Modeling muscle function using experimentally determined subject-specific muscle properties.

Muscle models are commonly based on intrinsic properties pooled across a number of individuals, often from a different species, and rarely validated against directly measured muscle forces. Here we use a rich data set of rat medial gastrocnemius muscle forces recorded during in-situ and in-vivo isometric, isotonic, and cyclic contractions to test the accuracy of forces predicted using Hill-type muscle models. We identified force-length and force-velocity parameters for each individual, and used either these subject-specific intrinsic properties, or population-averaged properties within the models. The modeled forces for cyclic in-vivo and in-situ contractions matched with measured muscle-tendon forces with r2 between 0.70 and 0.86, and root-mean square errors (RMSE) of 0.10 to 0.13 (values normalized to the maximum isometric force). The modeled forces were least accurate at the highest movement and cycle frequencies and did not show an improvement in r2 when subject-specific intrinsic properties were used; however, there was a reduction in the RMSE with fewer predictions having higher errors. We additionally recorded and tested muscle models specific to proximal and distal regions of the muscle and compared them to measures and models from the whole muscle belly: there was no improvement in model performance when using data from specific anatomical regions. These results show that Hill-type muscle models can yield very good performance for cyclic contractions typical of locomotion, with small reductions in errors when subject-specific intrinsic properties are used.

Patterns of muscle coordination during stepping responses post-stroke.

This study compared self-induced stepping reactions of seventeen participants after stroke and seventeen controls. Surface electromyographic (EMG) signals were recorded bilaterally from the soleus (SOL), tibialis anterior (TA), biceps femoris (BF) and rectus femoris (RF) muscles. Principal component analysis (PCA) was used to reduce the data into muscle activation patterns and examine group differences (paretic, non-paretic, control leg). The first principal component (PC1) explained 46.7% of the EMG signal of the stepping leg. Two PCs revealed distinct activation features for the stepping paretic leg: earlier TA onset at step initiation and earlier BF and SOL onset at mid-step. For the stance leg, PC1 explained 44.4% of the EMG signal and significant differences were found in the non-paretic leg compared to paretic (p < 0.001) and control (p < 0.001). In PC1, at step onset the BF and SOL EMG and the RF and TA EMG were increased over the latter half of the step. No PC loadings were distinct for the paretic leg during stance, however differences were found in the non-paretic leg: earlier TA burst and increased BF and SOL EMG at step initiation. The results suggest impairments in the paretic leg when stepping and compensatory strategies in the non-paretic stance leg.

Kinematic analysis of video-captured falls experienced by older adults in long-term care.

Falls cause 95% of hip and wrist fractures and 60% of head injuries in older adults. Risk for such injuries depends in part on velocity at contact, and the time available during the fall to generate protective responses. However, we have no information on the impact velocities and durations of falls in older adults. We addressed this barrier through kinematic analysis of 25 real-life falls (experienced by 23 individuals of mean age 80 years (SD=9.8)) captured on video in two long-term facilities. All 25 falls involved impact to the pelvis, 12 involved head impact, and 21 involved hand impact. We determined time-varying positions by digitizing each video, using direct linear transformations calibrated for each fall, and impact velocities through differentiation. The vertical impact velocity averaged 2.14 m/s (SD=0.63) for the pelvis, 2.91 m/s (SD=0.86) for the head, and 2.87 m/s (SD=1.60) for the hand. These values are 38%, 28%, and 4% lower, respectively, than predictions from an inverted pendulum model. Furthermore, the average pelvis impact velocity was 16% lower than values reported previously for young individuals in laboratory falling experiments. The average fall duration was 1271 ms (SD=648) from the initiation of imbalance to pelvis impact, and 583 ms (SD=255) from the start of descent to pelvis impact. These first measures of the kinematics of falls in older adults can inform the design and testing of fall injury prevention interventions (e.g., hip protectors, helmets, and flooring).

The effect of fast and slow motor unit activation on whole-muscle mechanical performance: the size principle may not pose a mechanical paradox.

The output of skeletal muscle can be varied by selectively recruiting different motor units. However, our knowledge of muscle function is largely derived from muscle in which all motor units are activated. This discrepancy may limit our understanding of in vivo muscle function. Hence, this study aimed to characterize the mechanical properties of muscle with different motor unit activation. We determined the isometric properties and isotonic force-velocity relationship of rat plantaris muscles in situ with all of the muscle active, 30% of the muscle containing predominately slower motor units active or 20% of the muscle containing predominately faster motor units active. There was a significant effect of active motor unit type on isometric force rise time (p < 0.001) and the force-velocity relationship (p < 0.001). Surprisingly, force rise time was longer and maximum shortening velocity higher when all motor units were active than when either fast or slow motor units were selectively activated. We propose this is due to the greater relative effects of factors such as series compliance and muscle resistance to shortening during sub-maximal contractions. The findings presented here suggest that recruitment according to the size principle, where slow motor units are activated first and faster ones recruited as demand increases, may not pose a mechanical paradox, as has been previously suggested.

