Biomedical subjects

K S Türker

Publications and source records attributed to K S Türker.

At least 19 recordsLinked to original sources

PubMed2006

Is the human masticatory system devoid of recurrent inhibition?

The aim of the present study was to investigate the existence or otherwise of a functional recurrent inhibitory system (Renshaw cell system) in the motoneurons that innervate human masticatory muscles. In a previous study, L: -acetylcarnitine (L: -Ac), a substance known to potentiate recurrent inhibition in humans was found to alter, in a specific way, the discharge variability, and the synchronous activity of motor units depending on the presence or absence of recurrent inhibition in the corresponding motoneuron pool. Using a similar paradigm, we have recorded the tonic discharge activity of motor unit pairs from the masseter muscle during voluntary isometric contraction while subjects were undergoing continuous intravenous saline (SAL, NaCl 0.9%) perfusion. Following a brief baseline-recording period, the subjects were given a test injection of either L: -Ac or isotonic saline (SAL) in a double blind manner. The variability, synchronization, and coherence between the motor unit discharges were analysed during three successive periods: pre-injection, during injection, and post-injection, each lasting 2-3 min. Neither L: -Ac nor SAL injection induced a significant change in the inter-spike interval (ISI) or the coefficient of variation of the ISIs in the motor units tested. There were also no significant changes in the pattern of synchronous activity or in the coherence, which reflects the common frequency content of the unit discharges. Reminiscent of what had been observed previously with motoneurons without recurrent inhibition in the Abductor Digitorum Minimi muscle, the lack of effects of L: -Ac injection on the firing behaviour of masseter motoneurons may suggest that classical Renshaw cell inhibition is lacking in this motoneuron pool.

Acetylcarnitine↗

PubMed2006

Triceps surae stretch and voluntary contraction alters maximal M-wave magnitude.

UNLABELLED: Reliability of the motor response (M-wave) is fundamental in many reflex studies; however it has recently been shown to change during some investigations. The aim of this investigation was to determine if triceps surae stretch and voluntary contraction, or recording and analysis techniques, affect the maximal M-wave magnitude. The maximal M-wave was investigated in human gastrocnemius and soleus during different foot positions and during triceps surae contraction. Both bipolar and monopolar-recoding methods, and area and peak-to-peak (PTP) amplitude analysis methods were used. RESULTS: Maximal M-wave magnitude changed significantly between test muscle conditions, and is largest during dorsiflexion, probably due to changes in muscle bulk and recording electrode relationship. The maximal M-wave was up to 88% smaller when recorded by bipolar electrodes compared to monopolar electrodes, which is discussed in relation to signal cancellation. Area analysis provided more significant differences in M-wave magnitude between test muscle conditions than did PTP amplitude analysis, and the maximal M-wave shape changed significantly between test muscle conditions. This study suggests that maximal M-wave magnitude can vary depending on muscle condition, it highlights the importance of using correct recording and analysis techniques, and questions the reliability of using M-wave magnitude to monitor the relationship between the nerves and stimulating electrodes.

Adolescent↗

PubMed2005

A new method to estimate signal cancellation in the human maximal M-wave.

A new method is introduced that estimates EMG signal cancellation in surface recorded investigations. Its usefulness is demonstrated when determining changes in the maximal motor response (M-wave) magnitude during rest and voluntary contraction. The accuracy of recording and analysis methods and the reliability of the maximal M-wave were assessed in the human gastrocnemius and soleus. The maximal M-wave was recorded by bipolar surface electrodes placed 2 cm, 3 cm and 4 cm apart, and by monopolar (one active and one indifferent reference) surface electrodes. Up to 85% of the maximal M-wave was lost due to signal cancellation during bipolar recording. The maximal M-wave magnitude decreased consistently and significantly during triceps surae contraction compared to rest when recorded by monopolar electrodes, but not when recorded by bipolar electrodes. Area and peak-to-peak (PTP) amplitude analysis methods provided similar results when determining the magnitude of the maximal M-wave. This provides evidence that monopolar recording is superior to bipolar recording as it removes the signal cancellation error and allows the genuine changes in maximal M-wave magnitude to be observed.

