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Biomedical subjects

D Bourbonnais

Publications and source records attributed to D Bourbonnais.

At least 37 records · Page 2Linked to original sources
PubMed1996

A mechanical model to study the relationship between gait speed and muscular strength.

This study proposes a mechanical model to investigate the relationship between gait speed and strength of the ankle plantarflexor muscles. The model calculates the muscular utilization ratio (MUR) of the plantarflexor muscles during gait by comparing the plantarflexion moment used while walking to the maximal moment of the plantarflexors estimated from dynamometric measurements. To verify the model, MURs of the plantarflexor muscles were calculated for five healthy subjects and one hemiparetic subject walking at different speeds (slow, self-selected, and fast). Generally, the results of the healthy subjects revealed that MURs increase with an increasing gait speed: average (+/-SD) peak values of MUR reached 58.8% (+/-18.5), 65.6% (+/-17.2) and 71.0% (+/-17.8) for the slow, self-selected, and fast speeds, respectively. The average peak value of MURs at the self-selected speed corresponds to values reported in electromyographic studies of the plantarflexor muscles. At self-selected gait speed, the hemiparetic subject presented a higher peak MUR (80.5%) of the plantarflexors and a lower gait velocity when compared to healthy subjects. For the hemiparetic subject, peak values of MUR of the plantarflexor muscles at maximal walking speed reached 100% suggesting that full activation of the plantarflexors had been reached preventing him from walking faster. From these preliminary results, it appears that MURs calculated by the proposed model are sensitive to the mechanical demands imposed on a group of muscles during a task (eg., increase in gait speed) and to change in the maximal plantarflexor's strength (eg., weakness). The proposed model seems to have the potential to demonstrate whether muscle weakness limits maximal gait speed in hemiparetic subjects. However, considering the complexity of gait speed regulation in hemiparetic patients, the model should be tested on a large number of hemiparetic subjects.

Adolescent↗
PubMed1996

Performance of the 'unaffected' upper extremity of elderly stroke patients.

BACKGROUND AND PURPOSE: The main objective of this study was to compare the sensorimotor performance of the unaffected upper extremity (UE) of elderly stroke patients with that of healthy elderly people. METHODS: The group of stroke patients was composed of 43 hemiplegic/paretic subjects who had had a cerebrovascular accident at least 6 months earlier. They were > or = 60 years old, were right-handed before the stroke, had visual perception within normal limits, and showed no major cognitive impairments. A group of 43 healthy subjects matched for dominance, age, and sex was used for comparison. The main parameters of the performance of the unaffected UE of the stroke subjects and of the same side of the healthy subjects were measured with valid, reliable instruments. Some variables potentially related to the unaffected UE were also measured: affected UE motor function, functional independence, length of time since the stroke, self-perceived health status, activity level, and hand anthropometry. RESULTS: Statistical analyses showed significant deficits in the unaffected UE of hemiplegic/paretic subjects compared with normal subjects with regard to the following parameters: gross manual dexterity, fine manual dexterity, motor coordination, global performance, and kinesthesia (P < .01 to P < .0001). No significant clinical or statistical difference was found for grip strength (P < .81), static and moving two-point discrimination (P = .21 and P = .12), or touch/pressure threshold (P < .91). CONCLUSIONS: Many factors (frequency of use of the unaffected hand, sensorimotor interaction tasks, severity of the deficits in corticifugal projections, and deficits in postural stabilization) could interact to provide the clinical picture obtained in the present study.

Aged↗
PubMed1996

Effects of transcutaneous electrical nerve stimulation on H-reflex and spinal spasticity.

The purpose of this study was to investigate the short-term effects of transcutaneous electrical nerve stimulation (TENS; 99 Hz; 250 ms pulses) on H-reflex and spinal spasticity. Considering the reflex hyperexcitability commonly displayed in spinal cord-injured subjects, it was hypothesized that repetitive low threshold afferent stimulation would have an inhibitory effect on the triceps surae H-reflexes which could also be reflected by a decrease in plantarflexor spasticity. Clonus, Achilles tendon reflex and modified Ashworth evaluations were performed on 14 spinal cord-injured subjects prior to and after 30 minutes' application of TENS. Non-parametric statistical analyses (n = 14; alpha = 0.05) failed to reveal significant effects of TENS on H-reflex amplitude. However, there was a significant decrease in scores for the Achilles tendon reflex and the modified Ashworth test. The clonus score decreased in most subjects post-TENS, although not in a statistically significant manner. The present pilot results thus suggest that TENS appears to be effective in reducing spinal spasticity, as measured clinically.