Muscle coordination is key to the power output and mechanical efficiency of limb movements.

The purpose of this study was to determine which features of muscle mechanics and muscle coordination affect the power output from a limb during locomotion. Eight subjects were tested while cycling at maximum exertion for 25 min on a stationary dynamometer. Cadence and load were varied to span a range of power outputs and myoelectric activity was measured from 10 muscles in the leg. Cycle-by-cycle variations in muscle coordination, cadence and power output were observed and the EMG intensity across all muscles was used as an estimate of the metabolic cost for each cycle. Data for the cycles at greatest power output were separated into three groups: maximum power, 80% power but lower EMG intensity and 80% power and higher EMG intensity. Torque-angular velocity relations were determined for the ankle and knee joints. During cycling at maximum power output the ankle joint was not extending at the velocity necessary for maximum power output; thus, maximum limb power occurs when some of the individual muscles cannot be generating maximum power output. Increases in EMG intensity occurred with no increase in power output from the limb: these corresponded to decreases in the efficiency and changes in coordination. Increases in power were achieved that were not matched by equivalent increases in EMG intensity, but did occur with changes in coordination. It is proposed that the power output from the limb is limited by the coordination pattern of the muscles rather than the maximum power output from any one muscle itself.

The influence of strain and activation on the locomotor function of rat ankle extensor muscles.

The ankle extensor muscles of the rat have different mechanical and physiological properties, providing a means of studying how changes in locomotor demands influence muscle fascicle behaviour, force and mechanical power output in different populations of muscle fibre types. Muscle fascicle strain, strain rate and activation patterns in the soleus, plantaris and medial gastrocnemius muscles of the rat were quantified from sonomicrometric and myoelectric data, collected during treadmill locomotion under nine velocity/incline conditions. Significant differences in peak-to-peak muscle fascicle strains and strain rates were identified between the three muscles (P<0.001, all cases), with much smaller strains (<0.1) and strain rates (<0.5 s(-1)) occurring in soleus and plantaris compared with medial gastrocnemius (>0.2 and >1.0 s(-1), respectively). The proportion of stride duration that each muscle was active (duty cycle) differed between locomotor conditions as did the timing of the activation and deactivation phases. A simple Hill-based muscle model was used to determine the influence of muscle activation relative to maximum fascicle strain and duty cycle on total force production and mechanical power output, from a slow and a fast muscle fibre, simulated through two peak-to-peak strain cycles (0.1 and 0.3). The predictions of the model did not complement conclusions that may be drawn from the observation of myoelectric timing and fascicle strain trajectories in each of the muscles. The model predicted that changes in mechanical power output were more sensitive to changes in activation parameters than to changes in strain trajectories, with subtle changes in activation phase and duty cycle significantly affecting predicted mechanical power output.

Risk factors for feline hyperthyroidism in the UK.

OBJECTIVES: Previous studies of cats in the USA and New Zealand have identified a number of risk factors for the development of hyperthyroidism including feeding of canned cat food and being non-purebred. The objective of this study was to examine these and other risk factors in cats from London, UK. METHODS: A questionnaire-based case-control study of hyperthyroidism in cats greater than eight years of age was undertaken. Cases and controls were recruited from two groups of first opinion clinics in London, UK (five locations in total). The two-page questionnaire investigated details of lifestyle, diet and exposure to environmental chemicals. Data analysis included multivariable analysis of risk factors using binary logistic regression. RESULTS: One hundred and nine hyperthyroid cats and 196 control cats were surveyed. Increasing age, non-pure breed, use of a litter box, more than 50 per cent wet food in the diet, a diet that included fish and exposure to food in a can were identified as risk factors for the development of hyperthyroidism using multivariable analysis. CLINICAL SIGNIFICANCE: Risk factors for hyperthyroidism in cats from the UK appear similar to those of other countries. Exposure to food packaged in a can was identified as the major risk factor for the development of hyperthyroidism.

Diagnosis of hyperthyroidism in cats with mild chronic kidney disease.

