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Reliability of biomechanical spasticity measurements at the elbow of people poststroke.

OBJECTIVE: To determine the minimum number of measurements required to obtain a reliable estimate of upper-extremity spasticity using biomechanic assessment across multiple testing trials and dates. DESIGN: Single-center, longitudinal study with repeated measurements of spastic upper-extremity torque measures taken 1 week apart. SETTING: A hospital-based laboratory with an isokinetic testing system. PARTICIPANTS: Sixteen subjects more than 6 months poststroke with upper-extremity spasticity. INTERVENTION: Elbow flexor hypertonia was assessed with a custom-made manipulandum attached to a 6-axis load cell and a Biodex System 3 isokinetic testing machine. Movements into extension were imposed at 4 speeds: 6 degrees /s, 30 degrees /s, 60 degrees /s, and 90 degrees /s. MAIN OUTCOME MEASURES: The resistive torque and electromyographic response to these imposed movements were measured. The torque response at the slowest speed (6 degrees /s) was attributed solely to the passive elements of the elbow and was subtracted from the torque response at the higher speeds (30 degrees /s, 60 degrees /s, 90 degrees /s), leaving only reflex torque. The reflex torques at 30 degrees /s, 60 degrees /s, and 90 degrees /s were used for further analysis. Peak torque, peak joint stiffness, and onset angle of reflex torque responses were found; repeatability and daily variability of these measures were statistically examined. The variabilities due to the subject, test day, and trial number were computed. The overall reliability of each parameter at the 3 higher test speeds using different testing schemes was also calculated. RESULTS: Ninety percent reliability in the measurement of all parameters was obtained after at least 2 days of testing during which 3 tests a day were performed. The variability in between-subjects measurements was at least 4 times greater than the intertrial variability when testing at the highest speeds; daily variability that was up to 50% of the intersubject variability was also observed. The biomechanic measures correlated well with the Ashworth Scale (Spearman rho=.84, P<.005), a clinical measure of hypertonia. CONCLUSIONS: We recommend at least 2 test dates to account for the daily variability in the spastic reflex response and to ensure reliable spasticity measurements.

Adult↗

The robustness of age-related gait adaptations: can running counterbalance the consequences of ageing?

Previous studies showed age-related redistribution of joint torques from ankle joint plantar flexion to hip joint extension in gait. In the present study it was hypothesized that running can prevent the occurrence of this joint torque redistribution. Four groups of subjects participated in this study (young and elderly both physically active and inactive). All subjects walked at a comfortable, preferred velocity and at an imposed velocity of 1.5m/s. Kinematics of lower limb segments and ground reaction forces were assessed. Inverse dynamics method was applied to determine torques around ankle, knee and hip joints. A redistribution of joint torques from plantar flexion to hip joint extension was found to occur in both active and inactive elderly. However, the active elderly had a larger increase of the hip extension torque. By this they are able to maintain the support torque at the level of young subjects. Inactive elderly displayed reduced support torques. It is concluded that the age-related redistribution of joint torques is an important phenomenon. Frequent running does not prevent this shift. Active elderly increase this redistribution to compensate for muscle function reduction.

Adaptation, Physiological↗

Neuromuscular fatigue differs with biofeedback type when performing a submaximal contraction.

The aim of the study was to examine alterations in contractile and neural processes in response to an isometric fatiguing contraction performed with EMG feedback (constant-EMG task) when exerting 40% of maximal voluntary contraction (MVC) torque with the knee extensor muscles. A task with a torque feedback (constant-torque task) set at a similar intensity served as a reference task. Thirteen men (26+/-5 yr) attended two experimental sessions that were randomized across days. Endurance time was greater for the constant-EMG task compared with the constant-torque task (230+/-156 s vs. 101+/-32s, P<0.01). Average EMG activity for the knee extensor muscles increased from 33.5+/-4.5% to 54.7+/-21.7% MVC EMG during the constant-torque task (P<0.001), whereas the torque exerted during the constant-EMG task decreased from 42.8+/-3.0% to 17.9+/-5.6% MVC torque (P<0.001). Comparable reductions in knee extensors MVC (-15.7+/-8.7% for the constant-torque task vs. -17.5+/-9.8% for the constant-EMG task, P>0.05) and voluntary activation level were observed at exhaustion. In contrast, excitation-contraction coupling process, assessed with an electrically evoked twitch and doublet, was altered significantly more at the end of the constant-EMG task despite the absence of M-wave changes for both tasks. Present results suggest that prolonged contractions using EMG biofeedback should be used cautiously in rehabilitation programs.

