Biomedical subjects

T Sinkjaer

Publications and source records attributed to T Sinkjaer.

At least 91 records · Page 5Linked to original sources

PubMed1994

Simultaneous 31P NMR spectroscopy and EMG in exercising and recovering human skeletal muscle: technical aspects.

The bioenergetics of human skeletal muscle can be studied by 31P NMR spectroscopy (31P-MRS) and by surface electromyography (SEMG). Simultaneous 31P-MRS and SEMG permit accurate and noninvasive studies of the correlation between metabolic and electrical changes in exercising and recovering human skeletal muscle, a relationship that is still poorly understood. This study describes the optimization of skeletal muscle 31P-MRS in a whole-body magnet, involving surface coil design, utilization of adiabatic radio frequency pulses and advanced time-domain fitting, to the technical design of SEMG. A nonmagnetic ergometer was used for ankle dorsiflexions that activated only the anterior tibial muscle as verified by post exercise imaging. The coil design and the adiabatic sech/tanh pulse improved sensitivity by 45% and 56% respectively, compared with standard techniques. Simultaneous electromyographic recordings did not deteriorate the NMR spectra. The VARPRO time domain fitting routine was very suitable for estimating 31P muscle spectra. With these methods it was possible to accurately estimate parameters describing metabolic and electrical changes during rest, exercise and the entire recovery period with a 20-s time resolution on a standard 1.5 T whole-body NMR scanner.

Ankle Joint↗

PubMed1994

Simulations of the alpha motoneuron pool electromyogram reflex at different preactivation levels in man.

The alpha motoneuron pool and the surface electromyogram (EMG) of the human soleus muscle are modelled, respectively, by an alpha motoneuron pool model generating the firing patterns in the motor units of the muscle and by a muscle model using these discharge patterns to simulate the surface EMG. In the alpha motoneuron pool model, we use a population of motoneurons in which cellular properties like cell size and membrane conductance are distributed according to experimentally observed data. By calculating the contribution from each motor unit, the muscle model predicts the EMG. Wave forms of the motor unit action potentials in the surface EMG are obtained from experimental data. Using the model, we are able to give a quantitative prediction of the motoneuron pool activity and the reflex EMG output at different preactivation levels. The simulated data are consistent with experimentally obtained results in healthy humans. During static isometric muscle preactivations, the simulations show that the reflex strength is highly dependent on the intrinsic threshold properties of the alpha motoneuron pool.

Computer Simulation↗

PubMed1994

Segmental reflexes and ankle joint stiffness during co-contraction of antagonistic ankle muscles in man.

The size of soleus H-reflexes and short-latency stretch reflexes was measured at different levels of plantar flexion or co-contraction (simultaneous activation of dorsi- and plantar flexors) in seven healthy subjects. In four of seven subjects the short-latency stretch reflex was smaller during weak co-contraction than during isolated plantar flexion at matched background electromyogram (EMG) levels in the soleus muscle. In three of these four subjects the stretch reflex was larger during strong co-contraction than during plantar flexion, whereas it had the same size during the two tasks in the last subject. In the remaining subjects the stretch reflex either had the same size or was larger at all levels of co-contraction than at similar levels of plantar flexion. In contrast, the H-reflex was found to decrease with co-contraction at all contraction levels in all subjects. The decrease in the reflexes during weak co-contraction might be caused by presynaptic inhibition of Ia afferents. It is unclear why only the H-reflex decreased during strong co-contraction. The stiffness of the ankle joint was measured from the torque increment following the stretch of the plantar flexors divided by the stretch amplitude. In all subjects the total stiffness of the ankle joint was larger during strong co-contraction than during plantar flexion of similar strength. The stiffness was smaller during weak co-contraction than during weak plantar flexion in three out of seven subjects.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed1994

Natural neural sensing and artificial muscle control in man.