Action Potentials↗

PubMed2005

Black box revisited: a technique for estimating postsynaptic potentials in neurons.

Our understanding of the operation of the brain depends on knowledge of its wiring. Currently, the wiring of the human brain is estimated by counting the number of neuron discharges that occur at specific times following a stimulus. There is now strong evidence that this approach generates significant errors. Recently, the accuracy of this 'count' method has been compared directly with an alternative 'rate' method in rat brain slices. The results confirmed that the count method generates significant errors that are minimized by the rate method, because the rate of discharge of a neuron accurately displays its excitability at the time of discharge. Therefore, it is now crucial that the rate method be used to reassess previous estimates of the characteristics of wiring in the brain.

Animals↗

PubMed2004

A device for investigating neuromuscular control in the human masticatory system.

A new apparatus has been developed to study the control of mastication in humans. The subject places his/her teeth on fixed upper and mobile lower bite plates; the device then enables opening and closing movements of the lower jaw against a controlled resistance. It is also possible to vary the number of teeth in contact with the device during an experiment from the entire dental arcade to a single tooth. The specially designed lower bite plate is dynamic and allows for both rotation and translation of the lower jaw during movement, thus, permitting the natural curvilinear trajectory of the jaw. The lower bite plate can follow chewing initiated by the subject without resisting the movement ('no force' mode) via a dedicated microprocessor controlled compensation mechanism. Another function of the device is to inject a constant predetermined load onto the lower bite plate so that the subject 'chews' against a fixed resistance simulating rapidly yielding food bolus ('fixed force' mode). The device can be programmed to increase or decrease the force during the closing or opening phase of chewing by feeding the position information into the force compensation system so both position and force change in parallel, hence, simulating a bite onto a non-yielding, or sticky, food bolus ('normal chewing' mode). By use of a jaw position compensation mechanism, the device can actively move the lower jaw, following any imposed position pattern ('position controlled' mode). The chewing simulator also has a mode that holds the position at a fixed level and allows the force to change ('position hold' mode). Furthermore, the device can inject additional rapid or slow forces or displacements onto the lower bite plate in order to elicit reflexes so that the response of jaw muscles to such stimuli can be examined at various jaw positions, force levels, phases of motion and velocities. The different modes of the apparatus can be used to study the operation and feedback control of human mastication; in particular whether modulations in jaw muscle activity and reflexes are due to changes in force, velocity, position, chewing cycle phase or a combination of these factors.

Afferent Pathways↗

PubMed2003

Estimation of postsynaptic potentials in rat hypoglossal motoneurones: insights for human work.

Classical techniques for estimating postsynaptic potentials in motoneurones include spike-triggered averages of rectified surface and multiunit electromyographic recordings (SEMG and MU-EMG), as well as the compilation of peristimulus time histograms (PSTH) based on the discharge of single motor units (SMU). These techniques rely on the probability of spike occurrence in relation to the stimulus and can be contaminated by count- and synchronization-related errors, arising from post-spike refractoriness and the discharge statistics of motoneurones. On the other hand, since these probability-based techniques are easy to use and require only inexpensive equipment, it is very likely that they will continue to be used in clinical and laboratory settings for the foreseeable future. One aim of the present study was to develop a modification of these probability-based analyses in order to provide a better estimate of the initial phase of postsynaptic potentials. An additional aim was to combine probability-based analyses with frequency-based analyses to provide a more reliable estimate of later phases of postsynaptic potentials. To achieve these aims, we have injected simple as well as complex current transients into regularly discharging hypoglossal motoneurones recorded in vitro from rat brainstem slices. We examined the discharge output of these cells using both probability- and frequency-based analyses to identify which of the two represented the profile of the postsynaptic potential more closely. This protocol was designed to obtain PSTHs of the responses of single motor units to repeated application of the same afferent input. We have also simulated multiunit responses to afferent input by replacing the times of spike occurrence in individual trials with a representation of either an intramuscular or surface-recording single motor unit waveform and summing many of these trials to obtain either a simulated SEMG or MU-EMG. We found that in a regularly discharging motoneurone, the rising phase of an EPSP moves the occurrence of spikes forward and hence induces a substantial peak in all probability-based records. This peak is followed immediately by a period of reduced activity ('silent period') due to the phase advancement of spikes that were to occur at this period. Similarly, the falling phase of an IPSP delays spikes so that they occur during the rising phase of the IPSP. During the delay, the probability-based analyses display gaps and during the occurrence of the delayed spikes they generate peaks. We found that all the probability-based analyses (SEMG, MU-EMG and PSTH) can be made useful for illustrating the underlying initial PSP by a special use of the cumulative sum (CUSUM) calculation. We have illustrated that, in most cases, the CUSUM of probability-based analyses can overcome the delay- or advance-related (i.e. the count-related) errors of the classical methods associated with the first PSP only. The probability-based records also induce secondary and tertiary peaks and troughs due to synchronization of the spikes in relation to the stimulus (i.e. the synchronization-related errors) by the first PSP to occur at fixed times from the stimulus. Special CUSUM analyses cannot overcome these synchronization-related errors. Frequency-based analysis (PSFreq) of individual and summed trials gave comparable and often better indications of the underlying PSPs than the probability-based analyses. When used in combination, these analyses compliment each other so that a more accurate estimation of the underlying PSP is possible. Since the correct identification of the connections in the central nervous system is of utmost importance in order to understand the operation of the system, we suggest that as well as the using the special CUSUM approach on probability-based records, researchers should seriously consider the use of frequency-based analyses in their indirect estimation of stimulus-induced compound synaptic potentials in human motoneurones.

