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Functional morphology of feeding and gill irrigation in the anuran tadpole: electromyography and muscle function in larval Rana catesbeiana.

This study provides the first data on muscle activity patterns during active feeding in a larval anuran. Data regarding muscle function during gill irrigation and hyperexpiration are also provided. Electromyographic and kinematic data were recorded from six mandibular and hyoid muscles in unanesthetized, unrestrained larvae of Rana catesbeiana. Only three (hyoangularis, orbitohyoideus, anterior interhyoideus) of the six muscles examined are active during gill irrigation. Feeding cycles are characterized by the recruitment of three additional muscles: intermandibularis, suspensorioangularis, and levator mandibulae longus superficialis. The latter two contribute, respectively, to wide opening and forceful closing of the mouth during feeding. Hyperexpiration is characterized by a reversal of water flow anteriorly out of the mouth. This hydrodynamic change occurs due to modulation of the timing of firing of the anterior interhyoideus, as well as recruitment of the posterior interhyoideus, which is only active during hyperexpiration. Both regions of the interhyoideus, which are responsible for evacuation of the buccal cavity, are active during the opening phase of hyperexpiration. Kinematically, transitioning from gill irrigation to feeding involves both an overall shortening of the gape cycle and a shift in the relative length of opening phase vs. closing phase. Our results corroborate many of the findings of Gradwell ([1972] Can J Zool 50:501-521) regarding muscle function during gill irrigation and hyperexpiration. Furthermore, we demonstrate that in larval anurans the transition from gill irrigation to feeding involves modulation of gape cycle kinematics, changes in the level of activity of muscles, and recruitment of muscles that are not active during irrigation. In light of new data presented here, a review of muscle function in tadpoles is also provided.

Animals↗

Muscle activity in rat locomotion: movement analysis and electromyography of the flexors and extensors of the elbow.

Footfall patterns and time sequence of activity are described for white rats conditioned to run freely in an activity wheel (which they drive). Motion is described in terms of soft contact, hard contact, soft contact, and flip phases. Duration of stride decreases and length of stride increases from walk to trot to canter to gallop. Myographic analysis shows that the brachialis has a major tonic function after it fires strongly during the flip phase and during much of the hard contact phase. Animals running at canter or gallop show major asymmetries between forelimb muscles on the first paw and on the lead paw sides.

Animals↗

Electromyography of the opercularis muscle of Rana catesbeiana: an amphibian tonic muscle.

The opercularis muscle of Rana catesbeiana originates on the suprascapular cartilage of the shoulder girdle and inserts on the otic opercular element. It is part of the levator scapulae musculature and lies dorsomedial to the levator scapulae superior and inferior muscles. Bipolar electrode recordings from all three muscles show electrical activity linked to cyclical firing of the posterior intermandibularis muscle, an important ventilatory muscle. The opercularis muscle shows low amplitude, erratic signals when animals are submerged. Upon emergence of the snout region, the opercularis muscle shows rhythmic low amplitude activity at twice the rate of buccal pumping. Lung ventilation is synchronized with this rhythm and at ventilation the opercularis muscle shows higher amplitude activity. Upon submergence, opercularis activity again shows low level activity with no rhythmic pattern. Opercularis muscle activity has a major low frequency component (about 30 Hz) that probably corresponds to activity of tonic muscle fibers. Higher frequency signals (about 200-250 Hz) comparable to those of the levator scapulae muscles are also present and probably represent activity of phasic muscle fibers. Activity of the opercularis muscle is correlated with conditions in which aerial respiration is possible, and this pattern of activity supports an opercularis role in aerial hearing and/or detection of substrate vibrations. As far as we know, this is the first report of electromyographic analysis of a vertebrate tonic muscle.

Animals↗

Dynamic electromyography. I. Numerical representation using principal component analysis.