OBJECTIVES: In cats with concurrent hyperthyroidism and non-thyroidal illnesses such as chronic kidney disease, total thyroxine concentrations are often within the laboratory reference range (19 to 55 nmol/l). The objective of the study was to determine total thyroxine, free thyroxine and/or thyroid-stimulating hormone concentrations in cats with mild chronic kidney disease. METHODS: Total thyroxine, free thyroxine and thyroid-stimulating hormone were measured in three groups. The hyperthyroidism-chronic kidney disease group (n=16) had chronic kidney disease and clinical signs compatible with hyperthyroidism but a plasma total thyroxine concentration within the reference range. These cats were subsequently confirmed to be hyperthyroid at a later date. The chronic kidney disease-only group (n=20) had chronic kidney disease but no signs of hyperthyroidism. The normal group (n=20) comprised clinically healthy senior (>8 years) cats. RESULTS: In 4 of 20 euthyroid chronic kidney disease cats, free thyroxine concentrations were borderline or high (> or =40 pmol/l). In the hyperthyroidism-chronic kidney disease group, free thyroxine was high in 15 of 16 cats, while thyroid-stimulating hormone was low in 16 of 16 cats. Most hyperthyroidism-chronic kidney disease cats (14 of 16) had total thyroxine greater than 30 nmol/l, whereas all the chronic kidney disease-only cats had total thyroxine less than 30 nmol/l. CLINICAL SIGNIFICANCE: The combined measurement of free thyroxine with total thyroxine or thyroid-stimulating hormone may be of merit in the diagnosis of hyperthyroidism in cats with chronic kidney disease.

Regionalisation of the muscle fascicle architecture in the equine longissimus dorsi muscle.

REASON FOR PERFORMING STUDY: The longissimus dorsi is the largest muscle in the equine back and plays an important role in locomotor ability and performance in the horse. In vivo studies suggest that the mechanical function varies between different muscle segments, in part determined by anatomy. It is possible therefore that variations in function reflect variations in the anatomy of the longissimus dorsi along its length. OBJECTIVES: To identify if there are regional variations in muscle architecture of the longissimus dorsi. METHODS: Computed tomography scans were obtained from 8 cadaver backs to identify the cross-sectional area and volume of the muscle. The 3D orientations of the muscle fascicles were quantified in situ by their direction cosines using a magnetic digitisation system. RESULTS: Mean +/- s.e. volume of the muscle was 2.34 +/- 0.18 l for each side and mean length of the vertebral column from T4 to L6 dorsal spinous processes was 56.57 +/- 2.0 cm. There were significant differences in the cross-sectional area and the moment arm lengths between muscle segments (P<0.05). In the lumbar region, the mediolateral moment arms were 2-3 times greater than the dorsoventral moment arms. There were significant variations in the direction cosines (n = 7129) between muscle segments and between different regions within each segment (P<0.05). POTENTIAL RELEVANCE: These observations indicate that the muscle fascicle architecture predisposes the longissimus dorsi to different functions both along its length and between different regions within each segment. Detailed 3D anatomical measures of the structure with in vivo measures of function (back motion and muscle activity) will be investigated in further studies.

Comparative anatomy and muscle architecture of selected hind limb muscles in the Quarter Horse and Arab.

The Quarter Horse (bred for acceleration) and the Arab (bred for endurance) are situated at either end of the equine athletic spectrum. Studies into the form and function of the leg muscles in human sprint and endurance runners have demonstrated that differences exist in their muscle architecture. It is not known whether similar differences exist in the horse. Six Quarter Horse and six Arab fresh hind limb cadavers were dissected to gain information on the muscle mass and architecture of the following muscles: gluteus medius; biceps femoris; semitendinosus; vastus lateralis; gastrocnemius; tibialis cranialis and extensor digitorum longus. Specifically, muscle mass, fascicle length and pennation angle were quantified and physiological cross-sectional area (PCSA) and maximum isometric force were estimated. The hind limb muscles of the Quarter Horse were of a significantly greater mass, but had similar fascicle lengths and pennation angles when compared with those of the Arab; this resulted in the Quarter Horse hind limb muscles having greater PCSAs and hence greater isometric force potential. This study suggests that Quarter Horses as a breed inherently possess large strong hind limb muscles, with the potential to accelerate their body mass more rapidly than those of the Arab.

Variations in motor unit recruitment patterns occur within and between muscles in the running rat (Rattus norvegicus).