Adult↗

Slowness to develop force contributes to weakness after stroke.

OBJECTIVE: To examine weakness after stroke, in terms of both level and rate of torque generation. DESIGN: Descriptive. T tests for dependent and independent samples and Pearson's product moment correlation coefficients were performed. SETTING: A rehabilitation unit. PARTICIPANTS: Ten stroke subjects, aged 56 to 81 years, undergoing rehabilitation. Ten neurologically normal subjects aged 55 to 78 years were the controls. OUTCOME MEASURES: Peak isometric elbow flexor and extensor torque and time to 90% peak elbow flexor and extensor torque at 6 weeks and at 25 weeks after stroke. RESULTS: At 6 weeks after stroke, subjects were only half as strong and took two to three times longer to produce torque compared to controls (p < or = .05). By 25 weeks after stroke, significant improvements in peak torque (p < or = .02) and time to 90% peak flexor torque (p < or = .05) were seen so that values were within normal limits. CONCLUSION: Decreased rate of torque development compounds the problem of reduced peak torque, which may have significant implications for stroke patients, especially in situations where muscles are very weak or where force needs to be generated quickly.

Aged↗

Finger force vectors in multi-finger prehension.

In a majority of studies on grasp, only normal forces were measured and only when a zero torque was exerted on a hand-held object. This study concerns finger force vectors during the torque production tasks. Subjects (n=8) stabilized a handle with an attachment that allowed for change of external torque from -1.5 to 1.5 Nm. Forces and moments exerted by the digit tips on the object were recorded. At the large (>-0.375 Nm) supination torques the index/middle and ring/little pairs of fingers generated oppositely directed tangential forces. The index and middle finger produced forces in a downward direction and therefore did not support the load. At a zero torque and pronation torques, the middle, ring and little fingers produced forces along nearly the same direction. The vector of the index finger force was always directed differently from the vectors of other finger forces, the angles ranged from 19 degrees 30' to 47 degrees 40'. The points of force application were systematically displaced with the torque, with the exception of the little finger. Tangential finger forces contributed substantially to the total torque exerted on the hand-held object.

Adult↗

Electromyographic activity and strength during maximum isometric pronation and supination efforts in healthy adults.

There exists a lack of quantitative data in the literature related to the torque produced during axial forearm rotation and the electromyographic (EMG) activity of the muscles involved. Therefore, the purpose of this study was to compare the relative EMG activity of four forearm muscles during resisted forearm rotation. A custom-built device capable of measuring torque in the absence of grip was employed. Fourteen healthy volunteers performed maximum isometric voluntary contractions in five positions of axial forearm rotation for both pronation and supination. EMG data were collected simultaneously from the supinator, biceps, pronator quadratus (deep and superficial heads), and pronator teres muscles using fine-wire bipolar electrodes. Data were analyzed to determine the contributions of each muscle to pronation and supination torque over five positions of forearm rotation. In the absence of grip no significant difference was found between supination and pronation torque in neutral position. Supination torque generation was greater in the pronated forearm positions, and pronation torque was greater in the supinated positions (p<0.05). A root-mean-square EMG analysis verified the major contributions of the pronator teres and both heads of the pronator quadratus muscle to pronation torque, and supinator and biceps to supination torque. The deep head of the pronator quadratus was active during both pronation and supination, lending support to the theory that it may act primarily as a dynamic distal radioulnar joint stabilizer. This information may be helpful in upper extremity modeling, surgical treatments, and rehabilitation strategies.