A complete description of human gait requires consideration of linear and temporal gait parameters such as velocity, cadence, and stride length, as well as graphic waveforms such as limb rotations, forces, and moments at the joints and phasic activity of muscles. This results in a large number of interactive parameters, making interpretation of gait data extremely difficult. Statistical pattern recognition techniques can simplify this problem. For this approach to be successful, first it is necessary to reduce the number of interactive parameters to a manageable set. In this study, we present an application of principal component analysis as a means for representing graphic waveforms in a parsimonious manner. In particular, we concentrate on representing the phasic muscle activity recorded using surface electrodes from ten major muscles of the lower extremity of 35 normal subjects during level walking. A 32 point vector is created in which each point of the vector represents the normalized area under the curve of a portion of rectified and smoothed electromyographic signal, expressed as a function of gait cycle. Principal components are computed and the first few weighting coefficients are retained as features to represent the original EMG data. We show that the corresponding basis vectors span parts of the gait cycle where the most variability between individual subjects exists. We also show that the basis vectors can be used to represent the EMG data of subjects not originally used to generate the basis vectors.

Adolescent↗

Dynamic electromyography. II. Normal patterns during gait.

Human gait is a complex phenomenon. Many descriptors are needed to completely describe gait in terms of the biomechanics involved. The descriptors, when expressed as a function of the gait cycle, are complex waveforms. For each of these variables, a single "normal" pattern with bands of deviation has generally been accepted as a reference in clinical/research use to explain the abnormalities in a patient's walking pattern. In fact, one observes many "normal" patterns, and a body of research has been devoted to explaining the differences between these patterns in terms of walking speed, age, cadence, sex, etc. It would be simpler in one sense to start with the fact that different people walk with different patterns, not one pattern with bands of deviation. Numerical representation of the waveforms simplifies the analysis and interpretation of waveform data and facilitates comparison between subjects or groups of subjects. When combined with pattern recognition techniques, it also is useful for identifying subpatterns within a group. In this article, the numerical representation of electromyographic data by Karhunen-Loeve expansion are combined with cluster analysis to obtain patterns of dynamic phasic activity of 10 muscles of the lower extremity. From the 35 normal subjects walking at self-selected speed, two to four patterns are developed for each of the muscles and the physiological significance of the patterns are discussed.

Electromyography↗

Intramuscular wire electromyography of the subscapularis.

The action of the subscapularis muscle is an important component in maintaining shoulder stability. Because of its relative inaccessibility, there have been few electromyographic (EMG) studies of its normal patterns of activity. The subscapularis is innervated by two or more distinct nerves, and therefore the upper and lower parts of the muscle may have different functional roles depending on the position of the humerus. The purpose of this study was to develop safe, reproducible insertion paths to the upper and lower parts of the subscapularis. Six subjects with no previous history of shoulder injury were evaluated. The paths of insertion were designed based on previous anatomical studies as well as dissections. Two pairs of intramuscular wire electrodes were inserted: one directed toward the upper subscapularis and one toward the lower subscapularis. Electrode locations were confirmed using posteroanterior and lateral radiographs and through electrical stimulation. EMG data were recorded during isometric internal rotation exercises with the humerus in 0 or 90 degrees abduction. Significant differences were observed in the EMG activity recorded from the two pairs of electrodes. The EMG activity of the upper subscapularis either remained the same or decreased in going from 0 to 90 degrees abduction, while that of the lower subscapularis increased. The observed differential response confirmed that the electrodes were in different parts of the subscapularis. These preliminary results suggest that in future EMG studies, the subscapularis should be considered as at least two independent muscle units.

Electric Stimulation↗

Evaluation of muscle force prediction models of the lumbar trunk using surface electromyography.

Optimization-based models for prediction of muscle forces in the lumbar region of the torso are used to estimate the forces acting on spinal motion segments, especially for asymmetric tasks. The objectives of this study were to determine (a) which of four torso model formulations best predicted the electromyographic data, (b) the difference in muscular contribution to spinal compression force for the four models, and (c) the effect of using the lowest possible muscle stress bound in the model formulation. An approach for the investigation of competing optimization model formulations was developed and was illustrated with electromyographic data from static asymmetric loading conditions. This method is based on (a) the choice of experimental conditions in which models predict decidedly different muscle forces, and (b) the ability to ensure that the experimental conditions are such that the minimum number of assumptions about the force-electromyogram relationship must be made in order to choose between competing model predictions. Of the four models analyzed, only the formulation with an objective function that was the sum of cubed muscle stresses predicted the electromyographic data acceptably. The muscular contribution to spinal compression force predicted by these models differed by as much as 160% for some experimental conditions. The use of the lowest possible muscle stress bound does not appear to predict muscle forces that are in agreement with electromyographic data.

