The effect of loss of foot sole sensitivity on H-reflex of triceps surae muscles and functional gait.

Objective: To investigate the effects of foot sole insensitivity on the outcomes of the triceps surae muscle H-reflex and functional gait. Material and Methods: People with peripheral neuropathy were recruited and divided into two groups: people with more (n = 13, 73.3 ± 4.3 years old) or less (n = 10, 73.5 ± 5.3) sensitive tactile sensation. Their monofilament testing scores were 9.0 ± 1.5 (range: 7-10) and 2.3 ± 2.4 (range: 0-6) out of 10, respectively. H-reflex of the triceps surae muscles during quiet standing and their relationship with functional gait, 6 min walking distance (6MWD), and timed-up-and-go duration (TUG), were compared between groups. Results: No significant difference was detected for H-reflex parameters between the groups. The less sensitive group showed reduced (p < .05) functional gait capacity compared to the other group, 38.4 ± 52.7 vs. 463.5 ± 47.6 m for 6MWD, and 9.0 ± 1.5 vs. 7.2 ± 1.1s for TUG, respectively. A significant correlation (p < .05), worse functional gait related to greater H/M ratio, was observed in the less sensitive group, not the other group. Conclusion: Although there was no significant H-reflex difference between the groups, more pronounced tactile sensation degeneration affected functional gaits and their relationship with H-reflex.

Biomechanics of the heel-raise test performed on an incline in two knee flexion positions.

BACKGROUND: Although single-legged heel-raise cycles are often performed on an incline in different knee flexion positions to discriminate the relative contribution of the triceps surae muscles, detailed kinematic and kinetic analyses of this procedure are not available. Our study characterizes and compares the biomechanics and clinical outcomes of single-legged heel-raise cycles performed to volitional exhaustion on an incline with the knee straight (0°) and bent (45°), considering the effect of sex and age. METHODS: Fifty-six male and female volunteers, with equal numbers of younger (20 to 40 years of age) and older (40 to 60 years of age) individuals, completed a maximal number of heel-raise cycles on an incline at both nominal knee angles. Kinematic and kinetic data were acquired during testing using a 3D motion capturing system and multi-axial force plate. The impact of fatigue on performance was quantified using changes in maximal voluntary isometric contraction force and biomechanical performance of cycles. FINDINGS: Overall, participants completed three more cycles and maintained better biomechanical performance with 45° than 0° of knee flexion. More precisely, the decreases in maximal heel-raise heights, plantar-flexion angles at maximal height and ranges of ankle motion per cycle were all smaller with the knee bent. However, several outcomes indicated similar plantar-flexion fatigue at both knee angles. Males demonstrated a more rapid decline in peak ground reaction forces during testing; but otherwise, neither sex nor age significantly impacted outcomes. INTERPRETATION: It is concluded that the differences discerned here in the biomechanics of single-legged heel-raise cycles performed at 0° and 45° of knee flexion to volitional exhaustion on an incline may be too small to identify in clinical settings or reflect substantial alterations in the relative contribution of the triceps surae muscles.

ELECTROMYOGRAM PATTERNS DURING SUSTAINED LOW-LEVEL PLANTAR FLEXIONS AND CHANGES IN BLOOD FLOW FOR "ALTERNATE ACTIVITY" AMONG THE TRICEPS SURAE MUSCLES / 体力科学

Several studies have described "Alternate activity", in which individual muscles of the synergistic muscle group alternate between high activity and silent periods, and rotate in a complementary pattern to maintain constant torque, during sustained low-level contractions. The purpose of this study was to investigate the physiological property of alternate activity among the synergists. Eight human subjects performed static contractions at an ankle joint angle of 110° plantar flexion at 10% maximal voluntary contraction (MVC) for 120 min. Simultaneously, a surface electromyogram (EMG) was recorded of the triceps surae muscles. Doppler ultrasound techniques were used to measure blood velocity and the arterial diameter of the popliteal artery during exercise. Maximal torque at MVC and mean EMG (mEMG) level decreased significantly after sustained isometric low-level contractions, but there was no significant difference in the mEMG/maximal force ratio of triceps surae muscles, which is thought to indicate peripheral fatigue between pre- and post-exercise. Throughout the "Alternate activity", arterial diameter and pulse rate did not change, but blood flow significantly increased (p<0.001) depending on an increase in blood velocity. These results suggest that "Alternate activity" among the triceps surae muscles may be one mechanism that functions either to decrease or to postpone peripheral fatigue during sustained low-level contraction.