Adult↗

Evaluation of the strength of elbow flexors in patients with neuromuscular diseases.

In planning the optimum treatment for patients with neuromuscular diseases (NMD), it is essential to know as much as possible about their functional state. Assessment of the strength of certain muscles is the most direct measure of motor deficiency. In the development of normative data needed for patients with NMD, the use of torque measurements is required. Forty-nine patients (31 men and 18 women),f rom 18 to 54 years (mean age 33 +/- 8.9 years), were included in the study. Five groups of patients, each having one of five different NMDs, were formed. We tested unilaterally the biceps brachii muscle that normally generates the highest torque. For this purpose an eletronic brace enabling isometric measurements of torque during elbow flexion was designed. The patients produced three maximum voluntary elbow flexions that lasted about 3 s and separated by a pause of about 3 s. Force development was rapid with continuous build-up and isometric. About 15 s later the patients produced the last maximum voluntary elbow flexion, keeping it as stable aspossible for a period of 30 s. Patients with mitochondrial myopathy (MM), having the shortest mean half fatigue time (4.3 s), elicited the highest mean torque in both short maximum voluntary elbow flexions (1.34 Nm) as well as in the 30 s-long maximum voluntary elbow flexions. In contrast, patients with facioscapulohumeral muscular dystrophy (MD-FSH), having the longest mean half-fatigue time (15.4 s), elicited the lowest mean torque in both the short maximum voluntary (0.29 Nm) as well as in 30 s-long maximum voluntary elbow flexions. Patients with Becker muscular dystrophy (MD-B), having a mean half-fatigue time (11.1 s) slightly shorter than the patients with MD-FSH, elicited a higher mean torque in both the short (0.82 Nm) and the 30 s-long elbow flexions. Finally, patients with limb-girdle muscular dystrophy (MD-RM) and spinal muscular atrophy type 3 (SMA3), having a similar mean half-fatigue time (6.9 s for patients with MD-RM and 7.4 s for patients with SMA3), also elicited similar torque in both short (0.45 Nm for patients with MD-RM and 0.65 Nm for patient with SMA3) and 30 s-long elbow flexions. The results of the study show that the methodology developed to quantitative measure the torque of elbow flexions in patients with NMD enables the characteristics and natural course of NMD to be more objectively documented. Accordingly, the optimum treatmentforpatients with NMD could be restored.

Adolescent↗

Differences in size, strength, and power of upper and lower body muscle groups in young and older men.

We compared muscle thickness, torque, normalized torque (torque/muscle thickness), and power at 1.05 rad/s and 3.14 rad/s in flexor and extensor muscles of the elbow and knee, and in ankle plantar flexors in young (n=22, 18-31 years) and older (n=28, 59-76 years) men. Young men had greater muscle thickness for all muscle groups (p<.01), except elbow extensors, which were similar to older men. Young men had greater torque and power at both velocities for all muscle groups (p<.01), and greater normalized torque at both velocities for the elbow extensors and knee flexors and at the fast velocity for knee extensors. Relative to young mean values, muscle thickness, and torque, normalized torque, and power in the older group were most affected for lower-body measurements, especially at the fast velocity. Torque, normalized torque, and power (especially at fast velocities), and muscle thickness in the lower body are affected more by aging than are upper body measures in men.

Adolescent↗

Analysis of mechanical preparations in extracted teeth using ProTaper rotary instruments: value of the safety quotient.