Adult↗

Diagnosing multiple system atrophy with greater accuracy: combined analysis of the clonidine-growth hormone test and external anal sphincter electromyography.

The clonidine-growth hormone test (CGHT) has been proposed as a means of differentiating multiple system atrophy (MSA) from idiopathic Parkinson's disease (PD). However, it is controversial whether the CGHT is valid. We sought to confirm the validity of the CGHT and to compare the diagnostic accuracy of the CGHT with that of external anal sphincter electromyelography (Sph-EMG) for MSA. We performed the CGHT and the Sph-EMG on 21 PD patients, 23 patients with probable MSA of parkinsonian type (MSA-p), and 22 patients with probable MSA of cerebellar type (MSA-c). We compared the sensitivity, specificity, and positive and negative predictive values (PPV and NPV) of CGHT, Sph-EMG, and a combination of the two tests. We also evaluated the correlations of Unified Parkinson's Disease Rating Scale (UPDRS) scores with the results of the two tests. There was no significant difference between the UPDRS scores for the PD and MSA-p groups. Serum growth hormone concentrations after clonidine significantly increased in PD (mean increase +/- SEM, 4.19 +/- 0.92 ng/ml; P < 0.0001), but remained unchanged in both MSA-p (0.83 +/- 0.61 ng/ml) and MSA-c (1.45 +/- 0.58 ng/ml). The growth hormone responses to clonidine in MSA-p were significantly different from those in PD (P < 0.05). Abnormal, denervated Sph-EMG was observed in 95.7% of MSA-p, 86.4% of MSA-c, and 33.3% of PD patients. Compared to Sph-EMG, the CGHT was less sensitive but more specific in both MSA-p and MSA-c. The result of neither test correlated with the severity of parkinsonism. Interestingly, combining the results of the CGHT and Sph-EMG markedly increased the specificity (85.7% in the CGHT and 66.7% in Sph-EMG vs. 95.2% in the combination study) and the PPV in both MSA-p (85.7% and 75.9% vs. 94.4%) and MSA-c (82.4% and 73.1% vs. 91.7%). We confirm that the CGHT can distinguish MSA-p from PD. Its sensitivity is lower and its specificity higher than Sph-EMG. Compared to either test alone, combined testing with the CGHT and Sph-EMG increased specificity and PPV, thereby enhancing accuracy in the diagnosis of MSA.

Aged↗

Surface electromyography shows increased mirroring in Parkinson's disease patients without overt mirror movements.

Patients with Parkinson's disease (PD) may present mirror movements (MM). Transcranial magnetic stimulation data indicate that these movements reflect an abnormal enhancement of the "physiological mirroring" that can be observed in healthy adults during complex and effortful tasks. It was hypothesized that, in PD, enhanced mirroring is caused by a failure of basal ganglia output to support the cortical network that is responsible for the execution of strictly unimanual movements. If so, it is likely that subtle alterations of voluntary unimanual motor control are also present in PD patients without overt MM. We tested this hypothesis by using surface electromyographic (EMG) techniques in 12 mildly to moderately affected PD patients without overt MM, and in 2 control groups (12 age-matched and 10 young healthy volunteers). Subjects performed unilateral phasic thumb abduction during a sustained tonic contraction of the opposite abductor pollicis brevis. All patients were tested on dopaminergic therapy. On a separate day, 7 of 12 patients were re-tested after withdrawal of medication. During this task, involuntary mirror-like increase in surface EMG of the tonically abducting thumb was significantly larger in PD patients than in age-matched or young healthy volunteers. Off therapy, mirroring was slightly greater than on medication, although this difference was not significant. Our findings suggest that dysfunction of unimanual motor control is a general feature of PD. It is likely that this deficient movement lateralization contributes to an impairment of nonsymmetrical bimanual movements in PD.

