Cross-correlations between gluteal muscle thickness derived from ultrasound imaging and hip biomechanics during walking gait

Ultrasound imaging (USI) of muscle thickness offers different insights into musculoskeletal function than kinematics, kinetics, and surface electromyography (sEMG), however it is unknown how USI-derived measures correlate to traditional measures during walking. The purpose of this study was to compare USI-derived gluteus maximus (GMAX) and medius (GMED) thickness measures to tri-planar hip kinematics and kinetics, and GMED thickness to sEMG amplitude. Fourteen females walked on a treadmill at 1.34 m/s. GMAX and GMED thickness, hip tri-planar kinematics, kinetics, and GMED sEMG were simultaneously recorded. USI-derived thickness measures were compared to other biomechanical outcomes using cross-correlation analyses, computed at each 1% (11-ms) of the gait cycle with lag times from −20% to 20%. GMED and GMAX thickness measures were most strongly correlated with hip extension and abduction angles at 150–220-ms lags (cross-correlation coefficients [CCF]: −0.34; −0.83). GMED thickness was most correlated to abduction and external rotation moments simultaneously (CCF: −0.28; −0.47). GMAX thickness and flexion moments were most strongly correlated at a 66-ms lag (CCF: 0.33). GMED sEMG amplitude was most strongly correlated to muscle thickness at a 99-ms lag (CCF: 0.39). These results elucidate the unique information provided from USI-derived measures of gluteal muscle thickness during walking.     

Influence of forearm orientation on biceps brachii tendon mechanics and elbow flexor force steadiness

Achilles tendon mechanics influence plantar flexion force steadiness (FS) and balance. In the upper limb, elbow flexor FS is greater in supinated and neutral forearm orientations compared to pronated, with contributions of tendon mechanics remaining unknown in position-dependent FS. This study investigated whether distal biceps brachii (BB) tendon mechanics across supinated, neutral and pronated forearm orientations influence position-dependent FS of the elbow flexors. Eleven males (23 ± 3 years) performed submaximal isometric elbow flexion tasks at low (5, 10% maximal voluntary contraction (MVC)) and high (25, 50, 75% MVC) force levels in supinated, neutral and pronated forearm orientations. Distal BB tendon elongation and CSA were recorded on ultrasound to calculate mechanics of tendon stress, strain and stiffness. Relationships between FS, calculated as coefficient of variation (CV) of force, and tendon mechanics were evaluated with multiple regressions. Supinated and neutral were ∼50% stronger and ∼60% steadier than pronated (p < 0.05). Tendon stress was ∼52% greater in supinated and neutral compared to pronated, tendon strain was ∼36% greater in neutral than pronated (p < 0.05), while tendon stiffness (267.4 ± 78.9 N/mm) did not differ across orientations (p > 0.05). At low forces, CV of force was predicted by MVC (r²: 0.52) in supinated, and MVC and stress in neutral and pronated (r²: 0.65–0.81). At high force levels, CV of force was predicted by MVC and stress in supinated (r²: 0.49), and MVC in neutral (r²: 0.53). Absolute strength and tendon mechanics influence the ability of the BB tendon to distribute forces, and thus are key factors in position-dependent FS.     

Differential Expression of Ciliary Neurotrophic Factor Receptor in Skeletal Muscle of Chick and Rat After Nerve Injury

Abstract: The activities of ciliary neurotrophic factor (CNTF) were initially thought to be restricted to cells in the nervous system. However, the recent identification of its receptor specificity-conferring α component (CNTFRα) in skeletal muscle has provided the clue to the unexpected actions of CNTF in the periphery. In the present study, we demonstrated that the mRNA expression of CNTFRα in chick skeletal muscle was decreased by ∼10-fold after nerve transection; this finding is in sharp contrast to the dramatic up-regulation observed in denervated rat muscle. As a first step toward investigating the differential regulation of CNTFRα in chick and rat, we examined the mRNA expression of CNTFRα in different types of muscle following nerve injury in young and adult animals. Our findings demonstrated that the differential expression of CNTFRα observed in denervated skeletal muscle of the chick and rat was not dependent on age or muscle type. The temporal profile of the changes in CNTFRα expression was, however, dependent on the age of the chick as well as the types of muscle. Furthermore, the low level of CNTFRα expression observed in denervated chick muscle recovered to almost control levels in regenerating skeletal muscle. Taken together, our findings provided the first extensive analysis on the mRNA expression of CNTFRα and the α subunit of the acetylcholine receptor in various skeletal muscles of the chick following nerve injury and regeneration.     

