Hereditary form of sustained muscle activity of peripheral nerve origin causing generalized myokymia and muscle stiffness

1984 ◽  
Vol 15 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Raymond G. Auger ◽  
Jasper R. Daube ◽  
Manuel R. Gomez ◽  
Edward H. Lambert
2021 ◽  
Vol 12 ◽  
Author(s):  
Janice Waldvogel ◽  
Ramona Ritzmann ◽  
Kathrin Freyler ◽  
Michael Helm ◽  
Elena Monti ◽  
...  

Stretch-shortening type actions are characterized by lengthening of the pre-activated muscle-tendon unit (MTU) in the eccentric phase immediately followed by muscle shortening. Under 1 g, pre-activity before and muscle activity after ground contact, scale muscle stiffness, which is crucial for the recoil properties of the MTU in the subsequent push-off. This study aimed to examine the neuro-mechanical coupling of the stretch-shortening cycle in response to gravity levels ranging from 0.1 to 2 g. During parabolic flights, 17 subjects performed drop jumps while electromyography (EMG) of the lower limb muscles was combined with ultrasound images of the gastrocnemius medialis, 2D kinematics and kinetics to depict changes in energy management and performance. Neuro-mechanical coupling in 1 g was characterized by high magnitudes of pre-activity and eccentric muscle activity allowing an isometric muscle behavior during ground contact. EMG during pre-activity and the concentric phase systematically increased from 0.1 to 1 g. Below 1 g the EMG in the eccentric phase was diminished, leading to muscle lengthening and reduced MTU stretches. Kinetic energy at take-off and performance were decreased compared to 1 g. Above 1 g, reduced EMG in the eccentric phase was accompanied by large MTU and muscle stretch, increased joint flexion amplitudes, energy loss and reduced performance. The energy outcome function established by linear mixed model reveals that the central nervous system regulates the extensor muscles phase- and load-specifically. In conclusion, neuro-mechanical coupling appears to be optimized in 1 g. Below 1 g, the energy outcome is compromised by reduced muscle stiffness. Above 1 g, loading progressively induces muscle lengthening, thus facilitating energy dissipation.


2017 ◽  
Vol 118 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Jiří Nepožitek ◽  
Karel Šonka

Excessive fragmentary myoclonus (EFM) is a polysomnographic finding registered by the surface electromyography (EMG) and characterized as a result of the muscle activity consisting of sudden, isolated, arrhythmic, asynchronous and asymmetric brief twitches. The EMG potentials are defined by the exact criteria in The International Classification of the Sleep Disorders, 3rdedition and they appear with high intensity in all sleep stages. Clinical significance of EFM is unclear. It was observed in combination with other diseases and features such as obstructive and central sleep apnea, narcolepsy, periodic limb movements, insomnia, neurodegenerative disorders and peripheral nerve dysfunction. Relation to such wide range of diseases supports the opinion that EFM is nor a specific sleep disorder nor a specific polysomnographic sign. The option that EFM is a normal variant has also not been ruled out so far.


1983 ◽  
Vol 26 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Gerald N. Zimmermann ◽  
J. M. Hanley

Cinefluorography was used to study three stutterers and two nonstutterers repeating a passage made up of monosyllables. CVC target words of the form/cæt/were embedded in the passage and were analyzed to determine the effects of repeating the passage on velocities, displacements, and durations of movements of the tongue, jaw, and lower lip. Coordination among the articulators was also assessed. The investigation was undertaken to test the hypothesis that decreases in velocities and displacements, increased movement durations, and decreased latency between the onsets of jaw movements and of tongue tip movements would be associated with the repeated readings. The hypothesis was not supported by the results. A post hoe analysis showed that a decrease in the variability, of instantaneous velocities (and by inference a decrease in variation in muscle stiffness) was associated with practice for the three stutterers but not for the nonstutterers. Inferences about the adaptation effect are made related (a} to the stabilization of tonic muscle activity which may be associated with a decrease in arousal, and (b) to the, effects of practice.


