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Muscle activity-torque-velocity relations in human elbow extensor muscles.

With the aid of an artificial neural network technique, we investigated relationships between the torque and extending velocity of an elbow at constant muscle activation in healthy volunteers. Each subject sat on a chair and was able to move his upper- and forearm on a shoulder-high horizontal plane. First, with the gravitational force of a weight hanging from a pulley, the subject's wrist was pulled to flex the elbow. Next, the subject was instructed to extend his elbow joint at a constant velocity. Integrated electromyograms (IEMGs), elbow joint angle and torque were measured while the elbow was being extending. Then the relationships among these three variables were modeled using an artificial neural network where IEMGs, joint angle and velocity were the inputs, and torque was the output. After back propagation learning, we presented various combinations of IEMGs, elbow joint angle and velocity to the model, and estimated the elbow joint torque to obtain the torque-velocity relationship for constant muscle activation. The torque decreased in a nearly linear manner as the velocity increased. This was caused by slow extending velocity and was explained by Hill's equation at slow velocity.

Adult↗

Quadriceps femoris muscle torques and fatigue generated by neuromuscular electrical stimulation with three different waveforms.

BACKGROUND AND PURPOSE: Neuromuscular electrical stimulation is used by physical therapists to improve muscle performance. Optimal forms of stimulation settings are yet to be determined, as are possible sex-related differences in responsiveness to electrical stimulation. The objectives of the study were: (1) to compare the ability of 3 different waveforms to generate isometric contractions of the quadriceps femoris muscles of individuals without known impairments, (2) to compare muscle fatigue caused by repeated contractions induced by these same waveforms, and (3) to examine the effect of sex on muscle force production and fatigue induced by electrical stimulation. SUBJECTS: Fifteen women and 15 men (mean age=29.5 years, SD=5.4, range=22-38) participated in the study. METHODS: A portable battery-operated stimulator was used to generate either a monophasic or biphasic rectangular waveform. A stimulator that was plugged into an electrical outlet was used to generate a 2,500-Hz alternating current. Phase duration, frequency, and on-off ratios were kept identical for both stimulators. Participants did not know the type of waveform being used. Torque was measured using a computerized dynamometer. A maximal voluntary isometric contraction (MVIC) of the right quadriceps femoris muscle set at 60 degrees of knee flexion was determined during the first session. In each of the 3 testing sessions, torque of contraction and fatigue elicited by one waveform were measured. Order of testing was randomized. Torque elicited by electrical stimulation was expressed as a percentage of average MVIC. A mixed-model analysis of variance was used to determine the effect of stimulation and sex on strength of contraction and fatigue. Bonferroni-corrected post hoc tests were used to further distinguish between the effects of the 3 stimulus waveforms. RESULTS: The results indicated that the monophasic and biphasic waveforms generated contractions with greater torque than the polyphasic waveform. These 2 waveforms also were less fatiguing. The torques from the maximally tolerated electrically elicited contractions were greater for the male subjects than for the female subjects. DISCUSSION AND CONCLUSION: Muscle torque and fatigue of electrically induced contractions depend on the waveform used to stimulate the contraction, with monophasic and biphasic waveforms having an advantage over the polyphasic waveform. All tested waveforms elicited, on average, stronger contractions in male subjects than in female subjects when measured as a percentage of MVIC.

Adult↗

Removal torques of conical, tapered implant abutments: the effects of anodization and reduction of surface area.

PURPOSE: To examine the effects of anodization (surface coating) and reduction of internal Morse taper surface area on the reversal torque values of Straumann ITI dental implants and abutments. MATERIALS AND METHODS: Eighty ITI solid screw implants were mated with corresponding 5.5-mm solid abutments. The assemblies were divided into 4 test groups of 20 specimens. All abutments were torque tightened into the implant to 35 Ncm. Half of the abutments were anodized and half were in their as-machined state. Each of these 2 groups included half of the implants with the standard internal Morse taper configuration and half with the synOcta (Straumann USA, Waltham, MA) internal positioning interface (indexed). Torque removal testing was then performed on the assemblies. The 4 groups were compared statistically to examine the effect of the 2 variables (anodization and reduction in surface area). Scheffe's test for multiple comparisons was used to compare groups at an adjusted significance level of < or = .05. RESULTS: Torque removal of all specimens revealed that the indexed implant with the non-anodized abutment demonstrated superior removal torque. DISCUSSION: The indexed and standard implants with anodized abutments, and the standard implant with the non-anodized abutment had lower reversal torque values. CONCLUSION: The addition of the indexed internal surface to the ITI implant did not have deleterious effect on the resistance to loosening of standard solid abutments.