The purpose of this study was to apply the Endographe to analyze the vertical forces and torque developed during mechanical preparations in extracted teeth. The data collected in this study may be used to calculate the safety quotient (SQ) as proposed by J.T. McSpadden. The SQ formula is defined as the torque required to break a file at D3 divided by the mean working torque required to cut dentin. The Endographe is a unique force-analyzer device equipped to measure, record, and generate graphs of the vertical forces and torque exerted during root canal preparation. All preparations were performed by endodontists in roots with narrow, more restrictive canals, larger, more open canals, or in roots sectioned in two halves. All canals, including the sectioned canals, were prepared with ProTaper files in accordance with the manufacturer's guidelines for use. For narrow canals, the mean values of the generated vertical forces (g) and torque (g.cm) varied from 80 (+/- 20) g (SX) to 232 (+/- 60) g (F2) and from 80 (+/- 24) g x cm (F1) to 150 (+/- 45) g x cm (S2), respectively. For large canals, the mean values of the generated vertical forces (g) and torque (g x cm) varied from 80 (+/- 20) g (SX) to 340 (+/- 20) g (F1) and from 31 (+/- 9) g x cm (S2) to 96 (+/- 35) g x cm (SX), respectively. The SQ varied from 0.93 to 7.95 for narrow canals and from 1.58 to 14.50 for large canals. The SQ is intended to provide values that can be analyzed to predict whether a rotary file will have a tendency to break or will work safely during clinical use. However, if the formula is going to provide useful information, it must index the "rotation to failure torque" with the "mean working torque" at a specific location along the cutting blades of a file. Additionally, this mathematical formula does not account for factors such as the concentration of forces, the way the instruments are used, or the wear of the instruments. A precise protocol for canal preparation should emphasize using small flexible stainless steel hand files to create or verify that within any portion of a root canal there is sufficient space for rotary instruments to follow. When there is a confirmed smooth, reproducible glide path, then a "secured" space exists to safely guide the more flexible terminal extent of a rotary NiTi file. Endogrammes provide an innovative approach to the analysis of mechanical preparations and suggest that the ProTaper shaping files are best used with lateral forces to decrease the coronal screwing effect. The ProTaper finishing files should be used with slow penetration and be introduced only into canals that have a confirmed smooth and reproducible glide path. When any part of the overall length of a canal has been secured, then the number of instruments, the time spent utilizing each instrument, and the overall time progressing through a sequence of instruments to shape this region of the canal is reduced.

Dental Alloys↗

Effect of casting procedures on screw loosening in UCLA-type abutments.

BACKGROUND: Screw loosening of implant restorations continues to be a complication in implant prosthodontics. Screw joints are subjected to a loss of initially applied torque because of friction and component misfit. It has been suggested that the loss of applied torque is less in machined metal abutments than in cast plastic abutments. PURPOSE: This study compared the loss of applied torque (detorque) values in machined titanium and in cast UCLA-type abutments for external hex abutment/implant interface. MATERIALS AND METHODS: Four groups of 12 samples each were evaluated: (1) machined titanium abutments, (2) premachined palladium abutments cast with palladium, (3) plastic abutments cast with nickel-chromium, and (4) plastic abutments cast with cobalt-chromium. Each abutment was torqued to 30 Ncm according to the manufacturer's instructions and detorqued three times. The mean loss of applied torque (detorque) was recorded as a percentage of the torque applied. Group means were calculated and compared using ANOVA and Tukey's LSD test. RESULTS: Mean detorque values were (1) 92.3 +/- 2.9%, (2) 81.6 +/- 5.0%, (3) 86.4 +/- 4.6%, and (4) 84.0 +/- 7.0%. Machined abutments demonstrated significantly greater detorque values compared with all cast groups (p < 0.05). No significant differences were found among cast groups. CONCLUSION: Machined abutments retained a significantly greater percentage of torque compared with cast abutments. Casting procedures decrease the percentage of applied torque, which may influence final screw joint stability.

Analysis of Variance↗

Preloads generated with repeated tightening in three types of screws used in dental implant assemblies.