Author(s):  
Kyosuke Hoshikawa ◽  
Takuma Yuri ◽  
Hugo Giambini ◽  
Yoshiro Kiyoshige

Abstract Purpose The purpose of this study was to investigate if the three partitions (superior, middle, and inferior partitions) of the infraspinatus muscle previously described in anatomical studies will present different behavior during scapular plane abduction (scaption) as described using shear-wave elastography, especially during initial range of motion. Methods Eight volunteers held their arm against gravity 15° intervals from 30° to 150° in scaption. Shear-wave elastography was implemented at each position to measure shear modulus at rest and during muscle contraction, as a surrogate for muscle stiffness, of each partition. Muscle activity was defined as the difference in stiffness values between the resting positions and those during muscle contraction (ΔE = stiffness at contraction—stiffness at rest). Results The activity value for the middle partition was 25.1 ± 10.8 kPa at 30° and increased up to 105° (52.2 ± 10.8 kPa), with a subsequent decrease at larger angle positions (p < .001). The superior partition showed a flatter and constant behavior with smaller activity values except at higher angles (p < .001). Peak activity values for the superior partition were observed at 135° (23.0 ± 12.0 kPa). Increase activity for inferior partition began at 60° and showed a peak at 135° (p < .001; 32.9 ± 13.8 kPa). Conclusion Stiffness measured using shear-wave elastography in each partition of the infraspinatus muscle demonstrated different behavior between these partitions during scaption. The middle partition generated force throughout scaption, while the superior and inferior partitions exerted force at end range.


Author(s):  
Ellenor Brown ◽  
Kazuya Aomoto ◽  
Atsutoshi Ikeda ◽  
Tsukasa Ogasawara ◽  
Yasuhide Yoshitake ◽  
...  

The ability to control individual muscle activity is widely applicable in clinical diagnostics, training, and rehabilitation. Inducing muscle patterns that amplify abnormal muscle coordination can assist with early diagnosis of neuromuscular disorders. Individual muscle control also allows for targeted exercise of muscles weakened by disease, injury, or disuse. The goals of this research are to test a system for individual muscle control and introduce the use of muscle ultrasound as an alternative to electromyography (EMG). The system integrates a computational model of the right upper extremity with a robotic manipulator to predict and control muscle activity. To test the system, subjects gripped the manipulator and isometrically resisted loads applied to the hand. Muscle activity was measured via EMG and ultrasound. The system was able to induce the desired direction of muscle activity change but with limited precision. EMG measurement appeared susceptible to error due to crosstalk in the forearm.


1994 ◽  
Vol 52 (1) ◽  
pp. 96-99 ◽  
Author(s):  
José Teotônio de Oliveira ◽  
Igor Levy-Reis

A 16-year-old male patient who presented with muscle stiffness and dysphonia is described. Electromyography revealed continuous motor activity that was unaffected by peripheral nerve block or general anaesthesia, but was abolished by curare. The patient had a marked improvement after using phenytoin. The follow-up 11-years later corroborates with the proposed benignity of this syndrome, in spite of being dependent on medication.


1997 ◽  
Vol 6 (2) ◽  
pp. 182-206 ◽  
Author(s):  
C. Buz Swanik ◽  
Scott M. Lephart ◽  
Frank P. Giannantonio ◽  
Freddie H. Fu

Anterior cruciate ligament (ACL) injury disrupts static and dynamic knee restraints, compromising functional stability. Deafferentation of ACL mechan-oreceptors alters the spinal reflex pathways to motor nerves and muscle spindles in addition to the cortical pathways for conscious and unconscious appreciation of proprioception and kinesthesia. These pathways are required by the feed-forward and feedback neuromuscular control systems to dynamically stabilize joints. Feed-forward motor control is responsible for preparatory muscle activity, while feedback motor control regulates reactive muscle activity. The level of muscle activation, preparatory or reactive, influences muscular stiffness, thereby providing dynamic restraint for the ACL-deficient athlete. Rehabilitation protocols should incorporate activities that enhance muscle stiffness while encouraging adaptations to peripheral afferents, spinal reflexes, and cortical motor patterns. Four elements crucial for reestablishing neuromuscular control and functional stability are proprioceptive and kinesthetic awareness, dynamic stability, preparatory and reactive muscle characteristics, and conscious and unconscious functional motor patterns.


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