Motor units are generally considered to follow a set, orderly pattern of recruitment within each muscle with activation occurring in the slowest through to the fastest units. A growing body of evidence, however, suggests that recruitment patterns may not always follow such an orderly sequence. Here we investigate whether motor unit recruitment patterns vary within and between the ankle extensor muscles of the rat running at 40 cm s(-1) on a level treadmill. In the past it has been difficult to quantify motor unit recruitment patterns during locomotion; however, recent application of wavelet analysis techniques has made such detailed analysis of motor unit recruitment possible. Here we present methods for quantifying the interplay of fast and slow motor unit recruitment based on their myoelectric signals. Myoelectric data were collected from soleus, plantaris and medial gastrocnemius muscles representing populations of slow, mixed and fast fibres, respectively, and providing a good opportunity to relate myoelectric frequency content to motor unit recruitment patterns. Following wavelet transformation, principal component analysis quantified signal intensity and relative frequency content. Significant differences in signal frequency content occurred between different time points within a stride (P<0.001). We optimised high- and low-frequency wavelets to the major signals from the fast and slow motor units. The goodness-of-fit of the optimised wavelets to the signal intensity was high for all three muscles (r2>0.98). The low-frequency band had a significantly better fit to signals from the soleus muscle (P<0.001), while the high-frequency band had a significantly better fit to the medial gastrocnemius (P<0.001).

Stop the brain drain: ways to improve recruitment and retention to Scottish consultant posts.

BACKGROUND AND AIMS: NHS Scotland loses approximately one-third of Specialist Registrars (SpRs) it trains to consultant posts elsewhere. This has considerable resource and service implications and is the cause of intense political frustration. This study sought to gather data about the career intentions of SpRs and to discover what factors influence their career decisions. METHODS: All SpRs in Scotland due to gain their Certificate of Completion of Specialist Training (CCST) between April 2005 and March 2006 were approached to take part in an interview about their career aspirations. Interviews, using a structured interview schedule, took place in spring 2005. RESULTS: 198 SpRs were interviewed--75% of the target population. Almost three-quarters would prefer to stay in Scotland if possible, but when asked to realistically predict where they would take up a consultant post, this proportion had dropped to 64%. Perceived barriers to working in Scotland included the large number of District General Hospital (DGH) posts (often with onerous on-call rotas). A further problem concerned poor information flow between NHS Boards and trainees, with trainees being lost to Scotland who might have stayed if a job had been advertised in time. CONCLUSIONS: The majority of SpRs would prefer to stay in Scotland for their consultant career. There is a need to improve information flow between NHS Boards and trainees. NHS Boards need to know more about the career intentions of trainees and training committees and trainees need to be informed as to when and where posts will be advertised. Posts in DGHs might be made more appealing by having some sessions in larger teaching hospitals (although split-site working is not always popular). Flexibility and part-time options need to be promoted.

It's getting better: progress in medical senior house officer training in Scotland.

OBJECTIVES: To identify factors which influence the quality of education and training for medical senior house officers (SHOs) in Scotland compared to a study in 1995. DESIGN: Postal questionnaire to collect both qualitative and quantitative data. PARTICIPANTS: All 640 SHOs in hospital general medicine and medical specialty posts were identified; 395 (62%) responded. MAIN OUTCOME MEASURES: Working patterns, experience of education and training, career choice, and an "attitudes to work" scale. RESULTS: Sixty seven percent of SHOs had been in post for 2 years or less. Seventy three percent work some form of shift pattern compared to 28% in 1995. There were improvements in on the job feedback (92% v 27%), and awareness of educational supervisors (96% v 48%). SHO specific teaching was only available to 49% and was rarely bleep-free. Sixty eight percent had made career decisions. There was a statistically significant improvement in 20/25 components of an attitudes to work scale. CONCLUSIONS: Overall medical SHOs have more positive attitudes to their work in 2003 than in 1995, mirroring educational improvements in the work place and changes in working patterns. There remain challenges particularly in provision of formal educational activities.

Whole body vibration exercise: are vibrations good for you?

Whole body vibration has been recently proposed as an exercise intervention because of its potential for increasing force generating capacity in the lower limbs. Its recent popularity is due to the combined effects on the neuromuscular and neuroendocrine systems. Preliminary results seem to recommend vibration exercise as a therapeutic approach for sarcopenia and possibly osteoporosis. This review analyses state of the art whole body vibration exercise techniques, suggesting reasons why vibration may be an effective stimulus for human muscles and providing the rationale for future studies.

Intelligent systems in the context of surrounding environment.

We investigate the behavioral patterns of a population of agents, each controlled by a simple biologically motivated neural network model, when they are set in competition against each other in the minority model of Challet and Zhang. We explore the effects of changing agent characteristics, demonstrating that crowding behavior takes place among agents of similar memory, and show how this allows unique "rogue" agents with higher memory values to take advantage of a majority population. We also show that agents' analytic capability is largely determined by the size of the intermediary layer of neurons. In the context of these results, we discuss the general nature of natural and artificial intelligence systems, and suggest intelligence only exists in the context of the surrounding environment (embodiment).