PURPOSE: Abutment screw loosening, especially in the case of cemented single tooth restorations, is a cause of implant restoration failure. This study compared three screws (titanium alloy, gold alloy, and gold-coated) with similar geometry by recording the preload induced when torques of 10, 20, and 35 Ncm were used for fixation. MATERIALS AND METHODS: Two abutment types were used-prefabricated preparable abutments and cast-on abutments. A custom-designed rig was used to measure preload in the abutment-screw-implant assembly with a strain gauge. Ten screws of each type were sequentially tightened to 10, 20, and 35 Ncm on ten of the two abutment types. The same screws were then loosened and re-tightened. This procedure was repeated. Thus, each screw was tightened on three occasions to the three insertion torques. A linear regression model was used to analyze the effects on preload values of screw type and abutment type for each of the three insertion torques. RESULTS: The results indicated that the gold-coated screw generated the highest preloads for all insertion torques and for each tightening episode. Further analysis focused on the effects of screw type and abutment type for each episode of tightening and for each fixation torque. The gold-coated screw, fixed to the prefabricated abutment, displayed higher preloads for the first tightening at 10, 20, and 35 Ncm. Conversely, the same screw fixed to the cast-on abutment showed higher values for the second and third tightening for all fixation torques. All screws showed decay in preload with the number of times tightened. Given the higher preloads generated using the gold-coated screw with both abutment types, it is more likely that this type of screw will maintain a secure joint when tightened for the second and third time. CONCLUSION: All screw types displayed some decay in preload with repeated tightening, irrespective of abutment type and insertion torque. The gold-coated screw showed markedly higher preloads for all insertion torques and for all instances of tightening when compared with the uncoated screws.

Analysis of Variance↗

On-slope evaluation of release bindings for world-class alpine racers.

The alpine release bindings are set as indicated by the scale given in deca N.m (DIN) to the wanted release torque. The actual release torque of the toe unit was measured and calculated in 89 World Cup and national class racers during the Norwegian national championship in 1992. The deviation of the actual release torque from the desired release torque was calculated. The actual release torque was higher than the wanted release torque, with a mean deviation of 24% and a large dispersion from -28% to 130%. For the second testing, this deviation was reduced to 15%. The deviation of the actual release torque from the desired release torque was not related to age of the binding or class of skier (World Cup, European Cup or national class racers). Compared with a similar investigation 10 years ago, there was no significantly lower deviation.

Adolescent↗

Influence of biomechanical constraints on horizontal arm movements.

Influence of mechanical interactions between the shoulder and elbow on production of different coordination patterns during horizontal arm movements is investigated in the present study. Subjects performed cyclical movements along a circle and along lines of 4 different orientations. Cycling frequency was manipulated to highlight control features responsible for interactive torque regulation. When the shoulder was involved in motion, torque analysis revealed that this joint was controlled similarly during all movement types. At the elbow, however, each movement type required a specific pattern of regulation of interactive torque with muscle torque. When interactive torque acted in the direction of the required elbow rotation, the demands for active control were lower than when the interactive torque resisted elbow motion and had to be actively suppressed. Kinematic analysis demonstrated that increases in cycling frequency systematically deformed the fingertip path. The amount of these deformations differed across movement types, being more pronounced for movements where the interactive torque resisted joint motion. It appears that interactive torque can assist or resist movement at the joints, making control of some movement types more difficult than others.

Adolescent↗

Effect of strength and proprioception training on eversion to inversion strength ratios in subjects with unilateral functional ankle instability.

OBJECTIVES: To examine the effect of six weeks of strength and proprioception training on eversion to inversion isokinetic strength ratios (E/I ratios) in subjects with unilateral functional ankle instability. METHODS: Thirty eight subjects were randomly assigned to one of four treatment groups: strength training (S); proprioception training (P); strength + proprioception training (B); control (C). Isokinetic strength was tested before and after training using a Kin Com 125 automatic positioning isokinetic dynamometer. Subtalar joint eversion and inversion motions were tested both concentrically and eccentrically through a range of motion involving 40 degrees. All peak torque and average torque values were normalised for body mass. E/I ratios were calculated from average torque and peak torque measures by taking the concentric eversion value and combining it with the eccentric inversion value. Data were analysed using a mixed model analysis of variance with repeated measures on the test factor. Average torque and peak torque E/I ratios at 30 and 120 degrees/s were analysed separately. RESULTS: There were no significant differences in average torque and peak torque E/I ratios of the functionally unstable ankle for any of the groups after training compared with before. CONCLUSIONS: Six weeks of strength and proprioception training (either alone or combined) had no effect on isokinetic measures of strength in subjects with self reported unilateral functional instability. Further studies examining this agonist (concentric) to antagonist (eccentric) muscle group strength ratio are needed.