Concordance of the location of the innervation zone of the tibialis anterior muscle using voluntary and imposed contractions by electrostimulation

Background: The innervation zone (IZ) corresponds to the location of the neuromuscular junctions. Its location can be determined by using arranged surface linear electrode arrays. Typically, voluntary muscle contractions (VC) are used in this method. However, it also may be necessary to locate the IZ under clinical conditions such as spasticity, in which this type of contraction is difficult to perform. Therefore, contractions imposed by electrostimulation (ES) can be an alternative. There is little background comparing the locations of IZ obtained by two different types of contractions. Objective: Evaluate the concordance between using voluntary and imposed contractions from electrostimulation in order to determine the location of the innervation zone of the tibialis anterior muscle in healthy volunteers. Methods: The tibialis anterior (TA) muscle of sixteen volunteers (men: 8; women: 8; age: 22.1 ± 1.4 years, weight: 61.6 ± 7.5 kg, height: 167.1 ± 7.5 cm) were evaluated using a linear electrode array. The IZ of the TA muscle was located using two types of muscle contractions, voluntary (10% MVC) and imposed contractions by ES. The concordance between both conditions was evaluated using the Bland–Altman method and the concordance correlation coefficient (CCC). The analyses were applied to the absolute and relative positions to the length of an anatomical landmark frame. Results: CCC for absolute position was 0.98 (p < 0.0001, 95% CI [0.98–1.00], and CCC for relative positions also was 0.98 (p < 0.0001, 95% CI [0.97–1.00]). The Bland–Altman analysis for absolute data showed an average difference of −0.63 mm (SD: 4.1). Whereas, for adjusted data, the average difference was −0.20% (SD: 1.2). The power of the results, based on absolute data, was 98%, whereas for relative data, 82%. Conclusion: In healthy volunteers, there was a substantially concordance between the location of the IZ of the TA muscle derived from using contractions imposed by ES and the location derived from using VC.     

米库氯铵用于全麻手术40 例的临床分析

目的:观察米库氯铵分别复合七氟醚、丙泊酚用于全麻手术的肌松效果和安全性,以及对米库氯铵剂量的影响。方法:选择妇科手术患者40例,随机分为七氟醚组和丙泊酚组。诱导期单次静注米库氯铵,肌松开始恢复时开始泵注,手术结束前约20 min停药。记录诱导起效时间、无反应期,停止泵注米库氯铵后TOF比值恢复至25%、50%、75%、90%时间、恢复指数,维持期米库氯铵平均泵注速度、平均追加次数。结果:S组有2例、P组有1例出现轻度皮肤潮红,P组有1例插管时出现轻度呛咳,血压、心率未见明显异常,插管条件均满意。两组诱导起效时间、无反应期、恢复指数无统计学差异,停药后TOF比值恢复至25%、50%、75%、90%时间S组长于P组,差异有统计学意义。S组维持期米库氯铵平均泵注速度、平均追加次数小于P组,差异有统计学意义。结论:米库氯铵用于全麻诱导及维持,肌松满意,恢复迅速,安全性值得肯定。与丙泊酚相比,七氟醚对米库氯铵的需要量大约可以减少20%~30%,丙泊酚对米库氯铵剂量的具体影响有待进一步研究。     

Preparation-dependent distribution of intramembranous particles in freeze-fracture replicas of the neuromuscular junction of the locust Schistocerca gregaria

Summary Freeze-fracture replicas of the neuromuscular junction were prepared from untreated retractor unguis muscles of the locust Schistocerca gregaria that were rapidly frozen by contact with a copper block cooled by liquid helium. These replicas were compared with others prepared from tissue following fixation with glutaraldehyde and cryoprotection in glycerol. Freeze-fracture of rapidly frozen tissue produced replicas of high quality with little evidence of tissue damage by ice crystals in the superficial layers. The gross fracturing characteristics of the neuromuscular junction were consistent with replicas from fixed and cryoprotected tissue; all of the membrane specializations were recognisable but with some alterations in infrastructure. In tissue replicas prepared using either method intramembranous particles in the presynaptic membrane were arranged in a bar-like array. The intramembranous particles of this presynaptic bar array of the rapidly frozen material were large and found on the E-face of the cleaved membrane. This contrasts with the P-face distribution of the comparable particles in muscles fixed in glutaraldehyde and cryoprotected in glycerol, in which they are also smaller and more numerous. This difference in partitioning between rapidly frozen, and fixed, cryoprotected nerve terminals is not found at cholinergic synapses and thus may reflect functional differences between the two types of junction.Indentations of the nerve-terminal membrane occur in replicas from rapidly frozen muscle as well as fixed and cryoprotected muscle suggesting they are not fixation or glycerol-induced artifacts. It is suggested from their position and size that these indentations are more likely to be part of a membrane retrieval system than exocytotic figures.This work was supported by an S.E.R.C. project grant to I.R.D.     