In the intact organism, specialised sensors in the skin, muscles and joints provide sensory feedback information that is normally used by the central nervous system to regulate and update the motor output. Many sensory functions remain intact after spinal cord injury or stroke. Here we demonstrate that natural sensory nerve activity in man can be chronically recorded, and that the recorded neural activity can provide sensory feedback signals for an event-driven artificial reflex control of paralysed muscles.

Adult↗

PubMed1994

Passive, intrinsic and reflex-mediated stiffness in the ankle extensors of hemiparetic patients.

The total mechanical response to a stretch in a contracting muscle is the sum of the response from the properties of the fibres contracting prior to the stretch (intrinsic properties), the response from the passive tissues and the response from the stretch reflex-mediated contraction of the muscle fibres. The passive, the intrinsic and the reflex-mediated mechanical response to a 4 degrees stretch of the ankle extensors in both legs of nine spastic hemiparetic patients and, as control, the left ankle extensors in eight healthy subjects were measured. The stretch was imposed at the top of a maintained contraction, which was varied from zero to maximal contraction. The torque increments, measured 200 ms after stretch, were converted into stiffness by dividing by the amplitude of the stretch. We found that the reflex stiffness of the spastic and contralateral leg was within the normal range of the reflex stiffness in healthy subjects, and that the passive stiffness of the spastic and the contralateral leg is larger than the passive stiffness in healthy subjects, whereas the intrinsic stiffness is unchanged in the spastic extensor muscles.

Adult↗

PubMed1993

Non-reflex and reflex mediated ankle joint stiffness in multiple sclerosis patients with spasticity.

In this study, we have measured the passive, the intrinsic, and the reflex-mediated mechanical response to stretch of the ankle extensors and flexors in 13 spastic multiple sclerosis patients and 10 healthy control subjects. In the ankle flexors, the patients had no reflex-mediated stiffness. The passive stiffness was increased by 138% (95% confidence interval: 26-91%) and the intrinsic stiffness by 79% (41-158%) when compared with the healthy subjects. In the ankle extensors, the reflex-mediated stiffness and the intrinsic stiffness of the patients were equal to the reflex-mediated and the intrinsic stiffness in healthy subjects. The passive stiffness was increased by 152% (41-352%). We conclude that spastic muscles in multiple sclerosis patients have an increased non-reflex stiffness (passive plus intrinsic stiffness), and that the reflex-mediated stiffness in the extensors during a sustained voluntary contraction does not differ significantly from healthy subjects.

Adult↗

PubMed1993

Stretch responses to ankle rotation in multiple sclerosis patients with spasticity.

In 13 spastic patients with multiple sclerosis and 10 control subjects, electromyographic (EMG) and mechanical responses to stretch of the ankle extensors and ankle flexors during maintained contraction were measured. The reflex EMG responses in the extensors were divided into a phasic response (40-140 msec after onset of stretch) and a tonic response (200-400 msec after onset of stretch). In the control subjects, both the onset and peak latency of the phasic EMG response decreased with the contraction level (0.01 < P < 0.02 and P < 0.002 respectively) in the extensors. In the patients the latency of the phasic EMG response in the extensors was independent of the voluntary contraction level. This could be attributed to a disruption of the normal recruitment of the motor units according to the size principle. The phasic EMG response was larger in the patients than in the control subjects (P < 0.01). The tonic EMG response was of equal size in the two groups. The larger phasic EMG response in the patients was not followed by an increase in the reflex mediated mechanical stretch response. This shows that proposed changes in the muscle function in spastic patients based on changes in EMG stretch responses must be made with caution. In the ankle flexors all patients had reduced or absent EMG responses to stretch, consistent with earlier findings of an absent mechanical reflex mediated response.

Adult↗

PubMed1993

H-reflex changes during contractions of the ankle extensors in spastic patients.

Soleus H-reflexes during tonic contractions and isometric ramp contractions of the ankle extensors in spastic and healthy subjects were measured. During the tonic contractions, the H-reflex increased with the contraction level. The increase was highest in the patients (p < 0.001). The facilitation of the H-reflex during a ramp contraction is due to a static component resulting from the increased excitation level and a dynamic component resulting from the modulation of the H-reflex. The dynamic H-reflex facilitation during the ramp contraction was decreased in the patients (p < 0.05). The findings suggest that there is a decreased H-reflex control in spastic patients and this could be explained by a decreased presynaptic inhibition or by postsynaptic changes.

