was supramaximally stimulated at 1 (single twitches), 5, 10, 15, 20 Hz for 3 s at the most proximal motor point. RESULTS SINGLE TWITCHES: The MMG amplitude was 67% less, the duration 37% longer, the electromechanical delay 64% longer, and the spectrum mean frequency, 44% lower in the MyD patients than in controls. REPETITIVE STIMULATION: At each stimulation frequency, the average MMG peak-to-peak was less in the MyD patients than in C. CONCLUSION: The differences between the MMGs of MyD patients and C support the hypothesis that, together with the well-known changes in sarcolemmal excitability, an alteration in electromechanical coupling and a failure in contractile machinery may coexist in MyD.