Animals↗

PubMed2002

The effects of common input characteristics and discharge rate on synchronization in rat hypoglossal motoneurones.

Synchronous discharges between a pair of concurrently active motoneurones are thought to arise from the spike-triggering effects of synaptic inputs shared by the pair. Although there are a number of quantitative indices that have been developed to estimate the strength of this common input, there is still some debate as to whether motoneurone discharge rate affects the values of these indices. The aim of the present study was to test the effects of motoneurone discharge rate on these synchronization indices using known common inputs. To achieve this aim we elicited repetitive discharge in rat hypoglossal motoneurones by combining a suprathreshold injected current step with superimposed noise to mimic the synaptic drive likely to occur during physiological activation. The amplitude of the current step was varied in different trials to achieve discharge rates from 5 to 22 Hz. We first examined the effect of discharge rate on the spike-triggering efficacy of individual EPSPs. Motoneurones were more responsive to large EPSPs delivered at a low rate when their background discharge rate was relatively low and the probability of the EPSPs evoking an extra spike decreased with increasing discharge rate. However, the opposite dependence was found for small, high-frequency EPSPs. We then compared the discharge records obtained in several trials in which the same EPSP train was applied repeatedly to the same cell firing at different background discharge rates. The effect of this 'common input' on motoneurone discharge probability was determined by compiling cross-correlation histograms (CCHists) between the discharges of the same cell at different times. The common inputs induced synchronous discharge that gave rise to large central peaks in the CCHists. The relationship between the discharge rate and the level of synchronization changed depending on the synchronization indices used and the amplitude of the common EPSPs. When large EPSPs were used as the common input, the normalized probability of synchronous spikes declined as the discharge rate increased, regardless of the method of normalization used. In contrast, when the common input was composed of a large number of small EPSPs, similar to that likely to occur during physiological activation of motoneurones, different synchronization indices exhibited a positive, a negative or no dependence on the background discharge rate. Indices based on normalizing the number of synchronous spikes by either the number of discharges in the lower frequency train (E), or by the total number of discharges in both trains (S) showed no dependence on background discharge rate and therefore may be the most suitable for quantifying motoneurone synchrony over a range of background discharge rates.

Action Potentials↗

PubMed2001

Modulation of the periodontally evoked masseter reflexes by mechanical stimulation of the face.