Adult↗

PubMed1993

Correlation of primate red nucleus discharge with muscle activity during free-form arm movements.

1. We recorded from 239 neurons located in the magnocellular division of the red nucleus of four alert macaque monkeys. At the same time, we recorded electromyographic (EMG) signals from as many as twenty electrodes chronically implanted on muscles of the shoulder, arm, forearm and hand. We recorded EMG signals for periods ranging from several months to a year. 2. The monkeys were trained to perform three free-form food retrieval tasks, each of which activated all of the recorded muscles and most of the neurons. The 'prehension' task required simply that the monkey grasp a piece of food from a fixed point in space. The 'barrier' task required the monkey to reach around a small barrier to obtain the food, and the 'Kluver' task required that food be removed from small holes. During the prehension task, we found approximately equal numbers of neurons that were strongly active while the hand was being moved toward the target (70% of units), and while the food was being grasped (60%). Relatively few units were active as the hand was returned to the mouth (15%). 3. Data files of 1-2 min duration were collected while the monkey performed a single behavioural task. Whenever possible, we recorded files for all three tasks from each neuron. For each file we calculated long time-span analog cross-correlations (+/- 1.28 s) between instantaneous neuronal firing rate and each of the full-wave rectified, low-pass filtered EMG signals. We used the peak correlation and the time of the peak as two summary measures of the functional relation between modulation of neuronal activity and EMG. 4. The magnitude of the strongest correlations was between 0.4 and 0.5 (normalized to a perfect correlation of +/- 1.0). Distal muscles were the most frequently correlated, and extensors were more frequently correlated than flexors. For all monkeys, the lags for well correlated muscles were distributed broadly about a uni-modal value near 0 ms. Eighty five per cent of the correlations larger than or equal to 0.25 had peaks between -150 and 200 ms. 5. The activity of each neuron was represented in a muscle co-ordinate system by an n-dimensional 'functional linkage vector', each element of which was the peak correlation with one of n muscles. The vector for any given neuron points in a particular direction in muscle space, depending on the similarity between the activity of the neuron and the activity of each muscle.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed1992

Simultaneous electromyography and 31P nuclear magnetic resonance spectroscopy--with application to muscle fatigue.

The electromyogram (EMG) is often used to study human muscle fatigue, but the changes in the electromyographic signals during muscle contraction are not well understood in relation to muscle metabolism. The 31P NMR spectroscopy is a semi-quantitative non-invasive method for studying the metabolic changes in human muscle. The aim of this study was to develop a method by which EMG and NMR spectroscopy measurements could be performed simultaneously. All measurements were performed in a whole body 1.5 Tesla NMR scanner. A calf muscle ergometer, designed for use in a whole body NMR scanner, was used. The subject had the left foot strapped to the ergometer. The anterior tibial EMG was recorded by bipolar surface electrodes. A surface coil was strapped to the anterior tibial muscle next to the EMG electrodes. Simultaneous measurements of surface EMG and surface coil 31P NMR spectroscopy were performed in the scanner during an isometric submaximal voluntary contraction until exhaustion, in 6 normal volunteers. Concentrations of phosphocreatine (PCr), inorganic phosphate (P(i)) and pH were analysed together with root mean square (RMS) and median frequency of the EMG. The fatiguing contractions (endured 5-13 min) produced a rapid decline in PCr and pH accompanied by a rapid rise in P(i). The RMS was approximately constant until the normalized PCr concentration declined below 0.6-0.7 and the pH declined below 6.75-6.85; exceeding these metabolic limits was associated with a rapidly increasing RMS value (2-3 times the previous level by exhaustion). The median frequency declined linearly with time and was found to be highly linearly correlated with the pH value (r = 0.82).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed1992

Mechanical properties of human ankle extensors after muscle potentiation.

