Massage and stretching reduce spinal reflex excitability without affecting twitch contractile properties

Both stretching and massage can increase range of motion. Whereas the stretching-induced increases in ROM have been attributed to changes in neural and muscle responses, there is no literature investigating the ROM mechanisms underlying the interaction of stretch and massage. The objective of this paper was to evaluate changes in neural and evoked muscle responses with two types of massage and static stretching. With this repeated measures design, 30 s of plantar flexors musculotendinous junction (MTJ) and tapotement (TAP) massage were implemented either with or without 1 min of concurrent stretching as well as a control condition. Measures included the soleus maximum H-reflex/M-wave (H/M) ratio, as well as electromechanical delay (EMD), and evoked contractile properties of the triceps surae. With the exception of EMD, massage and stretch did not significantly alter triceps surae evoked contractile properties. Massage with and without stretching decreased the soleus H/M ratio. Both TAP conditions provided greater H/M ratio depression than MTJ massage while the addition of stretch provided the greatest inhibition. Both massage types when combined with stretching increased the duration of the EMD. In conclusion, MTJ and TAP massage as well as stretching decreased spinal reflex excitability, with TAP providing the strongest suppression. While static stretching prolongs EMD, massage did not affect contractile properties.     

Force output during fatigue with progressively increasing stimulation frequency

There is currently a controversy over whether stimulation frequencies should increase or decrease to optimize force output over time. This study compared changes in thenar muscle force and M-wave amplitude during progressively increasing (20–40 Hz), decreasing (40–20 Hz) and constant (20 Hz) frequency stimulation of the median nerve continuously for 3 min. Twenty-three individuals participated in three sets of experiments. There was no significant difference in the force–time integrals between the three fatigue tasks. The rate of fatigue was not correlated to the number of stimulation pulses delivered (20 Hz: 3600, 20–40 and 40–20 Hz: 5400). All fatigue tasks caused a significant reduction in M-wave amplitude and the reduction was largest for the 20–40 Hz protocol. However, multiple linear regression analysis revealed that the M-wave amplitude could not predict the changes in force over time for the 20 Hz or 20–40 Hz protocols. Thus during sustained evoked contractions with stimulation frequencies within the physiological range, frequencies can vary significantly without changing the overall force–time integral.     

Fatigue response of rat medial longissimus muscles induced with electrical stimulation at various work/rest ratios

Muscle fatigue may be a precursor to workplace musculoskeletal disorders, with the low back resulting in the most frequently injured body part. Work/rest ratios have an effect on fatigue due to the amount of rest allowance provided following muscle contraction. This study explored various work/rest ratios by electrically stimulating rat medial longissimus muscles. A 3 V stimulus with 0.2 ms pulse duration was applied at a frequency of 30 Hz. There were four stimulation groups consisting of the following duty cycles (DC) and cycle times (CT): DC25%:CT20s, DC25%:CT280s, DC75%:CT20s, and DC75%:CT180s. Muscle fatigue was measured as a decrease in M-wave amplitude and area, and an increase in M-wave duration. The results indicated that fatigue occurred immediately in each of the groups. The higher duty cycle and shorter cycle time group resulted in significantly greater fatigue than the lower duty cycle and longer cycle time group, as measured by increased M-wave amplitude and area. A longer M-wave duration was observed in the high duty cycle long cycle time group. This suggests that the combination of low duty cycle and long cycle times leads to less fatigue. In high duty cycle scenarios, short cycle times result in less fatigue.     

Comparison of the duration and power spectral changes of monopolar and bipolar M waves caused by alterations in muscle fibre conduction velocity

The muscle compound action potential (M wave) recorded under monopolar configuration reflects both the propagation of the action potentials along the muscle fibres and their extinction at the tendon. M waves recorded under a bipolar configuration contain less cross talk and noise than monopolar M waves, but they do not contain the entire informative content of the propagating potential. The objective of this study was to compare the effect of changes in muscle fibre conduction velocity (MFCV) on monopolar and bipolar M waves and how this effect depends on the distance between the recording electrodes and tendon. The study was based on a simulation approach and on an experimental investigation of the characteristics of surface M waves evoked in the vastus lateralis during 4-s step-wise isometric contractions in knee extension at 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, and 90% MVC. The peak-to-peak duration (Durpp) and median frequency (Fmedian) of the M waves were calculated. For monopolar M waves, changes in Durpp and Fmedian produced by MFCV depended on the distance from the electrode to the tendon, whereas, for bipolar M waves, changes in Durpp and Fmedian were largely independent of the electrode-to-tendon distance. When the distance between the detection point and tendon lay between approximately 15 and 40 mm, changes in Durpp of bipolar M waves were more pronounced than those of distal monopolar M waves but less marked than those of proximal monopolar M waves, and the opposite occurred for Fmedian. Since, for bipolar M waves, changes in duration and power spectral features produced by alterations in MFCV are not influenced by the electrode-to-tendon distance, the bipolar electrode configuration is a preferable choice over monopolar arrangements to estimate changes in conduction velocity.     

A method based on wavelets to analyse overlapped and dependant M-Waves

Implanted stimulation restores hand movement in patients with complete spinal cord injuries. However, assessing the response by surface evoked EMG recordings is challenging because the forearm muscles are small and overlapping. Moreover, M-waves are dependent because they are induced by a single stimulation paradigm. We hypothesized that the M-waves of each muscle has a specific time–frequency signature and we have developed a method to reconstruct the recruitment curves using the energy of this specific time–frequency signature. Orthogonal wavelets are used to analyze individual M-waves. As the selection of the wavelet family and the determination of the time–frequency signature were not trivial, the impact of these choices was evaluated. First, we were able to discriminate the 2 relevant M-waves related to the studied muscles thanks to their specific time–frequency representations. Second, the Meyer family, compared to the Daubechies 2 and 4 families, is the most robust choice against the uncertainty of the time–frequency region definition. Finally, the results are consistent with the semi-quantitative evaluation performed with the MRC scoring. The Meyer wavelet transform combined with the definition of a specific area of interest for each individual muscle allows us to quantitatively and objectively evaluate the evoked EMG in a robust manner.     