Coated Materials, Biocompatible↗

Support torques during simulated sit-to-stand movements.

Sit-to-stand movements are a fundamental daily activity and a prerequisite to upright posture. Previous simulations of spinal cord injured individuals using functional neuromuscular stimulation (FNS) suggested a forward foot placement would reduce hand-support forces. However, this recommendation has proved to be difficult for able-bodied individuals standing hands-free and for individuals with spinal cord injuries standing with a walker. This inverse model is a step towards the goal of using forward simulations to determine efficient sit-to-stand strategies. Initial seated postures varied from 80-110 degrees of knee flexion and 90-120 degrees of hip flexion. Realistic progressions of lower extremity joint angles including development of linear momentum were created using sigmoid functions. These kinematic values were used to estimate the required resultant joint torques to complete sit-to-stand. Joint torque values that act to raise the body were combined to indicate sit-to-stand difficulty from different seated postures. A representative foot-forward placement (knee 80 degrees, hip 90 degrees) resulted in a maximum combined torque of 544 Nm. In contrast, a representative foot-back placement (knee 110 degrees, hip 120 degrees) resulted in a maximum combined torque of 661 Nm. An intermediate seated posture (knee 97 degrees, hip 90 degrees) produced the lowest maximum combined torque of 401 Nm (2 Nm ankle plantarflexion, 201 Nm knee extension, 198 Nm hip extension). Foot-forward placement required substantial ankle dorsiflexion torques. The most efficient strategy appeared to be combining a foot back placement with momentum generation using hip flexion. By generalizing the sit-to-stand model beyond FNS-driven movements, further insight may be gained into other populations (i.e., elderly).

Computer Simulation↗

Correlation between placement torque and survival of single-tooth implants.

PURPOSE: This study evaluated the survival parameters of single-tooth implants through clinical and radiographic analysis. MATERIALS AND METHODS: Implants were restored within a 24-hour period with a provisional crown designed to receive an occlusal masticatory load. This approach was compared to implants restored after a healing period (the control group). Forty-six implants were placed in 23 patients who were each treated with 2 Frialit-2 implants placed in sites between the second premolar in the maxilla or mandible. The manufacturer's recommended formal surgical procedure was followed, and primary stability was standardized with a minimum insertion torque of 20 Ncm. The sites were randomly selected, and the clinical and radiographic parameters were standardized with individual templates. RESULTS: Data were collected at 24 h, and at 1, 3, 6, 12, 18, and 24 months. The experimental group included 10 failed implants; 9 of the failed implants had been placed with an insertion torque of 20 Ncm. One implant from the control group failed during the 24-month follow-up period. The survival rate was independent of implant length, site position, and bone quality and quantity. Relative risk for implant failure was associated with insertion torque (relative risk 0.79 [CI: 0.66-0.930]; Cox regression) (P < or = .007), in the experimental group but was not significant for those in the control group (ie, implants placed after a healing period; relative risk 0.78 [CI: 0.34-1.78]; Cox regression) (P < or = .057). To achieve osseointegration, it was found that an insertion torque above 32 Ncm was necessary (chi2= 15.68; P < or = .004). DISCUSSION: A careful evaluation is necessary for a better understanding of the survival rates of immediately loaded implants. In this study, insertion torque was associated with the potential for risk, which can be decreased by 20% per 9.8 Ncm added. CONCLUSION: Given these results, and considering the number of patients treated, immediate provisional crowns should only be proposed with early loading if an appropriate initial insertion torque has been applied.