The contractile properties of a muscle depend on the activation history of its motor units. At the same time as fatigue seems to impair muscle excitation-contraction coupling, post-tetanic potentiation can augment force production. The effects of post-tetanic potentiation on the mechanical muscle properties of the intact human ankle extensor muscles were investigated by a 4 degree dorsiflexion of the ankle joint during a sustained contraction. The contraction was elicited by 10 Hz electrical stimulation of the tibial nerve. The changes in the contraction torque and in the intrinsic muscle stiffness of the ankle extensors before and after prolonged electrically elicited muscle activation were measured. From the onset of continuous synchronized 10 Hz stimulation to the attainment of maximal torque, the ankle joint torque increased by 47%. At matched background contraction, the prolonged electrically elicited contraction increased the intrinsic muscle stiffness by 49%. The first stretch after prolonged stimulation gave rise to a 17% yield in the background contraction and a 73% yield in the torque increment. The findings imply that with fatigue an increase in the intrinsic stiffness of the pre-stretched muscle might operate as a "safety factor" to compensate for a reduced reflex-induced stiffness, keeping the total muscle resistance at a high level in the active muscle.

Adult↗

PubMed1992

The influence of muscle length on muscle fibre conduction velocity and development of muscle fatigue.

The influence of muscle (vastus lateralis) length on the muscle fibre conduction velocity (MFCV) and on muscle fatigue was studied in 8 healthy volunteers. In experiment 1, the electromyographic (EMG) responses were evoked by electrical stimulation of the motor point and recorded by a surface electrode array aligned along the muscle fibre direction. The MFCV (determined by cross-correlation) was measured at knee flexions of 5 degrees (full extension), 45 degrees, 90 degrees and 120 degrees with 3 different extension torques. The MFCV declined with increasing muscle length and increased with increasing background torque at knee flexions from 5 degrees to 90 degrees. From 90 degrees to 120 degrees knee flexion of MFCV tended to increase. In experiment 2, the EMG activity at a static fatiguing contraction (80% MVC) was measured at 45 degrees and 90 degrees knee flexion. The EMG was measured until the subject gave up contracting the muscle (endurance). The largest increase in the RMS amplitude and the fastest decreases in the mean power frequency (MPF) and MFCV were found at 90 degrees flexion. The MVC at 45 degrees knee flexion was 35% lower than at 90 degrees and the time until endurance was approximately twice as long for the 45 degrees contraction. The results indicate that muscle length is an important parameter for the propagation velocity of action potentials and for the development of static muscle fatigue.

Action Potentials↗

PubMed1991

Postoperative hypophosphataemia and muscle function.

Muscle function tests of the triceps brachii muscle were performed before operation and on the third postoperative day in ten patients undergoing elective cholecystectomy. Electromyograms (EMGs) were recorded by surface electrodes during sustained isotonic and isometric muscle contraction with a constant force of 20 per cent of the preoperative maximal voluntary contraction. Root-mean-square of the EMG was calculated together with the neuromuscular efficiency and measures of the fatiguability. These parameters were compared with changes in the simultaneously measured serum phosphate concentrations. Mean (s.e.m.) neuromuscular efficiency measured after 32-40 s of muscle contraction decreased 14(5) per cent after operation (P less than 0.01), whereas the mean fatiguability of the muscle was unchanged. Mean serum phosphate concentration was 0.87(0.06) mmol/l before operation and 0.79(0.06) mmol/l 3 days after the operation (P greater than 0.05). Two patients developed severe postoperative hypophosphataemia (serum phosphate concentration less than 0.50 mmol/l). Postoperative muscle function deterioration was not associated with changes in the serum phosphate level (P greater than 0.10; r = 0.03). We conclude that patients undergoing cholecystectomy develop postoperative deterioration in skeletal muscle function, which is not associated with serum phosphate concentration.

Adult↗

PubMed1991

Stretch reflex variation in the relaxed and the pre-activated quadriceps muscle of normal humans.