Application of acute pre-exercise partial-body cryotherapy promotes jump performance,salivary α-amylase and athlete readiness

This study aimed to evaluate the application of a single pre-exercise bout of partial-body cryotherapy (PBC) to augment jump performance, salivary biomarkers and self-reported performance readiness. Twelve male rugby union players (age 20.7 ± 3.2 yr; body mass 93.1 ± 13.9 kg; mean ± SD) were exposed to PBC for 3 min at –140°C or control condition prior to a pre-post series of loaded countermovement jumps (CMJ), salivary biomarker samples and performance readiness questionnaires. PBC elicited a moderately greater improvement in CMJ velocity of +4.7 ± 3.5% (mean ± 90% confidence limits) from baseline to 15 min in comparison with a -1.9 ± 4.8% mean difference in the control condition. The mean change in concentration of salivary α-amylase at 15 min was substantially increased by +131 ± 109% after PBC exposure, compared to a -4.2 ± 42% decrease in the control. Salivary testosterone concentrations were unclear at all timepoints in both the PBC and control interventions. Self-reported perceptions of overall performance readiness indicated small to moderate increases in mental fatigue, mood, muscle soreness and overall questionnaire score after PBC compared to control with a higher score more favourable for performance. The application of pre-exercise PBC can elicit favourable outcomes in controlled physical performance tests and holds promise to be applied to training or competition settings.     

Method of analysis influences interpretations of sex-related differences in firing rates during prolonged submaximal isometric contractions

Objective:This study examined motor unit (MU) firing rates during a prolonged isometric contraction of the vastus lateralis (VL) for females and males.Methods:Surface electromyographic (sEMG) signals were recorded from the VL for eleven females and twelve males during a 45-second isometric trapezoid muscle actions at 40% of maximal voluntary contraction (MVC). For each MU, mean firing rate (MFR) was calculated for the initial and final 10-second epochs of the steady torque segment and regressed against recruitment threshold (RT, expressed as %MVC), as well as time at recruitment (T_REC, seconds). MFR was also averaged for each subject.Results:Significant differences existed across epochs for the y-intercepts (P=0.009) of the MFR vs. T_REC relationship, as well as the grouped MFR analysis (P<0.001); no differences were observed between epochs for the MFR vs. RT relationship. Significant differences existed between sexes for the grouped MFR analysis (P=0.049), but no differences were observed for the MFR vs. T_REC or MFR vs. RT relationships.Conclusion:Analysis method may impact interpretation of firing rate behavior; increases in MU firing rates across a prolonged isometric contraction were observed in the MFR vs. T_REC relationship and the grouped MFR analysis.     

A commingling analysis of quantitative neuromuscular performance in a Kansas Mennonite community

The method of commingling analysis is applied to distributions of six quantitative neuromuscular traits. Results show that only two of these traits may be described by the single normal distribution commonly associated with quantitative variables. The remaining four traits show significant skewness which is best accounted for by a mixture of three component distributions. The pattern of commingling found suggests the presence of a major (megaphenic) effect operating in these traits. Further, evidence is found which links the major effect in three of the four commingled traits to a single process which may be related to neurological control. The etiology of the major effect (i.e., whether genetic or environmental) cannot be determined from commingling analysis, but some suggestions are offered based upon the nature of the traits themselves and the major effects.     

Unaccustomed high mileage compared to intensity training-related neuromuscular excitability in distance runners

The influence of a 4-week unaccustomed average 103% mileage increase (ITV, increase in training volume;n = 8; average baseline mileage 85.9 km · week^–1, final mileage 174.6km · week^–1) on performance and neuromuscular excitability (NME) was tested in experienced distance runners and controlled 1 year later by a 4-week unaccustomed average 152% increase in tempo-pace and interval-runs (ITI, increase in training intensity;n = 9; baseline 9 km · week^–1, final 22.7 km · week^–1) with an average total mileage of 61.7 km · week^–1 (week 1) to 84.7 km · week^–1 (week 4). Seven athletes participated in ITV as well as in ITI. During incremental treadmill test performance at a lactate concentration of 2 mmol · l^–1 (2 LP) increased, and at 4 mmol · l^–1 (4 LP) performance did not change, whereas total running distance (TD) during the incremental test decreased in ITV compared to an increase in 2 LP, 4 LP and TD during ITI which may indicate that there was an ITV-related overtraining. The NME of the reference muscles vastus medialis and rectus femoris deteriorated in ITV (day 28 compared to 0) compared to constant values during ITI, reflecting an ITV-related overload of neuromuscular structures.