Adult↗
PubMed1994

Absence of consistent effects of repetitive transcutaneous electrical stimulation on soleus H-reflex in normal subjects.

Our purpose was to determine the effects of transcutaneous electrical nerve stimulation (TENS) on the soleus H-reflex amplitude in normal subjects. Eleven subjects were tested in five experimental sessions, the purpose of which was to compare the effects of 30 minutes of TENS delivered at either 50 or 99Hz (250 microseconds pulses) on a mixed (common peroneal nerve or CPN) versus a sensory (sural) nerve. The soleus H-reflex was elicited according to the classic protocol of Hugon (1973). Control values (Hctrl) were measured for 5 minutes prior to and for 10 minutes after the TENS was administered at twice the sensory threshold. No statistically significant session (treatment) effects (two-way ANOVAs for repeated measures; alpha = 0.05) resulted from the stimulation of the CPN or the sural nerve at 50 or 99Hz. However, although no specific trends were shown across all subjects, there was a definite tendency towards inhibition (> or = 10% Hctrl) of the H-reflex in 63% of the subjects after 30 minutes of TENS at 99Hz over the CPN, and in 50% of the subjects when TENS was applied over the sural nerve at 99Hz. The inherent variability of the H-reflex amplitude in normal subjects as well as the use of different stimulation paradigms and TENS parameters could explain the controversial findings present in the literature.

Adult↗
PubMed1993

An ascending spinal pathway transmitting a central rhythmic pattern to the magnocellular red nucleus in the cat.

The activity of cells in the magnocellular red nucleus (RNm) was recorded extra- and intracellularly in the curarized thalamic cat performing fictive locomotion. The locomotor episodes were detected from the rhythmic activity recorded in the motor nerves of the contralateral hindlimb. It was confirmed that, during fictive locomotion, a large proportion of the rubrospinal cells (56% in our sample) exhibit a rhythmic pattern of activity which is synchronized with the efferent spinal motor nerve activity. On the basis of the intracellular recordings it was established that phases of intense synaptic activity with mixed excitatory postsynaptic potentials (EPSPs) and inhibitory postsynaptic potentials (IPSPs) are involved in this rhythmicity. After eliminating the cerebellar input to the RNm, it was observed that the cells still received intense excitatory and inhibitory inputs, resulting in a continuous modulation of their membrane potential, due to the occurrence of EPSPs and IPSPs. During fictive locomotor-like activity and after elimination of the cerebellar afferents to the RNm, it was observed that the spontaneous PSPs in RNm cells (in the case of 45% of the cells) were organized in repetitive subthreshold bursts occurring in phase relationships with the activity recorded in the motor nerves. Some extracellularly recorded cells (12%) showed a rhythmic firing pattern. It is generally recognized that, in the thalamic cat preparation, the locomotor pattern observed in efferent nerves originates from the central pattern generator (CPG) of the spinal cord. It therefore seems likely that the rhythmicity observed here in the RNm may originate from the spinal CPG and be transmitted through the spino-rubral pathway ascending in the ventral part of the cord. It is concluded that the spino-rubral pathway may transmit both somatosensory information and corollary discharges relating to the activity of the spinal CPG for locomotion.

Animals↗
PubMed1993

A static dynamometer measuring multidirectional torques exerted simultaneously at the hip and knee.

The function of a static dynamometer measuring torques exerted simultaneously in the different anatomical planes of the hip (flexion-extension, abduction-adduction and internal-external rotation) and knee (flexion-extension) is described. Muscular torques were calculated in real time using a desktop computer from measurements of orthogonal forces applied at two locations and the lever arm values measured in each subject. The reliability of the force transducers was explored by examining their output, using calibrated weights, on three different days. The results were identical over this period of time, indicating that the transducers are highly reliable. A mechanical simulator of a lower limb was constructed to generate specific or combined torques of known values at the hip and knee. The torques measured by the dynamometer were found to be highly concordant with the known torques applied by the simulator, indicating that the torque measurements were valid. The usefulness of the dynamometer is demonstrated by evaluating the activity of the rectus femoris and biceps femoris muscles during static efforts exerted in various directions at the hip. In addition, the mechanical action of biarticular muscles at the hip was evaluated by quantification of hip torques during efforts exerted at the knee. From these results, it has been concluded that the present biarticular and multidirectional dynamometer is a valid, reliable and precise instrument that may prove to be useful in evaluating the muscular function of the lower limb.