The stretch reflex to patellar tendon taps was quantified by force measurements at the ankle in 7 normal subjects. In each experiment the stretch reflex was elicited from 14 consecutive stretches by two types of hammers (an ordinary hand-held hammer and a motorized hammer) in the relaxed and the pre-activated quadriceps muscle. The coefficient of variation for the 14 stretch reflexes fell from 54% in the relaxed muscle to 39% in the contracting muscle (p less than 0.05). The stretch reflex varied less between the different levels of active contraction than between the relaxed state and the contracted level (p less than 0.05). The experiment was repeated in all subjects and at all contraction levels. The coefficient of variation of the mean for the two experiments fell non-significantly from a mean value of 27% in the relaxed muscle to 14% in the contracting muscle. The coefficients of variation for the two hammers were almost identical. It is concluded that quantification of the stretch reflex can be made more precisely in the contracting muscle.

Adult↗

PubMed1991

Mechanical and electromyographic responses to stretch of the human ankle extensors.

1. During maintained ankle extension with background torques ranging from 0 to 70 N.m, the ankle extensors were stretched by a 5 degree rotation of the ankle joint. Maximal stretch velocity was 170 degrees/s. Regression analysis of simultaneous measurements of total torque and needle and surface electromyograms (EMG) from the soleus and gastrocnemius muscles showed that the soleus muscle generates about two-thirds of the maximal torque (approximately 120 Nm) with the subjects in sitting position. In addition, it was found that there is considerable cross talk between the soleus and gastrocnemius muscles when EMGs are recorded by surface electrodes. 2. The soleus EMG response to stretch began with a "phasic" response (latency 41 +/- 4 ms, mean +/- SD), consisting of two peaks, labeled M1 and M2. The phasic response ended 120-140 ms after stretch onset and was followed by a period of reduced EMG activity, ending at 170-210 ms. After this "silent period," a smaller "tonic" response was seen. The phasic responses of the soleus muscle were much larger than the corresponding responses in the anterior tibial muscle. In contrast, the tonic responses were comparable in the soleus and anterior tibial muscles. 3. The amplitudes of the phasic M1 and M2 responses were independent of the level of the background contraction. This disagrees with the "automatic gain principle," according to which the amplitudes of M1 and M2 should increase proportionally with the background EMG. In contrast to the phasic responses, the amplitude of the tonic EMG response, measured 200-400 ms after stretch onset, followed the automatic gain principle.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed1991

Muscle coordination following rupture of the anterior cruciate ligament. Electromyographic studies of 14 patients.

In an electromyographic (EMG) study, the coordination in muscles acting on the knee joint was assessed in 14 patients with an arthroscopically verified complete rupture of the anterior cruciate ligament and in 16 controls. EMG and heel-contact signals were recorded while walking on a treadmill at walking gradients from 0 to 25 percent. There was an earlier onset of EMG bursts in the patients, especially in the lateral hamstrings and medial gastrocnemius; and the duration of EMG bursts also tended to be prolonged in the patients. Normalized root mean squares of amplitudes, which correlate with muscle tension, were higher in the gastrocnemius in the patients. EMG profiles, outlining the averaged muscle activity throughout the gait cycle, showed a displacement of peak activity in the hamstrings from the late swing phase into the stance phase, with increasing gradients in both the patients and the controls. Our study indicates that the gastrocnemius muscle contributes to functional stability in the anterior cruciate ligament deficient knee, and more attention should be paid to this muscle.

Adult↗

PubMed1990

Segmental reflex action in normal and decerebrate cats.