Adolescent↗

Insertion torque and resonance frequency analysis of dental implant systems in an animal model with loaded implants.

PURPOSE: The aim of this study was to compare insertion torque and resonance frequency analysis of different implant systems in an animal model with loaded implants. MATERIALS AND METHODS: Three types of Brånemark implants (machined MkIII, TiUnite MkIII, and MkIV) and 2 types of Straumann implants (sandblasted, large-grit, acid-etched [SLA] and titanium plasma-sprayed [TPS]) were studied. Thirty-two implants of each type (n = 160) were placed in 16 beagle dogs. Maximum insertion torque values were recorded. After a healing period of 8 weeks, the implants were loaded for 3 months; the animals were then sacrificed. At placement, after healing, and at the end of the loading phase, resonance frequency analysis was performed and implant stability quotients (ISQs) were recorded. RESULTS: Higher insertion torque values were seen for the conical MkIV than for the MkIII. No difference was seen between the Brånemark and Straumann implants on the basis of ISQ value at placement. ISQ and insertion torque values were lower for the cylindric Straumann implants than for the self-tapping implants. For all implant systems a significant decrease in median ISQ was observed, with a median decrease ranging from 3 to 6. ISQ values for self-tapping implants remained stable after loading, whereas the ISQ values for non-self-tapping cylinders decreased. The maximum insertion torque values for failed and successful implants were not significantly different. Significantly higher ISQ values at placement were seen for successful implants (P =.003). Based on this model for ISQ, a threshold of 65.5 was identified, with a sensitivity of 83% and specificity of 61% for prediction of implant loss. ISQ values at the start of loading were not predictive of implant loss in the loading period. CONCLUSION: Caution should be used when judging implant systems on the basis of resonance frequency analysis and torque measurement.

Animals↗

Relationships between torque, velocity and power output during plantarflexion in healthy subjects.

This study investigated the relationships existing between torque, velocity and power output during plantarflexion. Using a Biodex dynamometric system, 15 healthy subjects performed three maximal dynamic tests, ranging from -12 degrees (-0.209 rad) of dorsiflexion to +47 degrees (+0.818 rad) of plantarflexion and one static test (test 4) at an angle of +10 degrees (+0.174 rad). The dynamic assessment included a 30 degrees s-1 (0.52 rad s-1) concentric isokinetic test (test 1) preceded by a 2-sec maximal pre-loading contraction. The other two dynamic tests were performed using the isotonic mode of testing with a selected torque of 27 N m; one of these tests was executed with pre-loading (test 2) while the other was performed without pre-loading (test 3). The results indicated that the dynamic peak torque, the peak power and the peak velocity were obtained in test 1, test 2 and test 3, respectively. These peak values, as well as the values of torque (test 1 and test 4), power (test 2) and velocity (test 3) obtained at a constant angle +10 degrees (+0.174 rad), were selected for the correlation analyses. The results showed that the torque, velocity and power output during plantarflexion were linearly related to one another with significant correlations (0.71 < r < 0.92; p < 0.01). This finding suggests that a common factor of muscular performance is assessed. Furthermore, these results indicated that the maximal torque produced by a subject can be predictive of his or her maximal velocity and power. Consequently, a stronger subject can generate higher velocity and power than a weaker subject when tested with the same load during maximal effort.

Adult↗

Control of grip force when tilting objects: effect of curvature of grasped surfaces and applied tangential torque.

When we manipulate objects in everyday tasks, there are variations in the shape of the grasped surfaces, and the loads that potentially destabilize the grasp include time-varying linear forces and torques tangential to the grasped surfaces. Previous studies of the control of fingertip forces for grasp stability have dealt principally with flat grip surfaces and linear force loads. Here, we studied the regulation of grip force with changes in curvature of grasped surfaces and changes in tangential torque applied by the index finger and thumb when humans lifted an object and rotated it about the horizontal grip axis through an angle of 65 degrees. The curvatures of the matched pair of spherical surfaces varied from -50 m-1 (concave with radius 20 mm) to 200 m-1 (convex with radius 5 mm). The applied tangential torque at the orientation of 65 degrees was varied sixfold. Regardless of the values of curvature and end torque, grip force and tangential torque were coordinated, increasing in parallel throughout the tilt with an approximately linear relationship; the slope of the line increased progressively with increasing surface curvature. This parametric scaling of grip force was directly related to the minimum grip force required to prevent rotational slip, resulting in an adequate safety margin against slip in all cases. We conclude that surface curvature parametrically influences grip force regulation when the digits are exposed to torsional loads. Furthermore, the sensorimotor programs that control the grip force apparently predict the effect of the total load comprising linear forces and tangential torques.