M-wave modulation at relative levels of maximal voluntary contraction

Frequency (mean and median power frequency, f and f _m) and amplitude (average rectified and root mean square values, ARV and rms), parameters of the M-wave, and the dorsiflexor force parameters of the anterior tibial muscles were measured in seven healthy human subjects. Intermittent, voluntary contractions at relative intensities (40%, 60%, and 80%) of maximal voluntary contraction (MVC) were performed in conjunction with electrical stimulation. The M-wave parameter changes were measured over the course of the isometric contractions. At higher force levels, M-wave potentiation was observed as increases in both ARV and rms. The ARV augmentation attained levels as high as 206.1 (SD 7.4)% of resting values after both initial and final contractions of 80% MVC, reaching statistical significance (P < 0.01). The f and f _m failed to show a significant difference at any level of contraction. It was surmised that potentiation of the M-wave was the result of an increased contribution of muscle fibre type IIb recruited during higher contraction levels, reflecting the change to larger, deeper innervating motoneurons as the intensity of contraction, as a percentage of MVC, rose. Recruitment of type IIb fibres, which have been reported to have a higher energy potential and frequency content, were thought to reflect changes in the local, excitability threshold of some motor units as the force intensity increased during the intermittent voluntary contractions. It is suggested that the M-wave elicited after contractions has the potential to reflect, to some extent, motor unit recruitment changes resulting from the preceding contractions, and that through comparisons of M-wave amplitude parameters, contributions of varying fibre types over the course of a contraction may be indicated.     

A myocontrolled neuroprosthesis integrated with a passive exoskeleton to support upper limb activities

This work aimed at designing a myocontrolled arm neuroprosthesis for both assistive and rehabilitative purposes.The performance of an adaptive linear prediction filter and a high-pass filter to estimate the volitional EMG was evaluated on healthy subjects (N = 10) and neurological patients (N = 8) during dynamic hybrid biceps contractions. A significant effect of filter (p = 0.017 for healthy; p < 0.001 for patients) was obtained. The post hoc analysis revealed that for both groups only the adaptive filter was able to reliably detect the presence of a small volitional contribution.An on/off non-linear controller integrated with an exoskeleton for weight support was developed. The controller allowed the patient to activate/deactivate the stimulation intensity based on the residual EMG estimated by the adaptive filter. Two healthy subjects and 3 people with Spinal Cord Injury were asked to flex the elbow while tracking a trapezoidal target with and without myocontrolled-NMES support. Both healthy subjects and patients easily understood how to use the controller in a single session. Two patients reduced their tracking error by more than 60% with NMES support, while the last patient obtained a tracking error always comparable to the healthy subjects performance (<4°).This study proposes a reliable and feasible solution to combine NMES with voluntary effort.     

Influence of timing variability between motor unit potentials on M-wave characteristics

The transient enlargement of the compound muscle action potential (M wave) after a conditioning contraction is referred to as potentiation. It has been recently shown that the potentiation of the first and second phases of a monopolar M wave differed drastically; namely, the first phase remained largely unchanged, whereas the second phase underwent a marked enlargement and shortening. This dissimilar potentiation of the first and second phases has been suggested to be attributed to a transient increase in conduction velocity after the contraction. Here, we present a series of simulations to test if changes in the timing variability between motor unit potentials (MUPs) can be responsible for the unequal potentiation (and shortening) of the first and the second M-wave phases. We found that an increase in the mean motor unit conduction velocity resulted in a marked enlargement and narrowing of both the first and second M-wave phases. The enlargement of the first phase caused by a global increase in motor unit conduction velocities was apparent even for the electrode located over the innervation zone and became more pronounced with increasing distance to the innervation zone, whereas the potentiation of the second phase was largely independent of electrode position. Our simulations indicate that it is unlikely that an increase in motor unit conduction velocities (accompanied or not by changes in their distribution) could account for the experimental observation that only the second phase of a monopolar M wave, but not the first, is enlarged after a brief contraction. However, the combination of an increase in the motor unit conduction velocities and a spreading of the motor unit activation times could potentially explain the asymmetric potentiation of the M-wave phases.     

Different plantar flexors neuromuscular and mechanical characteristics depending on the preferred running form

Two main types of endurance runners have been identified: aerial runners (AER), who have a larger flight time, and terrestrial runners (TER), who have a longer ground contact time. The purpose of this study was to assess the neuromuscular characteristics of plantar flexors between AER and TER runners. Twenty-four well-trained runners participated in the experiment. They were classified either in a TER or AER group according to the Volodalen® scale. Plantar flexors’ maximal rate of force development (RFD) and maximal voluntary contraction force (MVC) were assessed. Percutaneous electrical stimulation was delivered to the posterior tibial nerve to evoke maximal M-waves and H-reflexes of the triceps surae muscles. These responses, as well as voluntary activation, muscle potentiation, and V-waves, were recorded by superimposing stimulations to MVCs. RFD was significantly higher in AER than in TER, while MVC remained unchanged. This was accompanied by higher myoelectrical activity recorded in the soleus muscle. While M-waves and other parameters remained unchanged, maximal H-reflex was significantly higher in AER than in TER, still in soleus only. The present study raised the possibility of different plantar flexors’ neuromuscular characteristics according to running profile. These differences seemed to be focused on the soleus rather than on the gastrocnemii.