1. The objective of this study was to evaluate the action of the stretch reflex on the ankle extensor muscles of normal and decerebrate cats. 2. Experiments were performed on nine freely standing, unrestrained cats and repeated after decerebration at the premammillary level. The length, force, and electromyograph (EMG) of the soleus (SOL) and lateral gastrocnemius (LG) muscles were recorded with the use of implanted transducers and electrodes. 3. The left ankle joint was unexpectedly and reproducibly dorsiflexed by briefly stimulating the common peroneal (CP) nerve with electrodes within an implanted nerve cuff. The ensuing twitch contractions of the ankle dorsiflexor muscles stretched the ankle extensor muscles by 0.3-2.0 mm. Lidocaine was infused into another nerve cuff proximal to the stimulation site, to reversibly block the central propagation of evoked volleys in the CP nerve. 4. Reflex action before and after decerebration was measured from the responses to perturbations of similar amplitude and duration delivered at approximately matched background values of muscle length and force. In most cats the temperature of the hindlimb was monitored with an implanted thermistor and was restored to normal values with radiant heat after decerebration. 5. A stretch imposed on the tonically active ankle extensor muscles immediately caused a considerable rise in the force recorded from the triceps tendon. Within 30-40 ms the triceps force peaked, reaching a value 10-20 N greater than background, and then rapidly declined while the extensor muscles were still lengthening. The initial rise in force preceded any change in triceps EMG. It was attributed to the intrinsic viscoelasticity of the stretched muscles and tendons. After decerebration the magnitude and timing of the initial force peak did not change. 6. A short-latency reflex EMG burst was typically recorded from both the SOL and LG muscles, starting 11-17 ms after stimulus onset. After decerebration the area of the reflex EMG burst increased in all nine cats, typically by a factor of 2 or 3. 7. After decerebration a second, smaller increase in force was typically observed starting 60-80 ms after onset of stretch. This later force rise, interpreted to be of reflex origin, was rarely apparent in normal cats. 8. Decerebration introduced consistent modifications in postural behavior that were revealed by pushing down on the back of quietly standing cats. In normal cats, after brief pushes that stretched the ankle extensor muscles by 1-2 mm, the EMG, force, and length quickly stabilized near their initial values.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed1990

Factors determining segmental reflex action in normal and decerebrate cats.

1. In the companion paper the gain of the stretch reflex in the ankle extensor muscles of normal cats was shown to increase after decerebration. The objectives of this study were 1) to identify the origin of the increased reflex and 2) to evaluate the contribution from afferents other than ankle extensor muscle afferents to the short-latency reflex. 2. Six cats were trained to stand unaided on four pedestals. Three cats were also trained to control the force exerted with the left hindlimb. The left soleus (SOL) and lateral gastrocnemius (LG) electromyogram (EMG), length, force, and temperature were recorded by chronically implanted electrodes and transducers. Measurements were taken before and after decerebration at the premammillary level. After decerebration limb temperature was returned to its normal range by the use of radiant heat. 3. Reproducible ramp-and-hold stretches and releases of the ankle extensor muscles were produced by a servo-controlled motor that rotated the left rear pedestal about the ankle joint. The length of the ankle extensor muscles changed by 2-3 mm within 30-35 ms after the onset of a ramp perturbation. Reflex responses before and after decerebration were compared at matched background values of muscle length and force. 4. In both the SOL and LG muscles, a short-latency EMG burst appeared 8-12 ms after stretch onset and lasted approximately 20 ms. After decerebration the onset of the rectified and smoothed EMG burst remained unchanged, but its area was increased by 36-89%. 5. The lateral gastrocnemius-soleus (LG-S) electroneurogram (ENG) was chronically recorded in two cats with a nerve cuff recording electrode implanted on the LG-S nerve. LG-S ENG activity started to increase soon after stretch onset and remained high during the entire ramp phase. The stretch-evoked LG-S ENG burst started approximately 8 ms earlier than the short-latency SOL and LG EMG bursts. It was interpreted to reflect mainly an increase in the activity of Group Ia and Ib muscle afferents, caused by increases in both muscle length and muscle force during the stretch. After the cats were decerebrated, for matched postural conditions, the area of the stretch-evoked LG-S ENG burst was increased by 29-35%. Because the length and force changes sensed by the muscle receptors before and after decerebration were similar, this suggests that the sensitivity of muscle spindles was increased as a consequence of altered activity in fusimotor neurons after decerebration.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