The current study was designed to determine if facial skin stimulation has a modulatory effect on the jaw reflexes that are elicited by tooth stimulation. This was investigated in eight human volunteers. The testing involved six sessions (three control and three test runs) of 50 identical tooth stimuli of 2 N, at 400 N/s, with 0.5 N preload, to the upper left central incisor. The stimulus typically induced an inhibitory reflex that was immediately followed by an excitatory reflex. All reflexes were recorded by surface electromyogram (SEMG) from the ipsilateral masseter. During the control runs, the tooth stimulus was delivered alone while the test runs involved mechanical stimulation of the skin as the tooth stimulus was repeated. The mechanical skin stimulation was achieved by rubbing a toothbrush with approximately 5 N of force, over the area of the face innervated by the maxillary division of the trigeminal nerve. The effect of skin stimulation on the periodontally induced reflex was measured by comparing the control and test reflex activity. When the SEMG of the test reflex was subtracted from the control reflex, the difference was a net increase in the SEMG in all eight subjects. There was also a significant reduction in the decline of the bite force. It is concluded that the skin stimulation can modulate the reflexes that are induced by tooth stimulus. It is postulated that this modulation may be partly responsible for matching the size and consistency of the food bolus with the appropriate bite force during mastication.

Adult↗

PubMed2001

Representation of human masseter motor unit action potentials on the EMG and its implication for trigeminal reflex investigation.

The trigeminal reflexes have very short pathways, creating accuracy problems when investigating their characteristics (latency, threshold, duration and amplitude). This is due to the potential for overlap of multiple evoked responses occurring in close succession. The aim of this study was to demonstrate the influence that individual motor unit action potential (MUAP) shape and duration can have on recordings of trigeminal reflex activity. MUAP profiles were developed for 48 motor units (3-6 units/subject) using intramuscular multi-unit recording, and 23 motor units (1-6 units/subject) using surface electromyography (SEMG) in 13 subjects (six male, seven female, aged 20-73 years). The MUAP data showed age-related characteristics, which would affect reflex recordings. MUAPs of older subjects tended to be longer in duration and multiphasic in shape, whilst younger subjects demonstrated shorter-duration action potentials, with a biphasic shape. It is recommended that the MUAP profile must be considered in order to overcome the methodological challenges unique to the orofacial region.

Action Potentials↗

PubMed2001

Distribution of periodontal afferent input to motoneurons of human masseter.

The distribution of the synaptic input from the periodontal mechanoreceptors onto the motoneurons of the human masseter is studied. Periodontal mechanoreceptors were activated using slowly rising force profiles of 2.5 N, which are known to induce predominantly excitatory reflex responses in the surface electromyogram (EMG) of the masseter. The reflex responses of single motor units (SMUs) were recorded to quantify the distribution of the periodontal input onto the masseter motoneurons. The relative sizes of motoneurons were estimated by comparing the peak-to-peak amplitude of the MacroRep (i.e. the representation of the SMU in the Macro EMG record). It was found that the larger SMUs had more excitatory and less inhibitory reflex responses than those of smaller size. This study demonstrates that the inputs from the periodontal mechanoreceptors, activated by slowly rising force profiles, are not distributed equally to the masseteric motoneurons. This may cause recruitment of motoneurons contrary to the size principle under some circumstances.

Action Potentials↗

PubMed2001

The role of the muscle spindles in human masseter.

In the limb muscles, the muscle spindles have been demonstrated to be important in the maintenance of static posture. This role is supported by the close proximity of the muscle spindles to motor units that develop small forces and are fatigue-resistant, and the greater effectiveness of the input from muscle spindle afferents onto the small motoneurons supplying these motor units. In masseter, input from the muscle spindles is more effective on the larger motoneurons. This suggests that the muscle spindles may be more important in masseter for the development of large, fast forces, rather than for the maintenance of static postures. Thus muscle spindles in masseter may be important in load compensation during chewing and for the development of powerful bite forces in aggressive or defensive situations.

Bite Force↗

PubMed2001

Periodontal mechanoreceptor input reduces synchronous discharge of voluntarily activated masseter motor units in man.