Adult↗

Chimpanzee thumb muscle cross sections, moment arms and potential torques, and comparisons with humans.

This study investigates the morphological basis of differences between humans and chimpanzees in the kinematical and dynamical parameters of the musculature of the thumb. It is partly intended to test an hypothesis that human thumb muscles can exert significantly greater torques, due to larger muscle cross-sectional areas or to longer tendon moment arms or to both. We focus on the estimation of the potentials of thumb muscles to exert torques about joint axes in a sample of eight chimpanzee cadaver hands. The potential torque of a muscle is estimated by taking the product of a muscle's physiological cross-sectional area (an estimator of force) with its dynamical moment arm (derived from the slope of tendon excursion versus joint angular displacement, obtained during passive movements of cadaver thumb joints). Comparison of our results with similar data obtained for humans at the same Mayo Clinic laboratory shows significant differences between humans and chimpanzees in potential torque of most thumb muscles, those of humans generally exhibiting larger values. The primary reason for the larger torques in humans is that their average moment arms are significantly longer, permitting greater torque for a given muscle size. An additional finding is that chimpanzees and humans differ in the direction of secondary thumb metacarpal movements elicited by contraction of some muscles, as shown by differences in moment arm signs for a given movement in the same muscle. The differences appear to be related to differences in the musculo-skeletal structures of the trapeziometacarpal joint.

Animals↗

Abnormal joint torque patterns in the paretic upper limb of subjects with hemiparesis.

This study presents the results of a novel paradigm for characterizing abnormal coordination in subjects with hemiparesis. Subjects generated maximum voluntary torques (MVTs) isometrically in four randomly ordered blocks consisting of elbow flexion/extension, shoulder flexion/extension, shoulder abduction/adduction, and shoulder external/internal rotation. A 6-degree-of-freedom (DOF) load cell was used to measure torques in secondary DOFs at the elbow and shoulder, as well as in the torque direction the subject was attempting to maximize. This allowed characterization of the multijoint torque patterns associated with the generation of MVTs in the eight directions examined. Significant differences were found between the torque patterns exhibited by the paretic limb of the hemiparetic group (n = 8) and those observed for the nonparetic limb and control group (n = 4). Potential neural and biomechanical mechanisms underlying these abnormal torque patterns are discussed along with implications for the functional use of the paretic limb.

Adult↗

Comparison of peak isometric knee extensor torque in children with and without juvenile rheumatoid arthritis.

This study compared peak isometric knee extensor torque in children with juvenile rheumatoid arthritis (JRA) and healthy children. A secondary purpose was to determine the relationship between measures of articular disease severity and peak isometric knee extensor torque. Peak torque was measured with a computerized dynamometer. Twenty-eight children with JRA and 28 children without JRA were matched for age, sex, and body surface area. Peak isometric knee extensor torque was significantly lower among the children with JRA than their respective control (P < 0.05, paired Student's t-test, one-tailed). There was no relationship between peak torque and measures of articular disease severity among the children with JRA. Subjects complained of quadriceps muscle discomfort as a result of the isometric muscle test. One child with JRA complained of increased knee pain and swelling. Peak isometric knee extensor torque appears to be a useful variable for characterizing muscle function deficits in children with JRA. Isometric muscle performance did not correlate with articular disease severity. The results suggest that isometric strengthening programs are indicated for this patient population. We recommend that clinicians monitor patients for joint and muscle symptoms during exercise training sessions.

Adolescent↗

Electromyographic activity of the abdominal and low back musculature during the generation of isometric and dynamic axial trunk torque: implications for lumbar mechanics.