Adult↗

Flow-dependent transport in a mathematical model of rat proximal tubule.

The mathematical model of rat proximal tubule has been extended to include calculation of microvillous torque and to incorporate torque-dependent solute transport in a compliant tubule. The torque calculation follows that of Du Z, Yan Q, Duan Y, Weinbaum S, Weinstein AM, and Wang T (Am J Physiol 290: F289-F296, 2006). In the model calculations, torque-dependent scaling of luminal membrane transporter density [either as an ensemble or just type 3 Na(+)/H(+) exchanger (NHE3) alone] had a relatively small impact on overall Na(+) reabsorption and could produce a lethal derangement of cell volume; coordinated regulation of luminal and peritubular transporters was required to represent the overall impact of luminal flow on Na(+) reabsorption. When the magnitude of torque-dependent Na(+) reabsorption in the model agrees with that observed in mouse proximal tubules, the model tubule shows nearly perfect perfusion-absorption balance at high luminal perfusion rates, but enhanced sensitivity of reabsorption at low flow. With a slightly lower coefficient for torque-sensitive transporter insertion, perfusion-absorption balance in the model tubule is closer to observations in the rat over a broader range of inlet flows. In simulation of hyperglycemia, torque-dependent transport attenuated the diuretic effect and brought the model tubule into closer agreement with experimental observation in the rat. The model was also extended to represent finite rates of hydration and dehydration of CO(2) and H(2)CO(3). With carbonic anhydrase inhibition, torque-dependent transport blunted the diuretic effect and enhanced the shift from paracellular to transcellular NaCl reabsorption. The new features of this model tubule are an important step toward simulation of glomerulotubular balance.

Animals↗

Feedback-controlled stimulation enhances human paralyzed muscle performance.

Chronically paralyzed muscle requires extensive training before it can deliver a therapeutic dose of repetitive stress to the musculoskeletal system. Neuromuscular electrical stimulation, under feedback control, may subvert the effects of fatigue, yielding more rapid and extensive adaptations to training. The purposes of this investigation were to 1) compare the effectiveness of torque feedback-controlled (FDBCK) electrical stimulation with classic open-loop constant-frequency (CONST) stimulation, and 2) ascertain which of three stimulation strategies best maintains soleus torque during repetitive stimulation. When torque declined by 10%, the FDBCK protocol modulated the base stimulation frequency in three ways: by a fixed increase, by a paired pulse (doublet) at the beginning of the stimulation train, and by a fixed decrease. The stimulation strategy that most effectively restored torque continued for successive contractions. This process repeated each time torque declined by 10%. In fresh muscle, FDBCK stimulation offered minimal advantage in maintaining peak torque or mean torque over CONST stimulation. As long-duration fatigue developed in subsequent bouts, FDBCK stimulation became most effective ( approximately 40% higher final normalized torque than CONST). The high-frequency strategy was selected approximately 90% of the time, supporting that excitation-contraction coupling compromise and not neuromuscular transmission failure contributed to fatigue of paralyzed muscle. Ideal stimulation strategies may vary according to the site of fatigue; this stimulation approach offered the advantage of online modulation of stimulation strategies in response to fatigue conditions. Based on stress-adaptation principles, FDBCK-controlled stimulation may enhance training effects in chronically paralyzed muscle.

Adaptation, Physiological↗

Sensorimotor adaptations to microgravity in humans.