The control exerted by inputs from periodontal mechanoreceptors (PMRs) on the tonic activity of 35 pairs of single motor units in the left masseter muscle was investigated with and without the presence of continuous pressure on the upper left central incisor tooth. Cross-correlograms were computed to assess the temporal coupling between the discharges of the motor unit pairs. In the absence of continuous pressure, central peaks in the cross-correlograms revealed the presence of significant synchronous discharge in 16 out of the 35 pairs tested. In contrast, during PMR stimulation only nine pairs were found to discharge with a significant amount of synchronization. It is concluded that short-term synchronization due to common, partially common and synchronized inputs shared by the motoneurons was reduced whenever extraneous periodontal inputs were superimposed on the voluntary command. This indicates that the interneurons which mediate the periodontal inputs arising from one single tooth are not distributed widely throughout the masseter motoneuron pool. In contrast, it appears that periodontal inputs are liable to reduce the efficiency of common inputs distributed to the masseter motoneurons during voluntary contraction ("desynchronization").

Adult↗

PubMed2001

Effects of common excitatory and inhibitory inputs on motoneuron synchronization.

We compared the effects of common excitatory and inhibitory inputs on motoneuron synchronization by simulating synaptic inputs with injected current transients. We elicited repetitive discharge in hypoglossal motoneurons recorded in slices of rat brain stem using a combination of a suprathreshold injected current step with superimposed noise to mimic the synaptic drive likely to occur during physiological activation. The effects of common inputs to motoneurons were simulated by the addition of a waveform composed of from 6 to 300 trains of current transients designed to mimic excitatory and/or inhibitory synaptic currents. We compared the discharge records obtained in several trials in which the same "common input" waveform was applied repeatedly in the presence of different background noise waveforms. The effects of the common input on motoneuron discharge probability and discharge rate were determined by compiling a cross-correlation histogram (CCHist) and a perispike frequencygram (PSFreq) between the discharges of the same cell at different times. Both excitatory and inhibitory common inputs induced synchronous discharge that was evident by a large central peak in the CCHist. The CCHists produced by common excitatory inputs were characterized by larger and narrower central peaks than those generated by common inhibitory inputs. The PSFreqs produced by common excitatory inputs indicated an increase in the discharge rate of motoneurons around time 0 that coincided with the narrow and large central peak in the CCHist. On the other hand, inhibitory inputs often generated very little, if any, change in the discharge rate around time 0 corresponding with the small and wide central peak in the CCHist. These results suggest that the CCHist indicates the effective strength of the net common input but not its sign. Although correlated changes in discharge rate are often quite different for net excitatory and inhibitory common input, except in some restricted conditions, the PSFreq analysis also cannot be used to unambiguously distinguish net excitation from net inhibition.

Animals↗

PubMed2000

A method for protrusive mandibular force measurement in children.

With this new method, protrusive mandibular force was studied in a homogeneous group of 69 children with similar occlusions. Maximum protrusive force ranged from 18.5 to 160 N (mean +/- SD = 81.3+/-31.6 N). Maximum protrusive force was significantly higher in males (90.7+/-30.2 N) than females (66.6+/-28.6 N) while fatigue time was not significantly different between the two groups (70.6+/-38.5 s for males and 65.1+/-33.6 s for females). Although protrusive force was stable in each session, it varied considerably between different experimental days within the same individual. No statistically significant correlation was found between maximum protrusive force and age, skeletal maturity, height, weight, overjet, maxillomandibular relation, facial height, facial widths or facial proportions.

Adolescent↗

PubMed2000

Estimating relative motoneurone size in human masseter muscle.

The representation of a motor unit in the macro-EMG (MacroRep) is the method of choice for determining muscle-unit size in masseter. However, before using MacroRep to infer motoneurone size, the relation between MacroRep amplitude and motoneurone size needs to be established. This is particularly important in masseter, where the diameter of the type II muscle fibres is smaller than that of the type I fibres. This unusual situation may affect the cross-sectional area of the muscle units innervated by motoneurones, disturbing the expected correlation between the MacroRep and motoneurone size. This study used H-reflex latency as an indicator of motoneurone size, and found a negative correlation between H-reflex latency and MacroRep amplitude in all simultaneously firing motor-unit pairs identified. Thus it is concluded that MacroRep amplitude provides a good estimate of relative motoneurone size in masseter, within the limits specified in the study.