This study focused on the electromyographic activity of the trunk musculature, given the well-documented link between occupational twisting and the increased incidence of low back pain. Ten men and 15 women volunteered for this study, in which several aspects of muscle activity were examined. The first aspect assessed the myoelectric relationships during isometric exertions. There was great variability in this relationship between muscles and between subjects. Further, the myoelectric activity levels (normalized to maximal electrical activity) obtained from nontwist activities were not maximal despite maximal efforts to generate axial torque (e.g., rectus abdominis, maximum voluntary contraction; 22% external oblique, 52%; internal oblique, 55%; latissimus dorsi, 74%; upper erector spinae [T9], 61%; lower erector spinae [L3], 33%). In the second aspect of the study, muscle activity was examined during dynamic axial twist trials conducted at a velocity of 30 and 60 degrees/s. The latissimus dorsi and external oblique appeared to be strongly involved in the generation of axial torque throughout the twist range and activity in the upper erector spinae displayed a strong link with axial torque and direction of twist, even though they have no mechanical potential to contribute axial torque, suggesting a stabilization role. The third aspect of the study was comprised of the formulation of a model consisting of a three-dimensional pelvis, rib cage, and lumbar vertebrae and driven from kinematic measures of axial twist and muscle electromyograms. The relatively low levels of normalized myoelectric activity during maximal twisting efforts coupled with large levels of agonist-antagonist cocontraction caused the model to severely underpredict measured torques (e.g., 14 Nm predicted for 91 Nm measured). Such dominant coactivity suggests that stabilization of the joints during twisting is far more important to the lumbar spine than production of large levels of axial torque.

Abdominal Muscles↗

Knee extensor torque, work, and EMG during subjectively graded dynamic contractions.

We examined knee extensor peak torque, work, and electromyogram (EMG) during dynamic contractions to perceived exertion levels in men and women. Thirty subjects performed three maximal effort isokinetic knee extensions (60 deg x s(-1)), followed by three contractions to each of nine separate levels of perceived exertion. Surface EMG of the vastus medialis (VM), vastus lateralis (VL), and rectus femoris (RF), and knee extensor peak torque and work were normalized to a percent of each respective value obtained during the maximal effort contractions. The results demonstrated a significant linear increase in voluntary knee extensor peak torque and work across perceived exertion levels. Knee extensor peak torque and work were less than 70%, 80%, and 90% maximal voluntary contraction (MVC) at perceived exertion levels 7, 8, and 9, respectively. A significant increase in VM, VL, and RF muscle EMG was observed across perceived exertion levels 1 through 9, with EMG increase highest for the VL. The findings demonstrate that dynamic contractions guided by perceived exertion are underproduced at relatively high perceptual intensities, and that reliance on VL activation occurs across submaximal torque levels. The overestimation of knee extensor peak torque and work at relatively high perceptual intensities may suggest the presence of a subconscious mechanism aiming to reduce high muscle and joint forces.

Adult↗

Effects of imagery motor training on torque production of ankle plantar flexor muscles.

The aim of this study was to investigate in control subjects the effect of imagery training on the torque of plantar-flexor muscles of the ankle. Twenty-nine subjects were allocated to one of three groups that performed either imagery training, low-intensity strength training, or no training (only measurements). The low-intensity training served as an attention control group. Plantar-flexor torques were measured before, during, directly after, and 4 weeks after the training period. At the end of a 7-week training program, significant differences were observed between the maximal voluntary torque production of the imagery training group (136.3 +/- 21.8% of pretraining torque) vs. the low-intensity training group (112.9 +/- 29.0%; P < 0.02) and the control group (113.6 +/- 19.2%; P < 0.02). The results of this study show that imagery training of lower leg muscles significantly increased voluntary torque production of the ankle plantar-flexor muscles and that the force increase was not due to nonspecific motivational effects. Such muscle strengthening effects might be beneficial in rehabilitation for improving or maintaining muscle torque after immobilization.

Adult↗

The quadriceps femoris muscle in 20-70-year-old subjects: relationship between knee extension torque, electrophysiological parameters, and muscle fiber characteristics.