Effects of local cooling and heating in the triceps surae muscles during sustained isometric contraction / 体力科学

A study was conducted to examine activity patterns of surface electromyograms (EMGs) in the triceps surae muscles (medial gastrocnemius, MG ; lateral gastrocnemius, LG ; soleus, SOL) during isometric contraction in plantar flexion (60% MVC, 20% MVC) after immersion in water at three different temperatures. Seven healthy male subjects were immersed in water at 2-3°C (ICE), 19-21°C (MID), and 40-42°C (HOT) . The results of the study are summarized as follows :<BR>1) In the MG and LG, there was a slight increase in the rate of integrated electromyograms (IEMGs) in the MG (the main agonist muscle) . However, the rate of increase in the LG, which is the synergistic muscle, was much greater than that in the MG when contraction was sustained at 60% MVC. Therefore, the activity pattern suggests that muscle activity in the LG compensates for that in the MG.<BR>2) The IEMGs of the SQL with sustained contraction, increased significantly after immersion in HOT and MID, but the IEMGs decreased after immersion in ICE. These results suggest that the recruitment threshold in slow-type motor units should increase during sustained isometric contrac-tion in ICE.<BR>As illustrated above, the activity of the LG increased to compensate for that of MG. In the SQL, muscle activity with sustained contraction decreased in ICE. These results suggest that control mechanisms of the central nervous system might play an important role in the associated movement of the triceps surae muscles.

Changes in activity in triceps surae muscles during prolonged isometric contractions / 体力科学

In order to examine muscle activities, surface electromyo-grams (EMGs) were recorded from the triceps surae muscles (lateral gastrocnemius: LG, medial gastrocnemius: MG, soleus: SOL) during prolonged isometric contractions at 20°of ankle joint angle under constant load (10% MVC) . The results were summarized as follows;<BR>1) EMG recordings were obtained which showed complementary activity in each muscle in the time course. Changes in activity was found between whole muscles in the synergist of triceps surae muscles.<BR>2) Muscle activity most frequently took the form of MG+SOL, followed by MG acting alone and SOL acting alone. Ta/Ts value (the ratio of total activity period and total silent period on EMG activity) showed 4.0 in MG and SOL. In contrast, it showed 0.3 in the LG.<BR>3) In the latter half of all exercise times, frequent changes in activity were shown, and Ta/Ts value increased in the gastrocnemius muscle and decreased in the soleus muscle. These results indicate that frequent changes in activity in the latter half were caused by the reduc tion in Ts in the gastrocnemius muscle, and the reduction in Ta in the soleus muscle.<BR>4) Mean integrated EMGs increased significantly in the middle and latter phases in each burst activity, but those in the latter phase did not increase compared to those in the middle phase. These results suggest that the rotation of activity between muscles may have occured before the remarkable increase of EMG activity with fatigue.

Electromyogram patterns during ankle joint movements at various angular velocities in the triceps surae muscles / 体力科学

Surface electromyograms (EMGs) were recorded from the triceps surae muscles in order to examine muscle activities during concentric and eccentric ankle joint movements at various angular velocities under constant load (5 and 10%MVC) . The results were summarized as follows ;<BR>1) At slow angular velocity (6 deg/s) of ankle joint movement, EMG amplitude tended to increase at a larger ankle joint angle in the gastrocnemius muscle, and at a smaller angle in the soleus muscle.<BR>2) Following an increase in angular velocities (6→30→60 deg/s), peak values of integrated EMGs were significantly increased (7-15%) in the medial gastrocnemius muscle. However, these peak values were significantly decreased in the soleus muscle (22-49%) . These results suggest selective recruitment of motor units depending on angular velocity.<BR>3) Ankle joint angle at the peak integrated EMGs was significantly increased following an increase in angular velocity (6→30→60 deg/s) in the soleus muscle. This suggests that the angle at the recruitment of motor units may be dependent on angular velocity in the soleus muscle.