Biophysics↗
PubMed1992

Characterization of contralateral torques during static hip efforts in healthy subjects and subjects with hemiparesis.

Contralateral torques exerted at the hip were measured in healthy subjects and subjects with hemiparesis performing unilateral static hip efforts in abduction, adduction, flexion and extension, in a sitting position, at two torque levels. In general, the ipsilateral hip efforts were accompanied by mirrored contralateral torques in both groups of subjects. The directionality of these contralateral torques indicates that their action at the pelvis is mechanically opposite to the ipsilateral efforts, suggesting that they ensure the stabilization of the pelvis. In healthy subjects, analyses of variance showed no difference in the magnitude of the contralateral torques with regard to which limb was used to perform the task. However, a significant increase in magnitude was demonstrated in the contralateral torques concurrent with the increasing level of effort requested ipsilaterally. In hemiparetic subjects, when performing the tasks with their paretic limb, the magnitude of the contralateral torques was significantly increased in the non-paretic limb when compared with those measured in the paretic limb during non-paretic limb efforts. Based on the present results, a model of postural control is presented to explain the relationship between the ipsilateral and contralateral torques. Using this model, it is hypothesized that the increased contralateral torques observed in hemiparetic subjects when performing the tasks with their paretic limb is related to the weakness of the paretic muscles. The clinical importance of exercises used for the re-education of the paretic lower limb in this population, which consist of resisting the non-paretic hip movements in order to strengthen the paretic hip muscles, is discussed in light of these results.

Adult↗
PubMed1991

EMG power spectra of elbow extensors during ramp and step isometric contractions.

The goal of the present study was to compare electromyogram (EMG) power spectra obtained from step (constant force level) and ramp (progressive increase in the force level) isometric contractions. Data windows of different durations were also analysed for the step contractions, in order to evaluate the stability of EMG power spectrum statistics. Fourteen normal subjects performed (1) five ramp elbow extensions ranging from 0 to 100% of the maximum voluntary contraction (MVC) and (2) three stepwise elbow extensions maintained at five different levels of MVC. Spectral analysis of surface EMG signals obtained from triceps brachii and anconeus was performed. The mean power frequency (MPF) and the median frequency (MF) of each power spectrum were obtained from 256-ms windows taken at 10, 20, 40, 60 and 80% MVC for each type of contraction and in addition on 512-, 1024- and 2048-ms windows for the step contractions. No significant differences (P greater than 0.05) were found in the values of both spectral statistics between the different window lengths. Even though no significant differences (P greater than 0.05) were found between the ramp and the step contractions, significant interactions (P less than 0.05) between these two types of contraction and the force level were found for both the MPF and the MF data. These interactions point out the existence of different behaviours for both the MPF and the MF across force levels between the two types of contraction.

Adult↗
PubMed1991

Static dynamometer for the measurement of multidirectional forces exerted by the thumb.

The functioning of a static dynamometer designed to measure simultaneous forces exerted by the thumb in the vertical and horizontal axes is described. The analysis of the output signals by a desktop computer program provides information regarding the forces generated in eight directions covering a plane transverse to the thumb by 45 degree increments. In 12 normal female subjects, the maximum voluntary torques exerted at the trapezo-metacarpal joint of the thumb were examined and the muscle activation patterns of the interosseus, flexor pollicis brevis and adductor pollicis brevis muscles were recorded in one subject. Torques and muscle activation patterns were depicted using polar plots. Dynamometric data indicate that strength varies with direction and that higher torques are obtained in directions that bring the thumb towards the palm, i.e. flexion, adduction, combined flexion-adduction and extension-adduction. Patterns of muscle activity vary according to the direction evaluated suggesting that strength depends on the number of activated muscles as well as the relative force contribution of each muscle.

Calibration↗
PubMed1991

Motor function and activities of daily living assessments: a study of three tests for persons with hemiplegia.