Comparisons have been made between torque (isometric and isokinetic), electrophysiological (SFEMG, Macro EMG), and muscle fiber characteristics in the vastus lateralis muscle of both legs in healthy subjects aged between 20 and 70 years. Torque was greater in males and decreased with age in both sexes. Multifactorial analysis showed a positive correlation between torque, body surface area, and mean fiber area. These variables explained only about 30-40% of the torque changes. The electrophysiological parameters (Marco EMG amplitudes and fiber density) revealed evidence of reinnervation, indicating preceeding denervation and therefore loss of motor units. It was concluded that this fall out of motor units also contributes to the reduction in torque, when compensatory reinnervation begins to fall. Other factors, such as reduction in muscle fiber contractility, metabolic factors, and central factors, may also play a role in age-related reduction in torque.

Adult↗

Scaling of joint torque during planar arm movements.

The present study scrutinized the "Motor Program" concept for aimed arm movements. Human subjects pointed at visual targets in a horizontal plane, with movements of varying starting positions, amplitudes and directions. We recorded movement kinematics and subsequently calculated the shoulder and elbow joint torque profiles. Our results indicate that the shape of torque profiles is rather uniform across movements and joints. We defined the size of those profiles by six "landmark variables", which could be subsequently reduced to three factors using factor analysis: one factor represented torque magnitude and two represented different aspects of torque timing. Additional analyses indicated that total torque duration is an important controlled signal. Our findings conform with the view that movements are executed by playing back scaled versions of prototypical joint torque profiles.

Adult↗

Torque vectors of neck muscles in the cat.

Anatomical texts describe the neck musculature without measurements of muscle locations or quantitative estimates of pulling actions (torques). This study is based on measurements in stereotaxic coordinates of cat neck muscle origins and insertions, and neck intervertebral rotation axes. Torque vectors in three dimensions were calculated for 14 pairs of dorsal and ventral muscles that insert on the skull or first cervical vertebra. Predicted torque vectors were in general agreement with qualitative statements in the literature. Biventer cervicis and the rectus capitis major, medius, and minor muscles act mainly to raise the head, and longus capitis acts almost exclusively to lower the head. Longissimus capitis, sternomastoid, and cleidomastoid act mainly to roll the head. Complexus acts about equally to raise the head and rool it. Splenius and occipitoscapularis have torque in all three coordinate directions. Torques were altered by changing the pitch of the head with respect to the neck. The calculated neck muscle torques did not correspond to previously reported directions of neck muscle excitation during the vestibulocollic reflex. The neck musculature appears to be a complex, multidimensional system that presents interesting problems in motor control.

Animals↗

Electromyographic activity in the shoulder-neck region according to arm position and glenohumeral torque.

The electromyographical (EMG) response to isometric ramp contractions of the right arm, the left arm, and both arms was studied using four pairs of surface electrodes above the right upper trapezius muscle (UT) of six men and six women. Contractions were made against gravity with the active arm(s) in eight positions, ranging from flexion to abduction. To describe arm positions, new, simple terminology was developed. Root mean square (rms)-converted EMG-signals were normalized (EMGnorm) with respect to a reference contraction. The EMGnorm corresponding to a 15 N.m torque in the right glenohumeral (GH) joint was strongly related to the position of the right arm (P less than 0.001). The shape of this relationship depended on the electrode position (P less than 0.001). The ratio between EMGnorm at 30 N.m and 15 N.m GH torques was related to arm position (P less than 0.001) and differed between electrodes (P less than 0.001). A left-side GH torque resulted in right-side (contralateral) EMG activity, typically corresponding to 20%-30% of that obtained during similar right-side GH torque. Bilateral GH torque implied 0%-50% increase in EMG activity as compared to that obtained with the right arm alone. The results have shown that signals from one pair of surface electrodes above UT cannot be taken as representative of the EMG activity from electrodes located elsewhere above UT. The EMG recordings reflected a complex pattern of muscular activation, significantly related to both outwardly visible factors (arm position, GH torque), and within-body servosystems (motor control reflexes).

Adult↗