Aged↗

Effect of age on muscle functions investigated with surface electromyography.

The purpose of this study was to investigate changes in the surface electromyographic (EMG) signal as a means of defining age-related central and peripheral mechanisms affecting muscle fatigue. Spectral and temporal variables of the surface EMG signal were studied during voluntary isometric contractions of the dominant biceps brachii muscle in a group of 8 healthy elderly men (age range 67-86 years) and a group of 10 healthy young men (age range 23-34 years). The maximal torque developed and the rate of decrease (slope) of spectral variables and conduction velocity (CV) were statistically higher in the young subjects than in the elderly subjects. Motor unit (MU) CV distribution was also estimated from the surface EMG signal and no statistical difference was observed in its variance between the two groups. These results confirm previous findings from the tibialis anterior muscle. Thus, changes in fiber type distribution and decrease in MU firing rate with aging may be factors determining the decrease in maximal voluntary contraction torque and in myoelectric manifestations of muscle fatigue.

Action Potentials↗

Comparison of quantitative techniques in anal sphincter electromyography.

Data comparing results and utility of different quantitative electromyographic (EMG) techniques are limited. In the present study, we analyzed the EMG signal from the external anal sphincter (EAS) muscle using three techniques of motor unit potential (MUP) analysis, and a technique of interference pattern (IP) analysis. We examined 56 patients with damage to the cauda equina or conus medullaris, and 64 control subjects. Using manual-MUP and multi-MUP analysis about 20 MUPs, using a single-MUP technique about 10 MUPs, and using turn/amplitude (T/A) analysis about 20 IP samples were obtained. The sensitivities of these techniques in distinguishing neuropathic from control muscles were calculated. The single-MUP technique detected 63%, manual-MUP 57%, and multi-MUP analysis 62% of neuropathic muscles, and MUP parameters obtained by each of these differed significantly from the other. The sensitivity of T/A analysis of IP was 29%. Our results confirm the need for separate MUP normative data for each of the MUP analysis techniques, and favor them over the IP analysis technique. The normative data presented for the EAS muscle should improve and promote quantitative EMG in patients.

Adult↗

Effect of moderate dehydration on torque, electromyography, and mechanomyography.

The purpose of the present investigation was to test the hypotheses that the mechanomyographic (MMG) signal would be affected by hydration status due to changes in the intra- and extracellular fluid content (which could affect the degree of fluid turbulence), changes in the filtering properties of the tissues between the MMG sensor and muscle, and changes in torque production that may accompany dehydration. Ten subjects (age 22.5 +/- 1.6 years) were tested for maximal isometric (MVC), submaximal isometric (25, 50, and 75%MVC), and maximal concentric isokinetic muscle strength of the biceps brachii in either a euhydrated or dehydrated state while the electromyographic (EMG) and MMG signals were recorded. Separate three-way and two-way ANOVAs indicated no change in torque, EMG amplitude, EMG mean power frequency (MPF), MMG amplitude, and MMG MPF with dehydration. The lack of dehydration effect suggests that MMG may be more reflective of the intrinsic contractile processes of a muscle fiber (torque production) or the motor control mechanisms (reflected by the EMG) than the tissues and fluids surrounding the muscle fiber.

Adult↗

Predictive power of motor unit potential parameters in anal sphincter electromyography.

The diagnostic utility of motor unit potential (MUP) parameters is usually based exclusively on their diagnostic sensitivity, disregarding specificity. In the present study, advanced statistical methods were used to determine MUP parameters with the highest predictive power for the separation of neuropathic and normal external anal sphincter (EAS) muscles. Using multi-MUP analysis, 3,720 MUPs from 138 muscles of 52 patients with cauda equina lesion and 2,526 from 112 muscles of 64 controls were obtained. Only two principal components (PCs), which put weight on the MUP area and amplitude, were needed to explain all the data variability. On logistic and probit regression analyses, MUP area, duration, and number of turns gave results identical to all MUP parameters. Our results suggest that only these three MUP parameters are needed, and that they are as effective as PCs, in MUP analysis of chronic neuropathic EAS muscles. Reduced number of MUP parameters is expected to simplify MUP analysis and increase its specificity.