The relationship between upper extremity motor function and independence in basic activities of daily living in subjects with hemiplegia was explored. The Barthel Index (Mahoney & Barthel, 1965) and the Fugl-Meyer Test (Fugl-Meyer, Jääskö, Leyman, Olsson, & Steglind, 1975) were selected as the standard instruments for the evaluation of activities of daily living and upper extremity motor function, respectively, because their validity and reliability have been demonstrated many times. The Functional Test for the Hemiplegic/Paretic Upper Extremity (Wilson, Baker, & Craddock, 1984a, 1984b) was also used for the evaluation of upper extremity motor function. The results obtained in 18 subjects with hemiplegia indicate that the scores on the Barthel Index are poorly correlated with both the Fugl-Meyer Test and the Functional Test for the Hemiplegic/Paretic Upper Extremity scores. It is suggested that variables other than motor function, such as the learning of compensatory techniques and perceptual-cognitive status, are responsible for this discrepancy because they can influence activities of daily living performance in persons with hemiplegia. The high correlation between the scores on the Fugl-Meyer Test and the Functional Test for the Hemiplegic/Paretic Upper Extremity indicates that either test may be used for the assessment of upper extremity motor function.

Activities of Daily Living↗
PubMed1990

The influence of an increase in the level of force on the EMG power spectrum of elbow extensors.

It has been proposed that the mean power frequency (MPF) of the electromyogram (EMG) power spectrum increases gradually with force of contraction and that this increase is a function of the fiber-type content of the muscle investigated and the inter-electrode distance (IED) used when recording the EMG signals. In order to test these hypotheses, the values of the MPF of two elbow extensor muscles, triceps brachii (TB, 65% fast twitch fibers) and anconeus (AN, 65% slow twitch fibers), were compared at different levels of contraction. Subjects (n = 13) produced ten static ramp elbow extensions [0-100% maximum voluntary contraction (MVC)]. EMG signals of each muscle were recorded with two pairs of surface miniature electrodes having IEDs of 6 mm and 30 mm respectively. MPFs were obtained at each of the following levels: 10, 20, 40, 60, 80 and 100% MVC. Statistical analyses indicated that the MPF of AN increased significantly (P less than 0.05) up to 60% MVC. In contrast, the MPF values for TB showed no significant change across different levels of contraction (P greater than 0.05). Since skinfold was on average 3.2 times thicker over TB than over AN it is suggested that the low-pass filtering effect of the skin could have prevented the observation of an increase of the MPF for TB. It thus appears that changes of the MPF with the level of force, as disclosed by surface electrode recordings, is specific to each muscle. Consequently one has to account for factors such as thickness of the skinfold when it comes to the determination of the fiber-type content of different muscles within a subject.

Adult↗
PubMed1989

Abnormal spatial patterns of elbow muscle activation in hemiparetic human subjects.

The patterns of electromyographic (EMG) activity in spastic-paretic and contralateral elbow muscles of 10 hemiparetic human subjects were compared during a sequence of graded voluntary isometric contractions against 4 different-sized loads. These loads were orientated successively at 8 different angles over a 360 degree range, referenced to a plane at the wrist orthogonal to the long axis of the forearm. Comparisons of EMG activity recorded from normal and paretic limbs revealed that there were marked differences in the torque angles which evoked significant EMG activity, in the angular range of EMG, in the angle of peak EMG, and in the scaling of EMG magnitude with increasing isometric loads. In severely impaired limbs, there was a marked shift in both the peak EMG angle and the angular domain of EMG activity for both biceps and triceps muscle groups, away from the normal elbow flexion-extension axis towards external humeral rotation and shoulder girdle elevation. The extent of the disturbance in the spatial patterns of EMG activity was closely correlated with the clinical severity of the spastic-paretic disability, which was quantified using a functional scale patterned after that described by Fugl Meyer et al. (1975). The observed patterns of EMG activity in paretic flexor muscles do not conform with established synergistic patterns, such as might be released by excitation of the flexor reflex in a normal limb. Possible origins for the anomalous EMG patterns are discussed.

Adult↗
PubMed1989

Weakness in patients with hemiparesis.

Clinical and experimental results are reviewed concerning muscle weakness in patients with hemiparesis after a stroke. The discussion includes the important role that alterations in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakness. This role is compared with the lesser role that spasticity (defined as hyperactive stretch reflexes) of the antagonist muscle group appears to play in determining the weakness of agonist muscles. The contribution of other factors that result in mechanical restraint of the agonist by the antagonist (e.g., passive mechanical properties and inappropriate cocontraction) is discussed relative to muscle weakness in patients with hemiparesis.

Cerebrovascular Disorders↗
PubMed1986

A new pathway from primary afferents to the red nucleus.