Motor function is altered by microgravity, but little detail is available as to what these changes are and how changes in the individual components of the sensorimotor system affect the control of movement. Further, there is little information on whether the changes in motor performance reflect immediate or chronic adaptations to changing gravitational environments. To determine the effects of microgravity on the neural control properties of selected motor pools, four male astronauts from the NASA STS-78 mission performed motor tasks requiring the maintenance of either ankle dorsiflexor or plantarflexor torque. Torques of 10 or 50% of a maximal voluntary contraction (MVC) were requested of the subjects during 10 degrees peak-to-peak sinusoidal movements at 0.5 Hz. When 10% MVC of the plantarflexors was requested, the actual torques generated in-flight were similar to pre-flight values. Post-flight torques were higher than pre- and in-flight torques. The actual torques when 50% MVC was requested were higher in- and post-flight than pre-flight. Soleus (Sol) electromyographic (EMG) amplitudes during plantarflexion were higher in-flight than pre- or post-flight for both the 10 and 50% MVC tasks. No differences in medial gastrocnemius (MG) EMG amplitudes were observed for either the 10 or 50% MVC tasks. The EMG amplitudes of the tibialis anterior (TA), an antagonist to plantarflexion, were higher in- and post-flight than pre-flight for the 50% MVC task. During the dorsiflexion tasks, the torques generated in both the 10 and 50% MVC tasks did not differ pre-, in- and post-flight. TA EMG amplitudes were significantly higher in- than pre-flight for both the 10 or 50% MVC tasks, and remained elevated post-flight for the 50% MVC test. Both the Sol and MG EMG amplitudes were significantly higher in-flight than either pre- or post-flight for both the 10 and 50% MVC tests. These data suggest that the most consistent response to space flight was an elevation in the level of contractions of agonists and antagonists when attempting to maintain constant torques at a given level of MVC. Also, the chronic levels of EMG activity in selected ankle flexor and extensor muscles during space flight and during routine activities on Earth were recorded. Compared with pre- and post-flight values, there was a marked increase in the total EMG activity of the TA and the Sol and no change in the MG EMG activity in-flight. These data indicate that space flight, as occurs on shuttle missions, is a model of elevated activation of both flexor and extensor muscles, probably reflecting the effects of programmed work schedules in flight rather than a direct effect of microgravity.

Adaptation, Physiological↗

Mechanomyographic and electromyographic responses of the vastus medialis muscle during isometric and concentric muscle actions.

The purpose of this study was to examine the patterns for the mechanomyographic (MMG) and electromyographic (EMG) amplitude and mean power frequency (MPF) vs. torque relationships during submaximal to maximal isometric and isokinetic muscle actions. Seven men (mean +/- SD age, 22.4 +/- 1.3 years) volunteered to perform isometric and concentric isokinetic leg extension muscle actions at 20, 40, 60, 80, and 100% of maximal voluntary contraction (MVC) and peak torque (PT) on a Cybex II dynamometer. A piezoelectric MMG recording sensor was placed between bipolar surface EMG electrodes on the vastus medialis. Polynomial regression and separate 1-way repeated-measures analysis of variance were used to analyze the EMG amplitude, MMG amplitude, EMG MPF, and MMG MPF data for the isometric and isokinetic muscle actions. For the isometric muscle actions, EMG amplitude (R(2) = 0.999) and MMG MPF (R(2) = 0.946) increased to MVC, mean MMG amplitude increased to 60% MVC and then plateaued, and mean EMG MPF did not change (p > 0.05) across torque levels. For the isokinetic muscle actions, EMG amplitude (R(2) = 0.988) and MMG amplitude (R(2) = 0.933) increased to PT, but there were no significant mean changes with torque for EMG MPF or MMG MPF. The different torque-related responses for EMG and MMG amplitude and MPF may reflect differences in the motor control strategies that modulate torque production for isometric vs. dynamic muscle actions. These results support the findings of others and suggest that isometric torque production was modulated by a combination of recruitment and firing rate, whereas dynamic torque production was modulated primarily through recruitment.

Adult↗