Biomechanics of fast-start swimming in fish.

Fast-starts are high acceleration manoeuvres used by fish. Fast-start escape responses can be initiated by a nervous reflex mediated by a Mauthner neurone and result in the simultaneous activation of muscle along one side of the body. Such starts have traditionally been termed 'C' starts where the fish initially bends to a tight C shape and then subsequently gains propulsion away from the stimulus. However, close examination reveals that propulsion occurs even during the initial phase of body bending. In order to generate this forward propulsion the fish must flex with a rearward travelling wave of body bending, and power generated by the muscles in the central region of the trunk must be delivered to the water through the caudal region of the body. Despite simultaneous muscle activation along the length of the fish, a wave of body bending can result from the interaction of the muscle torque acting to bend the fish and the inertia of the body and water acting to resist this bending. The Mauthner neurone causes the muscle along one side of the fish to be activated immediately prior to shortening and so there is no difference in timing between muscle activation and onset of shortening for this initial contraction along the whole length of the body. Although the fish flexes to tighter curvatures towards its caudal region, the white muscle strain is reduced in this region due to the effect of the geometry of the body and muscle. The myotomal muscle generates greater mass-specific power outputs in the central region of the fish, and greater stresses towards the caudal region and this difference in muscle function can be entirely explained by the change in muscle strain. This change in muscle function enables the high muscle powers to be delivered to the water through the caudal region of the fish where it will cause the fast-start acceleration.

Muscle activity in the leg is tuned in response to ground reaction forces.

During walking and running, the human body reacts to its external environment. One such response is to the impact forces that occur at heel strike. This study tested previous speculation that the levels of muscle activity in the lower extremities are adjusted in response to the loading rate of the impact forces. A pendulum apparatus was used to deliver repetitive impacts to the heels of 20 subjects. Impact forces were of similar magnitude to those experienced during running, but the loading rate was varied by 13% using different materials in the subjects' shoes. Myoelectric patterns were measured in the tibialis anterior, medial gastrocnemius, vastus medialis, and biceps femoris muscles. Wavelet analysis was used to resolve intensity of the myoelectric patterns into time and frequency space. Substantial and significant differences in the myoelectric activity occurred between the impact conditions for the 50 ms before and the 50 ms after impact, reaching 3 ms in timing, 16% in wavelet number, and 154% in the intensity of the muscle activity.

Soft-tissue vibrations in the quadriceps measured with skin mounted transducers.

The purpose of this study was to develop a method to characterize the frequency and damping of vibrations in the soft tissues of the leg. Vibrations were measured from a surface-mounted accelerometer attached to the skin overlying the quadriceps muscles. The free vibrations in this soft tissue were recorded after impact whilst the muscle was performing isometric contractions at 0, 50, and 100% maximum voluntary force and with the knee held at 20, 40, and 60 degrees angles of flexion. The acceleration signals indicated that the soft tissue oscillated as under-damped vibrations. The frequency and damping coefficients for these vibrations were estimated from a model of sinusoidal oscillations with an exponential decay. This technique resolved the vibration coefficients to 2 and 7% of the mean values for frequency and damping, respectively.

Modification of soft tissue vibrations in the leg by muscular activity.

Vibration characteristics were recorded for the soft tissues of the triceps surae, tibialis anterior, and quadriceps muscles. The frequency and damping of free vibrations in these tissues were measured while isometric and isotonic contractions of the leg were performed. Soft tissue vibration frequency and damping increased with both the force produced by and the shortening velocity of the underlying muscle. Both frequency and damping were greater in a direction normal to the skin surface than in a direction parallel to the major axis of each leg segment. Vibration characteristics further changed with the muscle length and between the individuals tested. The range of the measured vibration frequencies coincided with typical frequencies of impact forces during running. However, observations suggest that soft tissue vibrations are minimal during running. These results support the strategy that increases in muscular activity may be used by some individuals to move the frequency and damping characteristics of the soft tissues away from those of the impact force and thus minimize vibrations during walking and running.

Impact forces and muscle tuning: a new paradigm.

Impact forces and muscle tuning: a new paradigm. Exerc. Sport Sci. Rev., Vol. 29, No. 1, pp 37-41, 2001. We propose that repetitive impact forces during physical activities are not important from an injury perspective but are the reason for changes in myoelectric activity (muscle tuning) to minimize soft tissue vibrations. Changes in myoelectric activity (intensity, frequency, timing), comfort, and performance provide supporting evidence for this new paradigm.