Evidence is provided that rubrospinal neurons receive feedback information from the periphery via pathways which bypass both the cerebellum and the cerebral cortex. It appears that the primary afferent fibers which ascend in the dorsal columns of the spinal cord give off collaterals via which they activate ascending tracts with axons in the ventral quandrants of the spinal cord. The existence of such pathways indicates that the red nucleus is part of a long feedback loop assisting the ongoing movement.

Animals↗
PubMed1986

Cerebellar cortical activity during stretch of antagonist muscles.

Single unit activity was recorded from the anterior lobe of the cerebellum during ramp and hold stretches of limb muscles in chloralose anesthetized cats. The activity of 95 "phasic" units showed a transient response during dynamic stretch of at least one muscle usually lasting for less than 350 ms following the stimulus onset. The activity of 59 phasic-tonic units was modified not only during dynamic stretch but also during the 1 s of maintained muscle length. All Purkinje cells, identified by their complex spikes, that responded to muscle stretch demonstrated exclusively phasic changes in discharge. Fourteen of 25 Purkinje cells (56%) responded to stretch of both antagonist muscles and these responses were always similar rather than reciprocal. From the 129 units without complex spikes, 70 demonstrated phasic discharge patterns whereas 59 had tonic responses. Seventy-five (59%) of these unidentified units revealed convergent responses to stretch of both antagonists, compared with 54 which responded to stretch of one muscle only. Of the unidentified units receiving convergent afferents from antagonist muscles, 62 (83%) had similar responses and only 13 (17%) had reciprocal reactions. There appeared to be no evidence that muscle afferents alone can induce reciprocal discharge patterns in Purkinje neurons of the cerebellar cortex. The firing frequency of some phasic-tonic units was correlated with both the velocity and amplitude of muscle stretch. No Purkinje cells were found with activity related to either velocity or amplitude of muscle stretch. One phasic and seven phasic-tonic unidentified units were activated at fixed latencies following trains of electrical stimulation applied to the thoracic spinal cord at frequencies exceeding 200 Hz, implying they were terminal portions of mossy fibers originating from direct spinocerebellar tracts. A few recordings of compound potentials were presumed to arise from the cerebellar glomeruli. The changing form of one of these potentials suggested that the glomerulus might be a site at which somatosensory peripheral information is modified by the cerebellar cortex.

Action Potentials↗
PubMed1984

Cerebellar cortical activity during antagonist cocontraction and reciprocal inhibition of forearm muscles.

Monkeys were trained to perform a maintained isometric grip of the thumb and forefinger that elicited a simultaneous cocontraction of the antagonist muscles of the forearm. The same monkeys were also trained to flex and extend the wrist against a stop with the fingers extended and to maintain an isometric wrist position for 1.0-1.5 s. During wrist movement, some of the synergist forearm muscles contracted during both flexion and extension. However, during the maintained isometric wrist position, the prime mover and synergist muscles were reciprocally active or silent. In the culmen-simplex region of the cerebellar cortex bordering on the primary fissure, 62% of the Purkinje cells that were identified by the climbing fiber discharge and that changed firing frequency decreased activity during maintained prehension. Almost all of these same Purkinje cells were reciprocally active during isometric wrist flexion and extension, although three neurons had similar discharge patterns during movements in both directions. In contrast, 79% of the unidentified neurons recorded from the same region of the cerebellar cortex increased discharge frequency during prehension. In general, most of these same neurons had reciprocal patterns of discharge during wrist movement even though a few cells were active during the dynamic phase in both directions. Together, the Purkinje cells and the unidentified neurons with bidirectional response patterns were thought to be related to muscles active during both flexion and extension wrist movements. No cells were found that increased discharge with the static isometric wrist torque exerted in both directions. The discharge frequency of some Purkinje and some unidentified neurons could be shown to be related to prehensile force as well as wrist movement velocity and isometric wrist torque. These data suggest that the discharge of about two-thirds of the Purkinje cells related to forearm muscles located along the borders of the primary fissure may depend on whether antagonist muscles are activated reciprocally or coactively. As a consequence, these cells may play a role in the selection or alternation between either of these two modes of muscular contraction. The increased discharge of the remaining one-third of the Purkinje cells excited during antagonist coactivation may provide inhibition of nuclear cells to stabilize the posture at joints other than the wrist and fingers or, alternatively, they may act to reduce nuclear cell discharge in proportion to the intensity of cutaneous stimulation.

Animals↗