Anal Canal↗

Microdialysis and electromyography of experimental muscle fatigue in healthy volunteers and patients with mitochondrial myopathy.

Consecutive 60-min microdialysis samples were taken from the tibial anterior muscle in 11 healthy subjects and 4 patients with mitochondrial myopathy before (2-3 samples) and after (3-4 samples, 2 controls and 1 patient excluded) sustained isometric foot dorsiflexions. Before exercise, mean concentrations of lactate, pyruvate, hypoxanthine, urate, aspartate, and glutamate did not significantly differ between controls and patients. After exercise, the controls showed significantly increased concentrations of lactate, pyruvate, and urate, decreased hypoxanthine, and no change in aspartate and glutamate. Similar findings were observed in the patients. Plasma lactate was unchanged. Exercise-induced increase in integrated electromyogram amplitude and rated subjective fatigue were correlated to increased post-exercise lactate concentrations, with no obvious difference between the groups. Microdialysis of skeletal muscle allows the detection and monitoring of biochemical changes in the interstitial space. With the exercise protocol used, however, it was not possible to demonstrate any biochemical difference between healthy controls and patients with mitochondrial myopathy.

Aconitate Hydratase↗

Sphincter electromyography and multiple system atrophy.

Electromyographic studies of the sphincter in patients with multiple system atrophy have shown increased duration and polyphasia of motor unit potentials. These electrophysiological markers have been used to argue for the selective degeneration of sacral motor neurons in Onuf's nucleus in patients with multiple system atrophy. Studies comparing sphincter electromyographic changes in patients with multiple system atrophy and Parkinson's disease have shown significant differences between these two patient populations. Despite the controversy surrounding this claim, recent studies using quantitative electromyographic techniques support the view that reinnervation of the anal sphincter muscles may be a useful diagnostic marker for distinguishing multiple system atrophy from Parkinson's disease. A critical review of these data is needed to assess the validity and reliability of electromyographic changes in multiple system atrophy.

Anal Canal↗

Electromyography of the anal sphincter: which muscle to examine?

Electromyographic examination of the deeper external anal sphincter (EAS) muscle is far more uncomfortable than of the subcutaneous muscle, so we tested the need for its examination. We compared the findings in 85 paired examinations of ipsilateral subcutaneous and deeper EAS muscles in 67 patients with a cauda equina lesion. When the other muscle was normal, the deeper or subcutaneous muscle was pathological in 18% or 13% of pairs, respectively. In addition, the subcutaneous EAS muscle was usually more severely affected than the deeper EAS muscle. Thus, examination of the deeper EAS muscle did not increase the sensitivity of MUP analysis significantly, and did not seem clinically necessary.

Adult↗

Criteria for neuropathic abnormality in quantitative anal sphincter electromyography.

For the external anal sphincter muscle, both normative values and an optimal set of motor unit potential (MUP) parameters have been defined. However, criteria for the diagnosis of neuropathic conditions have not yet been validated. Therefore, in this study, sensitivity was examined in 86 patients with cauda equina lesions (227 muscles), and specificity in 77 controls (119 muscles), using multi-MUP analysis. Six previously defined diagnostic criteria (mean values and outliers for MUP area, duration, and number of turns) were used. An increase in the number of diagnostic criteria required for muscle abnormality (two and three instead of one), and the application of more stringent normative limits resulted in a progressive increase in specificity from 74% to 99% (controls), and a decrease in sensitivity from 70% to 21% (patients). The data suggest that no single cut-off diagnostic criterion has both satisfactory sensitivity and specificity. Introduction of the diagnostic categories of "possible," "probable," and "definite" neuropathic abnormalities into quantitative electromyographic analysis is proposed.

Adult↗