Action Potentials↗

PubMed2000

EMG and strength correlates of selected shoulder muscles during rotations of the glenohumeral joint.

OBJECTIVE: To identify activation patterns of several muscles acting on the shoulder joint during isokinetic internal and external rotation. DESIGN: Combined EMG and isokinetic strength analysis in healthy subjects. BACKGROUND: EMG studies of the shoulder region revealed intricate muscular activation patterns during elevation of the arm but no parallel studies regarding pure rotations of the joint could be located. METHODS: Fifteen (n=30 shoulders) young, asymptomatic male subjects participated in the study. Strength production during isokinetic concentric and eccentric internal and external rotations at 60 and 180 degrees /s was correlated with the EMG activity of the rotator cuff, biceps, deltoid and pectoralis major. Analysis of the smoothed EMG related to the timing of onset of the signal and to the normalized activity at the angle of the peak moment. Determination of the association between the EMG and the moment was based on strength ratios. RESULTS: Findings indicated that for both types of rotations, the rotator cuff and biceps were active 0.092+/-0.038-0.215+/-0.045 s prior to the initiation of the actual movement and 0.112-0.034 s prior to onset of deltoid and pectoralis major activity. These differences were significant in all of the eight conditions (P<0.05). In terms of the strength ratios, strong association was found between electrical activity and moment production in the subscapularis and infraspinatus (r(2)=0.95 and 0. 72, respectively) at the low and high angular velocities. CONCLUSIONS: Prior to actual rotation of the shoulder joint, normal recruitment of the rotator cuff and biceps is characterized by a non-specific presetting phase which is mainly directed at enhancing the joint 'stiffness' and hence its stability. Once movement is in progress, the EMG patterns of these muscles become movement specific and are correlated with the resultant moment. RELEVANCE: Muscular dysfunction relating to delayed onset activity or altered activation patterns, due to pain, perturbed mechanics or disturbed neural activation have been implicated as concomitant factors in other joint associated pathologies. Through highlighting the role of the rotator cuff in shoulder joint rotations, this study lends further support to the argument that a parallel situation may prevail with respect to shoulder joint dysfunction. This could lead to the development of rehabilitation protocols aimed specifically at redressing such dysfunction.

Adolescent↗

PubMed2000

Effects of twin-block therapy on protrusive muscle functions.

Protrusive mandibular function, including maximum protrusive force and fatigue time, was investigated in 66 children displaying Class II Division 1 malocclusion. Thirty-two children were treated with the Clark Twin-block appliance and the other 34 children served as untreated controls. The observation period was 6 months. Cross-sectional data based on pretreatment records showed that maximum protrusive force ranged from 18.5 N to 160 N, with a mean of 80.3 +/- 30.7 N. Maximum protrusive force was significantly higher in males than in females (P <.001). The correlation between maximum protrusive force and chronologic age was low (r = 0.20) and did not reach significance. Maximum protrusive force in the group of children with disk displacement was not significantly different from that of the group without disk displacement. Comparison of pretreatment and 6-month records in the untreated control group revealed a significant increase in maximum protrusive force (P <.01) as a result of normal growth, while the measured change in the Twin-block-treated children did not reach significance. Fatiguing the protrusive muscles did not alter mandibular position in the Twin-block group after 6 months of treatment. The present study does not support the lateral pterygoid hypothesis, as there was no evidence of an increase in mandibular protrusive function after treatment with the Twin-block functional appliance.

Adolescent↗

PubMed2000

Reflex responses induced by tooth unloading.

The reflex response of the masseter muscle to the rapid unloading of a single maxillary incisor tooth was studied. Unloading of a static force of 2 N in the horizontal direction resulted in a short-latency excitation, inhibition, and long-latency excitation of masseter muscle activity occurring at latencies of approximately 13, 20, and 40 ms, respectively, with a corresponding change in bite force occurring slightly later in each case. Following the blocking of periodontal input by the injection of local anesthetic around the stimulated tooth, inhibitory responses were abolished. Therefore, it is concluded that the observed masseteric inhibition was caused by the unloading of periodontal mechanoreceptors and thus that these receptors may contribute to the jaw unloading reflex.

Adult↗